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https://www.readbyqxmd.com/read/29138050/a-systematic-review-on-the-effect-of-serious-games-and-wearable-technology-used-in-rehabilitation-of-patients-with-traumatic-bone-and-soft-tissue-injuries
#1
REVIEW
Henriëtte A W Meijer, Maurits Graafland, J Carel Goslings, Marlies P Schijven
OBJECTIVE: To determine the effects on functional outcomes and treatment adherence of wearable technology and serious games (i.e., interactive computer applications with specific purposes useful in the 'real world') currently applied in physical rehabilitation of patients after traumatic bone and soft tissue injuries. DATA SOURCES: PubMed, Embase, the Cochrane Library and CINAHL were searched without publication date restrictions for the terms 'wearable', 'serious game', 'videogame' or 'mobile application', and 'rehabilitation', 'exercise therapy' or 'physiotherapy'...
November 11, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29130804/is-metal-particle-release-associated-with-peri-implant-bone-destruction-an-emerging-concept
#2
T Fretwurst, K Nelson, D P Tarnow, H-L Wang, W V Giannobile
Peri-implant diseases affecting the surrounding structures of endosseous dental implants include peri-implant mucositis and peri-implantitis. The prevalence of peri-implantitis ranges between 15% and 20% after 10 y, highlighting the major challenge in clinical practice in the rehabilitation of dental implant patients. The widespread nature of peri-implant bone loss poses difficulties in the management of biological complications affecting the long-term success of osseointegrated implant reconstructions. Metal and titanium particles have been detected in peri-implant supporting tissues...
November 1, 2017: Journal of Dental Research
https://www.readbyqxmd.com/read/29119075/the-classification-of-long-bone-osteomyelitis-a-systemic-review-of-the-literature
#3
REVIEW
Andrew J Hotchen, Martin A McNally, Parham Sendi
Background: Osteomyelitis is a complex disease. Treatment involves a combination of bone resection, antimicrobials and soft-tissue coverage. There is a difficulty in unifying a classification system for long bone osteomyelitis that is generally accepted. Objectives: In this systematic review, we aim to investigate the classification systems for long bone osteomyelitis that have been presented within the literature. By doing this, we hope to elucidate the important variables that are required when classifying osteomyelitis...
2017: Journal of bone and joint infection
https://www.readbyqxmd.com/read/29118718/the-practice-of-physical-activity-in-the-setting-of-lower-extremities-sarcomas-a-first-step-toward-clinical-optimization
#4
Mohamad Assi, Mickael Ropars, Amélie Rébillard
Lower-extremities sarcoma patients, with bone tumor and soft-tissue sarcoma, are a unique population at high risk of physical dysfunction and chronic heart diseases. Thus, providing an adequate physical activity (PA) program constitutes a primary part of the adjuvant treatment, aiming to improve patients' quality of life. The main goal of this paper is to offer clear suggestions for clinicians regarding PA around the time between diagnosis and offered treatments. These preliminary recommendations reflect our interpretation of the clinical and preclinical data published on this topic, after a systematic search on the PubMed database...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/29097953/a-young-female-athlete-with-acute-low-back-pain-caused-by-stage-iv-breast-cancer
#5
Evan A Kahn
Objective: The purpose of this case report is to describe the case of a young female athlete with low back pain caused by metastatic breast cancer. Clinical Features: A 27-year-old woman presented with low back pain after striking a ball during kickball 3 days earlier. Because of the mechanism of injury and onset, the patient was originally diagnosed with a lumbar spine sprain/strain. Intervention/Outcome: After radiographs were obtained and were read as unremarkable, a 2-week trial of care was initiated that included soft-tissue mobilizations, anti-inflammatory medications from her primary care physician, and therapeutic rehabilitation exercises...
September 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29096342/bipolar-fracture-dislocation-of-clavicle-a-report-of-osteosynthesis-and-early-soft-tissue-reconstruction
#6
Renaldi Prasetia, Hermawan Nagar Rasyid
INTRODUCTION: Bipolar dislocation of the clavicle, also called bifocal or pan-articular dislocation or floating clavicle, is an uncommon traumatic injury. The injury of this case is also concomitant with distal third clavicle and coracoid fracture. This article aimed to report the experience of performing osteosynthesis and early soft tissue reconstruction on these injuries. CASE REPORT: We reported a case of bipolar clavicle fracture-dislocation in concomitant with coracoid fracture in a man, aged 32 years old, successfully treated 24days after accident by fixation of both fractures and early simultaneous reconstruction of sternoclavicular- acromioclavicular-coracoclavicular joints...
October 27, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29076746/predicting-poor-outcome-from-simple-ankle-injuries-a-prospective-cohort-study
#7
Stuart A Bullock, Georgina M Allen, Marion S Watson, David J Wilson
BACKGROUND: Sprained ankles are common and when there are no signs or evidence of a fracture, conventional management is conservative. At present, there are no clinical markers to identify those that may develop persisting instability and disability that would require rehabilitation or surgery. OBJECTIVES: To investigate the nature and extent of soft tissue ankle injuries, and to consider whether the anatomical severity of injury can predict functional outcome. METHODS: Patients attending a local Accident and Emergency Department in Oxford with an acute ankle injury with no clinical requirement for radiographs, or where radiographs were normal, were invited into the study...
