Closed Continuous Irrigation in the Treatment of Hand Infections

1999 ◽  
Vol 24 (3) ◽  
pp. 328-333 ◽  
Author(s):  
P. A. HARRIS ◽  
J. NANCHAHAL
Keyword(s):  
Septic Arthritis ◽  
Functional Recovery ◽  
Irrigation System ◽  
Surgical Debridement ◽  
Hand Therapy ◽  
Continuous Irrigation ◽  
Outlet Tube ◽  
Inlet Tube ◽  
Flexor Tenosynovitis

We report our experience with a closed continuous irrigation system in 12 patients with hand infections: six cases of flexor tenosynovitis, three cases of septic arthritis and three palmar abscesses. Four of these patients had undergone previous surgical débridement and peroperative washout without elimination of the infection. The continuous irrigation system consists of two fenestrated tubes placed within the infected space, with the tip of the smaller calibre inlet tube positioned just inside the larger outlet tube. Resolution of infection was achieved in all 12 cases and all regained complete functional recovery. The closed continuous irrigation system is easy to manage, with no leakage of fluid; hand therapy may be started early and the patient is mobile throughout.

Closed Continuous Irrigation as a Treatment for Infection in the Hand

1993 ◽  
Vol 18 (6) ◽  
pp. 783-789 ◽  
Author(s):  
K. NEMOTO ◽  
M. YANAGIDA ◽  
T. NEMOTO
Keyword(s):  
Severe Infection ◽  
Crush Injury ◽  
Continuous Irrigation ◽  
Outlet Tube ◽  
Amputation Stump ◽  
Inlet Tube ◽  
Infected Area ◽  
Antibiotic Solution ◽  
Pyogenic Arthritis ◽  
Tuberculous Tenosynovitis

A method of closed irrigation has been devised to treat infections in the hand. After adequate débridement, two tubes are placed in the infected area, an inlet tube and an outlet tube. For a small infection, one tube serves both purposes. The wound is closed completely. Irrigation with saline and antibiotic solution is continued for 1 week, extended up to 3 weeks in cases of severe infection. This method has been applied in 31 cases including pyogenic tenosynovitis, tuberculous tenosynovitis, pyogenic arthritis, osteomyelitis, bite injury, crush injury and amputation stump infection. Infection healed primarily in 29 cases. Further surgery was needed in two cases which healed finally.

Semi-Ebonite. Part 2

1936 ◽  
Vol 9 (3) ◽  
pp. 468-485
Author(s):  
P. A. Gibbons ◽  
F. H. Cotton
Keyword(s):  
Experimental Method ◽  
Original Form ◽  
Considerable Difficulty ◽  
Outlet Tube ◽  
Test Pieces ◽  
Volatile Products ◽  
Inlet Tube ◽  
Frequent Reference ◽  
Conical Flask

Abstract In Part 1 (Rubber Chem. and Tech., 8, 554 (1935)) frequent reference was made to the volatile products emitted during the aging of semi-ebonite under different conditions. In this section an experiment is described wherein the various products were detected and some attempt made to estimate the relative amounts of each. The experiment in its original form presented considerable difficulty, and many disappointments were experienced before a modified apparatus was finally adopted. Experimental Method.—Eight test-pieces, one from each of the accelerated cures (see Part 1), were cut to a convenient size, six inches by one inch. The test-pieces were carefully weighed and their thickness determined as the average of several readings on the micrometer. The strips were suspended from a bent glass rod projecting from a cork-bearing inlet and outlet tubes (see Fig. 5). The cork was then inserted in a clean conical flask and the latter sealed with wax until it withstood a considerable vacuum. The flask was placed in a Geer oven automatically maintained at 70° C. The outlet tube was attached to an absorption train and the inlet tube to a purifying train.

scholarly journals Cyclic Sprinkler Irrigation and Pre-irrigation Substrate Water Content Affect Water and N Leaching from Containers

1994 ◽  
Vol 12 (4) ◽  
pp. 198-202
Author(s):  
Nabila S. Karam ◽  
Alexander X. Niemiera
Keyword(s):  
Water Content ◽  
Irrigation System ◽  
Sprinkler Irrigation ◽  
Application Rate ◽  
N Leaching ◽  
Time Interval ◽  
Water Application ◽  
Total N ◽  
Continuous Irrigation ◽  
Continuous Application

Abstract A series of sprinkler irrigation experiments were conducted to determine the influences of water application rate (WAR), pre-irrigation substrate water content (PSWC), and cyclic irrigation on water and N leaching from container-grown plants. Prior to experiments, Marigold (Tagetes erecta L. ‘Apollo’), were glass house-grown in pine bark-filled 3.8 liter (1 gal) containers. Prior to treatment, substrate was dried via evapotranspiration (ET) to targeted PSWCs. A simulated overhead irrigation system applied the daily water allotment in a single continuous application or cyclically (multiple applications); in most cases the respective ET volumes were applied to the substrate. Water application efficiency (WAE; water vol retained in substrate + water vol applied to substrate) was determined, and in some experiments, leachates were analyzed for EC, NO3-N and NH4-N. A negative linear relationship existed between WAR and WAE. Leachate NO3-N and NH4-N concentrations were unaffected by WAR, however, total N leached increased with increasing WAR. WAE of cyclic irrigation was 4% higher (absolute basis) than with continuous irrigation; WAE increased as the time interval between cyclic applications increased from 20 to 60 min. Regardless of how water was applied, WAE was inversely related to PSWC and application volume. These experiments showed that the most effective method to increase WAE is to irrigate at relatively low PSWCs; if irrigation occurs at relatively high PSWCs, then relatively low volumes should be applied.

