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table traction

Verónica Jiménez Díaz, Alfonso Carlos Prada Cañizares, Ismael Auñón Martín, Miguel Aroca Peinado, Pedro Caba Doussoux
BACKGROUND: Factors that impede closed reduction in intertrochanteric fractures remain unknown. This study was designed with the aim of establishing radiological variables that can predict an open reduction when nailing those type of fractures. MATERIALS AND METHODS: Observational prospective study carried out between March 2013 and March 2015. Patients of both gender who suffered an intertrochanteric fracture, and who were surgically treated by intramedullary nailing (PFN-A), were included...
September 2016: Injury
S Kumar, G N Chadha
To evaluate a new technique of Dynamic hip screw (DHS) fixation without using traction table. From july 2006 to july 2012, 328 patients undergoing DHS fixation using manual traction technique were evaluated in terms of Tip apex distance (TAD), -quality of fracture reduction, operation time, preoperative preparation time. In 97% cases good to moderate reduction could be achieved. The mean TAD was 19.2 millimeters, mean operation time 37 minutes and screw cutout rate was only 0.91%. This technique is easy, reproducible, cheap do not sacrifice reduction alignment, screw position and is extremely beneficial in polytrauma patients where multiple surgeries are to be done...
August 2016: Acta Orthopaedica Belgica
Shahryar Cohanzad
OBJECTIVE: To introduce a postoperative protocol to optimize the final size of the penis in patients undergoing metoidioplasty. PATIENTS AND METHODS: Fourteen patients with the mean age of 29.3 years (8-40 ± 11.7), ten female transsexuals (46 xx karyotype) and four with 5-alpha-reductase deficiency syndrome (5ARDS) who had undergone extensive metoidioplasty entered a penile improvement protocol (PIP) between 2007 and 2015 at a specialized clinic in a general hospital in Tehran, Iran...
September 19, 2016: Aesthetic Plastic Surgery
Erman Ceyhan, Onder Murat Delialioglu, Kenan Bayrakci, Bulent Daglar, Alper Deveci, Ugur Gunel
AIM: The aim of the study was to devolop a new equipment for the assesment of the flexibility of the spine in different forces. This new system should give a different perspective to the AIS for the selection of fusion levels and surgical success. MATERIAL AND METHODS: Eighteen patients suffering from AIS who were scheduled to undergo posterior instrumented spinal fusion in our clinic were recruided in this study. The Electronic Traction Table (ETT) which was designed in our clinic was used to evaluate the radiogical and clinical parameters of the spine...
December 7, 2015: Turkish Neurosurgery
Francisco Ferrero-Manzanal, Raquel Lax-Pérez, Roberto López-Bernabé, José Ramiro Betancourt-Bastidas, Alvaro Iñiguez de Onzoño-Pérez
INTRODUCTION: Shoulder surgery is often performed with the patient in the so called "beach-chair position" with elevation of the upper part of the body. The anesthetic procedure can be general anesthesia and/or regional block, usually interscalenic brachial plexus block. We present a case of brachial plexus palsy with a possible mechanism of traction based on the electromyographic and clinical findings, although a possible contribution of nerve block cannot be excluded. PRESENTATION OF THE CASE: We present a case of a 62 year-old female, that suffered from shoulder fracture-dislocation...
2016: International Journal of Surgery Case Reports
L Gilmour, A M Kassam, A M Hughes
No abstract text is available yet for this article.
August 11, 2016: Annals of the Royal College of Surgeons of England
Jana Zímová, Pavlína Zímová
Trichotillomania (TTM) is defined by the Diagnostics and Statistic Manual of Mental Disorders, 4th edition (DMS-IV) as hair loss from a patient`s repetitive self-pulling of hair. The disorder is included under anxiety disorders because it shares some obsessive-compulsive features. Patients have the tendency towards feelings of unattractiveness, body dissatisfaction, and low self-esteem (1,2). It is a major psychiatric problem, but many patients with this disorder first present to a dermatologist. An 11-year-old girl came to our department with a 2-month history of diffuse hair loss on the frontoparietal and parietotemporal area (Figure 1)...
