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https://www.readbyqxmd.com/read/28097370/osseointegrated-prosthesis-for-patients-with-an-amputation-multidisciplinary-team-approach-in-the-netherlands
#1
J P M Frölke, R A Leijendekkers, H van de Meent
This article reviews the development of multidisciplinary osseointegration treatment in the Netherlands since its start in 2009. People experiencing limitations due to their socket prosthesis after a leg amputation present to the Radboud University Nijmegen Medical Centre for an osseointegration implant or "bone-anchored" prosthesis. In this article we share our experience with the first 100 patients regarding referral pattern, selection criteria, available osseointegration systems, preoperative planning, surgical treatment, the rehabilitation protocol, outcome measurement, revision surgery, and future developments...
January 17, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28094689/quantification-of-rectifications-for-the-northwestern-university-flexible-sub-ischial-vacuum-socket
#2
Stefania Fatone, William Brett Johnson, Lilly Tran, Kerice Tucker, Christofer Mowrer, Ryan Caldwell
BACKGROUND: The fit and function of a prosthetic socket depend on the prosthetist's ability to design the socket's shape to distribute load comfortably over the residual limb. We recently developed a sub-ischial socket for persons with transfemoral amputation: the Northwestern University Flexible Sub-Ischial Vacuum Socket. OBJECTIVE: This study aimed to quantify the rectifications required to fit the Northwestern University Flexible Sub-Ischial Vacuum Socket to teach the technique to prosthetists as well as provide a computer-aided design-computer-aided manufacturing option...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28094686/northwestern-university-flexible-subischial-vacuum-socket-for-persons-with-transfemoral-amputation-part-1-description-of-technique
#3
Stefania Fatone, Ryan Caldwell
BACKGROUND: Current transfemoral prosthetic sockets restrict function, lack comfort, and cause residual limb problems. Lower proximal trim lines are an appealing way to address this problem. Development of a more comfortable and possibly functional subischial socket may contribute to improving quality of life of persons with transfemoral amputation. OBJECTIVES: The purpose of this study was to (1) describe the design and fabrication of a new subischial socket and (2) describe efforts to teach this technique...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28091769/bousquet-dual-mobility-socket-for-patient-under-fifty%C3%A2-years-old-more-than-twenty%C3%A2-year-follow-up-of-one-hundred-and-thirty-one-hips
#4
Remi Philippot, Thomas Neri, Bertrand Boyer, Brice Viard, Frederic Farizon
PURPOSE: The aim of this study was to analyze dual mobility cup survival rate on young patients under 50 years old at more than 20 years of follow up. METHODS: One hundred thirty seven hips with a first generation of dual mobility Bousquet cup (Serf) were included. The mean age at the time of the surgery was 41 years and the mean follow-up was 21.9 years. RESULTS: Twenty year follow-up cup survival rate was 77%. No dislocation occurred, 44 hips were revised (including 21 cup aseptic loosenings isolated, 15 Intra Prosthetic Dislocations), seven hips were lost to follow-up, 11 patients died, and 75 hips were still in situ...
January 16, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28088837/disease-severity-classification-using-quantitative-magnetic-resonance-imaging-data-of-cartilage-in-femoroacetabular-impingement
#5
Lisa L Henn, John Hughes, Eleena Iisakka, Jutta Ellermann, Shabnam Mortazavi, Connor Ziegler, Mikko J Nissi, Patrick Morgan
Femoroacetabular impingement (FAI) is a condition in which subtle deformities of the femoral head and acetabulum (hip socket) result in pathological abutment during hip motion. FAI is a common cause of hip pain and can lead to acetabular cartilage damage and osteoarthritis. For some patients with FAI, surgical intervention is indicated, and it can improve quality of life and potentially delay the onset of osteoarthritis. For other patients, however, surgery is contraindicated because significant cartilage damage has already occurred...
