MyMedR

Fulltext Prosthetics socket that incorporates an air splint system focusing on dynamic interface pressure

Razak NA, Osman NA, Gholizadeh H, Ali S

Biomed Eng Online, 2014;13:108.

PMID: 25085005 DOI: 10.1186/1475-925X-13-108

The interface pressure between the residual limb and prosthetic socket has a significant effect on an amputee's satisfaction and comfort. This paper presents the design and performance of a new prosthetic socket that uses an air splint system.

Matched MeSH terms: Splints*

The efficacy of silastic sheet nasal splints in endoscopic nasal septal repair surgery: a prospective, randomized, single-blinded controlled trial

Alasousi F, Fan J, Pascual A, Hernaiz-Leonardo JC, Javer AR

Int Forum Allergy Rhinol, 2021 09;11(9):1381-1383.

PMID: 33742768 DOI: 10.1002/alr.22791

Matched MeSH terms: Splints*

Fulltext Relative motion splints versus metacarpophalangeal joint blocking splints in the management of trigger finger: Study protocol for a randomized comparative trial

Leong LX, Chai SC, Howell JW, Mohd Rasdi HF, Abdul Rahman NR

PLoS One, 2024;19(8):e0307033.

PMID: 39137205 DOI: 10.1371/journal.pone.0307033

BACKGROUND: Evidence supports the use of hand-based metacarpophalangeal joint (MCPJ) blocking splints as an intervention for trigger finger (TF). In practice, finger-based relative motion (RM) splints are also implemented without evidence.

PURPOSE: This randomized comparative trial (RCT) aims to evaluate implementation of MCPJ blocking and RM splints for effectiveness, function, occupational performance and wearability after 6 weeks of TF management.

METHODS AND ANALYSIS: Priori analysis determined 36 individuals were needed for random assignment to the RM or MCPJ blocking splint groups. Individuals must be aged ≥21 years, and diagnosed with TF involving ≥1 finger. For blinding purposes, the primary author screens for eligibility, fabricates the splints and educates. Therapist A administers the primary outcome measures Week-1 and Week-6-stage of stenosing tenosynovitis and secondary outcome measures- number of triggering events in 10 active fists, visual analog scales (VAS) for pain, splint comfort and satisfaction, Disabilities of the Arm, Shoulder and Hand, and Canadian Occupational Performance Measure. Therapist B in Week-3 instructs participants in deep tissue massage and administers splint wearability VASs. The RM pencil test is used to determine the affected finger(s) MCPJ splint position i.e., more extension or flexion based on participant response. The MCPJ blocking splint holds the MCPJ in a neutral position. Analysis involves a mixed-effects ANOVA to compare Week-1 and Week-6 primary and secondary outcomes.

RESULTS: Recruitment and data collection are ongoing.

DISCUSSION: Biomechanically RM splints control tendon excursion and reduce passive tendon tension while allowing unencumbered finger motion and hand function. Hence clinicians use RM splints as an intervention for TF, despite the lack of implementation evidence. This RCT implements a function-focused as well as patient-centered approach with partial blinding of assessors and participants.

CONCLUSION: We anticipate that this study will provide evidence for the implementation of RM splints to manage adults with TF.

TRIAL REGISTRATION: Clinical trial registration This trial is registered with ClinicalTrials.gov (NCT05763017).

Matched MeSH terms: Splints*

Fulltext Diagnostic overlay removable partial denture in the management of tooth wear: a clinical report

Yahya, A.N., Radzi, Z., Yusof, Z.Y.M.

Malaysian Dental Journal, 2007;28(1):34-37.

MyJurnal

This clinical case report describes an aspect of restorative management of worn teeth. It illustrates the use of diagnostic overlay removable partial denture or DORPD, which has the same function as occlusal splint but with advantages of providing immediate aesthetic improvement and function.

Matched MeSH terms: Occlusal Splints

Fulltext Software development for optimal design of different precast slabs

Noorzaei, J., Wong, J.N., Thanoon, W.A., Jaafar, M.S.

Pertanika Journal of Science & Technology, 2009;17(1):-.

MyJurnal

Precast concrete technology forms an important part in the drive towards a full implementation of the Industrialized Building System (IBS). The IBS requires building components and their dimensions to be standardized, and preferably cast off site. Slabs are major structural elements in buildings, other than beams and columns. Standardized and optimized slabs can significantly enhance the building industries in achieving the full implementation of the IBS. Nevertheless, this requires computer techniques to achieve standardized and optimized slabs which can satisfy all building design requirements, including the standards of architectural and structural design standards. This study proposed a computer technique which analysed and designed five different types of slabs which will satisfy all the requirements in design. The most commonly used slabs included in this study were the solid one way, solid two way, ribbed, voided and composite slabs. The computer techniques enable the design of the most optimized sections for any of the slab types under any loading and span conditions. The computer technique also provides details for the reinforcements required for the slabs.

