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Samenvatting Verpleegkundige Zorg 3 - Deel orthopedie - Martine Baert
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Samenvatting van 17 pagina's voor het vak Verpleegkundige Zorg en Communicatie 3 aan de HoGent (lessen +ppts)
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Verpleegkundige ZorgOrthopedie – Martine Baert
hoofdstuk 1: Orthopedische terminologie...........................................................................4
1 Termen die beweging in een gewricht beschrijven.........................................................................4
2 Termen die een afwijkende stand beschrijven................................................................................4
3 Fractuurclassificatie.........................................................................................................................4
3.1 Basisprincipe AO classificatie.....................................................................................................................4
Hoofdstuk 2: operaties aan de schouder.............................................................................4
1 Inleiding...........................................................................................................................................4
2 Anatomisch rappel...........................................................................................................................4
3 Onderzoeken bij schouderproblemen.............................................................................................4
4 Ingrepen..........................................................................................................................................4
4.1 Acromioplastie............................................................................................................................................4
4.2 De totale schouderprothese.......................................................................................................................4
4.3 Het ontslag.................................................................................................................................................4
Hoofdstuk 3: operaties van de wervelkolom.......................................................................5
1 Inleiding...........................................................................................................................................5
1.1 Lokalisatie van pijnklachten en/of slapende zone.....................................................................................5
2 Anatomisch rappel...........................................................................................................................5
3 De lumbale hernia pulposi...............................................................................................................5
Symptomen......................................................................................................................................................5
Indicaties voor operatie van lumbale hernia....................................................................................................6
Cauda equina syndroom..............................................................................................................................6
4 Ingrepen..........................................................................................................................................6
4.1 De discectomie...........................................................................................................................................6
4.2 Kanaalstenose............................................................................................................................................6
4.3 Posterior lumbar interbody fusion (PLIF)...................................................................................................6
indicaties......................................................................................................................................................6
Contra-indicaties..........................................................................................................................................6
4.4 Anterior lumbar interbody fusion (ALIF).....................................................................................................7
4.5 Het ontslag.................................................................................................................................................7
Hoofdstuk 4: operaties aan de heup....................................................................................7
1 Inleiding...........................................................................................................................................7
Casus................................................................................................................................................................7
2 Anatomisch rappel...........................................................................................................................8
3 Intracapsulair letsel.........................................................................................................................8
1
, Behouden van femurkop..............................................................................................................................8
Geen behoud................................................................................................................................................8
3.1 CHS (Cannulated hipscrew)........................................................................................................................8
3.2 DHS (Dynamic hipscrew)............................................................................................................................8
3.3 Verpleegkundige aandachtspunten...........................................................................................................8
2.1 Extracapsulair.............................................................................................................................................9
4 Onderzoeken bij heupproblemen....................................................................................................9
Keuze osteosynthese........................................................................................................................................9
5 Ingrepen..........................................................................................................................................9
4.1 De heuposteotomie....................................................................................................................................9
4.2 De intramedullaire nageling.......................................................................................................................9
4.3 De totale heupprothese..............................................................................................................................9
indicaties......................................................................................................................................................9
Preoperatieve periode.................................................................................................................................9
de heupprothese........................................................................................................................................10
Met cement................................................................................................................................................10
Ongecementeerd.......................................................................................................................................10
intramedullaire nageling............................................................................................................................10
Complicaties...............................................................................................................................................10
Luxatie.................................................................................................................................................................. 10
Infectie.................................................................................................................................................................. 11
Loslating door infectie..........................................................................................................................................11
Breuk onder de prothese......................................................................................................................................11
Bloeding................................................................................................................................................................ 11
4.4 De totale heupprothese via MIS...............................................................................................................11
criteria........................................................................................................................................................11
Tegenindicaties..........................................................................................................................................11
Hoofdstuk 5: operaties aan de knie...................................................................................12
1 Inleiding.........................................................................................................................................12
2 Anatomisch rappel.........................................................................................................................12
3 Onderzoeken bij knieproblemen...................................................................................................12
4 Ingrepen........................................................................................................................................12
4.1 Meniscus operatie....................................................................................................................................12
4.2 Voorste kruisbandplastie..........................................................................................................................12
4.3 De totale knieprothese: klassieke benadering.........................................................................................12
4.4 De LAZI-RUSH-methode............................................................................................................................12
hoofdstuk 6: amputaties onderste extremiteiten..............................................................12
1 Indicaties.......................................................................................................................................12
2
, 2 Oorzaken.......................................................................................................................................12
2.1 Vasculaire afwijkingen.............................................................................................................................12
2.2 Diabetische voet.......................................................................................................................................13
2.3 Trauma.....................................................................................................................................................13
2.4 Tumoren...................................................................................................................................................13
3 Diagnosestelling.............................................................................................................................13
4 Amputatie, wat nu?.......................................................................................................................13
5 Amputatie techniek.......................................................................................................................13
6 Verpleegkundige taak....................................................................................................................14
7 Amputatieniveaus..........................................................................................................................14
7.1 Teenamputatie.........................................................................................................................................14
7.2 Partiële voorvoetamputatie.....................................................................................................................14
7.3 Lisfranc amputatie...................................................................................................................................15
7.4 Drie niveaus van voetamputaties.............................................................................................................15
7.5 Transtibiale amputatie.............................................................................................................................15
7.6 Knie-exarticulatie.....................................................................................................................................16
7.7 Transfemorale amputatie........................................................................................................................16
7.8 Heupexarticulatie of hemipelvectomie....................................................................................................16
8 Revalidatie en prothese.................................................................................................................17
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