Non-Sugical Treatment Method of DDH in Older Children
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A possible method for treating older children with a harness and brace. Additional exploration into the Dr. Papadimitriou research and additional cases.
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The influence of visual input on the postural stability in individuals with ...
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Similaire à Non-Sugical Treatment Method of DDH in Older Children
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This document discusses single-incision slings (SIS) for treating stress urinary incontinence. It provides pros and cons of SIS and summarizes various studies on the Minisling procedure. The studies found success rates of 85-95% in curing incontinence with SIS at 12-24 months follow up. Complication rates were low. SIS provide benefits of reduced bleeding risk, pain, and recovery time compared to standard mid-urethral slings. However, the document notes the learning curve is still developing for SIS procedures. In summary, the document reviews clinical studies demonstrating that single-incision slings effectively treat incontinence with low complication rates.
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The document summarizes a study that evaluated the efficacy of a joint mobilization apparatus in treating frozen shoulder. The study involved 48 patients with frozen shoulder who were randomly assigned to either a control group receiving regular physical therapy or an experimental group receiving physical therapy plus treatment with the joint mobilization apparatus. Outcome measures including range of motion and pain were assessed at baseline and after 4 and 8 weeks of treatment. The results showed that the experimental group had significantly greater improvements in range of motion and reductions in pain levels compared to the control group receiving only physical therapy. The study concluded that the joint mobilization apparatus combined with physical therapy can further improve shoulder function and relieve pain in patients with frozen shoulder compared to physical therapy alone.
Constrained induced movement therapy
CIMT involves constraining the unaffected limb, along with intense therapy, in order to force the use of the affected limb with intent to improve motor function.
Pediatric Airway Management
This document discusses best practices for pediatric airway management. It begins by outlining differences between pediatric and adult airways that make intubation more challenging in children, such as a prominent occiput, cephalad larynx, large tongue, and elliptical larynx. Predictors of difficult pediatric intubation are identified as age under 1, congenital anomalies, low BMI, and history of difficult intubation. The document then reviews optimal pre-oxygenation, induction agents like ketamine and etomidate, paralytics like rocuronium, and equipment like microcuffed tubes and video laryngoscopy that can facilitate intubation. Common pitfalls like inadequate sedation and aggressive bag-mask ventilation are
Community Minimally Invasive Total Hip Replacement Slideshow
Minimally invasive total hip replacement aims to reduce recovery time. The direct anterior approach is promising but requires experience. It provides good exposure through a small incision without detaching muscles. Early results show less pain and faster recovery compared to traditional approaches, though blood loss and time were initially higher for surgeons adopting the technique. With a multidisciplinary team and careful patient selection, the direct anterior approach shows potential to improve outcomes for total hip replacement.
Analysis of Spinal Decompression via Surgical Methods and Traction Therapy
This document summarizes various surgical and non-surgical methods for spinal decompression to treat back pain. For surgical decompression of the cervical spine, early surgery (<24 hrs) after spinal cord injury produces better outcomes than delayed surgery. Circumferential decompression and fusion is effective for cervical myelopathy. In the thoracic spine, posterior decompression with instrumented fusion improves neurological functioning for thoracic myelopathy. Video-assisted thoracoscopic surgery and percutaneous laser disc decompression are suitable minimally invasive options for the thoracic spine. For the lumbar spine, indirect decompression using an interbody cage is effective for degenerative lumbar stenosis, while decompression without fusion significantly decreases leg pain and disability. Minimally invasive
Cervical spondylosis; Physiotherapy approach
Dr. Orakwele Arinze presented on cervical spondylosis. The presentation included an introduction to cervical spondylosis, relevant anatomy, epidemiology, etiology, pathophysiology, clinical features, diagnosis, differential diagnosis, management, physiotherapy management, and a case study. Cervical spondylosis is an age-related degeneration of the cervical spine that can lead to nerve root or spinal cord compression. Symptoms include neck and arm pain, weakness, and sensory changes. Physiotherapy is an effective treatment and includes modalities like TENS, traction, exercises and lifestyle advice. The case study demonstrated improvement in a patient's neck pain, range of motion and strength following physiotherapy
Clinical Investigation Poster.pptx
This study investigated the use of a modified Plastibell device called the "Magic Ring" for circumcisions in children to reduce complications. The Magic Ring had design modifications from the standard Plastibell like a deeper canal and ligation thread to reduce risks of bleeding, infection, slippage and migration. The study found circumcisions using the Magic Ring had a low complication rate of 1.9%, with no cases of migration, slippage or infection reported. Patients experienced less pain compared to the standard Plastibell device. The study concluded the Magic Ring could help reduce risks associated with circumcisions compared to the standard Plastibell.
Case Study
A 70-year-old female presented with bilateral knee pain diagnosed as osteoarthritis. She received four weeks of physical therapy involving exercises to increase strength and flexibility in the knees and hips. The therapy resulted in decreased pain, improved range of motion and strength. While progress was made, the patient required additional therapy to further improve functional strength.
Evidence PICO heup benaderingen voor THP: anterieur vs posterolateraal
1) The anterior and posterior approaches for total hip arthroplasty (THA) were compared in several studies.
