Dissertations / Theses on the topic 'ORTHOPEDIC SURGEN'
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Chang, Ta-Cheng. "Simulation Assisted Robotic Orthopedic Surgery in Femoroacetabular Impingement." Scholarly Repository, 2011. http://scholarlyrepository.miami.edu/oa_dissertations/618.
Full textSteen, Alexander, and Marcus Widegren. "3D Visualization for Pre-operative Planning of Orthopedic Surgery." Thesis, Linköpings universitet, Medie- och Informationsteknik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-94556.
Full textLee, Goonhee. "Selective laser sintering of calcium phosphate materials for orthopedic implants /." Digital version accessible at:, 1997. http://wwwlib.umi.com/cr/utexas/main.
Full textYeung, Wai-kwok Kelvin, and 楊偉國. "Development of a novel spinal implant for progressive scoliosis correction." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B30696823.
Full text揚偉國 and Wai-kwok Kelvin Yeung. "Gradual scoliosis correction by use of a superelastic alloy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31225469.
Full textRibbans, W. J. "Aspects of orthopaedic surgical research with emphasis on surgery in haemophilia and immunocompromised patients." Thesis, University of South Wales, 2003. https://pure.southwales.ac.uk/en/studentthesis/aspects-of-orthopaedic-surgical-research-with-emphasis-on-surgery-in-haemophiia-and-immunocompromised-patients(9675c37c-5ce7-46a4-936b-ec5caa3fcc57).html.
Full textNysjö, Johan. "Interactive 3D Image Analysis for Cranio-Maxillofacial Surgery Planning and Orthopedic Applications." Doctoral thesis, Uppsala universitet, Avdelningen för visuell information och interaktion, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-301180.
Full textTruhlář, Jindřich. "Evaluation of the Wi-Fi technique for use in a navigated orthopedic surgery." Master's thesis, Vysoké učení technické v Brně. Fakulta elektrotechniky a komunikačních technologií, 2012. http://www.nusl.cz/ntk/nusl-219668.
Full textPennington, Brandy Paige. "The Impact of Prealbumin on Postoperative Length of Stay in Elderly Orthopedic Patients." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etd/1019.
Full textYoung, Nancy, and J. G. Wright. "Measuring Pediatric Physical Function." Lippincott, Williams & Wilkins, 1995. https://zone.biblio.laurentian.ca/dspace/handle/10219/111.
Full textSharifi, Husham. "Cost Effectiveness Analysis in Orthopaedic Surgery." Yale University, 2010. http://ymtdl.med.yale.edu/theses/available/etd-03302010-163307/.
Full textMcfaddin, Marie O. "Adaptive customization new design opportunities in orthopedics, driven by the merging of imaging and surgery /." Connect to this title online, 2007. http://etd.lib.clemson.edu/documents/1181669299/.
Full textDias, Luis Gustavo Gosuen Gonçalves [UNESP]. "Desenvolvimento e aplicação clínica de haste intramedular bloqueada angulada no tratamento de fraturas tibiais em cães." Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/101146.
Full textFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
As fraturas de tíbia em cães representam 20% das que ocorrem em ossos longos. Vários métodos são utilizados nas osteossínteses desse osso, contudo, atualmente as hastes bloqueadas vêm ganhando espaço, especialmente por suas vantagens biomecânicas quando comparadas às demais técnicas. O presente trabalho teve por objetivo desenvolver e avaliar o uso de haste intramedular bloqueada angulada para fraturas tibiais em cães, visando minimizar erros de bloqueio de parafusos e consequentemente problemas na consolidação óssea. Hastes anguladas, de aço inoxidável da série 316L, foram confeccionadas nos diâmetros de 5, 6, 7 e 8 mm, com comprimentos variados. Num período de 17 meses, ocorreu a implantação destas em 15 cães com fratura de tíbia. As avaliações clínica e radiográfica ocorreram no pré e pós-operatório imediato e a cada 30 dias até completar quatro meses. Clinicamente, a recuperação da função do membro se deu no período médio de 10 dias após a cirurgia. Em três animais, utilizou-se além da haste angulada e parafusos, pinos de Schanz como bloqueio (fixador externo), que posteriormente foram retirados. Radiograficamente verificou-se consolidação óssea em média de 70 dias de pós-operatório. A haste intramedular bloqueada angulada mostrou-se eficaz como método de osteossíntese em fraturas tibiais de cães.
In dogs, tibial fractures account for approximately 20% of all long bone fractures. Different methods of fracture repair are used in this bone; however, interlocking nails have gained popularity in recent years owing to its biomechanical advantages when compared to other techniques. The present study aimed to develop and to evaluate the usefulness of an angulated interlocking nail model in tibial fractures of dogs to minimize blocking errors arising from inaccurate bolt stabilization, responsible for generation osseous consolidation. Angulated stainless steel pins from series 316L were manufactured with 5, 6, 7 and 8 mm of diameter, and variable length. During 17 months, pins were implanted in 15 dogs with tibial fracture. Clinical and radiographic findings were recorded on preoperative and on the immediate postoperative period, and every 30 days, until the last recheck, 4 months latter. Clinically, animals recovered the hind function on an average of 10 days after surgery. In three dogs, in addition to the angulated interlocking nail and bolts, scat pins (external fixator) were used. Radiographically, bone consolidation was evident on an average of 70 days of postoperative period. The angulated interlocking nail is a feasible method to repair tibial fractures of dogs.
D'Urso, Paul Steven. "Stereolithographic biomodelling in surgery /." [St. Lucia, Qld.], 1998. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17881.pdf.
Full textGodwin, Ellen M. "Long-term effect of single event multiple level orthopedic surgery on the functional classification of children with cerebral palsy." NSUWorks, 2005. http://nsuworks.nova.edu/hpd_pt_stuetd/29.
Full textBartolozzi, IV Arthur R. "The Forest for the Trees: Using Big Data to Improve Preoperative Assessment and Risk Stratification in Pediatric Orthopedic Surgery." Thesis, Harvard University, 2017. http://nrs.harvard.edu/urn-3:HUL.InstRepos:32676123.
Full textChow, Lop-keung Raymond. "Clinical morbidity of resorbable plates and screws for internal fixation in orthognathic surgery." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31954285.
Full textParker, Trevor Wayne. "Functional outcome and complications after treatment of moderate to severe slipped upper femoral Epiphysis with a modified Dunn procedure." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5447.
Full textAbele, Alexander. "Acculan System : The next generation of a Surgical Power Tool." Thesis, Umeå universitet, Designhögskolan vid Umeå universitet, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-162815.
Full textAzevedo, Marcela Padilha Facetto. "Infecções cirúrgicas em ortopedia causadas por micobactérias de crescimento rápido: revisão integrativa da literatura." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-23082012-160610/.