Matched MeSH terms: Splints

Fulltext The use of multimedia as a distraction to reduce anxiety reaction among paediatric patients during cast removal at Hospital Tengku Ampuan Afzan

Tengku Kashfil

International Medical Journal Malaysia, 2017;16(11):40-40.

MyJurnal

Cast removal procedures can be a daunting experience for children giving
rise to anxiety. The objective of this study is to measure the level of anxiety in children
during cast removal at Hospital Tengku Ampuan Afzan. (Copied from article).

Matched MeSH terms: Splints

Fulltext Proximal third femoral shaft fractures in children: prevention of angular deformities using bilateral Thomas splints

Kamal MH, Razak M, Ibrahim S, Lim A

Med J Malaysia, 2000 Sep;55 Suppl C:68-73.

PMID: 11200047

This is a prospective study to look at the outcome of unilateral proximal third femoral shaft fractures in children treated with a bilateral Thomas splint in the Department of Orthopaedic Surgery Universiti Kebangsaan Malaysia between the period of January 1996 and June 1998. Eighteen children aged between 2 years and 12 years old with unilateral proximal third fractures of the femoral shaft were treated using a bilateral Thomas splint. Angular deformities were measured using a goniometer metric scale before and after Thomas splints. The percentage of varus tilt corrected ranged from 17% to 72% with an average correction of 29% from the initial deformity and the difference was statistically significant (p < 0.05). The percentage of posterior tilt corrected ranged from 19% to 60% with the average correction of 20% from the initial deformity. The difference was statistically significant (p < 0.05). From this study, we conclude that bilateral Thomas splints can give a better correction of angular deformity for proximal third femoral shaft fractures in children below twelve years of age.

Matched MeSH terms: Splints*

Fractures of the femoral neck

Monro JK

Journal of the Malaya Branch of the British Medical Association, 1940;3:422.

Matched MeSH terms: Splints

Fulltext Modified pectoralis major tendon transfer for reanimation of elbow flexion as a salvage procedure in complete brachial plexus injury: a case report

Taran S, Nawfar S

Malays Orthop J, 2013 Mar;7(1):79-81.

PMID: 25722813 MyJurnal DOI: 10.5704/MOJ.1303.004

Traumatic brachial plexus injuries rarely recover spontaneously and if the window period for neurotisation has elapsed, the only option for restoration of function lies in a salvage procedure. Many such salvage procedures have been described in the literature with variable functional results. We report the case of a 16-year-old boy who presented after unsuccessful treatment for a complete brachial plexus injury; we performed a pectoralis major tendon transfer to attain elbow flexion. Postoperatively, the elbow was splinted with flexion at 100°. After 4 weeks of immobilization the splint was removed and the patient could actively flex his elbow from 30° to 100°.

Matched MeSH terms: Splints

Fulltext Fractured penis: two case reports

Annamalai S

Med J Malaysia, 1986 Sep;41(3):278-80.

PMID: 3670147

Fractured penis has traumatic consequenoes on the patient as both his manhood and procreation ability are threatened. 2 cases of fractured penis successfully treated at the Armed Forces Hospital, Terendak, Melaka by a combination of surgical intervention and splintage are reported and the management discussed.

Matched MeSH terms: Splints

Intraoral appliances for in situ oral biofilm growth: a systematic review

Abdullah N, Al-Marzooq F, Mohamad S, Abd Rahman N, Chi Ngo H, Perera Samaranayake L

J Oral Microbiol, 2019;11(1):1647757.

PMID: 31489127 DOI: 10.1080/20002297.2019.1647757

Background: Oral biofilms are the root cause of major oral diseases. As in vitro biofilms are not representative of the intraoral milieu, various devices have been manufactured over the years to develop Appliance Grown Oral Biofilm (AGOB). Objective: To review various intraoral appliances used to develop AGOB for microbiological analysis, and to judge the optimal means for such analyses. Design: Four databases (PubMed, Science Direct, Scopus and Medline) were searched by two independent reviewers, and articles featuring the key words 'device' OR 'splint' OR 'appliance'; 'Oral biofilm' OR 'dental plaque'; 'in vivo' OR 'in situ'; 'Microbiology' OR 'Bacteria' OR 'microbiome'; were included. The standard Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) were adopted for data gathering. Results: Of the 517 articles which met the initial inclusion criteria, 24 were deemed eligible for review. The age of the AGOB, sampled at various intervals, ranged from 30 min to 28 days. The most commonly used microbiome analytical methods were fluorescence microscopy, total cell count using conventional, and molecular tools including Next Generation Sequencing (NGS) platforms. Conclusions: No uniformly superior method for collecting AGOB could be discerned. NGS platforms are preferable for AGOB analyses.

