Hip prosthesis in sitting posture for bilateral transfemoral amputee after burn injury: a case report

2016 ◽  
Vol 41 (5) ◽  
pp. 522-526
Author(s):  
Yukiyo Shimizu ◽  
Hirotaka Mutsuzaki ◽  
Takayuki Maezawa ◽  
Yuji Idei ◽  
Kazuya Takao ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Relevance ◽  
Burn Injury ◽  
Hip Prosthesis ◽  
Balance Training ◽  
Burn Injuries ◽  
Case Description ◽  
Sitting Posture ◽  
Transfemoral Amputee ◽  
Transfemoral Amputees

Background: To overcome the challenges of rehabilitation of bilateral transfemoral amputees, we developed a novel “hip prosthesis in the sitting posture.” Case Description and Methods: A 64-year-old male bilateral transfemoral amputee was transferred for rehabilitation 4 months following a burn injury. His wounds remained unhealed for 20 months; thus, he was unable to participate in standing training with the standard prosthetic sockets. Hip prosthesis in the sitting posture has very little friction between the sockets and residual limbs, which facilitated our patient to begin standing and walking exercises. Findings and Outcomes: The patient’s refractory wounds healed 1 month after initiating exercises using hip prosthesis in the sitting posture, and he could begin rehabilitation with the standard prostheses. Discussion and Conclusion: Hip prosthesis in the sitting posture enabled a bilateral transfemoral amputee with unhealed residual limbs to stand, walk, and begin balance training. Hip prosthesis in the sitting posture is an effective temporary prosthesis to prevent disuse until wounds are healed and to continue rehabilitation with standard prostheses. Clinical relevance Hip prosthesis in the sitting posture is useful for bilateral transfemoral amputees with unhealed residual limbs after burn injuries to prevent disuse and maintain motivation for walking.

Return to surfing using an adapted prosthesis: A case report

2018 ◽  
Vol 42 (4) ◽  
pp. 455-459
Author(s):  
Erica Schvirtz ◽  
Laurent Bensoussan ◽  
Bertrand Tourret Couderc ◽  
Jean-Michel Viton ◽  
Alain Delarque ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Relevance ◽  
Shock Absorber ◽  
Knee Prosthesis ◽  
Salt Water ◽  
Case Description ◽  
Subjective Analysis ◽  
Transfemoral Amputee ◽  
Prosthetic Limb ◽  
Technical Specifications

Background: Surfing with transfemoral knee prosthesis requires flexion of the hip, knee, and ankle and balance between flexibility and stiffness of the prosthetic limb. We report on Mr D, a transfemoral amputee, who wanted to surf again. Case Description and Methods: Technical specifications were based on Mr D’s complaint. The prosthesis is salt water resistant and combines a shock absorber associated with elastic tendons to permit the knee to bend easily and to facilitate eccentric braking. Surfing was observed using videos of movements and subjective analysis of compensations. Findings and Outcomes: Mr D uses this prosthesis for surfing with good results and got back to his former level using compensations. During the takeoff, he cannot shorten his left leg. He makes a circumduction movement to put his leg in front of the board. Conclusion: This prosthesis is adapted for surfing and allows precise adjustments to surfing conditions. Clinical relevance Appropriate prosthesis design can enable return to surfing for a transfemoral amputee.

scholarly journals A rare Fusarium equiseti infection in a 53-year-old male with burn injury: A case report

2021 ◽  
Author(s):  
Tang Xuan Hai ◽  
Nguyen Thai Ngoc Minh ◽  
Do Ngoc Anh ◽  
Tran Ngoc Dung ◽  
Ngo Thi Minh Chau ◽  
...  
Keyword(s):  
Case Report ◽  
Susceptibility Testing ◽  
Burn Injury ◽  
Large Subunit ◽  
Antifungal Susceptibility ◽  
Herbal Product ◽  
Burn Injuries ◽  
Burn Patients ◽  
Fusarium Equiseti

