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At least 721 records · Page 40Linked to original sources

PubMed2001

Small bowel obstruction following extended right hemicolectomy and subtotal colectomy: assessing the benefit of prophylactic tube splinting.

BACKGROUND/AIMS: Small bowel obstruction (SBO) is a frequent complication of extended right hemicolectomy and subtotal colectomy. This study was conducted to assess the prophylactic effectiveness of intestinal tube splinting. METHODS: Sixteen patients (study group) undergoing extended right hemicolectomy or subtotal colectomy were treated with and 18 patients (controls) without splinting. Clinical, operative and outcome data were entered into a maintained database. The main endpoint was subsequent SBO. RESULTS: After a follow-up of 2-13 (median 6.5) years, the study group remained free from SBO. After 1-16 years (median 2), four complete and one partial early and one complete and one complete recurrent late SBO occurred in controls. CONCLUSION: Intestinal tube splinting was comparatively easy and expeditious from a technical point of view after extended hemicolectomy and subtotal colectomy. The procedure eliminated early and up to date also late postoperative SBO in this study and can be considered as a prophylaxis against SBO in this subset of patients.

Aged↗

PubMed1994

Shin splints and forefoot contact running: a case report.

Many athletes develop shin splints after athletic activity. The purpose of this case report is to describe the treatment of a patient with posteromedial tibial pain (shin splints) who habitually ran with a forefoot contact running style. The 20-year-old male patient, who played volleyball and basketball about 7 hours a week, complained of pain in the middle one-third of the posteromedial tibia after an acute but prolonged episode of running. Routine observational analysis and in-shoe pressure analysis of the patient's running style showed that he habitually ran on his toes with an absence of heelstrike (forefoot contact running). After instructing the patient on heel-toe running, he no longer complained of posteromedial tibial bone pain. Several possible reasons are proposed for the reduction of leg pain following cessation of forefoot contact running. This case report proposes forefoot contact running as a possible contributor to posteromedial shin splints and that a change in running style may be the optimal treatment for some patients.

Adult↗

PubMed2006

A randomized controlled trial of a leg orthosis versus traditional treatment for soldiers with shin splints: a pilot study.

Diagnosis and management strategies for shin splints in active duty military populations closely resemble those in civilian athletic populations. There is a paucity of evidence supporting the use of many of these interventions. The purpose of this study was to present data on the Shin Saver orthosis as a treatment for shin splints in an active duty military population and to review current condition management. Twenty-five subjects diagnosed with shin splints by a U.S. Army physical therapist were randomly assigned to a shin orthosis treatment group or a control group. There was no significant difference between treatment and control groups in days to finish a 0.5-mile run pain free. Visual analog scales for pain at intake versus after 1 week of relative rest revealed no significant improvement in symptoms in either group. Current best-practice guidelines support a treatment program of rest, cryotherapy, and a graduated walk-to-run program.

Adult↗

PubMed1988

Sequence-specific cleavage of RNA using chimeric DNA splints and RNase H.

To cleave RNA molecules using E. coli RNase H in a site-specific manner, a short oligodeoxyribonucleotide (3-5 mer) linked with oligo(2'-O-methyl)ribonucleotide(s) was designed to be used as a DNA splint. Our model experiments with ribooligomer the splint duplexes (9 mers) and RNase H demonstrated that a tetradeoxynucleotide cluster seems to be sufficient for the enzyme recognition and the short DNA-containing splint directs a unique cleavage of RNA by RNase H. The method could be applied to longer ribooligonucleotide substrates. For example, when 3'm (GA)d(AGAA)m(GGU)5' was used as a hybridization strand, 32pUCUUUCUUCUUCCAGGAU was cleaved specifically between U11 and C12 to yield 32pUCUUUCUUCUU. This method will have a variety of applications for the study of RNA.

Base Sequence↗

PubMed1988

["One-knot" microvascular anastomosis using glutide as an external splint--experimental arterio-arterial anastomosis in rats].

Experimental microvascular anastomosis using a glutide copolymer (lactide: glycolide = 80: 20) as an external splint was undertaken in rats between the left and the right carotid arteries. Both arteries were dissected free over a 1-cm length, the left carotid artery was transected at the cranial end, and the right carotid artery was cut at the caudal end. The left carotid artery was then introduced into a glutide pipe-splint. The arterial wall was turned back 180 degrees over the edge of the splint. The reflected part of the artery and the glutide were covered with the freed-up right carotid artery. One stitch was made around the two arteries and the glutide in a manner similar to that of binding a barrel with steel wire. The "One-knot anastomosis" was then complete. We call this type of anastomosis "antegrade anastomosis". If, on the other hand, the right carotid artery is introduced into the pipe, turned back at the edge of the glutide, covered with the left carotid artery and secured with one stitch, the technique is known as "retrograde anastomosis". The patency rates of the resulting vessels were as follows: antegrade anastomosis, 83% (15/18); and retrograde anastomosis, 92% (23/25); so that the average patency rate was 88% (38/43). We measured the anastomosing time that is the time between the transection of one of the two arteries and the completion of the anastomosis. The average anastomosing time was 21 minutes for antegrade anastomosis and 14 minutes for retrograde anastomosis. But the 'pure anastomosing time' (the time taken to connect the two already prepared arteries) was 2-3 minutes. We believe that one-knot anastomosis technique for future clinical application is promising.

