The document discusses various types and methods of traction used in orthopedics. It describes skin traction and skeletal traction, indicating skin traction is usually limited to 15 lbs while skeletal traction allows for higher weights. Various traction methods are outlined for specific bone fractures, including Buck's traction for femoral neck fractures and Bryant's traction for femoral shaft fractures in children. Complications of traction like pressure sores, nerve palsies, and prolonged bed rest are also summarized.
Cast and immobilization techniques in orthopaedics by Dr O.O. AfuyeAlade Olubunmi
Cast, similar in function to splints are used to immobilize broken bones. The principles of its application and cast care most be followed for effectiveness.
Cast and immobilization techniques in orthopaedics by Dr O.O. AfuyeAlade Olubunmi
Cast, similar in function to splints are used to immobilize broken bones. The principles of its application and cast care most be followed for effectiveness.
Tractions in orthopaedics by Dr O.O. AfuyeAlade Olubunmi
Traction is an act of drawing or exerting a pulling force on bones or other tissues to offer realignment. It is very important in the management of fractures in other to prevent unwanted complications.
This is a lecture presentation on applying external fixator on open fracture specially on tibia. This method is a classical method. Various new and dynamic fixators are there but the basics are the same.
This power point slide show is developed for the sole purpose to assist in providing a basic education to orthopedic splint application and identification of the various splints as well as their uses. This is particularly helpful when a hands-on approach is taken during each graphic illustration and is demonstrated via a live setting with appropriate materials available. This slide show illustration is also designed to educate the learner on various types of splinting materials, splint padding and patient preparation as well as instruct them at a very basic level to the hazards of inadequately applied splints.
Tractions in orthopaedics by Dr O.O. AfuyeAlade Olubunmi
Traction is an act of drawing or exerting a pulling force on bones or other tissues to offer realignment. It is very important in the management of fractures in other to prevent unwanted complications.
This is a lecture presentation on applying external fixator on open fracture specially on tibia. This method is a classical method. Various new and dynamic fixators are there but the basics are the same.
This power point slide show is developed for the sole purpose to assist in providing a basic education to orthopedic splint application and identification of the various splints as well as their uses. This is particularly helpful when a hands-on approach is taken during each graphic illustration and is demonstrated via a live setting with appropriate materials available. This slide show illustration is also designed to educate the learner on various types of splinting materials, splint padding and patient preparation as well as instruct them at a very basic level to the hazards of inadequately applied splints.
Amputation is surgery to remove all or part of a limb or extremity. You may need an amputation if you’ve undergone a severe injury or infection or have a health condition like peripheral arterial disease (PAD). Many people live a healthy, active lifestyle after an amputation, but it may take time to get used to life without a limb.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. • Definition : traction is defined as force applied
to overcome the deforming force origenated
by muscle spasm
• Relive pain
• Aids in healing of bone and soft tissue
3. Types
• Based on method of application
Skin traction
Skeletal traction
4. • Based on countertraction mechanism
• Fixed Traction
By applying force against a fixed point
of body proximal to attachments of
musle in spasm.
• Sliding Traction
By tilting bed so that patient tends to
slide in opposite direction to traction
5. Indications
• To reduce the fracture or dislocation
• To maintain the reduction
• To correct the deformity
• To reduce the muscle spasm
6. Advantages
• Decrease pain
• Minimize muscle spasms
• Reduces, aligns, and immobilizes
fractures
• Reduce deformity
• Increase space between opposing
surfaces
7. Disadvantages
• Needs more hospital stay
• Hazards of prolonged bed rest
– Thromboembolism
– Decubitius ulcers
– Pneumonia
• Requires meticulous nursing care
• Can develop contractures
8. 1.Skin traction
• Applied over a large area of skin
• This spreads the load and is more comfortable
and efficient
• Traction force must be applied distal to
fracture site
• Maximum traction weight can be applied with
skin traction is 15lb ( 6.7kg )
11. How to apply
Prepare the skin by shaving as well as washing &
applying tincture benzoin which protects the
skin and acts as an additional adhesive.
Avoid placing adhesive strapping over bony
prominences, if not, cover them with cotton
padding and do the strapping.
