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Clinical outcomes of first metatarsophalangeal joint prosthesis PH-Flex Medin and its effect on the biomechanics of the forefoot in the propulsion phase of the gait cycle
Popelka, Stanislav ; Hromádka, Rastislav (advisor) ; Krbec, Martin (referee) ; Holinka, Martin (referee)
The dissertation evaluates the results of a first metatarsophalangeal (MTP) joint replacement. The PH-Flex MTP joint replacement was developed at the 1st Department of Orthopaedics, the first faculty of medicine in conjunction with the Medin s.r.o. company. The clinical trials ran between 2007 and 2011. Between 2011 and 2016, the implant was used in clinical practice, where the indication criteria of its use were gradually adjusted. This work summarises publications originating in our department, evaluating the 5-year period during which the implant was used and the results of its use. In the first part of the dissertation, we present the retrospective study evaluating a group of 31 patients after the implantation of 35 MTP joint replacements was published in 2017. Bilateral surgery was performed on 4 patients. A minimum follow-up of 6 months was required for inclusion in the study. In 30 cases, the indication was 1st MTP joint arthritis of grades 3 and 4 according to the Coughlin classification. A conversion from hemiarthroplasty to total arthroplasty was performed in 4 patients, and in 1 case, the surgery was performed as a revision from a failed silastic 1st MTP joint replacement. The evaluation was performed not only radiographically but also according to the American Orthopaedic Foot and Ankle...
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Influencing of static deformities of foot with using the method Propriofoot Concept
ŠOTOLOVÁ, Mirka
This bachelor's thesis deals with the topic of influencing of static deformities of foot by exercising on balance plates Propriofoot Concept. Target of this thesis was to summarize theoretical knowledge about static deformities of foot and the balance plates Propriofoot Concept and suggest an individual exercising unit on these balance plates to every patient. The thesis is divided into a theoretical and a practical part. The theoretical part summarizes knowledge about anatomy of foot and its functional division, further focuses on the individual static deformities of front part of foot, sensomotorics and the Propriofoot Concept method. The practical part is processed by a form of qualitative research. There are cases reports of four patients aged from 20 to 50 years who participated in this research and have some of the static deformities - the most often hallux valgus, metatarsalgia and hammer toes. The research has lasted for four months. Each case report contains an input and output kinesiological analysis, their summary, as well as a description of the course and evaluation of a short-term rehabilitation plan. The research part of the thesis shows that the exercise on plates using the Propriofoot Concept is also suitable and effective in the therapy of people who suffer from any of the static deformities of the foot. This bachelor thesis can be used as an educational material in the clinical practice of a physiotherapist, the work is also suitable as inspiration for the general public.
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