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At least 1,153 records · Page 64Linked to original sources
PubMed2002

[An original protocol for conservative treatment of fractures of the femoral diaphysis in children].

Diaphyseal femoral fractures at children is very common, especially during the children play, traffic accidents and others. In spite on the dramatic clinical status (severe pain, deformity, pathological motions, and loss of stability) and great dislocation, conservative treatment almost always have good clinical result. Basis of this treatment is 3 week of indirect traction and after 6 weeks of plaster cast immobilization with permanent clinical and radiological evaluations. Operative treatment is reserved for cases of unsuccessfull conservative treatment and its complications. Resistutio ad integrum is almost always complete, thanks to good quality of this method, good biological potential of the child bone and good rehabilitation after immobilization.

Child↗
PubMed1975

[Controlled orthopedic reduction of spinal fractures].

The authors estimation is that malunions are poorly tolerated at the spine level. Therefore they advocate a systematic reduction of fractures at any level of the spine after a review of 100 cases. They describe the closed procedure they used in 63 cases for obtaining reduction without anesthesia, under radiologic and manometric control. Then, in 53 cases, a plaster cast was applied. In 10 other cases, closed reduction was completed by a surgical procedure, either by an anterior or a posterior approach. 15 fractures were surgically reduced and fixed, and 22 cases were treated by rehabilitation only without reduction. An original classification was set up for a precise description of the initial lesions, and the measurement of sequellae and final results.

Arthrodesis↗
PubMed1998

[Abnormalities of the masticatory organ in Turner syndrome].

THE AIM OF THE WORK: cognition of changes in the masticatory organ in patients with Turner syndrome. The material consisted of 31 girls with this syndrome from age 11 to 23, including 15 with karyotype 45,X, 9 with mosaic karyotype, 2 with structural aberrations of chromosome X and 5 girls with indeterminate karyotype with typical phenotype for Turner syndrome. The investigative methods applied were: extraoral and intraoral orthodontic clinic investigation, pantomographic investigation of dentition, investigation of breadth of dental arches and palatal height on plaster casts of maxilla and mandible with use of the caliper of Korkhaus, and caphalometric examination on teleradiogram of the head. On the basis of the obtained results it has been stated that the typical changes in masticatory organ in patients with Turner syndrome include: the shortening of roots, the hypoplasia of enamel and changes in the shape of teeth's roots and also lateral crossbite. It failed however to confirm, mentioned by other authors, the occurrence of high palate and small, retrogenic mandible.

English Abstract↗
PubMed2003

[Treatment methods for complications of forearm diaphyses fractures, first stabilized with plates].

A short series 8 patients with complications and failures of forearm shafts fractures treated with screws and plates was analysed. There were 2 pseudoarthroses of ulna, delayed union of radial shafts in 4 cases in which 2 had plates loosening. The additional 2 patients had the refractures of radius shortly after metal removal. The intraoperative investigation presented that main cause of delayed unions and pseudoarthroses was insufficient blood supply to the bony ends due to circulation destruction during plates implantation. All 8 patients had finally obtained union after second stage procedure. It was consisted of plates and screws removal, refreshing of fragments ends, cancerous auto grafts implantation and plaster cast immobilization. Intramedullary stabilization with Rush pins was performed in 6 patients. The additional 2 had such wide bone destruction after primary plates stabilization that intramedullary fixation was risky.

Adolescent↗
PubMed2003

[A study of Bolton tooth-size discrepancies of malocclusion patients].

OBJECTIVE: To analysis the sum and frequencies of Bolton tooth-size discrepancies Angle Class I, II, III malocclusion patients. METHODS: Measured each tooth crown mesial-distal size between the first molar of 439 dental plaster casts of malocclusion patients and obtained the sums of six anterior tooth-size and twelve tooth-size between the first molar of upper or lower and calculated the anterior and total tooth-size discrepancies by Bolton rate standards, then statistic analyses were done. RESULTS: Patients whose sums of anterior tooth-size discrepancy were pass 1.5 mm or less than -1.5 mm was 14.02% in Angle Class I malocclusion patients and 9.49% in Class II and 19.32% in Class III. Patients whose sums of total tooth-size discrepancy were pass 1.5 mm or less than -1.5 mm was 19.63% in Angle Class I malocclusion patients and 15.33% in Class II and 20.45% in Class III. The upper sum of anterior tooth-size of Class I malocclusion patients whose sums of anterior tooth-size discrepancies were pass 1.5 mm or less than -1.5 mm was always smaller than normal and the lower sum was always larger. The sums of anterior tooth-size discrepancy of Class I, II, III and total tooth-size discrepancy of Class I were always between 1.5 mm-2.5 mm or -2.5 mm(-)-1.5 mm. Patients whose sums of anterior tooth-size discrepancy were pass 3.5 mm or less than -3.5 mm was 2.34% in Class I malocclusion patients and 0 in class II and 0 in class III. Patients whose sums of total tooth-size discrepancy were pass 3.5 mm or less than -3.5 mm was 4.21% in Class I and 1.46% in Class II and 4.54% in Class III. CONCLUSION: Tooth-size discrepancy of malocclusion patients was not the general cause of malocclusion.

