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Jessica Knight - One of the best experts on this subject based on the ideXlab platform.

  • 〈 Clinical Research 〉 Bivalved Fiberglass Cast Compared With Plaster Splint Immobilization for Initial Management of Ankle Fracture-Dislocations A Treatment Algorithm
    2020
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Adam E Fleischer, Jessica Knight
    Abstract:

    The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture- dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture- dislocations recommending the use of a bivalved below- the-knee Fiberglass Cast for maintained stabilization post reduction.

  • bivalved Fiberglass Cast compared with plaster splint immobilization for initial management of ankle fracture dislocations a treatment algorithm
    Foot and Ankle Specialist, 2012
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Summer E S Bochat, Adam E Fleischer, Jessica Knight
    Abstract:

    The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture-dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture-dislocations recommending the use of a bivalved below-the-knee Fiberglass Cast for maintained stabilization post reduction.Level of Evidence: Therapeutic Level IV

  • fracture dislocations a treatment algorithm bivalved Fiberglass Cast compared with plaster splint immobilization for initial management of ankle
    2012
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Summer E S Bochat, Adam E Fleischer, Jessica Knight
    Abstract:

    Abstract: The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture-dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture-dislocations recommending the use of a bivalved below-the-knee Fiberglass Cast for maintained stabilization post reduction .Level of Evidence: Therapeutic Level IVKeywords: ankle dislo-cation; ankle fracture-dis-location; ankle trauma

  • clinical research bivalved Fiberglass Cast compared with plaster splint immobilization for initial management of ankle fracture dislocations a treatment algorithm
    2012
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Adam E Fleischer, Jessica Knight
    Abstract:

    The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture- dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture- dislocations recommending the use of a bivalved below- the-knee Fiberglass Cast for maintained stabilization post reduction.

G E Ochube - One of the best experts on this subject based on the ideXlab platform.

  • Cost-effectiveness of pin-in-fibreglass Cast versus Kirschner-Ehmer type I external skeletal fixator in the management of transverse radius-ulna fractures in dogs
    Sokoto Journal of Veterinary Sciences, 2018
    Co-Authors: A A Bada, E G Emmanuel, M N Bappah, M Lawal, G E Ochube, S.t. Muhammad, E. O. Abidoye, M. A. Sani, T.o. Abdulaziz-bada, I.o. Oyenekan
    Abstract:

    The cost of medical care is an important issue all over the world. With worsening global economy and the poverty inherent in low earning  economies in the third world countries, economic considerations have always remained a major determinant factor in the choice of treatment. In this study, the cost-effectiveness of pin-in-fibreglass Cast fixator (PFCF) was comparatively evaluated against a commercially available fixator  (Kirschner-Ehmer type I external fixator) (KESF) in the management of induced closed transverse mid-shaft radius-ulna fractures in dogs. Four adult (2 males and 2 females) dogs with closed transverse mid-shaft radius-ulna fractures were used for this study. These dogs were randomly assigned to two groups (A and B) with each group made up of two dogs. Radius-ulna fractures were created in all the dogs under injectable anaesthesia as follows: Group A; PFCF, and Group B; KESF. A cost analysis was performed using the duration of operative and post-operative procedures, duration of morbidity period, direct and indirect labour cost, and cost of dog-hour lost during the morbidity period as economic indices. The overall duration of the operative and the entire post-operative procedures were 5.5±0.14 and 22±0.21 hours (1:4.4) for PFCF and KESF (P>0.05) respectively. The morbidity period was 9 and 8 weeks for PFCF and KESF respectively. The average cost of medical care (in 2015 $1 US ≈ N198 Nigerian Naira) was $81.8 and $294 (1:3.6) for PFCF and KESF respectively. The cost benefit analysis based on the economic loss due to dog-hour lost during the morbidity period were $990. 9 and $1103 (1:1.1) for PFCF and KESF respectively. In conclusion, PFCF is faster and easier to perform, and more economical than the KESF technique despite the longer morbidity period associated with it. This is accounted for by the lower cost of fixative and hospital charges. Keywords : Dog, Cost effectiveness, Pin-in-Fiberglass Cast, Kirschner-Ehmer external fixative, Radius-ulna, fractures

  • comparative evaluation of pin in Fiberglass Cast and kirschner ehmer external fixative in the management of radius ulna fractures in dogs
    Sokoto Journal of Veterinary Sciences, 2017
    Co-Authors: A A Bada, A Z Hassan, C A Awasum, E G Emmanuel, M N Bappah, M Lawal, G E Ochube
    Abstract:

    Four adult (two males and two females) dogs were used to comparatively evaluate the effectiveness of pin-in-Fiberglass Cast with Kirschner-Ehmer type I external skeletal fixative in the management of surgically created radius-ulna fractures in dogs. These dogs were assigned to two groups (A and B) with each group made up of two dogs. The radius-ulna fracture was created in all the dogs under general anaesthesia as follows: Group A, pin-in-Fiberglass Casting; and Group B, Kirschner-Ehmer type I external fixation. Post-operatively, minimal increase in vital parameters were observed, but were not significant (P>0.05) when compared with pre-operative values in both groups. The haematological indices were within acceptable normal limits for both group (P>0.05). Dogs in both groups bore weight on the operated limb and could walk within 24 hours post-operative. Radiographic evaluation revealed minimal soft tissue swelling and minimal periosteal tissue reaction in both groups. The Kirschner-Ehmer external fixative group attained the faster fracture healing time (7 weeks) compared to the pin-in-Fiberglass group (8 weeks). Functional and cosmetic appearances were graded as excellent for both groups. Complications associated with the two techniques were Cast sores in the pin-in-Fiberglass group while pin loosening and serous pin tract drainage were observed in the Kirschner-Ehmer external fixative group. Thus, it was concluded that pin-in-Fiberglass Cast could be used as a satisfactory substitute to Kirschner-Ehmer type I external fixative in the management of simple radius-ulna fractures in dogs. Keywords: Bone, Dog, Fracture, Kirschner-Ehmer external fixative, Pin-in-Fiberglass Cast, Radius-ulna

Jeffrey R Baker - One of the best experts on this subject based on the ideXlab platform.

  • 〈 Clinical Research 〉 Bivalved Fiberglass Cast Compared With Plaster Splint Immobilization for Initial Management of Ankle Fracture-Dislocations A Treatment Algorithm
    2020
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Adam E Fleischer, Jessica Knight
    Abstract:

    The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture- dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture- dislocations recommending the use of a bivalved below- the-knee Fiberglass Cast for maintained stabilization post reduction.

  • bivalved Fiberglass Cast compared with plaster splint immobilization for initial management of ankle fracture dislocations a treatment algorithm
    Foot and Ankle Specialist, 2012
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Summer E S Bochat, Adam E Fleischer, Jessica Knight
    Abstract:

    The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture-dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture-dislocations recommending the use of a bivalved below-the-knee Fiberglass Cast for maintained stabilization post reduction.Level of Evidence: Therapeutic Level IV

  • fracture dislocations a treatment algorithm bivalved Fiberglass Cast compared with plaster splint immobilization for initial management of ankle
    2012
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Summer E S Bochat, Adam E Fleischer, Jessica Knight
    Abstract:

    Abstract: The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture-dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture-dislocations recommending the use of a bivalved below-the-knee Fiberglass Cast for maintained stabilization post reduction .Level of Evidence: Therapeutic Level IVKeywords: ankle dislo-cation; ankle fracture-dis-location; ankle trauma

  • clinical research bivalved Fiberglass Cast compared with plaster splint immobilization for initial management of ankle fracture dislocations a treatment algorithm
    2012
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Adam E Fleischer, Jessica Knight
    Abstract:

    The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture- dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture- dislocations recommending the use of a bivalved below- the-knee Fiberglass Cast for maintained stabilization post reduction.

A A Bada - One of the best experts on this subject based on the ideXlab platform.

  • Cost-effectiveness of pin-in-fibreglass Cast versus Kirschner-Ehmer type I external skeletal fixator in the management of transverse radius-ulna fractures in dogs
    Sokoto Journal of Veterinary Sciences, 2018
    Co-Authors: A A Bada, E G Emmanuel, M N Bappah, M Lawal, G E Ochube, S.t. Muhammad, E. O. Abidoye, M. A. Sani, T.o. Abdulaziz-bada, I.o. Oyenekan
    Abstract:

    The cost of medical care is an important issue all over the world. With worsening global economy and the poverty inherent in low earning  economies in the third world countries, economic considerations have always remained a major determinant factor in the choice of treatment. In this study, the cost-effectiveness of pin-in-fibreglass Cast fixator (PFCF) was comparatively evaluated against a commercially available fixator  (Kirschner-Ehmer type I external fixator) (KESF) in the management of induced closed transverse mid-shaft radius-ulna fractures in dogs. Four adult (2 males and 2 females) dogs with closed transverse mid-shaft radius-ulna fractures were used for this study. These dogs were randomly assigned to two groups (A and B) with each group made up of two dogs. Radius-ulna fractures were created in all the dogs under injectable anaesthesia as follows: Group A; PFCF, and Group B; KESF. A cost analysis was performed using the duration of operative and post-operative procedures, duration of morbidity period, direct and indirect labour cost, and cost of dog-hour lost during the morbidity period as economic indices. The overall duration of the operative and the entire post-operative procedures were 5.5±0.14 and 22±0.21 hours (1:4.4) for PFCF and KESF (P>0.05) respectively. The morbidity period was 9 and 8 weeks for PFCF and KESF respectively. The average cost of medical care (in 2015 $1 US ≈ N198 Nigerian Naira) was $81.8 and $294 (1:3.6) for PFCF and KESF respectively. The cost benefit analysis based on the economic loss due to dog-hour lost during the morbidity period were $990. 9 and $1103 (1:1.1) for PFCF and KESF respectively. In conclusion, PFCF is faster and easier to perform, and more economical than the KESF technique despite the longer morbidity period associated with it. This is accounted for by the lower cost of fixative and hospital charges. Keywords : Dog, Cost effectiveness, Pin-in-Fiberglass Cast, Kirschner-Ehmer external fixative, Radius-ulna, fractures

