Replacement of the knee joint.
Replacement of the hip joint.
Surgical reconstruction of a joint to relieve pain or restore motion.
Four or five slender jointed digits in humans and primates, attached to each HAND.
Partial or total replacement of a joint.
Motifs in DNA- and RNA-binding proteins whose amino acids are folded into a single structural unit around a zinc atom. In the classic zinc finger, one zinc atom is bound to two cysteines and two histidines. In between the cysteines and histidines are 12 residues which form a DNA binding fingertip. By variations in the composition of the sequences in the fingertip and the number and spacing of tandem repeats of the motif, zinc fingers can form a large number of different sequence specific binding sites.
Replacement for a hip joint.
Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.
Replacement for a knee joint.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
The plan and delineation of prostheses in general or a specific prosthesis.
Prostheses used to partially or totally replace a human or animal joint. (from UMDNS, 1999)
The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.
The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS.
Noninflammatory degenerative disease of the hip joint which usually appears in late middle or old age. It is characterized by growth or maturational disturbances in the femoral neck and head, as well as acetabular dysplasia. A dominant symptom is pain on weight-bearing or motion.
Infections resulting from the implantation of prosthetic devices. The infections may be acquired from intraoperative contamination (early) or hematogenously acquired from other sites (late).
The joining of objects by means of a cement (e.g., in fracture fixation, such as in hip arthroplasty for joining of the acetabular component to the femoral component). In dentistry, it is used for the process of attaching parts of a tooth or restorative material to a natural tooth or for the attaching of orthodontic bands to teeth by means of an adhesive.
A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA.
Replacement of the ANKLE JOINT.
Adhesives used to fix prosthetic devices to bones and to cement bone to bone in difficult fractures. Synthetic resins are commonly used as cements. A mixture of monocalcium phosphate, monohydrate, alpha-tricalcium phosphate, and calcium carbonate with a sodium phosphate solution is also a useful bone paste.
Noninflammatory degenerative disease of the knee joint consisting of three large categories: conditions that block normal synchronous movement, conditions that produce abnormal pathways of motion, and conditions that cause stress concentration resulting in changes to articular cartilage. (Crenshaw, Campbell's Operative Orthopaedics, 8th ed, p2019)
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
A vinyl polymer made from ethylene. It can be branched or linear. Branched or low-density polyethylene is tough and pliable but not to the same degree as linear polyethylene. Linear or high-density polyethylene has a greater hardness and tensile strength. Polyethylene is used in a variety of products, including implants and prostheses.
The longest and largest bone of the skeleton, it is situated between the hip and the knee.
The part of the pelvis that comprises the pelvic socket where the head of FEMUR joins to form HIP JOINT (acetabulofemoral joint).
Displacement of the femur bone from its normal position at the HIP JOINT.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
The articulation between the head of the HUMERUS and the glenoid cavity of the SCAPULA.
Replacement of the ELBOW JOINT.
The hemispheric articular surface at the upper extremity of the thigh bone. (Stedman, 26th ed)
Pain during the period after surgery.
Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.
The flat, triangular bone situated at the anterior part of the KNEE.
The replacement of intervertebral discs in the spinal column with artificial devices. The procedure is done in the lumbar or cervical spine to relieve severe pain resulting from INTERVERTEBRAL DISC DEGENERATION.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The fitting and adjusting of artificial parts of the body. (From Stedman's, 26th ed)
Partial or total replacement of one or more FINGERS, or a FINGER JOINT.
Displacement of bones out of line in relation to joints. It may be congenital or traumatic in origin.
Aseptic or avascular necrosis of the femoral head. The major types are idiopathic (primary), as a complication of fractures or dislocations, and LEGG-CALVE-PERTHES DISEASE.
A progressive, degenerative joint disease, the most common form of arthritis, especially in older persons. The disease is thought to result not from the aging process but from biochemical changes and biomechanical stresses affecting articular cartilage. In the foreign literature it is often called osteoarthrosis deformans.
Elements of limited time intervals, contributing to particular results or situations.
Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES.
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
Fixation and immobility of a joint.
Synthetic thermoplastics that are tough, flexible, inert, and resistant to chemicals and electrical current. They are often used as biocompatible materials for prostheses and implants.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Dissolution of bone that particularly involves the removal or loss of calcium.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
The properties, processes, and behavior of biological systems under the action of mechanical forces.
The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed)
Loss of blood during a surgical procedure.
Lack of stability of a joint or joint prosthesis. Factors involved are intra-articular disease and integrity of extra-articular structures such as joint capsule, ligaments, and muscles.
Therapeutic use of hormones to alleviate the effects of hormone deficiency.
The surgical cutting of a bone. (Dorland, 28th ed)
The growth action of bone tissue as it assimilates surgically implanted devices or prostheses to be used as either replacement parts (e.g., hip) or as anchors (e.g., endosseous dental implants).
The use of hormonal agents with estrogen-like activity in postmenopausal or other estrogen-deficient women to alleviate effects of hormone deficiency, such as vasomotor symptoms, DYSPAREUNIA, and progressive development of OSTEOPOROSIS. This may also include the use of progestational agents in combination therapy.
Recovery of blood lost from surgical procedures for reuse by the same patient in AUTOLOGOUS BLOOD TRANSFUSIONS. It is collected during (intraoperatively) or after completion of (postoperatively) the surgical procedures.
The grafting of bone from a donor site to a recipient site.
The second longest bone of the skeleton. It is located on the medial side of the lower leg, articulating with the FIBULA laterally, the TALUS distally, and the FEMUR proximally.
Fractures around joint replacement prosthetics or implants. They can occur intraoperatively or postoperatively.
Descriptions of specific amino acid, carbohydrate, or nucleotide sequences which have appeared in the published literature and/or are deposited in and maintained by databanks such as GENBANK, European Molecular Biology Laboratory (EMBL), National Biomedical Research Foundation (NBRF), or other sequence repositories.
Congenital dislocation of the hip generally includes subluxation of the femoral head, acetabular dysplasia, and complete dislocation of the femoral head from the true acetabulum. This condition occurs in approximately 1 in 1000 live births and is more common in females than in males.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
A nerve originating in the lumbar spinal cord (usually L2 to L4) and traveling through the lumbar plexus to provide motor innervation to extensors of the thigh and sensory innervation to parts of the thigh, lower leg, and foot, and to the hip and knee joints.
Infection occurring at the site of a surgical incision.
General or unspecified injuries involving the hip.
A hinge joint connecting the FOREARM to the ARM.
A condition in which one of a pair of legs fails to grow as long as the other, which could result from injury or surgery.
Reinfusion of blood or blood products derived from the patient's own circulation. (Dorland, 27th ed)
The evaluation of incidents involving the loss of function of a device. These evaluations are used for a variety of purposes such as to determine the failure rates, the causes of failures, costs of failures, and the reliability and maintainability of devices.
The order of amino acids as they occur in a polypeptide chain. This is referred to as the primary structure of proteins. It is of fundamental importance in determining PROTEIN CONFORMATION.
A zinc-binding domain defined by the sequence Cysteine-X2-Cysteine-X(9-39)-Cysteine-X(l-3)-His-X(2-3)-Cysteine-X2-Cysteine -X(4-48)-Cysteine-X2-Cysteine, where X is any amino acid. The RING finger motif binds two atoms of zinc, with each zinc atom ligated tetrahedrally by either four cysteines or three cysteines and a histidine. The motif also forms into a unitary structure with a central cross-brace region and is found in many proteins that are involved in protein-protein interactions. The acronym RING stands for Really Interesting New Gene.
Deformities acquired after birth as the result of injury or disease. The joint deformity is often associated with rheumatoid arthritis and leprosy.
Procedures which temporarily or permanently remedy insufficient cleansing of body fluids by the kidneys.
A strong ligament of the knee that originates from the anterolateral surface of the medial condyle of the femur, passes posteriorly and inferiorly between the condyles, and attaches to the posterior intercondylar area of the tibia.
The period following a surgical operation.
Specific alloys not less than 85% chromium and nickel or cobalt, with traces of either nickel or cobalt, molybdenum, and other substances. They are used in partial dentures, orthopedic implants, etc.
The act, process, or result of passing from one place or position to another. It differs from LOCOMOTION in that locomotion is restricted to the passing of the whole body from one place to another, while movement encompasses both locomotion but also a change of the position of the whole body or any of its parts. Movement may be used with reference to humans, vertebrate and invertebrate animals, and microorganisms. Differentiate also from MOTOR ACTIVITY, movement associated with behavior.
The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed)
Electropositive chemical elements characterized by ductility, malleability, luster, and conductance of heat and electricity. They can replace the hydrogen of an acid and form bases with hydroxyl radicals. (Grant & Hackh's Chemical Dictionary, 5th ed)
The development of bony substance in normally soft structures.
Bones that make up the SKELETON of the FINGERS, consisting of two for the THUMB, and three for each of the other fingers.
The projecting part on each side of the body, formed by the side of the pelvis and the top portion of the femur.
The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
A partial joint replacement in which only one surface of the joint is replaced with a PROSTHESIS.
A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.
An oxide of aluminum, occurring in nature as various minerals such as bauxite, corundum, etc. It is used as an adsorbent, desiccating agent, and catalyst, and in the manufacture of dental cements and refractories.
Fractures of the femur.
