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"This highly illustrated text book will be an essential guide for surgeons in training, providing step by step approaches to performing Joint Aspiration/Injection, Bone Graft Harvesting and Lower Limb Amputations. Practical guidance will be given on Indications- Preoperative assessment, positioning and preparing the patient, approach required, tips and tricks, closure, postoperative complications, protocol of mobilization and follow-up procedure. All the procedures performed will include numerous intraoperative photographs and illustrations."

"With the time available to surgeons-in-training ever dwindling, there is great emphasis placed on practical learning tools. Mirroring his earlier book on practical procedures in trauma surgery, Prof Giannoudis has produced a reference in more elective techniques. In most medical schools, most emphasis is placed on orthopaedic trauma surgery, with elective techniques often delayed until much later in a surgeon?s training."

"With the time available to surgeons-in-training ever dwindling, there is great emphasis placed on practical learning tools. Mirroring his earlier book on practical procedures in trauma surgery, Prof Giannoudis has produced a reference in more elective techniques. In most medical schools, most emphasis is placed on orthopaedic trauma surgery, with elective techniques often delayed until much later in a surgeon’s training."

"As it is quick, inexpensive, and non-invasive, ultrasound is the modality of choice for guidance of interventional procedures in the soft tissues. Furthermore, the rising mean age of the general population is being accompanied by increasing demand among patients for minimally invasive procedures to treat painful chronic and degenerative syndromes of the musculoskeletal system. This handbook is a clear, practical guide to ultrasound-guided minimally invasive treatments of musculoskeletal pain in the upper limb. Each chapter is clearly structured, with brief but comprehensive descriptions of the disease to be treated and of the materials and drugs needed. High-quality images and easy-to-follow schemes explain the best approach in each situation, and practical tips and tricks of value in daily clinical routine are provided."

"Praktik Spesialis Keperawatan Medikal Bedah dengan Kekhususan pada Sistem Muskuloskeletal ini bertujuan untuk mengaplikasikan peran perawat sebagai pemberi asuhan, pengelola, pendidik dan peneliti. Peran sebagai pemberi asuhan dilakukan dengan mengelola sebanyak 30 pasien yang mengalami masalah pada sistem muskuloskeletal dan satu pasien kelolaan utama dengan kasus Fraktur Terbuka Ekstremitas Bawah dengan pendekatan teori self-care Orem. Peran perawat sebagai peneliti dilakukan dengan penerapan tindakan keperawatan yang berbasis bukti ilmiah (Evidence-Based Nursing Practice) yaitu dengan menerapkan wound drain management untuk mencegah kehilangan darah berlebih post operasi Total Joint Arthroplasty. Sedangkan peran sebagai pengelola dilakukan deengan menyusun suatu panduan komunikasi efektif yang terstruktur dengan metode SBAR untuk mengkomunikasikan kondisi pasien dengan masalah sistem muskuloskeletal. Seluruh rangkaian kegiatan tersebut bertujuan untuk mewujudkan asuhan keperawatan holistik dalam meningkatan kualitas pelayanan keperawatan.

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Clinical Practice of Medical-Surgical Nursing Specialist in the specialty of Orthopaedic Nursing aims to apply the role of nurses as a direct patient care providers, managers, educators and researchers in the clinical setting. Role as a care provider has done by managed 30 patients with musculoskeletal problems and one patient (major managed cases) with Open Fracture of Lower Extremities using Orem’s Self-Care Nursing Theory Approach.

The role of nurses as a researcher has conducted by applying the nursing action based on scientific evidence (Evidence-Based Nursing Practice), the evidence is wound drain management to prevent excessive blood loss post Total Joint Arthroplasty. The role as a nursing manager has been done by applying SBAR method as a strategy to achieve effective communication at orthopaedic ward. All activities aim to realizing the holistic nursing care in order to improve the quality of nursing services."

"Tulang merupakan komposit kolagen dan mineral. Kolagen bersifat elastis bertindak sebagai matriks pada tulang. Adapun hidroksiapatit (HA) memiliki modulus elastis tinggi, bersifat rapuh, berikatan kimia dengan kolagen, memberi sifat kaku dan kuat pada tulang. Pembuatan biokomposit dengan fraksi volume kolagen dan orientasi serat matriks yang bervariasi akan dapat diproduksi suatu komposit ringan yang memiliki kekuatan tinggi dengan sifat anisotropi seperti tulang alami. Dalam penelitian ini, dilakukan pembentukan komposit dengan komponen kalsium fosfat dan kolagen. Kolagen diisolasi dari beberapa sumber limbah antara lain; limbah ikan dan limbah ayam. Berdasarkan hasil uji protein kasar, FTIR, dan SEM menunjukkan bahwa limbah ayam memiliki potensi untuk menjadi sumber alternatif dari produksi kolagen. Metode iradiasi gelombang mikro pada sintesis kalsium fosfat, menghasilkan kemurnian hasil dengan ketepatan nilai parameter kisi bernilai diatas 99% untuk kedua variasi (sintering dan tanpa sintering). HA sintering memiliki indeks kristalinitas yang lebih tinggi dari tulang manusia (3.23>0.33). Namun, HA non-sintering memiliki indeks kristalinitas pada rentang indeks kristalinitas tulang manusia. Sintesis komposit apatit kolagen dengan metode presipitasi ek situ telah berhasil dilakukan. Berdasarkan karakteristik fisik yang dilakukan menunjukkan bahwa pada semua masa rasio komposit memperlihatkan deposisi kristal HA pada permukaan kolagen. Studi pendahuluan ini akan bermanfaat untuk studi pembentukan komposit kalsium fosfat/kolagen sebagai bioamterial.

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Bone is a composite of collagen and minerals. Collagen is an elastic material that acts as a matrix of bone. The hydroxyapatite (HA) has a high elastic modulus, and brittle. The combination chemically of collagen on HA gives a strong and rigid nature to the bone. The production of bio-composites with varying collagen volume fraction and matrix fiber orientation will produce a lightweight composite that has high strength with anisotropic properties such as natural bone. In this study, composites were formed with calcium phosphate and collagen components. Collagen was isolated from three sources of waste including; goramy fish scale, the cuticle of chicken feet and the inner layer of chicken gizzard.

Based on the crude protein analysis, FTIR, and SEM revealed that the inner layer of the chicken gizzard was potential to be an alternative source of collagen production. Microwave irradiation technique produced the purity of results with the accuracy of the lattice parameter above 99% for both variations (sintering and without sintering). Sintered HA had a higher crystallinity index than the human bone (3.23 > 0.33). But, the unsintered HA had the crystallinity index at the range of human bone`s crystallinity index.

The synthesis of apatite collagen composite with precipitation method was successfully carried out. The SEM examination showed the deposition of apatite crystals on the surface of collagen. Based on the all physical characterization revealed that all of the ratio mass of the composites the heterogenous strongly adhered throughout the collagen surface. The preliminary study will be beneficial for leading the formation of composites of collagen/HA as biomaterials."

"Generally the signs and symptoms of advances periodontal disease are periodontal pockets formation to alveolar bone defect. Bone defect treated with placement a preparation material to promote new bone formation. Tissue transplantation were developed to reconstruct bone defect with the placement of bone graft material. This paper will discussed the used of demineralized freeze dried bone allograft (DFDBA) and anorganic bone mineral combined with synthetic 15 amino acid sequence within type 1 collagen (PepGen P-15), the potential healing of bone defect to enhance the optimum treatment of periodontal disease."