Prostheses used to partially or totally replace a human or animal joint. (from UMDNS, 1999)
Types of prosthetic joints in which both wear surfaces of the joint coupling are metallic.
Infections resulting from the implantation of prosthetic devices. The infections may be acquired from intraoperative contamination (early) or hematogenously acquired from other sites (late).
Replacement for a knee joint.
Partial or total replacement of a joint.
Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.
Replacement for a hip joint.
The plan and delineation of prostheses in general or a specific prosthesis.
Also known as articulations, these are points of connection between the ends of certain separate bones, or where the borders of other bones are juxtaposed.
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.
Rigid, semi-rigid, or inflatable cylindric hydraulic devices, with either combined or separate reservoir and pumping systems, implanted for the surgical treatment of organic ERECTILE DYSFUNCTION.
A device that substitutes for a heart valve. It may be composed of biological material (BIOPROSTHESIS) and/or synthetic material.
A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA.
Prosthetic replacements for arms, legs, and parts thereof.
Artificial device such as an externally-worn camera attached to a stimulator on the RETINA, OPTIC NERVE, or VISUAL CORTEX, intended to restore or amplify vision.
Surgical insertion of a prosthesis.
The fitting and adjusting of artificial parts of the body. (From Stedman's, 26th ed)
Medical devices which substitute for a nervous system function by electrically stimulating the nerves directly and monitoring the response to the electrical stimulation.
'Joint diseases' is a broad term that refers to medical conditions causing inflammation, degeneration, or functional impairment in any part of a joint, including the cartilage, bone, ligament, tendon, or bursa, thereby affecting movement and potentially causing pain, stiffness, deformity, or reduced range of motion.
An implant used to replace one or more of the ear ossicles. They are usually made of plastic, Gelfoam, ceramic, or stainless steel.
An artificial replacement for one or more natural teeth or part of a tooth, or associated structures, ranging from a portion of a tooth to a complete denture. The dental prosthesis is used for cosmetic or functional reasons, or both. DENTURES and specific types of dentures are also available. (From Boucher's Clinical Dental Terminology, 4th ed, p244 & Jablonski, Dictionary of Dentistry, 1992, p643)
The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS.
The articulation between the head of one phalanx and the base of the one distal to it, in each finger.
A prosthesis that gains its support, stability, and retention from a substructure that is implanted under the soft tissues of the basal seat of the device and is in contact with bone. (From Boucher's Clinical Dental Terminology, 4th ed)
Surgical insertion of synthetic material to repair injured or diseased heart valves.
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.
'Amputee' is a medical term used to describe an individual who has undergone the surgical removal of a limb or extremity, such as an arm, leg, foot, or hand, due to various reasons like trauma, disease, or congenital defects.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
A prosthetic appliance for the replacement of areas of the maxilla, mandible, and face, missing as a result of deformity, disease, injury, or surgery. When the prosthesis replaces portions of the mandible only, it is referred to as MANDIBULAR PROSTHESIS.
A device, activated electronically or by expired pulmonary air, which simulates laryngeal activity and enables a laryngectomized person to speak. Examples of the pneumatic mechanical device are the Tokyo and Van Hunen artificial larynges. Electronic devices include the Western Electric electrolarynx, Tait oral vibrator, Cooper-Rand electrolarynx and the Ticchioni pipe.
A ready-made or custom-made prosthesis of glass or plastic shaped and colored to resemble the anterior portion of a normal eye and used for cosmetic reasons. It is attached to the anterior portion of an orbital implant (ORBITAL IMPLANTS) which is placed in the socket of an enucleated or eviscerated eye. (From Dorland, 28th ed)
Surgical insertion of cylindric hydraulic devices for the treatment of organic ERECTILE DYSFUNCTION.
The articulations between the various TARSAL BONES. This does not include the ANKLE JOINT which consists of the articulations between the TIBIA; FIBULA; and TALUS.
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).
Coloring, shading, or tinting of prosthetic components, devices, and materials.
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 articulation between the head of the HUMERUS and the glenoid cavity of the SCAPULA.
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 sac enclosing a joint. It is composed of an outer fibrous articular capsule and an inner SYNOVIAL MEMBRANE.
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.
Replacement of the knee joint.
The plan and delineation of dental prostheses in general or a specific dental prosthesis. It does not include DENTURE DESIGN. The framework usually consists of metal.
The immovable joint formed by the lateral surfaces of the SACRUM and ILIUM.
Prosthesis, usually heart valve, composed of biological material and whose durability depends upon the stability of the material after pretreatment, rather than regeneration by host cell ingrowth. Durability is achieved 1, mechanically by the interposition of a cloth, usually polytetrafluoroethylene, between the host and the graft, and 2, chemically by stabilization of the tissue by intermolecular linking, usually with glutaraldehyde, after removal of antigenic components, or the use of reconstituted and restructured biopolymers.
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.
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.
Polymers of silicone that are formed by crosslinking and treatment with amorphous silica to increase strength. They have properties similar to vulcanized natural rubber, in that they stretch under tension, retract rapidly, and fully recover to their original dimensions upon release. They are used in the encapsulation of surgical membranes and implants.
Replacement of the hip joint.
The properties, processes, and behavior of biological systems under the action of mechanical forces.
Holding a PROSTHESIS in place.
A naturally occurring glucocorticoid. It has been used in replacement therapy for adrenal insufficiency and as an anti-inflammatory agent. Cortisone itself is inactive. It is converted in the liver to the active metabolite HYDROCORTISONE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p726)
Forceful administration into a muscle of liquid medication, nutrient, or other fluid through a hollow needle piercing the muscle and any tissue covering it.
Methods of delivering drugs into a joint space.
Adrenal cortex hormones are steroid hormones produced by the outer portion of the adrenal gland, consisting of glucocorticoids, mineralocorticoids, and androgens, which play crucial roles in various physiological processes such as metabolism regulation, stress response, electrolyte balance, and sexual development and function.
Introduction of substances into the body using a needle and syringe.
A glucocorticoid given, as the free alcohol or in esterified form, orally, intramuscularly, by local injection, by inhalation, or applied topically in the management of various disorders in which corticosteroids are indicated. (From Martindale, The Extra Pharmacopoeia, 30th ed, p739)
An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions.

Mechanical considerations in impaction bone grafting. (1/469)

In impaction grafting of contained bone defects after revision joint arthroplasty the graft behaves as a friable aggregate and its resistance to complex forces depends on grading, normal load and compaction. Bone mills in current use produce a distribution of particle sizes more uniform than is desirable for maximising resistance to shear stresses. We have performed experiments in vitro using morsellised allograft bone from the femoral head which have shown that its mechanical properties improve with increasing normal load and with increasing shear strains (strain hardening). The mechanical strength also increases with increasing compaction energy, and with the addition of bioglass particles to make good the deficiency in small and very small fragments. Donor femoral heads may be milled while frozen without affecting the profile of the particle size. Osteoporotic femoral heads provide a similar grading of sizes, although fewer particles are obtained from each specimen. Our findings have implications for current practice and for the future development of materials and techniques.  (+info)

Total joint replacement: implication of cancelled operations for hospital costs and waiting list management. (2/469)

