Support Bandage Research Articles

ПОВЫШЕНИЕ ЭФФЕКТИВНОСТИ ТЕХНОЛОГИИ РЕМОНТА БАНДАЖЕЙ ЦЕМЕНТНЫХ ПЕЧЕЙ ЗА СЧЕТ ПРИМЕНЕНИЯ НОВОЙ КОНСТРУКЦИИ ОБРАБАТЫВАЮЩЕГО МОДУЛЯ

During the operation of large-sized kilns of cement plants, due to the design features and operating conditions, there is constant wear of the rolling surfaces of its supports, consisting of support rollers and bandages. A decrease in the accuracy of the shape caused by the wear of these surfaces can lead to distortion of the shape of the entire unit and its failure. To eliminate wear and bring the shape of the supports to the standard values of geometric tolerances, there are various technological processes of mechanical processing. The most effective of them are non-dismountable mobile repair technologies. A distinctive feature of this type of technological processes is that the machining of the rolling surface of the supports is carried out directly during the technological rotation of the firing furnaces, without stopping them.
 Subject to the use of existing methods for measuring the shape of the rolling surface of the bandages, the possibility of increasing the efficiency of their machining due to the integrated use of a new design of the processing module and a software module for constructing a route and calculating technological cutting modes is shown. The paper considers the main stages and methods of performing a new technological process of mechanical surface treatment of rolling bands of firing furnaces.

Arthroscopic versus open cancellous bone grafting for scaphoid delayed/nonunion in adults (SCOPE-OUT): study protocol for a randomized clinical trial

BackgroundScaphoid non-union results in pain and decreased hand function. Untreated, almost all cases develop degenerative changes. Despite advances in surgical techniques, the treatment is challenging and often results in a long period with a supportive bandage until the union is established. Open, corticocancellous (CC) or cancellous (C) graft reconstruction and internal fixation are often preferred. Arthroscopic assisted reconstruction with C chips and internal fixation provides minimal trauma to the ligament structures, joint capsule, and extrinsic vascularization with similar union rates. Correction of deformity after operative treatment is debated with some studies favouring CC, and others found no difference. No studies have compared time to union and functional outcomes in arthroscopic vs. open C graft reconstruction. We hypothesize that arthroscopic assisted C chips graft reconstruction of scaphoid delayed/non-union provides faster time to union, by at least a mean 3 weeks difference.MethodsSingle site, prospective, observer-blinded randomized controlled trial. Eighty-eight patients aged 18–68 years with scaphoid delayed/non-union will be randomized, 1:1, to either open iliac crest C graft reconstruction or arthroscopic assisted distal radius C chips graft reconstruction. Patients are stratified for smoking habits, proximal pole involvement and displacement of > / < 2 mm. The primary outcome is time to union, measured with repeated CT scans at 2-week intervals from 6 to 16 weeks postoperatively. Secondary outcomes are Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH), visual analogue scale (VAS), donor site morbidity, union rate, restoration of scaphoid deformity, range of motion, key-pinch, grip strength, EQ5D-5L, patient satisfaction, complications and revision surgery.DiscussionThe results of this study will contribute to the treatment algorithm of scaphoid delayed/non-union and assist hand surgeons and patients in making treatment decisions. Eventually, improving time to union will benefit patients in earlier return to normal daily activity and reduce society costs by shortening sick leave.Trial registrationClinicalTrials.gov NCT05574582. Date first registered: September 30, 2022. Items from the WHO trial registry are found within the protocol.

What do we currently know about incisional complications of colic surgery?