Biocompatible materials usually used in dental and bone implants that enhance biologic fixation, thereby increasing the bond strength between the coated material and bone, and minimize possible biological effects that may result from the implant itself.
A painful disability in the hand affecting the finger or thumb. It is caused by mechanical impingement of the digital flexor tendons as they pass through a narrowed retinacular pulley at the level of the metacarpal head. Thickening of the sheath and fibrocartilaginous metaplasia can occur, and nodules can form. (From Green's Operative Hand Surgery, 5th ed, p2137-58).
Movement of a body part initiated and maintained by a mechanical or electrical device to restore normal range of motion to joints, muscles, or tendons after surgery, prosthesis implantation, contracture flexion, or long immobilization.
A trace element that plays a role in glucose metabolism. It has the atomic symbol Cr, atomic number 24, and atomic weight 52. According to the Fourth Annual Report on Carcinogens (NTP85-002,1985), chromium and some of its compounds have been listed as known carcinogens.
Surgical insertion of synthetic material to repair injured or diseased heart valves.
Making measurements by the use of stereoscopic photographs.
Removal of an implanted therapeutic or prosthetic device.
Death of a bone or part of a bone, either atraumatic or posttraumatic.
The first digit on the radial side of the hand which in humans lies opposite the other four.
A device that substitutes for a heart valve. It may be composed of biological material (BIOPROSTHESIS) and/or synthetic material.
Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.
A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated.
Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed)
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.
The portion of the upper rounded extremity fitting into the glenoid cavity of the SCAPULA. (from Stedman, 27th ed)
A condition caused by degenerative arthritis (see OSTEOARTHRITIS) of the METATARSOPHALANGEAL JOINT of the great toe and characterized by pain and limited dorsiflexion, but relatively unrestricted plantar flexion.
The period before a surgical operation.
The sequence of PURINES and PYRIMIDINES in nucleic acids and polynucleotides. It is also called nucleotide sequence.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
Procedure to accelerate the ability of a patient to walk or move about by reducing the time to AMBULATION. It is characterized by a shorter period of hospitalization or recumbency than is normally practiced.
The musculotendinous sheath formed by the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. These help stabilize the head of the HUMERUS in the glenoid fossa and allow for rotation of the SHOULDER JOINT about its longitudinal axis.
Pain in the joint.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
Antifibrinolytic hemostatic used in severe hemorrhage.
Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
A dead body, usually a human body.
A trace element that is a component of vitamin B12. It has the atomic symbol Co, atomic number 27, and atomic weight 58.93. It is used in nuclear weapons, alloys, and pigments. Deficiency in animals leads to anemia; its excess in humans can lead to erythrocytosis.
Proteins which bind to DNA. The family includes proteins which bind to both double- and single-stranded DNA and also includes specific DNA binding proteins in serum which can be used as markers for malignant diseases.
The period of confinement of a patient to a hospital or other health facility.
Endogenous substances, usually proteins, which are effective in the initiation, stimulation, or termination of the genetic transcription process.
Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.
The joint that is formed by the inferior articular and malleolar articular surfaces of the TIBIA; the malleolar articular surface of the FIBULA; and the medial malleolar, lateral malleolar, and superior surfaces of the TALUS.
The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.
A dark-gray, metallic element of widespread distribution but occurring in small amounts; atomic number, 22; atomic weight, 47.90; symbol, Ti; specific gravity, 4.5; used for fixation of fractures. (Dorland, 28th ed)
Also called the shoulder blade, it is a flat triangular bone, a pair of which form the back part of the shoulder girdle.
Therapeutic replacement or supplementation of defective or missing enzymes to alleviate the effects of enzyme deficiency (e.g., GLUCOSYLCERAMIDASE replacement for GAUCHER DISEASE).
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
Bone in humans and primates extending from the SHOULDER JOINT to the ELBOW JOINT.
Force exerted when gripping or grasping.
Restoration of an organ or other structure to its original site.
Surgical insertion of a prosthesis.
Tantalum. A rare metallic element, atomic number 73, atomic weight 180.948, symbol Ta. It is a noncorrosive and malleable metal that has been used for plates or disks to replace cranial defects, for wire sutures, and for making prosthetic devices. (Dorland, 28th ed)
The mineral component of bones and teeth; it has been used therapeutically as a prosthetic aid and in the prevention and treatment of osteoporosis.
Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.
The articulation between a metatarsal bone (METATARSAL BONES) and a phalanx.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Hospitals with a much lower than average utilization by physicians and smaller number of procedures.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits.
The quadriceps femoris. A collective name of the four-headed skeletal muscle of the thigh, comprised of the rectus femoris, vastus intermedius, vastus lateralis, and vastus medialis.
The sac enclosing a joint. It is composed of an outer fibrous articular capsule and an inner SYNOVIAL MEMBRANE.
The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.
Methods of delivering drugs into a joint space.
The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb.
Types of prosthetic joints in which both wear surfaces of the joint coupling are metallic.
The formation or presence of a blood clot (THROMBUS) within a vein.
Tuberculosis of the bones or joints.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Degenerative changes in the INTERVERTEBRAL DISC due to aging or structural damage, especially to the vertebral end-plates.
The parts of a macromolecule that directly participate in its specific combination with another molecule.
Use of antibiotics before, during, or after a diagnostic, therapeutic, or surgical procedure to prevent infectious complications.
The articulation between a metacarpal bone and a phalanx.
The period during a surgical operation.
Any of the 23 plates of fibrocartilage found between the bodies of adjacent VERTEBRAE.
Measurements of joint flexibility (RANGE OF MOTION, ARTICULAR), usually by employing an angle-measuring device (arthrometer). Arthrometry is used to measure ligamentous laxity and stability. It is often used to evaluate the outcome of ANTERIOR CRUCIATE LIGAMENT replacement surgery.
The performance of the basic activities of self care, such as dressing, ambulation, or eating.
The lumbar and sacral plexuses taken together. The fibers of the lumbosacral plexus originate in the lumbar and upper sacral spinal cord (L1 to S3) and innervate the lower extremities.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
The joint that is formed by the distal end of the RADIUS, the articular disc of the distal radioulnar joint, and the proximal row of CARPAL BONES; (SCAPHOID BONE; LUNATE BONE; triquetral bone).
The degree of similarity between sequences of amino acids. This information is useful for the analyzing genetic relatedness of proteins and species.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.
Control of bleeding during or after surgery.
The amount of force generated by MUSCLE CONTRACTION. Muscle strength can be measured during isometric, isotonic, or isokinetic contraction, either manually or using a device such as a MUSCLE STRENGTH DYNAMOMETER.
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
Excision, in part or whole, of an INTERVERTEBRAL DISC. The most common indication is disk displacement or herniation. In addition to standard surgical removal, it can be performed by percutaneous diskectomy (DISKECTOMY, PERCUTANEOUS) or by laparoscopic diskectomy, the former being the more common.
Fractures of the FEMUR HEAD; the FEMUR NECK; (FEMORAL NECK FRACTURES); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (FEMORAL FRACTURES).
Bleeding into the joints. It may arise from trauma or spontaneously in patients with hemophilia.
A depression in the lateral angle of the scapula that articulates with the head of the HUMERUS.
Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations.
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
Migration of a foreign body from its original location to some other location in the body.
Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.
Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.
Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities.
Hospitals with a much higher than average utilization by physicians and a large number of procedures.
Obstruction of a blood vessel (embolism) by a blood clot (THROMBUS) in the blood stream.
A continuing periodic change in displacement with respect to a fixed reference. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.
Agents that prevent fibrinolysis or lysis of a blood clot or thrombus. Several endogenous antiplasmins are known. The drugs are used to control massive hemorrhage and in other coagulation disorders.
Bones that constitute each half of the pelvic girdle in VERTEBRATES, formed by fusion of the ILIUM; ISCHIUM; and PUBIC BONE.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
The level of protein structure in which combinations of secondary protein structures (alpha helices, beta sheets, loop regions, and motifs) pack together to form folded shapes called domains. Disulfide bridges between cysteines in two different parts of the polypeptide chain along with other interactions between the chains play a role in the formation and stabilization of tertiary structure. Small proteins usually consist of only one domain but larger proteins may contain a number of domains connected by segments of polypeptide chain which lack regular secondary structure.
The washing of a body cavity or surface by flowing water or solution for therapy or diagnosis.
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
The constricted portion of the thigh bone between the femur head and the trochanters.
An alloy of 60% cobalt, 20% chromium, 5% molybdenum, and traces of other substances. It is used in dentures, certain surgical appliances, prostheses, implants, and instruments.
The process in which substances, either endogenous or exogenous, bind to proteins, peptides, enzymes, protein precursors, or allied compounds. Specific protein-binding measures are often used as assays in diagnostic assessments.
Moving a patient into a specific position or POSTURE to facilitate examination, surgery, or for therapeutic purposes.
Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.
Genetically engineered MUTAGENESIS at a specific site in the DNA molecule that introduces a base substitution, or an insertion or deletion.
Chronic inflammation and granuloma formation around irritating foreign bodies.

