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[Acute pelvic fractures].

Two patients were involved in a high-energy trauma that resulted in an unstable pelvic fracture. The first patient, a 51-year-old woman, was trapped between two boats. At our hospital she received a traumatic pelvic orthotic device (T-POD), followed by angiography with embolisation. Three days post-trauma she went to the operating room for definitive surgical treatment of her Tile C pelvic fracture. The second patient, a 19-year-old man, was in a car that collided with a tree. He also received a T-POD, but remained haemodynamically unstable. He went to the operating room for damage control sur

Biomechanical effectiveness of controlled ankle motion boots: A systematic review and narrative synthesis.

INTRODUCTION: Controlled ankle motion (CAM) boots are a below-knee orthotic device prescribed for the management of foot and ankle injuries to reduce ankle range of motion (RoM) and offload the foot and ankle whilst allowing continued ambulation during recovery. There is a lack of clarity within the current literature surrounding the biomechanical understanding and effectiveness of CAM boots. AIMS: To summarise the biomechanical effects of CAM boot wear as an orthotic for restricting ankle RoM and offloading the foot. METHODS: A systematic literature review was conducted in accordance with t

Return to duty after integrated orthotic and rehabilitation initiative.

OBJECTIVES: To determine the return to active duty rate of military service members undergoing lower extremity limb salvage while using a novel custom orthosis and specialized rehabilitation compared with those receiving a novel custom orthosis alone. DESIGN: Retrospective cohort study. SETTING: Military level I trauma center and tertiary referral center for limb salvage. PATIENTS/PARTICIPANTS: All active duty service members enrolled in our institution's Return to Run Clinical Pathway were analyzed retrospectively. Service members were enrolled if they sustained injuries with residual disa

Partial tibial nerve transfer to the tibialis anterior motor branch to treat peroneal nerve injury after knee trauma.

BACKGROUND: Injuries to the deep peroneal nerve result in tibialis anterior muscle paralysis and associated loss of ankle dorsiflexion. Nerve grafting of peroneal nerve injuries has led to poor function; therefore, tendon transfers and ankle-foot orthotics have been the standard treatment for foot drop. QUESTIONS/PURPOSES: We (1) describe an alternative surgical technique to obtain ankle dorsiflexion by partial tibial nerve transfer to the motor branch of the tibialis anterior muscle; (2) evaluate ankle dorsiflexion strength using British Medical Research Council grading after nerve transfer;

Экспериментальное технико-экономическое обоснование исследования виртуальной оценки гейт на основе реальности с орехами у людей с множественным склерозом: исследовательский протокол.

Множественный склероз (МС) часто приводит к значительным нарушениям в походах и мобильности. Несмотря на то, что пешие брекеты обычно предписываются, их эффективность в реальном мире ограничивается недостаточной адаптацией. Традиционные клинические оценки основываются на субъективных масштабах и могут не в полной мере отражать проблемы повседневной жизни. Неизмеримая виртуальная реальность (VR) и износимые сенсоры предлагают перспективные решения для экологического мониторинга, однако их комбинированное использование по-прежнему не является приемлемым для ортопедической поддержки в MS. В рамка

Совпадение в полном тексте источника
… Gait impairment is among the most common manifestations in MS and represents a major focus of rehabilitation, including the use of orthotic devices to support walking [ 2 , 3 ]. …

Effectiveness of Hip Protectors to Reduce Risk for Hip Fracture from Falls in Long-Term Care.

OBJECTIVE: To generate evidence of the effectiveness of hip protectors to minimize risk of hip fracture at the time of falling among residents of long-term care (LTC) by contrasting rates of hip fractures between falls with and without hip protectors. DESIGN: A 12-month, retrospective cohort study. We retrospectively reviewed fall incident reports recorded during the 12 months prior to baseline in participating homes. SETTING AND PARTICIPANTS: A population-based sample comprising all residents from 14 LTC homes owned and operated by a single regional health authority, who experienced at leas

Design and validation of a smart wearable device to prevent recurrent ankle sprain.

Lateral ankle sprain is one of the most common ankle injuries, especially in sports. When not treated properly, chronic ankle instability (CAI) may develop causing recurrent sprains and permanent damage to ankle ligaments. In this study, the design, implementation and validation of a smart wearable device connected to a smartphone application is described. This device can predict and prevent the occurrence of ankle sprain. Prediction of potentially harmful motion is achieved by continuous monitoring of ankle kinematics using inertial motion sensors. Detection of such a motion immediately trigg

Self-reported Functional Status in US Service Members After Combat-Related Amputation.

The objective of this study was to describe the functional status of US service members after combat-related amputation. This was a cross-sectional analysis of data from a subsample of the Wounded Warrior Recovery Project, an ongoing, web-based, longitudinal examination of patient-reported outcomes of injured service members. The study sample included 82 Wounded Warrior Recovery Project participants with a combat-related lower extremity amputation who reported using a prosthetic device and completed the Orthotics and Prosthetics Users' Survey Lower Extremity Functional Status, which measures s

Pilot studies suggesting new applications of NiTi in dynamic orthoses for the ankle joint.

NiTi is a metal alloy with unconventional functional characteristics: Shape memory and pseudoelasticity. Its use in the field of rehabilitation is very innovative. This work presents applications in lower limb orthotics. Three different devices were assembled and tested: An equinus gait dynamic splint, a compliant ankle positioning brace, and a dual-mode haptic/active exerciser for the dorsiflexors. Results are derived from technical and preclinical trials. The gait splint improves several walking parameters even better than a traditional flexible ankle-foot orthoses (AFO). In particular, it s

Charcot-Marie-Tooth disease and related neuropathies.

