scholarly journals In Dogs With Traumatic Elbow Luxation, Does Treatment Using Closed Reduction and Conservative Management Have a Better Prognosis Than Those Treated With Open Reduction and Surgery?

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Barnaby Luke Dean
Keyword(s):  
Conservative Management ◽  
Closed Reduction ◽  
Open Reduction ◽  
Surgical Intervention ◽  
Treatment Method ◽  
Bottom Line ◽  
Elbow Luxation ◽  
Long Term Prognosis

<p><strong>Clinical bottom line:</strong></p><p>In the available literature, cases of traumatic elbow luxation managed by closed reduction appear to have a better long-term prognosis  than cases managed by open reduction and surgical stabilisation. That being said, it is important to consider that the poorer outcome in surgically-managed cases could reflect the severity or chronicity of the injury rather than the treatment method itself, or indeed could reflect a combination of the two.</p><p>Closed reduction of traumatic canine elbow luxation should be attempted in all cases as soon as possible as this is associated with a better prognosis. Should closed reduction not be possible, or should the elbow remain unstable or reluxate following closed reduction, surgical intervention is indicated. Joint immobilisation is recommended with either a Robert Jones bandage or splinted bandage for two-to-four weeks following treatment.</p>

Traumatic Luxation of the Elbow in 31 Dogs

1999 ◽  
Vol 12 (01) ◽  
pp. 33-39 ◽  
Author(s):  
P. Wolvekamp ◽  
B.P. Meij ◽  
L.F.H. Theijse ◽  
H. A. W. Hazewinkel ◽  
I.G.F. Schaeffer
Keyword(s):  
Medical Records ◽  
Closed Reduction ◽  
Elbow Joint ◽  
Open Reduction ◽  
Clinical Results ◽  
Monteggia Fracture ◽  
Ligament Repair ◽  
Elbow Luxation ◽  
Methods Of Treatment

SummaryThe medical records of 31 dogs with traumatic luxation of the elbow joint were reviewed. The patients were referred to the Faculty of Veterinary Medicine of the Utrecht University during the period from 1984 to 1996. Nineteen dogs with an acute lateral luxation were treated by closed reduction. One dog with an acute bilateral luxation and two dogs with chronic elbow luxation were treated by open reduction. In four dogs the collateral ligaments were sutured on one side following closed reduction and in one dog following open reduction.Five dogs had a Monteggia fracture. One was treated by closed reduction and external coaptation and 4 by open reduction with osteosynthesis. Excellent or good results were achieved in eight of the 19 dogs (47%) treated by closed reduction, in 1 of 3 (33%) treated by open reduction and in three of five (60%) treated for a Monteggia fracture. The quite disappointing results of the closed reduction appeared to be largely due to the instability remaining after the reduction in seven of the 19 elbow joints (41%).Collateral ligament repair was performed in three dogs immediately following closed reduction and the clinical result was excellent in all three. When the elbow joint is unstable after reduction of a traumatic luxation, it should be stabilized surgically.Traumatic cubital luxation is an emergency which occurs infrequently in dogs. The methods of treatment used in 31 dogs are reviewed and the long-term clinical results are evaluated. Good results can be expected for acute closed reduction, provided that stability is improved surgically if the elbow is unstable after reduction. Monteggia fractures should always be treated by open reduction.

Long-Term Evaluation of Bennett’s Fracture

1994 ◽  
Vol 19 (3) ◽  
pp. 373-377 ◽  
Author(s):  
E. J. F. TIMMENGA ◽  
T. J. BLOKHUIS ◽  
M. MAAS ◽  
E. L. F. B. RAAIJMAKERS
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Bennett’S Fracture ◽  
Wire Fixation ◽  
Term Evaluation ◽  
Restricted Mobility ◽  
Almost All

18 patients with Bennett’s fracture were evaluated after a mean follow-up period of 10.7 years. Treatment consisted of closed reduction and K-wire fixation in seven cases and open reduction with osteosynthesis in 11 cases. Overall, symptoms were few and restricted mobility of the thumb could not be demonstrated. The strength of the affected hand was decreased in all patients regardless of the type of treatment. Osteoarthritis was found to correlate with the quality of reduction of the fracture, but had developed in almost all cases even after exact reduction. Exact reduction, either by the open or closed method, should be the aim of treatment of Bennett’s fracture.

