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Готові списки джерел за темами / Orthopaedic and trauma surgery

Добірка наукової літератури з теми "Orthopaedic and trauma surgery"

Автор: Grafiati

Опубліковано: 7 липня 2024

Оновлено: 7 липня 2024

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Статті в журналах з теми "Orthopaedic and trauma surgery":

1

Dırvar, Ferdi, Sevda Uzun Dırvar, Alper Köksal, Osman Çimen, Anıl Erbaş, İlhan Avni Bayhan, and Mehmet Akif Kaygusuz. "Experiences from a non-COVID hub referral orthopedic trauma hospital during the COVID-19 pandemic in Turkey." International Journal of Research in Orthopaedics 7, no. 2 (February 23, 2021): 183. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20210611.

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<p><strong>Background:</strong> During the COVID-19 pandemic period, resources should be reorganized to treat the increased burden of COVID-positive patients under the best conditions while simultaneously providing non-deferrable treatment to patients with no suspicion of COVID-19. In this study, we aimed to analyse the trauma patient profile and treatment strategies that emerged in the regional orthopaedic and traumatology hospital during the pandemic period after the implementation of “hub and spoke” organization among the orthopaedic and traumatology clinics.</p><p><strong>Methods:</strong> This cross-observational study was conducted in a training and research hospital in the field of orthopaedics and traumatology that was converted to a non-COVID referral orthopaedic trauma center during the pandemic. Gender, age, length of hospitalization, duration of trauma, place of trauma, severity of trauma, type of admission, type of anaesthesia and site of trauma were evaluated in the patients that presented between March 16 and May 16, 2020.</p><p><strong>Results:</strong> Of the orthopaedic trauma patients requiring surgery, 169 (62.6%) were men and 101 (37.4%) were women. In comparison of the data with that of the last year, significant increases were observed in the number of home traumas (241.5%), low-energy traumas (87.4%), patients referred from other institutions (328.9%), regional anaesthesia patients (124.2%) and patients with hip traumas (226.7%). The length of hospitalization decreased significantly (p<0.05).</p><p><strong>Conclusions:</strong> The creation of hub and spoke organization through the cooperation of orthopaedics and traumatology clinics in the region can reduce the burden on pandemic hospitals by isolating trauma patients requiring orthopaedic surgery who were not suspected of COVID-19 and directing them to dedicated orthopaedics and traumatology hospital.</p>

2

Reuter, Merrill W., Clyde Meckstroth, and Diane M. Anger. "Orthopaedic & Trauma Surgery." Southern Medical Journal 90, Supplement (October 1997): S73. http://dx.doi.org/10.1097/00007611-199710001-00139.

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3

Edwards, Willie S., and M. D. Florence. "Orthopaedic & Trauma Surgery." Southern Medical Journal 90, Supplement (October 1997): S73. http://dx.doi.org/10.1097/00007611-199710001-00140.

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4

Hodges, Scott D. "Orthopaedic & Trauma Surgery." Southern Medical Journal 90, Supplement (October 1997): S74. http://dx.doi.org/10.1097/00007611-199710001-00141.

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5

Benjamin, Johnny C., Douglas J. Weiland, Paul J. Zak, Andrew C. Maser, and Elizabeth C. Sirna. "Orthopaedic & Trauma Surgery." Southern Medical Journal 90, Supplement (October 1997): S74. http://dx.doi.org/10.1097/00007611-199710001-00142.

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6

Mastantuono, Marco, Massimo Larciprete, Luigi DiGiorgio, Erica Bassetti, and Roberto Passariello. "Orthopaedic & Trauma Surgery." Southern Medical Journal 90, Supplement (October 1997): S74. http://dx.doi.org/10.1097/00007611-199710001-00143.

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7

Whitman, C. S., Kent Reninker, and Chason S. Hayes. "Orthopaedic & Trauma Surgery." Southern Medical Journal 90, Supplement (October 1997): S75. http://dx.doi.org/10.1097/00007611-199710001-00144.

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8

Hamdy, Reggie C., Stéphane Parent, and Morris Duhaime. "Orthopaedic & Trauma Surgery." Southern Medical Journal 90, Supplement (October 1997): S75. http://dx.doi.org/10.1097/00007611-199710001-00145.