June 2016: Acta Dermatovenerologica Croatica: ADC
Abdulmalek Mr Majanni, Mohammad Y Hajeer
BACKGROUND: No randomized controlled trial has tried to compare early class III treatment outcomes between the removable mandibular retractor (RMR) and the bone-anchored intermaxillary traction (BAIMT). The objective of this study was to evaluate skeletal, dental, and soft-tissue changes following early class III treatment with these two treatment modalities. MATERIALS AND METHODS: A parallel group randomized controlled trial was conducted on patients with class III malocclusion, treated at the University ofAl-Baath Dental School in Hamah, Syria...
2016: Journal of Contemporary Dental Practice
Ranjit Kr Baruah
INTRODUCTION: Ilizarov technique yields satisfactory results in difficult situations. Widely displaced fracture of the patella after failed osteosynthesis is a difficult situation. We are reporting one such case in a 27 years old male treated by modified Ilizarov technique. CASE REPORT: A 27-years old male with transverse fracture of the patella was fixed with tension band wiring. He indulged in heavy manual work including bicycling after 15 days of operation contrary to advice that led to loosening of implants and failure of reduction...
January 2016: Journal of Orthopaedic Case Reports
Zachary Child, Daniel Rau, Michael J Lee, Randall Ching, Richard Bransford, Jens Chapman, Carlo Bellabarba
BACKGROUND CONTEXT: Craniocervical dissociation is a rare but serious condition, and missed injuries have been associated with poor neurologic outcomes and deterioration. A fluoroscopic traction test is employed to interrogate the craniocervical ligaments when clinical and imaging findings are equivocal. However, no specific protocol or known parameters with respect to traction or force applied have been established. PURPOSE: This study sought to define the parameters of the radiographic traction test with sequential sectioning of the primary ligamentous restraints under controlled distraction of the craniocervical junction in a biomechanical model...
September 2016: Spine Journal: Official Journal of the North American Spine Society
Ercan Şahin, Murat Songür, Mahmut Kalem, Sinan Zehir, Mehmet Atıf Erol Aksekili, Selçuk Keser, Ahmet Bayar
INTRODUCTION: The purpose of this prospective randomized study was to compare traction table with manual traction for the reduction and nailing of unstable intertrochanteric femur fractures. DESIGN: Prospective, randomized, two-center trial. MATERIALS AND METHODS: 72 elderly patients with AO/OTA 31A2 and 31A3 proximal femur fractures were randomized to undergo surgery with either manual traction (MT) or traction table (TT) facilitated intramedullary nailing...
July 2016: Injury
George A Macheras, Panayiotis Christofilopoulos, Panagiotis Lepetsos, Andreas O Leonidou, Panagiotis P Anastasopoulos, Spyridon P Galanakos
PURPOSE: Minimal invasive techniques in total hip arthroplasty (THA) have become increasingly popular during recent years. Despite much debate over the outcome of several minimal invasive techniques, complications arising from the use of anterior minimally invasive surgery (AMIS) for THA on a traction table are not well documented. Our study aims to focus on nerve damage during the AMIS procedure and the possible explanations of these injuries. METHODS: We reviewed all primary THAs performed with the AMIS technique using a traction table, over 5 years and recorded all intraoperative and postoperative complications up to the latest follow-up...
July 25, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Zu-Bin Zhou, Song Chen, You-Shui Gao, Yu-Qiang Sun, Chang-Qing Zhang, Yao Jiang
PURPOSE: To discuss surgical technique, operative efficacy and clinical outcome of intramedullary fixation in the treatment of subtrochanteric femur fractures. METHODS: From February 2011 to February 2013, 76 cases of subtrochanteric femur fractures were treated by intramedullary fixation in our hospital, including 53 males and 23 females, with the age range of 37 -72 years (mean 53.5 years). According to Seinsheimer classification, there were 2 cases of type I, 7 type II, 15 type III, 23 type IV and 29 type V...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Michael Githens, Timothy B Alton, Reza Firoozabadi, Julius A Bishop
Many techniques have been employed to facilitate intramedullary nailing of femur fractures. Maintaining limb length during the operation can be difficult. The authors describe the use of distal femoral fine wire skeletal traction as a technique to maintain reduction while allowing intramedullary nailing of femur fractures. This technique is safe, is effective, and negates the need for a fracture table or an assistant.
