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Physiotherapy after total hip joint replacement
ŠUHÁJKOVÁ, Pavla
Pain in a hip joint can dramatically affect the chance of having active life. The recent years have seen a significant progress in the results achieved while implanting artificial hip joints. This type of operation is simultaneously becoming increasingly more often especially when we take into consideration the increasing age of population. Implanting total hip joint replacement results in improving the quality of life, which can only be achieved through interdisciplinary collaboration of doctors, complex rehabilitation treatment, and positive approach of the subject alone. The aim of this bachelor?s thesis was to process case reports of patients after total hip joint replacements and to put together rehabilitation plans for these subjects. With the established objective in mind, the author summarizes outcomes dealing with the issues relating to total hip joint replacement, physiotherapy, occupational therapy, and spa treatment following such operation. The research part of the bachelor?s thesis was accomplished by qualitative research. Data were collected by observing, interviewing and analysing documents. The data were gathered by individual in-depth interview and using case reports, which included author?s own observations, a draft of rehabilitation plan and implementation of the therapy, and subsequent outcomes from the assessment of therapy. The research corpus comprised of two patients who underwent a planned total hip joint replacement because they had been suffering from advanced primary coxarthrosis. The research was carried out at an in-patient orthopaedic department of the Hospital Pelhřimov in March 2011, when the subjects were being hospitalised. Quality and appropriately managed rehabilitation allows quicker improvement in the patient?s health following the operation. It is used as a prevention of complications, it improves engagement of functional potential in the operated joint and it consolidates appropriate motion stereotypes. The outcomes of the research confirm that such pre-operational and post-operational rehabilitation carried out during the stay in hospital leads to a decrease or complete removal of pain, an increase in joint?s mobility and muscular power, getting used to walking on flat surfaces and up and down staircases, and the level of independency in everyday activities.
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Reliability analysis of the hip joint endoprosthesis ceramic head
Málek, Michal ; Janíček, Přemysl (referee) ; Fuis, Vladimír (advisor)
This diploma thesis deals with probability of fracture ceramic head of total hip endoprosthesis during tests by the standard ISO 7206-5. In the first part is made stress analysis with method of finite elements in program ANSYS. Six types of ceramic head with different geometry was analysed for ideal geometry of head and shaft, and also for shape imperfections from nominal conical shaft and head. The final values of principal stress from stress analysis were entry values for the second part – probability of fracture analysis. Weibull weakest-link theory was applied, namely 3-Parameter and 2-Parameter Weibull distribution.
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název v anglickém jazyce není uveden
Šenolt, Ladislav ; Pavelka, Karel (advisor) ; Rovenský, Jozef (referee) ; Pokorný, Jaroslav (referee)
Rheumatoid arthritis (RA) and osteoarthritis (OA) represent the most common forms of musculosceletal disorders that affect diarthrodial joints, lead to joint damage and disability. Extra-articular manifestations accompanied the joint disease only in RA. Diagnosis of both conditions most commonly bears on the conventional radiography. Mostly in OA, radiographic changes often occur late in the disease and are largely irreversible. Molecular markers could reflect joint damage, inflammation, or immune response. Current investigation revealed potential uses of molecular markers, ranging from understanding pathogenesis of the diseases to predicting and monitoring the outcome of the treatment. The aim of the thesis was to analyze several biochemical markers in serum, synovial fluid and synovial tissue samples from patients with RA and OA. and to evaluate their diagnostic and predictive values as well as their contribution to the pathogenesis of the diseases. We found increased serum pentosidine concentrations in OA patients that were ol a predictive value of the joint space narrowing in OA of the knee joint and correlation between pentosidine and cartilage oligomeric matrix protein (COMP) in synovial fluid that make pentosidine one of the new potential biomarkers of the OA. Scrum level of COMP was similar among...
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Diffusion of carbon in welding joints of low alloys and high alloy steels.
Zdvořáček, Marek ; Rek, Antonín (referee) ; Stránský, Karel (advisor)
Content of a document result measurements and analysis carbon´s diffusion at welding joint created from hight alloyed austenitic steel CSN 417242 and not alloyed steel CSN 412 050. Samples have been put throught isothermal anneal in a temperature range 500 °C up to 1100°C. Aim one´s effort to metalographyic quantification carburized and uncarburized zone. The next part of the document content measuring x-ray energy through microanalysis, where has been record course of a carbon disintegration and selected replacements elements at whole length of the welding joint . At the end of experimental part has been gauged course microhardness HV 0,05 at whole lenght of welding joint, from an acquired data has been chose the most optimal temperature of isothermal anneal, to produce the smallest structural notch.
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Epidemiology Study of patients after the THA
Herůfek, Radim ; Džupa, Valér (advisor)
Total hip arthroplasty is one of the best methods of treatment postwar medicine. Patients with severely degenerated joints are plagued by persistent pain that will not allow them normal daily activities , do not allow them quality sleep and also cause great mental anguish. Joint replacement implant leads relieving pain , restore function . Originally disabled patient returns to normal life and employment , which is often physically demanding. Therefore, total replacement of the significant effect of treatment , social and economic . The significant development of total joint arthroplasty for the last 40 years has resulted in various types and designs of acetabular holes femoral stems and heads , which in turn causes a lack of clarity on the menu, which , moreover, is still expanding. For implantation compensation is very important accurate indication of a specific type prosthesis , and therefore it is necessary to conduct epidemiological studies of patients who help refine the indications thus facilitating the selection of individual components. The following work is an overview of epidemiological data of patients with implantation of hip replacement patients operated on Orthopaedics and Traumatology FNKV clinic in 2006.
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Stress analysis in ceramic head of the hip joint endoprosthesis under oblique load
Fuis, Vladimír
Problem of the stress in the ceramic head of hip joint endoprosthesis pressed on the stem under oblique loading is solved in this paper. Oblique loading simulated the physiologi-cal conditions in vivo. The axis-symmetric production inaccuracies (deflection of nominal degree of taper) of the head - stem conical joint are considered. Computational modelling is realized by FEM - system ANSYS.
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Analysis of real production inaccuracies on the contact cone joint of head and stem
Fuis, Vladimír
Ceramic head reliability evaluation is significantly influenced by the factors that can allow increasing of the ten-sile stress in analysed body. Previous study eventuates that the production inaccuracies of contact cone joint of the head and the stem can significantly increase the tensile stress and decrease the reliability of whole implant. Paper deals with the problem of measuring real cone shape deflections on the different measuring devices.
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