OBJECTIVE: To identify aspects of provision of total joint replacements which could be improved. DESIGN: 10 month prospective study of hospital admissions and hospital costs for patients whose total joint replacement was cancelled. SETTING: Information and Waiting List Unit, Musgrave Park Regional Orthopaedic Service, Belfast. PATIENTS: 284 consecutive patients called for admission for total joint replacement. MAIN MEASURES: Costs of cancellation of operation after admission in terms of hotel and opportunity costs. RESULTS: 28(10%) planned operations were cancelled, 27 of which were avoidable cancellations. Five replacement patients were substituted on the theatre list, leaving 22(8%) of 232 operating theatre opportunities unused. Patients seen at assessment clinics within two months before admission had a significantly higher operation rate than those admitted from a routine waiting list (224/232(97%) v 32/52(62%), x2 = 58.6, df = 1; p < 0.005). Mean duration of hospital stay in 28 patients with cancelled operations was 1.92 days. Operating theatre opportunity costs were 73% of the total costs of cancelled total joint replacements. CONCLUSION: Patients on long waiting lists for surgery should be reassessed before admission to avoid wasting theatre opportunities, whose cost is the largest component of the total costs of cancelled operations.  (+info)

Extensible endoprostheses of the humerus after resection of bone tumours. (3/469)

We carried out extensible endoprosthetic replacement of the proximal or total humerus in 18 children aged between six and 12 years, after resection of primary bone tumours mainly for osteosarcoma and Ewing's sarcoma. In 11 patients we performed 44 lengthening procedures, with an average of two per child annually and a mean total extension of 29.9 mm per patient. We were able to achieve lengthening of the operated limb with few complications and a mean functional rating of 79.3% according to the Enneking system. Progressive lengthening of these prostheses does not adversely affect the overall function of the arm, and superior subluxation of the head of the prosthesis has not been a problem.  (+info)

Screening for Staphylococcus epidermidis markers discriminating between skin-flora strains and those responsible for infections of joint prostheses. (4/469)

Fifty-four Staphylococcus epidermidis strains responsible for infections of joint prostheses and 23 strains isolated from skin flora were studied for markers of virulence, to discriminate invasive strains from normal flora. They were screened for binding to polystyrene and matrix proteins and for the presence of staphylococcal genes involved in adhesion. The ica operon involved in biofilm formation was the only marker discriminating between these 2 categories of strains.  (+info)

Silicone lymphadenopathy mimicking a lymphoma in a patient with a metatarsophalangeal joint prosthesis. (5/469)

With lymph node enlargement, the possibility of a malignant process such as metastatic carcinoma or lymphoma needs to be excluded. This report describes a 47 year old woman with inguinal lymph node enlargement initially suspicious for lymphoma. Fine needle aspiration findings favoured reactive hyperplasia, but a malignant process could not be excluded. The final histological diagnosis was a foreign body granulomatous inflammatory response as a result of regionally disseminated silicone particles from an over looked metatarsophalangeal joint prosthesis. Because of the large number of joint prostheses world wide, it should be kept in mind that migration of wear particles can create granulomatous inflammation and node enlargement.  (+info)

The management of local complications of total hip replacement by the McKee-Farrar technique. (6/469)

One thousand and forty-two McKee-Farrar prostheses of the present design inserted in Norwich from January 1965 to December 1972 have been reviewed retrospectively to determine the incidence of complications needing revision. Of prostheses implanted for more than two years, 6-6 per cent needed revision for loosening (cup 3-5 per cent; stem 2-2 per cent; both components 0-9 per cent). Of the total number, 2-3 per cent became infected and 1-9 per cent dislocated. Most dislocations needed only a single closed reduction but 0-8 per cent were revised. The outcome of revision operations was also assessed. Of revisions for loosening, 40 per cent needed no further operation but 23 per cent required excision; pelvic fracture or bone destruction around the components made success unlikely. Revisions for dislocation were disappointing. Of all revisions 17 per cent became infected. Excision arthroplasty is better than a series of failed revisions in an elderly patient.  (+info)

The Walldius hinge arthroplasty. (7/469)

Eighty-three Walldius arthroplasties, performed by one surgeon as salvage operation on the knee joint between 1966 and 1972, were independently reviewed. The fifty-seven living patients with sixty-seven arthroplasties were interviewed and examined and the clinical records of the deceased patients were inspected. Sixty-seven arthroplasties (81 per cent) were successful and sixteen failed (19 per cent). Acrylic cement was used to secure the prosthesis on eight occasions only. There were two primary infections (2-4 per cent) and two delayed (2-4 per cent). Major loosening occurred in three arthroplasties (3-6 per cent). Minor loosening was compatible with a good result. Arthrodesis was successful on the two occasions on which it became necessary to remove the implant. There were no disasters. On the basis of these results it is considered that the Walldius arthroplasty can justifiably be offered as an alternative to primary arthrodesis of the knee.  (+info)

Link arthroplasty of the metacarpo-phalangeal joints. A preliminary report of a new method. (8/469)

Link arthroplasty is a system of joint replacement in which the joint is left almost intact with no great removal of bone. It is based on a two-piece self-locking hinge slotted into the metacarpal head and phalangeal shaft. The operation is simple and no special instruments are needed. The preliminary follow-up of fifty-four metacarpo-phalangeal joint replacements showed thirty-five good and sixteen fair results.  (+info)

A joint prosthesis, also known as an artificial joint or a replacement joint, is a surgical implant used to replace all or part of a damaged or diseased joint. The most common types of joint prostheses are total hip replacements and total knee replacements. These prostheses typically consist of a combination of metal, plastic, and ceramic components that are designed to replicate the movement and function of a natural joint.

Joint prostheses are usually recommended for patients who have severe joint pain or mobility issues that cannot be adequately managed with other treatments such as physical therapy, medication, or lifestyle changes. The goal of joint replacement surgery is to relieve pain, improve joint function, and enhance the patient's quality of life.

Joint prostheses are typically made from materials such as titanium, cobalt-chrome alloys, stainless steel, polyethylene plastic, and ceramics. The choice of material depends on a variety of factors, including the patient's age, activity level, weight, and overall health.

While joint replacement surgery is generally safe and effective, there are risks associated with any surgical procedure, including infection, blood clots, implant loosening or failure, and nerve damage. Patients who undergo joint replacement surgery typically require several weeks of rehabilitation and physical therapy to regain strength and mobility in the affected joint.

A Metal-on-Metal (MoM) joint prosthesis is a type of artificial joint replacement where both the ball and socket components are made of metal materials, typically cobalt-chromium alloys. This design was initially developed to offer increased durability, reduced wear, and improved range of motion compared to other types of joint prostheses. However, recent studies have raised concerns about potential adverse effects such as metallosis (metal debris accumulation in the tissue), local soft-tissue reactions, and elevated metal ion levels in the bloodstream, which may lead to systemic health issues. As a result, the use of MoM joint prostheses has become less common in recent years.

Prosthesis-related infections, also known as prosthetic joint infections (PJIs), are infections that occur around or within a prosthetic device, such as an artificial joint. These infections can be caused by bacteria, fungi, or other microorganisms and can lead to serious complications if not treated promptly and effectively.

Prosthesis-related infections can occur soon after the implantation of the prosthetic device (early infection) or months or even years later (late infection). Early infections are often caused by bacteria that enter the surgical site during the procedure, while late infections may be caused by hematogenous seeding (i.e., when bacteria from another source spread through the bloodstream and settle in the prosthetic device) or by contamination during a subsequent medical procedure.

Symptoms of prosthesis-related infections can include pain, swelling, redness, warmth, and drainage around the affected area. In some cases, patients may also experience fever, chills, or fatigue. Diagnosis typically involves a combination of clinical evaluation, laboratory tests (such as blood cultures, joint fluid analysis, and tissue biopsy), and imaging studies (such as X-rays, CT scans, or MRI).

Treatment of prosthesis-related infections usually involves a combination of antibiotics and surgical intervention. The specific treatment approach will depend on the type and severity of the infection, as well as the patient's overall health status. In some cases, it may be necessary to remove or replace the affected prosthetic device.

