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[Resorbable PDS splints in fracture stabilization and for arthrodeses of the hand].

Small rods of resorbable Polydioxanon (PDS-splints) are suitable for stabilizing fractures of a phalanx, either near the base or the head, be the fracture transverse or comminuted. Such internal splints are especially useful in replantation of clean amputations. Used in combination with intraosseous wiring, osteosynthesis can be achieved that is stable for exercise in all cases. Another use is in arthrodesis of the distal interphalangeal joints and the metacarpophalangeal joint of the thumb. Disadvantages that accompany Kirschner wire fixation are thus avoided. Case descriptions and results are presented.

Adult↗

Abduction splinting of the hip joints in myelodysplastic infants.

Myelodysplastic infants with midlumbar levels of paralysis were treated with abduction hip splinting until age two. The goals of treatment were prevention of secondary adaptive acetabular changes and decrease in the number and complexity of reconstructive hip surgeries before age three. The splinted group had hip stability of greater than 90% and a sharp decrease in femoral and pelvic osteotomies. An unsplinted control group had poor results.

Casts, Surgical↗

[Treatment of contracture of the finger joints by capsulectomy and spring-splints].

The treatment performed in 84 cases of contracted PIP articulations is reported, -in 50 cases the treatment has been carried out with spring-actuated splint and in 34 cases with capsulectomy. It has been found by the authors that the results of the physico-therapeutic treatment used so-far may be still more improved, -satisfactory result has been obtained in more than the half of the author's cases. The advantages of the use of the spring-acutatd splint as against Quengel's method are emphasized. Capsulectomy performed in very serious cases resulted in improvement of the articulation motion in 50% of the cases.

Contracture↗

Modification of a hand splint to permit playing of the guitar.

Modification of a hand splint for a musician who had suffered an incomplete disruption of the left ring finger extensor tendon is described. This modification enabled the patient to receive the benefit of conservative treatment of this disruption while continuing his employment. The modification can be performed easily with the standard stack splint; the success of this method is described.

Adult↗

Polambakkam splint for treatment of plantar ulcer in leprosy.

An open type of short leg splint is described and illustrated for the treatment of plantar ulcer in leprosy. Its fabrication, method of application, advantages and disadvantages are discussed as compared to the other methods of immobilisation. In our short experience we have found that with the use of this splint, ulcers heal in a period of about 6 weeks and in many cases even earlier than this period.

Foot Diseases↗

Splinting of the hand in leprosy.

Clawing of the hand in Leprosy, which is caused due to paralysis of intrinsics can often be prevented and corrected to some extent if looked in properly. Splints can contribute a lot to this. This article emphasizes the use of variety of splints prepared from alumafoam, hexcelplast and such other materials, as an adjunct to other physiotherapy measures like wax-bath, massage and exercises.

Combined Modality Therapy↗

Management of mandibular fractures using biphasic pins and mandibular splints.

Often the otolaryngologist is asked to manage the patient with facial trauma. Mandibular fractures make up 20 to 39% of all facial trauma cases, and thus necessitate a diversified and complete set of management tools. We have selected two seldom discussed modes of therapy for the complicated jaw fracture to present in this paper: 1. external fixation of Joe-Morrison Hall biphasic pins, and 2. mandibular dental appliances--splints. The advantage of the biphasic pin apparatus is that the fracture can be repaired and stabilized at a point remote from the infected fracture site. The high risk patients, endentulous patient, and patients with fractures from gunshot wounds all prove to be more easily managed by using the external appliances. The splint technique eliminates medial or lingual tip rotation and resultant postoperative malocclusion. Endentulous patients, pediatric patients, and those with multiple facial trauma also benefit from this procedure.

Acrylic Resins↗

Transcutaneous electrical nerve stimulation and extensor splint in linear scleroderma knee contracture.

