OBJECTIVE To assess the effectiveness of the resting foot splint to prevent ankle contracture. METHODS We performed a randomized controlled trial in 33 patients with brain injury with ankle dorsiflexor weakness (muscle power ≤grade 2). Both groups continued conventional customized physical therapy, but the patients in the foot splint group were advised to wear a resting foot splint for more t...

We present a system for treatment by controlled motion after repair of flexor tendons in the hand. This Washington regimen incorporates both controlled active extension against passive flexion by rubber band and the use of controlled passive extension and flexion. We utilise the Brooke Army Hospital modification of the rubber band passive flexion splint; this provides for maximal excursion of t...

soft tissue abnormality. Radiographs are unnecessary unless another particular injury is suspected. Edema and tenderness are present with supracondylar fractures. A number of reduction techniques are used, including the hyperpronation method and the supination-flexion method. The hyperpronation method has proved more effective and appears to be less traumatic. With the arm held in extension, th...

Patellar tendon rupture is a catastrophic complication following total knee arthroplasty (TKA). Though revision TKA has been suspected of being a predisposing factor for the occurrence of patellar tendon rupture, there are few reports on patellar tendon rupture after revision TKA. Here, we present a case of acute patellar tendon rupture that occurred after TKA revision. In the patient, the pate...

pediatric mandibular fractures have been successfully managed in various ways. the use of a lingual splint is an option. this article presents a 4-year old boy who was treated by an alternative conservative method with a combination of an arch bar plus a lingual splint, circum-mandibular wiring and imf for the reduction, stabilization and fixation of a severely displaced bilateral man dibular b...

BACKGROUND For treatment of Graf class IIb dysplastic hips at walking onset a treatment concept with abduction splints allowing patterns as walking and crawling under constant abduction control was investigated. However, as the splint still incapacitates child movements the research question remains whether the physiologically progressing maturation of hips can be significantly altered using su...

Background: Spasticity is one of the problems after a stroke. Due to this increase in muscle tone, patients are confronted with problems in motor control and difficulties in activities of daily living and complications such as shortness and contracture. The aim of this study was to examine the effects of the simultaneous use of both splint and botulinum toxin-A (BTX-A) injection on spasticity, ...

OBJECTIVE This article illustrates the use of the evidence-based process in clinical practice to answer questions that arose when a patient presented with dental trauma. BACKGROUND The patient had avulsion of the maxillary right central incisor and lateral luxation and alveolar bone fracture partially encasing the roots of the maxillary left central and lateral incisors. At the emergency trea...

BACKGROUND Splinting as part of the overall post-surgical management of patients after release of Dupuytren's contracture has been widely reported, though there is variation in practice and criteria for using it. The evidence on its effectiveness is sparse, of poor quality and contradictory with studies reporting negative and positive effects. METHODS/DESIGN A multi-centre, pragmatic, randomi...