A knee prosthesis, also known as a knee replacement or artificial knee joint, is a medical device used to replace the damaged or diseased weight-bearing surfaces of the knee joint. It typically consists of three components: the femoral component (made of metal) that fits over the end of the thighbone (femur), the tibial component (often made of metal and plastic) that fits into the top of the shinbone (tibia), and a patellar component (usually made of plastic) that replaces the damaged surface of the kneecap.

The primary goal of knee prosthesis is to relieve pain, restore function, and improve quality of life for individuals with advanced knee joint damage due to conditions such as osteoarthritis, rheumatoid arthritis, or traumatic injuries. The procedure to implant a knee prosthesis is called knee replacement surgery or total knee arthroplasty (TKA).

Arthroplasty, replacement, is a surgical procedure where a damaged or diseased joint surface is removed and replaced with an artificial implant or device. The goal of this surgery is to relieve pain, restore function, and improve the quality of life for patients who have severe joint damage due to arthritis or other conditions.

During the procedure, the surgeon removes the damaged cartilage and bone from the joint and replaces them with a metal, plastic, or ceramic component that replicates the shape and function of the natural joint surface. The most common types of joint replacement surgery are hip replacement, knee replacement, and shoulder replacement.

The success rate of joint replacement surgery is generally high, with many patients experiencing significant pain relief and improved mobility. However, as with any surgical procedure, there are risks involved, including infection, blood clots, implant loosening or failure, and nerve damage. Therefore, it's essential to discuss the potential benefits and risks of joint replacement surgery with a healthcare provider before making a decision.

Prosthesis failure is a term used to describe a situation where a prosthetic device, such as an artificial joint or limb, has stopped functioning or failed to meet its intended purpose. This can be due to various reasons, including mechanical failure, infection, loosening of the device, or a reaction to the materials used in the prosthesis.

Mechanical failure can occur due to wear and tear, manufacturing defects, or improper use of the prosthetic device. Infection can also lead to prosthesis failure, particularly in cases where the prosthesis is implanted inside the body. The immune system may react to the presence of the foreign material, leading to inflammation and infection.

Loosening of the prosthesis can also cause it to fail over time, as the device becomes less stable and eventually stops working properly. Additionally, some people may have a reaction to the materials used in the prosthesis, leading to tissue damage or other complications that can result in prosthesis failure.

In general, prosthesis failure can lead to decreased mobility, pain, and the need for additional surgeries or treatments to correct the problem. It is important for individuals with prosthetic devices to follow their healthcare provider's instructions carefully to minimize the risk of prosthesis failure and ensure that the device continues to function properly over time.

A hip prosthesis, also known as a total hip replacement, is a surgical implant designed to replace the damaged or diseased components of the human hip joint. The procedure involves replacing the femoral head (the ball at the top of the thigh bone) and the acetabulum (the socket in the pelvis) with artificial parts, typically made from materials such as metal, ceramic, or plastic.

The goal of a hip prosthesis is to relieve pain, improve joint mobility, and restore function, allowing patients to return to their normal activities and enjoy an improved quality of life. The procedure is most commonly performed in individuals with advanced osteoarthritis, rheumatoid arthritis, or other degenerative conditions that have caused significant damage to the hip joint.

There are several different types of hip prostheses available, each with its own unique design and set of benefits and risks. The choice of prosthesis will depend on a variety of factors, including the patient's age, activity level, overall health, and specific medical needs. In general, however, all hip prostheses are designed to provide a durable, long-lasting solution for patients suffering from debilitating joint pain and stiffness.

Prosthesis design is a specialized field in medical device technology that involves creating and developing artificial substitutes to replace a missing body part, such as a limb, tooth, eye, or internal organ. The design process typically includes several stages: assessment of the patient's needs, selection of appropriate materials, creation of a prototype, testing and refinement, and final fabrication and fitting of the prosthesis.

The goal of prosthesis design is to create a device that functions as closely as possible to the natural body part it replaces, while also being comfortable, durable, and aesthetically pleasing for the patient. The design process may involve collaboration between medical professionals, engineers, and designers, and may take into account factors such as the patient's age, lifestyle, occupation, and overall health.

Prosthesis design can be highly complex, particularly for advanced devices such as robotic limbs or implantable organs. These devices often require sophisticated sensors, actuators, and control systems to mimic the natural functions of the body part they replace. As a result, prosthesis design is an active area of research and development in the medical field, with ongoing efforts to improve the functionality, comfort, and affordability of these devices for patients.

A joint is the location at which two or more bones make contact. They are constructed to allow movement and provide support and stability to the body during motion. Joints can be classified in several ways, including structure, function, and the type of tissue that forms them. The three main types of joints based on structure are fibrous (or fixed), cartilaginous, and synovial (or diarthrosis). Fibrous joints do not have a cavity and have limited movement, while cartilaginous joints allow for some movement and are connected by cartilage. Synovial joints, the most common and most movable type, have a space between the articular surfaces containing synovial fluid, which reduces friction and wear. Examples of synovial joints include hinge, pivot, ball-and-socket, saddle, and condyloid joints.

Prostheses: Artificial substitutes or replacements for missing body parts, such as limbs, eyes, or teeth. They are designed to restore the function, appearance, or mobility of the lost part. Prosthetic devices can be categorized into several types, including:

1. External prostheses: Devices that are attached to the outside of the body, like artificial arms, legs, hands, and feet. These may be further classified into:
a. Cosmetic or aesthetic prostheses: Primarily designed to improve the appearance of the affected area.
b. Functional prostheses: Designed to help restore the functionality and mobility of the lost limb.
2. Internal prostheses: Implanted artificial parts that replace missing internal organs, bones, or tissues, such as heart valves, hip joints, or intraocular lenses.

Implants: Medical devices or substances that are intentionally placed inside the body to replace or support a missing or damaged biological structure, deliver medication, monitor physiological functions, or enhance bodily functions. Examples of implants include:

1. Orthopedic implants: Devices used to replace or reinforce damaged bones, joints, or cartilage, such as knee or hip replacements.
2. Cardiovascular implants: Devices that help support or regulate heart function, like pacemakers, defibrillators, and artificial heart valves.
3. Dental implants: Artificial tooth roots that are placed into the jawbone to support dental prostheses, such as crowns, bridges, or dentures.
4. Neurological implants: Devices used to stimulate nerves, brain structures, or spinal cord tissues to treat various neurological conditions, like deep brain stimulators for Parkinson's disease or cochlear implants for hearing loss.
5. Ophthalmic implants: Artificial lenses that are placed inside the eye to replace a damaged or removed natural lens, such as intraocular lenses used in cataract surgery.

A penile prosthesis is a medical device that is implanted inside the penis to treat erectile dysfunction. It consists of a pair of inflatable or semi-rigid rods, which are surgically placed into the corpora cavernosa (the two sponge-like areas inside the penis that fill with blood to create an erection). The implant allows the person with ED to have a controlled and manual erection suitable for sexual intercourse. This is usually considered as a last resort when other treatments, such as medications or vacuum devices, have failed.

A heart valve prosthesis is a medical device that is implanted in the heart to replace a damaged or malfunctioning heart valve. The prosthetic valve can be made of biological tissue (such as from a pig or cow) or artificial materials (such as carbon or polyester). Its function is to allow for the proper directional flow of blood through the heart, opening and closing with each heartbeat to prevent backflow of blood.

There are several types of heart valve prostheses, including:

1. Mechanical valves: These are made entirely of artificial materials and have a longer lifespan than biological valves. However, they require the patient to take blood-thinning medication for the rest of their life to prevent blood clots from forming on the valve.
2. Bioprosthetic valves: These are made of biological tissue and typically last 10-15 years before needing replacement. They do not require the patient to take blood-thinning medication, but there is a higher risk of reoperation due to degeneration of the tissue over time.
3. Homografts or allografts: These are human heart valves that have been donated and preserved for transplantation. They have similar longevity to bioprosthetic valves and do not require blood-thinning medication.
4. Autografts: In this case, the patient's own pulmonary valve is removed and used to replace the damaged aortic valve. This procedure is called the Ross procedure and has excellent long-term results, but it requires advanced surgical skills and is not widely available.

