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Kazuistika fyzioterapeutické péče o pacienta s totální endoprotézou kyčelního kloubu
Aftzoglou, Petros ; Jalovcová, Miroslava (advisor) ; Ptáčková, Markéta (referee)
Title: Case Study of physiotherapy treatment of a patient with diagnosis of total hip replacement. Název: Fyzioterapie pacienta s diagnózou totální endoprotéza kyčelního kloubu Author: Aftzoglou Petros Summary Aim: This thesis is divided into two parts, theoretical and practical one. In the theoretical part the disease of osteoarthritis will be described as well as the examination and therapeutic approaches from physician and physiotherapist point of view. It will be also a detailed analysis of the procedure of total hip replacement. In the practical part it will be explained in details all the examination and therapeutic procedures I provided for the patient in Military Hospital of Prague (Ústřední vojenská nemocnice Praha) where my clinical work placement took place. The patient is a woman, 65 years old who had an operation of total right hip replacement on September 2010 because of osteoarthritis. The therapy took place in two weeks period and included six sessions. Key words: osteoarthritis, hip joint, physiotherapy, total hip replacement.
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Case Study of physiotherapy treatment of a patient with total hip arthroplasty
Buchtová, Michaela ; Pánek, David (advisor) ; Hlavičková, Růžena (referee)
Title: Case Study of physiotherapy treatment of a patient with total hip arthroplasty Summary: This bachelor's thesis deals with the therapeutic rehabilitation process in a patient with implantation of a total hip arthroplasty, which was made due to coxarthrosis. The general part deals with the anatomy and function of hip joint, coxarthrosis, provides general information about total hip arthroplasty and describes the possibilities of rehabilitation. In special part, in the form of casuistic of particular patient, is described therapeutic rehabilitation process. Finally, the effect of the therapy is evaluated. Key words: arthrosis, total arthroplasty, hip joint, rehabilitation
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Non-ideal development of the hip joint as a forming factor of idiopathic scoliosis
Fišerová, Eva ; Ujcová, Lucie (referee) ; Šafářová, Marcela (advisor)
The thesis deals with connections between non-ideal development of the hip joint and origin of idiopathic scoliosis. The thesis warn that asymmetry in neuromotor ontogenesis is a risk factor for development of scoliosis. There is also summary of abnormalities in hip joints which are connected with idiopatic scoliosis. In experimental part of the work it has been confirmed that patient with idiopathic scoliosis have leftright asymmetry of the range of movement in hip joints. This asymmetries are discussed in the context of both the etiopathogenezis and the effect of spinal deformity. Powered by TCPDF (www.tcpdf.org)
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Etiopathogenesis of the groin pain, diagnostics and therapy
Herlová, Simona ; Schreier, Bronislav (referee) ; Valouchová, Petra (advisor)
This theses sums up findings about etiopathogenesis of particular causes of groin pain, its diagnostics and its therapy. The work, for your easier orientation in it, is devided up into four groups described us: hip joint disorder, inguinal hernia, sportsman's injury and referred pain. The diagnostics part describes the examination for the motional stereotype of the hip joint and examination of the deep stabilizing muscles. Powered by TCPDF (www.tcpdf.org)
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Wear analysis of extracted polyethylenes of total hip replacements using optical methods
Přikryl, Adam ; Morovič, Ladislav (referee) ; Vrbka, Martin (advisor)
An experimental methodology for wear assessment of extracted polyethylene hip implants was designed in this diploma thesis. Methodology uses optical 3D scanner and optical profilometer for analysis of wear. Designed methodology for wear analysis was validated by gravimetric method. The results of validation were in good agreement with the increase of wear rate. Validation results show that the methodology is not suited for wear assessment of metal and ceramic implants which have small wear rates. On the other hand the methodology is more than useful for wear assessment of polyethylene implants. Designed methodology for wear assessment was applied on the set of thirteen extracted polyethylene hip implants. Results of the wear analysis were wear volumes and linear wear noted in the wear maps. Roughness of the surface was measured on explanted cups and results were noted in the roughness map. On articulating surface of the cups different areas were observed for measured roughness. Those areas were described as area with machining marks from manufacturing process, polished area from combination of abrasive and adhesive wear, polished area from micro-contact fatigue and area including plastic deformation.