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9

Mastantuono, Marco, Massimo Larciprete, Luigi DiGiorgio, Erica Bassetti, and Roberto Passariello. "Orthopaedic & Trauma Surgery." Southern Medical Journal 90, Supplement (October 1997): S75. http://dx.doi.org/10.1097/00007611-199710001-00146.

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10

Bramlet, Dale G., and Lisa Rementer. "Orthopaedic & Trauma Surgery." Southern Medical Journal 90, Supplement (October 1997): S76. http://dx.doi.org/10.1097/00007611-199710001-00147.

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Дисертації з теми "Orthopaedic and trauma surgery":

1

Clasper, Jonathan C. "Mortality and orthopaedic injury following military trauma." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8964/.

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This thesis details my contribution to the literature on military surgery, based on both front-line surgical experiences as well as research carried out on causes of death and disability, particularly in relation to limb injuries, the most common site of wounding in conflict. Injury analysis (6 papers). Injury prevention/mitigation (5 papers). Management (8 papers). Outcome (13 papers). Education (9 papers).

2

Bouthors, Charlie. "Etude de pédagogie médicale sur la simulation procédurale en chirurgie orthopédique et traumatologique pour les étudiants en 2ème et 3ème cycle des études médicales." Electronic Thesis or Diss., université Paris-Saclay, 2024. http://www.theses.fr/2024UPASW001.

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La simulation procédurale est en pleine expansion en chirurgie orthopédique et traumatologique (COT) mais en France, son utilisation pour les étudiants de 3ème cycle n'a pas encore été répertoriée. L'amélioration de la formation des gestes techniques enseignés en simulation aux étudiants du 2ème cycle implique le développement de nouvelles méthodes d'enseignement et de simulateur procéduraux.Une enquête nationale sur le déploiement de la simulation procédurale a été réalisée auprès des enseignants universitaires et des étudiants de 3ème cycle en COT. Cet état des lieux a montré que le déploiement n'était pas encore à son maximum. Les principales raisons évoquées étaient un manque de financement et de temps. L'intérêt de la simulation était malgré tout reconnu par les enseignants et les étudiants. L'uniformisation et les collaborations à l'échelle régional et nationale pourrait améliorer cette situation.L'enseignement traditionnel d'une procédure implique une démonstration ininterrompue de l'ensemble de la procédure à l'apprenant qui doit ensuite être capable de la réaliser. La décomposition de la procédure en plusieurs étapes clés montrées séquentiellement à l'apprenant selon une méthode dite par « micro-tâches », pourrait améliorer l'apprentissage du geste technique. Parmi une population d'étudiants en médecine du 2ème cycle formés à la manchette plâtrée en simulation, immédiatement après la formation, la performance évaluée par des grilles d'évaluation était meilleure chez ceux formés par la technique par « micro-tâche » par comparaison à la méthode traditionnelle. Six mois après la formation, le niveau de performance était diminué et identique entre les deux groupes. L'unique facteur indépendant lié à une bonne performance était le fait d'avoir effectué un stage de COT. Pour être efficace, le processus de formation en simulation implique donc un enseignement qui doit être répété et poursuivi en pratique clinique.Le développement d'un simulateur physique procédural pourrait améliorer la formation à la pose et à l'ablation de la manchette plâtrée. Un membre supérieur en taille réelle a été modélisé et construit par impression en trois dimensions (3D). Afin d'enregistrer de manière objective les comportements de l'opérateur, différents capteurs ont été incorporés au simulateur (pression, mobilité articulaire et « fracturaire », température, vibrations de la lame de scie, contact scie-peau). Le simulateur a été utilisé par deux groupes de participants au niveau d'expertise différent (novices et experts). Bien que le réalisme ait été jugé satisfaisant dans les deux groupes, son aspect est encore relativement éloigné d'un humain, notamment au niveau des parties molles. Le simulateur a permis d'enregistrer les comportements des opérateurs en lien avec leur gestuelle et semble pouvoir différencier deux niveaux d'expertises. L'intérêt pédagogique du simulateur sera évalué dans un autre travail
Procedural simulation is expending in orthopaedic and trauma surgery (OT) but in France its implementation amongst residents has not yet been reported. To enhance procedural training for medical students implies development of new teaching methods and simulators.A national survey was conducted amongst academic teachers and residents in OT. Results showed maximal potential was not reached. Main reasons were lack of funding and time. Both teachers and residents acknowledged the advantages of simulation.The traditional method to teach a procedure implies a continuous and uninterrupted demonstration of the entire procedure to the learner who is then expected to replicate it. To deconstruct the procedure into several key steps showed sequentially (micro-task method) could enhance learning of technical skills. Amongst a population of medical students undergoing simulation training on below elbow cast, immediately after the training session students trained by micro-task method demonstrated higher performance than by traditional method according various grading scales. Six months after the training, performance was decreased and equal in both groups. The only independent factor linked to better performance was a rotation in OT. To be effective, simulation training requires repeated practice and bedside teaching.The development of a procedural simulator for below elbow cast application and removal could enhance this training. A real size upper limb was modelized and constructed through three-dimensional printing. To objectively monitor the operator's gesture, different captors (pression, fracture and wrist mobility, temperature, cast saw vibrations, cast saw skin touch) were integrated to the simulator. Participants with different levels of expertise (novices and experts) tested the simulator. Although realism was deemed satisfactory in both groups, it did not mimic human's aspect perfectly, notably the soft tissues. The simulator appropriately recorded the participants' gesture and seemed to differentiate different levels of expertise. Its pedagogical interest remains to be evaluated