January 15, 2017: Statistics in Medicine
https://www.readbyqxmd.com/read/28087159/the-direct-anterior-approach-for-complex-primary-total-hip-arthroplasty-the-extensile-acetabular-approach-on-a-regular-operating-room-table
#6
Ben Molenaers, Ronald Driesen, Guy Molenaers, Kristoff Corten
BACKGROUND: The direct anterior approach on a regular operating room table has been reported with low dislocation rates. This might be beneficial for complex primary total hip arthroplasty (THA) such as in patients with cerebral palsy or following femoral or pelvic osteotomies. Extending the approach is often required to overcome problems such as acetabular deformities or severe contractures. METHODS: We retrospectively evaluated the results and complications of 29 patients with 37 complex primary THA in which an extensile approach was used...
December 22, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28072987/-a-pilot-clinical-study-of-immediate-provisionalization-with-a-chairside-computer-aided-design-and-computer-aided-manufacture-monolithic-crown-for-single-tooth-immediate-implant-placement
#7
J H Tian, P Di, Y Lin, Y Zhang, D H Wei, H Y Cui
Objective: To evaluate the primary clinical outcomes of immediate provisionalization with a monolithic crown utilizing a novel chairside computer aided design and computer aided manufacture (CAD/CAM) workflow for single tooth immediate implant placement. Methods: This pilot study was a prospective within-subjects design. Thirteen consecutive patients were included and diagnosed with untreatable single incisor or premolar with fine general and local anatomical conditions. The trial was conducted at Department of Implantology, Peking University School and Hospital of Stomatology, Beijing, between January 2016 and June 2016...
January 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://www.readbyqxmd.com/read/28070628/osseointegrated-prosthetic-limb-for-the-treatment-of-lower-limb-amputations-experience-and-outcomes
#8
Munjed Al Muderis, William Lu, Jiao Jiao Li
BACKGROUND: Osseointegration has emerged over the past two decades as a dramatically different approach for the treatment of lower limb amputations, which involves direct attachment of the prosthesis to the skeletal residuum. This approach can address many of the socket-interface issues associated with socket prostheses which represent the current standard of care for amputees. The Osseointegrated Prosthetic Limb (OPL) is an osseointegration implant with a new design and improved features compared to other available implant systems...
January 9, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28068847/case-study-survey-of-patient-satisfaction-with-prosthesis-quality-and-design-among-below-knee-prosthetic-leg-socket-users
#9
Nurhanisah Mohd Hawari, Mohammad Jawaid, Paridah Md Tahir, Raja Ahmad Azmeer
The aim of this case study was to explore patient satisfaction with the quality of prosthetic leg sockets intended for persons with lower limb amputations. A qualitative study based on in-depth interviews, preceded by a questionnaire session, was carried out with patients from the Rehabilitation Center and Hospital in Malaysia. Twelve out-patient and in-patient amputees with lower limb amputations, specifically below-knee amputations, were chosen randomly. The analysis of patients' narratives aimed to identify the functional and esthetic characteristics of currently used prosthetic leg sockets and any problems related to them...
January 10, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28066526/comparative-effectiveness-of-an-adjustable-transfemoral-prosthetic-interface-accommodating-volume-fluctuation-case-study
#10
Jason T Kahle, Tyler D Klenow, M Jason Highsmith
The socket-limb interface is vital for functionality and provides stability and mobility for the amputee. Volume fluctuation can lead to compromised fit and function. Current socket technology does not accommodate for volume fluctuation. An adjustable interface may improve function and comfort by filling this technology gap. The purpose of this study was to compare the effectiveness of the standard of care (SOC) ischial ramus containment to an adjustable transfemoral prosthetic interface socket in the accommodation of volume fluctuation...
