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Research study of total endoprosthesis of temporomandibular joint
Horňas, Jan ; Borák, Libor (referee) ; Marcián, Petr (advisor)
This bachelor’s thesis deals with total joint replacements (TJR) applied for replacement of temporomandibular joint (TMJ). In the thesis, research study of solutions system is done for anatomy of TMJ, mandible and masticatory muscles. Main producers and ma-terials for manufacturing TJR is mentioned furthermore. Finally, stress strain analysis for TJR is done by computing modeling using finite element method on the basis of re-search study.
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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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Stress-Strain Analysis of Total Endoprosthesis of Temporomandibular Joint
Horňas, Jan ; Valášek, Jiří (referee) ; Marcián, Petr (advisor)
The presented master’s thesis deals with the problem of the application of total endoprosthesis (TEP) during temporomandibular joint (TMJ) replacement. The implantation of TEP occurs due the severe TMJ disease (arthrosis, ankylosis, cancer) or its macrotrauma. Condylar prosthesis is fixed during the implantation by self-tapping screws to the mandible. This fixation causes a change of stress-strain behaviour of mandible, TEP and fixation screws. In the thesis is performed the stress-strain analysis by using computational modeling in use the finite element method (FEM). Analysis is performed for six different screws positions (the number of screws is unchanged) and for a variable the static friction coefficient (in range 0.1 to 0.11) between condylar prosthesis (CP) and fossa prosthesis (FP). Altogether, 36 variants of computational models were created. The stress strain analysis detected a substantial influence of the static friction coefficient value to final results of displacements, contact pressure on the articulation surface between the CP and the FP and also to von Mises stress of the CP. A substantial influence of different screws position is detected for von Mises stress in the screws and for von Mises strain in the cortical and spongious bone tissue.
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Case report on physiotherapeutic care of a patient with total left knee replacement on the left side caused by the gonarthrosis
Hábová, Tereza ; Nováková, Tereza (advisor) ; Coufalová, Jitka (referee)
Title: Case report on physiotherapeutic care of a patient with total left knee replacement on the left side caused by the gonarthrosis. Summary: This thesis focuses on case report of a patient after total left knee replacement. The work contains two parts - the general part and the specialized part. The general part deals with structure, kinesiology and biomechanics of the knee joint, general definition of gonarthrosis, its cause, clinical symptoms and its treatment. It also describes the gonarthrosis, indications and the types of total knee replacement prosthesis. The most important topics of the general part contain descriptions of therapeutic methods and procedures, focused on improving patient's health in the post- operation phase. The specialized part constitutes the main part of this thesis. It is processed via case report form and describes the physiotherapeutic treatment of a specific patient, who underwent a total knee replacement surgery. In the conclusion of the specialized part of the thesis, I evaluate the effects of the theraphy. Key words: knee joint, total knee replacement, gonartrosis, rehabilitation Diagnosis: St.p. total left knee replacement caused by gonarthrosis
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The Case Study of Physiotherapeutic Treatment of a Patient after Total Hip Arthroplasty
Petr, Martin ; Maršáková, Kateřina (advisor) ; Nováková, Tereza (referee)
Author: Martin Petr Supervisor: Mgr. Kateřina Maršáková Title: The case study of physiotherapeutic treatment of a patient after total hip arthroplasty Objectives: The aim of this bachelor thesis is to summarize in the general part information concerning osteoarthritis and total hip arthroplasty and in the special part to elaborate a case study of physiotherapeutic treatment of a patient with this diagnosis. Methods: This thesis is divided into two main parts. The first is the general part, which contains information about osteoarthritis and hip alloplasty. The manifestations of osteoarthritis, its diagnostics, distribution, causes and treatment options are mentioned. For alloplasty, surgical approaches, complications associated with surgery, types of joint replacements and possible rehabilitation procedures are listed. The second part of this work is a special section, which includes a case study of a patient after total hip arthroplasty. It consists of medical history, initial kinesiological analysis, short- and long- term therapeutic plan, course of individual therapeutic units, output kinesiological analysis and therapy effect evaluation. Results: The stated goals of the short-term therapeutic plan were met. The patient left the rehabilitation clinic fully self-sufficient and, compared to the...
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis after total hip arthroplasty
Záhorová, Lucie ; Neuwirthová, Svatava (advisor) ; Novotná, Irena (referee)
Author: Lucie Záhorová Supervisor: Mgr. Svatava Neuwirthová Title: Case Study of Physiotherapy Treatment of Patient after total hip arthroplasty Objectives: The aim of this thesis is a case study of physiotherapeutic care of a patient after total hip arthroplasty, evaluation of the effect of therapy and theoretical treatment of this diagnosis. Methods: The bachelor thesis consists of a general part, which uses the literature to discuss the topic of total hip arthroplasty, and a special part, which contains a case report of a patient with this diagnosis. The special part includes a comprehensive initial kinesiological examination, description of the individual therapeutic units, an output kinesiological examination and an evaluation of the effect of therapy. Results: The final kinesiological examination confirmed that the therapies had a positive effect on the patient's health. The greatest improvement is seen in the increase in muscle strength in the right hip joint and the increase in range of motion. Another improvement is the reduction of swelling and the effect on the shortened muscles. These results prove that the therapies were effective. Conclusion: During the rehabilitation program, which lasted two weeks, the patient attended a total of eight therapies. At the end, an outcome...