The choice of heart valve prosthesis depends on various factors, including the patient's age, overall health, lifestyle, and personal preferences.

The knee joint, also known as the tibiofemoral joint, is the largest and one of the most complex joints in the human body. It is a synovial joint that connects the thighbone (femur) to the shinbone (tibia). The patella (kneecap), which is a sesamoid bone, is located in front of the knee joint and helps in the extension of the leg.

The knee joint is made up of three articulations: the femorotibial joint between the femur and tibia, the femoropatellar joint between the femur and patella, and the tibiofibular joint between the tibia and fibula. These articulations are surrounded by a fibrous capsule that encloses the synovial membrane, which secretes synovial fluid to lubricate the joint.

The knee joint is stabilized by several ligaments, including the medial and lateral collateral ligaments, which provide stability to the sides of the joint, and the anterior and posterior cruciate ligaments, which prevent excessive forward and backward movement of the tibia relative to the femur. The menisci, which are C-shaped fibrocartilaginous structures located between the femoral condyles and tibial plateaus, also help to stabilize the joint by absorbing shock and distributing weight evenly across the articular surfaces.

The knee joint allows for flexion, extension, and a small amount of rotation, making it essential for activities such as walking, running, jumping, and sitting.

Artificial limbs, also known as prosthetics, are artificial substitutes that replace a part or all of an absent extremity or limb. They are designed to restore the function, mobility, and appearance of the lost limb as much as possible. Artificial limbs can be made from various materials such as wood, plastic, metal, or carbon fiber, and they can be custom-made to fit the individual's specific needs and measurements.

Prosthetic limbs can be categorized into two main types: cosmetic and functional. Cosmetic prosthetics are designed to look like natural limbs and are primarily used to improve the appearance of the person. Functional prosthetics, on the other hand, are designed to help the individual perform specific tasks and activities. They may include features such as hooks, hands, or specialized feet that can be used for different purposes.

Advances in technology have led to the development of more sophisticated artificial limbs, including those that can be controlled by the user's nervous system, known as bionic prosthetics. These advanced prosthetic devices can provide a greater degree of mobility and control for the user, allowing them to perform complex movements and tasks with ease.

A visual prosthesis, also known as a retinal implant or bionic eye, is a medical device that aims to restore some functional vision in individuals who have severe visual impairment or blindness due to certain eye conditions such as retinitis pigmentosa or age-related macular degeneration.

The prosthesis works by electrically stimulating the remaining viable nerve cells in the retina, which then transmit the signals to the brain via the optic nerve. The device typically consists of a camera that captures visual information, a processor that converts the images into electrical signals, and an electrode array that is implanted onto the surface of the retina.

The electrical stimulation of the retinal cells creates patterns of light in the individual's visual field, allowing them to perceive shapes, edges, and movements. While the level of visual acuity achieved with current visual prostheses is still limited, they can significantly improve the quality of life for some individuals by enabling them to perform tasks such as recognizing objects, navigating their environment, and identifying facial expressions.

Prosthesis implantation is a surgical procedure where an artificial device or component, known as a prosthesis, is placed inside the body to replace a missing or damaged body part. The prosthesis can be made from various materials such as metal, plastic, or ceramic and is designed to perform the same function as the original body part.

The implantation procedure involves making an incision in the skin to create a pocket where the prosthesis will be placed. The prosthesis is then carefully positioned and secured in place using screws, cement, or other fixation methods. In some cases, tissue from the patient's own body may be used to help anchor the prosthesis.

Once the prosthesis is in place, the incision is closed with sutures or staples, and the area is bandaged. The patient will typically need to undergo rehabilitation and physical therapy to learn how to use the new prosthesis and regain mobility and strength.

Prosthesis implantation is commonly performed for a variety of reasons, including joint replacement due to arthritis or injury, dental implants to replace missing teeth, and breast reconstruction after mastectomy. The specific procedure and recovery time will depend on the type and location of the prosthesis being implanted.

Prosthesis fitting is the process of selecting, designing, fabricating, and fitting a prosthetic device to replace a part of an individual's body that is missing due to congenital absence, illness, injury, or amputation. The primary goal of prosthesis fitting is to restore the person's physical function, mobility, and independence, as well as improve their overall quality of life.

The process typically involves several steps:

1. Assessment: A thorough evaluation of the patient's medical history, physical condition, and functional needs is conducted to determine the most appropriate type of prosthesis. This may include measurements, castings, or digital scans of the residual limb.

2. Design: Based on the assessment, a customized design plan is created for the prosthetic device, taking into account factors such as the patient's lifestyle, occupation, and personal preferences.

3. Fabrication: The prosthesis is manufactured using various materials, components, and techniques to meet the specific requirements of the patient. This may involve the use of 3D printing, computer-aided design (CAD), or traditional handcrafting methods.

4. Fitting: Once the prosthesis is fabricated, it is carefully fitted to the patient's residual limb, ensuring optimal comfort, alignment, and stability. Adjustments may be made as needed to achieve the best fit and function.

5. Training: The patient receives training on how to use and care for their new prosthetic device, including exercises to strengthen the residual limb and improve overall mobility. Follow-up appointments are scheduled to monitor progress, make any necessary adjustments, and provide ongoing support.

A neural prosthesis is a type of medical device that is designed to assist or replace the function of impaired nervous system structures. These devices can be used to stimulate nerves and restore sensation, movement, or other functions that have been lost due to injury or disease. They may also be used to monitor neural activity and provide feedback to the user or to a external device.

Neural prostheses can take many forms, depending on the specific function they are intended to restore. For example, a cochlear implant is a type of neural prosthesis that is used to restore hearing in people with severe to profound hearing loss. The device consists of a microphone, a processor, and a array of electrodes that are implanted in the inner ear. Sound is converted into electrical signals by the microphone and processor, and these signals are then used to stimulate the remaining nerve cells in the inner ear, allowing the user to hear sounds.

Other examples of neural prostheses include deep brain stimulation devices, which are used to treat movement disorders such as Parkinson's disease; retinal implants, which are used to restore vision in people with certain types of blindness; and sacral nerve stimulators, which are used to treat urinary incontinence.

It is important to note that neural prostheses are not intended to cure or fully reverse the underlying condition that caused the impairment, but rather to help restore some level of function and improve the user's quality of life.

Joint diseases is a broad term that refers to various conditions affecting the joints, including but not limited to:

1. Osteoarthritis (OA): A degenerative joint disease characterized by the breakdown of cartilage and underlying bone, leading to pain, stiffness, and potential loss of function.
2. Rheumatoid Arthritis (RA): An autoimmune disorder causing inflammation in the synovial membrane lining the joints, resulting in swelling, pain, and joint damage if left untreated.
3. Infectious Arthritis: Joint inflammation caused by bacterial, viral, or fungal infections that spread through the bloodstream or directly enter the joint space.
4. Gout: A type of arthritis resulting from the buildup of uric acid crystals in the joints, typically affecting the big toe and characterized by sudden attacks of severe pain, redness, and swelling.
5. Psoriatic Arthritis (PsA): An inflammatory joint disease associated with psoriasis, causing symptoms such as pain, stiffness, and swelling in the joints and surrounding tissues.
6. Juvenile Idiopathic Arthritis (JIA): A group of chronic arthritis conditions affecting children, characterized by joint inflammation, pain, and stiffness.
7. Ankylosing Spondylitis: A form of arthritis primarily affecting the spine, causing inflammation, pain, and potential fusion of spinal vertebrae.
8. Bursitis: Inflammation of the fluid-filled sacs (bursae) that cushion joints, leading to pain and swelling.
9. Tendinitis: Inflammation or degeneration of tendons, which connect muscles to bones, often resulting in pain and stiffness near joints.

