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At least 1,279 records · Page 71Linked to original sources
PubMed2002

Total contact casting: its effect on contralateral plantar foot pressure.

Total contact casts (TCC) are commonly used in the treatment of neuropathic ulcers of the foot related to diabetes. However, casts may alter the gait pattern and increase loading parameters of the contralateral foot. We determined the effects of total contact casting on plantar pressure parameters for the contralateral extremity. Ten healthy subjects consented to walk, for four consecutive trials, along a 25-meter corridor while wearing a running shoe (RS), fiberglass TCC and a traditional TCC. Parameters of peak pressure, contact time and pressure-time integrals for the contralateral forefoot, metatarsal V area and heel were recorded using the novel Pedar system of plantar pressure measurement. Repeated measures analyses of variance (footwear x region) were used to analyze the recorded parameters with post-hoc Tukeys selected for follow-up analysis. Each of the measured parameters for the forefoot, lateral foot over metatarsal V and heel regions on the contralateral foot were similar regardless of footwear worn. Use of a TCC does not appear to affect contralateral foot contact pressure parameters and likely does not increase the risk of contralateral ulceration.

Adult↗
PubMed1996

Chronic plantar heel pain: treatment with a short leg walking cast.

The efficacy of a short leg walking cast in the treatment of chronic plantar heel pain was assessed for 32 patients with 37 involved extremities treated over a 2-year period. All patients had failed numerous other treatment modalities and had been symptomatic for an average of 1 year. Long-term follow-up for 24 patients with 28 involved extremities revealed complete resolution of pain for 7 extremities (25%), improvement for 17 (61%), and no improvement for 4 (14%). Ten (42%) patients were completely satisfied with cast treatment, 3 (12%) were satisfied with reservations, and 11 (46%) were dissatisfied. Casting appears to be a reasonable option for patients with recalcitrant heel pain and should be offered before surgical intervention.

Adult↗
PubMed2006

Evaluations of the renal cell carcinoma model Caki-1 using a silicon based microvascular casting technique.

The vascular development of orthotopically grown human renal cell carcinoma (Caki-1) was examined using a silicon based casting technique in nude mice. Images taken of these vascular casts showed Caki-1 tumors to be highly vascularized and invasive. The spread of the tumor within the cortex of the kidney revealed that Caki-1 recruits the kidney's own vasculature, destroying the functional glomeruli in the process. The loss of these glomeruli was further highlighted by the presence of enlarged glomeruli resulting from the development of super nephrons. Vessel size and density measurements were then made in this model. This was done using both computer-based and manual measurement methods. In the vessel size studies the computer-based method tended to overestimate the number of larger diameter vessels whereas the vessels density assessment showed good agreement between the two techniques. Nevertheless, both methods showed that Caki-1 tumors possessed a higher proportion of larger diameter vessels and a lower vessel density than normal kidney cortex. In summary, silicon based vascular casting proved to be a simple and effective tool for the study of tumor vasculature. In particular this technique could readily be used to examine the invasion of tumor into normal tissue. The computer-based technique for evaluating vessel number and vascular density was found to have merit in both normal and tumor tissues, particularly in the vascular density studies. However, in both settings this technique did tend to overestimate the number of larger diameter vessels.

Animals↗
PubMedDate not supplied

Total-contact casting as an adjunct to promote healing of pressure ulcers in amputees.

Partial foot amputations have become increasingly prevalent among long-lived diabetic patients. These patients have lower extremity neuropathy and are prone to ulceration at their amputation site. These ulcers are difficult to heal, and they place a significant financial and resource burden on the healthcare system. We examined the efficacy of total-contact casts (TCC) in diabetic amputees with nonhealing partial foot amputation site neuropathic ulcers. Data were collected retrospectively on all patients with amputations who were treated with a total-contact cast between December 2000 and December 2003. Seventeen patients (13 men, 4 women) with amputation site ulceration were identified. All patients were diagnosed with neuropathy secondary to diabetes and none had wound healing compromised by ischemia. The initial ulcer averaged 1,169 mm(2) with a depth of 2.77 mm. Patients were treated with an average of 7.9 cast applications over 8.4 weeks; 47% (8/17) of ulcers healed, but 29% (5/17) of patients were unable to complete their recommended treatment course secondary to complications from the TCC. Of the patients who were able to complete their treatment course, the healing rate was 66.7% (8/12). The recurrence rate for healed ulcers was 63% (5/8). Partial foot amputations with neuropathic ulcers present a very difficult problem to the vascular surgeon. Patient compliance and underlying medical comorbidities limit the success rate. In patients who can complete a TCC treatment course, good short term results can be expected. However, recurrence rates are high following discontinuation of mechanical TCC off-loading.

