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Orthopedics, Traumatology and Plastic Surgery

Code: MI439     Acronym: OTCP

Keywords
Classification Keyword
OFICIAL Medicine

Instance: 2023/2024 - 1S Ícone do Moodle

Active? Yes
Web Page: http://https://sigarra.up.pt/fmup/pt/UCURR_GERAL.FICHA_UC_VIEW?pv_ocorrencia_id=481617
Responsible unit: Surgery and Physiology Department
Course/CS Responsible: Integrated Master in Medicine

Cycles of Study/Courses

Acronym No. of Students Study Plan Curricular Years Credits UCN Credits ECTS Contact hours Total Time
MIMED 149 Plano Oficial 2021 4 - 6 57 162

Teaching language

Portuguese

Objectives

Apprehension of clinical conditions, pathophysiological mechanisms and generic therapeutic principles in diseases within the scope of Orthopedics, Traunatology and Plastic Surgery that are more frequent and/or serious, rank the principles of medical and surgical decision, action and timely referral.

Knowing how to integrate into an Orthopedics and Plastic Surgery team in consultation, internment or in the block, valuing self-directed learning and continued learning, teamwork and a multidisciplinary approach.

Contact and training in methods of observation, study and therapeutic, medical and surgical approach to conditions in the scope of Orthopedics and Plastic Surgery

Learning outcomes and competences

The syllabus aims to acquire knowledge, skills and attitudes that enable the identification and referral of common or relevant nosological entities in orthopedics, traumatology and reconstructive and aesthetic plastic surgery.

Working method

Presencial

Program


ORTOPHAEDIC SURGERY AND TRAUMATOLOGY: 


Basic principles of fractures treatment (manipulation, traction, cast immobilization, surgical treatment)

Fractures of the upper limb


Fractures of the lower limb


Spine injuries



Shoulder pathology (shoulder arthrosis, rotator cuff injuries, instabilities)


Knee pathology (knee arthrosis, meniscal and ligamentous injuries, anterior knee pain)


Knee and shoulder semiology / clinical cases

Pathology of the hip

Pathology of hand and wrist

Semiology/clinical cases of elbow/wrist/hand pathology

Pathology of foot and ankle

Semiology/clinical cases of foot and ankle pathology

Musculo-tendinous injuries in sports

Semiology/clinical cases of musculo-tendinous injuries in sports

Degenerative spine pathology/osteoporosis


Semiology/clinical cases of spine pathology



Semiology in children pathology

Spine deformities - scoliosis

Painfull hip in children and club foot

Children's immobilizations – Demonstration of the Ponseti method




Bone infections in children and adults

Clinical cases of bone tumors (Orthopedics / Anatomo pathology)


General concepts in Physical Medicine and Rehabilitation in Orthopedics

MFR clinical cases discussion




AIM OF PLASTIC SURGERY:


1 - Wounds: healing process, sutures, factors that influence the healing process, wound closure, approach to clean wounds, approach to contaminated wounds, wound dressings, negative pressure wound therapy


2 - Grafts and flaps: skin grafts, other grafts (nerve, fat, tendon, cartilage, bone, muscle, compound grafts); classification, choice criteria for grats and flaps, tissue viability


3 - Head and neck: congenital diseases, trauma, infections, neoplasia, miscellaneous (disorders of the mandible, disorders of the maxilla, temporomandibular joint disorder)


4 – Brest, trunk and external genitalia: breast anatomy and reconstruction (prosthetic, autologous, breast reduction, thoracic reconstruction, abdominal reconstruction, pressure sores; external genitalia: congenital lesions reconstruction, trauma, infection, suppurative hidrosadenitis


5 - Upper limb: evaluation of the injured hand   - cutaneous, tendinous, vascular and nervous lesions; specific lesions: infection, congenital defects, hand tumors, miscellaneous (Dupuytren´s contracture, nerve compressions)


6 - Lower limb: ulcers, trauma, lymphedema


7 - Burns: termal chemical, electric, frost (evaluation and treatment).


8 – Body contour: liposuction, excisional surgery


9 - Aesthetic surgery: facial rejuvenation, rhinoplasty, blepharoplasty, otoplasty, breast augmentation, mastopexy, tissue augmentation (fillers), cutaenous rejuvenation.

10 - Sutures Course - Basic practical suturing course in skin simulators, surgical instruments, suture materials, suture threads, safety rules, skin suture principles, types of knots, types of sutures (simple, continuous, still locked , Donatti, horizontal, inverted, intradermal matress), removal of suture material, simulation of the techniques covered in the model (skin simulator), exercises in the model.

Mandatory literature

PLASTIS SURGERY EDUCATION FOUNDATION; PLASTIC SURGERY - ESSENTIALS FOR STUDENTS, AMERICAN SOCIETY OF PLASTIC SURGEONS(ASPS), 2018 (Available at: https://www.kumc.edu/Documents/plasticsurgery/PS%20Essentials%202018%20FULL.pdf)
Zuckerman; HANDBOOK OF FRACTURES , 5th ED
Magee; Orthopedic Physical Assessment, 6th Ed
Weinstein, Buckwalter; TUREK´S ORTHOPEDICS: PRINCIPLES AND THEIR APPLICATION, 6th Ed
Gutierres, M; CONTROVÉRSIAS EM PATOLOGIA DO JOELHO E OMBRO, FMUP 2015

Complementary Bibliography

Jeffrey E. Janis; Essentials of Plastic Surgery, CRC PRESS, 2014. ISBN: 978-1576263853
JEFFREY WEINZWEIG; PLASTIC SURGERY SECRETS, ELSEVIER, 2010. ISBN: 978-0323034708
Grabb, Smith; Grabb and Smith´s Plastic Surgery - Eight edition, Kevin C Chung, 2019. ISBN: 1496388240

Teaching methods and learning activities

Lectures, integrative seminars (including with Pathology), pratical lessions (operating theater, ambulatory surgery unit, outpatient consultation, Burn Unit, Physical therapy department, emergency department, inpatient ward), Basic Suture Course.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation Weight (%)
Exame 90,00
Prova oral 10,00
Total: 100,00

Amount of time allocated to each course unit

Designation Time (hours)
Estudo autónomo 105,00
Frequência das aulas 57,00
Total: 162,00

Eligibility for exams

Attendance 75% of seminars/theoretical-practical classes and internship component classes

Calculation formula of final grade


Test with 90 multiple choice questions (60 Orthopedics/Traumatology + 30 Plastic Surgery) = 18 val

Practical assessment of Orthopedics (for example: 1 joint exam) = 0-1-2 val

Special assessment (TE, DA, ...)

Test with 90 multiple choice questions (60 Orthopedics/Traumatology + 30 Plastic Surgery) = 18 val

Practical assessment of Orthopedics with the appointed assistant (for example: 1 joint exam) = 0-1-2 val

Classification improvement


Test with 90 multiple choice questions (60 Orthopedics/Traumatology + 30 Plastic Surgery) = 20 val
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