Bone erosions and bone marrow edema as defined by magnetic resonance imaging reflect true bone marrow inflammation in rheumatoid arthritis. (1/7)

OBJECTIVE: To investigate the pathologic nature of features termed "bone erosion" and "bone marrow edema" (also called "osteitis) on magnetic resonance imaging (MRI) scans of joints affected by rheumatoid arthritis (RA). METHODS: RA patients scheduled for joint replacement surgery (metacarpophalangeal or proximal interphalangeal joints) underwent MRI on the day before surgery. The presence and localization of bone erosions and bone marrow edema as evidenced by MRI (MRI bone erosions and MRI bone marrow edema) were documented in each joint (n=12 joints). After surgery, sequential sections from throughout the whole joint were analyzed histologically for bone marrow changes, and these results were correlated with the MRI findings. RESULTS: MRI bone erosion was recorded based on bone marrow inflammation adjacent to a site of cortical bone penetration. Inflammation was recorded based on either invading synovial tissue (pannus), formation of lymphocytic aggregates, or increased vascularity. Fat-rich bone marrow was replaced by inflammatory tissue, increasing water content, which appears as bright signal enhancement on STIR MRI sequences. MRI bone marrow edema was recorded based on the finding of inflammatory infiltrates, which were less dense than those of MRI bone erosions and localized more centrally in the joint. These lesions were either isolated or found in contact with MRI bone erosions. CONCLUSION: MRI bone erosions and MRI bone marrow edema are due to the formation of inflammatory infiltrates in the bone marrow of patients with RA. This emphasizes the value of MRI in sensitively detecting inflammatory tissue in the bone marrow and demonstrates that the inflammatory process extends to the bone marrow cavity, which is an additional target structure for antiinflammatory therapy.  (+info)

Outcomes of hand surgery in the patient with rheumatoid arthritis. (2/7)


Properties of the International Classification for Functioning, Disability and Health in assessing hand outcomes in patients with rheumatoid arthritis. (3/7)


Static versus dynamic splinting for proximal interphalangeal joint pyrocarbon implant arthroplasty: a comparison of current and historical cohorts. (4/7)


Conical, radiographic, and patient-reported results of surface replacing proximal interphalangeal joint arthroplasty of the hand. (5/7)

The purpose of this study was to evaluate the one-year clinical, radiologic and patient-reported results of surface-replacing proximal interphalangeal joint arthroplasty (SR-PIP) of the hand. Fifteen patients with 18 joints underwent the procedure, and nine patients with 11 joints had follow-up of at least one year's duration. Of these joints, six had a diagnosis of osteoarthritis with no history of trauma, three had post-traumatic arthritis, one had psoriatic arthritis, and one had erosive arthritis. The mean clinical follow-up was at 3.3 years, and the mean radiographic follow-up was at 3.1 years. The average post-operative gain in range of motion at the PIP joint was 28 degrees and was statistically significant. Six patients completed self-reported questionnaires at a mean of 4.8 years post-operatively. The mean Disabilities of the Arm, Shoulder and Hand (DASH) score post-operatively was 17, and the Michigan Hand Questionnaire (MHQ) score for overall satisfaction was 70. There were three complications but only one reoperation. Seven of 11 joints showed some evidence of subsidence on follow-up radiographic examination. However, no joints were revised secondary to loosening. Longer follow-up is needed to determine if this observable radiologic subsidence leads to symptomatic loosening of the implant.  (+info)

Outcomes of pyrolytic carbon arthroplasty for the proximal interphalangeal joint at 44 months' mean follow-up. (6/7)


Long-term followup for rheumatoid arthritis patients in a multicenter outcomes study of silicone metacarpophalangeal joint arthroplasty. (7/7)


Chemistry and kinetics of chemical vapor deposition of pyrocarbon - II. Pyrocarbon deposition from ethylene, acetylene and 1,3-butadiene in the low temperature regime. III. Pyrocarbon deposition from propylene and benzene in the low temperature regi ...
Class III medical devices which use POCO graphite are pyrolytically carbon-coated; ie Pyrocarbon. Pyrocarbon has found applications in orthopedic extremities since the early 2000s. 40 years of heart valve experience helped to make the transition possible. Current Pyrocarbon applications are found in the hand and wrist. Future use of Pyrocarbon will be used in higher load bearing applications of the elbow, shoulder and spine ...
This bacterium was first described in 1946 from patients suffering from a sore throat, and was originally named Corynebacterium haemolyticum. It is an obligate parasite of the pharynx of human and farm animals, where it can cause a number of throat-related illnesses such as pharyngitis and tonsillitis. It can also cause osteomyelitis (bone or bone marrow inflammation) and sepsis. As it is the type strain, this is probably the original isolate, which was isolated from US soldiers. It is a non-motile, non-sporulating, rod-shaped facultative anaerobe. It grows optimally at 37 degrees Celsius, and being chemoorganotrophic requires rich media for growth. The predominant menaquinone is MK-9(H4), which minor amounts of MK-8(H4). It has a number of other strain designations, including CCM 5947 and LMG 1616 (adapted from PMID 21304742). (EBI Integr8 ...
Buy TDK MHQ0603P1N6ST000 in Avnet Americas. View Substitutes & Alternatives along with datasheets, stock, pricing and search for other SMD Inductors products.
BACKGROUND: The aim of this study was to assess the psychometric properties, namely acceptability, validity, reliability, interpretability and responsiveness of the EuroQol EQ-5D (EQ-5D visual analogue (VAS) and EQ-5D (utility)), Short Form 12 Dimensions (SF-12), SF-6D and Michigan Hand Outcome Questionnaire (MHQ) in patients with rheumatoid arthritis (RA) of the hand. METHODS: The empirical investigation was based upon data from a randomised controlled trial of 488 adults with rheumatoid arthritis who had pain and dysfunction of the hands and/or wrists. Participants completed the EQ-5D, SF-12 and MHQ at baseline and at 4 and 12 months follow up. Acceptability was measured using completion rates over time; construct validity using the known groups approach, based on pain troublesomeness; convergent validity using spearmans rho correlation (ρ); reliability using internal consistency (Cronbachs alpha); interpretability using minimal important differences (MID); and responsiveness using effect sizes
The aims of the study were to 1) investigate the test-retest reliability, the internal consistency in instruments that measure behavioural factors and disability as well as to investigate convergent validity between the Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH) and the Patient-Rated Wrist Evaluation (PRWE), in patients with Colles fracture; and 2) assess the relationship between the behavioural measures and the region-specific measures addressing the patient perceptions of impairment, functional loss, and disability. Two samples (sample 1 = 16; sample 2 = 16) of patients with the fracture immobilised in plaster cast were included. The participants answered the Patient-Rated Wrist Evaluation (PRWE), Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH), Tampa Scale of Kinesophobia (TSK), Catastrophizing Subscale (CAT) of the Coping Strategies Questionnaire (CSQ), and Self-Efficacy Scale (SES) twice. Test-retest reliability was satisfactory for ... - Santri Sekolah Pemimpin Raih Terbaik III di Ajang MHQ. Kabar gembira kembali menyapa keluarga besar Laznas BMH, santri yang selama ini mendapatkan beasiswa full dari BMH kembali menorehkan catatan membanggakan.. Abdul Muqsith Al-Baihaqi berhasil menjadi juara III dalam Mutsabaqah Hifdzil Quran (MHQ) kategori 2 juz (29-30) yang diselenggarakan oleh Organisasi Pelajar Kafila International Islamic School yang berada di Jl. Raya Bogor Km. 22 No. 22 Rambutan Ciracas Jakarta Selatan.. Alhamdulillah Muqsith yang merupakan santri kelas X berhasil menjadi yang terbaik III dengan menyisihkan 43 peserta se-Jabodebek lainnya, ungkap pengasuh Al-Quran Sekolah Pemimpin, Hendri Abdul Aziz.. Sejauh ini, Muqsith yang merupakan santri asal Aceh lahir pada 12 April 2002 itu telah berhasil memiliki hafalan Al-Quran sebanyak 16 Juz.. Sebuah kesyukuran bagi BMH, anak didik yang mendapat beasiswa full ini bisa menjadi kebanggaan kita bersama, ungkap Manajer Program dan Pendayagunaan BMH DKI ...
Numerical simulation with progressive damage criterion is implemented to investigate the effect of porosity on the bending properties of 2D cross-ply carbon/carbon (C/C) composites. The mechanical properties of Pyrocarbon matrix regarding the change of porosity are calculated by using Mori-Tanaka approach. Combining with the stiffness degradation scheme, the ultimate bending strengths are calculated in Abaqus though a user-defined subroutine (USDFLD). Delamination is modelled by inserting cohesive elements between two adjacent plies. A good agreement is obtained when the FEM results are compared to three-point bending experiments. The FEM results show that the bending strength decreases greatly with the increase of porosity. When the porosity reaches up to 18%, the bending strength is decreased by 57%. The major fracture behaviors are interlamination delamination and continuous crack damage in 90° plies. With the increase of porosity, more severe interlamination delamination will be slightly ...
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
Below the Knee Amputation of the Left Foot. This full color medical exhibit starts with two lateral illustrations of the left foot depicting the extensive necrosis of the skin and the osteomyelitis (bone marrow inflammation). These images are followed by four key steps in the below the knee amputation procedure. The surgical steps presented include the sawing through of the tibia and fibula to remove the lower leg and foot and the creation of a stump.
