Relevant bibliographies by topics / Joints – Surgery

Academic literature on the topic 'Joints – Surgery'

Author: Grafiati
Published: 4 June 2021
Last updated: 31 January 2023

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Journal articles on the topic "Joints – Surgery"

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Trickett, R. W., R. Savage, and A. J. Logan. "Angular correction related to excision of specific cords in fasciectomy for Dupuytren’s disease." Journal of Hand Surgery (European Volume) 39, no. 5 (September 11, 2013): 472–76. http://dx.doi.org/10.1177/1753193413502161.

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Named cords were excised sequentially at fasciectomy for Dupuytren’s disease and the resultant correction in the joint angle was measured intra-operatively in 99 fingers. Eighty-two metacarpophalangeal and 59 proximal interphalangeal joints were affected. At the metacarpophalangeal joint, excision of the central cord resulted in 82% correction in 69 joints, and spiral/lateral cord excision resulted in an additional 12% correction in 10 joints. At the proximal interphalangeal joint, excision of the central cord resulted in 44% correction in 36 joints, spiral/lateral cord excision resulted in an additional 19% correction in 16 joints, and retrovascular cord excision resulted in a further 23% correction in 27 joints. Subsequent division of the accessory collateral ligament resulted in a further 14% correction in 14 joints. Larger pre-operative angles of the proximal interphalangeal joint were associated with a retrovascular cord, and larger combined angles were associated with an increasing number of pathological structures involved. The data explain the complexity of surgery at the proximal interphalangeal joint, where four structures are implicated in causing flexion deformity.
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Thongchuea, Nutchanat, Eakkachai Warinsiriruk, and Yin-Tien Wang. "Laser Welding on Cerclage Wire Joining in Femur Surgery." Applied Sciences 10, no. 7 (April 1, 2020): 2407. http://dx.doi.org/10.3390/app10072407.

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Stainless steel wires with fiber-laser welding on lap joints are first proposed in this study to be used as cerclage wire joints for modern femur surgery, because of their potentially larger joint strength and less loosening failure than traditional joint devices. In this feasibility study, an experiment was set up to determine adequate parameters for the laser welding process in order to ensure that the wire joint of cerclage has good weld appearance, free oxidation, and suitable joint strength. A stainless steel wire 316L with a diameter of 1.6 mm, flare-welded on lap joint was used in the experiment as a specimen cerclage wire joint. Two major effective parameters were chosen for controlling a suitable fusion weld, including charge voltage and multiple frequencies of the laser irradiation. The adequate area of the laser parameters was determined from the experiment, including the ranges of charge voltage, multiple frequencies, and pulse width. The suitable welded lengths of specimens were also studied in the mechanical test to validate the joint strength. Suggested welded length has a better tensile strength than traditional cerclage joints. The paper concludes that the stainless wire joints with a fiber laser weld represents a promising alternative to traditional cerclage joint devices for modern femur surgery.
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Gülke, J., D. Gulkin, N. Wachter, M. Knöferl, C. Bartl, and M. Mentzel. "Dynamic aspects during the cylinder grip — flexion sequence of the finger joints analyzed using a sensor glove." Journal of Hand Surgery (European Volume) 38, no. 2 (April 23, 2012): 178–82. http://dx.doi.org/10.1177/1753193412444399.

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The purpose of this study was to assess whether there is a universal pattern of movement of the finger joints while performing a cylinder grip. A sensor glove was used to record the finger joint motion of 48 participants. Our observations showed that when examining the fingers, flexion motion began either at the metacarpophalangeal (MP) or proximal interphalangeal (PIP) joints, with the distal interphalangeal (DIP) joints always last to move ( p = 0.0052). The sequence of the joints at the end of the gripping motion was different than at the beginning. Here, the only statistically significant observation was that the DIP joints fully flexed only once the MP joints had flexed fully. Apart from that, it was completely variable which joint reached its final position first or last. The analysis also revealed that synchronization of four identical joints (i.e. the four PIP joints) was significantly higher than synchronization of the 12 finger joints. Although synchronization was already high at the beginning of the flexion motion, it increased significantly by the time the joints completed their movement.
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Gakhramanov, A. G., B. S. Atilla, M. S. Alpaslan, M. N. Tokgez, and D. M. Aksoy. "Long-term results of treatment of patients with hip displasia by Ganz osteotomy." Kazan medical journal 96, no. 6 (December 15, 2015): 990–94. http://dx.doi.org/10.17750/kmj2015-990.

