Relevant bibliographies by topics / Leg Wounds and injuries Treatment

Academic literature on the topic 'Leg Wounds and injuries Treatment'

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Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Leg Wounds and injuries Treatment"

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Golubovic, Zoran, Vojkan Stanic, Srbobran Trenkic, Predrag Stojiljkovic, Goran Stevanovic, Aleksandar Lesic, Ivan Golubovic, Dragan Milic, Aleksandar Visnjic, and Stevo Najman. "Penetrating injury of the lungs and multiple injuries of lower extremities caused by aircraft bombs splinters." Vojnosanitetski pregled 67, no. 8 (2010): 688–93. http://dx.doi.org/10.2298/vsp1008688g.

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Introduction. Injuries caused by aircraft bombs cause severe damages to the human body. They are characterized by massive destruction of injured tissues and organs, primary contamination by polymorph bacterial flora and modified reactivity of the body. Upon being wounded by aircraft bombs projectiles a victim simultaneously sustains severe damages of many organs and organ systems due to the fact that a large number of projectiles at the same time injure the chest, stomach, head and extremities. Case report. We presented a patient, 41 years of age, injured by aircraft bomb with hemo-pneumothorax and destruction of the bone and soft tissue structures of the foot, as well as the treatment result of such heavy injuries. After receiving thoracocentesis and short reanimation, the patient underwent surgical procedure. The team performed thoracotomy, primary treatment of the wound and atypical resection of the left lung. Thoracic drains were placed. The wounds on the lower leg and feet were treated primarily. Due to massive destruction of bone tissue of the right foot by cluster bomb splinters, and impossibility of reconstruction of the foot, guillotine amputation of the right lower leg was performed. Twelve days after the wounding caused by cluster bomb splinters, soft tissue of the left lower leg was covered by Tirsch free transplantant and the defect in the area of the left foot was covered by dorsalis pedis flap. The transplant and flap were accepted and the donor sites were epithelized. Twenty-six days following the wounding reamputation was performed and amputation stump of the right lower leg was closed. The patient was given a lower leg prosthesis with which he could move. Conclusion. Upon being wounded by aircraft bomb splinters, the injured person sustains severe wounds of multiple organs and organ systems due to simultaneous injuries caused by a large number of projectiles. It is necessary to take care of the vital organs first because they directly threaten the life of the wounded patient. Despite adequate surgical treatment of war wounds of the feet, because of massive defect of bone and soft tissue, amputation may be the only rational solution of the treatment. The resection of the lung may be successful method for the severe destruction of the lung.
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Hamrahi, Victoria, Michael R. Hamblin, Walter Jung, John B. Benjamin, Kasie W. Paul, Alan J. Fischman, Ronald G. Tompkins, and Edward A. Carter. "Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn Depth." Interdisciplinary Perspectives on Infectious Diseases 2012 (2012): 1–6. http://dx.doi.org/10.1155/2012/567140.

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Sepsis remains the major cause of death in patients with major burn injuries. In the present investigation we evaluated the interaction between burn injuries of varying severity and preexisting distant infection. We used Gram-negative bacteria (Pseudomonas aeruginosaandProteus mirabilis) that were genetically engineered to be bioluminescent, which allowed for noninvasive, sequential optical imaging of the extent and severity of the infection. The bioluminescent bacteria migrated from subcutaneous abscesses in the leg to distant burn wounds on the back depending on the severity of the burn injury, and this migration led to increased mortality of the mice. Treatment with ciprofloxacin, injected either in the leg with the bacterial infection or into the burn eschar, prevented this colonization of the wound and decreased mortality. The present data suggest that burn wounds can readily become colonized by infections distant from the wound itself.
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Weiss, Janet M. "Treatment of Leg Edema and Wounds in a Patient With Severe Musculoskeletal Injuries." Physical Therapy 78, no. 10 (October 1, 1998): 1104–13. http://dx.doi.org/10.1093/ptj/78.10.1104.

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Golubović, Ivan, Predrag Stojiljković, Mihailo Ille, Milan Radojković, Nemanja Jovanović, Milan Lazarević, Ivana Golubović, et al. "Disconnection of arterial collateral as the cause of lower leg amputation after conquassation caused by petrol tiller: A case report." Timocki medicinski glasnik 47, no. 2-3 (2022): 119–25. http://dx.doi.org/10.5937/tmg2202119g.

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Introduction. Leg conquassation caused by petrol tiller is one of the most severe injuries in bone and joint traumatology. Firm strokes by sharp tiller blades produce strong force that easily damages both soft tissues and bones. Since tillers are used in soil processing, the wounds are highly contaminated with dirt and fertilizers, hence the anaerobic spore-forming bacilli, such as tetanus and gas gangrene pathogens. Case report. This paper presents the treatment of a 69 years old man with chronic arterial insufficiency of the lower extremities who suffered severe injury of the lower leg (IIIB open tibial fracture according to Gustillo) by petrol tiller while performing agricultural work. Due to the absence of pulsations, Multislice CT angiography and arteriography were performed. Arteriography of the injured leg confirmed chronic occlusion of the anterior tibial artery and numerous stenotic lesions of the peroneal and posterior tibial arteries. Posterior tibial artery was chronically occluded in its distal part and connected to the foot with moderately developed collateral arteries which provided the viability of the injured leg. Despite undertaken basic principles of treatment of this serious injury (primary surgical treatment of wounds, external fixation, reconstruction of soft tissue, antibiotic and anti-tetanus prophylaxis) due to infection and gangrene the treatment ended with lower leg amputation. Conclusion. Leg amputation can be expected in this type of injuries in cases of extensive destruction of tissue in the field of existing chronic arterial insufficiency in elderly patients, even in the absence of injury of main blood vessels due to traumatic disconnection of collateral in such patients.
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Al Junaid, Abdulsalam Mohamed. "Peculiarities of treatment of patients with gunshot fractures of the leg in Yemen." N.N. Priorov Journal of Traumatology and Orthopedics 9, no. 2 (February 2, 2022): 80–83. http://dx.doi.org/10.17816/vto99823.

