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Rigid removable dressing

James P Reichmann, Phillip M Stevens, John Rheinstein, Christopher D Kreulen
Forty years of clinical experience and peer-reviewed research studies support the use of nonweight-bearing removable rigid dressings (RRDs) as an effective means of postoperative management of transtibial amputations. We reviewed the published medical evidence regarding the use of RRDs as a postoperative management strategy, culminating in an evidence-based practice recommendation. Published peer-reviewed literature on the topic was searched and classified by level of evidence based on the research design using the scale recommended by the PM&R (level I through V)...
October 18, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
Tao Li, Yi Man, Ruiye Bi, Nan Jiang, Yunfeng Li, Songsong Zhu
BACKGROUND: Distraction osteogenesis (DO) has become an important alternative for bone defect reconstruction. The study aims to investigate the clinical feasibility and efficiency of transport disc DO (TDDO) for reconstruction of segmental defect of mandible and further dental implant treatment. METHODS: A serial of 6 patients diagnosed with ameloblastoma or keratocystic odontogenic tumor were included in this study. Computed tomography (CT) scanning and panoramic radiograph were performed for preoperative evaluation and surgery planning...
November 2017: Journal of Craniofacial Surgery
F Devinck, S Riot, A Qassemyar, A Belkhou, A Wolber, V Martinot Duquennoy, P Guerreschi
INTRODUCTION: Cleft palate requires surgery in the first years of life, furthermore repairing anatomically the soft and hard palate is complex on a surgical level because of the fine tissues and the local intraoral configuration. It is valuable to train first on simulators before going to the operating room. However, there is no material dedicated to learning how to perform intraoral sutures in cleft palate surgery. We made one, in an artisanal manner, in order to practice before the real surgical gesture...
April 2017: Annales de Chirurgie Plastique et Esthétique
Muhammad Adil Abbas Khan, Ammar Asrar Javed, Dominic Jordan Rao, J Antony Corner, Peter Rosenfield
Pediatric traumatic limb amputations are rare and their acute and long term management can be challenging in this subgroup of patients. The lengthy and costly hospital stays, and resulting physical and psychological implications leads to significant morbidity. We present a summary of treatment principles and the evidence base supporting the management options for this entity. The initial management focuses on resuscitating and stabilization of the patients, administration of appropriate and adequate analgesics, and broad spectrum antibiotics...
January 2016: World Journal of Plastic Surgery
G D Stynes, G K Kiroff, W A Morrison, G A Edwards, R S Page, M A Kirkland
OBJECTIVE: To report the design and benefits of a rigid polyethylene cover 'shell' for the protection of dorsal torso wounds and tube fixation in pigs. METHODS: Open C-shaped polyethylene shells were designed to protect wounds and dressings on the dorsum of pigs used in research into negative pressure dressing-assisted wound healing. The shells were designed to resist trauma and contamination, to be comfortable and expansible, and to facilitate tube fixation and management...
April 2016: Australian Veterinary Journal
A Kumar
An 86 year old lady underwent trans-urethral resection of bladder tumour (TURBT) under general anaesthetic at a local hospital. She suffered from aortic stenosis and the anaesthetist inserted a radial artery line to monitor her blood pressure intraoperatively whilst using a phenylephrine infusion. Her surgery was uneventful and the arterial line dressing was cut off her wrist prior to removal of the line. The puncture site bled profusely and pressure was applied. The bleeding stopped and on examination, a rigid structure was palpable in her radial artery...
March 2015: Journal of Perioperative Practice
Irina Churilov, Leonid Churilov, David Murphy
OBJECTIVE: To investigate whether application of a rigid dressing (RD) to the residual limb soon after transtibial amputation reduces the time from amputation to the first prosthetic casting/fitting compared with the residual limb managed with a soft dressing (SD). DATA SOURCES: Studies in humans were identified by a systematic search of MEDLINE, EMBASE, CINAHL, and Cochrane Central Register of Controlled Trials to December 2013. Search terms were based on appropriate medical subject headings and other free-text headings combining the following key words: "amputation," "amputation stumps," "transtibial," "lower limb," "post operative dressing," "removable rigid dressing," "rigid dressing," "wound healing," "rehabilitation," and "prosthetic...
