{"id":957,"date":"2023-06-02T20:01:17","date_gmt":"2023-06-02T17:01:17","guid":{"rendered":"https:\/\/drgpanagopoulos.com\/?page_id=957"},"modified":"2026-03-09T13:09:04","modified_gmt":"2026-03-09T11:09:04","slug":"syntheta-katagmata-agkona","status":"publish","type":"page","link":"https:\/\/drgpanagopoulos.com\/en\/syntheta-katagmata-agkona\/","title":{"rendered":"Complex elbow fractures"},"content":{"rendered":"<p class=\"wp-block-site-tagline\">Georgios Panagopoulos MD | Orthopaedic Surgeon<\/p>\n\n\n<p class=\"has-large-font-size\"><strong>Complex elbow fractures<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1600\" height=\"583\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/elbow-2-1.jpg\" alt=\"\u039a\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1\" class=\"wp-image-5542\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/elbow-2-1.jpg 1600w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/elbow-2-1-768x280.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/elbow-2-1-1536x560.jpg 1536w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/elbow-2-1-18x7.jpg 18w\" sizes=\"(max-width: 1600px) 100vw, 1600px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0\" id=\"rank-math-toc\"><p><strong>Table of contents<\/strong><\/p><nav><ul><li class=\"\"><a href=\"#t\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03ba\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1\">What is a complex elbow fracture?<\/a><\/li><li class=\"\"><a href=\"#\u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03af\u03b1\">Anatomy<\/a><\/li><li class=\"\"><a href=\"#\u03ba\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1-\u03b1\u03af\u03c4\u03b9\u03b1\">Causes<\/a><\/li><li class=\"\"><a href=\"#\u03ba\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1-\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/a><\/li><li class=\"\"><a href=\"#\u03ba\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Treatment<\/a><\/li><li class=\"\"><a href=\"#\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\">Recovery<\/a><\/li><li class=\"\"><a href=\"#faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"t\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03ba\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1\">What is a complex elbow fracture?<\/h2>\n\n\n\n<p class=\"translation-block\">The elbow is a complex joint that connects your arm to your forearm and hand. After an injury, it is important to restore elbow mobility and function, as the elbow is responsible for flexion and extension (bending and straightening your elbow), as well as pronation and supination (rotating your forearm and hand). Complex elbow fracture dislocations involve fractures to more than one bones of the elbow, associated with a dislocation. These are among the most challenging to treat elbow injuries and may cause significant dysfunction and stiffness.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03af\u03b1\">Anatomy<\/h2>\n\n\n\n<p class=\"translation-block\">The elbow joint consists of 3 bones: the humerus (arm bone), ulna and radius (forearm bones). These bones are held together by multiple muscles, tendons and ligaments and work in unison in a hinge joint that bends your elbow, but also controls rotation of your forearm and hand. A complex elbow injury is often times referred to as the \u201c<strong>terrible triad<\/strong>\u201d of the elbow. This type of injury includes an elbow dislocation, a radial head fracture and a coronoid process fracture, together with various degrees of associated ligamentous injury.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03ba\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1-\u03b1\u03af\u03c4\u03b9\u03b1\">Causes<\/h2>\n\n\n\n<p>Elbow fracture-dislocations often happen after a fall on the outstretched hand. Patients will present with the following symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Immediate pain<\/li>\n\n\n\n<li>Severe bruising and swelling of the elbow<\/li>\n\n\n\n<li>Inability to straighten or bend the arm<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Numbness and tingling of the hand and fingers, if one of the nerves is bruised.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03ba\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1-\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">How is a complex elbow fracture diagnosed?<\/h2>\n\n\n\n<p>Complex elbow fractures are usually suspected based on the mechanism of injury and associated symptoms and confirmed by simple x-rays. Your doctor may request a CT scan of the elbow, to aid with preoperative planning.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03ba\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">How is a complex elbow fracture treated?<\/h2>\n\n\n\n<p>An elbow fracture-dislocation should get treatment as soon as possible. A dislocated elbow should be set back in place under sedation. This usually happens in the emergency department. A repeat x-ray will confirm that your elbow is in a congruent \u2013 acceptable position. After this happen, you will be typically referred to an orthopaedic surgeon for definitive treatment. Surgery usually involves the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fixation or arthroplasty of the radial head<\/li>\n\n\n\n<li>Fixation or suture fixation of the coronoid or anterior capsule<\/li>\n\n\n\n<li>Distal humerus fracture fixation, if present <\/li>\n\n\n\n<li>Repair of torn ligaments (LUCL +\/- MCL) with suture anchors<\/li>\n\n\n\n<li>Olecranon fracture fixation, if present &nbsp;<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-6fadbef4 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-f21362a1\">\n<div class=\"wp-block-uagb-image uagb-block-51075274 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-1-AP.