scholarly journals Performance of Five Turfgrasses under Linear Gradient Irrigation

HortScience ◽  
1999 ◽  
Vol 34 (5) ◽  
pp. 893-896 ◽  
Author(s):  
Y.L. Qian ◽  
M.C. Engelke
Keyword(s):  
Drought Resistance ◽  
Irrigation System ◽  
Disease Incidence ◽  
Gray Leaf Spot ◽  
Irrigation Regime ◽  
Long Term Effects ◽  
Weed Invasion ◽  
Continuous Irrigation ◽  
Linear Gradient

Determining the appropriate level of irrigation for turfgrasses is vital to the health of the turfgrass and the conservation of water. The linear gradient irrigation system (LGIS) allows long-term assessment of turf performance under continuous irrigation gradients from excess to no irrigation. The objectives of this study were to: 1) evaluate the minimum irrigation requirements and relative drought resistance of `Rebel II' tall fescue (Festuca arundinacea Schreb.), `Meyer' zoysiagrass (Zoysia japonica Steud.), `Tifway' bermudagrass [Cynodon dactylon (L.) Pers.], `Prairie' buffalograss [Buchloe dactyloides (Nutt.) Engelm], and `Nortam' St. Augustinegrass [Stenotaphrum secundatum (Walt.) Kuntze]; and 2) evaluate the long-term effects of irrigation levels on turf persistence, weed invasion, and disease incidence for the five selected turfgrasses under field conditions. Turf was sodded under LGIS with an irrigation gradient ranging from 120% Class A pan evaporation (Ep) to natural precipitation, along a 20-m turf area. Evaluation during the summers of 1993–96 indicated that grasses differed in drought resistance and persistence under variable irrigation regimes. Irrigation (Ep) required to maintain acceptable turf quality for respective grasses was `Rebel II' (67%), `Meyer' (68%), `Nortam' (44%), `Tifway' (35%), and `Prairie' (26%). Higher dollar spot (Sclerotinia homoeocarpa Bennett) infection was observed at 115% Ep irrigation regime in `Tifway' bermudagrass, whereas gray leaf spot [Pyricularia grisea (Hebert) Barr] was observed only at 10% Ep irrigation regime in St. Augustinegrass plots. An outbreak of brown patch (Rhizoctonia solani Kuehn.) occurred in Sept. 1996 in St. Augustinegrass plots receiving irrigation at >80% Ep.

scholarly journals Risk Factors for Failure of a Single Surgical Debridement in Adults with Acute Septic Arthritis

2015 ◽  
Vol 97 (7) ◽  
pp. 558-564 ◽  
Author(s):  
Joshua G Hunter ◽  
Jonathan M Gross ◽  
Jason D Dahl ◽  
Simon L Amsdell ◽  
John T Gorczyca
Keyword(s):  
Risk Factors ◽  
Septic Arthritis ◽  
Surgical Debridement

scholarly journals Manubriosternal subluxation/dislocation can lead to manubriosternal septic arthritis in patients with kyphoscoliosis

2010 ◽  
Vol 92 (2) ◽  
pp. e35-e37 ◽  
Author(s):  
N Nwaejike ◽  
MJ Unsworth-White
Keyword(s):  
Septic Arthritis ◽  
Surgical Debridement

Locally deranged joint anatomy can predispose to septic arthritis which can be managed by surgical debridement. We present a case of manubriosternal subluxation/dislocation caused by kyphoscoliosis leading to manubriosternal septic arthritis.

Septic arthritis of knee due to Burkholderia pseudomallei: a case report

2020 ◽  
Vol 50 (3) ◽  
pp. 254-257
Author(s):  
Debasish Parija ◽  
Bikram K Kar ◽  
Padma Das ◽  
Jiten K Mishra ◽  
Alok C Agrawal ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Case Report ◽  
Septic Arthritis ◽  
Acute Phase ◽  
Burkholderia Pseudomallei ◽  
Surgical Debridement ◽  
Northern Australia ◽  
Oral Doxycycline

Burkholderia pseudomallei is an important cause of sepsis in certain parts of Asia and northern Australia. It usually causes abscess in the lungs, liver, spleen, skeletal muscle and parotids, especially in patients who are immunocompromised. In India, musculoskeletal melioidosis has rarely been reported. We report such a case with septic arthritis of the knee, diagnosed on the basis of a positive pus culture. After being treated by arthrotomy and surgical debridement followed by a combination of intravenous ceftazidime (acute phase = three weeks) and oral doxycycline and co-trimoxazole (eradication phase = five weeks) for two months, the patient recovered completely with no recurrence.

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