Adolescent↗
PubMed1992

[Evaluation of remote results in 80 intra-articular calcaneal fractures treated by various methods].

The studies were done in 69 patients in whom 80 intra-articular calcaneus fractures were diagnosed of tongue or crush type. In the analysis of the remote results a subjective three-grade evaluation of the results was used as reported by the patients. The good results in 60% were closely related to the reconstruction of the shape of the calcaneus and its articular surface with simultaneous restoration of functional fitness of the foot. It was found that the fractures of tongue type were to be reduced by the Westhues method, while the crush fractures were to be treated surgically or functionally. Poor results were observed in all fractures not reduced and not immobilised additionally in plaster casts.

Calcaneus↗
PubMed1992

[Experiences with conservative therapy of humerus shaft fractures].

A well proved method for the conservative treatment of fractures of the humeral shaft is clearly shown by words and pictures. A study of 36 own cases during the years 1985 up to 90 informs on the problems of conservative treatment of these fractures. Even if there is a perfect primary reposition, impossibility of proper retention in the plaster cast may lead to post-primary osteosyntheses (2 cases in 36). Despite correct conservative treatment there are always delayed unions in a certain percentage (6 cases in 34), which you can't recognize before 3 months after injury, but then should bring them to operative treatment. There is quite a high number of pseudarthroses (4 cases in 32). It is still unclear, which type of fracture and which type of patient is going to build up a pseudarthrosis. In conservative treatment, the most important thing is--compared to operative treatment--a very closed and carefully observing aftercare.

Adolescent↗
PubMed1992

[Age- and sex-specific tooth and jaw measurements and their relation in the 1st mixed dentition phase--a longitudinal study on Jena children at the age of 7 1/2 to 8 1/2 years].

In a longitudinal study consisting of three single examinations dental findings of 89 individuals (40 boys and 49 girls) were recorded. The aim of the study was to check up the process of dental growth and development of 7.6- to 8.6-year-old children. Age- and sex-specific differences could be established in the three occlusal dimensions by means of clinical findings and 3-d-analysis of the plaster casts. The rate of DMF teeth was remarkably low in girls and boys; the presence of malocclusions was surprisingly high.

Age Factors↗
PubMed1992

[Osteosynthesis of distal radius fractures with biodegradable fracture rods. Results of two years follow-up].

Forty distal fractures of the radius were stabilized with biodegradable polyglycolic acid rods (Biofix). A forearm plaster cast was fit for 4 weeks. Nine patients developed late (4 to 16 weeks) aseptic inflammatory reactions at the pin site, which were treated by débridement. The histological specimens showed giant-cell phagocytosing fragmented polyermic debris. In two cases a bacterial wound infection occurred secondary to débridement. All local reactions healed within 4 weeks. A classification system and treatment regimen for these inflammatory reactions are proposed. Thirty-four patients (including those with local foreign body reaction) were available for the 2-year follow-up. The anatomical results of fracture reduction on the postoperative and follow-up radiograms were the same, confirming good mechanical fracture stabilization. According to the Sarmiento score, the overall results were excellent and good in 31 cases. In one of the three fair cases, the result was clearly due to the initial local foreign-body reaction. Because of the high incidence of local inflammatory reaction, for now clinical application of biodegradable implants seems problematic despite the good overall 2-year results. This should only be advocated for well-controlled prospective studies using implants with improved biocompatibility.

Adult↗
PubMed1976

Technique of anatomical reduction of lumbar spondylolisthesis and its surgical stabilization.

This is a report of a method for treatment of spondylolisthesis based upon: (1) preoperative reduction of the olisthesis by plaster casts; (2) fixation of the reduction by posterior arthrodesis, accompanied by a system of instrumentation which has been developed by the authors. The treatment of severe spondyloptosis in six children and of spondylolisthesis in 14 adults is considered separately, because of the somewhat different problems in the two different age groups.

Adolescent↗
PubMed1992

[Iatrogenic injuries of the peripheral nerves: analysis of 226 cases].

In 226 patients with iatrogenic peripheral nerve injuries, the causes were analyzed in detail. The iatrogenic nerve injuries were incurred through injection of therapeutic agents in 84 patients, inadvertent division by the surgeon in 44, traction during orthopaedic operation in 27, and undue compression from an ill-fitting splint or plaster cast in 26. The prophylaxis of such iatrogenic lesions is discussed. It cannot be over-stressed to exercise special care to prevent the nerve from being injured in the course of dissection or in any therapeutic maneuver, and to grasp a precise knowledge of pertinent anatomy on the part of the surgeon. Iatrogenic nerve injury is avoidable and, once incurred, satisfactory results can be expected and its consequences minimized when recognized and treated early and properly.

Adolescent↗
PubMed1992

Percutaneous pinning of displaced supracondylar fractures of the humerus in children. Case report.