Diagnosis Code S63.238 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
This study described the psychometric properties of the Swedish version of the Outcome Questionnaire (OQ-45.2) in a substance abuse sample (N=227). The test properties were satisfactory except for somewhat low internal consistency in the social role subscale. The results were similar to those obtain …
Matthias Teubner, Zijun Hu, Klaus Hüttinger. The deposition of pyrolytic carbon from methane has been used to investigate the influence of the ratio of substrate surface area to reactor volume, AS/VR, on deposition chemistry and kinetics. Deposition studies were performed at a pressure of about 100 kPa (ambient pressure), a methane partial pressure of 10 kPa, and a temperature of 1100 °C. The AS/VR ratio was varied from 0.18 to 8.2 mm-1. Carbon deposition rates and corresponding compositions of the gas phase were determined as a function of residence time. The experimental results show volume-related carbon formation rates increasing with increasing surface area or increasing AS/VR ratio, but surface-related carbon deposition rates decreasing with increasing surface area or increasing ratio. The latter result implies that any kinetics of chemical vapour deposition determined in the past are only valid for the reaction system used.. Full Text (IP). ...
Tristructural-isotropic (TRISO) fuel is a type of micro fuel particle. It consists of a fuel kernel composed of UOX (sometimes UC or UCO) in the center, coated with four layers of three isotropic materials. The four layers are a porous buffer layer made of carbon, followed by a dense inner layer of pyrolytic carbon (PyC), followed by a ceramic layer of SiC to retain fission products at elevated temperatures and to give the TRISO particle more structural integrity, followed by a dense outer layer of PyC. TRISO fuel particles are designed not to crack due to the stresses from processes (such as differential thermal expansion or fission gas pressure) at temperatures beyond 1600°C, and therefore can contain the fuel in the worst of accident scenarios in a properly designed reactor. Two such reactor designs are the pebble bed reactor (PBR), in which thousands of TRISO fuel particles are dispersed into graphite pebbles, and the prismatic-block gas-cooled reactor (such as the GT-MHR), in which the ...
The causing of Bouchards nodes will tell you that you are suffering from a condition of hand osteoarthiritis. When the middle joints of the fingers get enlarged you are said to have this particular disease. The ailment is also referred to as the PIP joint or it can also be termed as proximal interphalangeal joint. The condition can both be painful or you may not feel the pain in certain cases. However, when this occurs you have limited movement of the joints. It is true that in case of Bouchards nodes you cannot move your hands in the right fashion. The nodes on the hand structure become all the more familial. This is a less occurring physiological phenomenon and so it would be best to stay out of this condition if possible. ...
OBJECTIVE To describe clinical use of a locking compression plate (LCP) for proximal interphalangeal joint (PIPJ) arthrodesis in horses and compare outcomes for horses that underwent the procedure as treatment for fracture of the middle phalanx (P2) versus other causes. DESIGN Retrospective case series. ANIMALS 29 client-owned horses.
Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.Investigators followed 24 patients with a mean age 31 years. Bone tunnel
Bone marrow edema syndrome in the foot and ankle treatment Watch power rangers mystic force full episodes online free, Bone Marrow Edema Syndrome in the Foot and Ankle. Symptoms may include sudden or gradual onset of swelling and pain at rest or during.
Here you will find medical specialists in the field Bone marrow edema. All listed physicians are specialists in their field and have been carefully selected for you according to the strict Leading Medicine guidelines. The experts are looking forward to your inquiry ...
DAS-CRP values range from 2.0 to 10.0 while higher values mean a higher disease activity. A DAS-CRP below the value of 2.6 is interpreted as Remission.DAS28 the DAS-CRP uses 28 different joints for its calculation: proximal interphalangeal joints (10 joints) metacarpophalangeal joints (10) wrists (2) elbows (2) shoulders (2) knees (2) With the above mentioned parameters, DAS-CRP is calculated as: ,math,DAS-CRP=0.56 \times \sqrt{TEN28} + 0.28 \times \sqrt{SW28} + 0.36 \times \ln(CRP+1) + 0.014 \times SA+0.96,/math, With: TEN28: number of joints with tenderness upon touching SW28: number of swollen joints CRP: C-reactive Protein SA: subjective assessment of disease activity by the patient during the preceding 7 days on a scale betweenn 0 and 100 (0:no activity, 100: highest activity possible ...
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The proximal and middle phalanges from 83 proximal interphalangeal joints (PIPJs) were set in clear plastic and sectioned in the transverse plane leaving the heads whole. The sections were cleaned, shadowgraphed and measured. The medullary canals were marked on sagittal and frontal plane shadowgraphs of the intact bones and analysed. The information was then used in the design of a surface replacement prosthesis for the PIPJs. The main dorsal surface of the proximal phalanx (PP) was found to be angled to the longitudinal baseline of the bone by a mean of 5.19 degrees. This angle increased just proximal to the phalangeal head to a mean of 11.84 degrees. The mean ratio between these angles was 2.71. The phalangeal shaft bone was thicker laterally than dorsally and palmarly, and thicker dorsally than palmarly for the proximal and middle phalanges throughout the length of the bone. The shape and size of the transverse cross-section of the medullary canal changed throughout the length of the shaft. The
Assessing the pathology of the synovium, its thickening and increased vascularity through ultrasound and magnetic resonance examinations (more often an ultrasound study alone) is still considered a sensitive parameter in the diagnosis of rheumatoid arthritis and in monitoring of treatment efficacy. Magnetic resonance studies showed that, aside from the joint pannus, the subchondral bone tissue constitutes an essential element in the development of rheumatoid arthritis. Bone marrow edema correlates with inflammation severity, joint destruction, clinical signs and symptoms of rheumatoid arthritis, and thus is considered a predictor of rapid radiological progression of the disease. The newest studies reveal that bone marrow edema may be a more sensitive indicator of the response to therapy than appearance of the synovium. Bone marrow edema presents with increased signal in T2-weighted images, being most visible in fat saturation or IR sequences (STIR, TIRM). On the other hand, it is hypointense and ...
Bone marrow edema occurs with increase in age. Generally bone marrow has three portions they are bony portion, fatty portion, blood cells production portio..
Home , Papers , Psychometric evaluation of the Danish version of a modified Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-D) for patients hospitalized with acute abdominal pain. ...
Methods This prospective observational study includes 56 patients with RA (42 females; mean age,), from June 2015 to October 2016. The mean age of RA patients was 53.2±17.6 years, and 42 patients were female (75.0%). All the included patients underwent ultrasound about both wrists and hands (total 22 joints; wrist joints, metacarpophalangeal joints, and proximal interphalangeal joints). All the ultrasound examinations were performed at the volar side of the wrists and hands using both conventional PDI and SMI which use Aplio TM 500 Ultrasound (Toshiba Medical Systems Corporation). Their results were scored for each joint from grade 0 to grade 3 according to the vascularity (grade 0, no vascularity; grade 1, single vessel; grade 2, vascular flow less than 50% in field of view; grade 3, equal to 50% or more). The sum of grades for 22 joints was compared between PDI (PDI-sum) and SMI (SMI-sum). The correlation between the sum of grades values and inflammatory laboratory parameters including the ...
A 55-year-old man presented with nonpainful, red masses on his knuckles that had been recurring for years. The lesions generally lasted for one month then resolved spontaneously. He was a mechanic, and job-related trauma exacerbated the condition. He also had arthralgias in several joints, including bilateral hands, hips, and knees. During one episode, he was prescribed an oral steroid that seemed to relieve his symptoms.. Physical examination revealed several erythematous, nontender nodules involving his metacarpophalangeal and proximal interphalangeal joints (Figure 1). The nodules were firm and varied in size. There was no skin erosion, signs of infection, neurologic dysfunction, or decreased range of motion. The patient requested treatment because the nodules were interfering with his work. ...
chains in the Genus database with same CATH superfamily 4Q96 A; 1VDY A; 3LDZ A; 1PY1 A; 5LP0 A; 3D9K A; 1ELK A; 3D9P A; 3G2W A; 2QY7 A; 3D9I A; 5J08 A; 1EDU A; 3D9O A; 4FLB A; 4JXT A; 2MOW A; 2BF0 X; 2L0I A; 3CLJ A; 3D9L A; 1EYH A; 2LO6 A; 1JUQ A; 3D9J A; 3D9M A; 4FU3 A; 4GZC A; 1HFA A; 3D9N A; 1JWG A; 4GZD A; 3ZYM A; 3ONK A; 2V8S E; 1X5B A; 4HFG A; 3G2S A; 4NAC A; 3RRU A; 1LF8 A; 2DCP A; 2KM4 A; 3ZYQ A; 1SZ9 A; 1JPL A; 3ZYL A; 3ZYK A; 1H0A A; 3ONL A; 3G2U A; 1HX8 A; 1UJK A; 1HF8 A; 2L0T B; 1DVP A; 4AVX A; 1INZ A; 5CMW A; 1JWF A; 5LOZ A; 1UJJ A; 1HG2 A; 1MHQ A; 1XGW A; 3G2V A; 2DIW A; 4Q94 A; 1HG5 A; 5CMY A; 3G2T A; 1SZA A; #chains in the Genus database with same CATH topology 1N4S A; 4MLP A; 3OXG A; 3FU5 A; 4ANX A; 3PNT B; 1MX6 A; 1H19 A; 3RRN B; 3ZEF A; 3SGH A; 2GRL A; 3NOG D; 2BKK B; 2H6G A; 3FUH A; 3EHQ A; 4H7X A; 5IY5 E; 4LNG A; 3RKV A; 4G24 A; 1EPU A; 4DK5 A; 2J09 A; 5FWQ A; 4KVM A; 4LG6 A; 3LJN A; 5M72 A; 2Y1L E; 4GPK A; 4RSY A; 4LCT A; 4HNA D; 1HX8 A; 3DBS A; 3PDN A; 2XEV A; 4HRN A; 1ELK ...