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Aim. To analyze the long-term results of treatment of patients with arthrosis and hip dysplasia treated by Ganz osteotomy. Methods. 71 patients operated by Ganz osteotomy in 1995-2010 were examined. A total of 83 joints were operated. Tonnis, Wiberg, Leguesne angles, joint medialization, head coating index were measured. The arthrosis degree was determined radiologically according to Tonnis classification. Patients included 58 women and 13 men. Hip joint status was evaluated using the Harris Hip Score (HHS) system. Results. Ganz osteotomy resulted in radiological parameters improvement: Tonnis angles improved by 65.6%, Wiberg - by 5 times, Lequesne - by 6.7 times. Medialization improved by 18.2%, the coating index - by 40.3%. Radiological arthrosis degree according to Tonnis classification was 0 in 43 joints, 1 - in 4 joints before surgery. After surgery, during examination arthrosis degree was 0 - in 18 joints, 1 - in 38,2 - in 20,3 - in 7 cases. In 21 joints the transition from the 0 to the 1st arthrosis degree, in 4 joints - from 0 to the 2nd degree was registered. In 16 joints transition from the 1st to the 2nd arthrosis degree was registered, in 7 joints - from the 1st to the 3rd degree. As a result of the treatment hip joint functional parameters improvement was found, the HHS rate before the surgery was 62.6 points, after the surgery - 82.8 points. The minor and major complications rate measured up to 23 and 15% respectively. Conclusion. Patients were examined 7.5 years after the surgery in average; in our series, total prostheses after osteotomy was performed in 3 patients (4 joints), in one case, due to postoperative subluxation Schanz osteotomy was performed; it was managed to preserve biological joint in 95.18% of cases.
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Hattori, Tetsuya, Masaya Tsujii, Takeshi Uemura, and Akihiro Sudo. "Arthroscopic resection of a loose body in the inextensible metacarpophalangeal joint of the middle finger complicated with osteoarthritis: A case report." SAGE Open Medical Case Reports 8 (January 2020): 2050313X2094377. http://dx.doi.org/10.1177/2050313x20943773.

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Arthroscopic surgery is a standard technique for removal of loose bodies in large joints. By contrast, there were a few reports of arthroscopic surgery for loose bodies in small joints. We herein report a case of a 70-year-old woman with an inextensible metacarpophalangeal joint in the right middle finger due to an intra-articular loose body that developed after osteoarthritis. Surgery proceeded under vertical traction using traction tower. Two portals were developed at dorsal aspect on the metacarpophalangeal joints. The loose body was removed under arthroscopy with a small incision of both skin and sagittal band, thereby resolving clinical symptoms, including pain and limitations to metacarpophalangeal joint motion.
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Renfree, K. J. "Percutaneous in situ versus open arthrodesis of the distal interphalangeal joint." Journal of Hand Surgery (European Volume) 40, no. 4 (March 18, 2014): 379–83. http://dx.doi.org/10.1177/1753193414527387.

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We compared the results of percutaneous in situ arthrodesis with open arthrodesis of the distal interphalangeal joint with a headless compression screw. In the percutaneous in situ arthrodesis group (17 joints), the screw was inserted from the fingertip across the unprepared joint. In the open group (12 joints), flat cancellous surfaces were prepared before screw insertion. Solid fusion was found in 10/17 joints (59%) with percutaneous in situ arthrodesis and in 11/12 joints (92%) with open arthrodesis. Among the other seven joints with percutaneous in situ arthrodesis, six had fibrous union and were asymptomatic at a mean of 18 months, and one failed, requiring revision. One joint with open arthrodesis had fibrous union and was asymptomatic 12 months after surgery. We conclude that open arthrodesis is better than the percutaneous method, as a greater percentage achieve bone union. The open approach allows osteophyte removal and slightly better correction of angular deformity in the coronal plane.
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FIELD, J. "TWO TO FIVE YEAR FOLLOW-UP OF THE LPM CERAMIC COATED PROXIMAL INTERPHALANGEAL JOINT ARTHROPLASTY." Journal of Hand Surgery (European Volume) 33, no. 1 (February 2008): 38–44. http://dx.doi.org/10.1177/1753193407087864.

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This paper presents a retrospective series of 20 LPM semi-constrained ceramic coated cobalt chrome proximal interphalangeal joint arthroplasties performed consecutively in 12 patients for arthritis of the proximal interphalangeal joint by a single surgeon between 2000 and 2004. Eleven were performed for osteoarthritis, four for post-traumatic arthritis and five for rheumatoid arthritis. Although 12 joints had an improvement in pain and an increased functional arc of movement, six joints required revision surgery for implant failure at an average of 19 months, with clinical signs of increasing pain, deteriorating motion and radiological signs of implant loosening and subsidence. This rate of revision is higher than in published series for other PIP joint implants and, therefore, close surveillance of all patients with this prosthesis currently in situ is recommended. Use of the prosthesis has ceased in this unit.
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NAKAGO, K., H. HASHIZUME, M. SENDA, K. NISHIDA, S. MASAOKA, and H. INOUE. "Simultaneous Fracture-Dislocations of the Distal and Proximal Interphalangeal Joints." Journal of Hand Surgery 24, no. 6 (December 1999): 699–702. http://dx.doi.org/10.1054/jhsb.1999.0228.

