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Orthopedic splints

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https://www.readbyqxmd.com/read/29673797/non-invasive-multi-modality-approach-to-treating-plantar-fasciitis-a-case-study
#1
Tamsin Lee
Plantar fasciitis, also referred to as plantar heel pain, is a common foot pathology among runners and other athletes. The clinical guidelines of the 2014 Orthopedic Section of the American Physical Therapy Association states, non-invasive therapies including manual therapy, stretching, taping, foot orthoses and night splints are recommended as primary interventions. Recent studies suggest acupuncture may be an effective treatment compared to standard treatment for long-term relief. This case study reports the effects of a multi-modality approach including massage, gua sha, bleeding, acupuncture and moxibustion to treat acute plantar heel pain...
April 16, 2018: Journal of Acupuncture and Meridian Studies
https://www.readbyqxmd.com/read/29672393/prospective-prognostic-cohort-study-of-pressure-injuries-in-older-adult-patients-with-hip-fractures
#2
Cristiana Forni, Fabio D'Alessandro, Rossana Genco, Sandra Mini, Teresa Notarnicola, Arianna Vitulli, Daniela Capezzali, Mattia Morri
OBJECTIVE: The aim of this study was to assess the rate of pressure injury and real predictors thereof in the older adult population with hip fractures in an orthopedic hospital. METHODS: In this prospective prognostic cohort study, all patients admitted with fragility hip fractures were monitored over a 12-month period. On a daily basis, ward nurses and physiotherapists assessed the condition of the patients' skin and collected data about all the predictors connected to their healthcare and hospital organization until the patients were discharged from hospital or until the onset of pressure injury...
May 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29590712/analysis-of-airborne-dust-as-a-result-of-plaster-cast-sawing
#3
Anko Antabak, Damir Halužan, Abdulah Chouehne, Marko Mance, Nino Fuchs, Ivica Prlić, Ivan Bešlić, Zvjezdana Bencetić Klaić
Plaster splints are used daily in surgical and orthopedic fields in order to immobilize injured children and adults. The aim of this study was to measure the aerodynamic diameter and concentration of dust particles in the air caused by sawing plaster splints (calcium sulfate dehy-drate). We performed fractional measurements of airborne dust particles. The measured particles, which can potentially be inhaled, may have a specific negative effect on human health. Measurements were conducted in laboratory research facilities that simulated hospital conditions within a casting room and the associated waiting room...
December 2017: Acta Clinica Croatica
https://www.readbyqxmd.com/read/29570761/treatment-of-lateral-tibial-condylar-fractures-using-bioactive-bioresorbable-forged-composites-of-raw-particulate-unsintered-hydroxyapatite-poly-l-lactide-screws
#4
Gen Kuroyanagi, Hiroyuki Yoshihara, Naohiro Yamamoto, Hiroyuki Suzuki, Kunio Yamada, Yukio Yoshida, Takanobu Otsuka, Naoya Takada
Forged composites of raw particulate unsintered hydroxyapatite/poly-L-lactide (F-u-HA/PLLA) devices possess high mechanical strength, bioactivity, and radio-opacity. The aim of this study was to assess the efficacy of F-u-HA/PLLA screws in the treatment of lateral tibial condylar fractures. From January 2005 to December 2010, a total of 7 patients with displaced closed lateral tibial condylar fractures (Schatzker type II) were treated using F-u-HA/PLLA screws. Open reduction and internal fixation was performed using 2 or 3 F-u-HA/PLLA screws...
March 23, 2018: Orthopedics
https://www.readbyqxmd.com/read/29494749/tips-under-the-skin-a-simple-modification-of-extension-block-pinning-for-mallet-fractures
#5
Seung-Han Shin, Yong-Suk Lee, Jin-Woo Kang, Wonwoo Kang, Yang-Guk Chung
Pins exposed out of the skin after surgery for mallet fractures keep patients from washing their hands. The authors buried the tips of all pins under the skin while performing extension block pinning for 14 patients with mallet fractures. The patients were allowed to wash their hands 4 to 5 days postoperatively, without any dressing or splinting. The pins were removed at a mean of 8 weeks postoperatively. Solid union was achieved in all 14 fractures. No pull-out or subsidence of the pin was observed. No patient developed infection or other pin-related complications...
March 1, 2018: Orthopedics
https://www.readbyqxmd.com/read/29429777/effects-of-surgical-and-nonoperative-treatment-on-wrist-function-of-patients-with-distal-radius-fracture
#6
Peng Zhang, Bo Jia, Xiao-Kun Chen, Yu Wang, Wei Huang, Tian-Bing Wang
PURPOSE: To study the effects of surgical and nonoperative treatment on wrist function in patients with distal radius fracture. METHODS: In total, 97 patients treated for distal radius fracture in the Department of Orthopedic Trauma at the People's Hospital of Peking University from Jan. 2010 to Jun. 2016 were selected for outpatient follow-up, including manipulative reduction and dorsal splint fixation in 24 cases, bivalve cast fixation in 19 cases and open reduction and internal fixation in 54 cases...