September 2016: Technology and Innovation
https://www.readbyqxmd.com/read/28066525/the-effect-of-transfemoral-interface-design-on-gait-speed-and-risk-of-falls
#11
Jason T Kahle, Tyler D Klenow, William J Sampson, M Jason Highsmith
Falls and diminished walking capacity are impairments common in persons with transfemoral amputation (TFA). Reducing falls and optimizing walking capacity through such means as achieving a more normal gait speed and community ambulation should be considered when formulating the prosthetic prescription. Because walking capacity and balance confidence are compromised with TFA, these outcomes should be considered when evaluating interfaces for transfemoral prosthetic users. The purpose of this study was to compare the effect of TFA interface design on walking capacity and balance confidence A retrospective cohort design was utilized involving unilateral TFA patients who used ischial ramus containment (IRC) and High-Fidelity (HiFi) interfaces (independent variables)...
September 2016: Technology and Innovation
https://www.readbyqxmd.com/read/28066519/economic-evaluations-of-interventions-for-transtibial-amputees-a-scoping-review-of-comparative-studies
#12
M Jason Highsmith, Jason T Kahle, Amanda Lewandowski, Tyler D Klenow, John J Orriola, Rebecca M Miro, Owen T Hill, Sylvia Ursula Raschke, Michael S Orendurff, James T Highsmith, Bryce S Sutton
Transtibial amputation (TTA) is life-altering emotionally, functionally, and economically. The economic impact to all stakeholders is largely unknown, as is the cost-effectiveness of prosthetic intervention. This scoping report's purpose was to determine if there is sufficient evidence to conduct a formal systematic review or meta-analysis in any particular prosthetic intervention area and to determine if any evidence statements could be synthesized relative to economic evaluation of interventions provided to patients with TTA...
September 2016: Technology and Innovation
https://www.readbyqxmd.com/read/28062250/autotransplantation-of-third-molars-with-completely-formed-roots-into-surgically-created-sockets-and-fresh-extraction-sockets-a-10-year-comparative-study
#13
H J Yu, P Jia, Z Lv, L X Qiu
The aim of this study was to analyze and compare the long-term clinical outcomes of mature third molar autotransplantation in surgically created sockets and fresh extraction sockets with regard to survival and functional success rates. A total of 65 third molars with completely formed roots were autotransplanted in 60 patients (average age 33.1 years). Thirty-six of the teeth were autotransplanted into surgically created sockets with or without guided bone regeneration (GBR; delayed autotransplantation), while 29 were autotransplanted into fresh extraction sockets (immediate autotransplantation; control group)...
January 3, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28055332/temperature-measurement-and-control-system-for-transtibial-prostheses-single-subject-clinical-evaluation
#14
Kamiar Ghoseiri, Yong Ping Zheng, Aaron K L Leung, Mehdi Rahgozar, Gholamreza Aminian, Mehdi Masoumi, Mohammad Reza Safari
The snug fit of a prosthetic socket over the residual limb can disturb thermal balance and put skin integrity in jeopardy by providing an unpleasant and infectious environment. The prototype of a temperature measurement and control (TM&C) system was previously introduced to resolve thermal problems related to prostheses. This study evaluates its clinical application in a setting with reversal, single subject design. The TM&C system was installed on fabricated prosthetic socket of a man with unilateral transtibial amputation...
January 5, 2017: Assistive Technology: the Official Journal of RESNA
https://www.readbyqxmd.com/read/28051227/oral-health-effects-associated-with-narghile-use
#15
Mehdi Khemiss, Sonia Rouatbi, Latifa Berrezouga, Helmi Ben Saad
Background - As dentists are certain to encounter narghile-smokers amongst their patients, it is important to inform them of the possible detrimental impacts of narghile-use on oral-health. Objective - To review the literature on the oral-health effects of narghile-use. Methods - Data Sources - We made a search on pubmed until June 30th, 2015 for the chronic oral-health effects of narghile-use using the terms "oral-lesions" or "oral-cancer" or "dry-socket" or "periodontium" and 'narghile' or its different synonyms...