October 2014: Annals of Vascular Surgery
Lihai Cao, Yi Peng, Rongliang Yan, Hongtao Wang
OBJECTIVE: To explore the method and effectiveness of lateral calcaneal U-shaped incision approach to treat calcaneal fractures involving the talocalcaneal and calcaneocuboid joints. METHODS: Between January 2009 and March 2011, 36 cases of calcaneal fractures involving the talocalcaneal and calcaneocuboid joints were treated by the lateral calcaneal U-shaped incision approach and calcaneal anatomical plate fixation. There were 27 males and 9 females with an average age of 38...
February 2013: Chinese Journal of Reparative and Reconstructive Surgery
Ali I Musani, Kurt Jensen, John D Mitchell, Michael Weyant, Katherine Garces, David Hsia
BACKGROUND: Benign tracheal obstruction occurs for a variety of reasons. Bronchoscopic intervention includes silicone stent placement, which effectively maintains airway patency. Stent migration is a common complication, particularly when placed in the proximal trachea. We used a novel technique of securing tracheal stents with a percutaneous endoscopic gastrostomy tube fastener (PEG-TF) to prevent stent migration. The purpose of this study was to determine the feasibility of securing silicone stents in the proximal trachea with PEG-TF...
April 2012: Journal of Bronchology & Interventional Pulmonology
Robert S Gurney, Damien Dupin, Juliana S Nunes, Keltoum Ouzineb, Elodie Siband, José M Asua, Steven P Armes, Joseph L Keddie
Soft adhesives require an optimum balance of viscous and elastic properties. Adhesion is poor when the material is either too solidlike or too liquidlike. The ability to switch tack adhesion off at a desired time has many applications, such as in recycling, disassembly of electronics, and painless removal of wound dressings. Here, we describe a new strategy to switch off the tack adhesion in a model nanocomposite adhesive in which temperature is the trigger. The nanocomposite comprises hard methacrylic nanoparticles blended with a colloidal dispersion of soft copolymer particles...
October 24, 2012: ACS Applied Materials & Interfaces
Brenton Hordacre, Vicki Birks, Stephen Quinn, Christopher Barr, Benjamin L Patritti, Maria Crotty
BACKGROUND AND PURPOSE: Individuals with amputations are a core group in Australian rehabilitation units that have a long index length of stay. The Repatriation General Hospital (RGH) offers general rehabilitation services to the population of Southern Adelaide (a population of 350,000) and includes an on-site prosthetic manufacturing facility. Using a physiotherapy database at the RGH, we sought to answer the following questions: What are the demographic and clinical characteristics of patients admitted for lower limb prosthetic rehabilitation over 15 years? What are the times to rehabilitation outcomes? How have these changed over 15 years with changes in service delivery? METHODS: This paper is a retrospective observational study using a physiotherapy clinical database (1996-2010) of 531 consecutive individuals with lower limb amputation at one South Australian hospital (RGH)...
June 2013: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Antonella Punziano, Sara Martelli, Vittorio Sotgiu, Giuseppe Giovannico, Alessandro Rahinò, Michele Cannone, Massimiliano Bullo, Filippo Maselli
UNLABELLED: The effectiveness of the elastic bandage in reducing residual limb volume in patients with lower limb amputation: literature review. INTRODUCTION: Several banding techniques are available to contain and reduce the edema of the stump after an amputation of a limb, but there is also uncertainty on the most effective way to treat this problem. AIMS: The aim of this review is to compare the effectiveness of the elastic bandage, with other types of bandage, in reducing the stump's volume in patients with lower limb amputation...
October 2011: Assistenza Infermieristica e Ricerca: AIR
A Croce, A Moretti, F Vitullo, A Castriotta, De M Rosa, L Citraro
Mandibular condylar neck fractures and subcondylar fractures represent, respectively, 19-29% and 62-70% of all mandibular fractures; treatment involves some problems, common to both, concerning the choice of an adequate approach. Herewith, personal experience is reported related to the surgical treatment of some cases of mandibular condylar neck and subcondylar fractures by transparotid approaches with partial parotidectomy, removing the salivary tissue overlying the condylar neck and/or the subcondylar region...