Adult↗
PubMed2003

Artifacts from dental casting alloys in magnetic resonance imaging.

The potential advantage of magnetic resonance imaging (MRI) has been limited by artifacts due to the presence of metallic materials. For quantitative evaluation of the magnitude of artifacts from dental casting alloys and implant materials in MR imaging, 11 dental casting or implant materials were imaged by means of 1.5 T MRI apparatus with three different sequences. Mean and standard deviation of water signal intensity (SI) around the sample in the region of interest (1200 mm(2)) were determined, and the coefficient of variation was compared for evaluation of the homogeneity of the SI. A variety of artifacts with different magnitudes was observed. Only one of the samples, composed mainly of Pd, In, and Sb, showed no artifacts in all imaging sequences. We concluded that selection of specific dental casting alloys according to their elemental compositions could minimize the metal artifacts in MRI; however, titanium alloys currently pose a problem with respect to causing MRI artifacts.

Alloys↗
PubMed2003

Time course of the diameter of the major cerebral arteries after subarachnoid hemorrhage using corrosion cast technique.

In this report, we examined whether corrosion cast method is also applicable for the measurement and estimation of the rat major arteries in which subarachnoid hemorrhage (SAH) is produced. Additionally, we have examined the diameters of the rat major arteries following SAH. A total of 0.3 ml autologous blood was injected into the cisterna magna of male Sprague-Dawley rats for the SAH model. A perfusion of a semi-polymerized casting medium was performed, 10 min, 30 min, 1 h, 4 h, 8 h, 1 day, 2 days, 3 days, 5 days, and 7 days after SAH. The brains were corroded in a 10% NaOH solution. The BA and the other major arteries were then measured using scanning electron microscopy (SEM). Macroscopic observation and hematoxylin-eosin (HE) staining were also performed. Using the corrosion cast method, the biphasic contractile response was observed in the BA; 8.3% and 11.6% contractions were observed 30 min and 1 day after SAH, respectively. In addition, there was almost no smooth muscle or adventitial thickening in the chronic stage. In contrast, the dilative response was observed in the internal carotid artery and middle cerebral artery 10 min after SAH. Macroscopic findings and HE staining revealed that the extensive basal subarachnoid hematoma had almost disappeared by day 2. These results indicate that in this model, the minimal spasm, which occurs one day after SAH, can be explained by the small capacity of the rat subarachnoid space and the rapid cerebrospinal fluid washout around major vessels at the cerebral base. Moreover, the present data also show the compensatory dilatation in the ICA and MCA in the early stage after SAH.

Animals↗
PubMed1981

The use of cast-bracing as treatment for fractures of the tibial plateau.

A series of 29 patients with fractures of the tibial plateau were treated by means of a cast-brace. There were seven wedge fractures of the lateral tibial condyle, two dicondylar fractures and 20 compression fractures involving the lateral tibial plateau. The seven patients with wedge fractures were treated by skin or skeletal traction, followed as soon as possible by flexion exercises for the knee. Cast-braces were applied to all fractures as soon as possible after injury, and the patients allowed to bear weight freely. Early restoration of function of the injured limb was thereby achieved. The results of our study over a period of two and a half years indicate that cast-bracing is a very satisfactory method of treating fractures of the tibial plateau. All the fractures united, the movements and control of the knee were excellent, and valgus or varus deformity was unchanged before application and after removal of the brace.

Adolescent↗
PubMed1991

Biomechanical effects of rockers on walking in a plaster cast.

Rockers are applied to lower limb casts to assist walking but there is little information on their biomechanical effects. The performances of 10 commercially available rockers were compared. They were applied to a below-knee cast worn by a normal subject who was also tested walking in the cast alone. Gait analysis was used to evaluate kinematic and kinetic data. The design of rocker had no effect upon the kinematics of walking. However, using new criteria for kinetic assessment of rocker function (tibial floor angular velocity and centre of pressure progression), most designs had a deleterious effect on the biomechanics of gait. Only two rockers approached the ideal kinetic criteria.

Biomechanical Phenomena↗
PubMed1991

Forearm fractures in children. Cast treatment with the elbow extended.

Fractures of the proximal forearm in young children may be unstable with the elbow flexed but stable with it in extension. Fifteen such fractures were managed by immobilisation in long-arm casts with the elbow extended. Only one patient had more than 15 degrees angulation at the time of bony union. All obtained normal elbow movement at two weeks and full forearm rotation at follow-up. No casts fell off. The extended elbow cast is awkward but it provides an alternative to internal fixation for some unstable fractures.