These conditions can impact the function and mobility of affected joints, causing discomfort and limiting daily activities. Proper diagnosis and treatment are essential for managing joint diseases and preserving joint health.

An ossicular prosthesis is a medical device used to replace one or more of the small bones (ossicles) in the middle ear that are involved in hearing. These bones, known as the malleus, incus, and stapes, form a chain responsible for transmitting sound vibrations from the eardrum to the inner ear.

An ossicular prosthesis is typically made of biocompatible materials such as ceramic, plastic, or metal. The prosthesis is designed to bypass damaged or missing ossicles and reestablish the connection between the eardrum and the inner ear, thereby improving hearing function. Ossicular prostheses are often used in surgeries aimed at reconstructing the middle ear, such as tympanoplasty or stapedectomy, to treat various types of conductive hearing loss.

A dental prosthesis is a device that replaces one or more missing teeth or parts of teeth to correct deficiencies in chewing ability, speech, and aesthetics. It can be removable or fixed (permanent) and can be made from various materials such as acrylic resin, porcelain, metal alloys, or a combination of these. Examples of dental prostheses include dentures, bridges, crowns, and implants.

The hip joint, also known as the coxal joint, is a ball-and-socket type synovial joint that connects the femur (thigh bone) to the pelvis. The "ball" is the head of the femur, while the "socket" is the acetabulum, a concave surface on the pelvic bone.

The hip joint is surrounded by a strong fibrous capsule and is reinforced by several ligaments, including the iliofemoral, ischiofemoral, and pubofemoral ligaments. The joint allows for flexion, extension, abduction, adduction, medial and lateral rotation, and circumduction movements, making it one of the most mobile joints in the body.

The hip joint is also supported by various muscles, including the gluteus maximus, gluteus medius, gluteus minimus, iliopsoas, and other hip flexors and extensors. These muscles provide stability and strength to the joint, allowing for weight-bearing activities such as walking, running, and jumping.

A finger joint, also known as an articulation, is the point where two bones in a finger connect and allow for movement. The majority of finger joints are classified as hinge joints, permitting flexion and extension movements. These joints consist of several components:

1. Articular cartilage: Smooth tissue that covers the ends of the bones, enabling smooth movement and protecting the bones from friction.
2. Joint capsule: A fibrous sac enclosing the joint, providing stability and producing synovial fluid for lubrication.
3. Synovial membrane: Lines the inner surface of the joint capsule and produces synovial fluid to lubricate the joint.
4. Volar plate (palmar ligament): A strong band of tissue located on the palm side of the joint, preventing excessive extension and maintaining alignment.
5. Collateral ligaments: Two bands of tissue located on each side of the joint, providing lateral stability and limiting radial and ulnar deviation.
6. Flexor tendons: Tendons that attach to the bones on the palmar side of the finger joints, facilitating flexion movements.
7. Extensor tendons: Tendons that attach to the bones on the dorsal side of the finger joints, enabling extension movements.

Finger joints are essential for hand function and enable activities such as grasping, holding, writing, and manipulating objects.

A dental prosthesis that is supported by dental implants is an artificial replacement for one or more missing teeth. It is a type of dental restoration that is anchored to the jawbone using one or more titanium implant posts, which are surgically placed into the bone. The prosthesis is then attached to the implants, providing a stable and secure fit that closely mimics the function and appearance of natural teeth.

There are several types of implant-supported dental prostheses, including crowns, bridges, and dentures. A single crown may be used to replace a single missing tooth, while a bridge or denture can be used to replace multiple missing teeth. The specific type of prosthesis used will depend on the number and location of the missing teeth, as well as the patient's individual needs and preferences.

Implant-supported dental prostheses offer several advantages over traditional removable dentures, including improved stability, comfort, and functionality. They also help to preserve jawbone density and prevent facial sagging that can occur when teeth are missing. However, they do require a surgical procedure to place the implants, and may not be suitable for all patients due to factors such as bone density or overall health status.

Heart valve prosthesis implantation is a surgical procedure where an artificial heart valve is inserted to replace a damaged or malfunctioning native heart valve. This can be necessary for patients with valvular heart disease, including stenosis (narrowing) or regurgitation (leaking), who do not respond to medical management and are at risk of heart failure or other complications.

There are two main types of artificial heart valves used in prosthesis implantation: mechanical valves and biological valves. Mechanical valves are made of synthetic materials, such as carbon and metal, and can last a long time but require lifelong anticoagulation therapy to prevent blood clots from forming. Biological valves, on the other hand, are made from animal or human tissue and typically do not require anticoagulation therapy but may have a limited lifespan and may need to be replaced in the future.

The decision to undergo heart valve prosthesis implantation is based on several factors, including the patient's age, overall health, type and severity of valvular disease, and personal preferences. The procedure can be performed through traditional open-heart surgery or minimally invasive techniques, such as robotic-assisted surgery or transcatheter aortic valve replacement (TAVR). Recovery time varies depending on the approach used and individual patient factors.

The ankle joint, also known as the talocrural joint, is the articulation between the bones of the lower leg (tibia and fibula) and the talus bone in the foot. It is a synovial hinge joint that allows for dorsiflexion and plantarflexion movements, which are essential for walking, running, and jumping. The ankle joint is reinforced by strong ligaments on both sides to provide stability during these movements.

An amputee is a person who has had a limb or extremity removed by trauma, medical illness, or surgical intervention. Amputation may affect any part of the body, including fingers, toes, hands, feet, arms, and legs. The level of amputation can vary from partial loss to complete removal of the affected limb.

There are several reasons why a person might become an amputee:
- Trauma: Accidents, injuries, or violence can result in amputations due to severe tissue damage or irreparable vascular injury.
- Medical illness: Certain medical conditions such as diabetes, peripheral arterial disease, and cancer may require amputation if the affected limb cannot be saved through other treatments.
- Infection: Severe infections that do not respond to antibiotics or other treatments may necessitate amputation to prevent the spread of infection.
- Congenital defects: Some individuals are born with missing or malformed limbs, making them congenital amputees.

Amputees face various challenges, including physical limitations, emotional distress, and social adjustment. However, advancements in prosthetics and rehabilitation have significantly improved the quality of life for many amputees, enabling them to lead active and fulfilling lives.

A blood vessel prosthesis is a medical device that is used as a substitute for a damaged or diseased natural blood vessel. It is typically made of synthetic materials such as polyester, Dacron, or ePTFE (expanded polytetrafluoroethylene) and is designed to mimic the function of a native blood vessel by allowing the flow of blood through it.

Blood vessel prostheses are used in various surgical procedures, including coronary artery bypass grafting, peripheral arterial reconstruction, and the creation of arteriovenous fistulas for dialysis access. The choice of material and size of the prosthesis depends on several factors, such as the location and diameter of the vessel being replaced, the patient's age and overall health status, and the surgeon's preference.

It is important to note that while blood vessel prostheses can be effective in restoring blood flow, they may also carry risks such as infection, thrombosis (blood clot formation), and graft failure over time. Therefore, careful patient selection, surgical technique, and postoperative management are crucial for the success of these procedures.

A maxillofacial prosthesis is a custom-made device used to replace all or part of a facial feature, such as an eye, ear, nose, or lip, that has been lost due to trauma, cancer surgery, or other causes. It is typically made from materials like silicone, acrylic, or nylon and is designed to mimic the appearance and texture of natural skin and tissues.

