Hip & Knee
| เรื่อง | เมื่อจบชั้นปีที่ 1 | เมื่อจบชั้นปีที่ 2 | เมื่อจบชั้นปีที่ 3 | เมื่อจบชั้นปีที่ 4 | ||||||||
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| L1 (Knows & Knows how) |
L2 (Shows how) |
L3 (Does) |
L1 (Knows & Knows how) |
L2 (Shows how) |
L3 (Does) |
L1 (Knows & Knows how) |
L2 (Shows how) |
L3 (Does) |
L1 (Knows & Knows how) |
L2 (Shows how) |
L3 (Does) |
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| Basic science of knee | 1. Pre-and post-natal development of knee joint 2. Surface anatomy of knee joints, bones and articulations of the knee region 3. Neural and vascular structures and their relations with particular reference to standard anterior and posterior surgical approaches 4. Functional anatomy of ligaments and supporting muscles 5. Innervation of the knee including controlling musculature 6. The extent and function of the synovium and bursae of the knee 7. The structure of the menisci, and articular cartilage |
None | None | 1. The mechanism of ligamentous and bony to the knee and healing potential 2. Arthritides, including degenerate wear, aging changes and traumatic damage 3. Pathology of inflammatory disease and infection affecting the knee 4. The response of synovium to debris 5. Benign and malignant conditions in the knee and surrounding structures 6. Autograft 7. Allograft 8. Bone substitute |
None | None | 1. Clinical approach to knee joint problem 2. Rating and outcome measurment in the knee | None | None | None | None | None |
| Anatomy and biomechanics of knee | 1. Anatomy of knee 2. The medial and lateral compartments and their inter-relationship 3. The cruciate and collateral ligaments and other ligamentous and muscular supports 4. The function of the menisci and articular cartilage |
None | None | 1. Kinematics 2. Role of the posterior cruciate ligament in total knee arthroplasty 3. Axial and rotational alignment of the knee 4. The mechanics of the patello-femoral mechanism |
None | None | None | None | None | None | None | None |
| Biomaterials | 1. Polyethylene 2. Metals |
None | None | 1. Implant design and evolution 2. Fixation by methyl methacrylate 3. Fixation by ingrowth 4. Bone remodeling after arthroplasty |
None | None | 1. Tribology 2. Biologic response to wear debris |
None | None | None | None | None |
| Evaluation of Diseases/Conditions of Knee Joints | None | None | None | 1. Osteoarthritis and allied conditions 2. Osteonecrosis, Neuromuscular diseases 3. Metabolic bone disease affecting knee joint 4. Septic arthritis of knee joint |
None | 5. Aspiration | 1. Primary tumors 2. Tumorous conditions and metastatic tumor of knee joint 3. Soft tissue disorders of knee joint 4. Imaging of the knee |
None | None | None | None | |
| Knee arthroplasty | 1. Preoperative medical evaluation 2. Anesthesia 3. Blood conservation |
None | None | 1. Indications and contraindications for Total Knee Arthroplasty 2. Prosthesis design of primary Total Knee Arthroplasty 3. Prosthesis survival of primary Total Knee Arthroplasty 4. Prosthesis survival of Unicompartmental Knee Arthroplasty 5. Complication: thromboembolism 6. Complication: infection |
None | 1. Indications and contraindications for Unicompartmental Knee Arthroplasty 2. Indications and contraindications for Patellar Resufacing 3. Intramedullary and extramedullary alignment instrumentation 4. Ligamentous balancing 5. Complication: patellofemoral complications 6. Complication: neurovascular complications |
Primary knee arthroplasty | Surgical approach and wound closure of the knee | 1. Indications and contraindications for bilateral Total Knee Arthroplasty 2. Management of bone deficiency 3. Patellofemoral tracking 4. Computer-assisted alignment technique 5. Problems of Previous high tibial osteotomy 6. Problems of Previous patellectomy 7. Problems of Neuropathic arthropathy 8. Complication: periprosthetic fractures 9. Aseptic failure of primary total knee arthroplasty 10. Surgical exposures for revision arthroplasty 11. Component removal for revision arthroplasty 12. Reconstruction principles for revision arthroplasty 13. Results of revision knee arthroplasty |
Revision knee arthroplasty | ||
