Design of thermoformable three dimensional-printed PLA cast for fractured wrist

Patient specific plastic cast for broken limbs has been developed recently in pharmaceutical field through three-dimensional (3D) printing method. However, the production of a 3D printed cast through normal 3D printing method is time consuming compared to conventional plaster casting. In this study, a design of ventilated structured thermoformable 3D-printed polylactic acid (PLA) cast was produced as an alternative for the 3D printed cast production method. This design was initially printed in a flat shape and then transformed into a cast which can be fitted to the user’s arm by using heat and external force. Finite Element Analysis (FEA) method was used to assess the mechanical properties of the proposed cast. In this analysis, thethermoformable design was exerted with a distributed force of 400 N, which is larger than the loading conditions encountered by human in their daily life. The mechanical properties of the thermoformable PLA cast such as local displacement under a specific load, maximum load, and stress were evaluated. Results were compared with the mechanical properties of Plaster of Paris cast. The results obtained from the FEA indicates that at the same layer thickness, the thermoformable 3D-printed PLA cast is stronger than the Plaster of Paris cast.

Assess the Effectiveness of Planned Teaching on Assisting Self-care Activities of Patients with Plaster of Paris Casts of Lower Extremities among Caregivers

Aim of the Study: To assess the effectiveness of planned teaching on assisting self-care activities of patients with plaster of Paris casts of lower extremities among caregivers. Study Design: The design that will be used in the study is One Group Pretest Posttest research design. Methodology: A study used a pre-test post-test design with no control group and a pre-experimental design. The impact of planned teaching on assisting self-care activities of patients with plaster of Paris casts of the lower extremities among caregivers will be assessed using the purposive sampling technique. In this study Evaluatory research approach will be used. Selected 100 caregivers of patients with plaster of Paris cast of lower extremities will be assessed primarily for knowledge in assisting self-care activities by structured questionnaires and then planned teaching will be given to the selected sample developed by researcher as intervention. Expected Results: To assess the effectiveness of planned teaching on assisting self-care activities of patients with plaster of Paris casts of lower extremities among caregivers. In this study the planned teaching will be useful in improving the caregivers knowledge in assisting selfcare activities. Conclusion: The conclusion will be drawn from the results and will be published in per review journal.

Synthesis of BiF3 and BiF3-Added Plaster of Paris Composites for Photocatalytic Applications

A BiF3 powder sample was prepared from the purchased Bi2O3 powder via the precipitation route. The photocatalytic performance of the prepared BiF3 powder was compared with the Bi2O3 powder and recognized as superior. The prepared BiF3 powder sample was added in a plaster of Paris (POP) matrix in the proportion of 0%, 1%, 5%, and 10% by wt% to form POP–BiF3(0%), POP–BiF3(1%), POP–BiF3(5%), and POP–BiF3(10%) composite pellets, respectively, and activated the photocatalytic property under the UV–light irradiation,in the POP. In this work, Resazurin (Rz) ink was utilized as an indicator to examine the photocatalytic activity and self-cleaning performance of POP–BiF3(0%), POP–BiF3(1%), POP–BiF3(5%), and POP–BiF3(10%) composite pellets. In addition to the digital photographic method, the UV–visible absorption technique was adopted to quantify the rate of the de-colorization of the Rz ink, which is a direct measure of comparative photocatalytic performance of samples.

Randomised controlled trial comparing immobilisation in above-knee plaster of Paris to controlled ankle motion boots in undisplaced paediatric spiral tibial fractures

BackgroundManagement of common childhood spiral tibial fractures, known as toddler’s fractures, has not significantly changed in recent times despite the availability of immobilisation devices known as controlled ankle motion (CAM) boots. We compared standard therapy with these devices on quality-of-life measures.MethodsA prospective randomised controlled trial, comparing immobilisation with an above-knee plaster of Paris cast (AK-POP) with a CAM boot in children aged 1–5 years with proven or suspected toddler’s fractures presenting to a tertiary paediatric ED in Perth, Western Australia, between March 2018 and February 2020. The primary outcome measure was ease of personal care, as assessed by a Care and Comfort Questionnaire (eight questions scored from 0, very easy, to 8, impossible) completed by the caregiver and assessed during three treatment time-points and preintervention and postintervention. Secondary outcome measures included weight-bearing status as well as complications of fracture healing and number of pressure injuries.Results87 patients were randomised (44 CAM boot, median age 2 (IQR 1.5–2.3), 71% men; 43 AK-POP, median age 2 (IQR 1.7–2.8), 80% men), a significant difference in the care and comfort score was demonstrated at all treatment time-points; with the AK-POP group reporting greater personal care needs on assessment on day 2, day 7–10 and 4-week review (all p≤0.001). Weight-bearing status was significantly different at day 7–10 (77.5% CAM vs 53.8% AK-POP, p=0.027). There was no difference in fracture healing or pressure areas between the two treatment groups.ConclusionsImmobilisation of toddler’s fractures in a CAM boot allows faster return to activities of daily living and weight-bearing without any effect on fracture healing.Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN12618001311246).