SummaryIt is common for horses to suffer from incisional complications after colic surgery. The complications encountered are oedema, infection, hernia and dehiscence. Oedema is a natural response to surgical trauma but when it is severe it can be associated with additional complications such as infection, hernia and dehiscence. Thus, it is worthwhile preventing marked oedema, and an abdominal bandage is an effective method for that. Infection of the incision is common, but mostly it is mild and does not require significant intervention. Many of the infections manifest after the horse is discharged from the hospital; thus, these infections are markedly underreported. Since multidrug resistance in bacteria are becoming a major problem in equine medicine, sampling the incision for monitoring is important. Hernia formation is typically preceded by incisional infection. Most hernias do not require intervention but some warrant surgical correction. The most simple and effective method to repair them is primary closure of the hernial ring followed by subcutaneous mesh implantation. By this method, one achieves both a strong body wall and a good cosmetic outlook. Complete body wall dehiscence is fortunately uncommon and is often associated with incisional infection and pregnancy. Complete body wall dehiscence usually occurs in about 5 days after surgery and is the most fatal complication. If dehiscence is noticed prior to any evisceration, conservative therapy with close monitoring and a supportive bandage is indicated and has a good chance of success. Once evisceration is noted, emergency secondary body wall closure is indicated, and the prognosis is guarded. To conclude, incisional complications are commonly encountered after colic surgery, most of them have clinically mild implications. Occasionally, these complications may become significant and even fatal. Careful attention to surgical technique and protecting the incision in the immediate post‐operative period can significantly decrease the risk of these complications.

Treatment, clinical course and outcome of tibial neuropathy in German Holstein cows

As a follow-up to a previous study on the incidence, history and clinical findings of tibial neuropathy (TN), the present work aimed at describing the treatment and prognosis of this disease. Of 88 German Holstein dairy cows with unilateral (UTN, n = 71) or bilateral (BTN, n = 17) TN, 68 (56 UTN, 12 BTN) with a complete data set were analyzed. They were retrospectively assigned to one of four groups: no treatment - spontaneous healing within 48 h (Spontaneous, 5 UTN), no bandage (0Cast, 8 UTN, 3 BTN) or treatment with anti-inflammatory drugs and support bandage (StV, 3 UTN) or fiberglass cast (Cast, 40 UTN, 9 BTN). Treated cows were re-examined five times (14, 21, 28, 42 and 56 days after the first presentation). The plasma activity of creatine kinase was measured at the last re-examination in 29 cows similar to measurement at day 0. The observed overall success rate of treatment of cows with UTN was considerably higher compared with untreated cows (Cast 98 % and StV 100 % vs. 0Cast 62 %). By comparison, the observed difference between treated and untreated cows with BTN was not so clear (78 % vs. 67 %). Recovering cows exhibited a calculated longer median survival time than cows that did not recover (545 d vs. 100 d). Plasma creatine kinase activities were increased initially and returned within the reference interval (434 U/l and 152 U/L) following treatment. Cows with ETN have an excellent prognosis provided that treatment with anti-inflammatory drugs and stabilizing bandage is administered. In cows with BTN, the prognosis depended on the type and degree of the primary injury. Loss of skin sensitivity indicated a poor prognosis. From an economic standpoint, treatment of TN is indicated provided that the prognosis is good. In cows that had healed clinically, the average survival time extended into the following lactation. This study highlights the advantages of a support bandage for the treatment of cows with TN. Compared with other peripheral neuropathies, muscle damage appears to be of particular importance in TN.

Clinically SUspected ScaPhoid fracturE: treatment with supportive bandage or CasT? ‘Study protocol of a multicenter randomized controlled trial’ (SUSPECT study)

IntroductionSome scaphoid fractures become visible on radiographs weeks after a trauma which makes normal radiographs directly after trauma unreliable. Untreated scaphoid fractures can lead to scaphoid non-union progressing to osteoarthritis....

Improving adhesion of three-dimensional printed objects on textile fabrics by polymer coating

Three-dimensional printing belongs to the emerging technologies of our time. Still being relatively time-consuming and suffering from low mechanical properties, three-dimensional printing can be combined with other production technologies to overcome these problems. Three-dimensional printing on textile fabrics, for example, allows for creating large areas with sufficient lateral mechanical properties in a reasonable time on which three-dimensional printed parts give additional functionalities or laterally selective mechanical rigidity and so on. To create three-dimensional printed personalized knee joint support bandages, however, the adhesion between textile fabric and polymeric parts needs to be further increased. Here, we report on the influence of a polymer coating on different textile fabrics on the adhesion of three-dimensional printed elements from hard and soft poly(lactic acid). Surprisingly, the coating increases the adhesion significantly for the hard poly(lactic acid), while the soft poly(lactic acid) sticks better on some materials without additional coating. Maximum separation forces are measured for linen which can be attributed to the relatively long linen fibers with uneven surface, increasing the fiber–fiber friction inside the fabric and the adhesion to the polymer.