Maxillofacial prostheses are created by trained professionals called maxillofacial prosthodontists, who have specialized training in the diagnosis, treatment planning, and rehabilitation of patients with facial defects. The process of creating a maxillofacial prosthesis typically involves taking an impression of the affected area, creating a custom-made mold, and then fabricating the prosthesis to fit precisely over the defect.

Maxillofacial prostheses can help improve patients' appearance, self-confidence, and quality of life by restoring their facial symmetry and functionality. They may also help protect the underlying tissues and structures from injury or infection, and can be used in conjunction with other treatments, such as radiation therapy or chemotherapy, to enhance their effectiveness.

An artificial larynx, also known as a voice prosthesis or speech aid, is a device used to help individuals who have undergone a laryngectomy (surgical removal of the larynx) or have other conditions that prevent them from speaking normally. The device generates sound mechanically, which can then be shaped into speech by the user.

There are two main types of artificial larynx devices:

1. External: This type of device consists of a small electronic unit that produces sound when the user presses a button or activates it with a breath. The sound is then directed through a tube or hose into a face mask or a mouthpiece, where the user can shape it into speech.
2. Internal: An internal artificial larynx, also known as a voice prosthesis, is implanted in the body during surgery. It works by allowing air to flow from the trachea into the esophagus and then through the voice prosthesis, which creates sound that can be used for speech.

Both types of artificial larynx devices require practice and training to use effectively, but they can significantly improve communication and quality of life for individuals who have lost their natural voice due to laryngeal cancer or other conditions.

An artificial eye, also known as a prosthetic eye, is a type of medical device that is used to replace a natural eye that has been removed or is not functional due to injury, disease, or congenital abnormalities. It is typically made of acrylic or glass and is custom-made to match the size, shape, and color of the patient's other eye as closely as possible.

The artificial eye is designed to fit over the eye socket and rest on the eyelids, allowing the person to have a more natural appearance and improve their ability to blink and close their eye. It does not restore vision, but it can help protect the eye socket and improve the patient's self-esteem and quality of life.

The process of fitting an artificial eye typically involves several appointments with an ocularist, who is a healthcare professional trained in the measurement, design, and fabrication of prosthetic eyes. The ocularist will take impressions of the eye socket, create a model, and then use that model to make the artificial eye. Once the artificial eye is made, the ocularist will fit it and make any necessary adjustments to ensure that it is comfortable and looks natural.

Penile implantation, also known as a prosthetic penis or penile prosthesis, is a surgical procedure to place devices into the penis to help a person with erectile dysfunction (ED) achieve an erection. The two main types of penile implants are inflatable and semi-rigid rods.

The inflatable implant consists of a fluid-filled reservoir, a pump, and two or three inflatable cylinders in the penis. The semi-rigid rod implant is a pair of flexible rods that are bent into an erect position for sexual intercourse and can be straightened when not in use.

Penile implantation is typically considered as a last resort treatment option for ED, when other treatments such as medications, vacuum constriction devices, or penile injections have failed or are not suitable. The procedure is typically performed by a urologist under general or spinal anesthesia and requires a hospital stay of one to two days.

It's important to note that like any surgical procedure, penile implantation also has risks such as infection, bleeding, mechanical failure, and device malfunction. It is essential for patients to discuss the potential benefits and risks with their healthcare provider before making a decision about this treatment option.

The tarsal joints are a series of articulations in the foot that involve the bones of the hindfoot and midfoot. There are three main tarsal joints:

1. Talocrural joint (also known as the ankle joint): This is the joint between the talus bone of the lower leg and the tibia and fibula bones of the lower leg, as well as the calcaneus bone of the foot. It allows for dorsiflexion and plantarflexion movements of the foot.
2. Subtalar joint: This is the joint between the talus bone and the calcaneus bone. It allows for inversion and eversion movements of the foot.
3. Tarsometatarsal joints (also known as the Lisfranc joint): These are the joints between the tarsal bones of the midfoot and the metatarsal bones of the forefoot. They allow for flexion, extension, abduction, and adduction movements of the foot.

These joints play an important role in the stability and mobility of the foot, allowing for various movements during activities such as walking, running, and jumping.

The wrist joint, also known as the radiocarpal joint, is a condyloid joint that connects the distal end of the radius bone in the forearm to the proximal row of carpal bones in the hand (scaphoid, lunate, and triquetral bones). It allows for flexion, extension, radial deviation, and ulnar deviation movements of the hand. The wrist joint is surrounded by a capsule and reinforced by several ligaments that provide stability and strength to the joint.

"Prosthesis coloring" is not a recognized medical term or concept in the field of prosthetics. However, I can provide you with some context that might help clarify what you are looking for.

In the context of artificial limbs (prostheses), patients may want their devices to match their skin tone as closely as possible to make them less noticeable and more aesthetically appealing. This process is called "prosthetic covering" or "cosmesis," which involves applying custom-made covers, sleeves, or skins over the prosthesis to mimic the appearance of natural skin color and texture.

Prosthetic covering materials can be painted, printed, or dyed to achieve the desired color match. This process is often referred to as "coloring" or "painting the prosthesis." The coloring technique may involve using various shades, tones, and textures to create a natural-looking appearance that blends well with the user's remaining limb or body.

In summary, while there is no formal medical definition for "prosthesis coloring," it likely refers to the process of applying custom colors, shading, or patterns to an artificial limb (prosthesis) to create a more natural and aesthetically pleasing appearance that matches the user's skin tone.

Articular Range of Motion (AROM) is a term used in physiotherapy and orthopedics to describe the amount of movement available in a joint, measured in degrees of a circle. It refers to the range through which synovial joints can actively move without causing pain or injury. AROM is assessed by measuring the degree of motion achieved by active muscle contraction, as opposed to passive range of motion (PROM), where the movement is generated by an external force.

Assessment of AROM is important in evaluating a patient's functional ability and progress, planning treatment interventions, and determining return to normal activities or sports participation. It is also used to identify any restrictions in joint mobility that may be due to injury, disease, or surgery, and to monitor the effectiveness of rehabilitation programs.

The shoulder joint, also known as the glenohumeral joint, is the most mobile joint in the human body. It is a ball and socket synovial joint that connects the head of the humerus (upper arm bone) to the glenoid cavity of the scapula (shoulder blade). The shoulder joint allows for a wide range of movements including flexion, extension, abduction, adduction, internal rotation, and external rotation. It is surrounded by a group of muscles and tendons known as the rotator cuff that provide stability and enable smooth movement of the joint.

A reoperation is a surgical procedure that is performed again on a patient who has already undergone a previous operation for the same or related condition. Reoperations may be required due to various reasons, such as inadequate initial treatment, disease recurrence, infection, or complications from the first surgery. The nature and complexity of a reoperation can vary widely depending on the specific circumstances, but it often carries higher risks and potential complications compared to the original operation.

A joint capsule is the fibrous sac that encloses a synovial joint, which is a type of joint characterized by the presence of a cavity filled with synovial fluid. The joint capsule provides stability and strength to the joint, while also allowing for a range of motion. It consists of two layers: an outer fibrous layer and an inner synovial membrane. The fibrous layer is made up of dense connective tissue that helps to stabilize the joint, while the synovial membrane produces synovial fluid, which lubricates the joint and reduces friction during movement.

Joint instability is a condition characterized by the loss of normal joint function and increased risk of joint injury due to impaired integrity of the supporting structures, such as ligaments, muscles, or cartilage. This can result in excessive movement or laxity within the joint, leading to decreased stability and increased susceptibility to dislocations or subluxations. Joint instability may cause pain, swelling, and limited range of motion, and it can significantly impact a person's mobility and quality of life. It is often caused by trauma, degenerative conditions, or congenital abnormalities and may require medical intervention, such as physical therapy, bracing, or surgery, to restore joint stability.