Shiitake mushrooms are known for their benefits, medicinal uses & rich taste. These edible fungi promote skin health, optimize digestion, and improve repair & growth.
...AUSTIN Texas June 29 2011 /- Ascension Orthopedics In... The patient was a 57-year-old active male with increasing shoulder p... The first PyroCarbon resurfacing device was implanted in December 200...Ascension Orthopedics was founded in Austin Texas in 1992. Since rele...,Ascension,Orthopedics,Implants,PyroTITAN™,in,Geelong,,Australia,medicine,advanced medical technology,medical laboratory technology,medical device technology,latest medical technology,Health
Upon arrival, she was febrile to 102.2ºF, with a heart rate of 100 beats per minute, blood pressure of 90-100/40-50, and a respiratory rate of 24 with normal oxygen saturation on room air. She was pale in appearance. Her abdomen was soft with tenderness in the left upper quadrant and epigastrium, and the spleen was palpable. Her musculoskeletal exam revealed tenderness at the metacarpophalangeal and proximal interphalangeal joints of both hands, without swelling.. Laboratory studies included a white blood cell count of 2.4 K/µL, hemo-globin of 6.7 g/dL and platelet count of 84 K/µL. Her CRP was elevated to 90 mg/L and her ESR was 33 mm/h. Her ferritin was 543 ng/mL and triglyceride was. 325 mg/dL. The remainder of her labs were unremarkable. She had a negative serological workup for ANA, ANCA, RF, anti-CCP and antibodies to RNP, Jo-1, Ro and La. SPEP revealed no abnormalities.. ...
To the editor: A 13-year-old boy was hospitalized for evaluation of arthritis of 2 weeks duration, and pneumonia of 3 months duration. The pneumonia had been treated with several antibiotics with partial resolution. The patient lost 9 kg of weight while he had pneumonia.. Three weeks before admission the boy had developed pain, erythema, and swelling of the metatarsal-phalangeal joint of his left great toe, followed 1 week later by swelling in the left knee and right elbow. One week before admission he had had swelling and tenderness of the fourth proximal interphalangeal joint of his left hand.. Positive physical ...
5/13/2014 • Ask MHQ, World War I Q: I have read many accounts of German and Italian prisoners of war in World War II being sent to Canada and the United States, where they worked outside the camps. What about Japanese POWs captured in the Pacific and Asia? Where were they sent? Were they allowed to work outside the camps?. -Maj. James Goodwin II USAR (ret.). A: As many as 50,000 Japanese were taken prisoner by the Western Allies during WWII. Those captured in Southeast Asia were generally held in camps in Australia and New Zealand; those taken in Burma were sent to camps in India; and those taken in the Central Pacific from late 1943 on were held in compounds set up in the islands. The Americans shipped POWs they regarded as promising sources of intelligence to Fort Hunt, Virginia, or Camp Tracy, California.. Since the Japanese believed that the very act of falling into enemy hands alive severed all ties with their homeland, they tended to be very cooperative. Allied intelligence officers ...
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The platform for pet owners and breeders that contains all the important information at a glance. LABOKLIN has many years of experience with the implementation and development of genetic tests, particularly in the areas of genetic disorders, colour analysis, DNA profiles, ancestry and sex determination in birds. Our high quality standard is characterised particularly by the fact that all the results of our genetic studies are controlled in a second independent test run before they are shipped. ...
Get a load of Proximal interphalangeal joint, fifth toe Plantar plate tenodesis defined, 17В18 dorsal capsule, 196 dorsomedial portal, 199 modified, 201В202 overriden, toe deformity, 200 PDS 1 suture, 18, 197 suture retrieval, 197В199 Portals, arthroscopic knack cannula and trocar, 4, 5 dorsolateral and medial portals, MTP-1 bay, 4, 6 plantar medial portal, 4 exploration, 5 Post-operation, DMMO callus, 154, 157 cohesive bandaging, toes, 154, 156 feather, 154 mixture mini invasive surgery, 154, 159 radiograph whilom before, mongrel mini invasive surgery, 154, 158 Postoperative bandaging hallux valgus definition, 67В68 go, impaired metatarsal, 68 time one dressing, 68, 69 phase two dressing, 68, 70 splint dressings, 68 non-Hammertoe lesser digit deformities description, 173 first and subsequent phases, 174, 176 minimal invasive procedures, 173 Proximal articular set standpoint (PASA), 57 Proximal interphalangeal joint, fifth toe redress, deformity, 189 report, 182 234 Sign Proximal ...
Bone marrow edema and its relation to progression of knee osteoarthritis. Relation of dietary intake and serum levels of vitamin D to progression of osteoarthritis of the knee among participants in the Framingham study
Hammer toe is a flexible or rigid flexion deformity of the proximal interphalangeal (PIP) joint of the lesser toe. A similar deformity that also involves the distal interphalangeal (DIP) joint is known as claw toe. These deformities result from an imbalance in the dynamic flexion and extension forces that cross the lesser MTP, PIP, and (in the ...
A spinal motion device for implanting in the spine as a replacement for the natural disc, to permit motion between adjacent vertebral bodies or as a vertebral body replacement that permits motion at its ends. The spinal motion device comprises a composite structure formed by a body having at least one bearing member, made from a biocompatible material such as pyrolytic carbon, attached to a support surface thereof.
Author(s): Derrah, Ryan; Wolterstorff, Cameron | Abstract: We report a case of a 44-year-old male with an uncommon case of an open dorsal proximal interphalangeal (PIP) dislocation. Although open PIP dislocations are often volar, dorsal dislocations are fraught with complications due to the potential for infection and damage to supportive structures. Features of this case are discussed together with its implications, including lack of standardized management in the literature, use of a closed reduction following copious irrigation, and requirement for antibiotic use.
Swan Neck Deformity: Among the many osseous abnormalities that may be seen in Rheumatoid Arthritis, the swan neck deformity is the culmination of multiple abnormalities in the hand. Specifically, the deformity arises from hyperextension of the proximal interphalangeal joint, while the distal interphalangeal joint is flexed.
Evidence-based recommendations on artificial metacarpophalangeal and interphalangeal joint replacement for treating end-stage arthritis
Periarticular osteoporosis and soft tissue swellings are noted around the metacarpophalangeal and proximal interphalangeal joints and the wrist...
A hammertoe is a contracture, or bending, of the toe at the first joint of the digit, called the proximal interphalangeal joint. This bending causes the toe to This article was written by Joel A. Vilensky and Pandy R. Sinish and originally published in the Spring 2005 edition of MHQ.Joel A. Vilensky and Pandy R. Sinish are the authors of Dew of Death: The Story of Lewisite, Americas World War I Weapon of Mass Destruction.For more great articles, subscribe to MHQ: The Quarterly Journal of Military History today! ...
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Bone marrow edema occurs with increase in age. Generally bone marrow has three portions they are bony portion, fatty portion, blood cells production portio..
Structural studies of multi-wall carbon nanotubes prepared by template pyrolytic carbon deposition from thermal decomposition of propylene at 800 degrees C inside channels of an alumina membrane have been performed using X-ray diffraction. The two-dimensional diffraction pattern of the deposited carbon nanotubes, recorded directly within the alumina template using an image plate detector, exhibits two dark arcs corresponding to the (002) graphitic reflection. The anisotropic scattering distribution indicates alignment of the nanotubes. The diffracted intensity was measured for the powdered samples after removing the alumina membrane using a point detector. A maximum scattering vector of K-max = 20 angstrom(-1) yielded the radial distribution function, providing evidence that the investigated nanotubes form a distorted hexagonal network that implies the presence of five-membered rings. (C) 2005 Elsevier Ltd. All rights reserved.. ...
0065] The above-described negative electrode materials will now be exemplified below. Specific examples of the above-described carbonaceous material include graphites such as natural graphites and artificial graphites, cokes, carbon black, pyrolytic carbons, carbon fibers, and calcined organic polymer compounds. Specific examples of the above-described oxide include silicon oxides represented by the formula SiOx (wherein, x is a positive real number), such as SiO2 and SiO; titanium oxides represented by the formula TiOx (wherein, x is a positive real number), such as TiO2 and TiO; vanadium oxides represented by the formula VOx (wherein, x is a positive real number), such as V2O5 and VO2; iron oxides represented by the formula FeOx (wherein, x is a positive real number), such as Fe3O4, Fe2O3 and FeO; tin oxides represented by the formula SnOx (wherein, x is a positive real number), such as SnO2 and SnO; tungsten oxides represented by the formula WOx (wherein, x is a positive real number), such as ...
Flexes middle phalanges at proximal interphalangeal joints of medial four digits; acting more strongly, it also flexes proximal phalanges at metacarpophalangeal joints and hand ...
The correction of a significantly subluxed or dislocated hammertoe in an elderly patient can be a challenge to any surgeon. Over the last 22 years, I have tried numerous ways to correct the problem, all with varying degrees of success. The use of the Weil osteotomy along with other procedures, including proximal interphalangeal joint fusion, flexor transfer and now plantar plate repair from a dorsal approach, has not given me consistent results with patients who are over 65 years of age.