scholarly journals Tooth-implant Connection: A Literature Review

2012 ◽  
Vol 3 (2) ◽  
pp. 213-219 ◽  
Author(s):  
Safoura Ghodsi ◽  
Sasan Rasaeipour
Keyword(s):  
Literature Review ◽  
Treatment Method ◽  
Partial Denture ◽  
Support Mechanism ◽  
Fixed Partial Denture ◽  
Removable Prosthesis ◽  
Long Term Prognosis ◽  
Edentulous Patients ◽  
Available Information

ABSTRACT Aim The aim of this review is to summarize and discuss the available information concerning the connection between the tooth and implant in a fixed partial denture. Background Although implant-supported prosthesis (ISP) has substantial biological and biomechanical advantages, due to the extensive use of implant in partially edentulous patients, encounter to cases of obligatory connection between the tooth and implant is not rare. However, because of their differences, especially in support mechanism, long-term prognosis of this treatment method is a special debate in dental literature. Materials and methods The literature published over the past 25 years was searched through PubMed, Medline, Google and indexed journals (search terms: tooth implant connection, tooth implant-supported fixed partial denture, tooth implant splinting, implant and tooth). The most valuable and relevant articles were selected and analyzed. Results and discussion The existing studies reveal that there are certain conditions in which this method is applicable. The main advantage of the method based on literature reviewed is reducing the need to the removable prosthesis in patients that otherwise require it. The disadvantages of this connection, mainly due to different movement range of components under loading, reportedly will be minimized if some guidelines are followed. Clinical significance According to available studies, this literature review supports tooth-implant connection technique where indicated, with complete attention to prudent guidelines. Further researches preferably concentrating on new methods and also long-term longitudinal studies are certainly needed before this approach can be widely used. How to cite this article Ghodsi S, Rasaeipour S. Tooth-implant Connection: A Literature Review. World J Dent 2012;3(2):213-219.

Dislocations of the hip and femoral head fractures

2011 ◽  
Author(s):  
A. Pohl
Keyword(s):  
Femoral Head ◽  
Surgical Approach ◽  
Early Treatment ◽  
Closed Reduction ◽  
Open Reduction ◽  
Injury Pattern ◽  
General Anaesthetic ◽  
Associated Injuries ◽  
Imaging Studies

♦ Most injuries are high violence, so look for associated injuries♦ Immediate closed reduction usually best under general anaesthetic♦ Do not proceed to open reduction without appropriate imaging studies♦ Surgical approach depends on injury pattern♦ Some long term complications can be minimized/avoided by appropriate early treatment (e.g. avascular necrosis).

scholarly journals The Ilizarov technology for closed reduction of hip dislocation in children with developmental hip dysplasia

2021 ◽  
Vol 27 (3) ◽  
pp. 345-350
Author(s):  
M.P. Teplenky ◽  
◽  
E.V. Oleinikov ◽  
V.S. Bunov ◽  
◽  
...  
Keyword(s):  
Closed Reduction ◽  
Functional Outcomes ◽  
Hip Dysplasia ◽  
Hip Dislocation ◽  
Treatment Method ◽  
Long Term Results ◽  
Aseptic Necrosis ◽  
Developmental Hip Dysplasia

Introduction The possibility of gradual closed reduction of hip dislocation in children over 1.5 years old is considered doubtful. Purpose Analysis of long-term results of applying the Ilizarov technique of gradual closed reduction in combination with the reconstruction of the hip joint components. Methods The outcomes of treatment of 62 children (81 joints) with congenital hip dislocation in the follow-up period from 5 to 16 years were studied. The treatment method included closed reduction of the dislocation using the technology proposed by G.A. Ilizarov and subsequent reconstruction of the joint components. The patients are divided into two groups based on their age. The first group included 33 patients (43 joints) under the age of 5 years. The second group consisted of 29 patients (38 joints) aged 5–8 years. Results Closed reduction failed in five cases. The recurrence of dislocation after closed reduction was 5.3 %. The rate of aseptic necrosis after closed reduction was 9.7 %. Good functional outcomes were reported in 87.7 %. They were significantly better in the younger group. The proportion of good anatomical results did not depend on age and was 77 % in general. Poor results were obtained in 8.8 %. Conclusion The anatomical and functional outcomes and the number of complications by using the technique described were comparable to other methods of gradual closed reduction of hip dislocation. But the technique we have described expands the age restrictions for its use.