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Retrospective analysis of treatment of 232 wounded with gunshot crus fractures was presented. All patients were treated at Jemen Central Hospital ALTAWRA (Sana) from 1966 to 2000. Out of all patients 94% had missile wounds and 6%) comminuted wounds. All wounded were admitted to Hospital during 24 hours after injury. Peculiarities of wound treatment were the following: injured limb after application of author's stabilizing reposition device if necessary was washed by soap-saline solution. Primary debridement was more active compared to classic one and included removal of small osseous fragments and resection of large osseous fragment ends. In 66%) of wounded no complications were observed during postoperative period and healing by first intention was noted. In 8,4%) of patients healing by granulation occurred. In 15% of cases wound suppuration was limited by soft tissues. Osteomyelitis was diagnosed in 8,6% of patients. In 2% of cases crus gangrene followed by vascular thrombosis was developed.
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Lychagin, A. V., A. A. Gritsyuk, and V. S. Korytin. "Long-term complications of tibial injury." Grekov's Bulletin of Surgery 181, no. 1 (December 28, 2021): 80–87. http://dx.doi.org/10.24884/0042-4625-2022-181-1-80-87.

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The OBJECTIVE of the study, based on our own experience, was to determine the frequency, structure and specificity of long-term complications after replacement of soft tissue and leg bones defects, and to develop treatment tactics.METHODS AND MATERIALS. A retrospective study of the case of 53 patients who underwent treatment in the trauma department of the hospital for the period 2000 to 2008 was carried out. These patients had soft tissue wounds and circular defects of the tibial diaphysis because of severe open injuries of 17 (32.1 %) and gunshot wounds to the lower leg (36 (67.9 %). Patients underwent replacement of soft tissue and lower leg bones using the Ilizarov method and microsurgical reconstruction free flaps. The analysis of treatment results was carried out.RESULTS. After the end of inpatient treatment, patients were dynamic observation carried out. 39 (73.6 %) of 53 patients sought medical help, as for various complications, the average long-term follow-up was (42.2±5.5) months. The most frequent complications were relapses of soft tissue inflammation in 13.7 % and osteomyelitis in 24.5 % of cases, non-inflammatory complications were tibia fractures (5.7 %) and pseudarthrosis (7.6 %). The analysis of treatment methods of these complications is presented.CONCLUSION. Simultaneous replacement of extensive leg defects with a free vascularized flap and Ilizarov's distraction osteogenesis creates favorable conditions for wound healing and tibial restoration, however, in the long-term period there are complications in the form of recurrent osteomyelitis, tibia fractures and pseudarthrosis, which require specialized treatment based on a detailed analysis of the pathology and the previous treatment method.
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Herawati, Leli. "TINGKAT PENGETAHUAN PASIEN TENTANG PERAWATAN LUKA DIABETES MELITUS DI RUMAH SAKIT PTPN II BANGKATAN BINJAI TAHUN 2016." Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan 1, no. 2 (December 1, 2016): 110. http://dx.doi.org/10.34008/jurhesti.v1i2.71.

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Diabetic wounds are injuries that occur in patients with diabetics involving disorders of the peripheral and autonomic nerves. Every year more than one million people with diabetes lose one of their legs as one of the complications of diabetes, this means that every 30 seconds one leg is lost due to diabetes somewhere in the world. The purpose of this study was to determine the level of knowledge of patients in the treatment of diabetes mellitus wounds in PTPN II Hospital Binjai Departure in 2016. The method of this study was descriptive observational. The population in this study were all patients treated at the Women's Room at PTPN II Bangkat Binjai Hospital, totaling 20 people. The sample in this study amounted to 10 people with accidental sampling techniques. The results of this study indicate that the Knowledge Level of Patients About Diabetes Wound Care in the Women's Room of PTPN II Hospital Binjai Departure in 2016 which is interpreted is good knowledge as many as 6 people (60%), enough as many as 2 people (20%) and less than 2 people (20%). 3. It is expected that patients will be able to prevent Diabetes Injuries by controlling blood glucose, using footwear, treating toenails, foot care and foot exercises. If Complications with Diabetes Injuries have occurred, the patient is expected to be able to treat diabetic wounds properly.Keywords: Patient Knowledge, Diabetes Melitus Wound Care
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Gonzalez, Gilberto A., Christopher Castagno, Jordan Carter, Brinda Chellappan, and Philippe Taupin. "Negative pressure wound therapy on complex extremity wounds requiring coverage with a meshed bilayer wound matrix: a retrospective analysis." Journal of Wound Care 31, Sup9 (September 1, 2022): S8—S15. http://dx.doi.org/10.12968/jowc.2022.31.sup9.s8.