February 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29404793/design-of-an-orthopedic-product-by-using-additive-manufacturing-technology-the-arm-splint
#7
Fernando Blaya, Pilar San Pedro, Julia López Silva, Roberto D'Amato, Enrique Soriano Heras, Juan Antonio Juanes
The traditional fabrication process of custom-made splints has hardly undergone any progress since the beginning of its use at the end of the eighteenth century. New manufacturing techniques and the new materials can help to modernize this treatment method of fractures. The use of Additive Manufacturing has been proposed in recent years as an alternative process for the manufacture of splints and there has been an increase in public awareness and exploration. For this reason, in this study a splint model printed in 3D, that replaces the deficiencies of the cast maintaining its virtues, has been proposed...
February 5, 2018: Journal of Medical Systems
https://www.readbyqxmd.com/read/29373140/-foot-drop-an-iatrogenic-complication-of-spinal-anesthesia
#8
Vipin Kumar Goyal, Vijay Mathur
BACKGROUND AND OBJECTIVES: Foot drop in postoperative period is very rare after spinal anesthesia. Early clinical assessment and diagnostic interventions is of prime importance to establish the etiology and to start appropriate management. Close follow-up is warranted in early postoperative period in cases when patient complain paresthesia or pain during needle insertion or drug injection. CASE REPORT: A 22-year-old male was undergone lower limb orthopedic surgery in spinal anesthesia...
January 16, 2018: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/29120006/manufactured-brace-modalities-for-elbow-stiffness
#9
Nipun Sodhi, Anton Khlopas, Michael D Vaughn, Jaiben George, George Yakubek, Assem A Sultan, Steven F Harwin, Michael A Mont
Multiple surgical and nonsurgical treatment options exist for patients with elbow stiffness. Many nonsurgical mobilization bracing options have been implemented to increase elbow range of motion. Three of the main bracing options for these patients are turnbuckle, static progressive stretch, and dynamic bracing. The purpose of this study was to review the current literature on turnbuckle, static progressive stretch, and dynamic bracing to provide information for practitioners and patients regarding which brace is more appropriate to use for elbow stiffness...
January 1, 2018: Orthopedics
https://www.readbyqxmd.com/read/29114424/the-effects-of-maxillary-expansion-on-the-soft-tissue-facial-profile
#10
Isil Aras, Sultan Olmez, Mehmet Cemal Akay, Tayfun Gunbay, Aynur Aras
Purpose: The aims of this retrospective study were to evaluate the possible changes in soft tissue facial profile induced by orthopedic rapid maxillary expansion (RME) and surgically assisted rapid maxillary expansion (SARME), and to correlate them with the underlying hard tissue alterations. Materials and Methods: 16 patients who received bone borne SARME and 25 patients who were subjected to RME using metal cast splint hyrax appliance were analyzed retrospectively...
2017: Journal of Istanbul University Faculty of Dentistry
https://www.readbyqxmd.com/read/29105023/mandibular-response-after-rapid-maxillary-expansion-in-class-ii-growing-patients-a-pilot-randomized-controlled-trial
#11
Roberta Lione, Valerio Brunelli, Lorenzo Franchi, Chiara Pavoni, Bernardo Quiroga Souki, Paola Cozza
BACKGROUND: The aim of this pilot randomized controlled trial (RCT) was to evaluate the sagittal mandibular response induced by rapid maxillary expansion (RME) therapy in mixed dentition patients with class II malocclusion, comparing the effects of bonded RME and banded RME with a matched untreated class II control group. METHODS: This RCT was designed in parallel with an allocation ratio of 1:1:1. The sample consisted of 30 children with a mean age of 8.1 ± 0...
November 6, 2017: Progress in Orthodontics
https://www.readbyqxmd.com/read/28879606/history-of-clubfoot-treatment-part-iii-twentieth-century-back-to-the-future
#12
REVIEW
Philippe Hernigou
Clubfoot is one of the most common congenital orthopaedic anomalies and was described by Hippocrates in the year 400 BC. From manipulation in antiquity to splint and plaster in the Renaissance the treatment had improved before tenotomy. Many surgical treatments were tested during the nineteenth and twentieth centuries and will be explained in this manuscript; however, the pathology still continues to challenge the paediatric orthopedic surgeon as it has a notorious tendency to relapse, irrespective of whether the foot is treated with conservative or operative means...