scholarly journals Treatment of a Subacute Locked Thumb Metacarpophalangeal Joint with Sesamoid Entrapment

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
John J. Carroll ◽  
William D. McClain ◽  
Julia A. V. Nuelle
Keyword(s):  
Occupational Therapy ◽  
Conservative Management ◽  
Closed Reduction ◽  
Open Reduction ◽  
Metacarpophalangeal Joint ◽  
Persistent Pain ◽  
Volar Plate ◽  
Case Presentation ◽  
Thumb Metacarpophalangeal Joint

Introduction. Locked thumb metacarpophalangeal (MCP) joints due to entrapped radial sesamoids are rare injuries that commonly require open reduction, especially when the injury is delayed in presentation. Case Presentation. We present a case of a 24-year-old female with a subacute thumb MCP joint subluxation due to an incarcerated radial sesamoid. She underwent successful closed reduction but had persistent pain and difficulty gripping large objects necessitating eventual open volar plate repair despite therapy. She was able to achieve full motion, with little pain and disability, after undergoing delayed volar plate repair. Discussion. Delayed volar plate repair may be considered for those patients who fail to improve with conservative management and occupational therapy after a successful closed reduction for thumb MCP joint subluxation due to an incarcerated radial sesamoid.

Percutaneous endoscopic cecostomy in the treatment of recurrent colonic pseudoobstruction − a case report of the first procedure in the Czech Republic

2019 ◽  
Vol 98 (9) ◽  
pp. 375-378
Keyword(s):  
Czech Republic ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Conservative Management ◽  
Subtotal Colectomy ◽  
Surgical Intervention ◽  
The Czech Republic ◽  
Intestinal Decompression ◽  
Colonic Pseudoobstruction

We present the case of an 89-year-old polymorbid female patient with recurrent acute colonic pseudo-obstruction who was treated by performing percutaneous endoscopic cecostomy as the first procedure of its kind in the Czech Republic. The patient presented repeatedly with ileous conditions without evidence of an organic cause. Surgical colostomy was proposed with a possibility of subtotal colectomy as an ultimum refugium due to an insufficient effect of maximum conservative management and a need for repeated endoscopic decompression. In this particular patient, however, any kind of surgical intervention posed a major risk and was eventually abandoned. Finally, percutaneous endoscopic cecostomy was proposed as an alternative to resolve the situation. The procedure was carried out without complications and with an immediate effect. The patient has been free of the symptomatology of intestinal obstruction in the long term having the option of intermittent intestinal decompression as needed.

EELS characterization of “Smut” layer films on steel surface prepared for chrome plating by anodic etching

1995 ◽  
Vol 53 ◽  
pp. 538-539
Author(s):  
E Y. Wang ◽  
J. T. Cherian ◽  
A. Madsen ◽  
R. M. Fisher
Keyword(s):  
Steel Surface ◽  
Surface Preparation ◽  
Treatment Method ◽  
Chrome Plating ◽  
Transmission Electron ◽  
Alloy Steels ◽  
Pre Treatment ◽  
Hard Chrome ◽  
Electron Energy Loss

Many steel parts are electro-plated with chromium to protect them against corrosion and to improve their wear-resistance. Good adhesion of the chrome plate to the steel surface, which is essential for long term durability of the part, is extremely dependent on surface preparation prior to plating. Recently, McDonnell Douglas developed a new pre-treatment method for chrome plating in which the steel is anodically etched in a sulfuric acid and hydrofluoric acid solution. On carbon steel surfaces, this anodic pre-treatment produces a dark, loosely adhering material that is commonly called the “smut” layer. On stainless steels and nickel alloys, the surface is only darkened by the anodic pre-treatment and little residue is produced. Anodic pre-treatment prior to hard chrome plating results in much better adherence to both carbon and alloy steels.We have characterized the anodic pre-treated steel surface and the resulting “smut” layer using various techniques including electron spectroscopy for chemical analysis (ESCA) on bulk samples and transmission electron microscopy (TEM) and electron energy-loss spectroscopy (EELS) on stripped films.

Sign in / Sign up

Export Citation Format

Share Document