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-1-AP.jpg\" alt=\"\u039a\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1 1 AP\" class=\"uag-image-3124\" width=\"233\" height=\"205\" title=\"\" role=\"img\"\/><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-fa561b48\">\n<div class=\"wp-block-uagb-image uagb-block-aae1c13a wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-1-lateral.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-1-lateral.jpg\" alt=\"\u039a\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1 1 lateral\" class=\"uag-image-3125\" width=\"233\" height=\"195\" title=\"\" role=\"img\"\/><\/figure><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-34d8bf28 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-0245128a\">\n<div class=\"wp-block-uagb-image uagb-block-f8b5cc95 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-2-AP.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-2-AP.jpg\" alt=\"\u039a\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1 2 AP\" class=\"uag-image-3126\" width=\"681\" height=\"669\" title=\"\" role=\"img\"\/><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-8dffdb97\">\n<div class=\"wp-block-uagb-image uagb-block-cad4e98f wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-2-lateral.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-2-lateral.jpg\" alt=\"\u039a\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1 2 lateral\" class=\"uag-image-3127\" width=\"682\" height=\"679\" title=\"\" role=\"img\"\/><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-2dba63cb\">\n<div class=\"wp-block-uagb-image uagb-block-b4e3b83b wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-3-AP.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-3-AP.jpg\" alt=\"\u039a\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1 3 AP\" class=\"uag-image-3128\" width=\"779\" height=\"838\" title=\"\" role=\"img\"\/><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-1cffdb5b\">\n<div class=\"wp-block-uagb-image uagb-block-642323bc wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-3-lateral.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Terrible-triad-Case-3-lateral.jpg\" alt=\"\u039a\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1 3 lateral\" class=\"uag-image-3129\" width=\"780\" height=\"640\" title=\"\" role=\"img\"\/><\/figure><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<p>Most terrible triad injuries require surgical management to restore the functionality of your elbow. Surgery involves addressing all the injury components in your elbow. These may include fixation or replacement of the radial head, fixation or suturing of the coronoid and repair of the avulsed ligaments of your elbow.<\/p>\n\n\n\n<p class=\"translation-block\">After surgery, your will generally have a bulky dressing for a few days. Your doctor and physiotherapist will create an individualized rehabilitation plan for you. The aim of the treatment is to get your elbow moving as soon as possible. This is crucial, as the elbow joint is notorious for getting very stiff very quickly.  Problems after this surgery may include elbow stiffness, elbow instability (repeat dislocations), or heterotopic ossification (new bone formation). It is important to follow your doctor\u2019s orders in order to avoid all these problems.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\">Recovery<\/h2>\n\n\n\n<p class=\"translation-block\">Complex elbow fracture-dislocations can be pretty spicy and difficult to fix, and they should be treated by an experienced elbow surgeon.  <strong><a href=\"https:\/\/drgpanagopoulos.com\/en\/orthopaidikos-xeirourgos\/\" data-type=\"page\" data-id=\"5\" target=\"_self\">Dr Panagopoulos<\/a><\/strong> has extensive surgical experience in complex elbow surgery and will discuss in depth the procedure with you during your visit in the office.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1697888024786\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Why are elbow fractures hard to manage? <\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Elbow fracture - dislocations are complex injuries, that need careful treatment in order to achieve return to previous levels of activity.\u00a0\u00a0\u00a0<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697888095002\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What are the common injuries around the elbow?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Radial head fracture, coronoid fracture, olecranon fracture, elbow fracture - dislocation, distal humerus fracture, or a combination of the above.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697888349294\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">When does the elbow become stiff?