| Basic science of hip | 1. Pre-and post-natal development of Hip Joint 2. Surface anatomy of hip joints, Bones and articulations of the hip region 3. Neural and vascular structures and their relations with particular reference to standard anterior and posterior surgical approaches 4. Functional anatomy of ligaments and supporting muscles 5. Innervation of the hip including controlling musculature 6. The extent and function of the synovium and bursae of the hip 8. The structure of the labrum, and articular cartilage |
None | None | 1. The mechanism of ligamentous and bony to the hip and healing potential 2. Arthritides, including degenerate wear, ageing changes and traumatic damage 3. Pathology of inflammatory disease and infection affecting the hip 4. Benign and malignant conditions in the hip and surrounding structures 5. Autograft 6. Allograft 7. Bone substitute |
None | None | 1. Clinical approach to hip joint problems 2. Rating and outcome measurement in the hip | None | None | None | None | None |
| Anatomy and Biomechanics of Hip | 1. Anatomy of hiip 2. Development of the hip joint 3. Relationship of bony elements 4. Blood supply of the femoral head 5. Anatomical course of all major regional vessels and nerves and the capsule 6. Labrum and related ligaments |
None | None | 1. The applied anatomy of common surgical approaches to the hip (medial, anterior, lateral and posterior) 2. Describe the lever arms, muscles and body weight forces that produce the joint reaction force in both normal and abnormal hips and their application to the rationale of both pelvic and femoral osteotomies, and replacement arthroplasty |
None | None | None | None | None | None | None | None |
| Biomaterials | 1. Ceramics 2. Polyethylene 3. Metals |
None | None | 1. Implant design and evolution 2. Fixation by methyl methacrylate 3. Fixation by ingrowth 4. Fixation by ongrowth5. Bone remodeling after arthroplasty 6. State the tribological properties of materials used for articulating surfaces 7. Recognize the biocompatibility and mechanical properties of materials in common use in total hip arthroplasty |
None | None | 1. Tribology 2. Biologic response to wear debris |
None | None | None | None | None |
| Evaluation of Diseases/Conditions of Hip Joints | None | None | None | 1. Describe the pathology of pyogenic and non-pyogenic arthritis, slipped capital femoral epiphysis [SCFE], Perthes’ disease and hip dysplasia 2. Describe the pathology of osteoarthritis, rheumatoid arthritis and the seronegative arthritides at the hip and of osteonecrosis of the femoral head |
None | 1. History and physical examination 2. Radiographic evaluation 3. Radionuclide imaging evaluation 4. Blood investigation evaluation 5. Aspiration |
None | None | CT, Magnetic Resonance Imaging evaluation | None | None | None |
| Hip arthroplasty | 1. Preoperative medical evaluation 2. Anesthesia 3. Blood conservation |
None | None | 1. Indications and contraindications for Total Hip arthroplasty, Partial Hip Arthroplasty 2. Prosthesis design of primary Total Hip Arthroplasty 3. Prosthesis survival of primary Total Hip Arthroplasty 4. Surgical approach 5. Complications: Thromboembolism, Infection, Mortality, Hematoma formation, Heterotopic ossification Nerve injuries |
None | 1. Indications and contraindications for Hip Resurfacing, alternative bearing hip replacement 2. Selection of femoral components (Cemented, Cementless), acetabular components(Cemented, Cementless) 3. Complications: Vascular injuries, Limb-length discrepancy, Dislocation and subluxation , Neurovascular complications |
Implantation of cementless acetabular and femoral components, Implantation of cemented acetabular and femoral components | 1. Template 2. Nursing care plan and clinical pathway in Total Knee Arthroplasty 3. Wound closure 4. Functional and radiographic outcome measures 5. Postoperative management |
1. Minimally invasive techniques, Trochanteric osteotomy, Surgical problems relative to specific hip disorders 2. Complications: Periprosthetic fractures, Trochanteric nonunion and migration, Loosening, Osteolysis 3. Aseptic failure of primary Total Hip Athroplasty 4. Surgical exposures for revisionhip arthroplasty 5. Component removal for revision hip arthroplasty 6. Reconstruction principles for revision hip arthroplasty 7. Results of revision hip arthroplasty |
1. Total Hip Arthroplasty 2. Revision Hip Arthroplasty |
Partial Hip Arthroplasty | |