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Objective: The treatment of complex extremity wounds is technically challenging. In this 5-year retrospective review, we compared the use of Integra Meshed Bilayer Wound Matrix (IMBWM; Integra LifeSciences, US) followed by a split-thickness skin graft (STSG) combined with negative pressure wound therapy (NPWT) versus IMBWM followed by STSG alone for the management of these wounds. Method: Data from patients undergoing management using IMBWM for a complex extremity wound coverage were collected. Results: Among the 109 patients studied, the wounds of 62 patients were managed using IMBWM and NPWT, and 47 were managed using IMBWM alone. The most common aetiology of these injuries was trauma. Wound size and location were similar for each group, ranging in size from 2–30cm2 and being primarily on the forearm, followed by the leg and arm. There was a significantly greater take of the IMBWM+STSG with NPWT (96.8%) compared to without NPWT (85.1%, p=0.03). There were significantly fewer reapplications of the dermal matrix required in the NPWT group (3.2%) versus the non-NPWT group (14.9%, p=0.03). There were significantly fewer postoperative complications, prior to STSG, in the NPWT group (3.2%) versus the non-NPWT group (14.9%, p=0.03). Conclusion: The combination of IMBWM with NPWT leads to a higher success rate, and can reduce the number of dermal matrix reapplications and postoperative complications, in the setting of complex extremity wounds. The use of IMBWM in combination with NPWT has the potential to improve both surgical procedures and patient outcomes in this setting.
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Golubovic, Ivan, Branko Ristic, Predrag Stojiljkovic, Milan Ciric, Ivana Golubovic, Zoran Radovanovic, Sladjana Petrovic, Nina Djordjevic, Zoran Golubovic, and Stevo Najman. "Results of open tibial fracture treatment using external fixation." Srpski arhiv za celokupno lekarstvo 144, no. 5-6 (2016): 293–99. http://dx.doi.org/10.2298/sarh1606293g.

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Introduction. Open lower leg fractures are the most common open fractures of the locomotor system and their treatment is associated with a number of complications. Objective. The aim of the paper was to present the results of the treatment of 68 patients with open lower leg fractures, as well as the complications that accompany the treatment of these fractures. Methods. In the analyzed group, there were 45 (66.18%) men and 23 (33.82%) women. The majority of patients - 33 (48.53%) of them - were injured in motor vehicle accidents, whereas 24 (35.29%) patients sustained injuries due to falls from heights. In two (2.94%) patients the cause of open tibial fractures was gunshot injuries. In the analyzed group, there were 18 (26.47%) type I open fractures, 21 (30.88%) type II open fractures, 19 (27.94%) type IIIA open fractures, seven (10.29%) type IIIB open fractures, and three (4.41%) type IIIC open fractures. Results. The tibial shaft fracture healed without serious complications in 50 (73.53%) patients, whereas in 18 (26.47%) patients we observed some complications. Nonunion was found in 10 (14.71%) patients, osteitis in four (5.88), malunion in two (2.94%) patients. Milder complications such as soft tissue pin tract infection developed in 13 (19.12%) patients, infection of the open fracture wound soft tissue was observed in four (5.88%) patients. Conclusion. Basic principles in the treatment of open lower leg fractures in this study are thorough primary open fracture wound treatment followed by the delayed wound closure, stable fracture fixation using unilateral external skeletal device, proper antibiotic treatment and tetanus prophylaxis. The results correlate with similar studies.
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Samoylenko, G. E., S. O. Zharikov, and R. P. Klimanskyi. "The «Propeller»–technique in plastic surgery of the extensive wounds of distal leg and the foot." Klinicheskaia khirurgiia 86, no. 3 (February 28, 2019): 27–31. http://dx.doi.org/10.26779/2522-1396.2019.03.27.

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Objective. To increase the efficacy of plastic surgery in treatment of the extensive soft tissue defects, applying “sparing” resection of the lower third of the shin and foot for consequences of mechanical and/or thermal trauma or infectious–necrotic processes. Materials and methods. We conducted a retrospective evaluation of the “Propeller”–technique application for the elevation of the skin islet flaps on sural neurovascular pedicle in 11 patients, who underwent surgery between 2014 and 2017. The task for investigation was to eliminate the shin and foot defects, developed due to large–scale tissue damage. The Group 1 was organized for patients with the mine–blast trauma and the coal mine occupational injuries (2 patients followed in each category). Management of purulent–necrotic wounds (Group 2) was required in cases of amputation and resection of the foot due to either osteomyelitis (3 patients followed) or frostbites (4 patients followed). Results. All the patients had an adequate vascular supply of the affected limbs, even in 3 patients from the Group II, who had only one artery preserved. In all cases a secondary surgical debridement, necrectomy and the soft tissue defect repair were performed during the same operation. Conclusions. Using of the tegument tissues mobilization complex “Propeller”– technique is an effective instrument for sealing of deep complex defects of different etiology, localized in distal part of the lower extremity.
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Dissertations / Theses on the topic "Leg Wounds and injuries Treatment"

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Basey, Adriana L. "Effects of a traditional and modified straight straight leg raise on EMG characteristics." Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1048378.

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The purpose of this study was to determine the vastus medialis oblique muscular electromyographical (EMG) activity during two therapeutic exercises: the modified straight leg raise and the traditional straight leg raise. Two subject groups of 10 subjects each, one with anterior knee pain (PHY) and the other group with no history of patellofemoral pathology (NORM), performed the traditional straight leg raise (SLR) and a modified straight leg raise with external hip rotation (MOD). Each subject performed an isometric maximum voluntary contraction and three trials of each of the two therapeutic exercises. The EMG variables analyzed were the percent of the maximum voluntary contraction for each muscle, vastus medialis oblique, vastus lateralis, and rectus femoris: the percent of the maximum voluntary contraction of the ratio between the vastus medialis oblique and the vastus lateralis; the percent of the maximum voluntary contraction for the integrated EMG for each muscle; and the percent of the maximum voluntary contraction for the root mean square for each muscle. The statistical analysis was conducted with two-way analysis of variance procedures. The statistical analysis revealed no significant differences; however, the data appeared to illustrate a trend toward more electromyographical activity in the vastus medialis oblique in the PHY subject group during the MOD therapeutic exercise. This suggests that the MOD therapeutic exercise may be able to isolate the vastus medialis oblique muscle in persons with anterior knee pain and allow them to regain strength and normal function earlier than with the use of the SLR therapeutic exercise.
School of Physical Education
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Wilson, Timm. "Effects of a modified straight leg raise on strength and muscle activity of the vastus medialis oblique in patients with patellofemoral malalignment." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/865942.

