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At least 37 records · Page 2Linked to original sources
PubMed2002

The efficacy of the Pavlik harness, the Craig splint and the von Rosen splint in the management of neonatal dysplasia of the hip. A comparative study.

We have reviewed the outcome of 134 hips in 96 children with Graf type-III or type-IV dysplasia of the hip on ultrasound examination. We treated 28 affected hips in 22 children with the Craig splint, 43 hips in 30 children with the Pavlik harness, and 26 hips in 16 children with the von Rosen splint. A total of 37 affected hips in 28 children was not splinted. All children were less than three months of age at referral. Those treated with the von Rosen splint had a significantly better ultrasound appearance at 12 to 20 weeks of age and fewer radiological abnormalities than those not splinted or treated with the Pavlik harness. In the von Rosen group no hip required further treatment with an abduction plaster or operation compared with ten in the Pavlik harness group, three in the Craig splint group and eight in the group without splintage. Our results suggest that the von Rosen splint is more likely to improve the outcome of neonatal dysplasia of the hip and a definitive, large-scale randomised trial is therefore indicated.

Female↗
PubMed1973

The vacuum splint: an aid in emergency splinting of fractures.

The vacuum splint has been shown to be a simple, safe and effective method of emergency splinting of fractured extremities. The splint is simply constructed from clear vinyl sheeting and contains 2-mm. expanded polystyrene balls. Evacuation of air causes the splint to become rigid, thereby providing stability and immobilization of the limb. The splint is radiolucent, containing no obstructive metal components that would interfere with the radiographic appearance of the injured limb. The ease of application of this splint makes it especially effective for the emergency splinting of fractures in children.

Arm Injuries↗
PubMed1985

Anterior repositioning splint in the treatment of temporomandibular joints with reciprocal clicking: comparison with a flat occlusal splint and an untreated control group.

The anterior repositioning splint is widely used to treat temporomandibular joints with reciprocal clicking. This treatment was compared to a flat occlusal splint and to an untreated control group. The anterior repositioning splint decreased joint pain at rest, during chewing, and during protrusion. Reciprocal clicking was eliminated and palpatory tenderness of the joint and muscles was reduced. This favorable effect was of short duration. The majority of the patients reported pain and clicking and demonstrated tenderness following removal of the splint after 6 weeks' treatment. The flat occlusal splint decreased joint tenderness but did not affect clicking or muscle tenderness. In the control group the clicking remained and the frequency of muscle tenderness increased. The results indicate that temporomandibular joints with reciprocal clicking can be successfully treated by positioning the mandible anteriorly. Since the symptoms returned when the splint was removed a more permanent change of mandibular position seems necessary.

Adolescent↗
PubMed1997

The pattern of splint usage in the management of two common temporomandibular disorders. Part I: The anterior repositioning splint in the treatment of disc displacement with reduction.

OBJECTIVE: To examine whether the anterior repositioning splint is suitable treatment for temporomandibular joint disc displacement with reduction and to determine the most appropriate pattern of usage. DESIGN: Prospective random control clinical trial. SETTING: Dental school clinic unit. SUBJECTS: Three groups of patients were treated, wearing the splint either during the day or at night or all the time. RESULTS: 69% of patients could be classed as improvers, by subjective and objective assessments, at final review (3 months after treatment with an anterior repositioning splint). 88% of patients who wore the splint for 24 hours per day improved over the 3-month period; this improvement was statistically significant when compared with the other two groups. CONCLUSIONS: An anterior repositioning splint is an appropriate method of treatment for disc displacement with reduction. Patients should wear the splint 24 hours a day.

Adolescent↗
PubMed2005

[A clinical report of partially debonded adhesion fixed metal splint repaired with adhesion-mechanically fixed metal splint].

PATIENT: The patient was 60-year-old male whose chief complaint was esthetic problem due to median diastema. After orthodontic treatment, an adhesion-fixed metal splint was placed to retain 3-3. After 11 months, the metal retainer on 3 partially debonded. The retainer on 3 was removed and 3 was connected to 4 with an adhesion-mechanically fixed metal splint. Six months later, 3 was separated from 2+2 and connected to 4 5 with the conventional crown restoration. DISCUSSION: The prognosis is good. This result is attributed to the decrease of splint length and the application of the adhesion-mechanical retainer. These seemed to increase the rigidity and prevent deformation of the splint, thus reducing tensile or shear stress applied to the adhesion interface and improving the bonding durability. CONCLUSION: This clinical case suggested that the range of splinting and design of retainer affect the durability of adhesion-fixed metal splints.

Equipment Failure↗
PubMedDate not supplied

A comparative study of orthoplast cock-up splints versus ready-made Droitwich work splints in juvenile chronic arthritis.

