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Experimental Assessment of Influence of Polyethylene Liners' Position on Plastic Deformation in the Run-in Phase of Wear
Zeman, Jakub ; Daniel, Matej (referee) ; Ranuša, Matúš (advisor)
The diploma thesis is focused on the run-in phase of total hip replacement. Mutual adjustment of contact surfaces takes place in this phase and polyethylene acetabular cup shows notable creep behaviour. The magnitude of creep deformations is assessed experimentally in relation to acetabular cups orientation in human body after its implantation. The condition of articulating surfaces is also assessed as well as resulting coefficient of friction in run-in phase. Physiological load and kinematics of the artificial joint as well as physiological conditioning is achieved by new module of existing joint simulator, which is created as part of this thesis. Deformations and condition of articulating surfaces are assessed via optical methods and SEM. Findings about the run-in phase are compared with existing FEM analyses to evaluate simplifications used in these analyses. Measurement of creep deformations has also potential to improve the accuracy of acetabular wear diagnosis in clinical practice.
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The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty
Čechová, Alena ; Pavlů, Dagmar (advisor) ; Hankovcová, Eva (referee)
Title: The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty. Aim: The aim of this thesis is to analysis a theoretical knowledge about stroke and total hip arthroplasty and elaboration of physiotherapy treatment schedule in the form of an patient with these two diagnosis case study. Methods: This bachelor thesis elaborate stroke and total hip arthroplasty for femoral neck fracture. The thesis is divided into two parts - general and special. I deal with patient's diagnosis in general part of thesis. I describe ethiopatogenesis of stroke, ischemia in carotid artery in detail and I deal with chronic stroke rehabilitation. Further I elaborate anatomy and kinesiology of hip joint, femoral neck fracture and its treatment. In the end I combine these two diagnosis because femoral neck fracture is common complication of a stroke. Special part include case study of a patient with ischemic stroke and total hip arthroplasty. The physiotherapy treatment is described here in detail, also input and output kinesiology analysis, short - term and long - term therapy plan and evaluation of therapy effect are here. The case study was processed during my internship in the Military University Hospital in Prague at the Department of Physical Medicine and Rehabilitation in the...
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The case study of a physiotherapeutical treatment of a patient with total hip arthroplasty
Řeháčková, Tereza ; Říha, Michal (advisor) ; Hankovcová, Eva (referee)
Title: The case study of a physiotherapeutical treatment of a patient with total hip arthroplasty Summary: The aim of this thesis is to elaborate theoretical and practical knowledge of the physiotherapy care of patients with this diagnosis. The thesis is divided into two parts. The first general part is focused on anatomical and kinesiological description of the hip and issue of an osteoarthritis and the joint arthroplasty. The second part is a special part, in which is processed a case of a patient with total hip arthroplasty. This case report includes an input kinesiology analysis, a target of the therapy, a short-term and a long-term plan, a course of therapeutic units, an output kinesiology analysis and an evaluation of the effect of the therapy. The case was processed during a continuous professional practice in the Military University Hospital Prague at the Department of Physical Medicine and Rehabilitation in the period from 22th of January to 3rd of February 2015. Key words: Hip joint, total hip arthroplasty, coxarthrosis, physiotherapy
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Case study of physiotherapy treatment of a patient with Psoriatic Arthritis after Total hip arthroplasty
Enstad, Christian ; Maršáková, Kateřina (advisor) ; Jarošová, Hana (referee)
Title: EN: Case study of physiotherapy treatment of a patient with Psoriatic Arthritis after Total hip arthroplasty. CZ: Případová studie fyzioterapie léčby pacienta s psoriatické artritidy po totální endoprotézy kyčelního kloubu. Thesis aim: In this thesis I will aim to discuss the rehabilitation after a total hip arthroplasty in a patient with psoriatic arthritis. The thesis is divided into two parts, one theoretical where the aim will be to explain some of the current research concerning psoriatic arthritis and total hip replacement. It will be focused on the anatomical, bio-mechanical and kinesiological properties of the lower extremities as well as the surgical procedure of total hip arthroplasty and following rehabilitation. I will also briefly look at the epidemiology and etiology of psoriatic arthritis and associated symptoms. The second part will focus on a 67 year old woman with the mentioned diagnosis in the post-operative state 2 weeks after surgery. The practical part aim to describe examination, therapeutical approach and conclusions after one week of examination and therapy. 4