3

Tarazi, Kamal. "Computer assisted orthopaedic surgery." Thesis, Imperial College London, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.321608.

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4

Ashby, Elizabeth. "Morbidity following orthopaedic surgery." Thesis, University College London (University of London), 2018. http://discovery.ucl.ac.uk/10054431/.

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Morbidity following hip and knee arthroplasty has previously been poorly recorded. This is the first time the Post-Operative Morbidity Survey (POMS) has been used for this purpose. The POMS identifies clinically significant morbidity using indicators of organ system dysfunction rather than traditional diagnostic categories. The most common types of morbidity following hip and knee arthroplasty are infection and renal morbidity. Pulmonary, pain and gastro-intestinal morbidity are less common. Cardiovascular, wound, neurological and haematological morbidity are least common. Many arthroplasty patients remain in hospital without morbidity. The POMS identifies these patients and thus has potential as a prospective bed utilisation tool. To be used for this purpose, the POMS must identify all clinically significant morbidity. Mobility is an important factor for safe discharge of arthroplasty patients. Addition of a ‘mobility’ domain could improve the utility of POMS as a bed utilisation tool following orthopaedic surgery. This study showed no association between post-operative morbidity defined by the POMS and longer-term patient-reported outcome measures (PROMs). This study does not support the POMS as an early surrogate marker of long-term PROMs in orthopaedic patients. The wound domain of the POMS has a high specificity, reasonable sensitivity, high negative predictive value and low positive predictive value compared to the inpatient ASEPSIS (Additional treatment, Serous discharge, Erythema, Purulent exudate, Separation of deep tissues, Isolation of bacteria, inpatient Stay over 14 days) score. The wound domain of POMS could be replaced with a validated definition of wound infection such as ASEPSIS. On the same series of orthopaedic patients, surgical site infection (SSI) rate according to the Centres for Disease Control (CDC) definition was 15.45%, according to the Nosocomial Infection National Surveillance Scheme (NINSS) definition was 11.32% and according to the ASEPSIS definition was 8.79%. This highlights the need for a consistent definition of SSI.

5

White, John William. "A search for the pathophysiology of the non-specific occupational overuse syndrome (RSI) : a research project undertaken in the Department of Orthopaedics and Trauma, Royal Adelaide Hospital and the Department of Surgery, University of Adelaide /." Title page, contents and abstract only, 1995. http://web4.library.adelaide.edu.au/theses/09PH/09phw5853.pdf.

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6

Widman, Jan. "Blood saving in orthopaedic surgery /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-220-5.

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7

Sharifi, Husham. "Cost Effectiveness Analysis in Orthopaedic Surgery." Yale University, 2010. http://ymtdl.med.yale.edu/theses/available/etd-03302010-163307/.