Casts, Surgical↗
PubMed2003

Ultrasound in the management of the position of the femoral head during treatment in a spica cast after reduction of hip dislocation in developmental dysplasia of the hip.

In this prospective study of 18 hips we compared the efficacy of ultrasound with CT in determining the position of the femoral head in a spica cast after closed or open reduction in children with developmental dysplasia of the hip. Ultrasound was performed through the perineal opening of the cast. With a transinguinal approach, the superior ramus of the pubis, the acetabulum, the femoral head and the femoral neck can be depicted in one plane. The CT and ultrasound images were blinded and reviewed by two of the authors. Ultrasound was inconclusive in the first two reductions since the perineal opening was too small to see all the landmarks in one plane. In the following 16 reductions the landmarks were well defined and interpretation of the CT and ultrasound was similar. The perineal opening in the spica cast should be made in such a way that the ultrasound probe can be positioned in the groin so that the landmarks can be shown in one plane.

Casts, Surgical↗
PubMed1993

The halo-Ilizarov distraction cast for correction of cervical deformity. Report of six cases.

Six patients were managed with gradual reduction of a deformity of the cervical spine, before operative stabilization, with use of a modified halo cast with adjustable distraction components that allowed the patient to sit and walk while the deformity was being corrected. The distraction components were constructed from the distractors, hinges, and connectors of an Ilizarov apparatus. The diagnoses were atlanto-axial subluxation secondary to rheumatoid arthritis, atlanto-axial rotatory subluxation secondary to juvenile rheumatoid arthritis, post-traumatic atlanto-axial rotatory subluxation, ankylosing spondylitis with an angulated fracture of the seventh cervical vertebra, atlanto-occipital and atlanto-axial subluxation secondary to familial cervical dysplasia, and cervicothoracic kyphosis secondary to laminectomy and radiation for astrocytoma. All of the deformities were corrected initially, but the deformity partially recurred in three patients: in the lower cervical area because of pseudarthrosis in one, and between the occiput and the first cervical vertebra after arthrodesis between the first and second cervical vertebrae in two. Complications included an infection at the site of the halo pin, which led to replacement of the pin (one patient); pressure sores under the body cast (two patients); dislodgment of the halo secondary to a fall, which necessitated reapplication of the halo (one patient); and pneumonia (one patient). Spinal distraction with halo-cast traction is a useful adjunct in the treatment of selected complex cervical and high thoracic deformities. Gradual three-dimensional correction may be obtained in a controlled fashion, while the patient is allowed out of bed to sit and walk.

Adult↗
PubMed1994

Effect of ankle position and a plaster cast on intramuscular pressure in the human leg.

Intramuscular pressure was measured with transducer-tipped catheters that had been inserted into the anterior and deep posterior compartments of the leg in seven healthy adults. Intramuscular pressure increased three to sevenfold (depending on the position of the ankle) in both compartments after the application of a plaster cast from the proximal part of the thigh to the malleoli. While the cast was in place, the baseline intramuscular pressure was elevated by the inflation of a tourniquet, which was located on the proximal part of the thigh, to a pressure of sixty millimeters of mercury (8.00 kilopascals). The intramuscular pressure in both the anterior and the deep posterior compartments was found to be lowest when the ankle joint was between the neutral and the resting positions (between 0 and 37 degrees of flexion). After the cast was bivalved and the opening on each side was spread approximately one-half centimeter, there was a significant decrease in intramuscular pressure of 47 per cent in the anterior compartment and of 33 per cent in the deep posterior compartment (p < 0.05 for both).

Adult↗
PubMed2006

[Case report of a patient treated with unilateral extension base denture using the altered cast technique].

PATIENT: The patient was a 70-year-old male with a chief complaint of poor adaptation of a mandibular unilateral extension base denture. The diagnosis was missing teeth of the mandibular bilateral second premolars, the first molars and the mandibular left second molar as well as poorly-fitting facing crowns in the mandibular bilateral canines and the first premolars. After inserting the facing crowns, a metal base denture was constructed using the altered cast technique. After 3 years, the metal base denture's masticatory function and appearance were successfully achieved. DISCUSSION: It was considered an achievement in this case to get maximum support from the residual ridge using the altered cast technique. CONCLUSION: The metal base denture was constructed using the altered cast technique and successful masticatory function was gained.

Aged↗
PubMed1995

Three-dimensional architecture of human cutaneous vascular lesions: a scanning electron microscopic study of corrosion casts.

