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Traction splint

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https://www.readbyqxmd.com/read/28807080/a-descriptive-analysis-of-traction-splint-utilization-and-iv-analgesia-by-emergency-medical-services
#1
Joshua Nackenson, Amado A Baez, Jonathan P Meizoso
Study Objectives Traction splinting has been the prehospital treatment of midshaft femur fracture as early as the battlefield of the First World War (1914-1918). This study is the assessment of these injuries and the utilization of a traction splint (TS) in blunt and penetrating trauma, as well as intravenous (IV) analgesia utilization by Emergency Medical Services (EMS) in Miami, Florida (USA). METHODS: This is a retrospective study of patients who sustained a midshaft femur fracture in the absence of multiple other severe injuries or severe physiologic derangement, as defined by an injury severity score (ISS) <20 and a triage revised trauma score (T-RTS)≥10, who presented to an urban, Level 1 trauma center between September 2008 and September 2013...
August 15, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28630830/bilateral-humerus-and-right-femur-fracture-in-a-newborn-after-cesarean-section-for-breech-presentation-in-a-twin-pregnancy-a-very-rare-case-report
#2
P Rahul, Amit Rakesh Grover, S M Ajoy
INTRODUCTION: The most common fractures during vaginal delivery occur in the clavicle, humerus, and femur. Cesarean section reduces the chances of a child having a birth injury. However, in some difficult extractions, long bone fractures may occur. Cesarean section further reduces the incidence of birth injuries, especially in a breech delivery. Maneuvers employed during cesarean section, energetic traction, improper uterine incisions, and contracted uterus may cause these injuries. In the medical literature, there are few articles highlighting the occurrence of long bone fractures during cesarean section...
January 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28199848/discoidin-domain-receptor-1-mediates-myosin-dependent-collagen-contraction
#3
Nuno M Coelho, Pamma D Arora, Sander van Putten, Stellar Boo, Petar Petrovic, Alyna Xue Lin, Boris Hinz, Christopher A McCulloch
Discoidin domain receptor 1 (DDR1) is a tyrosine kinase collagen adhesion receptor that mediates cell migration through association with non-muscle myosin IIA (NMIIA). Because DDR1 is implicated in cancer fibrosis, we hypothesized that DDR1 interacts with NMIIA to enable collagen compaction by traction forces. Mechanical splinting of rat dermal wounds increased DDR1 expression and collagen alignment. In periodontal ligament of DDR1 knockout mice, collagen mechanical reorganization was reduced >30%. Similarly, cultured cells with DDR1 knockdown or expressing kinase-deficient DDR1d showed 50% reduction of aligned collagen...
February 14, 2017: Cell Reports
https://www.readbyqxmd.com/read/28159582/a-comparative-evaluation-of-cbct-outcomes-of-two-closed-treatment-methods-in-intracapsular-condylar-fractures
#4
Yanmei Tang, Xiaoling Wang, Yanfei Zhu, Huijun Sun, Min Zhu
PURPOSE: The cone beam computed tomography (CBCT) images of 2 closed treatments are compared for intracapsular condylar fractures (ICFs) to learn whether splint treatment could promote better radiologic outcomes. PATIENTS AND METHODS: Fifty-four patients with 60 sides of ICF were divided into 2 groups. In the control group (C-group), patients had a liquid diet for 1 month. In the trial group (T-group), patients wore splints with anterior elastic traction. Local CBCT images of the temporomandibular joint were obtained at T0 (mean 8...
December 7, 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/27448398/indications-and-anatomic-landmarks-for-the-application-of-lower-extremity-traction-a-review
#5
REVIEW
S F DeFroda, J A Gil, C T Born
PURPOSE: Fractures of the lower extremity, particularly of the femur and acetabulum, may be difficult to immobilize with splinting alone. These injuries may be best stabilized with the application of various types of skeletal traction. Often, traction is applied percutaneously in an emergent setting, making the knowledge of both superficial and deep anatomy crucial to successful placement. METHODS: Review was performed via PubMed search as well as referencing the Orthopaedic literature...
December 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27364219/conservative-orthodontic-fixed-appliance-management-of-pediatric-mandibular-bilateral-condylar-fracture
#6
Yanhua Xu, Siew-Ging Gong, Fangyong Zhu, Ming Li, Xu Biao
INTRODUCTION: Management of mandibular condylar fractures is difficult in children with their inherently dynamic and unstable deciduous and mixed dentitions. We present a variation of the conservative fixed orthodontic approach that was used as an adjunct to aid in the reduction of a bilateral condylar fracture in a pediatric patient. METHODS: A boy, aged 10 years 9 months, came with clinical signs and symptoms of mandibular fracture after being involved in a motor vehicle accident...