Background and Purpose: Burn injuries are prone to infection caused by bacteria, fungi, or other pathogens. Fungal wound infection usually has non-specific clinical symptoms.Nevertheless, in some cases, the fungal burden is so substantial that can easily be seen by the naked eyes, but this phenomenon has rarely been reported with Fusarium. Case report: A 53-year-old patient with severe burn injury was admitted to the intensive care unit of the National Hospital of Burn, Ha Noi, Vietnam. His wound was dressed with a traditional herbal product before the hospital admission. On the 5th day after the admission, some white patches suspected of fungal colonies appeared on burn lesions where the herbal medicine was placed. Histological examination (Periodic acidSchiff) and culture of biopsy samples taken from those lesions revealed fungus that was identified as Fusarium equiseti after analysis of the internal transcribed spacer and D1/D2 region of the large subunit of the 28S rDNA. The isolated strain showed susceptibility to voriconazole but resistance to fluconazole, itraconazole, caspofungin,and amphotericin B in vitro. The patient received aggressive treatment, including IV voriconazole (400 mg daily from day five); however, he could not recover. Conclusion: Fusarium should be suspected in burn patients with white patches on lesions. Antifungal susceptibility testing is important since multidrug resistance is common among Fusarium strains.

scholarly journals Flexor Pollicis Longus Rupture in a Scaphoid Nonunion: A Case Report

2020 ◽  
Vol 09 (04) ◽  
pp. 357-361
Author(s):  
Bruno E. Crepaldi ◽  
Courtney Andrijich ◽  
Jeff Ecker
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Clinical Relevance ◽  
Tendon Rupture ◽  
Rare Complication ◽  
Case Description ◽  
Scaphoid Nonunion ◽  
Flexor Pollicis Longus ◽  
Capsule Repair

Abstract Background Flexor pollicis longus (FPL) tendon rupture is a rare complication of scaphoid nonunion. Case Description A fit active 70-year-old woman ruptured her FPL when it abraded on a painless 50-year-old scaphoid nonunion. She had asymptomatic scaphoid nonunion advanced collapse (SNAC) arthritis. At surgery, the sharp mobile volar scaphoid osteophytes were excised and the volar wrist capsule was repaired. A vascularized fat flap based on a perforator of the radial artery was used to augment the volar wrist capsule repair and to create a smooth gliding surface for the FPL. The ruptured FPL tendon was reconstructed with a palmaris longus graft. Literature Review Complete rupture of the FPL tendon secondary to scaphoid nonunion is a rare complication. It can be easily misdiagnosed because the original injury may be unrecognized or forgotten. A consensus regarding the optimal surgical management has not been reached. Clinical Relevance The objective of surgery in this case was to restore FPL function and prevent a recurrent rupture. The asymptomatic SNAC arthritis was not treated. No further wrist surgery was required. The patient was asymptomatic with a functioning FPL tendon 4 years after surgery.

scholarly journals Prosthetic rehabilitation of auricular defect: a clinical report

2012 ◽  
Vol 37 (3) ◽  
pp. 240-244 ◽  
Author(s):  
Aman Arora ◽  
Nirmala Pasam ◽  
Shilpi Gilra ◽  
Preeti C Arora
Keyword(s):  
Case Report ◽  
Clinical Relevance ◽  
Case Reports ◽  
Clinical Report ◽  
External Ear ◽  
Case Description ◽  
Prosthetic Rehabilitation ◽  
Implant Placement ◽  
Sense Of Security ◽  
Laboratory Procedures

Background: The absence of external ear may be due to congenital, traumatic, or surgical causes. Many case reports only describe impression techniques to record details of the defect side and the natural ear. The purpose of this case report is to explain in detail simple clinical and laboratory procedures involved in fabrication of ear prosthesis. Case Description and Methods: The use of three-part mold helps in the application of pigmented silicone in specific areas. The use of direct adhesive fixation provides the best esthetic result and if properly used the most satisfactory form of treatment. Findings and Outcomes: The patient was satisfied with the life-like appearance of the prosthesis. The use of direct adhesive fixation gave the patient a sense of security and improved his confidence. Conclusion: The technique described is economical, and additional steps of implant placement are avoided. The esthetics of the prosthesis made by hand carved clay pattern provides good details. Clinical relevance The technique describes the method of direct adhesive fixation of the prosthesis giving it a life-like appearance. The confidence of the patient is also restored.