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The purpose of this thesis was to explore the use of cost effectiveness for interventions in orthopaedics. This was done through three cost effectiveness articles that have been published by the author. In each of these articles, similar methodologies were used. Decision models were constructed for cost-effectiveness analyses of competing orthopaedic interventions. Outcome probabilities and effectiveness values were derived from the literature. Effectiveness was expressed in quality adjusted life years gained. Cost data were compiled and verified from either hospital cost data or from Medicare data. Costs and utilities were discounted in accord with the United States Panel on Cost Effectiveness in Health and Medicine. Principal outcome measures were average incremental costs, incremental effectiveness, incremental quality-adjusted life years, and, in the case of one article, net health benefits. In particular the articles compared the following: 1. Core decompression versus conservative management for osteonecrosis of the hip as a way to delay hip replacement; 2. Total knee arthroplasty versus unicompartmental knee arthroplasty; and 3. Periacetabular osteotomy versus total hip arthroplasty for a young adult with developmental dysplasia of the hip. The more cost effective intervention was identified in each case, along with implications of the results for clinical and operative decision-making. Cost effectiveness was found to be a useful tool in orthopaedic surgery under limited circumstances of either scarce data on new interventions or the need to use more resources to achieve greater effectiveness. It also can provide excellent insight into ways to direct future clinical research.

8

Hauck, Robert. "Virtual surgery and orthopaedic surgery : towards training using haptic technology." Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/38530/.

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Medical education and practical training in surgery is changing, by shifting from an on the job learning paradigm, which possesses problems such as that it is unpredictable, dependent on clinical needs and that patient safety may be jeopardised, to an evidence-based surgical skills training driven by curricular needs, and acquiring basic surgical skills prior to assisting in the operating theatre and thus reducing operation duration. Towards achieving this goal, virtual reality (VR) simulators are used in minimally invasive surgery for technical skills training at the beginning of the learning curve, but have not yet been adapted for open surgery due to its complexity for simulation. This thesis investigated the potential of using a VR simulator for training in orthopaedic hand surgery, with an emphasis on providing a meaningful, effective and motivating addition to current training methods for surgical procedures. A review of literature, preliminary research projects and currently available surgical systems revealed limited results on whether a VR simulation of orthopaedic hand surgery could be created, fulfilling the needs of medical experts. Therefore, a study investigating the current state of medical education and to understand the expectations on such a simulator was carried out, which resulted in the identification of promising medical scenarios for simulation (such as carpal tunnel release, distal radius fracture treatment or surgical incision) and in requirements for its development. Different software frameworks have been evaluated for their ability for use by analysing five developed demonstrators, with the result that a custom implementation of a six-degrees-of-freedom haptic algorithm was required. By following a human-centred design approach, a VR surgical simulator with inbuilt objective measures of assessment has been developed, allowing applying a plate, drilling holes, measuring their lengths, inserting screws and taking virtual X-rays, supported by haptic feedback for increased realism and teaching aspects not possible by common computer-based simulators, such as feeling the resistance when drilling through the cortical bone. By close collaboration with medical experts and following user interface design principles, a carried out medical evaluation of the simulator showed that the simulator was well-received by the targeted young doctors and medical students, that relevant aspects of the implemented medical scenario are taught and that the users’ performance can be assessed. The findings of this work showed that it is possible to create an interactive VR simulator aimed at early stages to learn basic orthopaedic principles of open surgery using the example of the treatment of distal radius fractures in a meaningful manner. It addresses issues in the current medical education and enables learning educational objectives repeatedly in reusable medical scenarios and in a safe and controlled environment, without the risk of harming patients, and thus contributing to improved quality and patient safety when proceeding to the operating theatre.

9

Rodriguez, y. Baena Ferdinando Maria. "Improving accuracy in robotic assisted orthopaedic surgery." Thesis, Imperial College London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.407196.

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10

Ozanian, Takouhi Ovaness. "Image analysis for computer-assisted orthopaedic surgery." Thesis, University of Hull, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310255.

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Книги з теми "Orthopaedic and trauma surgery":

1

Tang, Peifu, and Hua Chen, eds. Orthopaedic Trauma Surgery. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0215-3.

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2

Tang, Peifu, and Hua Chen, eds. Orthopaedic Trauma Surgery. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0208-5.

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3

Tang, Peifu, and Hua Chen, eds. Orthopaedic Trauma Surgery. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0219-1.

