Background. This review is intended to summarize the risk factors, classification, diagnosis, and treatment of heterotopic ossification (HO) of previously published studies. Results. Heterotopic ossification is a common complication of total hip arthroplasty. Its prevalence is not the same in all of the patient groups. Frequency of HO varies from 15 to 90%. Hip ankylosis, male gender, and previous history of HO are said to be risk factors with a significant level. Diagnosis is based on a single AP radiograph: the Brooker classification that divides HO into four grades is the most commonly used. The confirmation test that can be used is a bone scan. A great amount of bone metabolic turnover markers have been tested, but none of them seems to be relevant in case of prevention or diagnosis of HO. The most effective prophylactic treatment is radiotherapy or administration of nonsteroidal anti-inflammatory drugs. Over the years a lot of different RT protocols have been tested. Nowadays the most often used regimen is 7 Gy given postoperatively in a single dose. The most commonly prescribed drug in prophylaxis of HO is indomethacin. Also, the efficacy of ibuprofen and diclofenac was proven. Recently researchers focused on selective COX-2 inhibitors. They appear to be as effective as nonselective NSAIDs having less side effects. The one and only treatment of HO is a revision arthroplasty.
The study of anatomy has served as the cornerstone of medical education for centuries, traditionally relying on human cadavers as the primary teaching resource. In recent years, new technologies such as virtual anatomy tables, immersive techniques and 3D printing have been introduced into anatomy education. Moreover, immersive techniques and 3D printing are also increasingly common in many fields of medicine. Virtual anatomy tables, immersive techniques and 3D printing are well-evaluated by students, but in the vast majority of studies they emphasize a complementary rather than leading role in teaching anatomy. New technologies lead to greater student engagement. They also diversify learning, making it more enjoyable and accessible. New technologies are increasingly used in clinical disciplines and teaching.The incorporation of modern tools reflects a global trend in medical education. Students have a positive attitude towards innovations, and most studies confirm their satisfaction and confirmation of their usefulness after their implementation in practice. Most students are convinced of the usefulness of new technologies in future clinical work, therefore medical universities should ensure the development of future doctors based on modern methods. Keywords: virtual anatomy tables immersive technologies MR VR 3D printing new technologies in anatomy anatomy education
4 August 2022 in Journal of Visualized Experiments
The technology of 3D printing and visualization of anatomical structures is rapidly growing in various fields of medicine. A custom-made implant and mixed reality were used to perform complex revision hip arthroplasty in January 2019. The use of mixed reality allowed for a very good visualization of the structures and resulted in precise implant fixation. According to the authors' knowledge, this is the first described case report of the combined use of these two innovations. The diagnosis preceding the qualification for the procedure was the loosening of the left hip's acetabular component. Mixed reality headset and holograms prepared by engineers were used during the surgery. The operation was successful, and it was followed by early verticalization and patient rehabilitation. The team sees opportunities for technology development in joint arthroplasty, trauma, and orthopedic oncology.
There remains much debate about the correct management of incidentally found brain tumors in the pediatric population. This study aimed to evaluate the efficacy and safety of surgical treatment of incidentally found pediatric brain tumors. A retrospective analysis of pediatric patients who underwent surgical resection of incidentally found brain tumors between January 2010 and April 2016 was performed. A total of seven patients were included. The median age at the time of diagnosis was 9.7 years. The reasons for performing neuroimaging were as follows: impeded speech development (n = 2), shunt control (n = 1), paranasal sinuses control (n = 1), behavior changes (n = 1), head trauma (n = 1), and preterm birth (n = 1). Five patients underwent gross total tumor resection (71.4%), while subtotal resection was performed in two patients (28.6%). There was no surgery-related morbidity. Patients were followed up for a mean of 79 months. One patient with atypical neurocytoma experienced tumor recurrence 45 months following primary resection. All patients remained neurologically intact. The majority of pediatric incidentally found brain tumors were histologically benign. Surgery remains a safe therapeutic approach associated with favorable long-term outcomes. Considering the expected long lifetime of pediatric patients, as well as the psychological burden associated with having a brain tumor as a child, surgical resection can be considered an initial approach.
Background: 3D printing is increasingly used in many fields of medicine. The broadening of knowledge in this field and the cooperation of doctors and engineers increase the interest in this technology and results in attempts to implement it at every stage of the treatment. Objective: The review aims to summarize the current literature on the use of 3D printing technology in the treatment of post-trauma patients. Method: A review of available scientific publications in PubMed regarding 3D printing and its application in the context of posttraumatic procedures was carried out. Clinical Trials and Reviews from the period 2014-2019 (6-year period) were taken into consideration. The database was searched for “Printing”, “ThreeDimensional” [MAJR] [MeSH Term]. Finally, 48 studies have been included in our review article. Results: 3D printing technology has a number of applications in patients who have suffered injuries. 3D printing has found application in the preparation of procedures, accurate visualization of occurring injuries and complications, education of doctors and patients, prototyping, creation of synthetic scaffolding, production and implementation of target implants and rehabilitation. Conclusion: 3D printing is increasingly used in providing for the posttraumatic patients. It is necessary to conduct further research in this area and to provide development opportunities in regarding biopolymers and bioprinting. It is also necessary to improve cooperation between doctors and engineers and to create new centres that can comprehensively use 3D printing - from imaging diagnostics to the production of implants and their surgical use.
Background: For many years, teaching of anatomy has been based on traditional forms of teaching, but innovative solutions are currently being implemented on a large scale around the world. The COVID-19 pandemic and distance learning have influenced the development of new technologies in teaching. Materials and methods: The study was conducted among medical students who studied anatomy in the year preceding the analysis when the restrictions related to the pandemic had been lifted. The questionnaire contained 10 questions with YES/NO answers and a modified 10-point Likert scale. The data was subjected to statistical analysis performed in R studio using the R programming language. 650 respondents were included in the analysis. Results: Students assessed the modernization of anatomy departments to be unsatisfactory - on a 10-point scale, the most common answer was 2 — the average was 2.69. At the same time, they assessed the accessibility of knowledge as acceptable — median 6, with an average of 5.58. 75.38% of respondents did not use virtual reality technology, 75.69% did not use a 3D printing. 92.5% did not work with a virtual anatomical table. The vast majority of students claim that new technologies will be useful in their future clinical practice. Conclusions: New technologies are still rarely used in the teaching of anatomy, despite an increasing availability of such solutions and the conviction of students about the validity of implementing innovations in their future clinical practice. It seems reasonable to enable cooperation between the traditional forms of learning and the modern ones. Keywords: anatomy learning VR MR 3D printing new technlologies in anatomy virtual dissection anatomy table