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Numrul total de ore (pe semestru) din

planul de nvmnt
106

FIA DISCIPLINEI

Denumirea disciplinei
Anul de studiu

ORTHOPAEDICS AND TRAUMATOLOGY


IV

Semestrul * I

Tipul de evaluare final (E / V / C)

Regimul disciplinei (Ob obligatorie, Op opional, F - facultativ)

Ob

Numrul de credite

Total ore de studiu


Total ore pe
50
individual
semestru
Conf. Dr. Ovidiu Alexa
Titularul disciplinei
Sef lucr. Dr. Paul Dan Sirbu
* Dac disciplina are mai multe semestre de studiu, se completeaz cte o fi pentru
fiecare semestru
Total
C**
S
Total ore din planul de nvmnt

Facultatea
Departamentul

Faculty of Medicine

14

42

Surgery

Profilul

General Medicine

Specializarea

General Medicine

4
56

106

56

E1

** C curs, L activiti de laborator, P proiect


sau lucrri practice

Cunotine minime necesare studenilor pentru parcurgerea noiunilor de curs/stagii/lucrri


practice
- Knowledges of anatomy and physiology of the locomotory system
- Knowledges regarding medical and surgical semiology
- Knowledges of physiopathology
- Knowledge of X-ray
- First aid in politrauma
- First aid in open fracture
- Fracture casting
- Treatment of dislocations

Obiectivele disciplinei
1. The structure of the Orthopaedic and Traumatology departament
2. The importance of asepsis and antisepsis
3. The elaboration of the orthopaedics and traumatalogy medical forms
4. Clinial exam of a patient with a traumatologyc or orthopaedic disease.
5. Etiopathogeny and specific classification
6. Establish of diagnose (clinical, paraclinical amd imagistic) and treatment (orthopaedical, surgical
and rehabilitation)

7. Implants and specific materials and tools

Programa analitic a cursului


1. Imaging Techniques in Orthopaedics: X-rays, CT Scans, MRI Scans,
Ultrasonography, Arthroscopy, Technetium Bone Scans, Single-Photon Emission
Controlled Tomography (SPECT); PET (Fluorodeoxyglucose [FDG] Positron
Emission Tomography);

Nr. ore
1hour

2. Bone ionfections: Osteomyelitis, Septic arthtritis, Tuberculosis, Ethiopatogeny, Diagnosis (clinical exeam, labaoratory, imaging),
Classification, Treatement, complications, prognosis, follow-up.

2 hours

3. Bone tumors: Description (Benign primary, Malignant primary, Metastatic,


Lesions that simulate bone tumors); Histologic classification; Diagnosis;
Treatment; Follow-up;

2 hours

4. Chronic osteoarticular pathology: Osteoarthritis; Slipped capital femoral


epiphysis; Rheumatoid Arthtritis; Ankylosing spondylitis, (Description,
Epidemiology. Etiology, Diagnosis, Treatment, Follow-up)
Bone deformities kyphosis, scoliosis, genu varum, genu valgum, genu
recuvatum

2 hours

5. Fractures - generalities: definition, mechanisms of fractures, pathology,


symptomatology, paraclinical exams, diagnosis, fracture healing,
complications of fractures, treatment of fractures and fractures
complications

2 hours

6. Upper and lower limb fractures: definition, mechanisms of fractures,


pathology, symptomatology, paraclinical exams, diagnosis, fracture healing,
complications of fractures, treatment.

2 hours

7. Pelvic and vertebral column fractures, sprain and dislocations:


definition, mechanisms of fractures, pathology, symptomatology,
paraclinical exams, diagnosis, fracture healing, complications of fractures,
treatment.

