|
| |
|
|
Lubrication of knee joint replacement
Sadecká, Kateřina ; Horák, Zdeněk (referee) ; Vrbka, Martin (advisor)
The work deals with the lubrication of total knee replacement using fluorescence microscopy method, which allows unique insight into the contact between femoral and tibial component. The aim was to determine the effect of composition of synovial fluid (i.e. albumin, -globulin, hyaluronic acid and phospholipids) on film thickness and protein behaviour in contact, and also to determine changes of contact area during rotation. Since this is the first experimental work dealing with a knee replacement lubrication primarily, only simple rotation and load cycles were applied by the knee simulator. The output of the experiments was fluorescence intensity, which corresponds to dimensionless film thickness, over time. Another important output are the images directly showing the fluorescently labelled proteins in the contact area. The results show, there are fundamental differences in lubrication in different positions of rotation, due to changes of position, shape and behaviour of the contact area. The composition of the lubricant is also essential, since the proteins themselves form a relatively strong lubricating film and their mixture leads to a substantial reduction of film thickness, due to significant formation of clusters. Complex fluid, although it does not form the strongest layer, is able to create a quite continuous film.
|
|
|
Advanced production technology for joint implants made by the EBM method
Bučková, Katrin ; Sedlák, Josef (referee) ; Píška, Miroslav (advisor)
Tato práce se zabývá pokročilou technologií výroby personalizovaných kloubních implantátů metodou EBM za použití titanové slitiny Ti6Al4V-ELI a navrhuje nový unikátní design kolenního implantátu společně s metodologií jeho inserce, přičemž tato řešení jsou součástí patentové přihlášky č. PV 2020-459. Toto neinvazivní řešení náhrady kolenního kloubu je šetrnější k pacientovi, maximálně chrání jeho zdravé tkáně a kosti, navíc se dá předpokládat vyšší životnost implantátu ve srovnání s tradičními dostupnými řešeními. Byla uskutečněna výroba vzorků z materiálu Ti6Al4V-ELI metodou EBM, proveden rozbor jejich materiálových, mechanických, technologických a únavových vlastností. Dále byly popsány pokročilé metody zobrazování, úpravy a tvorby kloubních ploch a použity k vyvinutí nového designu personalizovaného kloubního implantátu společně s inovační technologií jeho inserce a nástroji potřebnými k její úspěšné realizaci. Toto nové řešení bylo úspěšně ověřeno mnoha testy i výrobou Ti6Al4V-ELI a CoCrMo prototypů implantátů metodou EBM. Proveditelnost a použití v praxi bylo konzultováno a schváleno odborníky v této oblasti.
|
|
|
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
|
|
|
Case study of physiotherapy treatment of a patient after Total Knee Replacement
Viktora, Adam ; Žáková, Lenka (advisor) ; Sohrová, Jana (referee)
iv Abstract Author: Adam Viktora Supervisor: PhDr. Lenka Žáková, Ph.D. Title of the thesis: Case study of physiotherapy treatment of a patient after Total Knee Replacement Objectives: The goal of this thesis is to gather and understand the theoretical knowledge of the knee joint, osteoarthritis, total knee replacement surgery and its rehabilitation, and then evaluate the therapeutic sessions that were applied. Clinical findings: This study evaluated the condition of a 73-year-old patient after total knee replacement of the right knee. The examination showed a reduced range of motion, reduced mobility of joints, muscle imbalances and differences in conditions of soft tissues. Methods: All methods used for this study were based on the knowledge learned and the literature provided by the Faculty of Physical Education and Sports, Charles University. Results: Following the eight therapeutic sessions, the patient had progressed well overall. Progress was seen in terms of pain, range of motion, muscle imbalances and condition of soft tissues. Conclusion: The therapies applied were effective and valuable in this specific diagnosis of the patient. Key words: knee joint, osteoarthritis, gonarathritis, total knee replacement, physiotherapy, case study, rehabilitation
|
|
|
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
|
|
|
Case study of physiotherapy treatment of a patient after Total Knee Replacement
Hanzlík, Jan ; Sohrová, Jana (advisor) ; Novotná, Irena (referee)