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Case report of a patient after total hip arthroplasty
Velechovský, Michal ; Sohrová, Jana (advisor) ; Neuwirthová, Svatava (referee)
Title: Case report of a patient after total hip arthroplasty Objectives: The aim of this case study is to obtain and elaborate the current knowledge about the diagnosis of total hip arthroplasty. In the special part, the aim is to elaborate a case study of a patient after total hip arthroplasty with the proposal of therapy, its implementation and evaluation of the results. Methods: This case study is divided into two parts, theoretical and practical. The theoretical part contains the current knowledge related to the diagnosis of total hip arthroplasty, including anatomy, kinesiology, the operation itself, preoperative rehabilitation and postoperative rehabilitation. The practical part includes the analysis of a specific case of a patient after total hip arthroplasty and includes the initial kinesiological analysis, the course of therapy and the outcome kinesiological analysis with the evaluation of therapy. Results: After almost three weeks of rehabilitation in the Rehabilitation Hospital Beroun, the patient's subjective and objective condition improved, her pain was eliminated and her joint range and muscle strength were increased. Keywords: hip joint, total hip replacement, physiotherapy, rehabilitation, case study
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Case Study of Physiotherapeutical Treatment of a Patient with total knee replacement diagnosis
Hartmannová, Kateřina ; Vláčilová, Ivana (advisor) ; Slezáková, Petra (referee)
v Abstract Author: Kateřina Hartmannová Title: Case study of physiotherapeutical treatment of a patient with total knee replacement diagnosis Objectives: Objectives of the bachleor thesis is processing of physiotherapeutical treatment of a patient with total knee replacement of the right knee joint. At the same time it contains a theoretical processing of the diagnosis, that means gonarthrosis and the total knee replacement. Methods: All of the methods used in the special part of the thesis are based on the bachleor degree program of FTVS. Results: The therapeutic intervention resulted in partial fullfilment of the set goals and improvement of the patient's condition in several parameters. Keywords: gonarthrosis, total knee replacement, arthroplasty, knee joint, physiotherapy, rehabilitation
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Spa therapy after total hip arthroplasty. Procedures, results.
ŠTIFTER, Šimon
Presented bachelor thesis is focused on the effect of spa treatment after total hip arthroplasty. The work is divided into two parts, theoretical and practical. The theoretical part of the bachelor's thesis contains the anatomy and kinesiology of the hip joint, including muscles description and functions, which are involved in the movement of this joint. Subsequently, there is information about total hip arthroplasty, including the types of endoprostheses, used materials, or indications and contraindications to this operation. Next, surgical approaches and possible complications that may occur in relation with implantation are described. A significant part of the theoretical part is devoted to the structure of posthospital treatment, namely spa treatment, which describes the individual procedures that can be used with this diagnosis in the spa environment. The objective of the work was to find out how spa treatment affects convalescence and for this reason, in the practical part, the method of qualitative research was used, in which the research group consisted of six probands aged from 61 to 74 years who underwent total hip arthroplasty. For objectivity of the research, the criterion was determined that all subjects were approximately two months after the operation. Probands were divided into two groups of three, one group of those who had undergone spa treatment and, for comparison, the second group of those who had not yet. All probands underwent eight therapies with the same exercise unit. The obtained data were then processed in the form of case reports, including input and output kinesiological analysis and the course of individual therapies. The results show that there was a positive effect on all probands, but the improvement was more noticeable in people who completed a spa stay. The bachelor's thesis can be used as a source of information either for students or the professional public, but also for patients who are currently waiting for an implantation or spa stay.
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Changes in working abilities in a patient of productive age after total arthroplasty of weight-bearing supporting joint of the lower limb
ŠIMKOVÁ, Jana
Total lower limb endoprosthesis was originally indicated in elderly patients, as the fear of wear and tear was ingrained in younger, more active patients. Nowadays, with advances in implant design and surgical technology, it has become a viable option for patients of productive age who are reducing pain in all aspects of life. The aim of this work is to evaluate the changes in working abilities in patients of productive age after total endoprosthesis of the lower limb, and to map the possibilities of physiotherapy that will be beneficial for returning to working life. The bachelor thesis is divided into theoretical and practical part. The theoretical part describes the anatomy of the hip and knee joint with their interconnection, types of total hip arthroplasty, its indications and contraindications. Furthermore, the theoretical part deals with the division of rehabilitation before and after implantation of a total endoprosthesis and other physiotherapeutic procedures. The term "work skills" and their changes are defined. The practical part is based on case reports of patients who are in different time horizons from TEP of the hip joint. A detailed initial kinesiological analysis was created with three probands together with therapy, short-term and long-term physiotherapy plan, final kinesiological analysis. A kinesiological analysis is created retrospectively with three other probands. The case studies are supplemented by a questionnaire. The results reflect the positive effect of physiotherapy on health status and changes in working abilities after total hip arthroplasty.
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