3 hours

Programa analitic lucrri practice/stagii

(1st Clinical Class)


Clinic Presentation
Out Patient Department
Medical & Surgical Wards
Isolation Wards for septic cases
Operation Rooms
Path-Laboratories
Steps of In Patient management, including updating the patient file
a. Generalities personal data, admission reason, history, preceding
occurrences
b. General clinical examination
c. Local clinical examination
- Inspection Palpation Examination of the joint movements
- Conduction of some special tests
Knowledge and abiding by the rules of Sepsis and Asepsis
(2nd Clinical Class)
Diagnosis in orthopaedics (Clinical and paraclinical diagnosis)
Exposure to various types of Para clinical Diagnostic Techniques
- Radiographs (X-rays) specific recommendations, radiographic
positions for orthopaedic diagnosis, main criteria for radiograph
evaluation, radiologic evaluation for an orthopedic lesion,
preoperative planning, following a template
- Computed Tomography (CT) with 3D reconstruction indications,
description
- Magnetic Resonance Imaging (MRI)
- Bone Scan
- Ultrasonography
Steps of patient management, pre-, intra-, and post-operatively
- Pre-operative management: Blood tests, ECG, Chest X-ray,
Anaesthetic consultation, and pre-operative medications
- Intra-operative management: Surgical procedure and techniques,
Intra-operative medications
- Post-operative management: Medications (Anti-inflammatory,
Anticoagulants, Antibiotics, etc.), functional rehab, and constant
observation against post-op complications such as infections, shocks,
etc., if any.
Steps of patient management (clinical cases), with Benign and
Malignant Tumors

3 hours

3 hours

(3rd Clinical Class)

3 hours

Clinical Cases with bone infections (Unspecific): Osteomyelitis,


Tuberculosis, etc.
Clinical Cases with bone infections (Specific): Bacterial Arthritis,
Specific Osteoathropathy.
Clincal cases with bone deformities kyphosis, scoliosis, genu varum,
genu valgum, genu recuvatum
th
(4 Clinical Class)

3 hours

Clinical Case with a chronic degenerative disease: Hip Arthritis


LIVE Telecast of a Total Hip Arthroplasty
(5th Clinical Class)

3 hours

Clinical Case with a chronic degenerative disease: Knee Arthritis


LIVE Telecast of a Total Knee Arthroplasty
(6th Clinical Class)

3 hours

Presentation
of
Orthopaedic
Surgical
Materials
and
Instrumentation
Interiors of the Operation Room
Basic Surgical Instrumentation
The Orthopaedic Surgical Table
Normal Surgical Table
Arthroscopy Unit
Fluoroscopy Unit (C-arm)
Specific Hip and Knee Arthroplasty Instrumentation
Surgical aspirator
Arthromotor - passive rehabilitation
Navigation system
Systems for self-transfusion, intraoperative recirculation - cell saver
Specific Joint Reconstruction Instrumentations
Specific Joint Reconstruction Implants and Materials, including
Prosthesis
Implant: Plates, Screws, Intramedullary Nails External Fixators,
bone substitutes
Prosthesis: Shoulder, Elbow, Hip, Knee, Ankle, etc.
Other custom made prosthesis and implants
Orthotics
Plaster of Paris (POP) Casts, resins
Clinical case of chronic degenerative pathology scoliosis, cyphosis, genuvalgum/varum, foot deformities. Orthotics demonstration.

(7th Clinical Class)


3 hours
Steps of Patient Rehabilitation:
30 minutes of tuition in basic rehabilitation procedures and
physiotherapy
Steps in functional restoration (Passive and Active movements)
Regenerative Orthopaedic Surgery:
Bone and Cartilage transplant
Use of Stem Cells and Biomaterials
Case Presentation of a Chronic Degenerative Disease:
Rheumatoid Arthritis
Ankylosing Spondylitis
(8th Clinical Class)
3 hours
The elaboration of the traumatalogy medical forms
a) Generalities, personal data, admission reason, history, preceding
occurrences
b) General clinical examination
c) Local clinical examination
d) Inspection Palpation Examination of the joint movements
e) Conduction of some special tests
Ostheosyntesis materials
a) Implant: Plates, Screws, Intramedullary Nails, External Fixators
Casts and splints in fractures treatment
Treatment in politrauma
th
(9 Clinical Class)
First aid in fractures
3 hours
Provisionally casting/splinting
First aid in open fractures
Debridement
Lavage
Excision of necrotic tissue
(10th Clinical Class)
3 hours
Upper limb fractures
General clinical examination
Local clinical examination: Inspection-Palpation-Examination
X-rays
Diagnosis
Treatment: frequently used ostheosyntesis materials
Complications