A girl with knee flexion contracture secondary to linear scleroderma with hemiatrophy was treated with hot packs, gentle stretching and a serial posterior splint. The knee range of motion gained 35 degree over a period of 16 weeks. Nine months, later knee contracture had regressed. As an alternative method of treatment, continuous stretch was applied by using a front extension splint together with transcutaneous electrical nerve stimulation. The knee range of motion gained 55 degrees over a period of 6 weeks.

Child↗

Case report. Posterior splint for leg fractures in spinal cord injured patients.

Traumatic fracture of the long bones of the lower extremities may frequently occur in spinal cord injured patients. In the past, conservative treatment with pillow or sand bag splinting was advocated by many clinicans. This paper presents two cases in which posterior splinting was used on the affected leg for stabilization of the fracture with good result and well accepted by patients. Also, the use of Mud bed for prevention of pressure sores was illustrated.

Adult↗

The use of a moldable plastic splint to minimize early postoperative thrombosis of an internal arteriovenous fistula in the high-risk renal dialysis patient.

An inexpensive moldable plastic wrist splint was developed to protect the site of an internal arteriovenous fistula from accidental thrombosis in the early postoperative period. This splint, or fistula guard, is easily constructed and has been successfully used in a series of 11 high-risk patients without reported discomfort by the wearer.

Arteriovenous Shunt, Surgical↗

Comparative study of results of electronic axiography with results of magnetic resonance imaging including MRI-assisted splint therapy.

The most common temporomandibular joint disturbance is the internal derangement. Its prevalence has been shown to be as high as 28%. The purpose of this study was on one hand to compare the diagnostic efficiency of an electronic axiographic system with magnetic resonance imaging, and, on the other hand to evaluate the results of MRI-assisted treatment monitoring of occlusal splint therapy. The results of this survey clearly show that in evaluation of temporomandibular joint disorders, electronic axiography and magnetic resonance imaging should be used in conjunction with one another to increase the accuracy of positive and differentiated diagnoses. The medical concept of disc recapture involving the use of occlusal splints seems to be merely a clinical term which is not necessarily hinged on anatomical intraarticular changes.

Adult↗

Principles of stabilization bite splint therapy.

The stabilization bite splint is discussed with regard to design, delivery, and clinical procedures that contribute to conservative appliance therapy. Indications for stabilization bite splint therapy and a clinical case report are presented.

Adult↗

Extension block splinting.

Extension block splinting (EBS) at the proximal interphalangeal joints of the fingers is a common technique for both primary treatment of reduced dorsal dislocations/fracture-dislocations at that joint and as a rehabilitation method following open reduction of such injuries. It is seldom realized that the method is a classic example of two orthopedic principles: stable arc splinting and early protected motion. As a primary treatment technique, following reduction of the dislocation, EBS is exemplary for an ideal group of cases, competitive for a marginal group of cases, and often unsatisfactory for a questionable group of cases. Demarcation between the groups is made, and the technique of EBS is reviewed.

Adult↗

[Postorthodontic retention with a rigid resin splint].

We have done a clinical review of 30 cases of post-orthodontic retention with resin splint, from canine to canine in both maxillary. We describe the procedure of making the splint, its placement, their incidence or clinical problems (inadequate adhesion, gingivitis...) and the psychologic or subjective patient aspects.

Adolescent↗

Splinting therapy for congenital auricular deformities with the use of soft material.

Congenital auricular deformities present serious esthetic problems. To avoid surgical correction, splinting during the early neonatal period has been attempted. We describe the results and follow-up of splinting therapy with a special soft material in 30 neonates, as compared with results in a control group of 20 untreated newborn infants. Good results were achieved in 85% of the patients and sufficient results in 15% when the treatment was continuous over the entire 4-week period. However, when treatment was partial or discontinuous, only 10% had good results. None of the infants in the control group showed spontaneous improvement during the period of study. Moreover, early initiation of treatment (first week of life) proved more effective than later treatment (second week of life). Strong parental cooperation and close follow-up are also important for success.

Case-Control Studies↗