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Case of physiotherapy care for patients diagnosed with rheumatoid arthritis and the condition after total hip arthroplasty for traumatic fracture
Žarković, Dragana ; Nováková, Tereza (advisor) ; Jarošová, Hana (referee)
Title of bachelor's thesis : Case of physiotherapy care for patients diagnosed with rheumatoid arthritis and the condition after total hip arthroplasty for traumatic fracture Author : Dragana Žarković Supervisor : PhDr. Tereza Nováková, PhD. Academic year : 2012 Aim : Thesis accentuates the role of the physiotherapist, as part of a team of experts in the care of patients with rheumatoid arthritis, as well as the importance of a comprehensive rehab therapy and possible use of physiotherapy procedures. Part of the thesis is a detailed case report of a patient with rheumatoid arthritis and the condition after total hip arthroplasty for traumatic fracture. Methodics Thesis is divided into general and special parts. The general part is divided in the issue of rheumatology, orthopedics and traumatology, describes the problems of disease and types of surgical procedures. The following section describes the physiotherapy sessions for patients suffering from rheumatic diseases and also after total hip arthroplasty. Special part, case report describes a patient with a diagnosis of rheumatoid arthritis and the condition after total hip arthroplasty for traumatic fracture. This case report was prepared during clinical practice in the Institute of Rheumatology in Prague, in the period from 9.1.2012 to 3.2.2012...
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Usage of NIC and NOC clasifications on patients with complete artificial hip joint.
KULHÁNKOVÁ, Barbora
Abstract The theoretical part of the thesis entitled The Use of NIC and NOC Classifications at Patients with the Total Hip Arthroplasty deals with the problem of the total hip replacement, educating patients before surgery and the regime which must be observed by the patient during the hospitalization and when being discharged from the hospital to home nursing. Further, the nurse has been described as a provider of rehabilitation nursing cooperating with the physiotherapist. The thesis is concerned with the nursing process, it preoccupies with the terminology in the health care, the issue of NANDA, NIC and NOC classifications and the Alliance 3N. Three goals of the thesis were defined: 1. to find out what types of NIC activities are typically used by nurses within the care of patients with total hip replacement. 2. to verify the application of NIC an NOC classifications in the care of patients with total hip replacement. 3. to investigate what sorts of the NOC indicators are typically used by the nurses in the care of patients with total hip replacement. The combination of the quantitative and qualitative research is applied. The four hypotheses were determined in the frame of the quantitative survey: 1. Nursing diagnoses are assessed as not being beneficial by the nurses. 2. Ensuring of tools facilitating the movement is a commonly preferred kind of an intervention by the nurses. 3. The knowledge of NIC and NOC terms is influenced by the previous education. 4. The satisfaction of the nurses with the nursing documentation is influenced by the length of practice. Data was collected by means of the questionnaires. One research query was established for the qualitative research: 1. What is the standpoint of the nurses on the NIC and NOC classifications in the care of the patient with total hip replacement? Data was collected by means of the formed nursing documentation based on the NIC and NOC classifications. The semi-structured interviews were used, as well. H1 remained unconfirmed. H2, H3 and H4 were not statistically validated. The NIC and NOC classifications are generally classified as not being beneficial for the nursing practice by the nurses.
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Analysis of biotribological properties of artificial hip joint
Laštůvka, Jan ; Burša, Jiří (referee) ; Návrat, Tomáš (advisor)
The development of total hip arthroplasty has reached a state when quality prostheses are made, whose longevity is influenced significantly by material properties, design, component fixation and rate of wear of the articulating surfaces. It is the wear rate which is the most important factor influencing successful results for the use of total hip prostheses. The aim of this thesis is to perform a research on the various combinations of hip prostheses and its loading conditions. Also an experimental measurements of Bovine serum lubricating film thickness between the artificial femoral head and a glass disc are performed for different contact kinematic conditions.
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