Arthroplasty, replacement, knee is a surgical procedure where the damaged or diseased joint surface of the knee is removed and replaced with an artificial joint or prosthesis. The procedure involves resurfacing the worn-out ends of the femur (thigh bone) and tibia (shin bone) with metal components, and the back of the kneecap with a plastic button. This surgery is usually performed to relieve pain and restore function in patients with severe knee osteoarthritis, rheumatoid arthritis, or traumatic injuries that have damaged the joint beyond repair. The goal of knee replacement surgery is to improve mobility, reduce pain, and enhance the quality of life for the patient.

A dental prosthesis is a device that replaces missing teeth or parts of teeth and restores their function and appearance. The design of a dental prosthesis refers to the plan and specifications used to create it, including the materials, shape, size, and arrangement of the artificial teeth and any supporting structures.

The design of a dental prosthesis is typically based on a variety of factors, including:

* The number and location of missing teeth
* The condition of the remaining teeth and gums
* The patient's bite and jaw alignment
* The patient's aesthetic preferences
* The patient's ability to chew and speak properly

There are several types of dental prostheses, including:

* Dentures: A removable appliance that replaces all or most of the upper or lower teeth.
* Fixed partial denture (FPD): Also known as a bridge, this is a fixed (non-removable) appliance that replaces one or more missing teeth by attaching artificial teeth to the remaining natural teeth on either side of the gap.
* Removable partial denture (RPD): A removable appliance that replaces some but not all of the upper or lower teeth.
* Implant-supported prosthesis: An artificial tooth or set of teeth that is supported by dental implants, which are surgically placed in the jawbone.

The design of a dental prosthesis must be carefully planned and executed to ensure a good fit, proper function, and natural appearance. It may involve several appointments with a dentist or dental specialist, such as a prosthodontist, to take impressions, make measurements, and try in the finished prosthesis.

The sacroiliac (SI) joint is the joint that connects the iliac bone (part of the pelvis) and the sacrum (the triangular bone at the base of the spine). There are two sacroiliac joints, one on each side of the spine. The primary function of these joints is to absorb shock between the upper body and lower body and distribute the weight of the upper body to the lower body. They also provide a small amount of movement to allow for flexibility when walking or running. The SI joints are supported and stabilized by strong ligaments, muscles, and bones.

A bioprosthesis is a type of medical implant that is made from biological materials, such as heart valves or tendons taken from animals (xenografts) or humans (allografts). These materials are processed and sterilized to be used in surgical procedures to replace damaged or diseased tissues in the body.

Bioprosthetic implants are often used in cardiac surgery, such as heart valve replacement, because they are less likely to cause an immune response than synthetic materials. However, they may have a limited lifespan due to calcification and degeneration of the biological tissue over time. Therefore, bioprosthetic implants may need to be replaced after several years.

Bioprostheses can also be used in other types of surgical procedures, such as ligament or tendon repair, where natural tissue is needed to restore function and mobility. These prostheses are designed to mimic the properties of native tissues and provide a more physiological solution than synthetic materials.

Bone cements are medical-grade materials used in orthopedic and trauma surgery to fill gaps between bone surfaces and implants, such as artificial joints or screws. They serve to mechanically stabilize the implant and provide a smooth, load-bearing surface. The two most common types of bone cement are:

1. Polymethylmethacrylate (PMMA) cement: This is a two-component system consisting of powdered PMMA and liquid methyl methacrylate monomer. When mixed together, they form a dough-like consistency that hardens upon exposure to air. PMMA cement has been widely used for decades in joint replacement surgeries, such as hip or knee replacements.
2. Calcium phosphate (CP) cement: This is a two-component system consisting of a powdered CP compound and an aqueous solution. When mixed together, they form a paste that hardens through a chemical reaction at body temperature. CP cement has lower mechanical strength compared to PMMA but demonstrates better biocompatibility, bioactivity, and the ability to resorb over time.

Both types of bone cements have advantages and disadvantages, and their use depends on the specific surgical indication and patient factors.

Osteoarthritis (OA) is a type of joint disease that is characterized by the breakdown and eventual loss of cartilage - the tissue that cushions the ends of bones where they meet in the joints. This breakdown can cause the bones to rub against each other, causing pain, stiffness, and loss of mobility. OA can occur in any joint, but it most commonly affects the hands, knees, hips, and spine. It is often associated with aging and can be caused or worsened by obesity, injury, or overuse.

The medical definition of osteoarthritis is: "a degenerative, non-inflammatory joint disease characterized by the loss of articular cartilage, bone remodeling, and the formation of osteophytes (bone spurs). It is often associated with pain, stiffness, and decreased range of motion in the affected joint."

Silicone elastomers are a type of synthetic rubber made from silicone, which is a polymer composed primarily of silicon-oxygen bonds. They are known for their durability, flexibility, and resistance to heat, cold, and moisture. Silicone elastomers can be manufactured in various forms, including liquids, gels, and solids, and they are used in a wide range of medical applications such as:

1. Breast implants: Silicone elastomer shells filled with silicone gel are commonly used for breast augmentation and reconstruction.
2. Contact lenses: Some contact lenses are made from silicone elastomers due to their high oxygen permeability, which allows for better eye health.
3. Catheters: Silicone elastomer catheters are flexible and resistant to kinking, making them suitable for long-term use in various medical procedures.
4. Implantable drug delivery systems: Silicone elastomers can be used as a matrix for controlled release of drugs, allowing for sustained and targeted medication administration.
5. Medical adhesives: Silicone elastomer adhesives are biocompatible and can be used to attach medical devices to the skin or other tissues.
6. Sealants and coatings: Silicone elastomers can be used as sealants and coatings in medical devices to prevent leakage, improve durability, and reduce infection risk.

It is important to note that while silicone elastomers are generally considered safe for medical use, there have been concerns about the potential health risks associated with breast implants, such as capsular contracture, breast pain, and immune system reactions. However, these risks vary depending on the individual's health status and the specific type of silicone elastomer used.

Hip arthroplasty, also known as hip replacement surgery, is a medical procedure where the damaged or diseased joint surfaces of the hip are removed and replaced with artificial components. These components typically include a metal or ceramic ball that replaces the head of the femur (thigh bone), and a polyethylene or ceramic socket that replaces the acetabulum (hip socket) in the pelvis.

The goal of hip arthroplasty is to relieve pain, improve joint mobility, and restore function to the hip joint. This procedure is commonly performed in patients with advanced osteoarthritis, rheumatoid arthritis, hip fractures, or other conditions that cause significant damage to the hip joint.

There are several types of hip replacement surgeries, including traditional total hip arthroplasty, partial (hemi) hip arthroplasty, and resurfacing hip arthroplasty. The choice of procedure depends on various factors, such as the patient's age, activity level, overall health, and the extent of joint damage.

After surgery, patients typically require rehabilitation to regain strength, mobility, and function in the affected hip. With proper care and follow-up, most patients can expect significant pain relief and improved quality of life following hip arthroplasty.

Biomechanics is the application of mechanical laws to living structures and systems, particularly in the field of medicine and healthcare. A biomechanical phenomenon refers to a observable event or occurrence that involves the interaction of biological tissues or systems with mechanical forces. These phenomena can be studied at various levels, from the molecular and cellular level to the tissue, organ, and whole-body level.

Examples of biomechanical phenomena include:

1. The way that bones and muscles work together to produce movement (known as joint kinematics).
2. The mechanical behavior of biological tissues such as bone, cartilage, tendons, and ligaments under various loads and stresses.
3. The response of cells and tissues to mechanical stimuli, such as the way that bone tissue adapts to changes in loading conditions (known as Wolff's law).
4. The biomechanics of injury and disease processes, such as the mechanisms of joint injury or the development of osteoarthritis.
5. The use of mechanical devices and interventions to treat medical conditions, such as orthopedic implants or assistive devices for mobility impairments.