A simplified approach for the rehabilitation of an auricular defect: A case report

2013 ◽  
Vol 38 (6) ◽  
pp. 510-514 ◽  
Author(s):  
Sumant K Singh ◽  
Kopal Goel ◽  
Niraj Mishra ◽  
Pooran Chand ◽  
Umashankar Pal ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Relevance ◽  
Acrylic Resin ◽  
Case Description ◽  
Modified Technique ◽  
Simplified Approach ◽  
Acrylic Resins ◽  
Custom Made ◽  
Simplified Procedure ◽  
Strength And Durability

Background and aim:Replacement of missing ear is a challenging task in which extensive array of materials and techniques have been employed. Materials such as silicones and methacrylate acrylic resins have been widely used for auricular prosthesis. This article describes a simplified procedure for fabricating resilient heat-cured acrylic resin auricular prosthesis, retained with a custom-made acrylic bar with ball attachments.Case description and methods:A male patient was reported with right ear loss. A modified technique was preferred to fabricate ear prosthesis with resilient heat-cured acrylic resin in which heat-cured acrylic retentive bar was incorporated.Findings and outcomes:Contrary to silicones, resilient heat-cured acrylic resin was more economical and compatible with acrylic retentive bar and resulted in a more long-lasting auricular prosthesis.Conclusion:Resilient heat-cured acrylic resin was proven to be a better alternative in terms of strength and durability.Clinical relevanceThis article presents an economical and simplified approach for the fabrication of prosthesis for a missing ear.

Three-part mould technique for fabrication of hollow thumb prosthesis: A case report

2016 ◽  
Vol 40 (6) ◽  
pp. 756-762
Author(s):  
Ajay Jain ◽  
Fraser S Walker ◽  
Sridevi Ugrappa ◽  
Sumit Makkad ◽  
Vijay Kumar Ugrappa
Keyword(s):  
Case Report ◽  
Clinical Relevance ◽  
Chief Complaint ◽  
Case Description ◽  
Medical Conditions ◽  
Dental Clinic ◽  
Left Thumb ◽  
The Third ◽  
Ventral Aspect ◽  
Patient Reported

Background: The purpose of this article is to describe a technique which helps in fabrication of glove-type hollow thumb prosthesis using three-part mould technique. Case description and methods: Patient reported to the Department of Private dental clinic, Delhi, India with a chief complaint of missing partial left thumb and wanted to get it replaced. A complete clinical hand examination was carried out, which revealed a residual stump of 1 cm length. After ensuring the medical conditions to be normal, fabrication of hollow thumb prosthesis was planned using three-part mould technique. Findings and outcomes: The prosthesis delivered to the patient was highly retentive because of its glove-type retention and lighter weight; feedback from the patient regarding retention was excellent. The prosthesis was aesthetically pleasing because of its excellent colour matching with the skin, and each and every part of the prosthesis could be colour customized because of easy retrieval of the third part of the mould, as well. Conclusion: A technique of hollow thumb prosthesis has been described in this article which helps in reduction in weight, easy packing of silicone material into the mould and easy colour customization at the knuckles area of the dorsal and ventral aspect of the prosthesis. Clinical relevance This three-part mould technique helps to fabricate hollow prosthesis which increases retainability and at the same time allows easy packing of silicone material and easy colour customization at the knuckles area of the prosthesis.

Managing the Transition to Edentulousness Using Partial Transitional Dentures for First Time Prosthodontic Patients: Addressing Unrealistic Expectations – A Case Report

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Case Report ◽  
Treatment Outcomes ◽  
Treatment Planning ◽  
Clinical Relevance ◽  
Treatment Plan ◽  
Sequential Treatment ◽  
Aesthetic Result ◽  
Abutment Teeth ◽  
First Time ◽  
Unrealistic Expectations

Aim: The aim of this report is to describe the management of a prosthodontic patient expressing unrealistic expectations with respect to the transition to edentulousness. Objectives: To outline (1) the diagnosis and explicit expectations of the patient on presentation (2) considerations made during treatment planning to address the wishes of the first time prosthodontic patient (3) a sequential treatment plan utilizing transitional partial removable dentures to manage the change to edentulousness (4) functional and aesthetic result achieved. Results: Delivery of immediate removable partial dentures retaining key abutment teeth in upper and lower arches was a viable prosthodontic solution in the transition to edentulousness of a patient expecting unrealistic treatment outcomes. Conclusions: Addressing impractical expectations and devising a treatment plan amenable to both clinician and patient is difficult. Strategies to manage these wishes in prosthodontic dentistry can include transitional partial dentures. Clinical relevance: Practitioners who encounter similar situations may consider this report valuable.