Charcot-Marie-Tooth disease (CMT) subsumes many different inherited neuropathies. CMT and related neuropathies are among the most common inh … any form of CMT. Management includes rehabilitative approaches such as muscle strength training and orthotic devices, surgical interventions, symptom relief and anticipatory monitoring of associated complications. The investigation of genetically authentic cellular, organoid and animal models will enable the development of rational therapies. Natural history studi …

3D-printed programmable bistable mechanisms for customized wearable devices in tremor attenuation.

This research proposes a computational framework for designing a compliant bistable mechanism and fabricating it using 3D printing for custo … ing only 27 g to reduce vibrations in various situations suggest its use in 4D printing of wearable orthotic devices for Parkinsonian tremors and related diseases.

Arthritis: Knee and Hip Osteoarthritis.

Knee and hip osteoarthritis (OA) are two of the leading causes of disability globally. Knee OA is characterized by gradual degeneration of articular cartilage, leading to pain, stiffness, and functional limitations. Patients older than 50 years typically present with knee OA, but it can manifest earlier, particularly following traumatic knee injuries. Symptoms include pain, effusion, stiffness, and reduced range of motion. Radiographs commonly are used to confirm a diagnosis of knee OA. Nonsurgical management options include weight loss, lifestyle interventions, orthotic and assistive devices,

Pilot Study: Human Adipose Tissue Allograft for Fat Pad Defects in Patients With Preulcerative Lesions.

BackgroundLoss or displacement of a fat pad on the foot increases plantar pressure, leading to pain and plantar ulcers. These ulcers, especially in patients with diabetic neuropathy, have high recurrence rates, often resulting in amputations. Standard of care focuses on reducing plantar pressure with shoe padding or orthotic devices, leaving the restoration of the fat pad as an unmet medical need. To address this, a human cryopreserved adipose tissue (hCAT) allograft has been developed to repair adipose tissue defects.MethodsScientific characterization of hCAT included assessments of its struc…

Determination of Ankle and Metatarsophalangeal Stiffness During Walking and Jogging.

Forefoot stiffness has been shown to influence joint biomechanics. However, little or no data exist on metatarsophalangeal stiffness. Twenty … er understanding of forefoot stiffness may inform the development of footwear, prosthetic feet, and orthotic devices, such as ankle foot orthoses for walking and sporting activities.

Current uses of open phenol nerve block for adult acquired spasticity.

Forty-nine open phenol nerve injections were performed for acquired spasticity during a five-year period. The most common etiology of acquir … eight months. Nine patients underwent lengthening of the Achilles tendon and six patients required orthotic devices for control of plantar flexion spasticity. In general, patients with acquired spasticity who require open phenol nerve blocks are unlikely to have normal functioning extremities when the effects of the nerve block have subsided.

Achilles tendon reattachment after surgical treatment of insertional tendinosis using the suture bridge technique: a case series.

Achilles tendinopathy is a clinical diagnosis characterized as a triad of symptoms including pain, swelling, and impaired performance of the … and calcaneus. This disease is initially treated conservatively with activity modification, custom orthotic devices, heel lifts, and immobilization. After 3 to 6 months of conservative therapy has failed to alleviate symptoms, surgical management is indicated. Surgical management of insertional Achilles tendinosis includes Achilles tendon debridement, calcaneal e …

The use of a direct manufacturing prosthetic socket system in a rural community in South Africa: A pilot study and lessons for future research.

BACKGROUND: Challenges exist with the provision of appropriate mobility assistive devices in rural areas. The use of the direct manufacturing prosthetic socket system is a possible solution to these challenges. OBJECTIVES: The objective of this study was to test and explore the clients' perspectives with the application of this device. STUDY DESIGN: Within a mixed-methods approach, a longitudinal sequential explanatory design was applied. METHODS: The Orthotic and Prosthetic User's Survey was administered to explore the use of the direct manufacturing prosthetic socket system in terms of fu

Comparative biomechanical effectiveness of over-the-counter devices for individuals with a flexible flatfoot secondary to forefoot varus.

OBJECTIVES: Evaluate effects of a new off-the-shelf insert on frontal plane foot biomechanics and compare effectiveness of the new and an existing off-the-shelf insert and a motion-control shoe in neutralizing frontal plane foot biomechanics. DESIGN: Descriptive. SETTING: Biomechanics laboratory. PARTICIPANTS: Fifteen uninjured subjects with a flexible flatfoot secondary to forefoot varus. ASSESSMENT OF RISK FACTORS: Three-dimensional kinematic and kinetic data were collected as subjects walked and jogged at their self-selected speed while wearing a motion-control running shoe, the shoe wi

Quantitative assessment of thoracolumbosacral orthosis efficacy on the temporal features of gait using inertial measurement unit sensors.

Prolonged sitting with poor spinal posture alter the biomechanics of spine and the whole body, alleviating gait efficiency and causing fatigue. Evidence suggest that spinal braces can correct postural deviations, enhance proprioception, postural control, and spinal stability. However, the impact of an abnormal posture and spinal brace on the temporal features of gait remains unexplored. This study aimed to assess the quantitative effectiveness of spinal brace on the temporal features of gait using IMU sensors. This randomized crossover experimental study involved 15 lab workers who performed g