November 9, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/29072662/-the-potential-of-physiotherapy-after-rhinoplasty
#8
T A Aleksanyan
This article presents the results of the evaluation of the effectiveness of physiotherapy during the postoperative period following rhinoplastic surgery based on the analysis of the dynamics of the clinical symptoms in 374 patients divided into two groups. The main group was comprised of 286 (86.5%) patients who had undergone the comprehensive postoperative rehabilitation with the use of the chosen physiotherapeutic procedures while the group of comparison consisted of 88 (23.5%) patients treated othrerwise...
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/29071377/-plate-osteosynthesis-of-patellar-fractures
#9
REVIEW
E C Müller, K-H Frosch
OBJECTIVE: Anatomic reconstruction of the retropatellar articular surface and repair of the extensor mechanism of the knee joint. The osteosynthesis should allow immediate mobilization as part of an early functional postoperative rehabilitation protocol. INDICATIONS: Displaced fractures of the patella, especially multifragment and comminuted fractures with a retropatellar incongruity or dislocation of >2 mm. CONTRAINDICATIONS: Critical local soft tissue because of the risk of postoperative infection...
October 25, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29044605/amputations-for-extremity-soft-tissue-sarcoma-in-an-era-of-limb-salvage-treatment-local-control-and-survival
#10
Marc G Stevenson, Annelie H Musters, Jan H B Geertzen, Barbara L van Leeuwen, Harald J Hoekstra, Lukas B Been
BACKGROUND: Despite multimodality limb salvage treatment (LST) for locally advanced extremity soft tissue sarcoma (ESTS), some patients still need an amputation. Indications for amputation and oncological outcome for these patients are described. METHODS: Between 1996 and 2016, all patients who underwent an amputation for ESTS were included. Patients who underwent an amputation as primary or as non-primary treatment formed Group I and II, respectively. RESULTS: Thirty-nine patients were included, 16 in Group I (41%) and 23 in Group II (59%)...
October 16, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29038953/current-concepts-in-rehabilitation-for-traumatic-anterior-shoulder-instability
#11
REVIEW
Richard Ma, Olubusola A Brimmo, Xinning Li, Lindsey Colbert
PURPOSE OF REVIEW: The objectives of this review are to evaluate the current evidence-based literature and concepts surrounding rehabilitation in patients with anterior shoulder instability injuries and surgical repair. RECENT FINDINGS: The current literature evidence for shoulder rehabilitation for anterior shoulder instability and labral repair is limited. As a result, there are variations among surgeons and physical therapists in rehabilitation protocols after anterior shoulder instability injuries and repair...
December 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29023614/virtual-simulation-of-periodontal-surgery-including-presurgical-cad-cam-fabrication-of-tooth-colored-removable-splints-on-the-basis-of-cbct-data-a-case-report
#12
Jan-Frederik Güth, Ana Elisa Colle Kauling, Josef Schweiger, Jan Kühnisch, Michael Stimmelmayr
Innovative digital diagnostic, design, and manufacturing technologies combined with high-performance polymers offer new possibilities to facilitate complex interdisciplinary treatment procedures. This article reports on the interaction of different digital technologies, from presurgical digital simulation of periodontal surgery to final prosthodontic rehabilitation, in a case of amelogenesis imperfecta in a 17-year-old girl. The aim was to digitally determine the treatment outcome by three-dimensional simulation of the soft tissue removal and to create computer-aided design/computer-assisted manufacture tooth-colored splints before the clinical treatment...
November 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/29017862/emergency-repair-of-upper-extremity-large-soft-tissue-and-vascular-injuries-with-flow-through-anterolateral-thigh-free-flaps
#13
Yi Zhan, Guo Fu, Xiang Zhou, Bo He, Li-Wei Yan, Qing-Tang Zhu, Li-Qiang Gu, Xiao-Lin Liu, Jian Qi
BACKGROUND/OBJECTIVES: Complex extremity trauma commonly involves both soft tissue and vascular injuries. Traditional two-stage surgical repair may delay rehabilitation and functional recovery, as well as increase the risk of infections. We report a single-stage reconstructive surgical method that repairs soft tissue defects and vascular injuries with flow-through free flaps to improve functional outcomes. METHODS: Between March 2010 and December 2016 in our hospital, 5 patients with severe upper extremity trauma received single-stage reconstructive surgery, in which a flow-through anterolateral thigh free flap was applied to repair soft tissue defects and vascular injuries simultaneously...