Full textThe mycobacteriosis is a disease caused by nontuberculous mycobacteria belonged to the Mycobacterium genus. Infections due to rapidly growing mycobacteria (RGM) are strongly related to failures in the processes of cleaning, disinfection and sterilization of medical products. The objective is to analyze the occurrence of surgical site infections by RGM in patients undergoing orthopedic procedures through integrative review; to characterize the surgical site infections (SSI) by RGM; and to verify the presence of factors that may explain the surgical site infections by RGM. The method was the integrative review, which includes the following steps: elaboration of the research question; establishment of inclusion and exclusion criteria; definition of information to be extracted from the study; assessment of the included studies; interpretation of results; and presentation of the review. 21 articles were found, mostly published in English and two in French, varying considering the continent and country of the origin of the article. The time between surgery and onset of symptoms was reported by 34 (100%) patients, but the analysis was performed for 33 patients because it was considered only the first episode of infection by RGM. The average time to diagnosis of SSI was 653.6 days (93 weeks), standard deviation ± 1343 days (192 weeks), median of 80 days (11.4 weeks) and mode of 90 days (three months). The most prevalent signs and symptoms reported by patients were: pain (61.8%), secretion (50.0%), edema (41.2%), fever (41.2%), erythema (26.5%), fistula (20.6%), heat (14.7%), tremor (5.9%), abscess (5.9%) and hematoma (3.0%). Regarding surgical interventions performed in patients after diagnosis of SSI, the most frequent was antibiotic therapy (100%), removal of dentures (50.0%), drainage (41.2%), surgical debridement (41.2%), irrigation (23.5%), surgical revision (17.6%), replacement of dentures (8.8%), removal of the prosthetic components (8.8%), and reimplantation of the prosthesis (2.9%). The identification of etiological agent(s) of SSI did not follow a routine methodology, which can influence the reliability of the results, especially regarding the kind of etiologic agent. Related to the kind of isolated RGM of the infection sites, it was found that M.fortuitum was the most prevalent; being also isolated the M.chelonae, M.abscessus, M.goodii, M.smegmatis, M.farcinogenes and M.wolinskyi. Regarding the sources investigated: probably from iatrogenic origin, it is habits of residents in orthopedics during surgeries to use hydromassage before operating; liquid components or cement powder of methylmethacrylate or metal prosthesis; cortisone injections for chronic synovitis during 5 years before surgery; air conditioning system or soaking solution to rinse the denture; soap in the water, where it was accomplished the immersion foot (podiatrist\'s recommendation); bioabsorbable screws used in surgery; intraarticular injections of dexamethasone; however, none of them can be confirmed. When the sensitivity test was done, it was observed that the strains had approximately 80% of sensitivity to amikacin, clarithromycin, ciprofloxacin. Quando feito o teste de senbilidade observou-se que as cepas apresentavam em torno de 80% de sensibilidade à amicacina, claritromicina e ciprofloxacina.
Wheeler, Anthony J. "Procedural Rates, Economic Costs, and Geographic Variation of Primary and Revision Lumbar Total Disc Replacement." DigitalCommons@USU, 2013. https://digitalcommons.usu.edu/etd/1764.
Full textChow, Lop-keung Raymond, and 周立強. "Clinical morbidity of resorbable plates and screws for internal fixation in orthognathic surgery." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31954285.
Full textBarros, Luciano Pereira de [UNESP]. "Estudo experimental e comparativo entre as técnicas de pino em cavilha com fio fluorcarbono monofilamentar e colocefalectomia para estabilização coxofemoral em cães." Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/89093.
Full textNo presente trabalho comparou-se, experimentalmente, duas técnicas: a estabilização coxofemoral com pino em cavilha ou “toggle pin” e a colocefalectomia. Foram utilizados 16 cães, machos ou fêmeas, distribuidos em dois grupos: o de Pino (GP) e o Colocefalectomia (GC), os quais foram separados em 4 subgrupos: animais com peso superior e, inferior ou igual a 15 kg. Avaliou-se o tempo de cirurgia, o grau de atrofia muscular, a deambulação e a dor, além de presença ou não de alterações radiograficas da articulação. O tempo cirúrgico, devido a maior complexidade da técnica do pino, foi menor no GC. A técnica do GP foi melhor quanto à recuperação do membro, apresentando menor atrofia muscular
On the present assay was compared experimentally between two techniques: hip joint stabilization with toggle pin and hip joint stabilization with head of the femur. Were used 16 dogs, female or male, distributed in 2 groups: the pin group (GP) and head of the femur group (GC), the groups were distributed in 4 subgroups: by weight equal, more or less than 15kg. Evaluating the time of surgery, and the notch of muscle atrophy, wander around the pain and also with the presence or not of alterations on the joint radiograph. The time of surgery is longer in the technique of pin than on the group GC, because the technique of pin had more complexity. So the technical of the group GP was better on the recovery member, which presented less muscle atrophy
Lazo-Langner, Alejandro. "Comparing strategies for thromboprophylaxis in major orthopedic surgery using an estimation of net risk-benefit through probabilistic simulation A clinical cost-effectiveness study." Thesis, University of Ottawa (Canada), 2007. http://hdl.handle.net/10393/27874.
Full textOsborne, Michelle. "EXPLORATION OF THE RELATIONSHIP BETWEEN PAIN INTENSITY, COMFORT LEVEL AND PATIENT SATISFACTION AMONG ORTHOPEDIC PATIENTS FOLLOWING KNEE SURGERY ON POSTOPERATIVE DAY ONE." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1430142885.
Full textHooks, Heather E. "Effects of Music Intervention on the Patient’s Perception of Pain After Knee Replacement Surgery." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etd/2321.
Full textCharras, Guillaume Thomas. "Digital Image-Based Finite Element Modeling (DIBFEM) : validation and application to biological structures." Thesis, Georgia Institute of Technology, 1998. http://hdl.handle.net/1853/17765.
Full textAmir, Nili S. "Frequency of Complications Following Spinal Fusion in Children with Cerebral Palsy." eScholarship@UMMS, 2020. https://escholarship.umassmed.edu/gsbs_diss/1070.
Full textSalazar, Garcia Fátima. "Temperatura, Oximetría Cerebral y Disfunción Cognitiva Postoperatoria (DCPO) en pacientes intervenidos de Prótesis Total de Rodilla (PTR) con anestesia intradural. Estudio prospectivo." Doctoral thesis, Universitat de Barcelona, 2015. http://hdl.handle.net/10803/398949.