Author: Jan Hanzlík Title: Case study of physiotherapy treatment of a patient after total knee replacement Objectives: The aim of this work was to process the report of a patient after a total right knee replacement. This work was created as a part of a bachelor's practice, which was completed at the Rehabilitation Hospital Beroun. Part of the work is also a theoretical part, where the general issue is discussed. Methods: All of the methods used in the therapy are based on a bachelor's degree in FTVS. Results: At the end of the set of the therapies and the follow-up, improvements were noted in some indicators. Key words: gonarthosis, total knee replacement, case study of a patient, knee joint
|
|
|
A Case Study of Physiotherapy Treatment of a Patient After Total Knee Replacement
Schwarzová, Eva ; Dvořáčková, Dominika (advisor) ; Vrbický, David (referee)
Author: Eva Schwarzová Title: A Case Study of Physiotherapy Treatment of a Patient After Total Knee Replacement Goals: The aim of the theoretical part is to look into the issue of arthrosis of the knee joint based on scientific literature. The practical part presents a case study of a physiotherapy treatment after a total knee replacement. Method: This thesis consists of a theoretical and a practical part. The theoretical part describes the scientific findings on the subject of the knee joint from an anatomical and kinesiological perspective. Furthermore, this part deals with the gonarthrosis, the total knee replacement, and the physiotherapy treatment. The practical part shows the physiotherapy treatment of a female patient after a total knee replacement. The case study took place during an internship at the Military University Hospital (ÚVN). It contains a kinesiological analysis, a short - and a long-term physiotherapy schedule, a description of the therapy sessions as well as a final evaluation of the effects of the therapy. Results: During the hospitalization, patient underwent eight therapy sessions which led to an increased mobility of the left knee joint, a reduction of the pain as well as a decreasing of the swelling. Furthermore, due to the therapy the strength of certain muscles was...
|
|
|
A Case Study of Physiotherapeutic Treatment of a Patient with Total Endoprosthesis of the Left Knee Joint.
Ptáčková, Veronika ; Opatrná Novotná, Irena (advisor) ; Nováková, Tereza (referee)
Title: A case study of physiotherapeutic treatment of a patient with total endoprosthesis of the left knee joint. Aims: The aim of the thesis is to develop a case study of physiotherapeutic treatment of a patient with endoprosthesis of the left knee joint. Methods: The case study, a special part of the thesis, was developed in the context of a continuous professional practice in the Rehabilitation Clinic of Malvazinky, which took place during January and February 2022. Initially, a medical history was taken and an initial kinesiological examination was performed, based on which short-term and long-term goals of therapy were established. Subsequently, 10 therapeutic units were performed following the set goals. The whole therapy was concluded with a final kinesiological examination and evaluation of the effect of the therapy. Results: From the evaluation of the effect of the therapy, it was found that most of the key values were improved during the therapy sessions. Keywords: total knee replacement, knee joint, gonarthrosis, case study, physiotherapy
|
|
|
Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Total Knee Replacement of the Knee Joint
Salavová, Barbora ; Stupková, Michaela (advisor) ; Sohrová, Jana (referee)
Title: Case report of a physiotherapeutic care patient with a diagnosis of total knee replacement of the knee joint Aims: The main aim of my bachelor thesis is to process a case report of a physiotherapeutic care patient with a diagnosis of total knee replacement of the knee joint. Part of the work is also a comprehensive theoretical introduction to the topic. Methods: This bachelor thesis consists of a general and a special part. The general part contains informations about the anatomy and kinesiology of the knee joint, information about osteoarthritis which is the most common indication for total knee replacement, it's etiopathogenesis and it's treatment. It also contains a chapter on total knee replacement, it's history, types of endoprostheses, indications and contraindications of this procedure and especially the subsequent rehabilitation and effect of therapeutic procedures used in physiotherapeutic care. The special part is processed in the form of a case report of a patient after total knee arthroplasty. It contains anamnesis, complete initial kinesiological analysis, short-term and long-term physiotherapy plan, therapeutic units, final examination and evaluation of the performed therapy. Results: Physiotherapeutic care showed an improvement in the patient's clinical condition in almost all...
|
guest ::