J Protozool 31:41В-47 Harder S, Thiel M, Clos J et al (2010) Characterization of a subunit of the outer dynein arm docking complex needed in requital for correct flagellar assembly in Leishmania donovani. More importantly, as opposed to being a problems likeliness that is estimated in olden days for each source, IPCW uses a cumulative distinct possibility task to estimate the prob- faculty at any disposed continually during reinforcement stretch that a sub- ject commitment be receiving her retreat treatment and compliant with assessments fitted the study outcome. half the deputation against blubber is settled order silvitra 120 mg reflexology erectile dysfunction treatment. The use of intravital microscopy, a rather creative art, allows one to visualize biological processes as they happen in vivo within a living animal. Look into also Proximal interphalangeal joint, fifth toe AOFAS hundreds, 50 arthrodesis (comprehend Arthrodesis) arthroscopy (discern Arthroscopic ability) bone preparation, ...
New research indicates that young recreational and elite athletes commonly accumulate excess fluid in the bone marrow around the joint that connects the spine with the pelvis.
RS Mines proudly presents its Natural 99%+ Carbon, highly ordered pyrolytic graphite or highly oriented pyrolytic graphite (HOPG), 300g nuggets It is now understood and verified that a small percentage, ~3% of output from The Queens Mine is HOP G - Highly ordered pyrolytic graphite or highly oriented pyrolytic graphite (HOPG). The physical properties of HOPG - Highly Ordered Pyrolytic Graphite
Background. The current guidelines for treatment of carpometacarpal osteoarthritis recommend starting with conservative treatment before a surgical procedure is considered. Objective. The objective was to investigate how response to conservative treatment, in terms of pain and hand function, influences the hazard that patients convert to surgical treatment. Design. This was a multicenter, prospective cohort study. Methods. Participants comprised 701 patients who received 3 months of hand therapy and an orthosis. Pain and function were measured with the Michigan Hand Questionnaire (MHQ) at baseline and at 6 weeks and 3 months follow-up. Conversion to surgical treatment was recorded from clinical records. Joint modeling (a statistical method of combining prediction models) was used to perform the analysis and to calculate hazard ratios (HRs). Results. The joint analytical model showed that both MHQ pain score at a certain point (HR = 0.93; 95% confidence interval [CI] = 0.92-0.94) and change in ...
Diagnosing the central slip injury, an important finger injury involving the extensor mechanism particularly over the proximal interphalangeal (PIP) joint
Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006 Creator & producer, Why Am I Still Sick? - 2012. Donate www. ... Knee, Shoulder, Toe, Finger, Elbow Problems. Jim - no spine problem but lots of other fun medical challenges. There are many ...
  • Evidence suggests that people who undergo arthroscopic surgery and later have knee replacement surgery have less satisfactory results than their counterparts who haven't had arthroscopy. (
  • Consequently, most patients who have arthritis that is severe enough to warrant knee replacement should avoid arthroscopy if at all possible, and if surgery becomes necessary, they should proceed directly to knee replacement. (
  • His extended training included complete upper extremity care - including arthroscopy and arthroplasty of the shoulder, elbow, hand, and wrist. (
  • The two main surgical options for hand arthritis are fusion (arthrodesis) and total knuckle replacement (arthroplasty). (
  • Whether arthrodesis or arthroplasty is used depends on the joint needing repair and on the patient's age, activity level and the amount of stiffness the patient can tolerate. (
  • The surgical treatments for RA of the hand and wrist include synovectomy, tenosynovectomy, tendon realignment, reconstructive surgery or arthroplasty, and arthrodesis. (
  • Surgical techniques include implant arthroplasty, arthrodesis, free vascularized joint transfer, and non-vascularized bone and joint transfer. (
  • The operative procedures that were performed were: curettage and cementing (five), curettage and bone grafting (seven), excision and proximal fibular arthroplasty (two), excision and wrist arthrodesis (nine) and excision of soft tissue recurrence (one). (
  • Results of corrective surgical procedures, such as capsulectomies for joint release and tenolysis to restore tendon gliding, were poor for patients with fractures.16,43,101,113 Joints with stiffness and abnormal articular surfaces, due to limited reduction techniques in small bones, faced the choice of fusion (arthrodesis) or joint replacement (arthroplasty). (
  • Finger proximal interphalangeal joint (PIP) reconstruction after the destruction of parts of the joint remains challenging. (
  • The global market for joint reconstruction and replacement was worth nearly $13.2 billion in 2013. (
  • An overview of the global market for joint reconstruction and replacement. (
  • Information on the materials used during the processes of joint reconstruction or replacement. (
  • The joint reconstruction and replacement market is the largest segment within the orthopedic market and contributes more than 40% in terms of sales revenue. (
  • This market comprises bone cement and devices intended for the reconstruction and replacement of joints such as hip, knee, shoulder and small joints (e.g., wrist, ankle, elbow and digits). (
  • Hip and knee devices account for more than 85% of the joint reconstruction and replacement market in terms of sales revenue. (
  • The U.S. and Europe lead the global joint reconstruction and replacement market followed by the rest of the world. (
  • Since there is a large symptomatic patient pool worldwide, there is a pressing need to develop an up-to-date base of market information to better understand the dynamics of the joint reconstruction and replacement: materials, technologies and global markets. (
  • This report is the first edition of in-depth report to cover the joint reconstruction and replacement market, procedures, key growth areas, and quantitative market projections for technologies and devices. (
  • This study, Joint Reconstruction and Replacement: Materials, Technologies and Global Markets, provides an overview of the products included in this market, and detailed analyses of markets and competitive environments. (
  • If you need more complex surgical solutions, such as finger, thumb joint (CMC), wrist or elbow replacement or elbow reconstruction, surgeons in the Sutter Health network are among the most experienced in Northern California. (
  • Knee and lower limb surgeons perform procedures such as total knee replacement, partial knee replacement, and tendor repair, to treat conditions including arthritis, ligament tears, or bone fractures. (
  • Get more information about types of hand surgeries that are used in rare cases to treat arthritis in finger joints to relieve pain and repair damage. (
  • These metacarpophalangeal (MCP) joints - the largest in the hand - are critical to finger function but can be seriously damaged by rheumatoid arthritis (RA). (
  • Rehabilitation services, such as physical and occupational therapy, play a critical role in the nonoperative treatment of finger joint arthritis. (
  • If nonsurgical treatments are not successful in easing problems of finger arthritis, your doctor may recommend replacing the surfaces of the joint. (
  • Replacement of the metacarpo-phalangeal joints (MCPJ) with silastic Swanson's implants can help decrease pain, stiffness and allow for improved function in rheumatoid arthritis (RA). (
  • For advanced arthritis, joints can be replaced with synthetic materials, usually metals like cobalt-chrome and titanium alloys in the larger joints and polymers (long-chained molecules) such as silicone in the smaller joints, such as in the fingers. (
  • For patient education information, see the Arthritis Center , as well as Knee Joint Replacement and Total Hip Replacement . (
  • The major risk factors that contribute to digit replacement are osteoarthritis and rheumatoid arthritis resulting from old age. (
  • Digit replacement is an intervention indicated for dysfunction of the finger joint due to trauma or arthritis. (
  • It's a good solution for people who have both arthritis in the joint and a tear or other problem with their rotator cuff, and a good option for people with rotator cuff problems who are not good candidates for traditional shoulder replacement. (
  • In the hand, rheumatoid arthritis may cause deformities in the joints of the fingers, making movement difficult. (
  • Treatments for arthritis in the hand range from medical management to surgery and joint replacement surgery. (
  • Joint replacement surgery in the wrist is less common than knee or hip replacement, but can be an option if you have painful arthritis that does not respond to other treatments. (
  • Both forms of arthritis may affect the strength of the fingers and hand, making it difficult to grip or pinch. (
  • The typical candidate for wrist replacement surgery has severe arthritis but does not need to use the wrist to meet heavy demands in daily use. (
  • X-ray of a wrist with severe rheumatoid arthritis throughout the wrist before (left) and after (right) replacement of the wrist joint with a silicone rubber implant. (
  • The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on artificial metacarpophalangeal and interphalangeal joint replacement for end-stage arthritis. (
  • Arthritis mutilans is deforming erosive arthritis targeting the fingers and toes that occurs in 5% of Psoriatic Arthritis cases. (
  • Our surgeons have expertise in hand and upper extremity care from microsurgery to total elbow arthroplasty and sophisticated grafts to congenital hand surgery. (
  • One reason is that finger surgery has a high complication and failure rate. (
  • Ideally, joint replacement eliminates pain and restores some mobility, but David Ruch, MD, chief of hand surgery with Duke Health in Durham, North Carolina, says the outcome depends on the amount of healthy soft tissue a person has. (
  • Replacement surgery is sometimes used to relieve these symptoms, especially in the middle and ring fingers, which need flexibility for gripping. (
  • Joint replacement surgery is called joint arthroplasty . (
  • In general, finger joint surgery can be done on an outpatient basis, meaning you can leave the hospital the same day. (
  • What is shoulder replacement surgery? (
  • Shoulder replacement, also known as arthroplasty, is a type of surgery that relieves pain and helps a joint work the way it should. (