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The purpose of this study was to determine the effectiveness of a modified sitting position straight leg raise on vastus medialis oblique (VMO) strength and EMG activity as compared to a traditional straight leg raise. A total of twenty-three subjects were recruited for this study. The subjects were randomly assigned to one of the following groups: (group I) modified straight leg raise (MSLR), and (group II) straight leg raise (SLR). The exercise program was three weeks long. University procedures for the protection of human subjects were followed. The subjects began with a 5 minute warm-up on a Cybex stationary bike set at 90 revolutions / minute. The subject then had electrodes placed on the Vastus Lateralis (VL) and Vastus Medialis Oblique (VMO). A Macintosh computer was used to record the EMG data. The subject then performed a standard Cybex test for knee flexion and extension. The Cybex dynamometer was placed at the knee joint line, the chair back tilt was at 85 degrees, the hip, chest, and thigh restraints were all fastened. The subjects in group I (Modified sitting SLR) and II (SLR) then returned the next day for their first rehabilitation lesson. Each subject group then participated in their respected exercise program for a total of three weeks. After three weeks of rehabilitation, the subjects retested using the same procedures followed in the pretest. A two tailed t-test was used to determine significance of the difference between means of the two groups. No significant differences were found between the two groups.
School of Physical Education
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陳永德. "腰椎間盤突出症手法治療規律的文獻研究." HKBU Institutional Repository, 2009. http://repository.hkbu.edu.hk/etd_ra/1028.

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王沛球. "腰腿痛指壓與針刺「阿是穴」臨床治療比較研究." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/758.

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Fox, Karen Elizabeth. "Contrast therapy and post injury lower leg blood flow." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 44 p, 2008. http://proquest.umi.com/pqdweb?did=1459905891&sid=14&Fmt=2&clientId=8331&RQT=309&VName=PQD.

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Vagenas, George. "Functional and kinematic asymmetries, and injuries in the lower limbs of long distance runners." Thesis, McGill University, 1988. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=75891.

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The sample included 29 healthy competitive male distance runners. Bilateral measurements were taken for selected variables of the talocalcaneal flexibility by means of a mechanical goniometer, and of the peak isokinetic knee strength on a Cybex II device. The frontal and horizontal plane motions of the lower limbs of the subjects were recorded by high speed filming and videotaping while they were running on a motor driven treadmill at their training pace under two conditions: with running shoes and barefoot. A detailed description of each runner's history was obtained and bilateral dominance characteristics were determined. Significant functional asymmetries were found for subtalar joint flexibility (eversion, inversion, and eversion/inversion ratio) and peak isokinetic knee strength (flexion, extension, total, and flexion/extension ratio). Significant kinematic asymmetries were revealed during the foot support phase in lower leg angle, rearfoot angle, mediolateral velocity of the foot, and in some temporal parameters. The two running conditions differed significantly only for the pretouchdown phase of support. Significant trends of association were identified between selected components of the lower limb functional and kinematical asymmetries which were characterized by consistent laterality patterns. Multivariate asymmetry components and running injury patterns were independent. Only asymmetries in foot pronation during barefoot running tended to significantly differentiate between runners grouped by injury incidence. The phenomenon of functional and kinematic asymmetries in runners is warranted.
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Parfitt, Patsy. "Running injuries to the lower limb experienced by marathon and middle distance runners (eight / fifteen hundred metres)." Thesis, Queensland University of Technology, 1996. https://eprints.qut.edu.au/36730/1/36730_Parfitt_1996.pdf.

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Running injuries were compared between twenty four middle distance (800 metress) and forty four marathon runners of elite status in Queensland, Australia. All runners were interviewed individually on their injury history and possible associations. The runners were biomechanically examined to assess their foot type which were categorised as either pes planus, pes cavus or normal. Anthropometric and body mass index measurements indicated that the middle distance athletes were lighter in weight and taller than the marathon runners (p < 0.01). Cavoid foot type occurred in 50% of runners, with significantly more occurring in marathon runners ( 61. 4%) than middle distance runners (18.2%). The runners linked injuries mainly to hard or uneven terrains, overtraining, and insufficient rest after an injury. Common injuries suffered by marathon runners were mainly back problems, hip ailments and sciatica. Common injuries to middle distance runners were mainly knee problems, stress farctures and sciatica. Marathon runners incurred more injuries than the middle distance runners (97% compared to 81.8%) which was statistically significant and the injuries suffered were different.
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Watts, Russell Edward. "Evaluation of DETA as a surface treatment to enhance neuronal attachment to a silicone-based substrate." Thesis, Georgia Institute of Technology, 2001. http://hdl.handle.net/1853/16905.

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Granger, Nicolas. "Effects of intraspinal transplantation of mucosal olfactory ensheathing cells in chronic spinal cord injury in domestic dogs." Thesis, University of Cambridge, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.608161.

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Visser-Maritz, Karien. "Knee kinematics during a single-leg drop-landing in sports participants with chronic groin pain." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86507.

