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Dan Laptoiu
Implantologie si protezare
ortopedica
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Curs
1.Introducere: istoric, exemple de aplicaii, necesitatea protezrii ortopedice 2
2. Aspecte medicale: fiziologie, mecanic, tipuri de esuturi osoase i articulaii 2 3. Materiale utilizate i selecia acestora pentru realizarea implanturilor i protezelor
ortopedice 2
. Metode de o!inere a implanturilor i protezelor ortopedice 2
". Aspecte specifice pri#ind !iofuncionalitatea i !iocompati!ilitatea 2
$. %ipuri de fracturi i dispoziti#e medicale pentru fixare osoas &implanturi' 2
(. )roteze articulare $ *. Interaciunea implanturilor i protezelor ortopedice cu esuturile 2
+. %estarea implanturilor i protezelor ortopedice
1. -#aluarea clinic a implanturilor i protezelor ortopedice 2
11. tandarde i norme internaionale 2
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Tematica de laborator
1. Analiza compoziiei i proprietilor esuturilor osoase 2
2. -c/i#alena mecanic a articulaiilor umane 2
3. Aspecte tri!ologice 2
. Aprecierea !iocompati!ilitii i !iofuncionalitii !iomaterialelor utilizate2
". 0riterii de design pentru implanturile i protezele ortopedice 2
$. Metode de o!inere a dispoziti#elor ortopedice: turnare de precizie, deformare termomecanic
(. )ro!leme specifice dispoziti#elor de fixare a fracturilor 2
*. Analiza micrii 2
+. )rotezarea articulaiei oldului: te/nici de operare, tipuri de proteze 2
1. )rotezarea articulaiei de genunc/i: te/nici de operare, tipuri de proteze 2
11. eacii inflamatorii 2
12. olul o!ser#rii postoperatorie a implanturilor ortopedice
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TOP 5 Orthopedic
http://www.beckersorthopedicandspine.com/news-a-analysis/business-a-financial/958-5-new-developments-in-orthopedicshttp://www.beckersorthopedicandspine.com/news-a-analysis/business-a-financial/958-5-new-developments-in-orthopedics -
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HistoricalHistorical
Orthopedic Market
6
Ke ""# Obser$ations %op " represents "+ of t/e maret. %op 1 represents ((. tr4er 5 6immer 5 7epu4 represent ( of -089 -xtremities grot/ largel4 outside of ;ig "
2009 Q1 2010 Knee Hip Spine Extremity Sports2008 2009 Share Growth Increase Increase Increase Increase Med Tota
Stry!er $6.2 $6.4 15.0% 8% 6% 5% 11% -1% 3"e#$y $5.5 $5.9 13.9% 8% 9% 12% 9% 15% 8%esc$ap $3.8 $4.0 9.5% 6&immer $4.1 $4.2 9.8% 3% 2% -2% 12% 14% 2Smith ' (ephew $3.8 $3.8 8.9% 8% 3% 1% 0Synthes $3.2 $3.4 8.0% 9% 6Medtronic $3.0 $3.1 7.2% 2% 2)iomet $2.2 $2.4 5.5% 6% 12% 6% 6% 28% 7"* + $0.9 $0.9 2.2% 8% 4% 1+rtho,x $0.5 $0.6 1.3% 10% 11% 2% 8-ri.ht $0.5 $0.5 1.1% 7% 2% 4% 22% 5
Tota / /31 4 84 34 4 94 84 4
""# Market %hare
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%trker Corp&
tr4er 0orp. manufactures and sells a di#erse product mix of medical and
ort/opedic de#ices in t/e domestic and glo!al maretplace, including/ip, nee and upper extremit4 replacement prost/etics, and spinalimplants.
%/e firm is also noted for its de#elopment, manufacturing and sales of#ideoalamazoo, Mic/. ?
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De'u Orthopedics (a di$ision o)
*ohnson + *ohnson, %/e largest and most di#ersified of t/e orlds /ealt/care companies,
@o/nson @o/nson as founded in 1**$. %oda4, it/ operations in " countries, and sales in more t/an 1("
countries, it is t/e premier pur#e4or of more t/an 2 medical de#ices,
including ort/opedic and spinal products. @@ is also a glo!al leader int/e sales of p/armaceuticals and pacaged consumer /ealt/caregoods.
7uring fiscal 2(, @o/nson @o/nson ac=uired to /ealt/carecompanies: 0onor Meds4stems, a cardio#ascular de#ice compan4 it/ne drug deli#er4 tec/nolog4, and o!ert eid, a @apanese ort/opedic
product distri!utor.
7e)u4s ?.. /ead=uarters is in Barsa, Ind. ?
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-immer
Counded in 1+2(, 6immer Doldings In 23, 6immer Doldings ac=uired iss
0enterpulse, and !ecame -uropes leading ort/opedic de#ice compan4. %/e compan4 specializes in t/e de#elopment and manufacturing of reconstructi#e
implants and de#ices for spinal applications, and for nee, /ip, s/oulder and el!oEoints, and related ort/opedic surger4 products.
%/e firm is noted also for its inno#ation and t/e fast
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Medtronic
Counded in 1++, Medtronic is one of t/e leaders in inno#ati#e medical
tec/nologies and surgeries, it/ focus on diagnosis, pre#ention andmonitoring of c/ronic conditions.
Among t/e firms inno#ations of special interest to ort/opedic surgeonsare its !one graft and Minimal Access pinal %ec/nologies and image