March 2016: Orthopedics
M M Niane, C V A Kinkpé, M Daffé, L Sarr, A B Gueye, A D Sané, S I L Séye
INTRODUCTION: Osteotomy performed below the femoral neck plays a leading role in the treatment of slipped capital femoral epiphysis (SCFE). It results in anatomical reduction. Several modifications have been made to Dunn's original osteotomy technique. We have developed another modification to this technique that uses an anterior surgical approach on a traction table with fluoroscopy control. HYPOTHESES: Will this technique help to reduce the number of complications? Will its results be superior to those achieved with the standard Dunn osteotomy procedure? MATERIAL AND METHODS: This was a retrospective single-center study of 26 cases in 24 patients (2 bilateral cases)...
February 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
Axel Gamulin, Mazda Farshad
Fractures of the proximal and diaphyseal femur are frequently internally fixed using a fracture table with fracture reduction obtained by traction and adequate rotation exerted on the slightly abducted extremity. Although rare, these fractures may occur on an amputated limb. If so, standard use of a fracture table is not possible. To address this situation, the authors describe a simple novel technique allowing rigid fixation of the amputated limb to the traction device of the fracture table that provides accurate control of reduction in all planes...
November 2015: Orthopedics
Timothy J Madson, John H Hollman
STUDY DESIGN: Cross-sectional survey. OBJECTIVES: To examine how many physical therapists use traction, the patients for whom traction is used, the preferred delivery modes/parameters of traction, the supplemental interventions used with traction, and whether professional characteristics influence traction usage. BACKGROUND: Several systematic reviews and clinical guidelines have questioned the effectiveness of traction for managing low back pain, yet some patients may benefit from lumbar traction...
August 2015: Journal of Orthopaedic and Sports Physical Therapy
Wei Chen, Tao Zhang, Juan Wang, Bo Liu, Zhiyong Hou, Yingze Zhang
PURPOSE: Traction table-based intrameduallary (IM) nail fixation is an accepted treatment method for displaced femoral shaft fractures in adults. However, some complications have been described. To avoid complications associated with the use of a traction table, a rapid reductor was invented. This study aims to assess the outcomes of displaced femoral shaft fractures treated by a novel minimally invasive technique that employs a rapid reductor to reduce fracture and facilitate IM nail fixation...
January 2016: International Orthopaedics
Hakan Kocaoğlu, Kerem Başarır, Ramazan Akmeşe, Yasemin Kaya, Muzaffer Sindel, Nurettin Oğuz, Mehmet S Binnet
PURPOSE: To investigate the site of pudendal nerve compression and the relation between traction force and abduction angle regarding pressure levels at setup for hip arthroscopy. METHODS: A total of 17 hips from 9 fresh-frozen cadavers (6 male and 3 female cadavers) were used. The pudendal nerves were dissected, and 3 FlexiForce force sensors (Tekscan, Boston, MA) were implanted on the pudendal nerve where the inferior rectal nerve, perineal nerve, and dorsal nerve of the clitoris/penis emerge...
October 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
Bryan S Sack, John V Kryger, Michael E Mitchell, Charles T Durkee, Roger Lyon, Travis W Groth
INTRODUCTION/OBJECTIVE: Secure closure of the pubic diastasis during bladder exstrophy and epispadias repair decreases the abdominal wall tension at the time of reconstruction. Pelvic osteotomies are routinely performed at the time of abdominal wall and bladder reconstruction in order to more easily facilitate pubic symphyseal diastasis approximation. Postoperative pelvic immobilization is performed by methods that include modified Buck's traction, modified Bryant's traction, and spica casting...
August 2015: Journal of Pediatric Urology
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