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Thesis (MScPhysio)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Introduction: Groin injuries are among the top six injuries in contact sports and may lead to career ending chronic pain. Research on the role of knee kinematics in developing chronic groin pain in sport is scarce. Objective: The purpose of this study was to determine if there are differences in knee kinematics during a single-leg drop-landing in sports participants with chronic groin pain compared to asymptomatic controls. Methodology: A descriptive study was conducted. Twenty active sports’ participants were recruited from soccer and rugby clubs situated around the Cape Peninsula area, Western Cape, South Africa. The three-dimensional (3D) knee kinematics of ten cases with chronic groin pain and ten asymptomatic controls was analysed. Knee kinematics was analysed in the FNB-3D Vicon Laboratory at Stellenbosch University, using an eight camera Vicon system. A positive adductor squeeze test was used as a diagnostic test to include cases with chronic groin pain. Each participant performed six single-leg drop landings. The main outcome measure was 3D knee kinematics at initial foot contact and at the lowest vertical position of the drop landing. The following sub-groups were analysed: seven unilateral groin pain cases compared to their seven matched controls; three bilateral groin pain cases where their most painful leg and least painful leg were compared to their matched controls, respectively. Descriptive statistical techniques were used for all outcome measures; means and standard deviations (SD) were calculated, followed by a Student’s t-test to determine significant differences between the cases and controls. For all outcomes with p-values equal to or below 0.05, the effect size was calculated using the Cohen’s D. Results: The findings of this study indicated a significant difference (p=0.0001) between cases with unilateral groin pain having less knee internal rotation compared to the controls at the lowest vertical position of the drop landing in the transverse plane. Significantly less internal rotation (p<0.0001), was also noted in the cases with bilateral groin pain (in the most painful leg and the less painful leg), although this was noted at foot contact. Cases with bilateral groin pain also had significantly (p<0.001) more knee varus (adduction) during the landing phase. Conclusion: Differences in knee kinematics between sports participants with chronic groin pain and asymptomatic controls were found. These findings imply that the knee joint should be included during assessment and rehabilitation of individuals suffering with chronic groin pain. Due to the cross-sectional study design of the current study, it cannot be stated for certain whether the knee kinematics noted in the groin pain group are causative or as a result of groin pain. Future prospective studies are thus recommended; these studies should focus on the effect of contralateral knee kinematics on the hip adductors and may include exploration of the muscular components during a single-leg drop landing.
AFRIKAANSE OPSOMMING: Inleiding: Lies beserings is een van die top ses beserings in kontak sport en kan lei tot chroniese lies pyn en selfs die be-eindigging van ‘n sportloopbaan. Navorsing oor die rol van knie kinematika in die ontwikkeling van chroniese liesbeserings in sport is skaars. Doelwit: Die doel van hierdie studie was om te bepaal of daar verskille in die knie kinematika is tydens 'n enkel been val landing in sport deelnemers met chroniese lies pyn in vergelyking met gesonde kontroles. Metode: 'n Beskrywende studie was uitgevoer. Twintig aktiewe sport deelnemers is gewerf van rugby en sokker sportklubs geleë rondom die Kaapse Skiereiland, Wes-Kaap, Suid-Afrika. Die 3D knie kinematika van tien gevalle met chroniese lies pyn en tien asimptomatiese bypassende kontroles is ontleed. Knie kinematika was ontleed in die FNB-3D Vicon Laboratorium by die Universiteit van Stellenbosch, met behulp van 'n agt-kamera Vicon stelsel. 'n Positiewe Adduktor druk toets was gebruik as 'n diagnostiese toets om gevalle met chroniese lies pyn in te sluit. Om die knie kinematika te analiseer, het elke deelnemer ses enkel been val landings uitgevoer . Die belangrikste uitkomsmeting was 3D knie kinematika by die aanvanklike voet kontak en by die laagste vertikale posisie van die enkel-been val landing. Die volgende sub-groepe was ontleed: sewe unilaterale lies pyn gevalle in vergelyking met hul sewe bypassende kontroles; drie bilaterale lies pyn gevalle waar hul mees pynlike been, sowel as minder pynlike been onderskeidelik vergelyk was met hul bypassende kontroles. Beskrywende statistiese tegnieke was gebruik vir alle uitkoms maatreëls; gemiddeldes en standaardafwykings (SA) was bereken, gevolg deur 'n Studente’s t-toets om beduidende verskille tussen die gevalle en kontroles te bepaal. Vir al die uitkomste met p-waardes gelyk of onder 0.05, is die effekgrootte bereken deur die Cohen’s D. Resultate: Die bevindings van hierdie studie dui op 'n beduidende verskil (p=0,0001) tussen gevalle met unilaterale lies pyn met minder interne knie rotasie in vergelyking met die kontroles by die laagste vertikale posisie van die val landing in die dwars vlak. Aansienlik minder interne rotasie (p<0,0001), is ook opgemerk in gevalle met bilaterale lies pyn (in die mees pynlike been en die minder pynlik been), alhoewel tydens voet kontak. Gevalle met bilaterale lies pyn het ook betekenisvol (p <0.001) meer knie varus (adduksie) tydens die landingsfase gehad. Gevolgtrekking: Verskille bestaan in die knie kinematika tussen sport deelnemers met chroniese liesbesering pyn en gesonde kontroles. Hierdie bevindinge impliseer dat die knie behoort ingesluit te word tydens die assessering en rehabilitasie van individue met chroniese lies pyn. As gevolg van die deursnee-studie ontwerp van hierdie studie, kan dit nie bevestig word of die knie kinematika die oorsaak van die chroniese pyn is nie. Toekomstige voornemende studies word dus aanbeveel, hierdie studies moet fokus op die effek van die kinematika van die kontralaterale knie op die heup adduktore en kan moontlik die ondersoek van die spier kinetika tydens hierdie aktiwiteit insluit.
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Books on the topic "Leg Wounds and injuries Treatment"

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Yao tui tong tiao zhi. Guangzhou Shi: Guangdong ke ji chu ban she, 2003.