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Sixteen cases of simultaneous fracture-dislocations of both the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints in the same finger that were treated during the past 10 years were classified into three types: the swan-neck injury (dorsal fragment of the base of the distal phalanx at the DIP joint and palmar fragment of the base of the middle phalanx at the PIP joint); the double-hyperextension injury (palmar fragments at the DIP and PIP joints); and the straight-finger injury (with dorsal and palmar bone fragments at the DIP joint). The results of treatment were more satisfactory in PIP joints than in DIP joints.
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Ueyama, Kazumasa, Akihiro Okada, Naoki Echigoya, Toru Yokoyama, and Seiko Harata. "NEUROTROPHIC ARTHROPATHY CAUSED BY SPINAL DISORDERS." Journal of Musculoskeletal Research 05, no. 01 (March 2001): 65–72. http://dx.doi.org/10.1142/s0218957701000362.

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Neurotrophic arthropathy, also called Charcot joint, is caused by various diseases. We came across five cases associated with spinal disorders: two presented with syringomyelia with Chiari malformation, one presented with syringomyelia with arachnoiditis secondary to tuberculous meningitis, one presented with ossification of the posterior longitudinal ligament (OPLL) of the lumber spine, and one presented with spinal dysraphism. Neutrophic joints included two knees, two shoulders and one elbow. All spinal disorders were treated surgically but the Charcot joints were treated with arthrodesis in two knee cases and one shoulder case. Solid fusions of arthrodeses were completely achieved using intramedullary nailing to the knee joints and vascularized fibula graft to the shoulder joint. Pathological joints of the shoulder and elbow that did not undergo joint surgery could not be controlled by spinal surgery. Early diagnosis was important for prevention of trauma or sprains to the weight-bearing joints. MRI of the Charcot joint proved useful in confirming the pathological changes in the early destructive stage, and in determining the extent of surgical removal of it for arthrodesis.
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FAHMY, N. R. M., N. KEHOE, J. G. WARNER, and N. COURTMAN. "The “S” Quattro Turbo in the Management of Neglected Dorsal Interphalangeal Dislocations." Journal of Hand Surgery 23, no. 2 (April 1998): 248–51. http://dx.doi.org/10.1016/s0266-7681(98)80187-3.

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We have used the “S” Quattro Turbo to treat four neglected dorsal interphalangeal joint dislocations. At an average follow up period of 45 months, there was a mean increase in the range of movement of the PIP joints by 74° and of the IP joint of the thumb or DIP joints by 45°. We recommend this technique for treating dorsal dislocations of the interphalangeal joints of more than 3 weeks duration.
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Dissertations / Theses on the topic "Joints – Surgery"

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Schumacher, Brian. "An analysis of the femoral head/stem taper lock for orthopaedic prostheses." Thesis, Georgia Institute of Technology, 1992. http://hdl.handle.net/1853/18927.

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Bosanquet, Arthur G. "The effect of meniscal surgery on sheep temporomandibular joints." Title page, contents and summary only, 1988. http://web4.library.adelaide.edu.au/theses/09DM/09dmb741.pdf.

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Includes bibliographical references. Temporomandibular joint (TMJ) pain and dysfunction occurs commonly in the general population. Various surgical procedures have been used in the management of those patients who have not responded to conservative measures. Research into the surgical management of TMJ dysfunction and pathology has been restricted due to the lack of a suitable animal model. This study was undertaken initially to develop the sheep as an animal for TMJ research. The study has shown that Australian Merino sheep, with a TMJ broadly similar in size to humans, provides a satisfactory experimental model for TMJ research.
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Arslanian, Christine Lucy. "Pain perception and joint mobility before and after total knee arthroplasty." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276616.

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Joint mobility is dependent on comfort, thus pain is associated with mobility. This study examined the relationship between pain perception and joint mobility in arthritis patients before and after total knee arthroplasty. Pain perception was indicated by pain intensity, pain distress and pain expectation; joint mobility was represented by the degree of knee joint flexion. Visual analogue scales were used for pain intensity, pain distress and pain expectation; knee joint flexion as measured using a goniometer. Data were collected on 24 subjects preoperatively (T1), immediately postoperatively (T2) and forty-eight to seventy-two hours postoperatively (T3). Twenty-four subjects participated in the study. Significant paired t-test resulted for joint flexion at T1 and T3 and pain expectation at T2 and T3. Pearson product-moment correlation coefficients were significant for pain intensity and pain distress at all three times, pain intensity and joint flexion at T1 and pain intensity at T1 and at T2.
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Walter, William Lindsay School of Biomechanics UNSW. "Severe biomechanical conditions in total hip replacement." Awarded by:University of New South Wales. School of Biomechanics, 2006. http://handle.unsw.edu.au/1959.4/25968.

