This document discusses hip prosthesis replacements and issues related to them. It includes a link to information on dislocated hip prostheses from an orthopedic radiology site. It also links to a Fortune article about a $1 billion verdict against Johnson & Johnson related to faulty hip implants.
Minimally invasive total hip replacementTunO pulciņš
Minimally invasive total hip replacement (MITHR) uses a smaller incision of 6-10 cm compared to the standard incision. While MITHR results in less soft tissue damage and shorter hospital stays, it also has a longer learning curve for surgeons. Early in the learning curve, complication rates are higher for MITHR. With increased experience, surgeons can perform MITHR with outcomes equivalent to conventional THR. However, the evidence does not clearly support making MITHR the standard procedure over the conventional approach. Patient characteristics and surgeon experience should guide the choice of surgical approach.
Cemented versus uncemented fixation in total hip replacementTunO pulciņš
The document discusses and compares cemented versus uncemented fixation techniques in total hip replacement (THR). Cemented fixation uses acrylic polymer to lock the bone and implant together, while uncemented implants have rough, porous coatings to allow bone ingrowth. Some advantages of cemented fixation are that it is more suitable for obese patients, has a better outcome for displastic hips, and is better for patients with osteoporosis. However, uncemented fixation has a lower revision rate within 10 years, a low risk of femoral loosening once stable fixation occurs, and does not commonly cause osteolysis. Both techniques have benefits depending on the individual patient's needs.
Anterior cruciate ligament reconstruction- allograft versus autograftTunO pulciņš
1. The document compares allograft versus autograft options for anterior cruciate ligament (ACL) reconstruction surgery. Allografts use donor tissue while autografts use the patient's own tissue.
2. There are several factors to consider for each graft including patient characteristics, surgical factors, biological incorporation, and the risk of disease transmission. Younger, high-demand athletes often due better with autografts which incorporate faster and have lower re-tear rates.
3. However, allografts can be preferable for older, lower-demand patients due to benefits like avoiding donor site morbidity and faster return to activities of daily living. Overall graft selection requires weighing these various patient and graft-specific
Presacral venous plexus bleeding in patients with pelvic fracturesTunO pulciņš
1. The document discusses presacral venous plexus bleeding in patients with pelvic fractures and various methods to stop the bleeding.
2. Techniques used to stop bleeding include pelvic packing, use of sterile metallic thumbtacks, cauterization, suturing, and ligating bleeding vessels.
3. Damage control resuscitation principles are also described, including permissive hypotension, blood product transfusion in a 1:1:1 ratio, and rewarming.
Damage control surgery is a technique used for seriously injured patients that prioritizes short-term physiological recovery over anatomical reconstruction. It involves abbreviated laparotomy to control bleeding and contamination, followed by intensive care resuscitation to correct hypothermia, coagulopathy, and acidosis, and then definitive surgery within 36-48 hours. The goal is to prevent the "lethal triad" of hypothermia, acidosis, and coagulopathy that can lead to multiple organ failure and death in trauma patients.
This document discusses hip prosthesis replacements and issues related to them. It includes a link to information on dislocated hip prostheses from an orthopedic radiology site. It also links to a Fortune article about a $1 billion verdict against Johnson & Johnson related to faulty hip implants.
Minimally invasive total hip replacementTunO pulciņš
Minimally invasive total hip replacement (MITHR) uses a smaller incision of 6-10 cm compared to the standard incision. While MITHR results in less soft tissue damage and shorter hospital stays, it also has a longer learning curve for surgeons. Early in the learning curve, complication rates are higher for MITHR. With increased experience, surgeons can perform MITHR with outcomes equivalent to conventional THR. However, the evidence does not clearly support making MITHR the standard procedure over the conventional approach. Patient characteristics and surgeon experience should guide the choice of surgical approach.
Cemented versus uncemented fixation in total hip replacementTunO pulciņš
The document discusses and compares cemented versus uncemented fixation techniques in total hip replacement (THR). Cemented fixation uses acrylic polymer to lock the bone and implant together, while uncemented implants have rough, porous coatings to allow bone ingrowth. Some advantages of cemented fixation are that it is more suitable for obese patients, has a better outcome for displastic hips, and is better for patients with osteoporosis. However, uncemented fixation has a lower revision rate within 10 years, a low risk of femoral loosening once stable fixation occurs, and does not commonly cause osteolysis. Both techniques have benefits depending on the individual patient's needs.