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Wright, Stuart. Dancer's guide to injuries of the lower extremity: Diagnosis, treatment, and care. New York: Cornwall Books, 1985.

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S, Torg Joseph, ed. The running athlete: Roentgenograms and remedies. Chicago: Year Book Medical Publishers, 1987.

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Sports injuries sourcebook: Basic consumer health information about sprains, fractures, tendon injuries, overuse injuries, and injuries to the head, spine, shoulders, arms, hands, trunk, legs, knees, and feet, and facts about sports- specific injuries, injury prevention, protective equipment, children and sports, and the diagnosis, treatment, and rehabilitation of sports injuries ... 4th ed. Detroit, MI: Omnigraphics, 2012.

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Arno, Lindner, ed. Management of lameness causes in sport horses: Muscle, tendon, joint and bone disorders. Essen: Arbeitsgruppe Pferd, 2006.

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Shoulder injuries: Prevention and treatment. London: Peak Performance Publishing, 2004.

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1943-, Henderson Joe, ed. Running injury-free: How to prevent, treat, and recover from dozens of painful problems. Emmaus, Pa: Rodale Press, 1994.

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Consensus Development Conference on the Treatment of Radiation Injuries (1st 1989 Washington, D.C.). Treatment of radiation injuries. New York: Plenum Press, 1990.

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1970-, Aksenov Igor V., and Miller Stuart S, eds. MasterMinding wounds. [Flagstaff, AZ]: Best Publishing Company, 2010.

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Garde, Louis Anatole Le. Gunshot injuries: How they are inflicted, their complications and treatment. 2nd ed. Mt. Ida, Ark: Lancer Militaria, 1991.

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Book chapters on the topic "Leg Wounds and injuries Treatment"

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Orgill, Dennis P. "Operative Management of Pressure Injuries." In Interventional Treatment of Wounds, 75–84. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-66990-8_5.

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Hanson, R. Reid, and Amelia S. Munsterman. "Treatment of Burn Injuries, Gunshot Wounds, and Dog-Bite Wounds." In Equine Wound Management, 476–89. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2016. http://dx.doi.org/10.1002/9781118999219.ch20.

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Leonard, Zachary C. "Surgical Treatment of Posterior Leg Injuries." In Muscular Injuries in the Posterior Leg, 111–20. Boston, MA: Springer US, 2016. http://dx.doi.org/10.1007/978-1-4899-7651-2_10.

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Woods, Ryan R., and Jeffrey S. Brault. "Special Population Considerations in the Treatment of Posterior Leg Injuries." In Muscular Injuries in the Posterior Leg, 141–52. Boston, MA: Springer US, 2016. http://dx.doi.org/10.1007/978-1-4899-7651-2_12.

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Planinšek Ručigaj, Tanja. "Diseases of the Veins and Arteries (Leg Ulcers), Chronic Wounds, and their Treatment." In Atlas of Dermatology, Dermatopathology and Venereology, 1205–331. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-53808-2_66.

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van Baar, Margriet E. "Epidemiology of Scars and Their Consequences: Burn Scars." In Textbook on Scar Management, 37–43. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44766-3_5.

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AbstractPathological scarring in burn wounds can result in hypertrophic scars and/or contractures. Prevalences of hypertrophic scarring after burn injuries between 8% and 67% are reported. A recent prospective study revealed a prevalence of 8%. Data on prevalence of burn scar contractures are limited; reported prevalence at discharge varied between 38 and 54% and decreased with an increasing time post burn. About 5–20% of the people who suffered from burn injuries received reconstructive surgery after burns, up to 10 years post injury.Factors predicting pathological scar formation after burn injuries include patient, injury and treatment characteristics. Injury- and treatment-related characteristics are the main predictors of scar outcomes after burn injury. These characteristics are related to burn size (total body surface area burned) and burn depth (number or type of surgery) or the overall healing process in general (length of stay, wound healing complications). Intrinsic patient-related risk factors seem to play a role as well but are less consistent predictors of scar outcome. This includes the risk factors like the female gender and also a younger age and darker skin.Knowledge on risk factors for poor scar outcome can be used to tailor treatment, aftercare and scar prevention to these patients with a high-risk profile.
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Grocott, Patricia. "Managing Wounds." In Adult Nursing Practice. Oxford University Press, 2012. http://dx.doi.org/10.1093/oso/9780199697410.003.0039.

