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Wyświetlanie 1-2 z 2
Tytuł:
Postural stability and functional disorders in patients with loosened hip prosthesis
Autorzy:
Drzał-Grabiec, Justyna
Truszczyńska-Baszak, Aleksandra
Tarnowski, Adam
Powiązania:
https://bibliotekanauki.pl/articles/306972.pdf
Data publikacji:
2020
Wydawca:
Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
Tematy:
postural stability
hip prosthesis loosening
balance disorders
stabilność postawy
endoproteza
zaburzenia równowagi
Opis:
The number of primary hip arthroplasties is growing every year. One of the most common long complications is the aseptic loosening of the prosthesis leading to serious complications in patients life, pain and following surgeries. In the literature, there is a lack of studies regarding balance impairment in this group of patients, which is why there was a need to conduct the study in order to find possible falling risk factors and simple functional, diagnostic test. The aim of the study was to assess functional state and static balance disorders in patients admitted to orthopaedic department due to loosened hip prosthesis prior to its replacement or removal. Methods: The study population were 30 patients (15 women and 15 men) admitted to Orthopaedic Department for diagnosis and treatment of loosened hip prosthesis. Patients’ mean age was 71.67 ± 9.21, body height 169.20 ± 8.75 cm, body weight 77.83 ± 12.96 kg. The clinical control group consisted of 30 healthy subjects age-, body height- and weight-matched, without degenerative disorders of lower extremities. Function was assessed with Harris Hip score. The static balance test was conducted in the mornings, in quiet separate room on bi-modular stabilometric platform CQStab2P, registering the movement of centre of foot pressure (COP). Results: Measurements with eyes open and closed showed significant differences in limb loads – the load to the healthy limb was several times greater. Results of tests on the platform with eyes closed showed significantly worse balance in patients group. Their total statokinesiogram path was longer, and their COP sways number was greater. Similarly to the test with eyes open, the load of the healthy limb was much greater. Conclusion: Hip replacement loosening results in significant worsening of balance parameters. Balance assessment could be an additional useful diagnostic tool for hip replacement loosening available for physiotherapists.
Źródło:
Acta of Bioengineering and Biomechanics; 2020, 22, 1; 41-46
1509-409X
2450-6303
Pojawia się w:
Acta of Bioengineering and Biomechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Analysis of the influence of a metha-type metaphysical stem on biomechanical parameters
Autorzy:
Pozowski, A.
Ścigała, K.
Kierzek, A.
Paprocka-Borowicz, M.
Kuciel-Lewandowska, J.
Powiązania:
https://bibliotekanauki.pl/articles/307293.pdf
Data publikacji:
2013
Wydawca:
Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
Tematy:
metaphysial stem
osteointegration
primary stability
secondary stability
stem loosening
finite element method
trwałość
metoda elementów skończonych
biomechanika
Opis:
The full postoperative loading of the limb is possible if patients are properly selected and qualified for hip arthroplasty and the requirements as to the proper position of the metaphysial stem are met. The lack of precision, and patient qualification which does not satisfy the fixed criteria may result in stem setting inconsistent with the assumptions. An analysis based on the finite element method (FEM) will enable one to find out how to plan the magnitude of operated joint loading on the basis of the position of the stem in the postoperative radiograph. By analyzing the distribution of bone tissue deformations one can identify the zones where the spongy bone is overloaded and determine the strain level in comparison with the one determined for a model of the bone with the stem in proper position. On the basis of the results obtained one can estimate the range of loads for the operated limb, which will not result in the loss of the stem’s primary stability prior to obtaining secondary stability through osteointegration. Moreover, an analysis of the formation of bone structures around the stem showed that the incorrect setting of a Metha-type stem may lead to the initiation of loosening.
Źródło:
Acta of Bioengineering and Biomechanics; 2013, 15, 2; 13-20
1509-409X
2450-6303
Pojawia się w:
Acta of Bioengineering and Biomechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-2 z 2

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