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Traction splint

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...
July 23, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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
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
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
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
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
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
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
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
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
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
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
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
Hai-Bin Hong
No abstract text is available yet for this article.
July 2014: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
William E Gandy, Steven Grayson
No abstract text is available yet for this article.
August 2014: EMS World
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
Scott A Ritterman, Alan H Daniels, Patrick M Kane, Craig P Eberson, Christopher T Born
OBJECTIVES: Pediatric femoral fractures are common injuries encountered in the field and in emergency departments. Currently described temporizing management strategies include skeletal traction, skin traction, traction splinting, and posterior splinting, all of which are suboptimal in some instances. J-splinting femur fractures may be advantageous in temporizing management of pediatric femur fractures. The objective of this study was to evaluate the safety and effectiveness of J-splint use for temporizing management of pediatric femur fractures...
August 2014: Pediatric Emergency Care
David B Bumpass, William M Ricci, Christopher M McAndrew, Michael J Gardner
OBJECTIVES: To determine if distal femoral traction pins result in knee dysfunction in patients with femoral or pelvic fracture, and to determine if skeletal traction relieves pain more effectively than splinting for femoral shaft fractures. DESIGN: Prospective cohort trial. SETTING: Level I urban trauma center. PATIENTS/PARTICIPANTS: One hundred twenty adult patients with femoral shaft, acetabular, and unstable pelvic fractures...
February 2015: Journal of Orthopaedic Trauma
David Lim, Stephen Bartlett, Peter Horrocks, Courtenay Grant-Wakefield, Jodie Kelly, Vivienne Tippett
BACKGROUND: Paramedic education has evolved in recent times from vocational post-employment to tertiary pre-employment supplemented by clinical placement. Simulation is advocated as a means of transferring learned skills to clinical practice. Sole reliance of simulation learning using mannequin-based models may not be sufficient to prepare students for variance in human anatomy. In 2012, we trialled the use of fresh frozen human cadavers to supplement undergraduate paramedic procedural skill training...
2014: BMC Medical Education
Takashi Irie, Takashi Sono, Yousuke Hayama, Taiichi Matsumoto, Mutsumi Matsushita
Pulled elbow is a common upper extremity injury in children. We present a retrospective study of 2331 pulled elbow cases examined in our hospital over the last ten years. All pediatric patients with a diagnosis of pulled elbow from January 2002 to December 2011 were retrospectively reviewed according to sex, age, affected arm, recurrence rate, mechanism of injury and treatment outcomes. There is no significant sex difference. The frequency of injury peaked for both boys and girls at 6 months and 2 years of age...
May 6, 2014: Pediatric Reports
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