A comparative study of a purpose-made cock-up orthoplast splint with a ready-made Camp Droitwich splint, was undertaken in 12 children with juvenile chronic arthritis involving the wrists and carpi. The splints were randomly allocated so that in half, the dominant hand received the orthoplast and in half the non-dominant. Assessments of joint range, grip strength and functional activities were undertaken at 3 and 6 months after use of the splint; the durability of the splints was also assessed. Overall both splints performed their function adequately, the Camp Droitwich being preferred for comfort, but the orthoplast maintaining a slightly better joint position.

Arthritis, Juvenile↗
PubMed1995

"Splint-top" fracture of the forearm: a description of an in-line skating injury associated with the use of protective wrist splints.

Upper extremity injuries are commonly seen in the sport of in-line skating. The use of protective equipment, including wrist splints, has been advocated as a means to decrease both the incidence and severity of upper extremity injuries in this sport. We report on four cases of open forearm fractures in the in-line skaters that occurred adjacent to the proximal border of the wrist splints. The unusual nature of these injuries and the location of the fractures in relation to the location of the splints suggest that the two may be mechanistically related. The splint and distal forearm may act as a single unit to convert the impact from the level of the wrist to a torque moment, with the fulcrum located at the proximal border of the splint. The energy from the fall is then dissipated by the fracturing of the forearm bones at this level. These cases suggest that the use of wrist splints may be associated with their own specific set of injury patterns.

Adult↗
PubMed1996

Maintaining the safe position in a palmar splint. The "double-T" plaster splint.

The injured and operated hand is routinely immobilized for a variable period of time in a palmar plaster splint. To minimize subsequent joint stiffness, the preferred position of immobilization of the hand is the "safe position". The true position of the hand in a splint was assessed on a lateral X-ray directly after application and just before removal 3 weeks later. It appears that in time the hand in a conventional palmar plaster splint loses its initial position because the bandage stretches. The "double-T" plaster splint maintains the safe position of the hand significantly better than the conventional palmar splint.

Adolescent↗
PubMed2004

[Experience with utilization of the Michigan splint for temporary splinting during osteogingivoplasty].

The experience of use Michigan splint for temporary splinting of the maxillary tooth at realization of flap surgery at 23 patients. Stages of clinical and laboratory procedures making the splint are described and analysed. Is appeared, that the reduction of mobility of teeth in the period following surgical intervention occurs on the average within 0.5-1 month faster, than with the patients after similar interventions, but without splinting. At the same time it is proved obvious, that the usage Michigan splint promotes normalization of functioning of muscles activity masticatory system and TMJ and helps in revealing of occlusal interferences.

Alveoloplasty↗
PubMed1984

[Indication and risk of internal intestinal splinting. Comments and supplement to the published article of W. Kapral: Splinting of the small intestine with the Miller-Abbot tube. Chirurg (1984) 55:394].

The usefulness of splinting of the bowel to prevent recurrent bowel obstruction caused by adhesions is analysed. For that is differentiated between three possible indication groups: 1. late bowel obstruction, 2. early postoperative bowel obstruction, 3. mixed peritonitic and mechanical ileus. The risk of splinting of the bowel can only be seen in relation to the number of recurrences, complications and mortality rates as seen in the three indication groups, treated without splinting. From that it shows that in case of peritonitis splinting can only be an adjuvant measure of therapy, and that in case of both recurrent late bowel obstruction and early postoperative bowel obstruction splinting of the bowel has a real preventive effect. This differentiation in indication is of no importance in childhood.

Adult↗
PubMed2006

Comparison of splinting, splinting plus local steroid injection and open carpal tunnel release outcomes in idiopathic carpal tunnel syndrome.

The objective of this study was to compare the short- and long-term efficacies of splinting (S), splinting plus local steroid injection (SLSI), and open carpal tunnel release (OCTR) in mild or moderate idiopathic carpal tunnel syndrome (CTS). Patients with mild or moderate idiopathic CTS who experienced symptoms for over 6 months were included in the study. The patients were evaluated for the baseline and the third and sixth month scores after treatment. Follow-up criteria were ENMG parameters, Boston Questionnaire, and patient satisfaction. Fifty-seven hands completed the study. Twenty-three hands had been splinted for 3 months. Twenty-three hands were given a single steroid injection and splinted for 3 months, and 11 hands were operated. In the first 3 months, all treatment methods provided significant improvements in both clinical and EMG parameters in which OCTR had better outcomes on median sensorial nerve velocity at palm wrist segment. In the second 3 months, while the clinical and EMG parameters began to deteriorate in S and SLSI group, OCTR group continued to improve, and BQ functional capacity score of OCTR group was statistically better than that in conservative methods (P = 0.03). S and SLSI treatments improved clinical and EMG parameters comparable to OCTR in short term. However, these beneficial effects were transient in the sixth month follow-up and OCTR was superior to conservative treatments.

Adult↗
PubMed1986

A comparative controlled trial of a new perforated splint and a traditional splint in the treatment of mallet finger.

