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At least 1,009 records · Page 56Linked to original sources
PubMed2002

Old principles revisited--traction splinting for closed proximal phalangeal fractures.

Proximal phalangeal fractures are commonly caused by a blunt injury to the dorsum of the hand. This typically results in a closed transverse fracture with volar angulation, which is an inherently unstable fracture pattern. K-wiring and internal fixation have the disadvantage of damage to the soft tissue envelope, risk of infection and wire loosening. We describe 15 patients treated with an alternative method of skin traction and splintage in our regional trauma centre. Fractures were reduced under X-ray and reduction was maintained using a combination of a malleable metal splint and tape to provide skin traction. Fourteen patients had an excellent objective and subjective outcome. The advantage of our technique is preservation of the soft tissue envelope and it should be considered an alternative to other treatment options as it is simple, quick, inexpensive and non-invasive.

Adolescent↗
PubMed1987

A unique chest wall splint for unilateral agenesis of ribs.

Unilateral agenesis of ribs with a "lung hernia," may cause severe respiratory distress in a neonate. Our experience with the use of a temporary external chest splint for stabilization of the congenital flail chest in one patient is presented. The device facilitated extubation and allowed the infant to grow prior to future surgical reconstruction.

Flail Chest↗
PubMed2003

Technique for fabrication of splint preventing postsurgical restenosis in choanal atresia.

Choanal atresia, a congenital narrowing or obstruction of the nasal airway caused by significant respiratory distress in neonates, may require emergency intervention. Although atresia can be repaired surgically, restenosis is a common complication with this procedure. To prevent this, tubes are inserted into the nasal cavity immediately after surgery. This article describes a technique for preparing individual surgical splints designed to prevent postsurgical obstruction of the nasal cavity.

Choanal Atresia↗
PubMed1975

Pantographic records on TMJ dysfunction subjects treated with occlusal splints: a progress report.

Five subjects with TMJ dysfunction showed difficulty in making reproducible mandibular border movements as recorded by a pantograph. These subjects were treated with occlusal bite splints, and muscle activity was studied by electromyography. After one month of treatment, most subjects showed relief of clinical symptoms and improved EMG muscular activity. Most of the subjects' mandibular movements did not improve to the point of making reproducible border movements on a pantograph. The length of time and the type of treatment may have had a significant effect on the results. This should be investigated further.

Electromyography↗
PubMed1982

A study of the use of occlusion splints in the treatment of acute and chronic patients with craniomandibular disorders.

Thirty-three patients were treated for a 4-week period with splint therapy. Fourteen muscle and joint regions were palpated before and after treatment, and observable pain scores were recorded. Maximal comfortable interincisal distance and maximal interincisal distance were recorded before and after treatment. The following results were observed. 1. Of the 33 patients, 28 showed improvement in observable pain scores. The mean decrease was 4.4 (p less than .01). 2. Of the 33 patients, 27 showed increase in maximal comfortable interincisal distance. The mean increase in interincisal distance was 5.3 mm (p less than .01). 3. Of the 33 patients, 21 showed an increase in maximal mandibular opening; however, the increase of 1.7 mm was not statistically significant. 4. When the patients were divided into two groups according to the duration of symptoms, there was no significant difference between the groups' symptoms or their responses to treatment.

Acute Disease↗
PubMed1998

Rigidly splinted implants in the resorbed maxilla to retain a hinging overdenture: a series of clinical reports for up to 4 years.

STATEMENT OF PROBLEM: The results of the implant overdenture treatment in the maxilla remains inferior to those in the mandible. Different reasons have been alluded to, such as bone quality and quantity, number of implants, as well as the prosthesis design. PURPOSE: To investigate the latter, a new design for the rehabilitation of the resorbed maxillae was set up. MATERIAL AND METHODS: Thirteen patients were selected and provided with four endosseous maxillary implants, splinted with a rigid-cast bar. RESULTS: After a mean loading time of 3 years, six implants were lost; three at abutment and another three shortly after abutment connection, resulting in a cumulative success rate of 88.6% at year 4. A mean marginal bone loss of 0.3 mm was observed within the first year. After the first year, the marginal bone level, the attachment level, and the Periotest scores hardly changed. The main prosthetic complication was the frequent need to renew or to activate the attachments. A strong improvement in patient satisfaction was observed when compared with the old conventional denture. CONCLUSIONS: Within the limits of this study, the outcome confirmed that, on a medium-term base, implant-retained hinging overdentures on four implants were promising.

Adult↗
PubMed1977

Dynamic profundus splint for flexor profundus repair.

Flexor profundus is a mass action muscle so that when we fully extend one finger including full extension of the distal joint the entire muscle is pulled distally. By fully flexing the injured or operated finger at the metacarpophalangeal joint and fully extending the adjacent fingers, flexor digitorum profundus of the operated finger is made so redundant as to abolish all tension at the suture line. The position of the operated finger: metacarpophalangeal joint flexion with interphalangeal joint extension is ideal for the preservation of joint mobility and therefore ideal for the restoration of movement when the repaired flexor tendon is mobilized. It is permissible to splint a healthy finger in full extension for three weeks.