2) No differences were found between the approaches in terms of dislocation risk, functional outcomes, or muscle strength recovery at mid- and long-term follow up.
3) The anterior approach was associated with a longer learning curve but may have fewer femur fractures and blood loss compared to the posterior approach.
Next day discharge following elective caesarean section
Next day discharge following elective caesarean section using Enhanced Recovery Care Pathways.
Ian Wrench (Consultant Anaesthetist)
Andrea Galimberti (Consultant Obstetrician)
Jan Hall (Midwifery Sister – Postnatal ward)
Julie Humphries (Midwifery Sister – Postnatal Ward)
Sheffield Teaching Hospitals NHS Foundation Trust
Presentation from Shaping the Future Direction of Enhanced Recovery Care Pathway Seven Days a Week workshop held in London on 5 December 2013
Similaire à Non-Sugical Treatment Method of DDH in Older Children (20)
Urinary incontinence post VVF repair; Physiotherapy case report
Urinary incontinence post VVF repair; Physiotherapy case report
Fertility Management: Synergy between Endoscopists and Fertility Specialists
Fertility Management: Synergy between Endoscopists and Fertility Specialists
Community Minimally Invasive Total Hip Replacement Slideshow
Community Minimally Invasive Total Hip Replacement Slideshow
Analysis of Spinal Decompression via Surgical Methods and Traction Therapy
Analysis of Spinal Decompression via Surgical Methods and Traction Therapy
Evidence PICO heup benaderingen voor THP: anterieur vs posterolateraal
Evidence PICO heup benaderingen voor THP: anterieur vs posterolateraal
Next day discharge following elective caesarean section
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Dernier
Discover the Perfect Way to Relax - Malayali Kerala Spa Ajman
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English Drug and Alcohol Commissioners June 2024.pptx
Presentation made by Mat Southwell to the Harm Reduction Working Group of the English Drug and Alcohol Commissioners. Discuss stimulants, OAMT, NSP coverage and community-led approach to DCRs. Focussing on active drug user perspectives and interests
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nurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdf
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A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
nursing management of patient with Empyema ppt
prepared by Prof. BLESSY THOMAS, SPN
Empyema is a disease of respiratory system It is defines as the accumulation of thick, purulent fluid within the pleural space, often with fibrin development.
Empyema is also called pyothorax or purulent pleuritis.
It’s a condition in which pus gathers in the area between the lungs and the inner surface of the chest wall. This area is known as the pleural space.
Pus is a fluid that’s filled with immune cells, dead cells, and bacteria.
Pus in the pleural space can’t be coughed out. Instead, it needs to be drained by a needle or surgery.
Empyema usually develops after pneumonia, which is an infection of the lung tissue. it is mainly caused due in infectious micro-organisms. It can be treated with medications and other measures.
Monopoly PCD Pharma Franchise in Tripura
Our company incorporates various drug formulations covering pharma tablets, syrups, capsules, gels, sachets, ointments, creams, injectables.
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6快递给客户（国内顺丰国外DHLUPS等快读邮寄）。头贼脑的倒也逗人喜爱日上三竿时山娃总爱窜进自家瓜棚里跟小伙伴们坐着聊天聊着聊着便忍不住往瓜田里逡巡一番抱起一只硕大的西瓜用石刀劈开抑或用拳头砸开每人抱起一大块就啃啃得满嘴满脸猴屁股般的红艳大家一个劲地指着对方吃吃地笑瓜裂得古怪奇形怪状却丝毫不影响瓜味甜丝丝的满嘴生津遍地都是瓜横七竖八的活像掷满了一地的大石块摘走二三只爷爷是断然发现不了的即便发现爷爷也不恼反而教山娃辨认孰熟孰嫩孰甜孰淡名义上是护瓜吃
Top 5 Benefits of Cancer Registry Services
Ensure the highest quality care for your patients with Cardiac Registry Support's cancer registry services. We support accreditation efforts and quality improvement initiatives, allowing you to benchmark performance and demonstrate adherence to best practices. Confidence starts with data. Partner with Cardiac Registry Support. For more details visit https://cardiacregistrysupport.com/cancer-registry-services/
Sectional dentures for microstomia patients.pptx
Microstomia, characterized by an abnormally small oral aperture, presents significant challenges in prosthodontic treatment, including limited access for examination, difficulties in impression making, and challenges with prosthesis insertion and removal. To manage these issues, customized impression techniques using sectional trays and elastomeric materials are employed. Prostheses may be designed in segments or with flexible materials to facilitate handling. Minimally invasive procedures and the use of digital technologies can enhance patient comfort. Education and training for patients on prosthesis care and maintenance are crucial for compliance. Regular follow-up and a multidisciplinary approach, involving collaboration with other specialists, ensure comprehensive care and improved quality of life for microstomia patients.
Daughter's of Dr Ranjit Jagtap (Poulami & Aditi)
The story of Dr. Ranjit Jagtap's daughters is more than a tale of inherited responsibility; it's a narrative of passion, innovation, and unwavering commitment to a cause greater than oneself. In Poulami and Aditi Jagtap, we see the beautiful continuum of a father's dream and the limitless potential of compassion-driven healthcare.
