[Nursing cooperation during maxillary sinus lateral fenestration and bone grafting].

PURPOSE: To summarize the experience and effect of holistic quality nursing during perioperative period of maxillary sinus lateral fenestration. METHODS: From January 2010 to December 2016, there were a total of 26 patients with maxillary sinus lateral fenestration in the First Dental Clinic Department. Through observation and analysis of nursing cooperation combined with psychological nursing in the perioperative period, coordination and postoperative nursing, the overall experience and effect of holistic quality nursing were summarized. RESULTS: All 26 patients received effective bone increment after operations without any complications. Nursing cooperation and psychological nursing were essential and effective during perioperative period of maxillary sinus lateral fenestration. CONCLUSIONS: Modern holistic quality nursing embodied thoughtful preoperative preparation, suitable psychological nursing, accurate nursing cooperation and postoperative meticulous care follow up, which plays an important role in the success of maxillary sinus lateral fenestration.

Using the Ilizarov external fixator in bone transport.

Bone transport is moving into the avenues of orthopaedic medicine by creating new alternatives to former methods of treatment. It is a challenging limb salvage procedure that uses the Ilizarov External Fixator. Cooperation and commitment from the patient and orthopaedic team can create exciting results.

The Papineau bone graft: a limb salvage technique.

The Papineau bone graft is a limb salvage technique that is an effective treatment alternative to amputation for problematic, infected nonunion of long bone. The graft technique involves radical open bone debridement, cancellous bone grafting over a granulation tissue base, delayed soft tissue closure, and immobilization of the affected extremity. A cooperative effort is necessary between the patient and health care team to ensure the success of the graft procedure. A case study is presented in this article detailing the care involved for a patient undergoing the Papineau procedure.

Harvesting and implanting allograft bone.

Allograft bone (i.e., bone that is obtained from a donor) implantation is used for bone replacement and for reconstructing serious bone defects during total joint revision surgery. It is also used for bone replacement after large excisions of bone tumors. An extensive variety of laboratory tests must be completed, appropriate storage facilities for allograft bone have to be available, and protocols must be developed before a facility can set up a bone bank. Many ethical issues and nursing responsibilities need to be considered before the decision is made to use allograft bone.

The role of the professional nurse in a bone marrow transplantation programme.

Two different methods of transplantation are available. The allogeneic procedure is the transfer of bone marrow between compatible siblings, whereas in autografting the patient's own haematopoietic stem cells are collected, stored, and subsequently reinfused. Both forms have become established in the treatment of the leukaemias, aplastic anaemia, the malignant lymphomas, myeloma and certain immunologic diseases. Similarly, these techniques are being used in solid tumour oncology to reconstitute bone marrow function after high doses of chemotherapy, which would otherwise result in irreversible myelotoxicity. The success of such programmes depends upon a well developed multidisciplinary approach, prominently involving experienced and dedicated nursing staff. The latter individuals will establish contact with the patient typically during the first admission for chemotherapy and this will be consolidated during subsequent outpatient visits. Then follows the highly specialised care of central venous lines and management of radiation or chemotherapy-related side effects, often with intensive care needed for safe reversal of sepsis that may, however, be associated with renal or cardiorespiratory dysfunction. Most importantly, and again centrally involving the professional nurse, is responsibility for all aspects of maintaining and operating the protected environment, together with laminar air-flow rooms. Additional interaction is also necessary with dieticians, social workers, liaison psychiatrists, occupational therapists and frequently the infectious disease, cardiovascular, respiratory and renal services. Furthermore, achievement of optimal results presupposes the availability of a dedicated cell support section, as well as the competence to cryopreserve haematopoietic stem cells and monitor the safety of this step with in vitro bone marrow culture--another role for the specialised or academic nurse.(ABSTRACT TRUNCATED AT 250 WORDS)

Recovery and banking: allograft bone.

Orthopedic surgeries often require bone grafts to replace lost bone. When using the patients own bone is not an option--by choice or dictated by the type or quantity of preferred graft material--bone from a tissue bank may be the answer. A call is made and the order is placed. However, bone grafts are not manufactured like metal implants; they were once a part of a living human being. This article explains the special role tissue banks perform in providing bone and connective tissue grafts.

Musculoskeletal transplant.

Allograft tissue has been used for more than two centuries in the repair of musculoskeletal injuries and defects. More than 150,000 procedures are performed each year in the United States alone, 10 times the number of organ transplants. Nurses caring for allograft recipients may be unfamiliar with where tissue comes from, how it is recovered, and the variety of its practical applications. Similar to the process of organ donation, with which many nurses have had experience, it all begins with the gift.

Captaçäo e processamento de tecidos para transplantes ósseos: um novo desafio de atuaçäo do enfermeiro / Bone transplantation: nursing assistance

As autoras descrevem a atuaçäo dos enfermeiros em uma nova atividade de assistência, ou seja, a participaçäo efetiva na captaçäo, processamento e distribuiçäo de tecidos do sistema locomotor. Esta nova participaçäo dentro do Banco de Tecidos veio facilitar a implementaçäo do processo de Enfermagem aos pacientes receptores deste tecido.