Orthopaedic Surgery: to restore the patient’s physical well-being to achieve a better quality of life

 

Transcollation:
“This is a major advance in the concept of surgical procedure, through an innovative approach in the fitting of hip and knee prostheses.

 

In France, this system has never been used, except for in a few spinal surgery clinics. Its proper implementation, in the light of early indications, allows the prompt return home of patients in optimal physiological and functional conditions, without using more sophisticated surgical techniques (for example) with particularly unfavourable risk-benefit factors (previous hip approach). Use of this simple system, which merely requires a change in intellectual approach to the undertaking of the surgery and haemostasis, radically alters patient outcomes and allows a move towards securing a shorter duration of hospitalisation.”
This is a major advance in the concept of surgical procedure through an innovative approach in the fitting of hip and knee prostheses.
In France, this system has never been used except for in a few spinal surgery centres. Its proper implementation, in view of early indications, permits the prompt return home of the patient in optimal physiological and functional conditions, without using (for example) more sophisticated surgical techniques with particularly unfavourable risk-benefit factors (previous hip approach).
Using this simple system, which merely requires a change in the intellectual approach to the undertaking of the surgery and haemostasis, radically alters patient outcomes and allows a move towards securing a shorter duration in hospitalisation.
The Principle:
Transcollation (consisting of a combination of radio frequency (RF) energy and a continuous flow of saline solution) providing haemostasis of tissue and bone during surgical procedures without any aggression. All surgery requires control of bleeding and complications are inherent in the undertaking of the procedure and ensuring homeostasis of the patient. The traditional use of electrosurgery (known as thermo-coagulation) now common, is at the expense of damage to tissue through heating to 300°C, which causes burning, as well as the secondary side effects of bedsores; it is also used in the section of tissue with the same thermal effects.
Transcollation through radiofrequency consists of bonding collagen fibres, collapsing the blood vessels, delivering controlled thermal energy to the tissues (local temperature does not exceed 100°), so that there are no thermal burns, but a reorganisation of the collagen fibres and elastin; Histological studies have shown that the vessels adhere to the vessel walls and an influx of platelets is seen, which contributes towards optimal healing of the walls which have been collapsed. Transcollation bonds vessel walls to themselves so ensuring a tight, strong, durable, definitive seal; on the tissue surface a sealing film of one millimetre is formed by the bonding of the collagen.

 

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