July 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/28050988/comparative-study-of-piezoelectric-and-rotary-osteotomy-technique-for-third-molar-impaction
#16
Sulphi A Basheer, R Jay Govind, Augustine Daniel, George Sam, V J Adarsh, Akshatha Rao
INTRODUCTION: Bone removal is necessary for extracting the third molars that are erupted, partially erupted, and/or impacted in bone. Hence, it is necessary to choose a surgical method or instruments that conform to anatomic landmarks and are based on physiological principles. Many authors have reported injuries to the adjacent tooth, especially the distal part of periodontium after removal of second molar. Hence, the present study was undertaken to assess and compare the surgical and postsurgi-cal outcomes of third molar removal using piezoelectric surgery and rotary bur...
January 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28050814/what-orthopaedic-operating-room-surfaces-are-contaminated-with-bioburden-a-study-using-the-atp-bioluminescence-assay
#17
Raveesh Daniel Richard, Thomas R Bowen
BACKGROUND: Contaminated operating room surfaces can increase the risk of orthopaedic infections, particularly after procedures in which hardware implantation and instrumentation are used. The question arises as to how surgeons can measure surface cleanliness to detect increased levels of bioburden. This study aims to highlight the utility of adenosine triphosphate (ATP) bioluminescence technology as a novel technique in detecting the degree of contamination within the sterile operating room environment...
January 3, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28050319/the-hidden-x-suture-a-technical-note-on-a-novel-suture-technique-for-alveolar-ridge-preservation
#18
Jung-Chul Park, Ki-Tae Koo, Hyun-Chang Lim
PURPOSE: The present study investigated the impact of 2 different suture techniques, the conventional crossed mattress suture (X suture) and the novel hidden X suture, for alveolar ridge preservation (ARP) with an open healing approach. METHODS: This study was a prospective randomized controlled clinical trial. Fourteen patients requiring extraction of the maxillary or mandibular posterior teeth were enrolled and allocated into 2 groups. After extraction, demineralized bovine bone matrix mixed with 10% collagen (DBBM-C) was grafted and the socket was covered by porcine collagen membrane in a double-layer fashion...
December 2016: Journal of Periodontal & Implant Science
https://www.readbyqxmd.com/read/28048947/effect-of-implant-position-and-span-length-on-stresses-around-implants-assisting-claspless-distal-extension-partial-overdentures-an-invitro-study
#19
Moustafa Abdou Elsyad, Ahmed Kabeel, Nesreen Elmekawy
The aim of this invitro study was to evaluate the effect of implant position and edentulous span length on stresses around implants assisting claspless distal extension partial overdentures.Four bilateral mandibular distal extension acrylic models were constructed. Two implants were inserted in the distal extension ridges parallel to each other and perpendicular to the ridges. Based on the implant position, models were categorized into two groups: Group I, mesial implants position and Group II, distal implant position...
January 3, 2017: Journal of Oral Implantology
https://www.readbyqxmd.com/read/28045571/gait-rehabilitation-for-a-patient-with-an-osseointegrated-prosthesis-following-transfemoral-amputation
#20
Ruud A Leijendekkers, Gerben van Hinte, Maria Wg Nijhuis-van der Sanden, J Bart Staal
BACKGROUND: In patients with a transfemoral amputation socket-related problems are associated with reduced prosthetic use, activity, and quality of life. Furthermore, gait asymmetries are present that may explain secondary complaints. Bone-anchored prostheses (BAPs) may help these patients. Two types of BAP are available, screw and press-fit implants. Rehabilitation following surgery for a press-fit BAP is poorly described. PURPOSE: To describe a rehabilitation program designed to minimize compensation strategies and increase activity using a case-report of an active, 70-year-old man with a traumatic transfemoral amputation who had used a socket prosthesis for 52 years and received a press-fit BAP [Endo-Exo Femoral Prosthesis - EEFP]...
January 3, 2017: Physiotherapy Theory and Practice
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