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Stress - strain analysis of total hip replacement - type Mayo
Rýdel, Jiří ; Fuis, Vladimír (referee) ; Florian, Zdeněk (advisor)
This diploma thesis deals with hip endoprothesis, primarily with endoprothesis conservative Mayo. A part of this paper considers a study aimed at an anatomy, types and modern trends in endoprothetic. On the basis of this study, gained CT data and the help of systems Ansys Workbench, Rhino Ceros and Catia there was made a model of proximal part of femur and TEP Conservative Mayo. A computational model was build up afterwards, which was used for a stress-train analysis.
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A Proposal for a Methodology of a Knee Joint Replacement Femoral Part 3D Model Creation
Kodys, Martin ; Sedlák, Josef (referee) ; Madaj, Martin (advisor)
The aim of the Diploma Thesis is to propose the methodology of a 3D model creation of a femoral part of a knee joint replacement. As the knee joint is the most loaded joint of the human body, the function, description and biomechanics relation is described in first part of the Thesis. The second part is focused on degenerative damage of knee joints that leads to the implantation of standard knee joint replacements. The third part deals with the construction of standard knee joint replacements and their surgery implantation. The last part of the Thesis describes the creation of an individual knee joint replacement, especially the femoral part.
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Complex problems of total coxa arthroplasty and the possibility of physiotherapeutic intervention
SMITKOVÁ, Aneta
This bachelor thesis is aimed at the complex total hip joint replacement problematics and its possibilities in physiotherapeutic positive influence. The theoretical part of this thesis describes the anatomy and kinesiology of the hip joint, implantation of the total hip joint replacement and subsequent rehabilitation. In the individual subchapters artificial joint classification, operating procedures, surgery cicatrix, patient education, contraindications, representative indications, functional malfunctions and its hip joint impact, preoperative and postoperative rehabilitation, physical therapy and rehabilitation from abroad perpective can be found. Quantitative research method was applied in the practical part. The representative sample compunded of 3 representatives. The most important criterion for them was to have had the total hip joint replacament done not longer than 3 days ago. The research included half-structured interview, input and output kinesilogical analysis and the collected data analysis. Each representative underwent 10 therapies, which were composed of my own excercise unit and physiotherapeutic procedures. The data analysis collected over those 10 therapies has shown that excercise unit of mine with the chosen physiotherapeutic procedures has improven those patients overall physical condition, has lower their lower limb swelling and its pain, has enhanced their joint scope, its active mobility and muscle strenght. This bachelor thesis might serve as either a useful resource of information regarding the total hip joint replacement problematics for professionals in this field or for patients awaiting or having underwet this surgergy. Last but not least current and future physiotherapist may also find this thesis useful in their work.
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Physiotherapy in patients before intended hip joint replacement within the concept of prehabilitation
OLAHOVÁ, Marie
This bachelor thesis deals with the possibility of physiotherapy before the planned hip joint surgery within the concept of prehabilitation. In this thesis I deal with the possibility of preparing patients for this extensive operation. In the theoretical part, I process the knowledge of anatomy and kinesiology of the hip joint, then I outline the issue of the concept of prehabilitation, which is becoming an increasingly discussed topic abroad. In the next part, I provide information related to the total hip arthroplasty and complications during this procedure. Then the possibilities of preoperative physiotherapy are described in the thesis. The aim of this thesis was to record the preparation and describe the physiotherapeutic intervention in a group of patients before the planned hip replacement, for which I used qualitative research methods. The research unit consisted of one man and two women, therapy was usually performed 1-2 times a week for 60-75 minutes, for approximately two months. The data were collected by using an initial and final kinesiological analysis, an interview and an observation. According to that, a rehabilitation plan based on kinesiological and physiotherapeutic procedures and individually tailored to patients was developed. All probands received an exercise unit, which they practiced at home. All patients improved and two of the three patients underwent surgery without complications and the recovery progressed without problems. A third patient did not undergo surgery for epidemiological reasons. The work can inform the professional public, physiotherapists or students of physiotherapy about the possibilities of preoperative rehabilitation.
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Possibilities of physiotherapy for patients with postdysplastic coxarthrosis
KRÁL, Tomáš
This bachelor thesis deals with the possibilities of influencing the health status of patient with conservatively treated posdysplastic coxarthrosis through physiotherapy, as well as maintaining patient´s highest possible quality of life. The theoretical part includes a description of the hip joint anatomy, including the description of surrounding muscles and their function, which take part in the hip kinesiology. More detailed kinesiology and biomechanics are defined in a special chapter. Another section of theoretical part deals with the topic of physiological development of the hip joint, as well as the description of the nature of dysplasia. Furthermore, this part deals with the topic of osteoarthritis, with focus on osteoarthritis of the hip joint, caused by dysplasia. This chapter is directly followed by description of physiotherapeutic solutions for this problem. As the conclusion of the theoretical part is the description of the operational solutions and their indications. The aim of the theoretical part was to summarize the information about the kinesiology of the hip joint and the possible consequences of disrupting its physiology into a comprehensive set. Furthermore, the aim was to provide the summary of information about physiotherapeutic approaches and other solutions to this problem. This can be used as a more detailed informational material for patients, or as an ancillary material for physiotherapists. The practical part was realized with the use of qualitative research, from which were the obtained data processed in the form of individual case reports, which include both inputand output- kinesiological examinations, course of those therapies and long-term and short-term therapeutic plan. Three patients diagnosed with postdysplastic coxarthrosis participated in the study. In all tested probands, there was a certain kind of influence on functional pathological changes. Post-exercise and resting pain were alleviated. The therapy also brought positive changes in hip stabilization and increased the HSSP activation. Overall, there was an improvement in soft tissue adhesion and a reduction in pain produced by tissue reflex changes. Two patients also had a slight improvement in gait stereotype and overall posture. One of the results was also the stretching and light strengthening of certain muscles and muscle groups.
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Arthrocentesis and nursing care
LAIEROVÁ, Kateřina
Civilization diseases are on the rise in Europe and obesity is one of the main reasons of knee joint disease. The joint is overloaded and gradually wears out. Results of the research realized through interviews show that women and men of different ages undergo joint puncture. Most often, patients come to the orthopedic outpatientś deparment with swelling, joint pain. Patients undergo joint puncture and corticoid appliacation intraarticularly.
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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...
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Case Study of physiotherapy treatment of a patient with total knee replacement
Benýšková, Veronika ; Maršáková, Kateřina (advisor) ; Hlavičková, Růžena (referee)
Autor: Veronika Benýšková Title: Case Study of physiotherapy treatment of a patient with total knee replacement This bachelor thesis is focused on the issues and physiotherapeutic care of a patient after implantation of total knee replacement. Its general part informs about basic knowledge of knee, about the most common diseases and physiotherapeutical approaches which are being used for patiens with total knee replacement. Special part of this thesis describes case study of a patient with total knee replacement. This case study was worked out during special practice in ÚVN in Prague, Střešovice since 13th January 2011 to 3rd Ferbruary 2011.
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