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Research study of tumorous total endoprosthesis of knee and hip joint
Věžníková, Tereza ; Florian, Zdeněk (referee) ; Marcián, Petr (advisor)
The presented bachelor’s thesis deals with tumorous total endoprosthesis of knee and hip joint. Tumorous replacement is used in patients with bone losts due to bone tumors and for these patients it means the salvage of their limb and the possibility to live full lives. This work includes the description of the developement, types and currently used replacement after bone tumors. The significiant part of patients with bone tumors are children for whom there are growing endoprosthesis containing the expandable mechanism and thanks to this the length of the limb can be regulated. In the last part of this work the stress-strain analysis of tumorous total hip endoprosthesis is performed using computational modeling.
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Design and Development of Experimental Device for Testing the TEP Acetabula and Wear Identification using Optical Method
Houfek, Martin ; Kratochvíl, Ctirad (referee) ; Hortel, Milan (referee) ; Hlaváčková, Milada (referee) ; Florian, Zdeněk (advisor)
Today is the implantation of joint replacements, although a radical, but very functional restoration frequent way ill joint. The implants are placed high demands on their biocompatible and long-term function, which is directly related to wear of joint replacements in the human body. Therefore, analysis of the complex behavior of the implant in the human body is a fundamental problem of biomechanics of implants. This issue is dedicated, this dissertation thesis. Dissertation thesis deals with the solution design and development of experimental device for testing the TEP acetabula and wear identification using optical method. The proposed device allows the joint burden hole TEP physiological manner, but by working with the acetabulum burdened by Power resultant joint axis passes through the hole. The physiological loading of articular wells and evaluating the size of the loss of polyethylene is currently intensively addressed. The results of this study may in the near future, serving as information for assessing the conduct of wear prosthetic hip joint in vivo. The work is devoted to solving the problem of the size required to detect the loss of polyethylene for joint replacement arthroplasty: Design and development of experimental equipment for testing the acetabulum of the hip joint arthroplasty. Identify wear using optical methods. Design and development of experimental equipment was made in the system Inventor Professional 2010 at the level of 3D modeling. Great attention was paid to the design fit into the acetabulum TEP testing machines and gripping the acetabulum into an optical device. Management options were tested with combinations of experimental equipment engines. Suggestions were made and then tests for fixing the acetabulum into an optical device. Has the possibility of depth analysis and identification of wear joined with innovative solutions to evaluate the loss of polyethylene acetabulum arthroplasty. Identification of abrasion (loss of polyethylene) joint arthroplasty holes were carried out experimental measurements using an optical holographic interferometry. The comprehensive analysis of the results of experimental measurement of the loss of polyethylene shows that this method can identify both the size but also an area where there is even to small changes in the surface, which depend on the abrasion. One can also say that using this method we are able to affect the will or displacements that affect the size of the loss of polyethylene in joint arthroplasty hole. Despite the number of known and lessons learned arising from the results of solving the problem of design and development of experimental equipment for testing the acetabulum and hip arthroplasty wear identification using optical methods, this work is that the initial study to identify problematics wear of joint replacements. Complete resolution of this issue is beyond the scope of one doctoral thesis.
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Strain stress analysis of BS splint
Řehák, Kamil ; Fuis, Vladimír (referee) ; Florian, Zdeněk (advisor)
This master‘s thesis deals with strain-stress analysis of hip joint together with the final applied total endoprosthesis with Burch-Schneider cage. The main point of my work was to find the solution of stress–strain analysis state, which has been mentioned before in connection with Burch-Schneider cage. I describe the technique of geometric creation of whole body system, component´s materials or conditions which are neccessary for calculation. In coclusion there are results achieved in variants. In the first option the case of bone tissue was considered, which don’t reach degradation mechanical properties effect straining under Burch-Schneider cage. In some cases when the bone tissue is untimely forced, the necrosis of bone tissue takes place under Burch-Schneider cage. This possibility is described in the second option of type. For every option there was a case which was calculated with applied screw or without it. In all option mechanical features of cancellous bone tissue and their change influence on achieved results were considered. This problem was solved computational simulation in commercial software Ansys Workbench 12.0.
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Biomechanics study of hip join
Ebringerová, Veronika ; Marcián, Petr (referee) ; Florian, Zdeněk (advisor)
This work deals with the description of physiological joint resultant force and the subsequent comparison with patology of the hip. Then here is described the basic anatomy of the hip. Finally, ANSYS software was used to display the results both contact pressure and total mechanical strain intensity.
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