Full textBackground: Post-operative cognitive dysfunction (POCD) can affect 30% of orthopedic surgery patients. We hypothesized that perioperative temperature has an impact on POCD. Bilateral regional brain oxygen saturation (rSO2) trends, reflecting intraoperative brain oxygen imbalance, could warn of brain dysfunction such as memory decline, alterations in executive function or subjective complaints. Methods: We included 150 patients over 65 years of age scheduled for total knee replacement under spinal anesthesia. They were randomized to receive standard care (sheet cover) or active warming. Demographic, hemodynamic and bilateral rSO2 intraoperative values were recorded. An absolute rSO2 value of <50% or a reduction of >20% or >25% below baseline were chosen as relevant cutoffs. Neurocognitive assessment (11 subtests) was performed pre-operatively and at day 4 (three subtests) and 3 months (10 subtests). A control group of 55 nonsurgical patients took the same tests at equivalent times. POCD was defined as an individual score decrease of more than 2 standard deviations (SDs) below the baseline on at least two subtests or 2 SDs in the combined z-score, in both cases using control-adjusted changes. Results: Tympanic temperature declined below 35ºC in 88% of standard-care patients; 25.3% of warmed patients had a temperature ≥36ºC. On day 4, 3.2% of standard care patients and 19.4% of warmed patients had POCD (P=0.0058). At 3 months, there were no differences (standard care, 14.3%; warmed, 6.5% (P=0.2440). We observed no differences in baseline rSO2 values; rSO2 decreased significantly in all patients during surgery (P < 0.0001). Seventy-five patients (60%) had no sign of cognitive decline or psychological symptoms. Twenty-one patients (16.8%) had memory decline, 3 (2.4%) had VM-EF decline, and 33 (26.4%) had psychological symptoms. Left and right rSO2 values were asymmetric in patients who had memory decline (mean [SD] left-right ratio of 95.03 [8.51] vs 101.29 [6.7] for patients with no changes, P = 0.0012). The mean right-left difference in rSO2 was also significant in these patients (−2.87% [4.73%], lower on the right, P = 0.0034). Conclusions: Perioperative warming was associated with a higher incidence of cognitive dysfunction at 4 days. A temperature >36ºC constituted a risk factor for POCD at 4 days and at 3 months. Detection of a trend to asymmetry in rSO2 values can warn of possible postoperative onset of memory decline. Psychological symptoms and memory decline were common three months after knee replacement.
Dias, Luis Gustavo Gosuen Gonçalves. "Desenvolvimento e aplicação clínica de haste intramedular bloqueada angulada no tratamento de fraturas tibiais em cães /." Jaboticabal : [s.n.], 2009. http://hdl.handle.net/11449/101146.
Full textBanca: Jorge Luiz Oliveira Costa
Banca: Cássio Ricardo Auada Ferrigno
Banca: Paola Castro Moraes
Banca: Julio Carlos Canola
Resumo: As fraturas de tíbia em cães representam 20% das que ocorrem em ossos longos. Vários métodos são utilizados nas osteossínteses desse osso, contudo, atualmente as hastes bloqueadas vêm ganhando espaço, especialmente por suas vantagens biomecânicas quando comparadas às demais técnicas. O presente trabalho teve por objetivo desenvolver e avaliar o uso de haste intramedular bloqueada angulada para fraturas tibiais em cães, visando minimizar erros de bloqueio de parafusos e consequentemente problemas na consolidação óssea. Hastes anguladas, de aço inoxidável da série 316L, foram confeccionadas nos diâmetros de 5, 6, 7 e 8 mm, com comprimentos variados. Num período de 17 meses, ocorreu a implantação destas em 15 cães com fratura de tíbia. As avaliações clínica e radiográfica ocorreram no pré e pós-operatório imediato e a cada 30 dias até completar quatro meses. Clinicamente, a recuperação da função do membro se deu no período médio de 10 dias após a cirurgia. Em três animais, utilizou-se além da haste angulada e parafusos, pinos de Schanz como bloqueio (fixador externo), que posteriormente foram retirados. Radiograficamente verificou-se consolidação óssea em média de 70 dias de pós-operatório. A haste intramedular bloqueada angulada mostrou-se eficaz como método de osteossíntese em fraturas tibiais de cães.
Abstract: In dogs, tibial fractures account for approximately 20% of all long bone fractures. Different methods of fracture repair are used in this bone; however, interlocking nails have gained popularity in recent years owing to its biomechanical advantages when compared to other techniques. The present study aimed to develop and to evaluate the usefulness of an angulated interlocking nail model in tibial fractures of dogs to minimize blocking errors arising from inaccurate bolt stabilization, responsible for generation osseous consolidation. Angulated stainless steel pins from series 316L were manufactured with 5, 6, 7 and 8 mm of diameter, and variable length. During 17 months, pins were implanted in 15 dogs with tibial fracture. Clinical and radiographic findings were recorded on preoperative and on the immediate postoperative period, and every 30 days, until the last recheck, 4 months latter. Clinically, animals recovered the hind function on an average of 10 days after surgery. In three dogs, in addition to the angulated interlocking nail and bolts, scat pins (external fixator) were used. Radiographically, bone consolidation was evident on an average of 70 days of postoperative period. The angulated interlocking nail is a feasible method to repair tibial fractures of dogs.
Doutor
Barros, Luciano Pereira de. "Estudo experimental e comparativo entre as técnicas de pino em cavilha com fio fluorcarbono monofilamentar e colocefalectomia para estabilização coxofemoral em cães /." Jaboticabal : [s.n.], 2009. http://hdl.handle.net/11449/89093.
Full textBanca: Paola Castro Moraes
Banca: Gustavo Garkalns de Souza Oliveira
Resumo: No presente trabalho comparou-se, experimentalmente, duas técnicas: a estabilização coxofemoral com pino em cavilha ou "toggle pin" e a colocefalectomia. Foram utilizados 16 cães, machos ou fêmeas, distribuidos em dois grupos: o de Pino (GP) e o Colocefalectomia (GC), os quais foram separados em 4 subgrupos: animais com peso superior e, inferior ou igual a 15 kg. Avaliou-se o tempo de cirurgia, o grau de atrofia muscular, a deambulação e a dor, além de presença ou não de alterações radiograficas da articulação. O tempo cirúrgico, devido a maior complexidade da técnica do pino, foi menor no GC. A técnica do GP foi melhor quanto à recuperação do membro, apresentando menor atrofia muscular
Abstract: On the present assay was compared experimentally between two techniques: hip joint stabilization with toggle pin and hip joint stabilization with head of the femur. Were used 16 dogs, female or male, distributed in 2 groups: the pin group (GP) and head of the femur group (GC), the groups were distributed in 4 subgroups: by weight equal, more or less than 15kg. Evaluating the time of surgery, and the notch of muscle atrophy, wander around the pain and also with the presence or not of alterations on the joint radiograph. The time of surgery is longer in the technique of pin than on the group GC, because the technique of pin had more complexity. So the technical of the group GP was better on the recovery member, which presented less muscle atrophy
Mestre
Brady, Patrick. "Cephalometric analysis of adolescents with severe Class II Division 1 malocclusions treated surgically and non-surgically." Thesis, University of Iowa, 2016. https://ir.uiowa.edu/etd/3052.
Full textWang, Lejing Verfasser], Nassir [Akademischer Betreuer] [Navab, Russel H. [Akademischer Betreuer] Taylor, and Ekkehard [Akademischer Betreuer] Euler. "Novel techniques for integrating video augmented X-ray imaging into orthopedic and trauma surgery / Lejing Wang. Gutachter: Nassir Navab ; Russel H. Taylor ; Ekkehard Euler. Betreuer: Nassir Navab." München : Universitätsbibliothek der TU München, 2012. http://d-nb.info/1031550534/34.
Full textHogaboam, Liliya Stepanivna. "Assessment of Technology Adoption Potential of Medical Devices: Case of Wearable Sensor Products for Pervasive Care in Neurosurgery and Orthopedics." PDXScholar, 2018. https://pdxscholar.library.pdx.edu/open_access_etds/4205.
