Tumor Reconstruction & Limb Salvage Journal Scan

Adjustments to amputation and an artificial limb in lower limb amputees.

Prosthet Orthot Int. 2013 May 30;

Authors: Sinha R, van den Heuvel WJ, Arokiasamy P

Abstract

Prediction of the skeletal medio-lateral dimension using non-invasive anthropometric measurements for the provision of ischial containment sockets: A pilot study.

Prosthet Orthot Int. 2013 Jun 24;

Authors: Dillon MP, Laux S, Fernandez RG

Abstract

Timely manner application of hand orthoses to patients with amyotrophic lateral sclerosis: A case report.

Prosthet Orthot Int. 2013 May 30;

Authors: Tanaka K, Horaiya K, Akagi J, Kihoin N

Abstract
Background:In patients with amyotrophic lateral sclerosis, the atrophy of hand muscles often causes impairment of thumb/finger motion and disabilities in their activities of daily living. Hand orthoses are effective for such impairment and disabilities; however, there are some difficulties in their application.Case description and methods:In this case report, we present the timely application of hand orthoses and introduce our clinical algorithm for the application of hand orthoses to patients with amyotrophic lateral sclerosis.Findings and outcomes:Our clinical algorithm was applied to 11 patients. The numbers of applications and the durations of the use of orthoses were as follows: 4, web spacer; 4, short thumb spica; 8, long thumb spica; and 2, cock-up splint; and 2.75, 2.0, 0.63, and 2.0 months, respectively.Conclusions:The clinical algorithm for the application of hand orthoses is helpful in choosing the optimal orthoses and contributes to maximizing patients' function, independence, and quality of life.Clinical relevanceHand orthoses are useful for improving the activities of daily living of patients with amyotrophic lateral sclerosis. The clinical algorithm might be helpful for many physicians in choosing the optimal orthoses in a timely manner.

PMID: 23722599 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23722599?dopt=Abstract

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Does Limb Preconditioning Reduce Pain After Total Knee Arthroplasty? A Randomized, Double-blind Study.

Clin Orthop Relat Res. 2013 Jun 13;

Authors: Memtsoudis SG, Stundner O, Yoo D, Gonzalez Della Valle A, Boettner F, Bombardieri AM, Jules-Elysee K, Poultsides L, Ma Y, Sculco TP

Abstract
BACKGROUND: Total knee arthroplasty (TKA) can be associated with considerable postoperative pain. Ischemic preconditioning of tissue before inducing procedure-related underperfusion may reduce the postoperative inflammatory response, which further may reduce associated pain. QUESTIONS/PURPOSES: In this prospective, randomized study, we aimed at evaluating the impact of ischemic preconditioning on postoperative pain at rest and during exercise; use of pain medication; levels of systemic prothrombotic and local inflammatory markers; and length of stay and achievement of physical therapy milestones. METHODS: Sixty patients undergoing unilateral TKA under tourniquet were enrolled with half (N = 30) being randomized to an episode of limb preconditioning before induction of ischemia for surgery (tourniquet inflation). Pain scores, analgesic consumption, markers of inflammation (interleukin-6 [IL-6], tumor necrosis factor [TNF]-α in periarticular drainage), and periarticular circumference were measured at baseline and during 2 days postoperatively. Changes in prothrombotic markers were evaluated. RESULTS: Patients in the preconditioning group had significantly less pain

Forces and moments in knee-ankle-foot orthoses while walking on irregular surfaces: A case series study.

Prosthet Orthot Int. 2013 May 30;

Authors: Andrysek J, Klejman S, Kooy J

Abstract

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Chick Embryo Extract Demethylates Tumor Suppressor Genes in Osteosarcoma Cells.

Clin Orthop Relat Res. 2013 Jun 13;

Authors: Mu X, Sultankulov B, Agarwal R, Mahjoub A, Schott T, Greco N, Huard J, Weiss K

Abstract

A mechanism to compensate undesired stiffness in joints of prosthetic hands.

Prosthet Orthot Int. 2013 May 20;

Authors: Smit G, Plettenburg D, Van der Helm F

Abstract

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Giant cell tumours of the small bones of the hands and feet: long-term results of 30 patients and a systematic literature review.

Bone Joint J. 2013 Jun;95-B(6):838-45

Authors: Oliveira VC, van der Heijden L, van der Geest IC, Campanacci DA, Gibbons CL, van de Sande MA, Dijkstra PD

Abstract
Giant cell tumours (GCTs) of the small bones of the hands and feet are rare. Small case series have been published but there is no consensus about ideal treatment. We performed a systematic review, initially screening 775 titles, and included 12 papers comprising 91 patients with GCT of the small bones of the hands and feet. The rate of recurrence across these publications was found to be 72% (18 of 25) in those treated with isolated curettage, 13% (2 of 15) in those treated with curettage plus adjuvants, 15% (6 of 41) in those treated by resection and 10% (1 of 10) in those treated by amputation. We then retrospectively analysed 30 patients treated for GCT of the small bones of the hands and feet between 1987 and 2010 in five specialised centres. The primary treatment was curettage in six, curettage with adjuvants (phenol or liquid nitrogen with or without polymethylmethacrylate (PMMA)) in 18 and resection in six. We evaluated the rate of complications and recurrence as well as the factors that influenced their functional outcome. At a mean follow-up of 7.9 years (2 to 26) the rate of recurrence was 50% (n = 3) in those patients treated

Patellar tendon bearing brace: Combined effect of heel clearance and ankle status on foot plantar pressure.

Prosthet Orthot Int. 2013 May 20;

Authors: Alimerzaloo F, Kashani RV, Saeedi H, Farzi M, Fallahian N

Abstract