Pharmacoepidemiological Analysis of Pharmacotherapy for Burn Injuries in Real Clinical Practice

2020 ◽  
pp. 70-79
Author(s):  
Olga Vyacheslavovna Zhukova ◽  
Ekaterina Sergeevna Nekaeva ◽  
Elena Sergeevna Khoroshavina ◽  
Ekaterina Alexeevna Kozlova ◽  
Yulia Alexandrovna Dudukina ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Average Cost ◽  
Burn Injury ◽  
General Structure ◽  
Burn Injuries ◽  
Antimicrobial Drugs ◽  
Positive Tendency ◽  
Defined Daily Doses ◽  
Duration Of Hospitalization ◽  
Real Clinical Practice

Objective: to conduct pharmacoepidemiological analysis and analysis of the costs of pharmacotherapy, taking into account the actual consumption of drugs in the real inpatient clinical practice at the federal center in Russia. Materials and methods. Data from the medical records of 14 patients with burn injury, who were hospitalized in 2018, was analyzed. Patients’ age was from 23 to 67 years (44,93 ± 14,66). Duration of hospitalization was from 17 to 62 days (35,93 ± 14,17). We calculated rate of prescription foe each drug and its share in general structure of all utilized drug courses (n = 460). We performed frequency analysis of prescription structure, DDD (defined daily doses) analysis, DU90% (Drug Utilization 90%) analysis, ABC-analysis and analysis of average cost of pharmacotherapy. Results. Most frequently used drugs, prescribed in 75-100% of all hospital cases, included 15 names, e.g. 2 antimicrobial drugs (vancomycin and amikacin), 19 were used commonly, including 4 antimicrobial drugs (co-trimoxazole, cefoperazone/sulbactam, tigecyclin and cefepime). Other drugs were used in less than 25% of cases. 33 drugs made 90% of all consumed NDDD, including 5 antimicrobial drugs (vancomycin, amikacin, co-trimoxazole, cefoperazone/sulbactam and tigecyclin). These drugs comprised 70,24% in the prescription structure. The cost of one DDD in DU90% segments (512,33 rubles) is 1,4 higher than in DU10% segment (649,34 rubles). Average cost of drugs included in DU90% group was 4735,89 rubles vs 4966,80 rubles for drugs from DU10% group. This finding shows positive tendency of burn injuries pharmacological treatment. Conclusion. We obtained the data, which can be used for comparison of real clinical practice costs with a current payment rates for medical care.

Electric burn injury in the oral cavity in a Nilgiri Langur Trachypithecus johnii - a case report

2007 ◽  
Vol 22 (11) ◽  
pp. 2901-2902
Author(s):  
S. Anoop ◽  
S. Ajith Kumar ◽  
C.N. Dinesh ◽  
P. Reshmi ◽  
P.P. Balakrishnan
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Burn Injury ◽  
Nilgiri Langur

scholarly journals Application of Double-Threaded Locking Adaptation Plates used to Repair a Radius and Ulna Fracture in a Domestic Rabbit (Oryctolagus Cuniculus)

VCOT Open ◽  
2020 ◽  
Vol 03 (02) ◽  
pp. e182-e186
Author(s):  
Anthony Malak ◽  
Andrew S. Levien
Keyword(s):  
Case Report ◽  
Clinical Significance ◽  
Oryctolagus Cuniculus ◽  
Clinical Report ◽  
Locking Plates ◽  
Case Description ◽  
Domestic Rabbit ◽  
Implant Complications ◽  
Osseous Union ◽  
Ulna Fractures

Abstract Objective This study is a case description of the clinical application of locking plates to repair fractures in the radius and ulna of a 9-month-old, male domestic rabbit. Study Design This study is a case report. Results Double-threaded locking adaptation plates of 1.5 mm were fixated to the radius and ulna of the rabbit using the principles of orthogonal plating. Radiographs of the left radius and ulna were obtained at 8 weeks postoperatively depicting complete osseous union of the fracture and no implant complications were observed. Clinical Significance The authors describe the first clinical report of 1.5 mm locking adaptation plates having been used in repairing radius and ulna fractures in a domestic rabbit.

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