Casts, Splints, and Support Bandages – Nonoperative Treatment and Perioperative Protection

Das Werk aus der bewährten AOTrauma- Reihe befasst sich mit einem Thema, dem heutzutage relativ wenig Aufmerksamkeit geschenkt und demzufolge in der Facharztweiterbildung nicht gebührend Zeit gewidmet wird. Umso erfreulicher und wichtiger wird das Vorhalten von geeigneter Literatur über das Themengebiet der Ruhigstellungstechniken. Die Herausgeber haben eine internationale und namhafte Autorenschaft für dieses Thema gewinnen können.

Comparison of below knee cast and elasticated support bandage treatment foe an isolated fracture of the lateral malleolus

Introduction: Ankle fractures are the most common type of fractures treated in orthopaedics with isolated malleolar fractures, accounting for two-thirds of fractures. The most common injury mechanism is supination external rotation, which accounts for the majority of all ankle fracture patterns. Supination external rotation stage II is the classic short oblique fracture of the distal fibula without a medial side injury, which responds well to non-operative treatment as it is a stable fracture. The purpose of this study is to compare efficacy of elasticated support bandage versus plaster cast in the patient with isolated lateral malleolus fracture (Lauge-Hansen supination- eversion external stage II.)Method: A prospective comparative study was carried out in the Department of Orthopaedics in Bir Hospital from February 2007 to January 2009. Patients with ankle fracture were initially treated by below knee posterior slab for seven days to allow the swelling to subside and on seventh day follow-up they were grouped in two groups. Group A were patients with below knee cast and Group B were elasticated support bandage. Both groups were followed-up in the 5th week for cast or elasticated bandage removal and were evaluated after a week, thereafter, every monthly for 3 months and finally at 6 month.Result: Of the 48 cases enrolled, the mean age of the patients was 38.85 years. The common mode of injury was fall from height followed by road traffic accident. The modified subjective ankle score of Olerud and Molander (1984) was found more in group B in comparison to group A in all follow ups. In initial three successive follow ups at 6 week, 12 week and at 3 month subjective score was found statistically significant (p&gt; 0.05) however, it was not significant at 6 month follow up. The range of motion was significantly improved in group B in all follow ups but the difference between the two groups at 6 weeks and 10 weeks follow ups was statistically significant. Immobilized group required less analgesic but the difference was not significant statistically.Conclusion: Both below knee cast and elasticated support bandage treatment methods are safe, satisfactory and equally effective with a better early result in elasticated support bandage. Supination External Rotation stage II type fracture can be treated conservatively, if there is no medial tenderness.Journal of Society of Surgeons of NepalVol. 17, No. 2, 2014, Page: 7-11

Using transprofessional care in the emergency department to reduce patient admissions: A retrospective audit of medical histories

ABSTRACTThe demand for emergency department (ED) services has increased significantly, due to our increasingly ageing population and limited access to primary care. This article reports outcomes from a transprofessional model of care in an ED in Victoria, Australia. Nurses, physiotherapists, social workers, and occupational therapists undertook additional education to increase the range of services they could provide and thereby expedite patient flow through the ED. One hundred patients who received this service were matched against 50 patients who did not. The most common reasons for patient admission were limb injury/limb pain (n = 47, 23.5%) and falls (n = 46, 23.0%). Transprofessional interventions included applying supportive bandages, slings, zimmer splints and controlled ankle motion (CAM) boots, and referral to new services such as case management and mental health teams. The rate of hospital admissions was significantly lower in the transprofessional group (n = 27, 18.0%) than in the reference group (n = 19, 38%, p = 0.005). This group also had a slightly lower re-presentation rate (n = 4, 2.7%) than patients in the reference group (n = 2, 4.0%). There are many benefits that support this model of care that in turn reduces ED overcrowding and work stress. A transprofessional model may offer a creative solution to meeting the varied needs of patients presenting for emergency care.