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This chapter addresses the vital area of wound care, including the impact that wounds can have upon patients and their families, and the nursing management challenges that they present. As a registered nurse caring for patients with wounds, you will be responsible for making a clinical assessment of the patient with a wound, making clinical decisions based on the most appropriate evidence-based, nurse-led interventions, and, crucially, measuring patient outcomes. The latter involves continuous monitoring of how both the patient and his or her wound is responding, or not, to the treatment and care that you give. This chapter presents a generic approach to wound management, and this should help you to deliver high-quality, safe wound care for patients with wounds of differing aetiologies. This includes core components of interventions for acute, chronic, and palliative wound care. Importantly, the chapter has been designed to help you to make the links between assessment, clinical decision-making, nursing interventions, and patient care. Nurses play a key role in the multidisciplinary team in the delivery of wound care, and frequently act as the ‘point of contact’ for the manufacturers and suppliers of wound care products. The approach advocated in this chapter will equip you to make informed assessments and clinical decisions. Wounds are injuries to the body, the skin in particular, causing a breach of the layers of skin (see Chapter 12 Understanding Skin Conditions) and the body boundary. The term ‘wound’ also defines the act of injuring a person’s skin. This may be deliberate, e.g. during a surgical procedure, or deliberate to cause harm, e.g. during warfare, terrorist attacks, or domestic and street violence. Wounding can also occur with accidents (a cut from a kitchen knife), natural disasters (earthquake), and exposure to environmental stresses such as extreme heat (burns, skin cancers), extreme cold (frostbite), excessive pressure, and excessive exposure to water and moisture (trench foot). Wounds also develop because of diseases and conditions such as diabetes, which disrupt the structures of the skin and the normal metabolic processes that maintain skin health (see Chapter 9 Understanding Diabetes Mellitus).
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Canonico, Silvestro, Ferdinando Campitiello, Angela Della, Vincenzo Padovano, and Gianluca Pellino. "Treatment of Leg Chronic Wounds with Dermal Substitutes and Thin Skin Grafts." In Skin Grafts. InTech, 2013. http://dx.doi.org/10.5772/51852.

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MAKINS, GEORGE HENRY. "SYMPTOMS AND SIGNS OF GUNSHOT WOUNDS OF THE BLOOD-VESSELS, AND THE TREATMENT OF HÆMORRHAGE." In On Gunshot Injuries to the Blood-Vessels, 30–56. Elsevier, 2013. http://dx.doi.org/10.1016/b978-1-4831-6686-5.50008-2.

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VanDerhoef, Katlin, and Jeffrey P. Louie. "Current Concepts: Pediatric Dog Bite Injuries." In Wound Healing - Recent Advances and Future Opportunities [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.102329.

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Dog bite wounds are an increasingly common occurrence, particularly in children. Providers must be able to manage bite injuries, as well as identify wound infections and how to treat them. This chapter discusses common dog bite injuries, immediate and delayed sequelae of a bite wound, wound closure, and antibiotic treatment regimens. Facial injuries are common in pediatrics and may require surgical consultation. Knowledge of the immunization status of the patient and dog is essential in the prevention and sequala of tetanus and rabies. The subsequent information is essential for any physician working with children and their families, particularly in the emergency setting.
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Conference papers on the topic "Leg Wounds and injuries Treatment"

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Alban, Angela, Cheryl Coiro, Trisha Patel, Jeffrey Beaubien, and Mark Mazzeo. "Toward the Development of A Realistic, Low-Cost “Gender Retrofit Kit” For Use In Combat Medicine Training." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001497.

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BackgroundBystanders often hesitate when rendering first aid to females, particularly it requires disrobing the individual (Leary et al, 2018). In addition to the delayed application of first aid, the lifesaver’s actual task performance may also be less effective than when treating injured males. This can occur, for example, when the lifesaver does not fully expose the wound (Bell et al., 2020). The Army has invested heavily in the acquisition of realistic patient manikins for training combat medicine skills. However, given logistical constraints, it will be difficult to acquire an equal number of female patient manikins. Therefore, the purpose of this study was to develop and test a low-cost manikin “Gender Retrofit Kit” (GRK). The GRK included a breast “vest” that is affixed to the torso, a realistic vagina that is affixed to the groin, a wig, facial makeup, and instructions for “feminizing” the manikin’s appearance. MethodWe recruited a convenience sample of 36 Combat Lifesavers and Combat Medics who were completing their recurrent annual training. At the end of their scheduled training, the participants were invited to practice three medical procedures (treatment of penetrating trauma to the leg via tourniquet, treatment of gunshot wound via application of a chest seal, and treatment of tension pneumothorax via needle chest decompression). Of the three medical procedures, only the last two required disrobing the patient. Therefore, we hypothesized that if performance issues were to occur, they would be localized here. The participants practiced the three procedures using two different manikin types: a standard male manikin and the GRK-outfitted manikin. The order of manikin presentation was counterbalanced. Measures of task quality, task completion times, and usability questionnaires were collected. Results and ConclusionsThe sample was primarily male (78%), and included nearly equal numbers of Combat Lifesavers (42%) and Combat Medics (44%). A post-simulation questionnaire suggested no significant mean differences between the standard vs. GRK manikins with regard to the simulators’ perceived realism, anatomical correctness, or ability to provide meaningful skills practice. However, statistically higher mean scores were reported for questionnaire items that focused on the female manikin’s realistic breast tissue, realistic skin texture, and feminine facial appearance. Linear mixed models were used to separately test the effects of participant gender (or job title), manikin gender, and their interaction on both task performance speed and quality. There were no statistically significant differences in task completion order or speed of task completion. All participants performed the three tasks in accordance with the Army’s MARCH-E algorithm, and all had similar completion times. With regard to the quality of task performance, the analyses revealed only one statistically significant main effect of manikin gender: the GRK manikin had a lower mean task performance score for the treatment of gunshot wounds, which required disrobing the patient to apply the chest seal. Based on the results of this exploratory study, we are prioritizing potential improvements to the GRK, and are planning a more rigorously-controlled validation study with the revised prototype. Additional implications and lessons learned will be discussed.
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Pintar, Frank A., Srirangam Kumaresan, Brian Stemper, Narayan Yoganandan, and Thomas A. Gennarelli. "Finite Element Modeling of Penetrating Traumatic Brain Injuries." In ASME 2000 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2000. http://dx.doi.org/10.1115/imece2000-2602.