Full textChang, Yen Yin [UNESP]. "Comparação entre o ponto P6 (NEIGUAM), ondansetron e da associação de ambos na prevenção de náuseas e vômitos em cirurgia ortopédica de membros inferiores sob bloqueio subaracnoideo." Universidade Estadual Paulista (UNESP), 2013. http://hdl.handle.net/11449/106000.
Full textO estudo teve por objetivo avaliar náuseas e vômitos no pós-operatório (NVPO) com utilização da acupuntura com eletroestimulação do ponto P6 (Neiguam) comparado ao grupo fármaco Ondansetron e ao grupo da associação da eletroacupuntura com o Ondansetron. Trata-se de um estudo clínico prospectivo randomizado realizado em pacientes ortopédicos submetidos a cirurgias de membros inferiores com bloqueio subaracnóideo com morfina, realizado no período de maio de 2010 a dezembro de 2011 no Hospital Universitário Getúlio Vargas e Fundação Hospital Adriano Jorge, em Manaus – Amazonas. Foram incluídos no estudo 90 pacientes, sendo 30 pacientes no grupo Ondansetron G (O); os pacientes receberam o fármaco Ondansetron 8 mg EV na indução anestésica; 30 pacientes no grupo acupuntura G (A), os pacientes na SRPA receberam, antes do procedimento cirúrgico, eletroestimulação durante 30 minutos de 10 Hz dos pontos P6 (Neiguam) e IG11 (Quchi) – ponto neutro; e 30 pacientes no grupo Ondansetron e acupuntura G (OA), onde receberam ambas técnicas, a farmacológica e a não farmacológica. Foram avaliadas número de ocorrências de NV (náuseas e vômitos) com relatos preenchidos em protocolo próprio por avaliadores independentes em três momentos distintos: no período perioperatório na sala de cirurgia, nas primeiras 2 horas durante o período na SRPA e nas 24 horas durante a permanência na enfermaria. Para as variáveis quantitativas foi realizada a análise de variância no delineamento inteiramente ao acaso e para as variáveis qualitativas foi realizado o teste Exato de Fisher. O nível de significância utilizado foi de 5%. Foram randomizados 96 pacientes ≥ 18 anos ASA I e II, excluídos seis pacientes por violarem o protocolo; dos 90 pacientes incluídos, 19 eram do sexo feminino e 71 do sexo masculino. Os...
The study aims at evaluating the postoperative nauseas and vomiting (PONV) with utilization of acupuncture with electrostimulation of point P-6 (Neiguam) compared to the group of drug Ondansetron and the group of association of electroacupuncture with Ondansetron. It is a randomized, prospective, clinical study carried out in orthopedic patients undergone surgeries of lower limbs with subarachnoid block with morphine, carried out in the period from May, 2010 to December, 2011 in the Hospital Universitário Getúlio Vargas and Fundação Hospital Jorge in Manaus – Amazonas; 90 patients were enrolled in the study, being 30 patients in the Ondansetron group G (O), the patients received the drug Ondansetron 8 mg EV in the anesthesia induction; 30 patients in the acupuncture group G (A), the patients in SRPA received before the surgical procedure, electrostimulation during 30 minutes of 10 Hz of points P6 (Neiguam) and IG11 (Quchi) – neutral point; and 30 patients in the Ondansetron and acupuncture group G (OA) where the patients received both techniques, the pharmacological one and the non-pharmacological one. The number of occurrences of NV (nausea and vomiting) was evaluated with reports completed in suitable protocol by independent evaluators in three distinct moments: in the peri-operative period in the surgery room, in the first 2 hours during the period in SRPA and in the 24 hours during the stay in the nursing ward. For the quantitative variables the analysis of variance in the completely randomized design was carried out and for the qualitative variables the Fisher’s Exact test was carried out. The significance level used was 5%. 96 patients > 18 years old ASA I and II were randomized, and 6 patients were excluded due to protocol violation; of the 90 included patients, 19 were female and 71 were male. The anthropometric... (Complete abstract click electronic access below)
Joss, Brendan Keith. "Clinical and biomechanical outcomes following unicondylar knee arthroplasty with Preservation fixed and mobile bearing tibial components." University of Western Australia. School of Surgery and Pathology, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0079.
Full textChang, Yen Yin. "Comparação entre o ponto P6 (NEIGUAM), ondansetron e da associação de ambos na prevenção de náuseas e vômitos em cirurgia ortopédica de membros inferiores sob bloqueio subaracnoideo/." Botucatu, 2013. http://hdl.handle.net/11449/106000.
Full textBanca: José Reinaldo Cerqueira Braz
Banca: Guilherme Antonio Moreira de Barros
Banca: Eduardo Toshiyuki Moro
Banca: Angélica de Fátima de Assunção Braga
Resumo: O estudo teve por objetivo avaliar náuseas e vômitos no pós-operatório (NVPO) com utilização da acupuntura com eletroestimulação do ponto P6 (Neiguam) comparado ao grupo fármaco Ondansetron e ao grupo da associação da eletroacupuntura com o Ondansetron. Trata-se de um estudo clínico prospectivo randomizado realizado em pacientes ortopédicos submetidos a cirurgias de membros inferiores com bloqueio subaracnóideo com morfina, realizado no período de maio de 2010 a dezembro de 2011 no Hospital Universitário Getúlio Vargas e Fundação Hospital Adriano Jorge, em Manaus - Amazonas. Foram incluídos no estudo 90 pacientes, sendo 30 pacientes no grupo Ondansetron G (O); os pacientes receberam o fármaco Ondansetron 8 mg EV na indução anestésica; 30 pacientes no grupo acupuntura G (A), os pacientes na SRPA receberam, antes do procedimento cirúrgico, eletroestimulação durante 30 minutos de 10 Hz dos pontos P6 (Neiguam) e IG11 (Quchi) - ponto neutro; e 30 pacientes no grupo Ondansetron e acupuntura G (OA), onde receberam ambas técnicas, a farmacológica e a não farmacológica. Foram avaliadas número de ocorrências de NV (náuseas e vômitos) com relatos preenchidos em protocolo próprio por avaliadores independentes em três momentos distintos: no período perioperatório na sala de cirurgia, nas primeiras 2 horas durante o período na SRPA e nas 24 horas durante a permanência na enfermaria. Para as variáveis quantitativas foi realizada a análise de variância no delineamento inteiramente ao acaso e para as variáveis qualitativas foi realizado o teste Exato de Fisher. O nível de significância utilizado foi de 5%. Foram randomizados 96 pacientes ≥ 18 anos ASA I e II, excluídos seis pacientes por violarem o protocolo; dos 90 pacientes incluídos, 19 eram do sexo feminino e 71 do sexo masculino. Os... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The study aims at evaluating the postoperative nauseas and vomiting (PONV) with utilization of acupuncture with electrostimulation of point P-6 (Neiguam) compared to the group of drug Ondansetron and the group of association of electroacupuncture with Ondansetron. It is a randomized, prospective, clinical study carried out in orthopedic patients undergone surgeries of lower limbs with subarachnoid block with morphine, carried out in the period from May, 2010 to December, 2011 in the Hospital Universitário Getúlio Vargas and Fundação Hospital Jorge in Manaus - Amazonas; 90 patients were enrolled in the study, being 30 patients in the Ondansetron group G (O), the patients received the drug Ondansetron 8 mg EV in the anesthesia induction; 30 patients in the acupuncture group G (A), the patients in SRPA received before the surgical procedure, electrostimulation during 30 minutes of 10 Hz of points P6 (Neiguam) and IG11 (Quchi) - neutral point; and 30 patients in the Ondansetron and acupuncture group G (OA) where the patients received both techniques, the pharmacological one and the non-pharmacological one. The number of occurrences of NV (nausea and vomiting) was evaluated with reports completed in suitable protocol by independent evaluators in three distinct moments: in the peri-operative period in the surgery room, in the first 2 hours during the period in SRPA and in the 24 hours during the stay in the nursing ward. For the quantitative variables the analysis of variance in the completely randomized design was carried out and for the qualitative variables the Fisher's Exact test was carried out. The significance level used was 5%. 96 patients > 18 years old ASA I and II were randomized, and 6 patients were excluded due to protocol violation; of the 90 included patients, 19 were female and 71 were male. The anthropometric... (Complete abstract click electronic access below)
Doutor
Alievi, Marcelo Meller. "Implante ósseo cortical alógeno conservado em mel na reconstrução de falha óssea diafisária em fêmur de cães." Universidade Federal de Santa Maria, 2006. http://repositorio.ufsm.br/handle/1/4070.