Outcomes of closed reduction in patients with developmental dysplasia of the hip incorporating open psoas and adductor release and using short leg cast

Background and objectives: Closed reduction and short leg spica casting are the preferred treatment options for children with developmental dysplasia of the hip. This study aimed to show the efficacy behind a standardized closed reduction for managing patients with developmental dysplasia of the hip with concomitant soft tissue releases when indicated and using a short leg plaster of Paris cast to maintain reduction and reporting mid-term results. Methods: A case series of 95 hips in 84 children aged 6-18 months who had closed reduction, with five years follow up or until next operation, involved in this study. The protocol defines acceptable concentric reduction criteria and the indications for an associated soft tissue release. All the patients were immobilized in a short leg cast for three months. Multiple follow-up radiographs were taken to assess Tönnis grade, Severin grade, acetabular index, and osteonecrosis signs. Results: A total of 48 hips were Tönnis grade 3/4 hips. At one year, 15 reductions couldn’t be maintained, and these patients needed open reduction. Of these 15 failed reductions, 7 patients were Severin 1; others were Severin 2. Of the 80 successful closed reductions, 70 hips were Severin 1. Surgical management for residual dysplasia was offered for 8 hips. Osteonecrosis was seen in 23 hips but was transient in 20. Bilateral hip dislocations and most Tönnis 4 hips were more likely to fail. Two children had severe osteonecrosis. Conclusions: Closed reduction, with subsequent adductor and psoas releases, when indicated and using a short leg plaster of Paris cast for three months, brings about good mid-term results in children with developmental dysplasia of the hip aged 6-18 months. Keywords: Developmental dysplasia of the hip, closed hip reduction, open psoas release, short leg cast.

A STUDY OF MORPHOMETRIC ANALYSIS AND MEASUREMENT OF ANGLE OF TORSION OF THE HEAD OF HUMERUS AND SHOULDER ARTHROPLASTY

Back ground: Humerus is the longest of the long bones of superior extremity.It”s head articulates with scapular glenoid cavity to form the gleno-humeral/Shoulder joint.The rounded head of Humerus is too weakly supported in the scapular glenoid cavity lined by glenoid labrum which makes it the most mobile and most unstable nd joint and so most commonly dislocated joint of the human body.Also the humeral head part is the 2 most important part of shoulder arthroplasty. Aim of the study is to make a clinical evaluation of parameters used in prosthesis design for the humeral component applied in arthroplasty of the proximal upper extremity. Methods: A total of 100 (Rt -58,Lt –42 ) dry human Humerus available in the Department of Anatomy of Calcutta National Medical College,Kolkata,West Bengal and Nilratan Sircar Medical College,Kolkata,West Bengal were taken for the study.The Humeral heads are measured in supero-inferior(SI) diameter, and antero-posterior diameter(AP), The width of Humeral head (Wdth),and angle of Humeral Torsion were measured. At the very beginning the both sided Humerus taken for the study are properly numbered using permanent marker pen.The width of the Humeral head(Wdth) is measured 1stly by pressing the head in modelling dough and when the mould is prepared,semisolid plaster of paris is lled into the mould. After drying the replica of humeral head is smoothened upto the mark of anatomical neck of humerus thus proper width can be measured. The superoinferior(SI) diameter, and antero-posterior diameter(AP) were measured by digital slide callipers by placing it directly onto the surface of consequently numbered humeral heads. The width of Humeral head (Wdth ) were measured from these replica(properly numbered) humeral heads, made of plaster of paris at the middle, the highest thickness was measured. The measurements are taken via spreading slide calipers in milimeters. For measuring the angle of humeral angle of torsion ,we xedly placed the humerus on to a area over the smooth part of the vertical wall which was meeting another horizontal wall at 90 degrees angle thus the line joining the two epicondyles of humerus lies parallel to the vertical wall.Now placing the straight edge of the protractor onto the upper end of humerus the angle of humeral torsion is measured. Results: Both sided Humerae were analysed separately for Morphological measurement, and angle of Humeral torsion.Mean values for SI were 41.31+3.46mm (Right side) and 40.91+3.27mm(Left side). Mean values for AP were 38.27+3.05mm (Right side) and 37.91+2.70mm(Left side). Conclusion: This study will contribute some relevant data and help the orthopaeditians in dealing with cases of shoulder pathology and shoulder arthroplasty cases.