July 2016: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/27280628/excision-and-reimplantation-of-the-proximal-humerus-after-fracture-dislocation
#7
Shane R Hanzlik, Sara E Pearson, Paul E Caldwell
Fractures of the proximal humerus are common and the treatment for both displaced and comminuted variants remains controversial. Treatment options initially consisted of closed reduction, traction, casting, and abduction splints. In the early 1930s, operative treatment for displaced fractures gained popularity, which continued in the 1940s and 1950s. Humeral head replacement for severely displaced fractures of the proximal humerus was introduced in the 1950s. In the 1970s, the Association for Osteosynthesis/Association for the Study of Internal Fixation popularized plates and screws for fracture fixation, and humeral head prostheses were redesigned...
July 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27262831/congenital-dislocation-of-the-knee-at-birth%C3%A2-%C3%A2-part-2-impact-of-a-new-classification-on-treatment-strategies-results-and-prognostic-factors
#8
V Rampal, M Mehrafshan, M Ramanoudjame, R Seringe, C Glorion, P Wicart
INTRODUCTION: An original classification of congenital dislocation of the knee (CDK) was drawn up, based on neonatal semiology. The objective of the present study was to assess impact on treatment decision-making and prognosis. MATERIAL AND METHODS: Fifty-one CDKs in 40 patients were classified neonatally into 3 types: I, reducible (n=28); II, recalcitrant (n=16); and III, irreducible (n=7). Number of anterior skin grooves, range of motion (RoM), flexion deficit and reduction stability were recorded...
September 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27054133/experiences-with-pins-and-rubber-band-traction-in-the-treatment-of-proximal-interphalangeal-joint-contracture
#9
Kevin C Cahill, Christoph Theopold, Michael O'Shaughnessy
BACKGROUND: Proximal interphalangeal joint (PIPJ) contracture is a difficult problem to treat regardless of etiology. Although numerous interventions have been recommended, published results are mediocre at best. OBJECTIVE: The authors describe their experience and results of using a modification of pins and rubber band traction (PRBT) - applying a dynamic extension apparatus to a contracted PIPJ using the constant traction force in a stretched rubber (elastic) band...
2016: Plastic Surgery
https://www.readbyqxmd.com/read/26878510/comparison-of-titanium-elastic-nails-versus-thomas-splint-traction-for-treatment-of-pediatric-femur-shaft-fracture
#10
Muhammad Naseem, Rahat Zahoor Moton, Muhammad Aslam Siddiqui
OBJECTIVE: To compare titanium elastic nails with Thomas splint traction treatment for femur shaft fracture in children. METHODS: The descriptive randomised study was conducted at Abbasi Shaheed Hospital, Karachi, from January 2013 to December 2014, and comprised children aged 6-12 years with simple femur shaft fractures. The patients were randomised into two equal groups. Group A patients were treated with titanium elastic nail and group B patients with Thomas splint traction...
November 2015: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/26672770/complex-open-distal-femur-fracture-managed-by-primary-autogenous-fibular-graft-in-conjunction-with-dflp-a-case-report
#11
Vishant Gawri, Yashika Garg, Dharam Singh, Radhe Shyam Garg, Nishant Choudhary
Fractures of the distal part of the femur account for 7% of all femoral fractures. They are complex injuries that are difficult to manage; despite advances in technique and improved implants, treatment remains a challenge in many situations. An 18-year-old boy presented with an open fracture of the femur with bone loss. After initial emergency management, patient was given skeletal traction and kept on bohler braun splint. Regular antiseptic dressings of loosely stitched wound were done and intravenous antibiotics given...
November 2015: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26012930/a-novel-technique-for-full-anatomic-restoration-of-volar-tilt-in-distal-radius-fracture
#12
Jong Woong Park, Young Hwan Kim, Ki Chul Park, Jung Il Lee
OBJECTIVE: The aim of this study was to present a technique that allows the surgeon to easily and reliably achieve volar tilt in dorsally displaced distal radius fractures treated with variable-angle volar locking plates. The study introduced this technique using 2.4 mm variable angle locking screws as reduction tools, and investigated the radiological outcomes of this technique. METHODS: A total of 42 patients (30 female and 12 male; mean age: 58 years, range, 25 to 84 years) with unstable distal radius fractures were treated with this technique...