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Hip simulators are designed to reproduce the forces and motion patterns of normal walking. In vivo demands on total hip replacements, however, are varied and often more severe than normal walking conditions. It is these severe conditions that often lead to implant failure. This is clinically based research aimed at understanding some of the more severe conditions in hips and the effect that these have on the performance of the total hip replacement. The polyethylene liner can act as a pump in an acetabular component, forcing fluid and wear particles through the holes to the retroacetabular bone causing osteolysis. Ten patients were studied at revision surgery. Pressures were measured in retroacetabular osteolytic lesions while performing pumping manouvers with the hip. Two laboratory experiments were then designed to study pumping mechanisms in vitro. In patients with contained osteolytic lesions, fluid pressure fluctuations could be measured in the lesion in association with the pumping action. Patients with uncontained osteolytic lesions showed no such pressure fluctuations. In the laboratory we identified 3 distinct mechanisms whereby fluid can be pumped from the hip joint to the retroacetabular bone. These pumping effects could be mitigated by improved implant design. Loading of the femoral head against the edge of the acetabular component produces dramatically increased contact pressures particularly in hard-on-hard bearings. In an analysis of 16 retrieved ceramic-on-ceramic bearings we were able to characterise the mechanism of edge loading based on the pattern of edge loading wear on the bearing surface. Finally in a radiographic study of patients with squeaking ceramic-on-ceramic hips. Squeaking was found to be associated with acetabular component malposition. It seems that edge loading or impingement may be an associated factor in these cases.
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Lam, Kwok-wai, and 林國偉. "Design and development of a new prosthetic device for proximal interphalangeal joint replacement." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B3889161X.

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Zou, Haiou, and 鄒海歐. "The health related quality of life (HRQOL) of Chinese patients following total joint replacement surgery." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B27776116.

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Fowler, Nicola K. "Biomechanics of the rheumatoid proximal interphalangeal joint." Thesis, University of Strathclyde, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.364344.

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Joshi, Shailesh Vasant. "Intra-operative shape acquisition of tibio-femoral joints using 3D laser scanning for computer assisted orthopaedic surgery : a proof of concept." Thesis, University of Strathclyde, 2015. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=24915.

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Image registration is an important aspect in all computer assisted surgeries including Neurosurgery, Cranio-maxillofacial surgery and Orthopaedics. It is a process of developing a spatial relationship between pre-operative data, such as Computed Tomography (CT) scans or Magnetic Resonance Imaging (MRI) scans and the physical patient in the operating theatre. Current image registration techniques for Computer Assisted Orthopaedic Surgery (CAOS) in minimally invasive Unicompartmental Knee Arthroplasty (UKA) surgery are invasive, time consuming and often take 14-20 minutes and are therefore costly. The rationale for this study was to develop a new operating theatre compliant, quick, cost effective, contactless, automated technique for image registration during CAOS based on an accurate rigid body model of the ends of the exposed knee joint, produced using 3D laser scans taken intra-operatively by a Laser Displacement Sensor. Bespoke automated 3D laser scanning techniques based on the DAVID Laserscanner method were developed and were used to scan surface geometry of the knee joints in cadaveric legs. The laser scanned knee joint models were registered with the pre-operative (MRI/CT) models and the deviations were evaluated. Furthermore, trends in the deviations were studied along with a supportive validity study. Results indicated that the laser scanner can repeatedly produce accurate 3D models of the human tibio-femoral joint in the operating theatre. This study has provided a proof of concept for a new in situ automated shape acquisition and registration technique for CAOS with the potential for providing a quantitative assessment of the articular cartilage integrity during lower limb arthroplasty.
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Marzok, Mohamed Abdel-Moniem Abdel-Maksoud [Verfasser]. "Minimal invasive phalangeal joints surgery with the aid of the C-arm fluoroscopy technique / submitted by Mohamed Abdel-Moniem Abdel-Maksoud Marzok." Berlin : Mensch-und-Buch-Verl, 2006. http://d-nb.info/979382785/34.

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van, Essen Ellen. "The efficacy of arcuate dynamic traction splintage in the treatment of intra-articular fractures of the proximal interphalangeal joints of the hand a retrospective descriptive review : this dissertation [thesis] is submitted to Auckland University of Technology in partial fulfillment for the degree of Master of Health Science, October 2003 /." Full thesis. Abstract, 2003. http://puka2.aut.ac.nz/ait/theses/VanEssenE.pdf.

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Books on the topic "Joints – Surgery"

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1943-, Morrey Bernard F., and An Kai-Nan, eds. Reconstructive surgery of the joints. 2nd ed. New York: Churchill Livingstone, 1996.

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1933-, Johnson Lanny L., ed. Arthroscopic surgery: Principles & practice. 3rd ed. St. Louis: Mosby, 1986.

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T, Brillhart Allen, ed. Arthroscopic laser surgery: Clinical applications. New York: Springer-Verlag, 1995.

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1932-, Grahame Rodney, Bird, H. A. (Howard Anthony), 1945-, and SpringerLink (Online service), eds. Hypermobility of Joints. London: Springer-Verlag London Limited, 2012.

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Johnson, Donald. Operative arthroscopy. 4th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013.

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Krukemeyer, Manfred. Endoprothetik: Ein leitfaden für den praktiker. 2nd ed. Berlin: De Gruyter, 2012.

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Angus, Wallace W., ed. Joint replacement in the shoulder and elbow. Oxford: Butterworth-Heinemann, 1998.

