Manual of Soft-Tissue Management in Orthopaedic Trauma

2011 ◽  
Keyword(s):  
Soft Tissue ◽  
Orthopaedic Trauma ◽  
Soft Tissue Management

Advanced Navigation Planning Including Soft Tissue Management

Orthopedics ◽  
2005 ◽  
Vol 28 (10) ◽  
Author(s):  
Ulrich Clemens ◽  
Rolf Klaus Miehlke
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Management ◽  
Navigation Planning

scholarly journals Soft tissue management of children's open tibial fractures – a review of seventy children over twenty years

2010 ◽  
Vol 92 (4) ◽  
pp. 320-325 ◽  
Author(s):  
P Rao ◽  
MV Schaverien ◽  
KJ Stewart
Keyword(s):  
Soft Tissue ◽  
Tibial Fractures ◽  
Soft Tissue Management ◽  
Retrospective Case ◽  
Open Tibial Fractures ◽  
Fractures In Children ◽  
Superficial Wound ◽  
Patient Stay ◽  
Grade Ii ◽  
Distally Based

INTRODUCTION The management of open tibial fractures in children represents a unique reconstructive challenge. The aim of the study was to evaluate the management of paediatric open tibial fractures with particular regard to soft tissue management. PATIENTS AND METHODS A retrospective case-note analysis was performed for all children presenting with an open tibial fracture at a single institution over a 20-year period for 1985 to 2005. RESULTS Seventy children were reviewed of whom 41 were males and 29 females. Overall, 91% (n = 64) of children suffered their injury as a result of a vehicle-related injury. The severity of the fracture with respect to the Gustilo classification was: Grade I, 42% (n = 29); Grade II, 24% (n = 17); Grade III, 34% (n = 24; 7 Grade 3a, 16 Grade 3b, 1 Grade 3c). The majority of children were treated with external fixation and conservative measures, with a mean hospital in-patient stay of 13.3 days. Soft tissue cover was provided by plastic surgeons in 31% of all cases. Four cases of superficial wound infection occurred (6%), one case of osteomyelitis and one case of flap failure. The limb salvage was greater than 98%. CONCLUSIONS In this series, complications were associated with delayed involvement of plastic surgeons. Retrospective analysis has shown a decreased incidence of open tibial fractures which is reported in similar studies. Gustilo grade was found to correlate with length of hospital admission and plastic surgery intervention. We advocate, when feasible, the use of local fas-ciocutaneous flaps (such as distally based fasciocutaneous and adipofascial flaps), which showed a low complication rate in children.

scholarly journals The Ortho-Plastic Approach to Soft Tissue Management in Trauma

2014 ◽  
Vol 8 (1) ◽  
pp. 399-408 ◽  
Author(s):  
Daniel J Jordan ◽  
Marco Malahias ◽  
Wasim Khan ◽  
Sandip Hindocha
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
British Association ◽  
Current Evidence ◽  
Soft Tissue Management ◽  
Initial Management ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
British Orthopaedic Association

Fractures with associated soft tissue injuries, or those termed ‘open,’ are not uncommon. There has been much discussion regarding there management, with the guidance from the combined British Orthopaedic Association and British Association and Aesthetic Surgeons teams widely accepted as the gold level of therapy. We aim to discuss the current evidence about the initial management of this group of injuries, taking a journey from arrival in the accident and emergency department through to the point of definitive closure. Other modes of therapy are also reviewed.

A Staged Protocol for Soft Tissue Management in the Treatment of Complex Pilon Fractures

2004 ◽  
Vol 18 (Supplement) ◽  
pp. S32-S38 ◽  
Author(s):  
Michael Sirkin ◽  
Roy Sanders ◽  
Thomas DiPasquale ◽  
Dolfi Herscovici
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Management ◽  
Pilon Fractures

scholarly journals Laser Therapy for Soft Tissue Management in Orthodontics

2016 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Farhad Sobouti ◽  
Fatemeh Namvar ◽  
Sepideh Dadgar
Keyword(s):  
Soft Tissue ◽  
Laser Therapy ◽  
Soft Tissue Management

Esthetic And Functional Integration Of Soft Tissue Around Dental Implants: Thickness, Width, Stability.

2021 ◽  
Author(s):  
Aleksandr Lysov ◽  
Andre Saadoun
Keyword(s):  
Soft Tissue ◽  
Functional Integration ◽  
Daily Practice ◽  
Clinical Approach ◽  
Soft Tissue Management ◽  
Mucosal Thickness ◽  
Biological Protection ◽  
The Stability ◽  
Implant Treatment

The long-term Functional success of the implant treatment depends on the stability of the crestal bone tissue around the implant platform. The Esthetic result is achieved by an adequate soft tissue in the peri-implant zone. Furthermore, the soft tissue creates the buffer area that ensures the mechanical and biological protection of the underlying bone. Therefore, it is necessary to maintain for a long term, not only the implant osseointegration but also the integration of the soft tissue around the Sub and Supra-structure of the restoration. In order to create the protective soft tissue area, it is necessary to ensure three criteria. This treatment approach will be defined as the TWS – Soft Tissue Management : T for Thickness , W for Width, and S for Stability . The purpose of this article is to present with clinical cases, the detailed description of each criteria. There are many ways to achieve the two first criteria and they are well described in the literature. Achieving the third criteria of the Stability become possible only in the last years since the development of the digital technology and its implementation into the dental practice. A one time abutment and the creation of peri- implant mucosal thickness with an optimal amount of the attached keratinized gingiva above and around the implant platform, for muco-gingival integration of the system, are therefore a prerequisite for functional and esthetic result. The article presents the possibility for the clinicians to use in their daily practice this new clinical approach of TWS - Soft Tissue Management.

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