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4

Schemitsch, Emil H. Operative techniques: Orthopaedic trauma surgery. Philadelphia, PA: Saunders/Elsevier, 2010.

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5

Perry, Clayton. Mastercases: Orthopaedic trauma. New York: Thieme, 1999.

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6

Giannoudis, Peter V., and Hans-Christian Pape, eds. Practical Procedures in Orthopaedic Trauma Surgery. Cambridge: Cambridge University Press, 2006. http://dx.doi.org/10.1017/cbo9780511545726.

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7

Giannoudis, Peter V., and Hans-Christoph Pape, eds. Practical Procedures in Orthopaedic Trauma Surgery. Cambridge: Cambridge University Press, 2014. http://dx.doi.org/10.1017/cbo9780511862328.

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8

S, Keene G., ed. Key topics in orthopaedic trauma surgery. Oxford: BIOS Scientific, 1999.

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9

Tornetta, Paul. Operative techniques in orthopaedic trauma surgery. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011.

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10

T, Hansen Sigvard, and Swiontkowski Marc F, eds. Orthopaedic trauma protocols. New York: Raven Press, 1993.

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Частини книг з теми "Orthopaedic and trauma surgery":

1

Lucas, Brian, Mary Drozd, Sandra Flynn, and Vanessa Blair. "Elective Orthopaedic Surgery." In Orthopaedic and trauma nursing, 168–83. Chichester, UK: John Wiley & Sons, Ltd., 2014. http://dx.doi.org/10.1002/9781118941263.ch14.

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2

Eastley, Nicholas. "Trauma and orthopaedic surgery." In Cases for Surgical Finals, 92–115. London: CRC Press, 2022. http://dx.doi.org/10.1201/9780429189968-6.

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3

Zhao, Zhe, Zhuo Zhang, and Yan Wu. "Hip Dislocations and Femoral Head Fractures." In Orthopaedic Trauma Surgery, 1–24. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0215-3_1.

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4

Zhao, Zhe, Zhuo Zhang, and Jiaqi Li. "Ankle Fractures." In Orthopaedic Trauma Surgery, 325–68. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0215-3_10.

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5

Zhao, Zhe, Zhuo Zhang, Jianheng Liu, and Jia Li. "Fractures of the Femoral Neck." In Orthopaedic Trauma Surgery, 25–62. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0215-3_2.

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6

Zhang, Zhuo, and Hao Guo. "Talus Fractures." In Orthopaedic Trauma Surgery, 433–47. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0215-3_13.

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7

Zhao, Zhe, and Jiantao Li. "Calcaneus Fractures." In Orthopaedic Trauma Surgery, 397–432. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0215-3_12.

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8

Chen, Hua, Peifu Tang, and Hongzhe Qi. "Achilles Tendon Rupture." In Orthopaedic Trauma Surgery, 449–65. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0215-3_14.

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9

Zhao, Zhe, and Jiantao Li. "Tibial Shaft Fractures." In Orthopaedic Trauma Surgery, 285–323. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0215-3_9.

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10

Zhao, Zhe, and Bin Shi. "Pilon Fractures." In Orthopaedic Trauma Surgery, 369–96. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-16-0215-3_11.

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Тези доповідей конференцій з теми "Orthopaedic and trauma surgery":

1

Han, Runze, Ali Uneri, Pengwei Wu, Rohan C. Vijayan, Prasad Vagdargi, Michael D. Ketcha, Niral Sheth, et al. "Multi-body registration for fracture reduction in orthopaedic trauma surgery." In Image-Guided Procedures, Robotic Interventions, and Modeling, edited by Baowei Fei and Cristian A. Linte. SPIE, 2020. http://dx.doi.org/10.1117/12.2549708.

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2

Vijayan, Rohan C., Runze Han, Pengwei Wu, Niral M. Sheth, Michael D. Ketcha, Prasad Vagdargi, Sebastian Vogt, et al. "Image-guided robotic k-wire placement for orthopaedic trauma surgery." In Image-Guided Procedures, Robotic Interventions, and Modeling, edited by Baowei Fei and Cristian A. Linte. SPIE, 2020. http://dx.doi.org/10.1117/12.2549713.