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G, Edwards Scott, ed. Acute and chronic elbow instability. Philadelphia, Pa: Saunders, 2008.

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K, Bawari R., ed. Total hip replacement surgery: (principles and techniques). New Delhi: Jaypee Brothers Medical Pub., 2010.

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Bambakidis, Nicholas C. Surgery of the craniovertebral junction. 2nd ed. New York: Thieme, 2012.

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Book chapters on the topic "Joints – Surgery"

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Hu, Hai, Shi Zhan, and Zongyuan Cai. "Biomechanics of Hip Joints." In Hip Surgery, 17–23. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-9331-4_2.

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Strobel, Michael J. "Joints of the Toes." In Manual of Arthroscopic Surgery, 955–64. Berlin, Heidelberg: Springer Berlin Heidelberg, 2002. http://dx.doi.org/10.1007/978-3-540-87410-2_12.

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Strobel, Michael J. "Joints of the Fingers." In Manual of Arthroscopic Surgery, 965–68. Berlin, Heidelberg: Springer Berlin Heidelberg, 2002. http://dx.doi.org/10.1007/978-3-540-87410-2_13.

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Yao, Weiwu, and Ting Yuan. "Imaging Examination and Measurement of the Hip Joints." In Hip Surgery, 39–45. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-9331-4_4.

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Van de Kelft, Erik. "Surgery of the Lumbar Facet Joints." In Surgery of the Spine and Spinal Cord, 471–95. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-27613-7_31.

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Hirase, Yuichi. "Transplantation of Bone and Joints." In Practical Techniques in Flap Surgery, 627–54. Tokyo: Springer Japan, 2017. http://dx.doi.org/10.1007/978-4-431-56045-6_23.

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Watts, Adam C., and Ian A. Trail. "Osteoarthritis and prosthetic joints in the hand." In Plastic and reconstructive surgery, 861–77. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118655412.ch61.

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Merolli, A. "Prostheses for the Joints of the Hand." In Biomaterials in Hand Surgery, 47–68. Milano: Springer Milan, 2009. http://dx.doi.org/10.1007/978-88-470-1195-3_4.

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Norimatsu, Hiromichi, Satoshi Mori, and Jun Kawanishi. "Immobilization Osteopenia—Bone Loss After Arthroplastic Surgery." In Mechanical Loading of Bones and Joints, 269–77. Tokyo: Springer Japan, 1999. http://dx.doi.org/10.1007/978-4-431-65892-4_26.

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Bastías, Gonzalo F., Jakrapong Orapin, and Lew C. Schon. "Revision Surgery for the Lesser Metatarsophalangeal Joints." In Revision Surgery of the Foot and Ankle, 85–101. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-29969-9_5.

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Conference papers on the topic "Joints – Surgery"

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Dai, Xinxin, Baoliang Zhao, Yucheng He, Yu Sun, and Ying Hu. "A Foot-Controlled Interface for Endoscope Holder in Functional Endoscopic Sinus Surgery." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3421.

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Endoscopic nasal surgery is with minimal invasiveness for the surgical treatment of nasal disease. During traditional functional endoscopic sinus surgery (FESS), the surgeon uses one hand to hold the surgical instrument leaving the other hand to hold the endoscope. When the surgeon needs to use two hands to perform some complex procedure, an assistant surgeon is required to help holding the endoscope, and this requires good teamwork and long-time training. To solve this problem, researchers proposed to use robots to hold the endoscope, freeing the surgeon’s hands for bimanual operation. Sun developed a passive arm with pneumatic locking mechanism to hold the endoscope in FESS, but the surgeon needs to adjust the pose of the endoscope manually, which interrupts the surgery flow and lengthens the surgery time [1]. Many motor-driven endoscope holders have been proposed in literature [2], the surgeon interact with the robot with joystick, voice command, pedals or head movement [3–5]. However, there exists some drawbacks with these interacting methods, for example, joystick requires one of the surgeon’s hands, voice command is usually subject to interference and has long time-delay, foot pedals and head movement distract surgeon’s attention. Lin used a foot-attached IMU sensor to control an active robotic endoscopic holder, the inversion/eversion and abduction/adduction motions of foot are used to select and control different joints, but the motor can be only selected in order, which is unhandy for the four-joint scenario [6]. In this paper, a similar foot-attached IMU sensor is used, and the joints are selected in an easier manner, based on the angle of plantarflexion. Rather than the angle, the angular velocity of abduction/adduction is utilized to control the moving direction of the active joint. This paper describes the test result of the proposed control interface.
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Peña, Edward, David E. Thompson, and Roslyn B. Evans. "Tendon Force Estimates Following Hand Surgery." In ASME 1997 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 1997. http://dx.doi.org/10.1115/imece1997-0333.