Anastomosis, Surgical↗

PubMed1981

[Early and late results of internal small intestine splinting for ileus].

The continuous inside splinting of the small intestine was carried out in 82 children and adults, because of postoperative ileus, chronic recurrent ileus and diffuse peritonitis. Possibly the splinting had contributed in one case to the perforation of the paralytic small intestine with a fatal outcome. In another case there occurred a relapse of an ileus. All other patients have no complaints in connexion with the splinting operation. Control examinations take place. A "total folding" of the small intestine was not observed by the radioscopy.

Adult↗

PubMed1980

[Internal ureter splinting, a promising therapy for iatrogenic ureteral injuries and ureteral stenoses in the small pelvis].

The technique of endoscopically placed PVC indwelling splints into the lesioned or obstructed ureter is described. With the method of consecutive expanding of the ureter and following closed splinting, good results in 8 of 8 patients were achieved. The splints have been in place for 2,5 to 42 months. Indications, technique, complications and results are herein described.

Adult↗

PubMed1981

Indwelling ureteral splints. Retrospective study of applications and results of ureteral stents in Germany.

Indications for ureteral stents are mainly malignant ureteral stenoses and obstructive uropathy in high risk patients. In a retrospective study, the experience with ureteral splints in 48 major German hospitals was analyzed for application, results and complications. 323 splints were used in 302 patients for 275 neoplastic or 48 benign ureteral stenoses. Urinary drainage varied between 16 days and 4 years. In 63 patients drainage for more than 1 year was guaranteed. Complications in 164 patients were in decreasing frequency: hematuria, fever, downward migration, kinking of the splint, upward migration, calcification and septicemia. Ureteral stents have to be limited to those cases in which the benefit overrides possible complications.

Catheters, Indwelling↗

PubMed2002

Tooth splinting with fiber-reinforced composite materials: achieving predictable aesthetics.

The need to respond to the ever-increasing patient demand for aesthetics, tissue maintenance, and cost efficiency has resulted in the evolution of techniques and materials that allow predictable restoration of teeth that would otherwise be compromised. The development of synthetic dental materials has allowed the incorporation of fiber-reinforced materials to replace metal splints. These contemporary materials provide increased flexural strength, as well as improved aesthetics, to the restoration. This article describes a conservative tooth splinting procedure using polyethylene fibers as reinforcement for both direct and indirect restorations.

Acid Etching, Dental↗

PubMed1982

Magnetic intranasal splints.

A magnet-containing silicone rubber intranasal splint is described for use following septoplasty. The splints hold the septal flaps in place by magnetic attraction and eliminate the need for packing. They produce minimal discomfort, are easily inserted and removed, and allow nasal breathing while in place.

Humans↗

PubMed1991

The function of the Thomas splint. An experimental study.

A Thomas splint of traditional design was fitted with measuring devices and examined for its hip-relieving effect during varying activities. It was shown that there is no complete weight relief of the hip joint with this orthosis. In the most favourable case, 50% of the weight can be conducted via the ischial tuberosity and therefore transferred to the ground surface bypassing the hip joint. In regard to the hip joint, the Thomas splint is a device that reduces weight but does not entirely remove it. The results proved to be practically independent of the fitting of the orthosis and of the kind of activity.

Biomechanical Phenomena↗

PubMed2006

In-vitro investigations on suitability of light-cured resins for interocclusal splints: part I: mechanical properties.

OBJECTIVE: It was the aim of the present study to investigate the material properties of different resins and their suitability for the fabrication of occlusal and intermaxillary splints. MATERIAL AND METHOD: We subjected auto-polymerized resins (Palapress, Orthocryl, Steady-Resin M) and light-polymerized resins (Acrylight, Primosplint, Triad TranSheet Colorless and Pink) to investigation. The Targis Power light oven was used to polymerize the light-cured resins. After the auto-polymerized resins had been mixed by hand and filled into the forms, they were polymerized for 15 minutes in a high-pressure polymerization machine (Palamat) at 2 bar. The parameters examined were flexural strength, water adsorption, and polymerization shrinkage. Tests carried out according to DIN EN ISO 1567 served to determine flexural strength, flexural modulus, and water adsorption. Polymerization shrinkage was determined via the buoyancy test. RESULTS: The resins' flexural strength ranged from 60 to 101 MPa. Flexural moduli lay between 1.3 and 5.3 GPa. The water adsorption noted in light-cured resins amounted to 2.1-4.6 mass percent. Palapress and Steady-Resin displayed the lowest water adsorption with 2.0 mass percent. The light-polymerized resins revealed significantly less shrinkage (p < 0.05) than the autopolymerized resins tested in this study. CONCLUSION: Our results demonstrate that the light-cured resins-with the exception of Acrylight -easily match and even exceed the material properties of the cold-polymerized resins regarding flexural strength, flexural modulus, water adsorption and polymerization shrinkage. The light-cured resins examined thus seem suitable for use as splint material.