Klaus Dresing, Peter Trafton, Jos Engelen (Cast technician): Casts, splints, and support bandages: nonoperative treatment and perioperative protection

This monumental work constitutes a true encyclopedia of the preserving orthopedic treatments, casts, splints, and bindings that are explained and presented in detail. After a background historical and exposed principles, one enters the important chapter of the nonpharmacological and pharmacological prevention of thromboembolic complications. The means and materials with their specific properties are then studied. The specific techniques for the fractures, dislocations, and subluxations of the upper limb, then of the lower extremity, the fractures of the spine, the fractures in paediatrics then arrive. The traumas of the tendons, ligament, and nerves are the object of specific chapters. Finally, the infections and the lesions by overload are not omitted. Especially, more than 300 pages of color photographs which show all the stages of manufacturing of each orthesis or cast the follow. More: the very beautiful quality of the iconography and the access to the site ‘‘Mediacenter.thieme.com’’ on which one will be able then, thanks to the code provided in the work (page 2 of cover), to show the videos of all the techniques. Small ‘‘less’’: one can regret the absence of an index to facilitate the rapid access with the various entries. Very beautiful work which should be accessible in all services from orthopedy to the future doctors and to gypsotherapistes.

Control Prosody using Multi-Agent System

Persons who have undergone a laryngectomy have a few options to partially restore speech but no completely satisfactory device. Even though the use of an electrolarynx (EL) is the easiest way for a patient to produce speech, it does not produce a natural tone and appearance is far from normal. Because of that and the fact that none of them are hands-free, the feasibility of using a motion sensor to replace a conventional EL user interface has been explored. A mobile device motion sensor with multi-agent platform has been used to investigate on/off and pitch frequency control capability. A very small battery operated ARM-based control unit has also been developed to evaluate the motion sensor based user-interface. This control unit is placed on the wrist and the vibration device against the throat using support bandage. Two different conversion methods were used for the forearm tilt angle to pitch frequency conversion: linear mapping method and F0 template-based method A perceptual evaluation has been performed with two well-trained normal speakers and ten subjects. The results of the evaluation study showed that both methods are able to produce better speech quality in terms of the naturalness.

Extraoral Surgical Correction of Lingual Entrapment in a Chinese Goose (Anser cygnoides)

An adult female Chinese goose (Anser cygnoides) presented with a ventral displacement of the hyoid apparatus, associated with distension of the intermandibular sublingual space and of the gular skin, causing difficulties with prehension and deglutition of food and water. Physical examination revealed that the tongue was able to move normally and could be replaced into a normal anatomical position by external compression of the distended ventral intermandibular region. A mild hypoalbuminemia was the only remarkable finding of the biochemistry panel. Radiographs and computed tomography scan of the head and neck regions confirmed a normal hyoid apparatus. An extraoral surgical reconstruction of the distended intermandibular skin was performed: the excess skin was incised and resected and the margins of the incision were sutured with appropriate tissue tension to obtain a good apposition and prevent ventral displacement of the hyoid apparatus. Postoperative complication included airway obstruction by a large amount of respiratory secretions, which were successfully aspirated from the trachea. A supportive elastic bandage was placed at the level of the beak commissure during the following 24 hours in order to reduce downward pressure on the suture line and minimize the risk of dehiscence of the suture. The goose resumed eating within 4 hours following the surgery and oxygen supplementation was discontinued after 24 hours. Respiration was assessed as normal and the tongue remained permanently in normal position. The lingual entrapment did not recur during the following 18 months.

Development of Hand Gesture Controlled Electrolarynx

The feasibility of using a motion sensor to replace a conventional electrolarynx(EL) user interface was explored. Forearm motion signals from MEMS accelerometer was used to provide on/off and prosody control. The small transducer was placed against the throat using support bandage. A battery operated ARM-based small control unit was developed and placed on the wrist. The control unit can convert the tilt angle into the pitch frequency. Speech generation was tested with various forearm movements, and then a simple and small action was chosen to control the device. A simple comparison study has been made with well-trained normal speakers. Results of the study showed that the prototype system was able to produce the pitch patterns similar to those in natural utterances.