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Abstract The need for quantitative methods for assessment of tendon forces following tendon reconstructive surgery arises because of the side effects of current post-operative therapy. The classical therapy over the past 50 years has been to insulate the hand from potential injury in a cradle of bandages. This method was originally introduced because movement of the hand following surgery was felt to result in failures of the repaired tendons which have a very limited strength. The subsequent stiffening of the joints, and reduction in the gliding action of tendons is exacerbated by the swelling and inflammatory processes resulting from the surgery. In recent years, a new post-surgical therapy has been introduced that dramatically improves the range of motion and reduces the time to clinical release of the patient. This procedure is similar to that used prior to the current conservative therapy, but better analytical methods have allowed restrictions to be imposed on the active motion of the hand following surgery. The force analysis that has led to new guidelines for post-surgical hand therapy for flexor tendons is presented here. A graphical user interface is also presented which allows the user to study various external force loadings and obtain rapid feedback on the resulting tendon forces at user-defined joint angles. This is shown in Figure 1.
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Nandi, Soumitra, and Zahed Siddique. "Mass-Customization of Hip-Replacement Joint Design Using Shape Grammar." In ASME 2011 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2011. http://dx.doi.org/10.1115/detc2011-48477.

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Hip-replacement joints are designed to meet shape specifications for each individual patient. Because the height and shape of bones of every patient are different than the other, the shapes of hip-replacement joints need to be customized for each individual patient. Customizing for each individual patient will increase the overall cost of hip-replacement joint production and eventually the cost of whole surgery process. Mass-production is necessary to reduce the production cost for such products. A technique of mass-customization can address to both of these issues providing customization of individual design in mass format and in reasonably low production cost. In this paper we investigate the use of shape grammar to develop a common platform for mass-customization of hip-replacement joints. To capture the common shape used in regular hip replacement surgery, a set of rules is presented to define the shape grammar. The rules are then varied inside the limits and the variations of design are observed.
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Hosein, Yara K., Stewart D. McLachlin, Graham J. W. King, and Cynthia E. Dunning. "Development of Methodology to Assess the Effect of Stem Surface Finish on Implant Loosening." In ASME 2010 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2010. http://dx.doi.org/10.1115/sbc2010-19603.

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Joint replacement surgery is a common orthopaedic procedure used for the treatment of diseased or damaged joints. The majority of these replacement systems incorporate a stemmed portion which is inserted into the bone canal, either with or without bone cement, to achieve fixation to the host bone. Although this procedure has proven effective, relative displacement at the bone-cement and/or cement-stem interfaces (i.e., implant loosening) is a common complication, leading to pain and the need for revision surgery.
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Smith, Chadwick F., W. Edward Johansen, C. Thomas Vangness, Ken Yamaguchi, Emmett T. McEleney, Peter Bales, Stephen N. Joffe, and John A. Parrish. "Does Success Of Arthroscopic Laser Surgery In The Knee Joint Warrant Its Extension To "Non-Knee" Joints?" In Cambridge Symposium-Fiber/LASE '86. SPIE, 1987. http://dx.doi.org/10.1117/12.937345.

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Hosein, Yara K., Meghan P. Clynick, Sarah E. Takaki, Stewart D. McLachlin, and Cynthia E. Dunning. "The Effect of Intramedullary Stem Curvature on the Torsional Stability of Cemented Joint Replacement Systems." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53530.

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Joint replacement surgeries are a common treatment for diseased or damaged joints. The procedure typically involves the insertion of a metal stemmed component into the bone canal, either with or without bone cement, to achieve fixation to the host bone. Although this procedure has proven effective, implant loosening remains a relatively common complication, leading to pain and the eventual need for revision surgery.
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Zazzarini, Cynthia C., Alberto Pansini, Pietro Cerveri, Renzo Zaltieri, and Damiano Lavizzari. "Design of a Robotic Endoscope for Mini Invasive Surgery." In ASME 2011 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2011. http://dx.doi.org/10.1115/detc2011-47445.

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Natural orifice transluminal endoscopic surgery (NOTES) is a novel surgical technique which uses endoscopic tools to perform mini invasive abdominal operations through natural orifices. The main limitation for a secure use of this technique is the lack of a proper surgical device, since it is still performed by non rigid endoscopes designed for diagnostic applications. Robot Assisted Surgery is the ideal solution to perform this kind of surgical operations. This research project is a preliminary study for the design of an endoscope, with variable stiffness in effort to provide the surgeons with a device which meets specific clinical requirements. The body is composed of a series of robotic modules connected by joints capable of two different movements: an axial rotation and a longitudinal bending. The movements are servo commanded and carried out by two brushless DC electric motors and an encoder. A force sensor is mounted on each module in order to provide a haptic feedback to the surgeon. The end point of the robot is equipped with a high definition camera which is able to perform zoom, autofocus and image stabilization. Illumination is provided by a power led system. A CAN bus ensures the communication between the modules, the camera and the haptic interface.
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Johnson, Benjamin V., Zekun Gong, Brian A. Cole, and David J. Cappelleri. "Design of Disposable 3D Printed Surgical End-Effectors for Robotic Lumbar Discectomy Procedures." In ASME 2018 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/detc2018-85257.