Full textO objetivo do presente estudo foi avaliar a utilização de implante ósseo cortical alógeno conservado em mel na reconstrução de falha óssea segmentar em fêmur de cães. Foi realizada uma falha óssea de 5cm na região diafisária do fêmur direito de 14 cães adultos, sendo utilizado um implante ósseo cortical alógeno conservado em mel para a sua reconstrução. O implante foi estabilizado no leito receptor por meio de uma placa de compressão dinâmica e oito parafusos corticais de 3,5mm. Os animais foram avaliados clinicamente, verificando-se o seu estado geral, o aspecto da ferida cirúrgica e o grau de deambulação. Radiografias do fêmur direito foram realizadas no pós-operatório imediato e quinzenalmente, até o 90 dia de pós-operatório. A partir desse período, as avaliações foram mensais até os 360 dias de pós-operatório. Dois animais foram submetidos à eutanásia aos 30, 60, 90, 120, 180, 270 e 360 dias de pós-operatório, sendo o fêmur direito retirado e encaminhado para exame histológico. A porcentagem de incorporação das interfaces foi de 79,17%, e o tempo médio necessário para a incorporação foi de 67,10 dias, variando entre 45 e 90 dias. Não foi verificada diferença significativa entre o tempo de incorporação das interfaces proximal e distal. Na análise bacteriológica, foi verificado Bacillus spp. em três amostras de mel, porém, não houve crescimento bacteriano nas amostras obtidas dos implantes ósseos. Histologicamente foi verificada adequada união entre as interfaces, com atividade osteoclástica na periferia do implante seguida por osteoblástica e formação de matriz óssea. As principais complicações verificadas foram não-união, fratura e reabsorção intensa do implante. Apesar das complicações, é possível concluir que o implante ósseo cortical alógeno conservado em mel é uma opção viável para a reconstrução óssea.
Mondino, Ludimila Nunes Zini. "Avaliação do risco de hipotensão arterial durante a indução de raquianestesia em pacientes tratados cronicamente com fármacos antihipertensivos." Niterói, 2017. https://app.uff.br/riuff/handle/1/3294.
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A Raquianestesia com bupivacaína isobárica 0,5% (BP) é amplamente utilizada para cirurgia ortopédica de artroplastia primária de quadril (AQ), e a hipotensão Arterial é uma das complicações mais freqüentes desta técnica. O objetivo deste estudo foi quantificar a incidência de hipotensão arterial em pacientes submetidos à AQ e identificar fatores de risco independentes associados ao aumento da incidência de hipotensão após a indução da raquianestesia. Estudo de caso-controle, realizado com a análise de 937 (100%) registros de anestesia de pacientes de ambos os sexos, com uso de BP e idade igual ou superior a 40 anos. De acordo com os critérios pré-definido de "hipotensão arterial" (diminuição da pressão arterial média (PAM) maior que 30% do valor da PAM na pré-indução ou quando a PAM for inferior a 70mmHg), o evento foi detectado em 35,3% (n = 284) dos pacientes incluídos na análise. O risco relativo para hipotensão em pacientes que usam inibidores da ECA ou diuréticos é de 1,66 e 1,63 vezes, respectivamente. Por análise multivariada, idade (OR-1,034), hipertensão arterial (OR-2,44) e / ou diabetes melittus (OR- 17,14) foram independentemente associados com a ocorrência de hipotensão durante a indução da raquianestesia.
Spinal anesthesia with isobaric bupivacaine 0,5% (BP) is widely used for orthopedic surgery of primary hip arthroplasty (AQ), and the hypotension is one of the most frequent complications of this technique. The goal of this study was to quantify the incidence of hypotension in patients undergoing AQ and identify independent risk factors associated with increased incidence of hypotension after induction of anesthesia. Case-Control study was conducted, with the analysis of 937 (100%) anesthesia records of patients of both sexes, use of BP and age equal or greater than 40 years. According to the predefined criteria of "hypotension" (decrease > 30% of Mean arterial blood preassure (MAP) in the pre-induction or when MAP <70 mmHg), the event was detected in 35.3% (n = 284) of the patients included in the analysis. The relative risk for hypotension in patients who use ACE inhibitors or diuretics is 1.66 and 1.63 times respectively. By multivariate analysis, age (OR-1,034), hypertension (OR-2,44) and/or presence of diseases diabetes (OR-17,14) were independently associated with the occurrence of hypotension during induction of anesthesia.
Sjöling, Mats. "Experiences of abandonment and anonymity among arthroplastic surgery patients in the perioperative period : some issues concerning communication, pain and suffering." Umeå : Kirurgisk och perioperativ vetenskap, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-509.
Full textGouvea, Aline Silva. "Avaliação de microplacas de titânio em fraturas de tibiotarso em pombos domésticos (Colimba livia)." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2010. http://hdl.handle.net/10183/25021.