Understanding biomechanical phenomena is essential for developing effective treatments and prevention strategies for a wide range of medical conditions, from musculoskeletal injuries to neurological disorders.

Prosthesis retention, in the context of medical prosthetics, refers to the secure and stable attachment or fixation of a prosthetic device to the body or the remaining limb (stump) of an amputee. The primary goal of prosthesis retention is to ensure that the artificial limb remains in place during various activities, providing optimal functionality, comfort, and safety for the user.

There are several methods for achieving prosthesis retention, including:

1. Suction sockets: A custom-made socket that creates a seal around the residual limb using a special liner and air pressure to keep the prosthesis in place.
2. Mechanical locks: Devices such as pin locks, lanyard locks, or magnetic couplings that secure the prosthetic limb to the residual limb by engaging with specific components within the socket.
3. Vacuum-assisted suspension: A system that uses vacuum pressure to create a seal between the residual limb and the socket, providing retention and stability.
4. Belt or harness systems: Straps or bands that attach to the prosthesis and wrap around the user's body or sound limb to keep the device in place.
5. Osseointegration: A surgical procedure that involves implanting a metal rod directly into the bone, allowing for a direct connection between the residual limb and the prosthetic device.

Prosthesis retention is crucial for ensuring the successful use of an artificial limb, as it enables users to perform their daily activities with confidence and ease.

Cortisone is a type of corticosteroid hormone that is produced naturally in the body by the adrenal gland. It is released in response to stress and helps to regulate metabolism, reduce inflammation, and suppress the immune system. Cortisone can also be synthetically produced and is often used as a medication to treat a variety of conditions such as arthritis, asthma, and skin disorders. It works by mimicking the effects of the natural hormone in the body and reducing inflammation and suppressing the immune system. Cortisone can be administered through various routes, including oral, injectable, topical, and inhalational.

"Intramuscular injections" refer to a medical procedure where a medication or vaccine is administered directly into the muscle tissue. This is typically done using a hypodermic needle and syringe, and the injection is usually given into one of the large muscles in the body, such as the deltoid (shoulder), vastus lateralis (thigh), or ventrogluteal (buttock) muscles.

Intramuscular injections are used for a variety of reasons, including to deliver medications that need to be absorbed slowly over time, to bypass stomach acid and improve absorption, or to ensure that the medication reaches the bloodstream quickly and directly. Common examples of medications delivered via intramuscular injection include certain vaccines, antibiotics, and pain relievers.

It is important to follow proper technique when administering intramuscular injections to minimize pain and reduce the risk of complications such as infection or injury to surrounding tissues. Proper site selection, needle length and gauge, and injection technique are all critical factors in ensuring a safe and effective intramuscular injection.

Intra-articular injections refer to the administration of medication directly into a joint space. This route of administration is used for treating various joint conditions such as inflammation, pain, and arthritis. Commonly injected medications include corticosteroids, local anesthetics, and viscosupplementation agents. The procedure is usually performed using imaging guidance, like ultrasound or fluoroscopy, to ensure accurate placement of the medication within the joint.

The adrenal cortex hormones are a group of steroid hormones produced and released by the outer portion (cortex) of the adrenal glands, which are located on top of each kidney. These hormones play crucial roles in regulating various physiological processes, including:

1. Glucose metabolism: Cortisol helps control blood sugar levels by increasing glucose production in the liver and reducing its uptake in peripheral tissues.
2. Protein and fat metabolism: Cortisol promotes protein breakdown and fatty acid mobilization, providing essential building blocks for energy production during stressful situations.
3. Immune response regulation: Cortisol suppresses immune function to prevent overactivation and potential damage to the body during stress.
4. Cardiovascular function: Aldosterone regulates electrolyte balance and blood pressure by promoting sodium reabsorption and potassium excretion in the kidneys.
5. Sex hormone production: The adrenal cortex produces small amounts of sex hormones, such as androgens and estrogens, which contribute to sexual development and function.
6. Growth and development: Cortisol plays a role in normal growth and development by influencing the activity of growth-promoting hormones like insulin-like growth factor 1 (IGF-1).

The main adrenal cortex hormones include:

1. Glucocorticoids: Cortisol is the primary glucocorticoid, responsible for regulating metabolism and stress response.
2. Mineralocorticoids: Aldosterone is the primary mineralocorticoid, involved in electrolyte balance and blood pressure regulation.
3. Androgens: Dehydroepiandrosterone (DHEA) and its sulfate derivative (DHEAS) are the most abundant adrenal androgens, contributing to sexual development and function.
4. Estrogens: Small amounts of estrogens are produced by the adrenal cortex, mainly in women.

Disorders related to impaired adrenal cortex hormone production or regulation can lead to various clinical manifestations, such as Addison's disease (adrenal insufficiency), Cushing's syndrome (hypercortisolism), and congenital adrenal hyperplasia (CAH).

An injection is a medical procedure in which a medication, vaccine, or other substance is introduced into the body using a needle and syringe. The substance can be delivered into various parts of the body, including into a vein (intravenous), muscle (intramuscular), under the skin (subcutaneous), or into the spinal canal (intrathecal or spinal).

Injections are commonly used to administer medications that cannot be taken orally, have poor oral bioavailability, need to reach the site of action quickly, or require direct delivery to a specific organ or tissue. They can also be used for diagnostic purposes, such as drawing blood samples (venipuncture) or injecting contrast agents for imaging studies.

Proper technique and sterile conditions are essential when administering injections to prevent infection, pain, and other complications. The choice of injection site depends on the type and volume of the substance being administered, as well as the patient's age, health status, and personal preferences.

Triamcinolone is a glucocorticoid medication, which is a class of corticosteroids. It is used to treat various inflammatory and autoimmune conditions due to its anti-inflammatory and immunosuppressive effects. Triamcinolone is available in several forms, including topical creams, ointments, and lotions for skin application; oral tablets and injectable solutions for systemic use; and inhaled preparations for the treatment of asthma and other respiratory conditions.

Triamcinolone works by binding to specific receptors in cells, which leads to a decrease in the production of inflammatory chemicals such as prostaglandins and leukotrienes. This results in reduced swelling, redness, itching, and pain associated with inflammation.

Some common uses of triamcinolone include treating skin conditions like eczema, psoriasis, and dermatitis; managing allergic reactions; reducing inflammation in respiratory diseases like asthma and COPD; and alleviating symptoms of rheumatoid arthritis and other autoimmune disorders.

As with any medication, triamcinolone can have side effects, especially when used in high doses or for extended periods. Common side effects include increased appetite, weight gain, mood changes, insomnia, acne, thinning of the skin, and easy bruising. Long-term use may also lead to more serious complications such as osteoporosis, adrenal suppression, and increased susceptibility to infections. It is essential to follow your healthcare provider's instructions carefully when using triamcinolone or any other prescription medication.

Triamcinolone Acetonide is a synthetic glucocorticoid, which is a class of corticosteroids. It is used in the form of topical creams, ointments, and sprays to reduce skin inflammation, itching, and allergies. It can also be administered through injection for the treatment of various conditions such as arthritis, bursitis, and tendonitis. Triamcinolone Acetonide works by suppressing the immune system's response, reducing inflammation, and blocking the production of substances that cause allergies.

It is important to note that prolonged use or overuse of triamcinolone acetonide can lead to side effects such as thinning of the skin, easy bruising, and increased susceptibility to infections. Therefore, it should be used under the guidance of a healthcare professional.

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