Patellar tendon bearing orthosis — Application as adjunctive treatment in healing of lower-limb tissue loss

Khaira, H.S.; Coddington, T.; Drew, Alexander P.; Roberts, P N; Imray, Chris

doi:10.1016/s1078-5884(98)80238-4

Cited by 10 publications

(5 citation statements)

References 5 publications

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“…Better long term functional results are achieved with the early involvement of a multidisciplinary rehabilitation team. Early mobilisation of patients with partial foot amputations on weight bearing custom made orthoses has shown promising results [47].…”

Section: Amputationmentioning

confidence: 99%

A Clinical Review of the Management of Frostbite

Davis

Dhillon

et al. 2011

J R Army Med Corps

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Frostbite is a thermal injury that can occur when temperatures drop low enough for tissue to freeze. On rewarming the tissues, an inflammatory process develops which is often associated with tissue loss. The extent of the tissue loss reflects the severity of the cold exposure and includes factors such as temperature, duration, wind chill, altitude, and systemic hypothermia. This review discusses the epidemiology, the pathophysiological processes involved, and the clinical management of frostbite injuries. Practical advice is given on both the field and hospital management and how to seek expert advice from remote situations. The review also discusses newer developments in frostbite treatment such as intra-vascular thrombolysis and adjunctive treatments such as the use of intravenous vasodilators.

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Section: Amputationmentioning

confidence: 99%

A Clinical Review of the Management of Frostbite

Davis

Dhillon

et al. 2011

J R Army Med Corps

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“…On-going care within a specialist foot clinic using custom made shoes and insoles appear to improve functional outcome. Multidisciplinary team approaches such as healing of the ulcerated neuropathic foot using patella bearing orthoses has been described [56]. It has been reported that the pain of NFCI can be so severe as to require tricyclic antidepressants, and this should be instituted at an early stage [55].…”

Section: More Severe Injuriesmentioning

confidence: 99%

Nonfreezing Cold-Induced Injuries

Imray

Richards²,

Greeves³

et al. 2011

J R Army Med Corps

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Non-freezing cold injury (NFCI) is the Cinderella of thermal injuries and is a clinical syndrome that occurs when tissues are exposed to cold temperatures close to freezing point for sustained periods. NFCI is insidious in onset, often difficult to recognize and problematic to treat, and yet the condition accounts for significant morbidity in both military and civilians who work in cold conditions. Consequently recognition of those at risk, limiting their exposure and the appropriate and timely use of suitable protective equipment are essential steps in trying to reduce the impact of the condition. This review addresses the issues surrounding NFCI.

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“…Rachelle Pretz, PT, DPT 1 , Cora Brown, MD 2 , William B. Hughes, MD 3 and Eric L. Altschuler, MD, PhD 1,2 From the 1 The patient's goal from therapy was to walk independently and decrease the burden of care on his family. Because of his burns the patient had impairments to his body structures, including decreased skin integrity, peripheral nervous system damage, and decreased ankle stability, all of which affected his ability to ambulate.…”

Section: Maximizing Functional Mobility In An Electrical Burn Patientmentioning

confidence: 99%

“…The PTB orthosis has been studied in diabetic patients with tissue loss of the lower limbs (1). A review of the literature on burns reveals that PTB orthosis has been used to treat one paediatric patient with equinovarus deformities post-thermal injury (2).…”

Section: Introductionmentioning

confidence: 99%