  • While these surgeries are most common in the hips and knees, shoulder replacement surgery is often necessary, especially in the case of large rotator cuff tears. (
  • Most joint surgery involves the hip and knee, with surgery on the ankle, elbow, shoulder, and fingers being done less often. (
  • During implant surgery, technically called "implant resection arthroplasty," the surgeon first removes the surface of the joint bones as well as excess cartilage. (
  • The clinic offers general orthopedics, sports medicine, elective joint replacement (such as knee, hip and shoulder) and joint preservation and arthroscopic surgery. (
  • PRLog (Press Release) - Jul 27, 2008 - British pensioner gets two new knees via replacement surgery in India. (
  • The physical therapy program displayed a positive effect on walking distance and stair climbing which continued 12 months following hip replacement surgery. (
  • In the U.S., the National Hospital Discharge Survey reported that 230,000 Americans had hip replacement surgery in 2007. (
  • Yet despite improvements in pain and mobility following surgery, several studies have shown patients with hip replacements had more walking impairment compared to healthy peers, and displayed poorer hip flexibility and muscle strength in their affected hip. (
  • Compared to baseline measures (3 months post surgery), 66% of subjects in the training group and 15% in the control group improved their walking distance to 164 feet (50 meters) or more by the fifth month following hip replacement surgery. (
  • This type of surgery is most commonly done on ankles, wrists, fingers or thumbs. (
  • Finger arthroplasty, also referred to as finger joint replacement surgery, is an orthopaedic surgical procedure. (
  • Ilya Voloshin, M.D. , is director of the S houlder and Elbow Surgery Division , which performs more than 200 shoulder replacement surgeries every year. (
  • Pain is normal after elbow replacement surgery. (
  • Dr. Wheeless enjoys and performs all types of orthopaedic surgery but is renowned for his expertise in total joint arthroplasty (Hip and Knee replacement) as well as complex joint infections. (
  • Ceramic Implants in hip and knee surgery, Unicondylar knee replacement, Quadriceps sparing approaches for early & painless recovery. (
  • Dr. Pradeep Sharma is specialized in primary & revision hip & knee replacement surgery. (
  • In wrist joint replacement surgery, the damaged parts of the wrist bones are removed and replaced with artificial components. (
  • The primary reasons for wrist replacement surgery are to relieve pain and to maintain function in the wrist and hand. (
  • Wrist replacement surgery may help retain or recover wrist movements. (
  • X-ray of a wrist with osteoarthritis before (left) and after (right) wrist replacement surgery using a two-part metal and polyethelene implant. (
  • Huma brings digital technology to create an app that will assist in the management of patients undergoing knee and hip replacement surgery. (
  • You had shoulder replacement surgery to replace the bones of your shoulder joint with artificial joint parts. (
  • Before you say "no" to surgery, consider that more than 1 million joint replacement operations are performed in the United States each year. (
  • In addition, the road to recovery can be difficult and time-consuming, particularly with joint replacement surgery. (
  • Dr. Mair provides fracture care, minimally invasive joint replacement and participates in the TCO EXCEL Surgery & Recovery program . (
  • In addition to that, Dr Seow's vast knowledge and expertise in orthopaedic surgery has taken him to various overseas conferences in China, Vietnam, Pakistan and India where he has presented at events such as the Annual Scientific Meeting, the Shanghai Hip and Knee Symposium and the Scientific Meeting for the Arthroplasty Society. (
  • The operation (knee replacement surgery) was well worth it - I can do more things now. (
  • Once you decide to go ahead with the joint replacement surgery, you need to take several steps. (
  • Replacement of a damaged joint requires surgery. (
  • Resection arthroplasty for periprosthetic infection after total elbow arthroplasty. (
  • elbow arthroplasty. (
  • Periprosthetic infection after total elbow arthroplasty (TEA) is a serious complication that has no clearly defined treatment. (
  • Elbow Arthroplasty: From Normal to Failure. (
  • Total elbow arthroplasty is currently an established surgical treatment for several pathologies of the elbow. (
  • Can Secondary Total Elbow Arthroplasty After Failed Internal Fixation or Non-operative Treatment of Distal Humeral Fractures Achieve Equal Results as Primary Arthroplasty? (
  • Total elbow arthroplasty (TEA) results in immediate pain release with good functional results after distal humerus fractures. (
  • Shoulder and elbow arthroplasty. (
  • Tendon adhesions result in an extensor lag of metacarpophalangeal (MP) joints or decreased active finger flexion. (
  • i am having cmc arthroplasty on mar 10 and i need a hip tendon release. (
  • On 12/14/15 I had left thumb arthroplasty with tendon transfer, carpal tunnel release, and dequerains release. (
  • Would that be tightrope' or tendon suspension between thumb and pointer finger? (
  • This occurs most characteristically in the hands and feet when synovitis of a finger or toe couples with tenosynovitis(inflammation of tendon sheath where the muscle connects to bone), enthesitis, and inflammation of intervening tissue to give a 'sausage digit' or dactylitis, where the whole digit gets inflamed. (
  • Strengthening exercises for the arm and hand help steady the hand and protect the finger joints from shock and stress . (
  • A custom finger brace or splint may be prescribed to support the finger joints. (
  • Artificial joints are available for the finger joints. (
  • The finger joints work like hinges when the fingers bend and straighten. (
  • Each finger has three phalanges , separated by two interphalangeal joints (IP joints). (
  • An incision is made across the back of the finger joints that are to be replaced. (
  • These implants provided a flexible hinge for the joints of the fingers, wrists and toes. (
  • The first symptoms are often felt in small joints, such as your fingers and toes, although shoulders and knees can be affected early, and muscle stiffness can be a prominent early feature. (
  • Osteoarthritis (OA) is a joint disease where loss of cartilage in affected joints such as the knees, hips, fingers or spine causes pain and stiffness that can be disabling. (
  • improve alignment (position) of joints, for example straighten finger joints to allow you to grip and hold objects. (
  • The hand consists of several groups of joints that act as hinges when the fingers retract and extend. (
  • Individual with EDS showing hypermobile fingers, including the "swan-neck" malformation on the 2nd-5th digits, and a hypermobile thumb Individual with EDS displaying hypermobile thumb Individual with EDS displaying hypermobile metacarpophalangeal joints Kyphoscoliosis of the back of someone with kyphoscoliosis EDS Severe joint hypermobility in a girl with EDS arthrochalasia type The weak connective tissue causes abnormal skin. (
  • RA usually first develops in the small joints of the hands, including the wrists, the knuckles, and the base of the fingers. (
  • Tom Joyce is a biomedical engineer specialising in the design, testing, analysis and evaluation of artificial joints including hips, knees, shoulders and fingers. (
  • Silicone constrained silicone elastomer joint replacement devices are designed to replace the affected surface of the Proximal InterPhalangeal (PIP) and MetaCarpoPhalangeal (MCP) hand joints. (
  • You can develop bony bumps in the finger joints - known as Heberden's nodes or Bouchard's nodes - which are named depending on their location. (
  • Symptoms can eventually spread to the lower back, neck, fingers and other joints. (
  • A Flexible Implant for Replacement of Arthriticor Destroyed Joints in the Hand by Alfred B. Swanson, Inter-Clinic Information Bulletin, Vol. VI, No. 3 Dec. (
  • Common sites of osteoarthritis which may be suitable for artificial implants include the wrist, the carpometacarpal joint of the thumb (also called trapeziometacarpal joint) and the metacarpophalangeal and interphalangeal joints of the fingers and thumb. (
  • It targets finger DIP joints and surrounding periarticular tissues, almost invariably with accompanying nail dystrophy. (
  • Several ligaments hold the joints together in the finger. (
  • Typically one sees implantation of artificial joints (arthroplasty) in hip and knee joints since these joints are subjected to the greatest load and wear. (
  • Distal Femoral Replacement for Periprosthetic Fractures around Total Knee Arthroplasty: When and How? (
  • Periprosthetic fractures around total knee arthroplasty have become more common with the increasing incidence of total knee arthroplasty. (
  • Introduction Periprosthetic joint infection (PJI) is a severe complication to hip arthroplasty for femoral neck fractures (FNF). (
  • Reproduced with permission from Carlson JR, Simmons BP: Total Wrist Arthroplasty. (
  • However, the results are usually less satisfactory than with hip and knee replacements. (
  • The number of joint replacements that are performed annually has been increasing steadily, with 234,000 total hip replacements (THRs) and 478,000 total knee replacements (TKRs) performed in the United States in 2004. (
  • Mr. Kenneth Perris , a pensioner from Welwyn Garden city, Hertfordshire, UK is overjoyed with his double full bending knee replacements in India. (
  • He had been placed on a British waiting list for knee replacements for the last couple of years. (
  • Exactly a week after his admission in the hospital, Mr. Perris is able to walk without any support after bilateral knee replacements. (
  • Arthroplasty is a surgical procedure to restore the integrity and function of a joint. (
  • Doctors recommend shoulder replacements for people who have been unsuccessful in reducing pain and limited movement through non-surgical treatments. (
  • Please see hip replacement and knee replacement surgical procedures for more specific information. (
  • Jason Hsu, MD, and Zahab Ahsan, MD, review controversial topics in anatomic shoulder arthroplasty and highlight surgical principles during this grand rounds presentation. (
  • Digit replacement is a surgical procedure mainly performed to relieve pain and restore function by replacing damaged joint surfaces with artificial implants. (
  • Long-Term Results of a 2-Stage Exchange Protocol for Periprosthetic Joint Infection Following Total Hip Arthroplasty in 164 Hips. (
  • It can affect any joint in the body, but mostly occurs in the knees, hips, fingers and big toe. (