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In this paper, the design of disposable 3D printed surgical end-effectors for robotic lumbar discectomy is presented. Discectomy is the surgery to remove the herniated disc material that is pressing on a nerve root or spinal cord. This surgery is performed to relieve pain or numbness caused by the pressure on the nerve. The limited workspace of the spine (< 27 cm3) results in challenging design requirements for surgical instruments. We propose a new cannula-based robotic lumbar discectomy procedure that can accommodate multiple articulated tools in the workspace at the same time and can be controlled teleoperatively by the surgeon. We present designs for two instruments for this proposed system: an articulated nerve retractor and an articulated grasper. The end-effectors of each are 3D printed with multiple materials, with flexible links acting as joints of the mechanism. These flexible links are actuated by cables which provide sufficient articulation and manipulation forces in the surgical workspace. The end-effector’s articulated flexible joint kinematics is modeled and tested for range of motion capabilities. The retraction forces for the nerve retractor and the grasping force for the grasper are also experimentally tested and verified to meet all the design requirements. Additionally, fatigue testing of the flexible joint is presented and teleoperated control for the instruments is demonstrated.
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Roppenecker, Daniel B., Mattias F. Traeger, Jan D. J. Gumprecht, and Tim C. Lueth. "How to Design and Create a Cardan Shaft for a Single Port Robot by Selective Laser Sintering." In ASME 2012 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/imece2012-87654.

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With the spread of endoscopic interventions the postoperative stress for patients has been reduced clearly. These interventions through natural orifices of the body (Natural orifice transluminal endoscopic surgery: NOTES) need miniaturized instruments with high precision, high range of motion and a high force load transmission. Our aim is to develop a mechatronic, single-port robotic system to guide and move flexible endoscopic instruments and optics inside the body. The system should be adapted to a flexible endoscope and consists of two flexible and actuated end-effectors that carry and manipulate flexible instruments. Due to the flexible end of the structure, laparoscopic single-port surgery through one incision and endoscopic surgery through a natural orifice would be possible. The concepts and prototypes were realized by selective laser sintering (SLS). One way to create flexible structures for a single use robot is to use universal joints assembled together in series. Next, selective laser sintering can now print these parts with the joints already assembled, in one part. There is no need for assembling or adhesive bonding. The final step is to replace the real joints of the cardan shafts with elastic joints. The proposed joints are made by the powder PA 2200 based on nylon. This basic powder is certificated as biocompatible according to ISO 10993-1. The challenge in this new field of printed medical robotics is to define a manufacturing process that enables you to design a part, create it by SLS and get it approved as a medical product.
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Chin, Wei Jian, Carl A. Nelson, and Chi Min Seow. "Articulated Mechanism Design and Kinematics for Natural Orifice Translumenal Endoscopic Surgery Robot." In ASME 2011 International Mechanical Engineering Congress and Exposition. ASMEDC, 2011. http://dx.doi.org/10.1115/imece2011-62572.

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Natural orifice translumenal endoscopic surgery (NOTES) has reduced the invasiveness of surgery by eliminating external incisions on the patient. With this type of procedure, recovery time is drastically shortened, cosmetics are improved, and infections and pain are greatly reduced. For NOTES procedures to be successfully performed, a flexible endoscope or similar instrument is important for passing orifice flexures. However, technological deficiencies like poor angulations of surgical instruments introduced through working channels in flexible endoscopes, the lack of scope fixation, and lack of scope stiffening are technological barriers which prevent NOTES from being widely accepted in human surgeries. A novel multifunctional robot with an articulated drive mechanism for NOTES has been developed. The steerable articulating drive mechanism is connected to the robotic end effector to guide the robot and navigate through a natural orifice. The design process for the articulating drive mechanism and engineering analysis are discussed in this paper. Workspace of the drive mechanism with and without a translational insertion degree of freedom is presented in detail. The kinematics of the drive mechanism is also discussed. Additionally, friction in the spherical joints of the drive mechanism is explored to characterize its influence on the overall shape achieved by the articulation, including the effects of varying the total length in the steering mechanism. The surgeon control console for the drive mechanism is briefly discussed as well. Bench-top testing results are presented as proof of feasibility of the design.
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Reports on the topic "Joints – Surgery"

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YARIKOV, A. V., and I. I. SMIRNOV. EXPERIENCE OF DENERVATION OF INTERVERTEBRAL JOINTS OF THE LUMBAR SPINE. Science and Innovation Center Publishing House, April 2022. http://dx.doi.org/10.12731/978-0-615-67340-0-1.