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Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
DAHL APPROACH a novel technique to raise bite
dahl approach is alternative techniue to raise bite with direct restorations
Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
Test bank clinical nursing skills a concept based approach 4e pearson educati...
Test bank clinical nursing skills a concept based approach 4e pearson educati...rightmanforbloodline
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson educationTest bank advanced health assessment and differential diagnosis essentials fo...
Test bank advanced health assessment and differential diagnosis essentials fo...rightmanforbloodline
Test bank advanced health assessment and differential diagnosis essentials for clinical practice 1st edition myrick.
Test bank advanced health assessment and differential diagnosis essentials for clinical practice 1st edition myrick.
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Discover the Perfect Way to Relax - Malayali Kerala Spa Ajman
Discover the Perfect Way to Relax - Malayali Kerala Spa Ajman
English Drug and Alcohol Commissioners June 2024.pptx
English Drug and Alcohol Commissioners June 2024.pptx
Faridkot ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Faridkot
Faridkot ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Faridkot
nurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdf
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Emotional and Behavioural Problems in Children - Counselling and Family Thera...
Emotional and Behavioural Problems in Children - Counselling and Family Thera...
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
3. User Guide Activity Budget Tracking App Steps to apply.pptx
3. User Guide Activity Budget Tracking App Steps to apply.pptx
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Test bank clinical nursing skills a concept based approach 4e pearson educati...
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Test bank advanced health assessment and differential diagnosis essentials fo...
Non-Sugical Treatment Method of DDH in Older Children
- 1. Charles T. “Chad” Price, M.D. Professor of Orthopedic Surgery Univ. of Central Florida College of Medicine Director, International Hip Dysplasia Institute Possible Method for Treating Older Children with Harness and Brace • May be an alternative for closed reduction and cast immobilization
- 2. Effective Brace Treatment Until Age 2 • 95 late hip dislocations • Average age 16 months • 93% success without any other treatment JBJS 89A:1258, 2007 Phase B (retention phase) Nikolaos G. Papadimitriou
- 3. JBJS 89A:1258, 2007 22 month old girl Age 3.5 years 18° 18°
- 4. • 2019 IHDI Team sent to Northern Greece Thessaloniki
- 6. • Increased flexion in the harness leads to Inferior displacement of the hip Rombouts JJ, Kaelin A. J Bone Joint Surg Br. 1992;74(5):708-10 González JF, Albiñana J. J Pediatr Orthop B. 1996;5(2):129-31
- 8. • Greater flexion is permitted • Better results than Pavlik • No AVN • No Femoral Nerve Palsy Kubo H, et al. Arch Orthop Trauma Surg (2018) 138:149–153 Atalar H, et al. Hip Int 2014; 24 (3): 295-301 Uraş I, et al. J Pediatr Orthop B. 2014;23(4):339-42 Lu, X et.al. Publication pending
- 9. Foreign braces with results that are reportedly better than the Pavlik harness
- 10. Gravity Relaxed muscles A fulcrum point in the thigh may help lift the hip into the socket as gravity pulls down on the knee and leg.
- 11. Abduction then reduces the hip through the cotyloid notch
- 12. 14 month old girl Normal birth Walking with limp at age 12 months Case Example #1
- 13. In Harness One week with 70° flexion One week with 90° flexion Four weeks at 120° flexion
- 14. • Confirmed reduction • Added abduction bar 9 weeks in harness
- 15. 3 months after initiation of treatment Hoffman-Daimler Abduction Bar and flexion harness Maintaining flexion and abduction until 4.5 months after beginning treatment
- 16. Atlanta Abduction Brace used for 3 more months with ambulation PHASE 4 • Night time abduction bracing for one year after initiation of treatment
- 17. Patient did not return 9 years later-contacted by phone mother says child had no other treatment, is fine, and doesn’t need to come back. Atlanta Abduction Brace used for 3 more months with ambulation
- 18. 8 month old girl Bilateral dysplasia Could also attempt Pavlik Harness Case Example #2
- 21. 16 months • 30 months
- 22. Possible Advantages • Decreased Anesthesia • Protective effect of motion on articular cartilage • Salter RB, et al JBJS-Am. 1980 • Jortikka MO, et al. Ann Rheum Dis 1997;56:255-61 • Mutsuzaki H, et al Intl J Mol Sci 2017;18:253 • Kiviranta I, et al J Orthop Res 1994;12:161-7 • Dynamic movement – Improves acetabular development – Improves vascular perfusion of femoral head • Carter DR and Wong M. J Orthop Res 1988;6:804-16 • Wang C-L, et al. Biochem Biophys Res Comm 2017;485:400-8 • Lian-Yong L, Wang En-bo, et al Int J Clin Exp Pathol 2014:6:212-23
- 23. • Shortcomings – Limited experience of early investigators – Same duration of bed rest even if successful – Unfamiliar harness and brace applications may encounter unexpected problems – Long-term results not verified by additional studies
- 24. Treating Older Children with Harness and Brace THE END