Anterior cruciate ligament reconstruction- allograft versus autograftTunO pulciņš
1. The document compares allograft versus autograft options for anterior cruciate ligament (ACL) reconstruction surgery. Allografts use donor tissue while autografts use the patient's own tissue.
2. There are several factors to consider for each graft including patient characteristics, surgical factors, biological incorporation, and the risk of disease transmission. Younger, high-demand athletes often due better with autografts which incorporate faster and have lower re-tear rates.
3. However, allografts can be preferable for older, lower-demand patients due to benefits like avoiding donor site morbidity and faster return to activities of daily living. Overall graft selection requires weighing these various patient and graft-specific
Presacral venous plexus bleeding in patients with pelvic fracturesTunO pulciņš
1. The document discusses presacral venous plexus bleeding in patients with pelvic fractures and various methods to stop the bleeding.
2. Techniques used to stop bleeding include pelvic packing, use of sterile metallic thumbtacks, cauterization, suturing, and ligating bleeding vessels.
3. Damage control resuscitation principles are also described, including permissive hypotension, blood product transfusion in a 1:1:1 ratio, and rewarming.
Damage control surgery is a technique used for seriously injured patients that prioritizes short-term physiological recovery over anatomical reconstruction. It involves abbreviated laparotomy to control bleeding and contamination, followed by intensive care resuscitation to correct hypothermia, coagulopathy, and acidosis, and then definitive surgery within 36-48 hours. The goal is to prevent the "lethal triad" of hypothermia, acidosis, and coagulopathy that can lead to multiple organ failure and death in trauma patients.
7. • Biedru/apmeklētāju pienākums ir reģistrēt savu apmeklējumu
• SZP vadītāja pienākums ir kontrolēt apmeklējumu
RSU studentu zinātnosko pulciņu
nolikums
BIEDRS APMEKLĒTĀJS
Vismaz 75% apmeklējums
Obligāti jāprezentē viena prezentācija Iespēja kļūt par biedru (aktivitāte)
Tiesības apmeklēt visas teor. + prakt. sēdes Tiesības apmeklēt visas teor. sēdes
Aktīvākie – priekšrocība konferencēs
Vēlama zinātniskā darbība Iespējama zinātniskā darbība
8. • Padziļinātas zināšanas T&O nozarē
• Praktiskas iemaņas dažādās manipulācijās
• Starpkursu kontakti, domubiedri
• Iespēja izstrādāt pētniecisko darbu
• Papildus punkti regulārajai RSU stipendijai
• Akadēmiskā gada beigās – sertifikāts (punkti rezidentūrai):
• Biedriem 1.0 pts
• Apmeklētājiem 0.5 pts
Ieguvumi
10. • Nikola Krūmiņa
• Anna Tarasova
• Gundega Akuratere
• Uldis Spulle
• Gustavs Rindžs
• Līga Gulbe
• Uģis Šolmanis
• Anete Bērziņa
• Anna Terentjeva
• Kaspars Deičmanis
• Liene Zvaigzne
• Baiba Dace Ozoliņa
11. • 15 minūšu prezentācija + 10-15 minūšu diskusijas daļa
• Jāiekļauj mūsdienīgu pētījumu dati
• Jāiekļauj diskusiju veicinošie elementi (piem., Case report)
• RSU prezentācijas forma (https://www.rsu.lv/par-rsu/vizuala-identitate-un-
suveniri)
• Vizuāli pārskatāms noformējums
• Visām prezentācijām jābūt iepriekš saskaņotām ar SZP vadītāju (5-10
dienas pirms sēdes jānosūta uz epastu darjaivanova4@gmail.com)
• Prezentācijas tiek grupētas atbilstoši sēdes tematikai
• Prezentācija RSU debatēs ir pielīdzināma prezentācijai pulciņa sēdē
Vispārējās prezentācijas prasības