Leave a loop of 5 cm projecting beyond the
distal end of limb to allow movement of toes
and foot.
Max. traction weight can be 15lb(6.7kg)
12. B.Non adhesive skin traction
Useful in thin and atrophic skin
allergy to adhesive strapping
Frequent reapplication may be necessary
Attached traction wt. must not be more than 10lb
( 4.5kg )
13. Contraindications
• Abrasions of the skin
• Lacerations of the skin in the area to which
traction is applied
• Impairment of circulation – varicose ulcers,
impending gangrene
• Dermatitis
• Marked shortening of bony fragments, when
traction weight is required will be greater than
can be applied through the skin
17. Buck’s traction
• Used in temporary
management of
fractures of
– Femoral neck
– Femoral shaft in older children
– Undisplaced fractures of the
acetabulum
– After reduction of a hip
dislocation
– To correct minor flexed
deformities of the hip or knee
– In place of pelvic traction in
management of low back pain
• Weight not more
than 4.5 kgs
• Elevate the foot end
of bed
18. Hamilton Russell Traction
• Used in management of fractures of the
femoral shaft
• Buck’s traction with sling under the knee
19. Bryants (Gallows) traction
• Convenient and satisfactory for the treatment
of fractures of the shaft of femur in children
upto age of two years who weight less than
35-40lb ( 15.9- 18.2kg )
20. • Apply adhesive strapping to both lowerlimbs
• Tie the traction cords to an overhead beam
• Tighten the traction cords sufficiently to raise
the buttocks just clear of the mattress
• Counter traction is obtained by the weight of
the pelvis and lower trunk
• Check the vascular status of limbs because of
danger of vascular compromise
21.
22. How to check state of circulation
• Observe colour and temp. of both feet
• Passive dorsiflexion of ankle,it should be
painless and full movement
• If dorsiflexion is limited or painful,muscle
ischemia may be present
• Immediate lower the limb and remove
bandage
23. Modified Bryant’s traction
• Sometimes used in initial management of
congenital dislocation of hip
• After 5days of application of bryants traction
abduction of both hips begun, being increased
by 10 degrees on alternate days
• By 3 weeks hips should be fully abducted
24.
25. Dunlop’s Traction
• Forearm skin traction
with weight on upper
arm
• Used for
supracondylar and
transcondylar
fractures in children
• Used when closed
reduction difficult
• Upper arm abducted
45 degree and Elbow
is flexed 45 degrees
26. 2.Skeletal traction
• It should be reserved for those cases
in which skin traction is
contraindicated
• In patients with lacerated wounds
• In patients with external fixator in situ
• When the weight required for traction
is more then 6.7 kgs- Obese patients
27. Steinmann Pin
• Rigid stainless steel pins of varying lengths 4 –
6 mm in diameter. Bohler stirrup is attached to
steinmann pin which allows the direction of
the traction to be varied without turning the
pin in the bone
28. Denham Pin
• Identical to stienmann pin except
for a short threaded length in the
center . This threaded portion
engages the bony cortex and
reduce the risk of the pin sliding
• Used in cancellous bone like
calcaneum and osteoporitic bones
29. Kirschner wire
• They are easy to insert and
minimize the chance of soft tissue
damage and infections
• It easily cuts out of the bone if a
heavy traction weight is applied
• Most commonly used in upper
limb eg. Olecranon traction
30. Proximal Tibial Traction
• Used for distal
2/3rd femoral
shaft fractures
• Easy to avoid
joint and growth
plate
• 2cm distal and
posterior to
tibial tubercle
• Pin should be
driven from the
lateral to the
medial side to
avoid damage to
the common
peroneal nerve.
31. Application of skeletal traction
insertion of ST pin in lower limb
Use GA or LA
Shave the skin
Use full aseptic precaution
Paint the skin with iodine and spirit
Mount the pin/wire on the hand drill
Cont.
32. Hold the limb in same degree of lateral rotation as
the normal limb and with ankle at right angles.
Identify the site of insertion and make a stab
wound
Hold the pin horizontally at right angles to the
long axis of the limb.