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p class=\"translation-block\">\u2013 Very commonly, either before or after surgery<br>\u2013 If surgery is not done properly<br>\u2013 If the elbow is immobilised for a long time after surgery<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-f0c78fbe default uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-77c46601\">\n<div class=\"wp-block-uagb-info-box uagb-block-2fdac840 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M168.3 499.2C116.1 435 0 279.4 0 192C0 85.96 85.96 0 192 0C298 0 384 85.96 384 192C384 279.4 267 435 215.7 499.2C203.4 514.5 180.6 514.5 168.3 499.2H168.3zM192 256C227.3 256 256 227.3 256 192C256 156.7 227.3 128 192 128C156.7 128 128 156.7 128 192C128 227.3 156.7 256 192 256z\"><\/path><\/svg><\/div><div 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224h306.8l-105.4-105.4c-12.5-12.5-12.5-32.75 0-45.25s32.75-12.5 45.25 0l160 160C451.1 245.9 451.1 266.1 438.6 278.6z\"><\/path><\/svg><\/span><\/a><\/div><\/div>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-social\"><div class=\"eb-parent-wrapper eb-parent-eb-social-links-a7gtu9n\"><div class=\"eb-social-links-a7gtu9n eb-social-links-wrapper\"><ul class=\"eb-socials\"><li><a class=\"facebook-f-original\" href=\"https:\/\/www.facebook.com\/georgiospanagopoulosmd\" target=\"_blank\" rel=\"noopener\"><i class=\"hvr-icon eb-social-icon fab fa-facebook-f\"><\/i><\/a><\/li><li><a class=\"instagram-original\" href=\"https:\/\/www.instagram.com\/georgiospanagopoulosmd\/\" target=\"_blank\" rel=\"noopener\"><i class=\"hvr-icon eb-social-icon fab fa-instagram\"><\/i><\/a><\/li><li><a class=\"linkedin-in-original\" href=\"https:\/\/www.linkedin.com\/in\/georgiospanagopoulosmd\" target=\"_blank\" rel=\"noopener\"><i class=\"hvr-icon eb-social-icon fab 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\u03c4\u03b5\u03bd\u03c4\u03ce\u03c3\u03bf\u03c5\u03bc\u03b5 \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03bb\u03c5\u03b3\u03af\u03c3\u03bf\u03c5\u03bc\u03b5 \u03c4\u03bf \u03ac\u03ba\u03c1\u03bf (\u03ba\u03ac\u03bc\u03c8\u03b7-\u03ad\u03ba\u03c4\u03b1\u03c3\u03b7), \u03b5\u03bd\u03ce \u03ba\u03b1\u03b8\u03b9\u03c3\u03c4\u03ac \u03b4\u03c5\u03bd\u03b1\u03c4\u03ad\u03c2 \u03c4\u03b9\u03c2 \u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b9\u03bd\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03bd\u03c4\u03b9\u03b2\u03c1\u03b1\u03c7\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03c7\u03b5\u03c1\u03b9\u03bf\u03cd (\u03c0\u03c1\u03b7\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2-\u03c5\u03c0\u03c4\u03b9\u03b1\u03c3\u03bc\u03cc\u03c2). \u03a4\u03b1 \u03ba\u03b1\u03c4\u03ac\u03b3\u03bc\u03b1\u03c4\u03b1-\u03b5\u03be\u03b1\u03c1\u03b8\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03c0\u03b9\u03bf \u03c0\u03bf\u03bb\u03cd\u03c0\u03bb\u03bf\u03ba\u03b5\u03c2 \u03ba\u03b1\u03ba\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03c5 \u03ba\u03b1\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03c3\u03b5\u03b9 \u03bf [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3998,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"disabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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Panagopoulos","author_link":"https:\/\/drgpanagopoulos.com\/en\/author\/gnpanagopoulosgmail-com\/"},"uagb_comment_info":0,"uagb_excerpt":"\u039a\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1 \u0391\u03b3\u03ba\u03ce\u03bd\u03b1 T\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf \u03ba\u03ac\u03c4\u03b1\u03b3\u03bc\u03b1 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1; \u039f \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03af\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03b1\u03c1\u03b8\u03c1\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03bd\u03b8\u03c1\u03ce\u03c0\u03b9\u03bd\u03bf\u03c5 \u03c3\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2. \u039c\u03b1\u03c2 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c4\u03b5\u03bd\u03c4\u03ce\u03c3\u03bf\u03c5\u03bc\u03b5 \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03bb\u03c5\u03b3\u03af\u03c3\u03bf\u03c5\u03bc\u03b5 \u03c4\u03bf \u03ac\u03ba\u03c1\u03bf (\u03ba\u03ac\u03bc\u03c8\u03b7-\u03ad\u03ba\u03c4\u03b1\u03c3\u03b7), \u03b5\u03bd\u03ce \u03ba\u03b1\u03b8\u03b9\u03c3\u03c4\u03ac \u03b4\u03c5\u03bd\u03b1\u03c4\u03ad\u03c2 \u03c4\u03b9\u03c2 \u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b9\u03bd\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03bd\u03c4\u03b9\u03b2\u03c1\u03b1\u03c7\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03c7\u03b5\u03c1\u03b9\u03bf\u03cd (\u03c0\u03c1\u03b7\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2-\u03c5\u03c0\u03c4\u03b9\u03b1\u03c3\u03bc\u03cc\u03c2). \u03a4\u03b1 \u03ba\u03b1\u03c4\u03ac\u03b3\u03bc\u03b1\u03c4\u03b1-\u03b5\u03be\u03b1\u03c1\u03b8\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03c0\u03b9\u03bf \u03c0\u03bf\u03bb\u03cd\u03c0\u03bb\u03bf\u03ba\u03b5\u03c2 \u03ba\u03b1\u03ba\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03c5 \u03ba\u03b1\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03c3\u03b5\u03b9 \u03bf&hellip;","_links":{"self":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/957","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/comments?post=957"}],"version-history":[{"count":6,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/957\/revisions"}],"predecessor-version":[{"id":7118,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/957\/revisions\/7118"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/media\/3998"}],"wp:attachment":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/media?parent=957"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}