Reconstructive Surgery Literature Review

northernorthotics.com.au - Uses of a Limited-Motion Cast Brace When patients suffer certain injuries, they require the help of a limited-motion cast brace to protect the affect limb. The brace provides continuous support to the injured area while allowing a limited range of motion in the joints until the patients reach full recovery. Fractures, sprains or surgical procedures may cause the limbs to require this type of support temporarily. Patients need to have their braces custom fitted by an expert. How to Use Limited-Motion Cast Braces Many doctors turn to a limited motion cast brace to assist their patients healing process after certain fractures such as a tibial-femoral fracture.

(Fig. 27) Compared to TKA, unicompartmental arthroplasty results in better knee joint with quicker rehabilitation time and greater range of motion. Revision of UKA to tricompartmental prostheses, requires special components, bone grafting or cement with screw augmentation to fill osseous defects, was necessary in 76% of patients reported by Padgett, Stern, and Insall.30 and in 45% reported by Scot RD and Cobb AG.31 They concluded that the revision of UKA to TKA were simpler than typical revision TKA because of lessen incidence of significant bony defects at the time of revision.31 HINGED IMPLANTS In Kinematic Rotating Hinge prosthesis, two polyethylene and cobalt chrome bearings allow flexion-extension and axial rotation. (Fig. 28) Rand, Chao, and Stauffer reported that there was no significant difference between Kinematic Rotating Hinge and the earlier GUEPAR prosthesis with respect to infection, loosening and patellar

Therefore, synovial fluid found in the joint helps minimize friction during extension and flexion of the knee because the viscous fluid functions as a lubricant to act as an absorber to prevent bones from hitting one another. Also, hyaline cartilage helps minimize friction by providing a smooth sliding area that still allows minimum movement of bone without hitting one another. 7. Describe the changes a broken bone undergoes as it is healing. ( 4 points) When bone heals it undergoes four repair phases.

A scar contracture tightens the damaged skin. Since the muscles and nerves are frequently affected when these scars form, an individual may lose flexibility and have difficulty moving the damaged area(s). Treating Scars Although some scars do require assistance from a dermatologist, estheticians can perform a variety of treatments to address facial scarring. Microdermabrasion This treatment involves exfoliating the epidermis (top layer of skin). If a facial scar is raised, the raised portion is also removed.

Incisional Hernia What Is Incisional Hernia? Incisional hernia occurs when the hernia protrudes through an incision made on the patient’s abdominal wall (old scar) from a previous surgical procedure. In this medical condition, internal organs such as the intestine can herniate or protrude out from the abdomen causing discomfort and a big bulge in the abdomen especially on coughing. Pain or gangrene of the bowel can arise from incisional hernia, which will require emergency surgery. What Are the Causes of Incisional Hernia?

Instead, the bone near the joints of the femur are removed. During hip replacement, damaged bone, cartilage, and femoral head are removed then replaced with a prosthesis. There are many reasons why one might need hip replacement because of damage, however they are most commonly caused by age and repeated motion of wear and tear. There are some diseases such as osteoarthritis, rheumatoid arthritis, avascular necrosis, and bone tumors, that a patient would have developed in order to be recommended to receive this treatment. More often than not, hip replacement was the next action to take for relieving pain (Total Hip Replacement).

A rupture can interfere with your ability to do both of these movements. This condition is usually caused by an injury to the upper arm. A triceps tendon rupture is usually treated with surgery, and recover may take 6–9 months. You will not be able to participate in contact sports until you recover. CAUSES A triceps tendon rupture happens when the tendon is exposed to too much force.

Core strengthening exercises target the abdomen, lumbar spine, and hips, and stretching focuses on the hip rotators, adductors, and hamstrings. The goal for this kind of therapy is to correct the imbalance of the hip and pelvic muscles stabilizers. Modalities, like ultrasound, cold tubs, and deep massage are used. This study highlights the high rate of ongoing symptoms with athletes treated nonoperatively. Surgical exploration and repair is indicated if nonoperative treatment fails and alternative diagnoses have been excluded.

It is important to consider the diagnosis of Achilles rupture when examining a patient with calf or ankle injury. Alarm bells should ring regarding possible Achilles rupture if a patient tells you that it felt as if he/she was kicked in the calf. Examination: A gap can be palpable at the site of rupture (usually 2-6 cm proximal to insertion). However, this becomes difficult with a delayed presentation. The most reliable clinical test is calf squeeze test (also known as Simmonds or Thompson’s test).

Mechanical debridement is the oldest form of wound debridement. It is best suited to wounds with large amounts of necrotic debris. Monofilament fiber pad has been a recent advancement in mechanical wound debridement. The pad was designed to bind with slough, hyperkeratotic debris and dried exudate. There are some disadvantages which consist of some removal of healthy tissue, could be painful, a high risk of infection, and time-consuming due to the fact that the dressings have to be changed often.