Apply small cotton woolen pads soaked in tincture
around the pins to seal the wound
33. Complications
• Introduction of infection into bone
• Distraction at fracture site
• Ligamentous damage
• Damage to epiphyseal growth plates
• Depressed scars
34. Lateral Upper Femoral Traction
• Lateral surface of
femur 1 inch
below the most
prominent part of
greater
trochanter,mid
way b/w ant &
post surface of
femur
35.
36. Distal Femoral Traction
• Alignment of
traction along
axis of femur
• Used for
femoral shaft
fracture
37. • Draw 1st line from before
backwards at the level of
the upper pole of
patella,2nd line from
below upwards anterior to
the head of the fibula,
where these two lines
intersect is the point of
insertion of a Steinmann
pin
• Just proximal to lateral
femoral condyle. In an
average adult this point
lies nearly 3 cm from the
lateral knee joint line
38.
39. Distal Tibial Traction
Useful in certain
tibial plateau
fracture
Pin inserted 5 cm
above the level of
the ankle joint,
midway between
the anterior and
posterior borders
of the tibia
Avoid saphenous
vein
Maintain partial
hip and knee
flexion
40. Calcaneal Traction
Temporary traction
for tibial shaft
fracture
Insert about 1 1/4
inches (3cms)
inferior and
posterior to medial
malleolus or ¾ inch
below behind
lat.malleolus.
Cure must be taken
to avoid entering
subtalar joint
41. Olecranon Pin Traction
Supracondylar/distal
humerus fractures
Greater traction
forces allowed
Can make angular
and rotational
corrections
Place pin 1.25 inches
distal to tip
Avoid ulnar nerve
42. • Point of
insertion:
just deep to the
SC border of the
upper end of
ulna (3cms)
This avoids ulnar
joint and also an
open epiphysis
• Technique:
Pass K-wire from
medial to lateral
side - pass the
wire at right
angles to the
long axis of the
ulna to avoid
ulnar nerve.
43. Metacarpal Pin Traction
Used for obtaining
difficult reduction
forearm/distal
radius fracture
Once reduction
obtained, pins can
be incorporated in
cast
Pin placed radial to
ulnar through base
2nd/3rd MC
Stiffness of
intrinsics is
common
44. • Point of Insertion:
2-2.5 cms proximal
to the distal end of
2nd metacarpal
• Technique: push
the 1st dorsal
interosseius and
palpate the
subcutaneous
portion of the
bone. Pass the K-
wire at right angles
to the longitudinal
axis of the radius,
the wire traversing
2nd and 3rd
metacarpal
diaphysis
46. • Draw a line bisecting skull back to front
• Draw 2nd line joining tips of mastoid
process
47. Management of patients in
traction
• Care of the patient
• Care of the traction suspension
system
• Radiographic examination
• Physiotherapy
• Removal of traction
48. Care of the injured limb-
• Pain
• Parasthesia or Numbness
• Skin irritation
• Swelling
• Weakness of ankle, toe,
wrist or finger movement
49. Radiographic Examination
• 2-3 times in first week
• Weekly for next 3 weeks
• Monthly until union occurs
• After each manipulation
• After each weight change
50. Removal Of Traction
Elbow fracture with olecranon pin
- 3 weeks
Tibial fracture with calcaneal pin -
3-6 weeks
Trochanteric fracture of femur - 6
weeks
Femoral shaft fracture
with application of cast brace and
partial weight bearing - 6 weeks
without external support and
partial weight bearing - 12
weeks
52. Uses of thomas splint
• Commonly used for immobilisation of hip and
thigh injuries
• Immobilise fracture femur
• First aid
• Transportation of injured patient
• In the treatment of joint diseases like TB knee
53. Parts of thomas splint
A padded metal oval ring with
soft leather set at an angle 120
to the inner barThe ring size is
found by addition of 2 inches
to the thigh circumference at
the highest point of the groin
2 side bars-one inner & other
outer bar of unequal length.
They bisect the oval ring. The
outer bar longer than inner
bar.
54. Outer side bar is angled 2
inch below the padded ring
to clear the prominent
greater trochanter
Distal end-2 side bar joined
in the form of W.
• The length is the
measurement from the
highest point on the medial
side of the groin up to the
heel plus 6 inches