October 7, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28982834/how-biomarkers-reflect-the-prognosis-and-treatment-of-necrotising-soft-tissue-infections-and-the-effects-of-hyperbaric-oxygen-therapy-the-protocol-of-the-prospective-cohort-protreat-study-conducted-at-a-tertiary-hospital-in-copenhagen-denmark
#14
Peter Polzik, Pär I Johansson, Ole Hyldegaard
INTRODUCTION: Not enough is known regarding the prognosis and treatment of necrotising soft tissue infections (NSTIs). Mortality has been shown to be 25%-35%, with survivors coping with amputations and prolonged rehabilitation. This study will evaluate soluble urokinase-type plasminogen activator receptor (suPAR) as a possible prognostic marker of NSTI severity and mortality, as well as whether hyperbaric oxygen therapy (HBOT) can modulate markers of endothelial damage during NSTI. We hypothesise that in patients with NSTI, suPAR can provide prognostic risk assessment on hospital admission and that HBOT can reduce the endothelial damage that these patients are exposed to...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28979596/treatment-of-the-posterior-unstable-shoulder
#15
Eduardo Sánchez Alepuz, Jaime Alonso Pérez-Barquero, Nadia Jover Jorge, Francisco Lucas García, Vicente Carratalá Baixauli
BACKGROUND: It is estimated that approximately 5% of glenohumeral instabilities are posterior. There are a number of controversies regarding therapeutic approaches for these patients. METHODS: We analyse the main surgery alternatives for the treatment of the posterior shoulder instability. We did a research of the publications related with posterior glenohumeral instability. RESULTS: There are conservative and surgical treatment options. Conservative treatment has positive results in most patients, with around 65 to 80% of cases showing recurrent posterior dislocation...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28972882/immediate-reconstruction-of-failed-implants-in-the-esthetic-zone-using-a-flapless-technique-and-autogenous-composite-tuberosity-graft
#16
Gerry M Raghoebar, Henny J A Meijer, Baucke van Minnen, Arjan Vissink
We describe a technique for immediate reconstruction of bone after removal of failed dental implants in the esthetic region to optimize the esthetic outcome of retreatment. We conducted a study of 16 consecutive patients in whom the bony defect resulting from implant removal was immediately reconstructed with a combined autogenous bone and soft tissue graft harvested from the maxillary tuberosity. After a healing period of 3 months, implants were inserted. At 1 year after placement of the definitive restoration, no implants had been lost, the peri-implant tissues were healthy, the aesthetics scored with the pink esthetic score were favorable, and the patients were satisfied...
September 11, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28962664/a-new-concept-for-implant-borne-dental-rehabilitation-how-to-overcome-the-biological-weak-spot-of-conventional-dental-implants
#17
Nils-Claudius Gellrich, Björn Rahlf, Rüdiger Zimmerer, Philipp-Cornelius Pott, Majeed Rana
BACKGROUND: Every endosseous dental implant is dependent on an adequate amount and quality of peri-implant hard and soft tissues and their fully functional interaction. The dental implant could fail in cases of insufficient bone and soft tissues or due to a violation of the soft to hard tissues to implant shoulder interface with arising of a secondary bone loss. METHOD: To overcome this biological weak-spot, we designed a new implant that allows for multi vector endosseous anchorage around the individual underlying bone, which has to be scanned by computed tomography (CT) or Cone beam CT (CBCT) technique to allow for planning the implant...
September 29, 2017: Head & Face Medicine
https://www.readbyqxmd.com/read/28944369/influence-of-implant-abutment-fabrication-method-on-clinical-outcomes-a-systematic-review
#18
Long Long, Hatem Alqarni, Radi Masri
AIM: The aim of this systematic review was to evaluate and synthesise the existing evidence on the effect of the prosthetic implant abutment design and fabrication process on mechanical, biological and aesthetic clinical outcomes. MATERIALS AND METHODS: Two electronic databases (PubMed and Embase) were searched in August 2016 to identify clinical studies evaluating the clinical outcomes of CAD/CAM abutments. The studies were screened and two reviewers used the full text to extract data independently...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28944357/endodontic-retreatment-vs-dental-implants-of-teeth-with-an-uncertain-endodontic-prognosis-1-year-results-from-a-randomised-controlled-trial
#19
Marco Esposito, Marco Tallarico, Anna Trullenque-Eriksson, Rodolfo Gianserra
PURPOSE: To ascertain whether in the presence of a previously endodontically treated tooth with a periapical pathology and/or symptoms and an uncertain prognosis, it is better to endodontically retreat it or to replace the tooth with a single implant-supported crown. MATERIALS AND METHODS: Forty patients requiring the treatment of a previously endodontically treated tooth, with a periapical pathology and/or symptoms of endodontic origin and an uncertain prognosis, as judged by the recruiting investigators, were randomly allocated to endodontic retreatment (endo group; 20 patients) or tooth extraction and replacement with an implant-supported crown (implant group; 20 patients) according to a parallel group design at two different centres...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28930930/management-of-peri-implant-hypertrophic-scarring-for-an-ear-prosthesis
#20
Elizabeth Rodrigues Alfenas, Amália Moreno, Paul Benjamin Tanner, Henrique Duque Netto, Maria Fernanda Lopes Fonseca, Fernando Gonçalves Rios
The clinical report describes a case of a 14-year-old patient with a traumatic amputation of the left auricle and severe hypertrophic scarring. The management of peri-implant soft tissue was challenging, but successful in the rehabilitation of a patient with auricular prosthesis retained by implants. The prosthesis restored the patient's facial aesthetics and contributed not only to function, but also to psychosocial well-being.
November 2017: Journal of Craniofacial Surgery
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