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In this work, the immediate and long-term results of denervation of intervertebral joints in 30 patients with pain syndrome in the lumbar spine were studied. The catamnesis was collected from 18 patients in terms from 1.7 months to 18 months after surgery. Pain syndrome on a visually analog scale after surgery decreased by an average of 20-30 mm. Subclinically expressed anxiety/depression persists in all patients with a “good” result of treatment, the assessment was carried out using the hospital Anxiety and Depression Scale (HADS). According to the Nurick scale, treatment results were assessed at level 2 (improvement) in 93.3% of cases (n=28), level 3 (unchanged condition) - 6.7% of cases (n=2). According to the results of the study, denervation of the intervertebral joints is an effective minimally invasive method of treating facet syndrome. It allows in the early and long-term postoperative periods to significantly reduce the pain syndrome and improve the quality of life of patients. The authors also admit that the pain syndrome in the back is polyethological, which requires careful selection of patients for this type of procedure.
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Vuono, Carle E., Milton H. Hamilton, C. A. Trost, J. R. Dalyrymple, and J. I. Hudson. Organization and Functions: Joint Field Operating Agencies of the Office of The Surgeon General of the Army. Fort Belvoir, VA: Defense Technical Information Center, August 1988. http://dx.doi.org/10.21236/ada402025.

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Phan, Long T., Emil Simiu, Mark A. McInerney, Arthur A. Taylor, B. Glahn, and Mark D. Powell. Methodology for development of design criteria for joint hurricane wind speed and storm surge events :. Gaithersburg, MD: National Institute of Standards and Technology, 2007. http://dx.doi.org/10.6028/nist.tn.1482.

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Konnyu, Kristin J., Louise M. Thoma, Monika Reddy Bhuma, Wagnan Cao, Gaelen P. Adam, Shivani Mehta, Roy K. Aaron, et al. Prehabilitation and Rehabilitation for Major Joint Replacement. Agency for Healthcare Research and Quality (AHRQ), November 2021. http://dx.doi.org/10.23970/ahrqepccer248.

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Objectives. This systematic review evaluates the rehabilitation interventions for patients who have undergone (or will undergo) total knee arthroplasty (TKA) or total hip arthroplasty (THA) for the treatment of osteoarthritis. We addressed four Key Questions (KQs): comparisons of (1) rehabilitation prior (“prehabilitation”) to TKA versus no prehabilitation, (2) comparative effectiveness of different rehabilitation programs after TKA, (3) prehabilitation prior to THA versus no prehabilitation, (4) comparative effectiveness of different rehabilitation programs after THA. Data sources and review methods. We searched Medline®, PsycINFO®, Embase®, the Cochrane Register of Clinical Trials, CINAHL®, Scopus®, and ClinicalTrials.gov from Jan 1, 2005, to May 3, 2021, to identify randomized controlled trials (RCTs) and adequately adjusted nonrandomized comparative studies (NRCSs). We evaluated clinical outcomes selected with input from a range of stakeholders. We assessed the risk of bias and evaluated the strength of evidence (SoE) using standard methods. Meta-analysis was not feasible, and evidence was synthesized and reported descriptively. The PROSPERO protocol registration number is CRD42020199102. Results. We found 78 RCTs and 5 adjusted NRCSs. Risk of bias was moderate to high for most studies. • KQ 1: Compared with no prehabilitation, prehabilitation prior to TKA may increase strength and reduce length of hospital stay (low SoE) but may lead to comparable results in pain, range of motion (ROM), and activities of daily living (ADL) (low SoE). There was no evidence of an increased risk of harms due to prehabilitation (low SoE). • KQ 2: Various rehabilitation interventions after TKA may lead to comparable improvements in pain, ROM, and ADL (low SoE). Rehabilitation in the acute phase (initiated within 2 weeks of surgery) may lead to increased strength (low SoE) but result in similar strength when delivered in the post-acute phase (low SoE). No studies reported evidence of risk of harms due to rehabilitation delivered in the acute period following TKA. Compared with various controls, post-acute rehabilitation may not increase the risk of harms (low SoE). • KQ 3: For all assessed outcomes, there is insufficient (or no) evidence addressing the comparison between prehabilitation and no prehabilitation prior to THA. • KQ 4: Various rehabilitation interventions after THA may lead to comparable improvements in pain, strength, ADL, and quality of life. There is some evidence of no increased risk of harms due to the intervention (low SoE). • There is insufficient evidence regarding which patients may benefit from (p)rehabilitation for all KQs and insufficient evidence regarding comparisons of different providers and different settings of (p)rehabilitation for all KQs. There is insufficient evidence on costs of (p)rehabilitation and no evidence on cost effectiveness for all KQs. Conclusion. Despite the large number of studies found, the evidence regarding various prehabilitation programs and comparisons of rehabilitation programs for TKA and THA is ultimately sparse. This is a result of the diversity of interventions studied and outcomes reported across studies. As a result, the evidence is largely insufficient or of low SoE. New high-quality research is needed, using standardized intervention terminology and core outcome sets, especially to allow network meta-analyses to explore the impact of intervention attributes on patient-reported, performance-based, and healthcare-utilization outcomes.
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Butler, Clinton J. The Joint Force Surgeon and Casualty Receiving and Treatment Ships: A Malleable Asset with a Diverse Continuum of Care. Fort Belvoir, VA: Defense Technical Information Center, May 1995. http://dx.doi.org/10.21236/ada298249.

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