Corrosion casts were made from angiosarcoma of the scalp of an elderly person, Klippel-Trenaunay syndrome, pseudo-Kaposi's sarcoma, diffuse neonatal hemangiomatosis, cavernous hemangioma and arteriovenous malformation and were examined by scanning electron microscopy (SEM). The normal scalp from a cadaver was studied as a control for the angiosarcoma of the scalp. the SEM of the vascular corrosion casts clearly demonstrated the fine three-dimensional (3-D) architectures of malignant and benign cutaneous vascular lesions; the superficial fine and medium-sized vascular networks of the skin were replaced by abnormal balloon-like dilatations, extravasated fringes, glomerular structures, sinusoidal vessels or localized bulla-like structures of the capillary loops, depending on the nature of the cutaneous vascular lesions. The corrosion cast technique is helpful for understanding the 3-D patterns of various vascular lesions.

Adult↗
PubMed2005

Use of corrosion casting techniques to evaluate coronary collateral vessels and anastomoses in hearts of canine cadavers.

OBJECTIVE: To study and investigate branching patterns of the canine coronary arteries and collateral circulation by use of corrosion casting techniques. SAMPLE POPULATION: 31 hearts obtained from cadavers of clinically normal dogs of various ages and breeds and of either sex. PROCEDURE: 3-dimensional reproduction of coronary arteries was achieved by postmortem injection and perfusion with casting materials into the aortic sinus via the ascending aorta. Perfused hearts were macerated and carefully irrigated; the air-dried specimens were examined macroscopically and with a magnifying headset. RESULTS: Collateral arteries and inter- and intra-arterial anastomoses were successfully detected in 8 corrosion cast specimens. In total, 9 coronary collateral arteries and 3 interarterial anastomoses were found. CONCLUSIONS AND CLINICAL RELEVANCE: Our finding of coronary collateral arteries in canine hearts is in agreement with recent findings in coronary flow study. On the basis of our results, vasodilation treatment to improve collateral vessel remodeling in dogs with myocardial dysfunction may be warranted.

Animals↗
PubMed1983

Dental casting alloys with a low content of noble metals: physical properties.

Several physical properties such as strength (UTS and fracture and proof stress), modulus of elasticity, strain (elastic and plastic elongation), hardness, and hardening ability were determined for five low-gold alloys and two conventional gold casting alloys (types III and IV). The composition and the structure (pores and defects) of the cast tensile test specimens were also studied. The results showed that alloys with a low content of noble metals could have properties comparable to those of the traditional types III and IV dental gold casting alloys. A marked difference was seen in the plastic elongation (ductility). A great number of defects (pores and oxide inclusions) were also observed, especially in the specimens with a high content of both palladium and silver.

Chemical Phenomena↗
PubMed1980

New casting material and improved functional design for lower femoral fracture bracing.

A new water setting light plastic plaster material, Crystona, is presented and its plaster room characteristics compared with plaster of Paris. Plaster of Paris is considered better as the "acute fracture splinting material" in the Accident Service setting. Crystona, however, has considerable advantages as the "dynamic bracing material" in the post-acute fracture period and is demonstrated in the functional bracing of femoral shaft fractures. An improved functional cast brace design is presented, the "Knee Hinge Cylinder Brace" with a simple waist belt suspension to a hinged tube cast without the foot in the treatment of distal half femoral fractures. Using Crystona and the cylinder brace design, the cast weight has been reduced by half and the functional limb bracing improved with free mobilization of the knee, ankle and foot. The prescription, application technique and early clinical experiences are presented.

Acrylic Resins↗
PubMed1981

Rupture of the lateral ligaments of the ankle: operation or plaster cast? A propective study.

The material comprises 444 patients, aged 12-50 years, with acute sprain of the ankle, seen over an 11-month period (1.10. 1977 to 31.8. 1978). Clinical examination showed no rupture of the ligaments in 53. Arthrography in the remaining patients revealed rupture of the lateral ligaments in 209 (in two-thirds of the anterior talofibular ligament and in one-third of the anterior talofibular as well as calcaneofibular ligament). Conservative treatment with a below-knee plaster cast for 5 weeks was employed in 107 patients, while 102 were treated surgically by suture of the ruptured ligament(s) and subsequently wore a below-knee plaster cast for 5 weeks. The follow-up 1 year after the accident was attended by 63 per cent of the patients. Good results were found in 76 per cent of those treated by plaster cast only and in 81 per cent of those treated by surgery. The difference is not statistically significant.

Adolescent↗