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3

Elliott, Jonathan T., Eric Henderson, Samuel S. Streeter, Valentin Demidov, Xinyue Han, Yue Tang, J. Scott Sottosanti, et al. "Fluorescence-guided and molecularly-guided debridement: identifying devitalized and infected tissue in orthopaedic trauma." In Molecular-Guided Surgery: Molecules, Devices, and Applications IX, edited by Summer L. Gibbs, Brian W. Pogue, and Sylvain Gioux. SPIE, 2023. http://dx.doi.org/10.1117/12.2661243.

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4

Han, Xinyue, Logan M. Bateman, Paul M. Werth, Shudong Jiang, Ida L. Gitajn, and Jonathan T. Elliott. "Risk prediction on orthopaedic trauma patients for fracture-associated infection using dynamic contrast enhanced-fluorescence imaging." In Molecular-Guided Surgery: Molecules, Devices, and Applications IX, edited by Summer L. Gibbs, Brian W. Pogue, and Sylvain Gioux. SPIE, 2023. http://dx.doi.org/10.1117/12.2650773.

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5

Vagdargi, Prasad, Alejandro Sisniega, Ali Uneri, Greg M. Osgood, and Jeffrey H. Siewerdsen. "Pre-clinical evaluation of a video-based drill guidance system for orthopaedic trauma surgery." In Image-Guided Procedures, Robotic Interventions, and Modeling, edited by Cristian A. Linte and Jeffrey H. Siewerdsen. SPIE, 2021. http://dx.doi.org/10.1117/12.2581774.

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6

Alañon Pardo, MM, MT Gómez Lluch, MC Conde García, B. Proy Vega, ML Moreno Perulero, and JC Valenzuela Gámez. "4CPS-154 Potentially inappropriate medication for elderly hospitalised patients in a trauma and orthopaedic surgery department." In 25th EAHP Congress, 25th–27th March 2020, Gothenburg, Sweden. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/ejhpharm-2020-eahpconf.255.

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7

Demidov, Valentin, Natalia Demidova, Jason R. Gunn, I. Alex Vitkin, Jonathan T. Elliott, and I. Leah Gitajn. "Clinical Translation of Optical Coherence Tomography-Based Detection of Methicillin-resistant S. aureus Biofilms in Orthopaedic Trauma Patients." In Optical Coherence Tomography. Washington, D.C.: Optica Publishing Group, 2024. http://dx.doi.org/10.1364/oct.2024.cs1e.1.

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Here we report the methodology development and the first clinical translation of optical coherence tomography-based detection of Methicillin-resistant Staphylococcus aureus (MRSA) biofilms developed on bone surface after open tibia fracture surgery.

8

Arnone, Joshua C., Carol V. Ward, Gregory J. Della Rocca, Brett D. Crist, and A. Sherif El-Gizawy. "Simulation-Based Design of Orthopedic Trauma Implants." In ASME 2010 International Mechanical Engineering Congress and Exposition. ASMEDC, 2010. http://dx.doi.org/10.1115/imece2010-40936.

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A computer-aided simulation model is developed to aid in the design and optimization of orthopaedic trauma implants. The developed model uses digital imaging, computer-aided solid modeling, and finite element methods in order to study the effects of various geometric parameters of fixation devices in orthopedic surgery practice. The results of the present simulation model would lead to the determination of the optimum implant design that provides the best match with the geometry of the human femur — reducing the risk of over-stressing bone tissue during implant insertion. The effectiveness of the presented simulation model is demonstrated through the design of intramedullary (IM) nails used in treating femoral shaft fractures. CT scans were taken of forty intact human femora. A technique was developed in order to digitally reconstruct the scans into 3D solid models using image segmentation, surface simplification, and smoothing methods while maintaining accurate representation of the original scans. Each resulting surface model is characterized by a network of nearly equilateral triangles of approximately the same size allowing for quality finite element meshing. Femoral lengths, curvature, shaft diameters, and location of maximum curvature were then quantified. An average geometric model was then generated for the investigated sample by averaging corresponding nodal coordinates in each femur model. Using the average model, a length-standardized function representing the curvature of the medullary canal was derived to create a geometrically optimized IM nail for the entire sample. “Virtual surgery” simulating the insertion process was then performed using finite element methods in order to validate the proposed optimal IM nail design. The results of both the optimum nail and a current nail were compared using the femur having the highest curvature in the sample. The present study shows that the developed simulation model leads to a nail design that reduces the insertion-induced stress within the femur to an acceptable level compared to current nails.

