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At least 73 records · Page 4Linked to original sources

The treatment of tibial fractures by elastic nailing and functional plaster cast.

From June 1984 to December 1985, 32 fractures of the tibia were treated by elastic nailing by the Ender method with functional plaster casts according to the Sarmiento method. They represented 28% of all tibial fractures treated during the same period by the traditional conservative method or by external fixators. Elastic nailing was reserved for unstable fractures produced by high velocity trauma. Union occurred in all cases after an average of 13 weeks. Complications were insignificant: shortening by 1.2 cm (1 case); recurvatum (1 case); varus (1 case); valgus (1 case), both less than 8 degrees, and thus within functionally insignificant limits for axial deviation. In one case, a 15 degree internal rotation deformity was corrected after 5 weeks by osteoclasis and fresh elastic nailing which also healed. The advantages of this type of treatment are rapid union and no pseudarthrosis or infection.

Adolescent↗

Quantification of fMRI artifact reduction by a novel plaster cast head holder.

In light of artifact-induced high variability of activation in fMRI repeat studies, we developed and tested a clinically useful plaster cast head holder (PCH) with improved immobilization, repositioning, and comfort. With PCH, there were considerably lower levels of translational and rotational head motion components compared to head fixation with conventional restraining straps (CRS). Rotational components cannot be fully compensated by realignment and lead to "false activations." In addition, task-correlated head motion, which highly increases the risk of artifacts, was considerably reduced with PCH, especially in a motion prone subject. Compared with PCH, head motion was 133% larger with CRS in a highly cooperative subject. With a motion prone subject, head motion range was increased by 769% (PCH: 0.9 mm, CRS: 7.8 mm), which may indicate the usefulness of PCH for restless patients. In functional activation maps, PCH alone yielded fewer residual motion artifacts than CRS + image registration. Subject tolerance of the head holder during the long measurement times of up to 2.5 hr was good, and slice orientation on different days confirmed the quality of repositioning.

Adult↗

Fiberglass versus plaster casts. How to choose between them.

Both fiberglass and plaster of Paris casts have advantages and disadvantages, and the choice of material depends on the individual situation. Fiberglass is used most often, but plaster of Paris, with its molding capabilities, is the first choice for fresh extremity fractures. "Hybrid" casts offer no advantages.

Calcium Sulfate↗

Patellar tendon bearing plaster casts in fractures of the tibia.

One hundred fractures of the tibial shaft were treated by early weight-bearing in a below knee patellar tendon bearing plaster cast. The rate of union, and the range of knee and ankle motion were assessed. Ninety-five per cent had good or excellent results. This method of treatment is particularly valuable in the third world because it avoids the complications of operation and also of traditional conservative methods.

Adolescent↗

[Vascular compression of the duodenum related to a plaster cast (the cast syndrome)].

Case report of a 15-year-old girl presenting compression of the duodenum by the superior mesenteric artery, occurring after the application of a body plaster cast for correction of a idiopathic thoracic scoliosis, which required a gastrojejunostomy. The clinical and radiological pictures of this case fall into the rare entity called the "cast syndrome". The salient features of this syndrome are commented.

Adolescent↗

Quantification of intracompartmental pressure and volume under plaster casts.

UNLABELLED: Infusion lines (to elevate intracompartmental pressure experimentally) and wick catheters (to monitor the pressure produced) were inserted into hind-limb muscle compartments in twenty-six dogs. A padded plaster cast was then applied. The effect of the cast on intracompartmental pressure and volume and the effect of first splitting the cast and then cutting the padding were determined. Three different padding were used: dry Webril, Webril soaked in blood and Betadine (povidone-iodine), and Webril soaked in blood and Betadine and then dried. The cast was found to restrict expansion of the compartment volume by approximately 40 per cent. The most significant reductions in pressure in all groups occurred after the cast was cut and spread (mean reduction, 65 per cent). An additional pressure reduction of 10 to 20 per cent occurred after cutting the Webril. After removal of the cast, all limbs maintained some residual elevation of the intracompartmental pressure. CLINICAL RELEVANCE: This study demonstrates the need in clinical practice for continued evaluation and monitoring of a limb even after the cast has been completely removed because of signs and symptoms of a compartmental syndrome.

Animals↗

Clinical fracture of the carpal scaphoid--supportive bandage or plaster cast immobilization?

In a prospective study of 108 patients with a clinical diagnosis of fracture of the carpal scaphoid, but without radiological evidence of fracture, the patients were randomised to treatment with either a supportive bandage or a dorsal plaster cast. Four patients proved to have incomplete fractures and three to have avulsions from the scaphoid tuberosity. Two of the fractures had been suspected radiologically at the primary investigation. No complete fractures of the scaphoid were seen. The average time in plaster was 15 days and in a bandage 12.2 days. The average sick leave for manual workers was 14 days in plaster and 4 days in a bandage, a difference that represents a significant loss of productivity. Since these fractures almost always heal irrespective of treatment, they may as well be treated as a soft tissue injury with a supportive bandage.

Adolescent↗

The use of plaster casts in the treatment of fractures of the femoral shaft.

In order to relieve the pressure on an overworked fracture service, the early mobilization of patients with fractures of the femoral shaft in plaster casts was investigated. The cast is designed to have a weight-relieving function and to mould the soft tissues of the thigh around the fracture. Using this method, 40 patients were discharged from hospital in an average of 44 days from injury and all their fractures healed rapidly and successfully.

Adolescent↗

[Plaster casts].

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Casts, Surgical↗