2015: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/25983481/simultaneous-double-interphalangeal-joints-dislocation-in-a-finger-in-a-teenager
#13
Mehmet Ali Uysal, Serkan Akçay, Kahraman Öztürk
BACKGROUND: Simultaneous dislocation of the proximal and distal interphalangeal joints of the same finger is a rare event. In literature simultaneous double interphalangeal dislocation in the same finger has been reported only one case in a skeletally immature patient which was a fourteen year old male. Our case was twelve years old which is the youngest case in the literature that has been reported. CASE DESCRIPTION: A 12-year-old male injured his right ring finger while playing football...
June 2014: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/25819110/femoral-traction-splints-in-mountain-rescue-prehospital-care-to-use-or-not-to-use-that-is-the-question
#14
Harriet Runcie, Mike Greene
OBJECTIVES: To determine the incidence of femur fractures in mountain rescue in England and Wales. To investigate the attitudes of rescuers toward the use of femoral traction splints. To review the literature for evidence on the use of traction splints in prehospital medicine and test the hypothesis that femoral traction splints reduce morbidity and mortality in patients with a fractured femur. METHODS: The Mountain Rescue England and Wales database was searched for cases of suspected fractured femur occurring between 2002 and 2012, a questionnaire was sent to all mountain rescue teams in England and Wales, and a literature review was performed...
September 2015: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/25762613/pneumatic-type-dynamic-traction-and-flexion-splint-for-treating-patients-with-extension-contracture-of-the-metacarpophalangeal-joint
#15
Jun Nakayama, Mituru Horiki, Kakurou Denno, Kazunori Ogawa, Hisao Oka, Kazuhisa Domen
BACKGROUND: Collateral ligament shortening causes extension contractures of the metacarpophalangeal joint, and dynamic flexion splinting has been widely used to treat these contractures; however, there are various problems with these approaches. We developed a novel, pneumatic-type dynamic traction and flexion splint to solve these problems. CASE DESCRIPTION AND METHODS: A total of 25 fingers were treated with the dynamic traction and flexion splint for 8 weeks...
February 2016: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/25745928/pediatric-femoral-shaft-fractures-a-system-for-decision-making
#16
REVIEW
John M Flynn, Evan Curatolo
Pediatric femoral shaft fractures are one of the most common major pediatric injuries treated by orthopaedic surgeons. Historically, casting, with or without traction, was the standard of care for almost all pediatric femoral fractures. However, during the past 15 years, there has been a trend toward surgical fixation and rapid mobilization. This evolution has given orthopaedic surgeons many treatment methods in which they must consider patient age and size, fracture pattern, and the surgeon's own skills and experience...
2015: Instructional Course Lectures
https://www.readbyqxmd.com/read/25593668/treatment-of-multiple-traumatized-anterior-teeth-associated-with-an-alveolar-bone-fracture-in-a-20-year-old-patient-a-3-year-follow-up
#17
Vicente Faus-Matoses, María Martínez-Viñarta, Teresa Alegre-Domingo, Ignacio Faus-Matoses, Vicente J Faus-Llácer
Intrusive luxation is a type of recognizable luxation injury represented by a deeper axial displacement of the tooth toward the alveolar bone. Treatment strategies include waiting for the tooth to return to its position, immediate surgical repositioning, and repositioning through dental traction by orthodontic devices. The aim of this case report was to present the management of severe dental trauma and later restoration following IADT. A 20-year-old patient was presented after fainting at home four hours before, resulting in a dento-alveolar trauma...
October 2014: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/25338453/-manipulative-reduction-and-splint-fixation-combined-with-thumb-skin-traction-for-the-treatment-of-distal-radius-unstable-fractures-in-24-cases
#18
Hai-Bin Hong
No abstract text is available yet for this article.
July 2014: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/25230436/sacred-cows-the-traction-splint-does-it-help-patients-and-do-we-still-need-it-on-ambulances
#19
William E Gandy, Steven Grayson
No abstract text is available yet for this article.
August 2014: EMS World
https://www.readbyqxmd.com/read/25070373/computed-tomography-arthrography-with-traction-in-the-human-hip-for-three-dimensional-reconstruction-of-cartilage-and-the-acetabular-labrum
#20
C R Henak, C L Abraham, C L Peters, R K Sanders, J A Weiss, A E Anderson
AIM: To develop and demonstrate the efficacy of a computed tomography arthrography (CTA) protocol for the hip that enables accurate three-dimensional reconstructions of cartilage and excellent visualization of the acetabular labrum. MATERIALS AND METHODS: Ninety-three subjects were imaged (104 scans); 68 subjects with abnormal anatomy, 11 patients after periacetabular osteotomy surgery, and 25 subjects with normal anatomy. Fifteen to 25 ml of contrast agent diluted with lidocaine was injected using a lateral oblique approach...
October 2014: Clinical Radiology
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