Tenotomie von Karpal- und Zehenbeugesehnen zur Korrektur der Neuromyodysplasie bei einem Kalb

In a 7-day-old heifer calf, a bilateral flexural deformity of the forelimbs involving the digital flexor tendons, the suspensory ligament and the ulnar and radial carpal flexor tendons was diagnosed. After 2 weeks of conservative treatment consisting of manual stretching of the legs and the application of splints and wooden blocks, which were glued to the soles and extended beyond the tip of the claws, the right forelimb could be extended sufficiently to allow weight bearing, whereas the left forelimb could be passively extended to only approximately 120°. Therefore, tenotomy of the ulnar carpal flexor tendon, the digital flexor tendons and the suspensory ligament was carried out in the left leg. A support bandage was then applied to the leg for 8 weeks, after which the carpus and fetlock could be completely extended passively. Flexural deformity of the carpus caused by contracture of the carpal flexor tendons was treated by means of a tenotomy of the ulnar carpal flexor tendon proximal to the accessory carpal bone, which allowed preservation of the carpal tunnel and avoided the risk of iatrogenic damage to nerves and the carpal joint capsule.

A Highly Cross‐Linked Polymeric Binder for High‐Performance Silicon Negative Electrodes in Lithium Ion Batteries

A support bandage for electrodes: A cross-linked polymeric binder (see picture, red) inhibits mechanical fracture of silicon negative electrodes during cycling. Nanosized silicon powder with a 3D interconnected network of poly(acrylic acid) and sodium carboxymethylcellulose as binder exhibits high reversible capacity of over 2000 mAh g−1 after 100 cycles at 30 °C while maintaining a high capacity and high current density.

Categorizing Wounds to Improve Clinical Management and Prognostic Outcome: A Retrospective Study

Trauma and surgeries are common causes of wounds that require proper management to prevent complications, economic losses, pain and suffering, death or euthanasia of the affected animals. A retrospective study of 243 wounds in cattle, sheep and goats treated between 1981 and 2006 is described. It describes practical clinical methods of categorizing and correlating wounds based on their management, complications, and prediction of prognosis. Location of a wound in the body is one of the most important factors that determine the mode of management, possible complications and anticipated outcome. Approximately 22% of the wounds were located on the ventral abdomen and thoracic regions and these healed rapidly due to good drainage of exudates. Periarticular and articular wounds constituted 17.3% and required protective and supportive bandages to prevent contamination and minimize movement. Wounds in areas prone to gross contamination constituted 14.3%, took long to heal and had a high incidence of suture dehiscence. The type of wound meant the state in which it was, while the level of tissues involved determined depth. About 46.1% of wounds involved areas with scarcity of tissue and healed slowly, while sepsis and abscessation formed 39.2% of the wounds and healed after prolonged treatment. Wounds involving dense muscular tissue were 23.6% and these healed within 3 weeks of treatment, but skin-deep wounds made 6.7% and healed within 2 weeks. Those involving the bone were 4.5% and took an average of 16 weeks to heal. Bites and gangrenous wounds were unmanageable and frequently resulted in high patient mortality, while partially granulating wounds healed rapidly. Wounds penetrating to any body cavity were best managed closed rather than open. Effective wound management-entailed debridement of deep-seated necrotic tissue, removal of foreign materials or special surgery to enhance drainage. The complicating factors included presence of subcutaneous emphysema, oedema, sepsis, foreign bodies, maggots and abscesses. Location, type and depth of wounds are therefore useful factors for categorizing wounds and these factors influence management and prognostic outcomes. Kenya Veterinarian Vol. 30 (2) 2006: pp. 73-80

Do emergency department physiotherapy Practitioner’s, emergency nurse practitioners and doctors investigate, treat and refer patients with closed musculoskeletal injuries differently?

Introduction: This paper aims to assess whether emergency department physiotherapy practitioner’s (EDPPs), emergency nurse practitioner’s (ENPs) and emergency department doctors investigate, treat and refer patients with closed musculoskeletal injuries differently....

Is it possible to decrease skin temperature with ice packs under casts and bandages?