Finger Joint↗
PubMed1975

Application of temporary splints.

Emergency splintage is a variety of first aid. The procedures which one might expect to find performed before the patient enters the hospital for definitive diagnostic treatment are too often ignored in a busy and otherwise excellent veterinary practice. Simple entrance in the hospital and cage confinement do not appreciably lessen the likelihood of increased self-trauma. The manipulation inherent in physical and radiographic examination of the injured and painful animal is an even greater indication for immobilization to prevent additional trauma. The clinician is dutybound to place a proper splint on the affected animal to lessen subsequent trauma and to prevent edema. The techniques presented allow this application with minimal time and expense and maximal support and protection to the patient.

Animals↗
PubMed1981

Intertrochanteric hip fracture treated by immediate mobilisation in a splint. A case-report.

A 64-year-old man sustained an intertrochanteric hip fracture after a fall. He was unsuited for general or spinal anaesthesia so a lightweight inflatable hip spica was fitted for daytime wear. The splint permitted weightbearing and allowed mobility from the day of admission. The patient stopped wearing the spica after 4 weeks and was sent home with a clinical united fracture.

Bandages↗
PubMed1996

A simple splint for the radial forearm donor site.

A simple splint for the radial forearm donor site is described. It can be constructed preoperatively and provides for unlimited re-applications and has been used successfully in 15 consecutive cases.

Bandages↗
PubMed1986

Self-advancing silicone rubber splint for repair of split nail deformity.

The self-advancing silicone rubber splint is a simple effective method used to cover the nail bed after primary repair of a split nail deformity. Presumably, the procedure will be effective for larger defects that require grafting of dermis or nail bed provided the lateral portion of intact nail is present for fixation.

Humans↗
PubMed1989

Improvement in the surgical results of treatment of duplicated thumb by preoperative splinting.

Seven patients with an angular deformity of their duplicated thumb were treated by splinting and taping before operation. In all patients, the angular deformity of the interphalangeal joint improved within a few months, and surgical centralization and osteotomy were not necessary. Furthermore the design of the fillet flap was easier and more accurate as was the adjustment of the joint ligament tension. After operation there was no recurrence of angular deformity, and the range of motion of the interphalangeal joint was good. We believe that this procedure simplifies the operative approach, making it more precise and helping to prevent postoperative complications in patients with angular deformity.

Hand Deformities, Congenital↗
PubMed1995

The effectiveness of an extreme canine-protected splint with limited lateral movement in treatment of temporomandibular dysfunction.

This study suggests that a splint design incorporating extreme canine guidance with limited lateral movement may be effective in the treatment of temporomandibular dysfunction (TMD) symptoms. Fifty consecutively treated TMD patients were evaluated with the TMJ Scale before and after treatment. A group of 11 similar patients identified as having TMD, but who declined treatment, were used as a control group.

Acrylic Resins↗
PubMedDate not supplied

A hand glove splint for attachment of dynamic components.

This article introduces the use of a hand glove splint for attachment of various dynamic components. It is inexpensive, easy to make, adaptable, and well accepted by patients. The author discusses its fabrication and clinical use.

Equipment Design↗
PubMedDate not supplied

Low-profile dynamic splints: a solution to the friction problem.

To find a solution to the problem of friction between the nylon fishing line and the outrigger of a low-profile dynamic splint, a jig was manufactured to bend notches in 2.5-mm copper-coated welding rod. This type of outrigger was compared with an adjustable stainless-steel outrigger to determine which of the two types produces the least amount of friction. As one of each type of outrigger was covered with a layer of Teflon paint, four different outriggers were compared with each other: welding rod only, welding rod with Teflon, stainless steel with Teflon, and stainless steel only. Equal traction units were attached to each of the outriggers and the amount of elongation of a 50-mm tension spring was measured when a 300-g weight was hooked onto it. This was compared with the elongation of the same spring when no friction was present. The results show that the Teflon-covered outriggers displayed significantly (on a 5% level) less friction than did the uncovered outriggers. The stainless-steel outrigger with Teflon performed slightly better than the welding-rod outrigger with Teflon. However, there was no significant difference between these two outriggers, and because the welding-rod outrigger is cheaper and more readily available, it is recommended for clinical use.

Equipment Design↗
PubMedDate not supplied

A preliminary investigation of the neoprene tube finger extension splint.

Neoprene tube finger extension splints were analyzed to determine the production, amounts, and directions of force magnitude on the proximal interphalangeal joint during the flexing of the tube up to angles of 80 degrees. The tubes were examined in their empty form, with a human digit inserted into the tube, and with portions of the tube on the volar and dorsal surfaces removed. Upward forces ranged from less than 100 g to 225 g in the empty tubes. Upon insertion of a human digit into the tubes, forces increased from 125 g at 10 degrees to 650 g at 80 degrees flexion. Removal of a 2-cm square portion on the dorsal surface over the PIP joint did not significantly affect the tube's ability to lift upward demonstrating little or no downward pressure in the device. The tube had little or no upward force following removal of a 2-cm square encompassing the angle of the device on the volar surface. Positive effectiveness of the tubes were examined in case reports.

Adult↗