December 2010: Acta Otorhinolaryngologica Italica
Siriporn Janchai, Jariya Boonhong, Jirayoo Tiamprasit
OBJECTIVE: Compare the reducing volumes of the residual limbs between the removable rigid dressing method and the elastic bandaging technique. STUDY DESIGN: Randomized controlled trial. SETTING: Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital. MATERIAL AND METHOD: Twenty-six below-the-knee amputees (11 men (42.3%) and 15 women (57.69%)) who were informed and gave written consents were included in this study...
September 2008: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Anton Johannesson, Gert-Uno Larsson, Tommy Oberg, Isam Atroshi
BACKGROUND AND PURPOSE: Following transtibial amputation, a rigid dressing of plaster of Paris has been reported to have advantages over a soft dressing regarding wound healing and reduction of edema, but use of the former may be limited by difficulties in application and in gaining access to the wound. An easily applicable and removable vacuum-formed rigid dressing (ORD) has recently been introduced. We compared the ORD with a conventional rigid plaster of Paris dressing with regard to wound healing, time to fitting of a prosthesis, and function with the prosthesis...
June 2008: Acta Orthopaedica
Leigh Taylor, Sally Cavenett, Jacqueline M Stepien, Maria Crotty
This study investigated the validity of post-amputation application of removable rigid dressings (RRDs) for trans-tibial amputees, regarding preparation for prosthetic management and key rehabilitation timelines. It was hypothesised that the use of RRDs would result in faster preparation of the residual limb for prosthetic management and shorter rehabilitation times, compared with conventional soft dressings. A retrospective case-note audit was conducted, in which consecutive trans-tibial amputees who underwent amputation in the 2 years before RRD implementation (non-RRD group, n = 37) and in the 2 years after RRD implementation (RRD group, n = 28) were eligible for inclusion...
June 2008: Prosthetics and Orthotics International
Sonia A Bedikian
Mourning is a natural response to loss. In the late eighteenth century and throughout the nineteenth century, in England and France, the bereaved was expected to follow a complex set of rules, particularly among the upper classes, with women more bound to adhere to these customs than men. Such customs involved wearing heavy, concealing, black costume and the use of black crepe veils. Special black caps and bonnets were worn with these ensembles. Widows were expected to wear these clothes up to four years after their loss to show their grief...
2008: Omega
Sara R Dickie, Amir H Dorafshar, David H Song
Mediastinitis and sternal wound dehiscence are devastating and life-threatening complications of median sternotomy incision. Ten consecutive patients between July 2001 and May 2005 were diagnosed with sternal wound infection and dehiscence following median sternotomy. Patients were managed by precise debridement and wound excision in the operating room and then dressed with vacuum-assisted closure device. Intravenous antibiotics were prescribed for wound and blood culture microbiological sensitivity. When wounds were bacteriologically controlled, patients returned to the operating room for definitive closure using rigid sternal plating...
June 2006: Annals of Plastic Surgery
Anneke Deutsch, Rowan D English, Tammy C Vermeer, Pamela S Murray, Michael Condous
This study compares a standard soft dressing (SSD) with a removable rigid dressing (RRD) in a randomized, controlled trial using 50 dysvascular trans-tibial amputees. Both dressing types were applied immediately post-operatively and were only removed for wound dressing changes. Half the subjects were allocated prospectively by ballot to either the RRD group or the SSD group. There was a strong trend indicating that primary wound healing of the stump occurred almost 2 weeks earlier in subjects using the RRD (RRD = 51...
August 2005: Prosthetics and Orthotics International
Douglas G Smith, Lynne V McFarland, Bruce J Sangeorzan, Gayle E Reiber, Joseph M Czerniecki
Postamputation management is an important determinant of recovery from amputation. However, consensus on the most effective postoperative management strategies for individuals undergoing transtibial amputation (TTA) is lacking. Dressings can include simple soft gauze dressings, thigh-high rigid cast dressings, shorter removable rigid dressings, and prefabricated pneumatic dressings. Postoperative prosthetic attachments can be added to all but simple soft dressings. These dressings address the need to cleanly cover a fresh surgical wound, but not all postoperative dressings are designed to facilitate the strategic goals of preventing knee contractures, reducing edema, protecting from external trauma, or facilitating early weight bearing...
May 2003: Journal of Rehabilitation Research and Development
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