Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Becoming a doctor
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Becoming a doctor
During the weeks of February 7 through February 17, I observed a total hip arthroplasty on a 56-year-old Caucasian female patient who suffered from a femoral neck fracture and damage to the acetabulum. The fracture was a result from a car accident where the patient's knees collided with the dashboard, forcing the femur into the hip and breaking the femur.
For this report I will concentrate on total hip replacement, its components, main surgical technique, and complications. Sir John Charnley first developed total joint arthroplasty in the 1960s (Skinner 395). In a total hip replacement "the articular surfaces of the acetabulum and femoral head are replaced" (Lemone 1241). A prosthesis is then used to replace the entire head of the femur and a portion of the femoral neck. A prosthesis of ultrahigh-molecular-weight polyethylene (UHMWPE) is then inserted into the remodeled acetabulum (Lemone 1242 & Skinner 395). The original procedure developed by Charnley consisted of a stainless steel prosthesis for the femur and a 22-mm femoral head. Now we have different femoral head sizes (22, 25, 25.4, 28, 32, and 35mm) and different femoral lengths ranging from 110-160mm (Skinner 395). The bone attachment technique has also evolved during the years into two generic designs, the cement fixation and the porous ingrowth prostheses (Skinner 395).
Cement and uncemented are the two basic types of total hip replacement. Both types have the same bearing surfaces, either ceramic or cobalt chromium alloy that articulates with a UHMWPE bearing surface (Skinner 399). Ceramic and cobalt chromium alloy each have their own set of pros and cons. Ceramic heads will theoretically produce less debris and result in a longer life of the hip replacement, but c...
... middle of paper ...
...held screwdriver. Total hip arthroplasty has introduced me to orthopedics, a field of medicine that manages to incorporate tools I am accustomed to dealing with.
Works Cited
"Arthroplasty and Total Joint Replacement." The Lippincott Manual of Nursing Practice. Ed. Sandra M. Nettina. 7th ed. Philadelphia: Lippincott, 2001. 993-995.
Lemone, Priscilla, RN, DSN, and Karen Burke, RN, MS. "Joint Arthroplasty." Medical-Surgical Nursing. 3rd ed. Upper Saddle River: Pearson Education, 2004. 1241-1243.
Lusardi, Michelle M., PhD, P.T., and Caroline C. Nielsen, PhD. "Use of Orthoses in Total Hip Arthroplasty." Orthotics and Prosthetics in Rehabilitation. Boston: Butterworth-Heinemann, 2000. 227-230.
"Total Joint Arthroplasty." Current Diagnosis & Treatment in Orthopedics. Ed. Harry B. Skinner, MD, PhD. 3rd ed. New York: Lange Medical Books, 2003. 395-396, 398-403.
Shiel W Jr.and Stoppler M. (2011). Osteoarthritis . Available: http://www.medicinenet.com/osteoarthritis/article.htm . Last accessed December 2013.
Retrieved September 16, 2000 from: http://www. www.sechrest.com/mmg/knee/kneeacl.html. Arthroscopic ACL Reconstruction -. et al. (July 11, 1999).:Arthroscopy.com. Retrieved September 16, 2000 from: http://www.arthroscopy.com/sp05018.htm.
With ABC recipient site classification surgeons gain some insight in to regenerative potential of the surgical bed and can consider some modifications to help increasing of success rate of bone healing and decreasing morbidities of donor sites.
Alumina and zirconia ceramics have been widely used in orthopaedic hip replacements for the past 30 years. The advantage of using these was lower wear rates than those observed using polymers and metals. Because of the ionic bonds and chemical stability of ceramics, they are relatively biocompatible and therefore more preferable to use than metals and polymers. Alumina is most commonly used as a femoral head component instead of a metal in a hip prosthesis because this would reduce the polyethylene wear that is generated. Alumina is a desirable biomaterial to use in hard tissue implants because of characteristics like excellent wear resistance, high hardness, bio inert, low abrasion rate and good frictional behaviour. Furthermore, it has excellent surface finish as well as high fatigue streng...