A perforated mallet finger splint is described and the results of a controlled trial comparing its use with a conventional splint are presented. The perforated splint gives superior results by virtue of the fact that it does not require to be removed for purposes of hygiene and can thus produce a satisfactory result even in those patients who fail to grasp the technique of removal and replacement of the splint.

Clinical Trials as Topic↗
PubMed2003

A multi-purpose, self-adjustable aeroplane splint for the splinting of axillary burns.

External splinting has been acknowledged for many years as a useful approach for preventing and correcting burn contractures. Though this practice could be traced back many centuries, there is still a dearth of knowledge regarding a good splint to serve these purposes for axillary burns. The newly designed multi-purpose, self-adjustable aeroplane splint presented in this report helps in various ways, such as improving compliance, and positioning during preoperative, postoperative and rehabilitative phases of axillary burn management. It acts as a splint that provides circumferential pressure for scar management, provides prolonged stretch to contracted tissue and acts as a serial cast in increasing the shoulder range. Most of all, it is very much user-friendly, thus enhancing compliance and giving a good outcome in axillary burns.

Axilla↗
PubMedDate not supplied

Early controlled motion with dynamic splinting versus static splinting for zones III and IV extensor tendon lacerations: a preliminary report.

Recent developments in the understanding of tendon healing and the effects of early motion have led to early controlled motion programs (ECM) for lacerated extensor tendons. The purpose of this study was to determine whether there were differences in length of treatment and final results when patients who had been treated with ECM with dynamic splinting were compared with patients who had been treated with traditional static extension splinting (SES) for zone III and zone IV extensor tendon lacerations. A retrospective study of patient charts from June 1984 through January 1990 was conducted. A total of 36 charts were reviewed. Twenty-seven patients met the study criteria: treatment with ECM with dynamic splinting (n = 10) and treatment with traditional SES using a finger-hand splint (n = 17). Data were analyzed for total number of therapy visits (V), total number of weeks of therapy before discharge (W), total active motion achieved (TAM), total passive motion achieved (TPM), and incidence of complications. Significance was established at the p = 0.05 level for all statistical analyses. There were no significant differences between the groups for V (t = 1.76, p = 0.09), W (t = 0.58, p = 0.57), TPM (t = 0.12, p = 0.90), TAM (t = 0.44, p = 0.66), or the incidence of extensor lag (chi 2 = 2.264). The Cohen stat power analysis value was 0.40, revealing that the number of patients was too small for significance.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1997

The pattern of splint usage in the management of two common temporomandibular disorders. Part III: Long-term follow-up in an assessment of splint therapy in the management of disc displacement with reduction and pain dysfunction syndrome.

OBJECTIVE: To assess the long-term follow-up of patients successfully treated for disc displacement with anterior repositioning splint therapy and patients successfully treated for pain dysfunction syndrome with stabilisation therapy. DESIGN: Retrospective analysis. SETTING: Dental school clinic unit. METHODS: Maintenance of improvement was assessed by a postal questionnaire or by direct telephone contact 3 years after cessation of splint treatment. RESULTS: 90% of patients successfully treated for disc displacement with reduction and 88% of patients successfully treated for pain dysfunction reported maintenance of improvement after 3 years. In both groups the reported improvement was independent of the pattern of splint usage. CONCLUSIONS: The short-term use of an appropriate occlusal splint for a specific temporomandibular disorder leads to a long-term resolution of the problem.

Follow-Up Studies↗
PubMedDate not supplied

A metacarpophalangeal joint stabilization splint: the Galindo-Lim thumb metacarpophalangeal joint stabilization splint.

Creation of a splint should allow for maximal functional use of the hand as well as comfort. The design of the Galindo-Lim splint enhances functional use of the hand not only because it stabilizes the MCP joint but also because it does not cross the wrist crease, thus allowing full wrist motion. Independence in the performance of daily activities is easily achieved with the Galindo-Lim splint (Figure 5). The splint is appropriate for patients with a variety of diagnoses, including MCP joint volar plate injuries, collateral ligament injuries, joint hypermobility, and arthritic conditions.

Equipment Design↗
PubMed1993

A comparison of electromyographic activity between anterior repositioning splint therapy and a centric relation splint.

The purpose of this study was to compare the electromyographic activity of masticatory muscles (temporal and masseter) with the use of an anterior repositioning splint and a centric relation superior repositioning splint. Twenty-six consecutive patients, who referred with the chief complaint of temporomandibular pain and/or headache were selected from one of the author's practices. All these subjects were diagnosed as having internal derangement of the temporomandibular joint. Ten normal subjects were used as controls. Surface electromyographic recordings were taken of each subject prior to the beginning of clinical therapy for the patients. The results show significantly less masseter and temporal muscle activity with anterior repositioning splint therapy compared to the centric relation superior repositioning splint therapy.

Adolescent↗