9

Tatum, Marcus, Geb W. Thomas, and Donald D. Anderson. "Design of a Percutaneous Articular Fracture Reduction Simulator." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6852.

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The American Board of Orthopaedic Surgery has mandated dedicated skills training for first-year orthopedic surgical residents.1 Most residency programs address this requirement with training exercises with cadavers and plastic foam bones. Some programs incorporate one or more simulators in their skills training, including several sophisticated virtual reality simulators and a variety of low-tech simulators. Simulators are helpful because they can provide repeatable educational experiences and quantitative performance assessment. Unfortunately, few simulators have been developed for orthopedic trauma skills training. Even fewer simulators have been developed and validated with more advanced students, such as residents in their 3rd or 4th year of training, and for more complex surgeries. In contrast to the completely virtual surgical simulation using haptic feedback devices and sophisticated renderings of soft tissue deformation, our group has chosen to use physical models, real surgical instruments and position tracking in conjunction with virtual reality.2–4 The physical models provide experience with the surgical tools, and enable more realistic hand movements and haptic cue feedback.

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Ruhala, Laura, Dennis Beck, Richard Ruhala, Aaron Megal, and Megan Perry. "Development and Testing of an External Fixation Coupling for a Damage Control Orthopedic System." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3530.

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Seligson [1] describes how Hoffmann and Jaquet, a medical doctor and an engineer, respectively, developed the original Hoffmann fixator as a tool to stabilize human fractures with minimal invasiveness. Whether being utilized in mass trauma injury situations such as the 2010 Haitian earthquake, within our emerging geriatric population, or in veterinary applications, external fixation is widely used [1–4]. In this investigation, a rod-to-wire coupling, shown in Figure 1, and hereafter referred to as the R2W clamp, has been designed and validation tested for Stryker Orthopaedic’s Hoffmann II (HII) External Fixation System. As the name implies, this clamp has the purpose of connecting 8mm rods to 1.5mm or 2mm Kirschner (k-) wires or olive wires to stabilize bony fragments in the lower extremity, thus expediting healing in a trauma case. This paper summarizes the results of the validation tests conducted on prototype clamps. This clamp effectively allows placement of a wire to further stabilize a frame [3] by allowing wire placement without the addition of an intermediate ring, as shown in Figure 2. The wire could be added to any configuration with two parallel rods extending in plane with the bone. As shown in Figure 3, the R2W clamp can be positioned “outboard” with the rod between it and the bone, or “inboard” between the rod and the bone, allowing the surgeon geometric flexibility. The use of two k-wires is recommended to stabilize each bone fragment [5]. One of the goals of the validation testing was to determine the effectiveness and functional safety of the clamp as related to surgically applied k-wire tensions of either 50 kg or 100 kg. Since it is feasible that surgeons may tighten, loosen, then retighten the clamp while positioning it during surgery, the effects of clamp retightenings on the performance of the R2W clamp were also evaluated [4].

Звіти організацій з теми "Orthopaedic and trauma surgery":

1

Blevins, Field, Brian Shaw, C. R. Valeri, James Kasser, and Glen Crawford. Reinfusion of Shed Blood Following Pediatric Orthopaedic Surgery. Fort Belvoir, VA: Defense Technical Information Center, June 1991. http://dx.doi.org/10.21236/ada360146.

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2

Mitchell, Erika J. The Contribution of Genotype to Heterotopic Ossification after Orthopaedic Trauma. Fort Belvoir, VA: Defense Technical Information Center, May 2010. http://dx.doi.org/10.21236/ada613874.

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3

Mitchell, Erika J. The Contribution of Genotype to Heterotopic Ossification after Orthopaedic Trauma. Fort Belvoir, VA: Defense Technical Information Center, May 2011. http://dx.doi.org/10.21236/ada613875.

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4

Virdi, Amarjit S. Modulating Wnt Signaling Pathway to Enhance Allograft Integration in Orthopaedic Trauma Treatment. Fort Belvoir, VA: Defense Technical Information Center, October 2012. http://dx.doi.org/10.21236/ada581575.