  • comparative evaluation of pin in Fiberglass Cast and kirschner ehmer external fixative in the management of radius ulna fractures in dogs
    Sokoto Journal of Veterinary Sciences, 2017
    Co-Authors: A A Bada, A Z Hassan, C A Awasum, E G Emmanuel, M N Bappah, M Lawal, G E Ochube
    Abstract:

    Four adult (two males and two females) dogs were used to comparatively evaluate the effectiveness of pin-in-Fiberglass Cast with Kirschner-Ehmer type I external skeletal fixative in the management of surgically created radius-ulna fractures in dogs. These dogs were assigned to two groups (A and B) with each group made up of two dogs. The radius-ulna fracture was created in all the dogs under general anaesthesia as follows: Group A, pin-in-Fiberglass Casting; and Group B, Kirschner-Ehmer type I external fixation. Post-operatively, minimal increase in vital parameters were observed, but were not significant (P>0.05) when compared with pre-operative values in both groups. The haematological indices were within acceptable normal limits for both group (P>0.05). Dogs in both groups bore weight on the operated limb and could walk within 24 hours post-operative. Radiographic evaluation revealed minimal soft tissue swelling and minimal periosteal tissue reaction in both groups. The Kirschner-Ehmer external fixative group attained the faster fracture healing time (7 weeks) compared to the pin-in-Fiberglass group (8 weeks). Functional and cosmetic appearances were graded as excellent for both groups. Complications associated with the two techniques were Cast sores in the pin-in-Fiberglass group while pin loosening and serous pin tract drainage were observed in the Kirschner-Ehmer external fixative group. Thus, it was concluded that pin-in-Fiberglass Cast could be used as a satisfactory substitute to Kirschner-Ehmer type I external fixative in the management of simple radius-ulna fractures in dogs. Keywords: Bone, Dog, Fracture, Kirschner-Ehmer external fixative, Pin-in-Fiberglass Cast, Radius-ulna

Adam E Fleischer - One of the best experts on this subject based on the ideXlab platform.

  • 〈 Clinical Research 〉 Bivalved Fiberglass Cast Compared With Plaster Splint Immobilization for Initial Management of Ankle Fracture-Dislocations A Treatment Algorithm
    2020
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Adam E Fleischer, Jessica Knight
    Abstract:

    The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture- dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture- dislocations recommending the use of a bivalved below- the-knee Fiberglass Cast for maintained stabilization post reduction.

  • bivalved Fiberglass Cast compared with plaster splint immobilization for initial management of ankle fracture dislocations a treatment algorithm
    Foot and Ankle Specialist, 2012
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Summer E S Bochat, Adam E Fleischer, Jessica Knight
    Abstract:

    The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture-dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture-dislocations recommending the use of a bivalved below-the-knee Fiberglass Cast for maintained stabilization post reduction.Level of Evidence: Therapeutic Level IV

  • fracture dislocations a treatment algorithm bivalved Fiberglass Cast compared with plaster splint immobilization for initial management of ankle
    2012
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Summer E S Bochat, Adam E Fleischer, Jessica Knight
    Abstract:

    Abstract: The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture-dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture-dislocations recommending the use of a bivalved below-the-knee Fiberglass Cast for maintained stabilization post reduction .Level of Evidence: Therapeutic Level IVKeywords: ankle dislo-cation; ankle fracture-dis-location; ankle trauma

  • clinical research bivalved Fiberglass Cast compared with plaster splint immobilization for initial management of ankle fracture dislocations a treatment algorithm
    2012
    Co-Authors: Jeffrey R Baker, Shail N Patel, Adam J Teichman, Adam E Fleischer, Jessica Knight
    Abstract:

    The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture- dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture- dislocations recommending the use of a bivalved below- the-knee Fiberglass Cast for maintained stabilization post reduction.