What is meant by a “complete, comminuted, intertrochanteric fracture of the right hip”? A complete, means that the bone is broken completely through a communication means that the bone has been broken into many pieces and a intertrochanteric means that it involves the greater and lesser trochanter of the femur bone.
Planning for this new venture requires the nurse executive to analyze the marketing opportunities and resources needed to be successful. Market analysis determines that the hospital and community would benefit in investing in an elective hip and knee joint replacement unit. Community assessment has indicated this demand to sustain this investment in the proposed implementation of the JRU. According to Brinkman et al., (2014) “an increase in the number of hip and knee joint replacement procedures is growing nationally with hip replacements increase of 7.5% over 2011 and knee replacements reflecting 7.3% over 2011”. The aging population and increased incidence of obesity are primary causes for the increase in joint replacements. This trend indicates a lucrative opportunity in instituting the proposed unit. Furthermore, the only competitive hospital is within a 45-mile radius from JRU being centrally located it will meet the needs of this community and beyond.
My patient was a twenty-two year old female and she suffers from bunions on both of her feet. Only the left foot was treated, because the severity level was higher. After her diagnosis, she was taken to surgery and had the first metatarsal operated on. Type of surgery that was performed is called a bunionectomy. This surgery requires a small piece of bone to be removed and repositioned by a piece of hardware (UPMC, 2014). My patient had a screw inserted from the lateral border of her first metatarsal. After the surgery, she came to x-ray to get post operation images. The order called for a left foot series, which includes the anterior posterior (AP), oblique, and lateral views. After the surgery she had a cast on, which meant techniques were increased on each view accordingly. The AP view was done with the tube angled about ten degrees cephalic with a technique set at 65 kVp and 3.2 mAs. Next the oblique was done by rolling her foot medially about thirty degrees with no angle on and using the same technique as the AP. After she was placed in a lateral position and increasing the mAs to 4.
In order to develop this prosthesis they had to go through two main phases, the analysis of a jogger wearing a standard walking prosthesis and computer simulation of the flexing of the knee on this walking prosthesis. They had to measure rotation, weight bearing, moments, and t...
"Chapter 37." Operative Techniques in Orthopaedic Surgery. Ed. Sam Wiesel. 4th ed. Vol. 2. Lippincott Williams & Wilkins, 2011. eBook.
AHA. (2010). American Hippotherapy Association. Retrieved November 5, 2013, from Hippotherapy as a Treatment Strategy
The purpose the study is the presentation of successful use of Signafuse Bone Graft Putty in vivo. Fusion Products are commonly used in the field of Orthopaedics. They serve an important role as far as relieving pain and treating morbidities.
The goal for nurses as a profession is not only to be “patient advocates” but also assist the patient to learn and gain the necessary skills to achieve the best level of functioning for the patient based on their current illness. In order to help a patient achieve their optimal level of functioning the nurse must work with the patient and the interdisciplinary team to create a collaborative plan that is logical for the patient. Through examining a musculoskeletal disorder case study #35 from Preusser (2008), one can create a critical pathway for the patient, S.P. a 75 year old female, with severe rheumatoid arthritis (RA) and admitted to the orthopedic ward for a hip fracture status post fall (p. 183). Since the patient’s needs is unique and complex the nurse must tailor a plan with the patient which will include “…assessments, consultations, treatments, lifestyle changes, disease education…” in order for the patient have the most appropriate evidence-based care and make informed decisions when it is necessary (Oliver, 2006, p. 28). The aim for the nurse caring for the S.P. is to help prepare the patient for an upcoming procedure and focus care to the patient by gathering necessary information about her while. Collaboration with the patient, family members, rehabilitation, medical and surgical team about the treatment plans can help us provide proper patient’s care by utilizing actions and interventions within the scope and standards of the nursing practice.
Balta, D. M. D. (2009). The TMJ: How can Such a Small Joint Cause so Much Trouble?, [Online]. Available: http://www.drbalta.com/tmj.htm [11/12/14].
The proper title of this medical specialty is orthopedic surgery, although orthopedics is a generally accepted term.
Prosthetic limbs, one of the examples of physical enhancement, have improved to such an extent that the capabilities and...