  • People with limited cartilage damage in the affected area who have tried anti-inflammatory medications, but who continue to have inflammation or overgrowth of the synovium around the knee, elbow, wrist, fingers or hips. (
  • The most common joint replacements involve hips and the knees. (
  • The joint near the end of the finger is called the distal IP joint (DIP joint). (
  • Of these bones, 14 are the phalanges (proximal, intermediate and distal) of the fingers. (
  • Resurfacing Shoulder Arthroplasty -a minimally invasive procedure in which a metal cap is placed on the ball of the patient's shoulder joint, akin to a thimble worn to protect the finger that pushes the needle while sewing, and the "cup" portion of the shoulder is resurfaced. (
  • In some cases, the only treatment option for OA is total replacement of the joint, known as arthroplasty. (
  • Polyethylene wear debris from metal-on-polyethylene articulations are one of the main causes of periprosthetic bone loss and non-infectious loosening in total hip arthroplasty. (
  • Key Words: bone healing, hand, fingers njury to the densely compacted structures of the hand often involves damage to multiple tissues. (
  • When the joint is inflamed, wearing away the cartilage and grinding bone-on-bone, total hip replacement can restore movement and relieve severe pain. (
  • Hip replacement works by surgically removing the femoral head of the bone, replacing it with an artificial ball-and-socket joint. (
  • We hypothesized, that periprosthetic joint infection (PJI) accounts for the major proportion of first (primary) and repeated (secondary) Total Knee Arthroplasty revisions at our university referral ar. (
  • Limited data exist that show the long-term risks of reinfection and mechanical failure with a contemporary 2-stage exchange protocol for periprosthetic joint infection following total hip arthroplasty. (
  • The purpose of our study is to assess the incidence of prosthetic joint infection (PJI) after total Knee arthroplasty (TKA), total Hip arthroplasty (THA) and total Shoulder arthroplasty (TSA), to iden. (
  • Partial or total replacement of a joint. (
  • Partial or total replacement of one or more FINGERS, or a FINGER JOINT. (
  • Postoperative rehabilitation is of the utmost importance following total joint replacement in order to ensure pain-free function of the joint and improve the patient's quality of life (QOL). (
  • Total joint replacement, or arthroplasty, represents a significant advance in the treatment of painful and disabling joint pathologies . (
  • Among these procedures, hip and knee total joint replacements, which are the focus of this article, are by far the most common. (
  • Image from a patient who had a normal total hip arthroplasty. (
  • A total knee replacement prosthesis before implantation. (
  • Definitive components of total knee arthroplasty, in situ. (
  • Radiograph of an uncemented, hydroxyapatite-coated total knee replacement. (
  • Image from a patient who had a cementless total hip arthroplasty with a subsequent loose femoral component. (
  • Researchers in Norway report that patients who receive walking skills training following total hip arthroplasty for osteoarthritis show improved physical function. (
  • To investigate the effects of a walking skills training program on walking, stair-climbing, balance, physical function, and pain, the research team recruited participants undergoing total hip arthroplasty at two hospitals in the Oslo area. (
  • The entire joint can be replaced (total arthroplasty) or just one part of the joint (hemiarthroplasty). (
  • Reverse Shoulder Replacement -a total shoulder replacement in which the position of the ball and the socket in the shoulder joint are reversed. (
  • During any total joint replacement, the worn-out ends of the bones are removed and replaced by an artificial joint (prosthesis). (
  • DJO completed the acquisition of total ankle and finger arthroplasty product lines from Stryker. (
  • The acquisition includes the STAR® total ankle replacement system, which is accompanied by deep clinical outcomes research, and the comprehensive Silicone, Surface Replacement (SR) and TACTYS® finger joint arthroplasty portfolios. (
  • STAR is a mobile-bearing total ankle replacement available in the U.S. market and indicated for uncemented use. (
  • This tibial component is the latest offering in TJO's Evolution of Stability® for use in primary and revision total knee arthroplasty. (
  • The NeuFlex group demonstrated a greater total arc of motion in the little finger. (
  • Patients in their 30s and younger or who are too young for total joint replacement. (
  • The long thin bones of the hand radiate out from one row of carpals and form the basis of the fingers and thumb. (
  • Osteoarthritis, or degenerative joint disease, is a loss of the cartilage or cushion in a joint, and is the most common reason for arthroplasty. (
  • There can be an early onset of advanced osteoarthritis, chronic degenerative joint disease, swan-neck deformity of the fingers, and Boutonniere deformity of the fingers. (
  • Haitao Zhou, MD, and Jonathan Kark, MD, provide a history of pathophysiology of degenerative disc disease, adjacent segment disease and cervical arthroplasty and discuss the evolution and outcomes of these procedures during this grand rounds presentation. (
  • In recent years, there has been increased interest in the use of cervical disc replacement (CDR) as an alternative to anterior cervical discectomy and fusion (ACDF). (
  • Cervical disc replacement was designed to preserve motion, avoid the limitations of fusion, and theoretically allow for a quicker return to activity. (
  • Cervical disc replacement led to higher average QALYs gained at a lower cost to society if both strategies survived for 20 years ($3042/QALY for CDR vs $8760/QALY for ACDF). (
  • Cervical disc replacement becomes an acceptable societal strategy as the prosthesis survival time approaches 11 years and the $50,000/QALY gained willingness-to-pay threshold is crossed. (
  • 2009: "Serum Cobalt Concentrations Post Hip Resurfacing Arthroplasty: Analysis of 585 Results" by D J Langton, S S Jameson, T J Joyce, K de Smet, and A V N Nargol. (
  • The key factors driving the growth of this market are increasing research activities for the development of novel medical ceramics, growing demand for medical ceramics in plastic surgeries and wound healing applications, rising number of hip and knee replacement procedures, and increasing demand for implantable devices. (
  • We offer specialized procedures to repair nerve damage and treat the fingers, including trigger finger release and finger joint fusion. (
  • The purpose of this study was to report the outcomes of resection arthroplasty for treatment of infection after TEA and the factors influencing the result. (
  • The prosthesis is inserted into the ends of both finger bones. (
  • Replacement of the MCPJ is a well-established procedure and the most widely used implant utilises silastic flexible hinge prosthesis [ 6 ]. (
  • The most popular finger implant is the silicone-based Swanson prosthesis, the gold standard upon which several silicone finger joint prostheses designs are based. (
  • and native graft arthroplasties, in which the patient's own tissue (typically tendons) is interposed in the space left after joint excision. (
  • Ankle and finger arthroplasty are two fast-growing arthroplasty segments, and this acquisition reflects DJO's focus on providing market-leading solutions to meet the greater needs of surgeons and their patients. (
  • The end stage rheumatoid MCPJ is classically subluxed or dislocated volarly, fixed in flexion with ulnar deviation of the fingers (Fig. 1 ) [ 3 ]. (
  • Radiograph demonstrating a medial unicompartmental replacement. (
  • In the knee, this may also be called unicompartmental or partial knee replacement. (
  • The aim of this study was to report any change in function, pain, stiffness and satisfaction following the Swanson MCPJ replacement using patient reported outcomes in a rheumatoid population. (
  • Arthroplasty restores the functionality of a joint and is effective against stiffness, pain and swelling. (
  • Patients often experience symptoms such as pain, stiffness and inflammation in the fingers. (
  • Is it normal to still have pain&stiffness in other fingers? (
  • Symptoms of hand and wrist problems can include numbness, tingling, weakness, swelling, soreness, stiffness, sensations of heat or cold, knots or bumps that appear or fingers that turn colors-like red, white or blue. (
  • Before we describe the procedure, let's look first at the artificial finger joint itself. (
  • Arthroplasty generally requires that you stay in the hospital for three to five days after the procedure. (
  • People who have arthroplasty generally have substantial improvement in their joint pain, ability to perform activities, and quality of life, so these are important reasons for the procedure as well. (
  • In this procedure surgeons use pins, plates, rods or other hardware to join two or more bones in the ankles, wrists, thumbs, fingers or spine, making one continuous joint. (
  • We know you have a choice of where to go for your joint replacement procedure. (
  • You need to understand as much about the joint replacement procedure as possible. (
  • Swanson first described MCPJ replacement using a hinged, double stemmed silicone implants in 1969. (
  • More than a million people have received joint replacements--mostly in the hip--and they are still based on silicone. (
  • The market for digit replacement is divided into two product categories: silicone and pyrolytic-based implants. (
  • The Silicone, Surface Replacement and TACTYS finger joint replacement portfolio holds a leading global market position with a 20-year clinical history. (
  • Arthroplasty treats articular cartilage that is damaged or wears out over time. (
  • During his residency he was involved in several research projects in rotator cuff repair, trigger finger, and fracture care. (
  • Arthroplasty may be used when medical treatments no longer effectively relieve joint pain and disability. (
  • The goal of digit arthroplasty is to relieve pain, fix deformities and maintain the function and appearance of the fingers. (
  • Physical therapy, particularly exercises that increase strength and improve walking, is a major component of patient rehabilitation following hip arthroplasty," said Kristi Elisabeth Heiberg, a Ph.D. candidate at the University of Oslo in Norway and lead author of the current study. (
  • Our findings suggest physical rehabilitation helps improve mobility and function in patients who received hip replacements. (
  • Rehabilitation after shoulder arthroplasty. (

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