Data

Official data in SubjectManager for the following academic year: 2020-2021

Course director

Dr. Norbert WIEGAND (wiegand.norbert@pte.hu), associate professor

Department of Traumatology and Hand Surgery

Subject data

Code of subject: OAK-TRA-T  |  3 credit  |  General Medicine |  Clinical module  |  spring

Prerequisites: OAA-NEA-T completed , OAP-SPR-T completed

Exam course: no

Number of hours/semester

14 lectures + 8 practices + 20 seminars = total of 42 hours

Course headcount limitations

min. 5 – max. 50 person

Topic

Trauma curriculum:
Socio-economic and medical importance of the trauma care.
Diagnostical and therapeutical options of different injuries.
Outpatient care: rehabilitation
Basic interventions in the trauma care (wound treatment, casting techniques, basic osteosynthesis forms, basic treatment options of hand injuries)
In duty service.

Lectures

  • 1. Introduction to traumatology. Social and economic impact of injuries on the society. Different types of wounds. Principles of wound treatment. - Dr. Wiegand Norbert
  • 2. Characteristics and classifications of fractures. Bone healing, delayed fracture healing and non-union. - Dr. Wiegand Norbert
  • 3. Basic principles of non-operative and surgical fracture treatment. - Dr. Wiegand Norbert
  • 4. Treatment of soft tissue and joint injuries. - Dr. Wiegand Norbert
  • 5. Management of severely injured patients. Damage control. ATLS. - Dr. Wiegand Norbert
  • 6. Injuries of the chest and abdomen. - Dr. Mester Sándor
  • 7. Open fractures. Treatment of bone and joint infections. - Dr. Wiegand Norbert
  • 8. Neurotraumatology. Injuries of the head and spine. - Dr. Büki András
  • 9. Pelvic and acetabular fractures. - Dr. Kromek Lóránd
  • 10. Hip fractures. - Dr. Wiegand Norbert
  • 11. Femur and lower leg fractures. Injuries of the knee. - Dr. Wiegand Norbert
  • 12. Ankle and foot injuries. Post-traumatic complications. - Dr. Ayerh George
  • 13. Fractures of the upper extremity (clavicle-forearm). - Dr. Wiegand Norbert
  • 14. Injuries of the wrist and the hand. Microsurgery. - Dr. Szabó Tamás

Practices

  • 1. Cast fixation I.
  • 2. Cast fixation II.
  • 3. ATLS scenarios I.
  • 4. ATLS scenarios II.
  • 5. Sawbone practice: LCP and PFNA I.
  • 6. Sawbone practice: LCP and PFNA II.
  • 7. Negative pressure wound therapy (NPWT), 'smart' dressings I.
  • 8. Negative pressure wound therapy (NPWT), 'smart' dressings II.

Seminars

  • 1. Wound types. Wound care in general practice I.
  • 2. Wound types. Wound care in general practice II.
  • 3. Nonoperative fracture treatment. Cast fixation and braces I.
  • 4. Nonoperative fracture treatment. Cast fixation and braces II.
  • 5. Operative fracture treatment. Surgical implants I.
  • 6. Operative fracture treatment. Surgical implants II.
  • 7. ATLS. Preparation for scenarios I.
  • 8. ATLS. Preparation for scenarios II.
  • 9. Neurosurgery
  • 10. Neurosurgery
  • 11. Consultation
  • 12. Consultation
  • 13. Septic joint and bone complications I.
  • 14. Septic joint and bone complications II.
  • 15. Handsurgery I.
  • 16. Hand surgery II.
  • 17. X-ray interpretation I.
  • 18. X-ray interpretation II.
  • 19. Consultation
  • 20. Consultation

Reading material

Obligatory literature

-

Literature developed by the Department

Education materials of lectures and seminars.

Notes

-

Recommended literature

Buckley et al: AO Principles of Fracture Management, Third Edition (Thieme)
Dresing et al: Casts, Splints, and Support Bandages; Nonoperative Treatment and Perioperative Protection (Thieme)
J. Crawford Adams: Outline of Fractures, most recent edition, Churchill Livingstone, Edinburgh, London
J. Crawford Adams: Practical Fracture Treatment, most recent edition, Churchill Livingstone, Edinburgh, London
R. McRea, M. Esser: Practical Fracture Treatment, Churchill Livingstone, Edinburgh, London
D. Dandy, D. Edwards: Essential Orthopaedics and Trauma, Churchill Livingstone, Edinburgh, London
Handbooks:
Watson-Jones: Fractures and Joint Injuries, Vol. 1-2., most recent edition, Churchill Livingstone, Edinburgh, London
Oxford Handbook of Orthopaedics and Trauma, Oxford Medical Handbooks
Campbell's Operative Orthopaedics, 12th edition, Elsevier
Green's Operative Hand Surgery, Elsevier
homepages:
http://www.aotrauma.org

Conditions for acceptance of the semester

Maximum of 25 % absence allowed

Mid-term exams

-

Making up for missed classes

Participation at practises and seminars is mandatory. 'Make-up class' is possible by joining to another group's class; this option is limited to the number of two seminars/practices per semester.

Exam topics/questions

A - series

1. Medical first aid, bleeding control, ATLS, TRIAGE
2. Wound types. Principles of wound care. Soft tissue defects and reconstructive surgery.
3. Etiology, diagnosis and classification of fractures. Basic principles of AO (ASIF) fracture classification.
4. Classification and management of open fractures.
5. Physiology of bone remodeling. Principles of fracture healing and treatment of bone union disorders.
6. Joint dislocations. Diagnosis and therapy of joint-related soft tissue injuries.
7. Principles and types of non-operative (conservative) fracture treatment.
8. Operative fracture treatment. Different types of ostesosyntheses. AO (ASIF) principles of fracture management.
9. Multiple trauma, polytrauma. Management of severely injured patients. Damage control. ATLS guidelines.
10. Management of the septic condition of soft tissues, bones and joints.
11. Inactivity-induced atrophy, reflex dystrophy, compartment syndrome.
12. Replantation, revascularization, microsurgery.
13. Head and spine injuries.
14. Injuries of the chest.
15. Injuries of the abdomen.

B - series

1. Pelvic and acetabular fractures. Traumatic hip dislocations.
2. Femoral neck fractures and their complications. Femoral head fractures.
3. Trochanteric, diaphyseal and distal fractures of the femur.
4. Proximal and middle shaft lower leg fractures.
5. Ligament and meniscal injuries of the knee. Patellar fractures.
6. Pilon fracture. Fractures and ligament injuries of the ankle.
7. Foot fractures and dislocations. Achilles-tendon injuries.
8. Scapula and clavicle fractures. Dislocation of the AC, SC and shoulder joints.
9. Proximal and middle shaft humeral fractures.
10. Elbow fractures and dislocations.
11. Forearm fractures. Distal radius fractures.
12. Carpal and metacarpal injuries. Basic principles of immobilization of the hand.
13. Nerve injuries of the hand. Immediate and delayed nerve repair.
14. Tendon injuries of the hand.
15. Treatment of the septic hand.

Examiners

  • Dr. Mester Sándor
  • Dr. Naumov István
  • Dr. Wiegand Norbert

Instructor / tutor of practices and seminars

  • Dr. Ayerh George
  • Dr. Lázár István
  • Dr. Mester Sándor
  • Dr. Pankaczi Zsófia
  • Dr. Patczai Balázs
  • Dr. Szabó Tamás
  • Dr. Wiegand Norbert