The authors report their experience with closed reduction and percutaneous pinning of twenty-two supracondylar fractures of the humerus in children. In cases with neurovascular complications there was a marked regression within six hours following reduction. The results after 15 months to 13 years were satisfactory (excellent + good) in 90% of the cases, avoiding the risks and possible cicatricial complications of incisions and the discomfort of orthopaedic treatment in traction and subsequent thoracic-brachial plaster cast.

Adolescent↗
PubMed1990

[Arthrodesis of the hip joint as a treatment of degenerative changes--anachronism or an alternative for endoprosthetic arthroplasty?].

On the basis of the observation of 22 patients with arthrodesis of the hip (the average age -- 34 years), the value of the method in the treatment of osteoarthritis that joint has been discussed. The comparison of intraarticular arthrodesis with stable compression with pelvis osteotomy and stabilization by the "cobra" plate has proved that the second method is better because of elimination of immobilization by a plaster cast and low percentage of complications of union. The clinical analysis of the majority of the patients has not revealed negative influence of arthrodesis on the other hip, the lumbar spine and the knee. Arthrodesis of the hip has improved walking efficiency and ability to work in 17 from 22 patients. Very good and good results have been obtained in 16 patients, fair in 3, and poor in 3.

Adult↗
PubMedDate not supplied

[External fixation with autopolymerizing acrylic resin].

In November 1970, a new method of skeletal fixation was devised using self-curing acrylic resin. Manipulative reduction of the displaced fracture is made using screws inserted into the bone fragments under an image intensifier. After reduction, the proximal and distal fragments are joined together with the aid of self-curing acrylic resin. Adjacent joints can be exercised immediately after operation and the fixation is so firm that the use of a plaster cast after operation is not necessary. This simple method can be used in osteosynthesis, compression arthrodesis and various types of osteotomy.

Acrylic Resins↗
PubMedDate not supplied

[Orthopedic treatment of Scheuermann's juvenile kyphosis].

The authors establish some indications, depending on several criteria, of the treatment of cases of juvenile kyphosis of the Scheuermann type. These are based on their experience acquired in the therapy of 26 cases of juvenile kyphosis in which orthopaedic procedures have been applied -- plaster cast for recovery in two stages, followed by an orthopaedic corset and careful follow-up for at least one year after the end of the treatment. The criteria suggested as being important are: the severity of the kyphosis, the mobility of the spine, the severity of the kyphosis, the mobility of the spine, the severity of the vertebral structural lesions and the bone age. In cases of kyphosis under 40 degrees with a mobile spine, with minimal radiological lesions, detected before the end of growth, kinesitherapy is indicated and repeated clinico-radiological follow-up. The progression of the kyphosis under treatment or the existance of important vertebral structural lesions make necessary the performance of an orthopaedic treatment, the same as the severe cases of kyphosis, over 40 degrees, with median or severe vertebral lesions.

Adolescent↗
PubMed1992

[Treatment concepts of tertiary damage of the locomotor system after craniocerebral trauma].

Brain injuries are the most frequent cause of handicap in young adults. The success of rehabilitation depends mainly on the avoidance of tertiary lesions of the locomotor system. Between January 1989 and December 1991, 54 patients were treated at the neuro-rehabilitation unit of the Neurology Department of the University Hospital for severe brain injuries. On admission these patients were in different stages of recovery. All patients underwent physiotherapy adapted to their specific needs. The decision as to whether other kinds of treatment were indicated depended on the patients' problems in the recovery phase reached and on the presence or absence of tertiary lesions. In 14 patients, contractures caused by spasticity were successfully treated with plaster casts, which were changed weekly. These contractures were corrected sufficiently. In 5 other patients contractures, also caused by spasticity, were treated with regional anaesthesia administered through an implanted catheter system. In 11 patients a system for continuous intrathecal administration of Baclofen was implanted. Central side effects could be avoided while a lasting decrease of spasticity and hyper-reflexia was achieved. Persisting tertiary lesions, such as contractures, dislocations and spinal deformities, were corrected surgically.

Anesthetics, Local↗
PubMed1992

[Remodeling of the spinal canal after comminuted fracture of the spine. Apropos of a case].

A burst fracture of T 12, without neurological impairment, was treated by plaster cast. Prior to treatment, there was a significant narrowing of the spinal canal, due to posterior displacement of a bone fragment. This was not modified by treatment, as the narrowing was unchanged on the second CT scan, done eight days later. At 17 months, there was no more narrowing on the CT scan, as a consequence of vertebral body remodeling. The patient had no pain and performed several sport activities.

Adult↗
PubMed1992

[Surgical treatment of fractures in tropical countries].

In tropical countries, the indication for operative treatment of fractures treatment must be restrictive. Based on our own experience and the treatment results, the prerequisites for operative treatment are given and proposals concerning indication, preoperative preparation and operative tactics. The osteosyntheses recommended are the different forms of external fixation, in particular the external fixator (AO) and the transfixational plaster cast technique. The external fixator is the basic tool in tropical traumatology.

Adolescent↗