Full textAmong the surgical problems in birds, the fractures are the most prevalent. Due to variations in size, weight, peculiar bone anatomy, high incidence of complicated fractures and the functional demands of different species and individuals, is not possible yet to establish an ideal method for osteosynthesis of long bones in birds. Therefore, several studies have been conducted looking for a suitable method for the different needs of these animals. Titanium microplates commonly used in human maxillofacial surgery have been recently employed in osteosynthesis of birds, but with few results available. The aim of this study was to evaluate the use of titanium microplates in the treatment of tibiotarsus fractures in pigeons (Columba livia) 30 birds were used, adult males and females, with 7 months old, weighing from 400 to 500 that came from the Animal Center Facility of the Federal University of Santa Catarina (UFSC). The animals were divided into 3 groups with ten animals each. In group 1 a titanium microplate with 6 holes and a central spacer were used; in group 2 a titanium microplate with 8 holes without a spacer in the center; in group 3 a titanium microplate with 8 holes with central spacer. After clinical evaluation, the birds were submitted to mid-diaphyseal osteotomy in the right bone for placement of different configurations of the titanium plate, and fixed with titanium microscrews 7mm long. The animals were evaluated clinically and radiographically until 90 days postoperatively. After this period, euthanasia was performed in 2 animals from each group. In all animals was observed bone healing and in group 1 the mean and standard deviation were 32.9 ± 9.9, in group 2 30.8 ± 6.7 in group 3 26.6 ± 6.4 days, not having statistical difference in healing time between groups. The bending of the implant was the most common complication. The configuration of the plate resulted in a statistically significant difference in relation to walking and the degree of bending in different groups. Moreover, in group 3 there was higher precocity in the member suppor and a lower degree of bending in relation to other groups. Histologically it was verified the formation of the callus in all animals and the presence of bone tissue around the plate and microscrews. Despite the complications of titanium microplates, they are an option for osteosynthesis of tibiotarsus in birds of medium size.
BARAÚNA, JÚNIOR Durval. "Técnica de interligação extracapsular femoro-fabelo-tibial na ruptura do ligamento cruzado cranial em cães – achados clínicos e radiográficos." Universidade Federal Rural de Pernambuco, 2006. http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5337.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
Cranial cruciate ligament rupture (CCLR) is a common disease in dogs that cause joint instability resulting in lameness and rapid development of degenerative joint disease (DJD). The aim of this work was evaluate the results of a new technique of restoration of joint femur-fabelo-tibial stability for the treatment of spontaneous CCLR in dogs, using for this purpose clinical and radiographic features. Sixteen joint of fifteen dogs were operated, six male and nine female, with weight between 2.3 to 53.0 kg (median 8.4 kg) and age between 1 year and 10 months to 11years (mean 6.1± 2.8 years), miscellaneous breed and that the interval between the suspect of lesion by the owners and the surgical procedures varied between 3 to 365 days (mean 123 ±131.5 days), were submitted to the surgical correction though the extracapsular femur-fabelo-tibial interconnection technique. The tibial compression radiographs and the distal displacement of the popliteal sesamóide were 100 per cent efficient and sensitive to the diagnostic of CCLR. In anyone of the sixteen operated joint were observed difficulty or intra-operative complication. In 3 dogs were observed discreet instability (until 2mm) in the cranial drawer test and the tibial compression test, until 180 days; however these dogs didn’t show any damage in the functional evaluation in this period. In another three operated joints a discreet degree of cranial drawer remains until the 30º day, disappearing completely at 90 days. After 30 days of the surgery all the animals showed a improvement (P≤0.05) in the evaluated parameters, with progressive improvement until the 90 days after the surgical. There was no more change statistically significant, although observed clinical improvement until 180 days, when all the animals showed complete functional recovery. The increase (90 and 180 days) in the thigh perimeter weren’t statistically significant. Among 20 joints evaluated (operated or non operated) radiographically between 0 and 180 day, the evolution of degenerative changes was seen in 90 per cent of joints. It was possible conclude that the extracapsular femur-fabelo-tibial interconnection technique evaluated in this experiment is efficient in the immediate stabilization of joint with CCLR, offering functional recovery for reduce the cranial displacement and internal rotation of the tibia, however it not arrest the osteoarthritis progression. Secondarily it can be conclude that: the nylon strands despite its elasticity and plastic deformation can produce a discreet clinical instability, it continue been a good option for joint stabilization because of its low cost, feasibility of sterilization, no production of fistulous tracts and disposability of different diameters with variable resistance adequate for the animal size. Thick strands of difficult management can be arrest through by crimp clamp system with relative facility. Another important conclusion is that like the radiographic tibial compression test, the orthopedic evaluation with tibial compression test and cranial drawer test is 100 per cent efficient in the diagnosis of CCLR, in dogs.
A ruptura do ligamento cruzado cranial (RLCC) é uma afecção comum em cães, geradora de instabilidade do joelho, resultando em claudicação e rápido desenvolvimento de doença articular degenerativa. O objetivo deste trabalho foi avaliar os resultados de uma nova técnica de reconstituição da estabilidade da articulação femoro-tíbio-patelar, como forma de tratamento da RLCC espontânea em cães, utilizando para isto avaliações clínicas e radiográficas. Foram operados 16 joelhos de 15 cães afetados, sendo seis machos e nove fêmeas, com peso variando entre 2.3 a 53.0 kg (mediana 8.4 kg), idades entre um ano e 10 meses a 11 anos (média 6.1 ± 2.8 anos), de raças variadas e onde o intervalo entre a suspeita da lesão por parte dos proprietários e os procedimentos cirúrgicos variaram entre três a 365 dias, (média 123 ± 131.5 dias), que foram submetidos à correção cirúrgica através da técnica de interligação extracapsular femoro-fabelo-tibial. O exame radiográfico sob teste de compressão tibial e a avaliação do deslocamento distal do sesamóide do poplíteo foram 100% eficientes e sensíveis, para o diagnóstico da RLCC. Em nenhum dos 16 joelhos operados foram observadas dificuldades ou complicações trans-operatórias. Em três cães foi observada instabilidade discreta (até 2mm) no movimento de gaveta cranial (MGC) e no teste de compressão tibial, até 180 dias; entretanto estes cães não apresentaram prejuízos na avaliação funcional neste mesmo período. Em outros três joelhos operados um grau discreto de MGC permaneceu até o trigésimo dia desaparecendo completamente no retorno aos 90 dias. Aos 30 dias após a cirurgia todos os animais apresentavam uma melhora (P≤ 0.05) nos parâmetros avaliados, com progressão da melhora até os 90 dias após a cirurgia, a partir daí não houve mais modificação estatisticamente significante, embora tenha sido observada melhora clínica até os 180 dias, quando todos os animais apresentaram plena recuperação funcional. Os incrementos (90 e 180 dias) no perímetro da coxa não foram estatisticamente significantes. Dos 20 joelhos avaliados (operados e não operados) radiograficamente nos dias zero e 180, a evolução das alterações degenerativas foi observada em 90% destes. Foi possível concluir que a técnica de interligação extracapsular femoro-fabelo-tibial avaliada neste experimento é eficiente na estabilização imediata da articulação com RLCC, oferecendo recuperação funcional ao reduzir o deslocamento cranial e a rotação interna da tíbia, porém que não impede a progressão da osteoartrite. Secundariamente pode-se concluir que: o fio de náilon, apesar da sua elasticidade e deformação plástica poder produzir uma discreta instabilidade clinica, este continua sendo uma boa opção para estabilização articular em virtude do seu baixo custo, facilidade de esterilização, não produzir tratos fistulosos, possuir diferentes diâmetros com resistências variadas adequadas ao tamanho do animal. Fios grossos de difícil manuseio podem ser presos através de grampos tubulares com relativa facilidade. Outra conclusão importante é que assim como o exame radiográfico sob o teste de compressão tibial, o exame ortopédico com testes de compressão tibial e de movimento de gaveta cranial é 100% eficiente no diagnóstico da RLCC, em cães.