Matched MeSH terms: Splints

Present methods of instruction in first aid

Kingsbury AN

Journal of the Malaya Branch of the British Medical Association, 1941;5:14-18.

Matched MeSH terms: Splints

Fulltext Can the Pirani Score Predict the Number of Casts and the Need for Tenotomy in the Management of Clubfoot by the Ponseti Method?

Sharma A, Shukla S, Kiran B, Michail S, Agashe M

Malays Orthop J, 2018 Mar;12(1):26-30.

PMID: 29725509 DOI: 10.5704/MOJ.1803.005

Introduction: We assessed the role of the Pirani score in determining the number of casts and its ability to suggest requirement for tenotomy in the management of clubfoot by the Ponseti method. Materials and Methods: Prospective analysis of 66 (110 feet) cases of idiopathic clubfoot up to one year of age was done. Exclusion criteria included children more than one year of age at the start of treatment, non-idiopathic cases and previously treated or operated cases. Results: The initial Pirani score was (5.5±0.7) for the tenotomy group and the initial Pirani score was (3.3±1.6) for the non-tenotomy group. There was a significant difference between the initial Pirani score for the tenotomy and the non-tenotomy group with t= -7.9, df= 64 p<0.0001. The tenotomy group had a significantly higher number of casts (four to seven) compared to non-tenotomy group (two to five) t=-10.4, df=64, p<0.0001. Spearman's rank correlation coefficient was significant and confirmed positive correlation between the initial Pirani score and the number of casts required to correct the deformity (r = 0.931, p<0.0001). Conclusion: Initial high Pirani score suggests the need for greater number of casts to achieve correction and probable need for tenotomy. The number of casts required in achieving complete correction increases with increase in the initial Pirani score. The initial high hindfoot score (2.5-3) signifies the probable need of a minor surgical intervention of percutaneous tendoachilles tenotomy. Based on the initial Pirani score, parents can be informed about the probable duration of treatment and the need for tenotomy.

Matched MeSH terms: Splints

Fulltext Irreducible dorsal dislocation of the interphalangeal joint of the big toe: a case report

Ab-Rahman S, Sulaiman AR, Muzaffar T

Trauma Case Rep, 2016 Apr;3:32-35.

PMID: 29942842 DOI: 10.1016/j.tcr.2016.05.004

Irreducible dislocation of the interphalangeal joint (IPJ) big toe is a rare injury Hitori et al. (2006) . We report a case of the right big toe IPJ dislocation following a trauma. The problem was diagnosed and managed at other medical centers with standard treatment of closed manual reduction and splint. The right big toe was splinted accordingly and the patient was referred to our orthopedic outpatient clinic. At the clinic, a repeat plain radiograph was ordered due to high suspicion of the irreducible IPJ.
Study site: orthopedic clinic, Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia

Matched MeSH terms: Splints

Evaluation of splinting implant impression techniques: two dimensional analyses

Tarib NA, Seong TW, Chuen KM, Kun MS, Ahmad M, Kamarudin KH

Eur J Prosthodont Restor Dent, 2012 Mar;20(1):35-9.

PMID: 22474935

This paper aims to evaluate the effect of splinting during implant impression. A master model with two fixtures at the sites of 45 and 47 was used. 20 impressions were made for all four techniques: (A) indirect; (B) direct, unsplinted; (C) direct, splinted; and (D) direct, splinted, sectioned, and re-splinted. Splinting was undertaken with autopolymerizing acrylic resin (AAR). Horizontal distance between fixtures was compared using a digital caliper. The difference in distance were analysed with one-way ANOVA. Group A showed a significantly lowest accuracy among all techniques (p < or = 0.05). There was no significant difference of accuracy among the groups using direct techniques (p > or = 0.05). Group D was more accurate compared to group B and C. We conclude that splinting of impression copings would be beneficial to obtain an accurate impression.

Matched MeSH terms: Periodontal Splints*

Fulltext Coronal plane and apical vertebral rotation correction of adolescent idiopathic scoliosis with multisegmented hook-rod system--a retrospective review

Kwan MK, Chooi WK, Lim HH

Med J Malaysia, 2004 Dec;59 Suppl F:14-8.

