MALATTIE DELL'APPARATO LOCOMOTORE, FISIATRIA, CHIRURGIA PLASTICA E MAXILLO FACCIALE - channel 3

6 CFU - 1° Semester

Teaching Staff

VITO PAVONE - Module Orthopaedics and Traumatology - MED/33 - 2 CFU
MATTEO CIONI - Module PHYSICAL MEDICINE AND REHABILITATION - MED/34 - 2 CFU
ROSARIO EMANUELE PERROTTA - Module Plastic and Reconstructive Surgery - MED/19 - 1 CFU
ALBERTO BIANCHI - Module CHIRURGIA MAXILLO FACCIALE - MED/29 - 1 CFU

Learning Objectives

Orthopaedics and Traumatology
The aim is to provide the knowledge of the musculoskeletal diseases of orthopedic and traumatology. The course provides knowledge regarding orthopedic and traumatological diseases of childhood, adulthood and elderly. The course provides to take up the future physician regarding the diagnostic approach and the correct choice of treatment, either conservative or surgical, of congenital, pediatric and degenerative orthopaedic disorders, and regarding the management of minor and major trauma, vehicle, accidental and sportive.
PHYSICAL MEDICINE AND REHABILITATION
Activities and diagnostic care in the field of Physical Medicine and Rehabilitation of the general and special functional impairments resulting from amputations, orthopedic and rheumatologic diseases, with the use of aids, orthotics, physical therapy and medications.
Plastic and Reconstructive Surgery
Knowledge of basic techniques in Plastic Surgery, treatment of the main tumors, malformation and traumatic diseases and related reconstructive procedures.

Course Structure

Orthopaedics and Traumatology
Frontal lessons. PPT files.
PHYSICAL MEDICINE AND REHABILITATION
Frontal teaching

Detailed Course Content

Orthopaedics and Traumatology
The course is based on the main orthopaedic and traumatologic disorders, highlighting: epidemiology, etiology, pathogenesis, clinical features, imaging investigations, differential diagnosis, prognosis, complications, conservative and surgivcal treatment.
PHYSICAL MEDICINE AND REHABILITATION
1) Clinical evaluation of the patient (head, trunk, upper and lower limbs), joint and muscle balance sheet.ADL and IADL

2) International Classification of Functioning, Disability and Health (ICF).

3) Rehabilitation of persons with amputations

Principles of epidemiology of amputations and frequency of amputations. Prevention of amputations. Levels of amputation. The stump (surgical preparation and bandage) .The post-operative pain, pain after healing, pain caused by dentures, phantom limb pain. Principles of rehabilitative intervention (how to avoid retractions muscle-tendon, muscle strengthening and stretching, postures). Autonomy and transfers. Re-education journey. Principles of the prosthesis structure (socket, socks, jock strap and pylon, mechanical components).

4) Prevention of falls and rehabilitation of patients with outcomes of fractures or osteoarthritis:
Falls: anticipatory postural reactions and feedback, parachute reaction syndrome "fear of fall", prevention of falls, walking aids aids for ADL, training falls,
rehabilitation to the outcomes of fractures and osteoarthritis: passive mobilization, postural exercises, muscle strengthening, active assisted physiotherapy, proprioceptive exercises, use of Canadian crutches, hydrokinesiotherapy.Physical therapy: types of physical energy, ultrasound, sonophoresis, magnetic therapy, laser therapy, thermotherapy exogenous and endogenous, cryotherapy, electrotherapy stimulation (rectangular faradic, exponential, triangular, exponential triangle), Kotz currents, currents analgesic (TENS, diadynamic monophase , diphase, interference).Adapted physical activity. Ergonomics and joint protection.
5) Rehabilitation intervention in the patient with bedsores
Type of skin lesions. International Classification of skin lesions. Factors favoring bedsores. Action of the cutting forces. Headquarters of bedsores. Operations to be performed on the patient with bedsores. How to handle the patient.
6) Patient Rehabilitation burned: functions of the skin, classification of burns, etiology, lesion types, therapeutic postures, static orthotics, orthotic dynamics, use of a static table, use of walking aids, hypertrophic scars, massage, stretch bodice.
7) Rehabilitation of people with low back pain syndrome Hypomobility.The pain in the rehabilitation pathologies. Effect of pain on mobility. vicious circle of inactivity. ergonomic principles. Treatment: rest, physical therapy, exercise, medication, infiltration and epidural injections, spinal orthoses (soft collars, stiff collars, shrouds). Corsets canvas and metal slats. Adapted Physical Activity (APA).

8) Rehabilitation after lesions of shoulder and elbow.
Plastic and Reconstructive Surgery
Basic Techniques in Plastic Surgery; treatment and diagnosis of skin neoplastic lesions; treatment of traumatic hand injury; malformative syndromes of the cephalic, genital, breast and limb district; breast reconstruction; canalicular pathologies of the upper limb; treatment and physiopathology of the burned patient; knowledge and treatment of chronic skin lesions of the lower limbs and pressure lesions; microsurgery.

Textbook Information

Orthopaedics and Traumatology
1. Sessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore.

2. Grassi-Pazzaglia. Manuale di Ortopedia e Traumatologia. Elsevier Editore.
PHYSICAL MEDICINE AND REHABILITATION
1) Joel A. DeLisa, Bruce M. Gans, Nicholas E. Walsh . Physical Medicine and Rehabilitation: Principles and Practice, Volume 1-2.Vth edition, Lippincott Williams & Wilkins, 2012

2) Brotzman S.and Wilk K.E.. Handbook of Orthopaedic Rehabilitation, 2nd Edition. Elsevier. 2007
Plastic and Reconstructive Surgery
Manuale di chirurgia plastica, ricostruttiva ed estetica Scuderi, Rubino ISBN: 9788829926503 Piccin 2014

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