Sadloňová, Lujza. "Mezinárodní marketingový mix společnosti vstupující na zahraniční trh." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2021. http://www.nusl.cz/ntk/nusl-443116.
Full textNioti, Antonia Evgenia. "Additive Manufacturing in Orthopedics and Craniomaxillofacial Surgery for the Development of High-risk Custom-made Implants : A Qualitative Study of Implementation Factors from a Multi-stakeholder Perspective." Thesis, Uppsala universitet, Industriell teknik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-424980.
Full textCastro, Patricia Ferreira de. "Afecções cirúrgicas em aves: estudo retrospectivo." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09022011-144207/.
Full textBirds represent one of the main wildlife species kept as pets in our country and respond directly by the growing demand for health care veterinarian. Advancement in the field of anesthesiology has enabled the surgical procedures longer and more complex and contributed to the development and refinement of surgical technique in birds. However, national data series related to surgical disorders in birds are still poor. This study assessed retrospectively the avian operations at the Service of Small Animal Surgery - Veterinary Hospital of the School of Veterinary Medicine and Animal Science of the University of São Paulo, from January 2000 to June 2008. The focus was to identify the surgical disorders, occurrence and frequency distribution according to orders and species affected, also we evaluated the surgical techniques employed and compared the results with the literature findings. A total of 90 operations were performed for diagnosis or treatment of surgical disorders. Of these 27 were orthopedic and 63 soft tissue surgeries. Considering the orthopedic surgeries performed according to orders we observed: Psittaciformes 85,19%, Piciformes 7,41%, Anseriformes 3,70% and Falconiformes 3,70%. And for the soft tissues operations the Psittaciformes represented 92,06%, Columbiformes 3,17%, Passeriformes 3,17% and Anseriformes 1,59%. Fractures presented the highest incidence among orthopedic disorders (88,89%), followed by luxation (3,70%), traumatic avulsion of the end (3,70%) and arthritis/osteomyelitis (3,70%). The pelvic limb was the most affected member and the tibiotarsus was the most commonly fractured bone. Among the surgical disorders of soft tissue, neoplasms accounted for 30,16%, followed by cutaneous neoformation or annexes nonneoplastic (17,46%), cutaneous neoformations undiagnosed (7,94%), dystocia (7,94%), fistula crop (7,94%), abdominal hernia (4,76%), sinusitis (4,76%), gangrene of the extremity members (3,17%), esophageal perforation (3,17%), prolapse of cloaca (3,17%), \"avascular necrosis of digit (1,59%), wound in the region of the keel (1,59%), perforation of the coelomic cavity (1,59%), neoformation in the coelomic cavity without a diagnosis (1,59%), foreign body in the gastrointestinal tract (1,59%) and otitis (1,59%). Lipoma and caseous were the most frequent cancer and non-neoplastic neoformation observed, respectively. The distribution of surgical disorders according to species affected showed that the \"group of parrots\", mainly represented by species of Amazonas genus, was prevalent. Internal fixation with intramedullary pin was the technique most often used in orthopedic surgical disorders and showed a high rate of recovery of limb function. The excision was the technique mostly used in the surgical disorders of soft tissue and presented high rates of cure and low recurrence. Knowledge of surgical and bird species most affected, and the results obtained with the surgical techniques employed, add information for those who works in this area and will be an indicator for future surgeons of birds
Гортинська, Олена Миколаївна, Елена Николаевна Гортинская, Olena Mykolaivna Hortynska, О. В. Калінкевич, and Г. О. Логвинюк. "In-vitro деградація нової двохфазної ГАП/ТКФ кераміки." Thesis, Сумський державний університет, 2016. http://essuir.sumdu.edu.ua/handle/123456789/44893.
Full textCHIORATTO, Ricardo. "Exame radiográfico transoperatório na cirurgia ortopédica de cães e gatos." Universidade Federal Rural de Pernambuco, 2010. http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5831.
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The use of radiographic visualization of static procedure using, are guiding means to transoperatory implantation of orthopedic element, especially where direct visualization is not possible. The aim of this study was verify, the provents of the transoperatory radiographic procedure in surgery of bone fractures, of dogs and cats. A total of 100 animals, 81 dogs and 19 cats with bone fractures, were used. The first x-ray was obtained after the surgeon had reduced the fracture and/or positioned the metal implants. From the analysis of this transsurgical exam and osseous estructures, if the metalic implants and bone reductions were in absolute accuracy with the principles of orthopedic surgery, the surgeon would conclude the surgery, but if these were not in appropriate place, the necessary arrangements had to be made to relocate it in the right place, and thus more transoperatory radiographic exams were made up the observation of the perfect alignment, positioning or coaptation of fractures and the correct placement of orthopedic implants .It was found that after the transoperatory radiographic examination additional adjustments were necessary for repositioning of metallicimplants and/or bone structures in 95% of procedures. In view of the results, we can conclude that the use of transoperatory radiographic examination in orthopedic surgery of dogs and cats, regardless of the surgeon, animal species or fractured bone is important on the final result of the reductions and stabilizations of fractures, allowing greater efficiency in the placement of the osseous fragments and surgical implants. More specifically in the closed stabilizations or through minimal invasive approach, with the insertion of intramedullary pins and in the cominutive and obliquous type located in the humerus, tibia and calcaneus.
A utilização de imagem radiográfica estática durante o procedimento cirúrgico é um meio de orientação transoperatória que proporciona maior precisão na colocação de implantes ortopédicos, bem como a avaliação do grau de coaptação e estabilização dos fragmentos da fratura, principalmente nas reduções fechadas, onde a visualização direta não é possível. Este trabalho teve como objetivo verificar a utilidade do exame radiográfico transoperatório na cirurgia reparadora de fraturas, previamente diagnosticadas, em cães e gatos. Foram utilizados 100 animais, 81 cães e 19 gatos, com fraturas ósseas, sendo obtido o primeiro exame radiográfico logo após o cirurgião ter reduzido à fratura e posicionado os implantes metálicos. A partir da análise dos exames transoperatórios, se os implantes metálicos e as reduções ósseas estivessem em absoluta exatidão com os princípios da cirurgia ortopédica, o cirurgião concluiria a cirurgia; caso contrário seriam tomadas as providências necessárias para reposicioná-los corretamente, devendo-se assim realizar mais exames radiográficos transoperatórios até a observação do perfeito alinhamento, aposicionamento ou coaptação dasfraturas e a apropriada localização dos implantes ortopédicos. Foi verificado que após o primeiro exame radiográfico transoperatório foram necessários ajustes adicionais para reposicionamento dos implantes metálicos e ou estruturas ósseas em 95% dos procedimentos. Pode-se concluir que a utilização desse exame em ortopedia de cães e gatos, independente da espécie é importante, no resultado final das reduções e estabilizações de fraturas, por possibilitar uma maior precisão no posicionamento dos fragmentos ósseos e dos implantes, principalmente nas estabilizações fechadas ou por abordagem minimamente invasiva, com inserção de pinos intramedulares, e nas do tipo oblíqua e cominutiva e nas situadas no úmero, tíbia e calcâneo.