PMID: 15941155

Between April 1998 and December 1999, thirty patients with Idiopathic Scoliosis were operated with Multisegmented Hook-Rod System. These patients were operated at the mean age of 16 years and were followed up for a mean of 22.3 months (range 13-34 months). Seven patients had anterior release to increase the curve flexibility followed by second stage posterior instrumentation on the same day. The average operating time for a posterior instrumentation alone and anterior release combined with posterior instrumentation were 270 minutes and 522 minutes respectively. The average blood loss was 2.2 litres for posterior instrumentation alone and 3.3 litres for single day anterior release and posterior surgery. The mean preoperative Cobb's angle was 70 degrees. The mean immediate postoperative and final follow up Cobb's angles were 38 and 42 degrees, which represented an average coronal plane correction of 46.7% and 40.0% respectively. The mean preoperative apical vertebral rotation was 25 degrees, which improved to 15 degrees after the operation. At final follow up, the mean apical vertebra rotation was 20 degrees, which represented a mean apical vertebral rotation correction of 20%. Complications of the procedure included one transient neurological deficit, one infection, one graft site infection and one case of screw cut out. We were able to obtain satisfactory correction of idiopathic scoliosis with the Multisegmented Hook-Rod System.

Matched MeSH terms: Splints*

Fulltext Displaced supracondylar fracture of humerus in children--comparative study of the result of closed and open reduction

Yusof A, Razak M, Lim A

Med J Malaysia, 1998 Sep;53 Suppl A:52-8.

PMID: 10968183

The displaced supracondylar fracture of the humerus in children (Gartland type 3) is a most challenging injury to treat. There is controversy regarding the initial treatment either closed manipulation and splint immobilization or open reduction and internal fixation. This is a retrospective study comparing two groups of patients with displaced supracondylar fracture of the humerus (Gattland 3) treated in the Orthopaedic Unit, Universiti Kebangsaan Malaysia. The first group, 13 patients treated with closed reduction and splint immobilization and a second group, 15 patients treated with open reduction and internal fixation as initial definitive treatment. The results showed a high failure rate of closed reduction and splint immobilization. This was due to difficulty in reduction, loss of reduction post operatively or during follow-up. Open reduction and internal fixation was more advantages with reduced hospitalization time, fewer complications, more stable fixation and better anatomical reduction with minimal complications for type 3 supracondylar fracture of humerus. We would recommend that all Gartland 3 supracondylar fracture of the humerus be treated with open reduction and two K-wire fixation.

Matched MeSH terms: Splints*

Fulltext Biomechanics principle of elbow joint for transhumeral prostheses: comparison of normal hand, body-powered, myoelectric & air splint prostheses

Abd Razak NA, Abu Osman NA, Gholizadeh H, Ali S

Biomed Eng Online, 2014;13:134.

PMID: 25208636 DOI: 10.1186/1475-925X-13-134

Understanding of kinematics force applied at the elbow is important in many fields, including biomechanics, biomedical engineering and rehabilitation. This paper provides a comparison of a mathematical model of elbow joint using three different types of prosthetics for transhumeral user, and characterizes the forces required to overcome the passive mechanical of the prosthetics at the residual limb.

Matched MeSH terms: Splints*

To Splint or Not to Splint: The Current Status of Periodontal Splinting

Kathariya R, Devanoorkar A, Golani R, Shetty N, Vallakatla V, Bhat MY

J Int Acad Periodontol, 2016 Apr 08;18(2):45-56.

PMID: 27128157

Loss of tooth-supporting structures results in tooth mobility. Increased tooth mobility adversely affects function, aesthetics, and the patient's comfort. Splints are used to over-come all these problems. When faced with the dilemma of how to manage periodontally compromised teeth, splinting of mobile teeth to stronger adjacent teeth is a viable option. This prolongs the life expectancy of loose teeth, gives stability for the periodontium to reattach, and improves comfort, function and aesthetics. Although splinting has been used since ancient times, it has been a topic of controversy because of its ill effects on oral health, including poor oral hygiene and adverse effects on supporting teeth. There have been considerable advancements in the materials used for splinting, resulting in fewer ill effects. This article is intended to provide the clinicians with an updated overview of splinting, types and classification of splints, with their indications, contraindications,rationale and effects on oral health.

Matched MeSH terms: Splints

Paediatric mandibular fractures: report of a case

Qadri GW, Mokhtar SM

Dent Traumatol, 2008 Dec;24(6):e67-70.

PMID: 19021642 DOI: 10.1111/j.1600-9657.2008.00700.x

The conservative approach in the treatment of maxillofacial trauma in children has been widely adopted. The type of fracture and its presence within the growing facial skeleton along with the presence of tooth buds may result in different management strategies to that employed in adults. An understanding of conservative treatment options is essential to make informed choices which will best manage these injuries, and an example is presented in this paper. This case report describes a 14-year-old boy who sustained trauma to the chin as a result of a fall, causing a mandibular symphyseal fracture. He was successfully treated by the means of applying direct interdental wiring combined with an acrylic splint.

Matched MeSH terms: Splints

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