November 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28832210/quickdash-score-is-associated-with-treatment-choice-in-patients-with-trapeziometacarpal-arthrosis
#13
Suzanne C Wilkens, Mariano E Menendez, David Ring, Neal Chen
BACKGROUND: Trapeziometacarpal (TMC) arthrosis has a variety of treatment options, including nonoperative (eg, education, splint, injection) and operative management. Symptoms and limitations vary greatly among patients. The purpose of this study was to determine an association of symptoms and limitations, quantified using the Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score, with treatment choice in patients newly diagnosed with TMC arthrosis. We also addressed the association of the QuickDASH score with radiographic severity and sought factors associated with higher QuickDASH scores...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28690745/closed-reduction-of-a-traumatic-hip-dislocation-in-children-case-report
#14
Achraf El Bakkaly, Fouad Ettayebi, Houda Oubeja, Mounir Erraji, Hicham Zerhouni
Traumatic dislocation of the hip in children is a rare disease. It only represents 5% of hip dislocations in all age groups. Before 10 years, the mechanism is often a minimal domestic accident; after 10 years, the dislocation occurs with the waning of an accident of the public highway. It is different from that of the adult by its rarity, its ease of reduction and better prognosis. This is an emergency trauma: risk necrosis of the femoral head (If delayed reduction). We report a rare case of a 3 year old boy, who suffered from bipolar trauma after a fall near his height of his house causing him a detachment of the right humerus and post-traumatic dislocation of the left hip...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28567155/ballistic-trauma-of-limbs
#15
Léopold Lamah, Damany Keita, Ibrahima Marie Camara, Mohamed Lamine Bah, Sidimé Sory, Mamadou Moustapha Diallo
The objective of our study was to report the management and follow-up of a particular case of ballistic trauma and to do the literature review. OBSERVATION: A 35-year-old patient, a trader who was the victim of a firearm accident under not very clear circumstances. He was admitted to the emergency department after 3 hours. Clinically, the patient had significant bleeding in the arm and was in a state of clouding of consciousness. We could notice on the right arm, a posterior large transfixing wound of 1 cm and a 6 cm one on the antero-internal side...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28465006/early-rehabilitation-after-open-repair-for-patients-with-a-rupture-of-the-achilles-tendon
#16
Uk Kim, Yun Seong Choi, Gyu Chol Jang, Young Rak Choi
PURPOSE: As outdoor activities participation increase, Achilles tendon rupture incidence also tends to increase. There are a number of treatment and rehabilitation options for a ruptured Achilles tendon. However, the optimal rehabilitation protocols are still under debate. The purpose of this study is to determine whether early rehabilitation is more effective than conventional rehabilitation. METHODS: Medical records of 56 patients who had been treated with open repair after a ruptured Achilles tendon were retrospectively reviewed...
July 2017: Injury
https://www.readbyqxmd.com/read/28359680/assessment-of-youtube-content-for-distal-radius-fracture-immobilization
#17
Abdullah Addar, Yousef Marwan, Nizar Algarni, Gregory Berry
OBJECTIVE: Distal radius fractures (DRFs) are the most common orthopedic fractures, with >70% of cases treated by closed immobilization using a short arm cast or a sugar tong splint. However, inadequate immobilization is a risk factor for loss of reduction requiring repeat reduction or surgical treatment. Therefore, education of clinical skills for appropriate immobilization of DRFs is important. With the increasing use of web-based information by medical learners, our aim was to assess the quality and quantity of videos regarding closed immobilization of DRFs on YouTube...
September 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28342767/developing-cognitive-task-analysis-based-educational-videos-for-basic-surgical-skills-in-plastic-surgery
#18
Celine Yeung, Catherine McMillan, Tomas J Saun, Kimberly Sun, Veerle D'hondt, Herbert P von Schroeder, Glykeria Martou, Matthew Lee, Elizabeth Liao, Paul Binhammer
OBJECTIVE: To describe the development of cognitive task analysis (CTA)-based multimedia educational videos for surgical trainees in plastic surgery. DESIGN: A needs assessment survey was used to identify 5 plastic surgery skills on which to focus the educational videos. Three plastic surgeons were video-recorded performing each skill while describing the procedure, and were interviewed with probing questions. Three medical student reviewers coded transcripts and categorized each step into "action," "decision," or "assessment," and created a cognitive demands table (CDT) for each skill...
September 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28119796/distal-radius-fractures-do-not-displace-following-splint-or-cast-removal-in-the-acute-postreduction-period-a-prospective-observational-study
#19
Brock D Foster, Lakshmanan Sivasundaram, Nathanael Heckmann, William C Pannell, Ram K Alluri, Alidad Ghiassi
Background  Displacement of distal radius fractures has been previously described in the literature; however, little is known about fracture displacement following splint or cast removal at the initial clinic visit following reduction and immobilization. Purpose  The purpose of this study was to evaluate risk factors for fracture displacement following splint or cast removal and physical examination in the acute postinjury period. Methods  All patients with a closed distal radius fracture who presented to our orthopedic hand clinic within 3 weeks of injury were prospectively enrolled in our study...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28113557/online-bimanual-manipulation-using-surface-electromyography-and-incremental-learning
#20
Ilaria Strazzulla, Markus Nowak, Marco Controzzi, Christian Cipriani, Claudio Castellini
The paradigm of simultaneous and proportional myocontrol of hand prostheses is gaining momentum in the rehabilitation robotics community. As opposed to the traditional surface electromyography classification schema, in simultaneous and proportional control the desired force/torque at each degree of freedom of the hand/wrist is predicted in real-time, giving to the individual a more natural experience, reducing the cognitive effort and improving his dexterity in daily-life activities. In this study we apply such an approach in a realistic manipulation scenario, using 10 non-linear incremental regression machines to predict the desired torques for each motor of two robotic hands...
March 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
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