Ballesteros, Betancourt José Roberto. "Estudio biomecánico comparativo de diferentes técnicas de reparación de las lesiones del flexor digitorum profundus en la zona I de la mano." Doctoral thesis, Universitat de Barcelona, 2019. http://hdl.handle.net/10803/669887.
Full textBACKGROUND: Surgical repair by fixation into the phalanx is the usual method in the treatment of lesions of the deep flexor tendon in zone 1 of the hand. A wide variety of techniques have been described for the repair, including the Bunnell pullout technique and its modifications; by fixation with one or two suture anchor and combinations of transosseous and anchor sutures. In vitro cyclic testing and a load to failure test were used to compare the repair of a flexor digitorum profundus tendon using the transosseous technique of Teo or a modified Bunnell 2-strand pullout technique using a braided polyester suture. METHODS: Thirty-six fresh-frozen cadaveric fingers were divides randomly into 2 repair groups and a control group: a transosseous technique of Teo with 3-0 braided polyester suture or a modified Bunnell technique with a 3-0 braided polyester suture, and a control group with the flexor intact. After repair, the samples and the control group were loaded cyclically from 2 to 15 N at 25 mm/min, for a total of 500 cycles. Gap formation at the tendon-bone interface and grip-to-grip distance were assessed every 100 cycles. Specimens were tested to failure at the end of 500 cycles. RESULTS: Teo group had approximately a 30% smaller gap every 100 cycles and needed 30% more energy to obtain a 2 mm gap than the modified Bunnell group. Displacement after 500 cyclic loads was significantly lower in the Teo group (9.33 mm [SD 1.76]) than in the Bunnell group (13.81 mm [SD 2.08]) . CONCLUSION: We have found statistical significant biomechanical differences in failure loads and displacements between the two repair technique after rupture of the profundus flexor tendon. For the failure of the Teo suture, it was necessary to apply 31% more load than the Bunnell technique.
Closa, Rusinés Conxita. "La Rehabilitació domiciliària: Anàlisi en l’artroplàstia total de genoll." Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/482235.
Full textIto, Natália Ayres Pontual. "Orientações na alta hospitalar a partir das necessidades sentidas por pacientes submetidos à cirurgia ortopédica." Pontifícia Universidade Católica de São Paulo, 2017. https://tede2.pucsp.br/handle/handle/20076.
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The discharge planning is based on the needs of the patient, including their learning needs, covering the period from admission to discharge, with a multi-professional approach. Among the nurses' activities, discharge planning is an important step in the systematization of nursing care. This study aimed identify the orientation needs felt by orthopedic surgical patients at hospital discharge, to know the patients´ feelings about receiving orthopedic discharge, to know the patients' perceptions of the guidelines received at discharge, to identify the professional involved in the process of orientation of discharge and to contribute to the construction of guideline to be made available to the patient and his family in the moment of discharge. Twenty patients submitted to orthopedic surgery participated in an oral interview, which was recorded in audio, guided by a script of guiding questions and a form with clinical and socio-demographic data. The content of the interviews was organized according to the reference of the Discourse of the Collective Subject and for the analysis and interpretation of these data the content analysis in thematic analysis mode was used. OREM Self-Care Theory was used for the categorization of orientation needs. Clinical and socio-demographic data were analyzed according to the frequency of their variables. The results showed that the profile of the participants is composed mainly of men, aged between 18 and 45 years, married and with full secondary education. The SUS was the prevalent health agreement and osteosynthesis was the most frequent procedure. Happiness was the main feeling related to hospital discharge. The most mentioned doubts and orientation needs were all about rehabilitation, illness/accident insurance and recovery time. The guidelines were based on universal self-care requisites (feeding, hydration, hygiene, dressing protection), health deviation in self-care requisites (rehabilitation, rest, dressing, movement, return, hand positioning, medication, intercurrence, treatment of another fracture) and developmental self-care requisites (recovery time). The guidelines were offered mainly by a physician, accompanied or not by a nurse, evidencing the absence of systematization in the discharge planning and the predominantly clinical focus of these guidelines. The survey of the orientation needs of the interviewees supported the elaboration of infographic to advise the verbal guidelines offered at the time of discharge and to be consulted at home. Our expectation that the results of the study contribute to the professionals involved in the discharge process, so that they may rethink their practices considering, above all, the systematized discharge plan
O planejamento de alta se dá a partir das necessidades do paciente, incluindo suas necessidades de aprendizado, abrangendo o período compreendido entre o momento da admissão até o momento da alta hospitalar, com abordagem multiprofissional. Dentre as atividades do enfermeiro, o planejamento de alta é etapa importante da sistematização da assistência de enfermagem. O estudo teve como objetivos conhecer os sentimentos de pacientes submetidos a cirurgia ortopédica ao receber alta hospitalar, identificar as necessidades de orientação sentidas por esses pacientes, conhecer suas percepções sobre as orientações recebidas durante a alta hospitalar, identificar o (s) profissional (is) envolvidos no processo da orientação de alta e construir coletivamente um material didático a ser disponibilizado ao paciente e sua família no momento de alta. Foram sujeitos da pesquisa 20 pacientes submetidos à cirurgia ortopédica que participaram de uma entrevista oral, gravada em áudio, orientada por um roteiro de questões norteadoras e de um formulário com dados clínicos e sócio demográficos. O conteúdo das entrevistas foi organizado segundo o referencial do Discurso do Sujeito Coletivo e para análise e interpretação desses dados foi utilizada a análise de conteúdo, modalidade análise temática. Para a categorização das necessidades de orientação foi utilizada a Teoria do Autocuidado de OREM. Os dados clínicos e sócio demográficos foram analisados segundo a frequência de suas variáveis. Os resultados mostraram que o perfil dos participantes é composto majoritariamente de homens, com idade entre 18 e 45 anos, casados e com ensino médio completo. O SUS foi o convênio de saúde prevalente assim como as osteossínteses foram os procedimentos mais frequentes. Felicidade foi o principal sentimento relacionado a alta hospitalar. As dúvidas e necessidades de orientação mais referidas foram alusivas a reabilitação, auxílio doença/seguro por acidente e tempo de recuperação. As orientações recebidas versaram sobre requisitos de autocuidado universais (alimentação, hidratação, higiene, proteção do curativo), requisitos de autocuidado nos desvios de saúde (reabilitação, repouso, curativo, movimentação, retorno, posicionamento da mão, medicação, intercorrência, tratamento de outra fratura) e requisitos de autocuidado desenvolvimentista (tempo de recuperação). As orientações foram ofertadas principalmente pelo médico, em conjunto ou não com o enfermeiro evidenciando a ausência de sistematização no planejamento de alta e o enfoque predominantemente clínico dessas orientações. O levantamento das necessidades de orientação dos entrevistados subsidiou a construção de um infográfico para assessorar as orientações verbais ofertadas no momento da alta e para ser consultado em casa. Esperamos que os resultados do estudo contribuam para que os profissionais envolvidos no processo de alta repensem suas práticas considerando, sobretudo, o planejamento sistematizado de alta