(11th Clinical Class)


Hip, femoral diaphysis and knee fractures
General clinical examination
Local clinical examination: Inspection-Palpation-Examination
X-rays
Diagnosis
Treatment: frequently used ostheosyntesis materials
Complications
th
(12 Clinical Class)
Tibial, ankle and foot fractures
General clinical examination
Local clinical examination: Inspection-Palpation-Examination
X-rays
Diagnosis
Treatment: frequently used ostheosyntesis materials
Complications
th
(13 Clinical Class)
Pelvic and vertebral column fractures
General clinical examination
Local clinical examination: Inspection-Palpation-Examination
X-rays
Diagnosis
Treatment: frequently used ostheosyntesis materials
Complications
th
(14 Clinical Class)
Sprain and dislocations
General clinical examination
Local clinical examination: Inspection-Palpation-Examination
X-rays
Diagnosis
Methods of treatment
Complications

3 hours

3 hours

3 hours

3 hours

Competene practice dobndite la finalul anului/semestrului


1. Elaboration of medical forms for a patient with orthopaedic disease
2. Knowledge and abiding by the rules of Sepsis and Asepsis
3. X-rays description of fractures, traumatic associated lessions
4. Establishement and sustaining the diagnosis regarding x-ray description. Differential diagnosis.
Treatment principles
5. Establishement of rational medical links between etiopathogeny, clincal signs, imagistic aspects,
diagnosis and treatement;
6. Treatment of dislocations;
7. Fracture casting;
8. Knowledges of Specific Joint Reconstruction Implants and Materials, including Prosthesis
Implant: Plates, Screws, Intramedullary Nails External Fixators, bone substitutes
Prosthesis: Shoulder, Elbow, Hip, Knee, Ankle, etc.
Other custom made prosthesis and implants
Orthotics
Plaster of Paris (POP) Casts, resins

La stabilirea notei finale se iau n considerare

Ponderea n notare exprimat n


procente
(Total = 100%)

- rspunsurile la examen / colocviu (evaluarea final):

50

- rspunsurile finale la lucrrile practice de laborator

40

- testarea periodic prin lucrri de control

10

- activitile gen teme / referate / eseuri / traduceri /


proiecte etc.
- alte activiti (PRECIZAI) : colocviu
Descriei modalitatea practic de evaluare final E/V (de exemplu: lucrare scris (descriptiv i
/ sau test gril i / sau probleme etc.), examinare oral, colocviu individual ori n grup, proiect,
etc.)
Teste scrise semestriale, rspunsuri la lucrrile practice
Examen final: examen practic i test gril unic (60 ntrebri cu rspunsuri multiple)
Estimai timpul total (ore pe semestru) al activitilor de studiu individual pretinse
studentului
(completai cu 0 activitile care nu sunt cerute)
10
1. Descifrarea i studiul notielor de curs
8. Pregtire prezentri orale
10

2. Studiu dup manual, suport de curs

13

9. Pregtire examinare final

20

3. Studiul bibliografiei minimale indicate

15

10. Consultaii

10

11. Documentare pe teren

12. Documentare pe Internet

13. Alte activiti ....

14. Alte activiti ....

4. Documentare suplimentar n
bibliotec
5. Activitate specific de pregtire
SEMINAR i / sau LABORATOR
6. Realizare teme, referate, eseuri,
traduceri, etc.
7. Pregtire lucrri de control

TOTAL ore studiu individual (pe


semestru) = 100

Bibliografie obligatorie :
1. Ovidiu Alexa, Bogdan Puha OUTLINE OF TRAUMA AND
ORTHOPAEDICS, Ed Gr. T. Popa, UMF Iasi, 2007
2. Paul Dan Sirbu, Oswald Raphael Misquitta - Orthopaedics for students,
Gr. T. Popa Iasi Publishing House, Iasi Romania, 2010
Bibliografie suplimentar pentru materia de curs i lucrri practice
1.

McRae R. Pocketbook of Orthopaedics and Fractures Churchill Livingstone


Elsevier, 2006

Data completrii:

Semntura coordonatorului de activitate didactic