There is a general belief that the presence of a cast or a bandage eliminates the lowering effects of skin temperature when local cold therapy applied on the surface of the cast or bandage. The purpose of this study is to determine the magnitude of temperature changes at the skin of the ankle after the application of frozen ice packs to the surface of various casts and bandages both in normal and swollen ankles. Thirty-two healthy subjects (Group A) and 12 patients with Grade III inversion type acute ankle sprain (Group B) were randomly divided into four groups. The sensor of the digital thermometer was secured to the ankle over the anterior talo-fibular ligament in every subject before placement of a bandage or cast. Robert Jones bandage, elastic support bandage, a below-knee plaster cast and synthetic below-knee cast were applied in groups 1, 2, 3 and 4, respectively. Two frozen ice packs were placed around the cast or bandage at the level of sensor, and skin temperatures were recorded. The skin temperature under dressings and casts decreased significantly relative to the baseline temperatures with local cold therapy in all groups. The fall in the temperature with cryotherapy in group A showed a three-phase pattern of change between groups 1 and 2, groups 2 and 3 and groups 2 and 4 during the experiment. The fall in the skin temperature with ice packs differed significantly between groups 1 and 3, and also groups 1 and 4 from the beginning till the end of the experiment. There was no significant difference between groups 3 and 4 in terms of skin temperature fall with cryotherapy during the whole experiment. The results were similar in group B. A bandage or cast does not prevent measurable skin temperature lowering by frozen ice packs both in normal and swollen ankles.

MRI features of tibiofibular joint dislocation

Sir, Isolated anterolateral dislocation of the proximal tibiofibular joint (PTFJ) is an uncommon knee injury that can be treated effectively without surgery if diagnosed early [1]. There are four types of PTFJ dislocations, classified by Ogden: subluxation (type 1), anterolateral dislocation (type 2), posteromedial dislocation (type 3) and superior disloca‐ tion (type 4) [1]. A 35-year-old pregnant woman who was taken to our Emergency Department had fallen downstairs, injuring her right knee. On examination she had tenderness and accentuation of the bony prominence of the fibula head, no effusion and pain in the knee joint itself and full range of movement. The peroneal nerve was intact. Radiographs did not show any fractures but revealed some anterior and lateral translation of the fibula head. It has to be mentioned that the diagnostic value of the X-raytechnique is limited in PTFJ dislocations because films exposed in mild degrees of obliquity are difficult to interpret and there are several anatomical variants of the PTFJ and its dislocations [2, 3]. Because of the patient’s pregnancy, MRI instead of CT was performed. Our images were obtained by a T2-weighted turbo-spin echo (TSE) sequence without and with fat suppression (Fig. 1). They showed the ligament injuries in addition to the dislocated fibula, with a triangular gap between the two articulation surface areas. The fibula was in a lateral and slightly anteriorly displaced position and somewhat rotated internally. The weaker posterior tibiofibular ligament was torn. Intact parts of the injured joint capsule and the anterior tibiofibular ligament inhibited a longer dislocation. Such conditions could potentially lead to misdiagnosis in CT scans. In accordance with Ogden’s clas‐ sification an anterolateral PTFJ dislocation, which is the most common variant [1], was diagnosed. A closed reduction under sedation and fluoroscopy-guided conditions was performed. By forceful pressure on the fibula, with the knee in approximately 70° of flexion, the fibula head was reduced with an audible ‘crunch’. The patient felt immediate resolution of symptoms and was allowed to be mobile using a support bandage. To confirm PTFJ dislocations suspected on plain radiographs, axial CT scanning is recommended. However, in the study by Keogh et al. only 71% of the anterolateral dislocations were detected by CT [3]. That might be the result of not completely disrupted tibiofibular ligaments, which hold the fibula fixed in only a lateral displaced position. In atypical cases a comparison with a CT scan of the opposite PTFJ appears to be necessary to M. Zoller . P. Reittner . G. Schaffler (*) Department of Radiology, University Hospital of Graz, Auenbruggerplatz 9, 8036 Graz, Austria e-mail: gottfried.schaffler@meduni-graz.at Tel.: +43-316-38581716 Fax: +43-316-3853231

Management of Ankle Sprains: A Randomised Controlled Trial of the Treatment of Inversion Injuries Using an Elastic Support Bandage or an Aircast Ankle Brace

Management of Ankle Sprains: A Randomised Controlled Trial of the Treatment of Inversion Injuries Using an Elastic Support Bandage or an Aircast Ankle Brace