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5

Zeng, Siyao, Lei Ma, Lishan Yang, Xiaodong Hu, Xinxin Guo, Yi Li, Yao Zhang, et al. Advantages of damage control surgery over conventional surgery inmultiple trauma: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2022. http://dx.doi.org/10.37766/inplasy2022.10.0006.

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Review question / Objective: This meta-analysis aims to explore whether damage control surgery has advantages over traditional surgery in the treatment of multiple trauma. Information sources: The Chinese Biomedical literature (CBM), Chinese National Knowledge Infrastructure (CNKI), Weipu (VIP), Duxiu, WanFang, Web of sciense, PubMed, Scopus, Ovid, EMbase, ProQuest, Cochrane, Chinese clinical trial Registry and Clinical Trials.gov databases. Main outcome(s): mortality rate, the success rate of rescue, In-hospital length of stay, ICU length of stay, the overall incidence rate of complications, incidence of disseminated intravascular coagulation (DIC), incidence of multiple organ dysfunction syndrome (MODS) , incidence of shock.

6

Valeri, C., Gina Ragno, and William L. Healy. Safety and Efficacy of Unwashed Filtered Wound Drainage Blood Reinfused Following Orthopaedic Surgery. Fort Belvoir, VA: Defense Technical Information Center, June 1993. http://dx.doi.org/10.21236/ada360174.

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7

Healy, W. L., G. Hallack, G. Ragno, M. Hansson, and C. R. Valeri. Safety and Efficacy of Unwashed Filtered Wound Drainage Blood Reinfused Following Orthopaedic Surgery. Fort Belvoir, VA: Defense Technical Information Center, December 1992. http://dx.doi.org/10.21236/ada360266.

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8

Xu, Ning, Lulu Liu, and Wei Rong. Wrist-Ankle Acupuncture: an additional therapy for Postoperative Multimodal Analgesia at Orthopaedic Surgery: A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2021. http://dx.doi.org/10.37766/inplasy2021.10.0030.

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9

Canfield, Anthony J. Combat Trauma Surgery Using a Portable Contact ND-(YAG) Laser in the Porcine and Ovine Models (HSC) (CIC3). Fort Belvoir, VA: Defense Technical Information Center, January 1991. http://dx.doi.org/10.21236/ada237662.

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10

Franco De Rose, Aldo, Fabrizio Gallo, and Donatella Giua. Three-Component Penile Prosthesis Implantation Under Completely Local Anesthesia: A Case Report. International Journal of Surgery, February 2024. http://dx.doi.org/10.60122/j.ijs.2024.10.03.

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Background: To our knowledge, no authors have published the implant of a three-component device under local anesthesia, until now. The aim of this paper is to report this particular case focusing on its technical and anatomical details. Materials and Methods: A 60-years-old man presented to our attention due to erectile dysfunction unresponsive to PDE-I oral and alprostadil intracavernosal therapies, following a motorbike trauma accident with multiple lumbosacral vertebral fracture and incomplete S2-S4 spinal cord injury. After the trauma accident, the patient immediately underwent spinal surgery with lumbosacral vertebral plate positioning. During knee surgery for postural disorders following the previous trauma accident, the patient had an intraoperative heart arrest which required cardiopulmonary resuscitation and post-cardiac arrest care. Considering the high surgical risk due to the previous heart arrest and the inability to perform a spinal anesthesia due to the previous lumbosacral vertebral plate positioning, we proposed to implant the three-component device under completely local anesthesia. Results: Preoperative antibiotic prophylaxis was performed. Local anesthesia was administered using an 80-20 mixture of 7.5% ropivacaine and 2% mepivacaine with adrenaline for both the penoscrotal and abdominal surgical sites. A three-component (AMS 700™ CX with MS pump™) prosthesis was implanted with no complications. The patient didn’t experience any pain during the procedure. The follow-up was uneventful. One month after surgery, the patient reported a satisfactory sexual intercourse. Conclusion: Our experience demonstrates that a three-component penile prosthesis implantation under completely local anesthesia can be successfully performed with satisfactory outcomes. However, particular attention should be paid to some anatomical details, the anesthetic procedure and patient’s counselling. This technique could be addressed to those patients with comorbidities which contraindicated spinal or general anesthesia or in patients unwilling to undergo these types of anesthesia.