Absorption↗

PubMed2004

Dorsolateral dislocation of the proximal interphalangeal joint: closed reduction and early active motion or static splinting; a retrospective study.

INTRODUCTION: In a follow-up examination 50 patients who had sustained dorsal dislocations of the proximal interphalangeal (PIP) joint, the results of two conservative therapy regimens, either immobilisation or early motion, were investigated. The patients were assigned randomly. The inclusion criteria were: adult patients over the age of 18 with isolated, acute, closed dorsolateral dislocation of the PIP joint. MATERIALS AND METHODS: In group A, 25 patients were treated by closed reduction and immobilisation with a short-arm cast including both interphalangeal joints for 4 weeks. In group B, 25 patients were treated by dorsal block splinting of the PIP joint following reduction. The finger was released in extension with daily active exercise of the PIP joint. RESULTS: In group A, 9 patients showed a normal range of motion, whereas a limitation of extension of 10 deg and more was seen in 16 patients. All PIP joints were clinically stable, and 19 patients were satisfied. Two patients complained of a limitation of extension, 3 of limitation of extension and pain, and 1 of pain and swelling. In group B, only 2 of 25 patients showed a limitation of extension of 10 deg and more, whereas 23 patients showed a normal range of motion. Instability of one collateral ligament was seen in 2 cases. Palmar instability did not occur, and 18 patients were satisfied. One patient complained of instability, pain and lack of extension during hard work, 1 of pain in combination with instability, 2 of pain and 3 of swelling of the joint. CONCLUSION: Early active motion after dorsolateral dislocation of the PIP joint produces significantly superior results regarding the active range of motion and pinch power than static splinting.

Casts, Surgical↗

PubMed2002

Early begin of splint therapy improves treatment outcome in patients with temporomandibular joint disk displacement without reduction.

The objective of this study was to determine the effect of treatment beginning at the long-term outcome after splint therapy, in patients with anterior disk displacements without reduction. Therefore, 19 patients with acute complaints (group I), 19 with subacute complaints (group II), and 17 with chronic complaints (group III) were treated with occlusal splints. The patients were evaluated regarding treatment outcome with extensive clinical examination and postal questionnaires. The percentages of pain-free patients after therapy were 84% in group I, 63% in group II, and 64% in group III. There was a statistically significantly greater increase of maximum jaw opening after therapy in group I than in the control groups (P<0.05). The improvements in mouth opening came to 19.1 mm in group I, 10.7 mm in group II, and 8.4 mm in group III. The present study indicates that an early start of treatment seems to have a positive influence on treatment outcome of patients with anterior disk displacement without reduction.

Acute Disease↗

PubMed1984

The multistrand retainer and splint.

A method is presented for the accurate application of the modified 3-3 retainer of multistrand wire described by Zachrisson . This lingual retainer or splint is noninvasive of dental tissue and is reversible. Wire breakage does not appear to occur, and the slightly elastic properties of the wire allow a physiologic mobility of the teeth, which is of advantage in the periodontal patient. The only breakage that may occur is of the composite bond, although this appears to be less than with bonded brackets, but repair is quick and simple. The present method is now offered to add simplicity, speed, and accuracy to the important advantages already enjoyed, widening the scope for employment of this type of retainer to as many as eight or ten teeth in a series and, perhaps more significantly, to the maxillary anterior teeth, even where a deep bite exists. The value of the method is also seen when an active orthodontic appliance is removed and retention or splinting is required within an hour or two, as for the patient who is concurrently undergoing periodontal treatment.

Equipment Design↗

PubMed1977

A method of internal splinting for unstable nasal fractures.

A method of intra-nasal splinting has been outlined which revives principles and improves on methods established particularly well by two French Stomatologists at the beginning of this century. It uses a simple splint, carefully chosen from a range of sizes, that requires precise insertion, and has proved to have several advantages over more commonly employed techniques.

Adolescent↗

PubMed1975

Compressive facial splints.

A method of constructing long-term compressive splints for the regions of the head and neck using available materials has been described. These splints have been useful where continuous pressure is needed to promote healing or enhance treatment over long periods of time.

Face↗

PubMed1978

Occlusal splint fabrication.

Occlusal splints are useful in the treatment of occlusal and temporomandibular joint problems. Occasionally a patient is in a state of discomfort that requires immediate attention. This technique allows for the rapid and effective fabrication of an occlusal splint in the dental office.

Acrylic Resins↗