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Abstract Recent advances in the treatment of penetrating gunshot wounds to the head have saved lives. These advances are largely reported using retrospective analysis of patients with recommendations for treatment. Biomechanical quantification of intracranial deformation/stress distribution associated with the type of weapon (e.g., projectile geometry) will advance clinical understanding of the mechanics of penetrating wounds. The present study was designed to delineate the biomechanical behavior of the human head under penetrating impact of two different projectile geometries using a nonlinear, three-dimensional finite element model. The human head model included the skull and brain. The qualitative comparison of the model output with each type of projectile during various time steps indicates that the deformation/stress progresses as the projectile penetrates the tissue. There is also a distinct difference in the patterns of displacement for each type of projectile. The present study is a first step in the study of the biomechanics of penetrating traumatic brain injuries.
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Frybarger, Michelle R., and Karim H. Muci-Küchler. "Distribution of Bacterial Contamination in Partial Penetration Surrogate Ballistic Wounds." In ASME 2020 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/imece2020-23897.

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Abstract With the rise in use of IEDs during armed conflicts, there has been an increase in the number of injuries to the extremities. Shrapnel and debris ejected during the explosion become high-speed projectiles capable of penetrating soft tissues, bringing bacterial contamination into the wound. If not properly treated, that contamination could lead to infection. Studies aimed at understanding the distribution of bacterial contamination along the permanent cavity could provide useful information to improve treatment protocols for these types of injuries. In this paper, a lower extremity surrogate model was used to investigate bacterial distribution in partial penetration ballistic wounds. The targets used were ballistic gelatin blocks that had an Escherichia coli-laden filter paper placed on their front face. Spherical projectiles were fired into the targets adjusting their speed to obtain three different partial penetration depths. After each shot, a gelatin strip containing the permanent cavity was extracted and segmented. The permanent cavity was removed from each segment, placed in a test tube with buffer solution, and heated in a water bath to melt the gelatin. Standard microbiology protocols were followed to determine the number of colony forming units (CFUs) in each segment. The bacteria distribution was represented by percent of total CFU in the permanent cavity versus segment number. In addition, bacterial contamination as a function of projectile penetration depth was explored. For the cases considered, most of the bacterial contamination occurred in the segments closer to the projectile entry point.
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Izmailov, Sergey, Julia Perevezentseva, Andrey Rotkov, Vladimir Beschastnov, Evgeniy Popov, and Egor Lukoyanychev. "Mathematical Justification of the Wound suturing by Wound Contractors of new Generation." In International Conference "Computing for Physics and Technology - CPT2020". Bryansk State Technical University, 2020. http://dx.doi.org/10.30987/conferencearticle_5fce2772128d09.10616351.

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Frequent cases of man-made disasters, terrorist attacks and military conflicts lead to an increase in the number of victims. Significant soft tissue defects are known to result from gunshot wounds. So, as a result of mine-blasting injuries, defects in the skin and underlying tissues more than 10 cm in diameter are formed in 71.1% of cases. The prerequisite for the uncomplicated course of the wound process is to achieve an adequate comparison of the edges of the wound without excessive tension. To close such extensive wounds, various technical means are used: sutures on pads, various types of dermatotension. We have developed various models of wound contractors (RC) for treatment of wounds. With the help of the RC, a complete reposition and good adaptation of the edges of the wound is created. The wound closure method using these RC almost completely eliminates tissue cutting and limits the sawing effect to a minimum. This is explained by the effects of elastic forces reducing to zero when matching soft tissues and suturing. The use of hardware methods for suturing wounds requires the development of mathematical models of various types of wounds and surgical sutures. These models should provide a simulation of living tissues of the wound edges behavior to achieve the best results in the treatment of wounds by RC advanced technologies. The purpose of this study is to mathematically justify RC with the parallel holding of spokes. Another purpose is to develop a mathematical model of the wounds suturing by hardware technology.
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CHIRVA, Y. V., and M. I. BABICH. "TREATMENT OF DEFECTS IN BONES AND SOFT TISSUE WOUNDS IN VICTIMS WITH INJURIES OF THE LOWER EXTREMITIES BY THE METHOD OF SEQUENTIAL OSTEOSYNTHESIS." In Проблемы и вопросы современной науки. Научно-Издательский Центр Международной Объединенной Академии Наук (НИЦ МОАН), 2018. http://dx.doi.org/10.18411/pivsn-18.

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Shan, Xin, Timothy J. Koh, Rhonda D. Kineman, and Onur Bilgen. "Collocated Actuation and Feedback Control of a Piezoelectric Bandage for Producing Low-Intensity Vibrations." In ASME 2021 Conference on Smart Materials, Adaptive Structures and Intelligent Systems. American Society of Mechanical Engineers, 2021. http://dx.doi.org/10.1115/smasis2021-67859.

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Abstract A large number of people living with type two diabetes suffer from a slow rate of wound healing. Also, some injuries, such as burns, can cause chronic wounds. Low-intensity vibrations have been investigated to promote wound healing. In authors’ previous research, a piezoelectric disc was bonded near the wound site to deliver low intensity vibration. It has been demonstrated that low intensity vibration promotes tissue perfusion, granulation tissue formation, and wound healing in diabetic mice. In this paper, a self-sensing feedback control system is designed to ensure vibration consistency. Such consistency is critical to the proposed treatment. The piezoelectric disc acts as an actuator and a sensor synchronously, i.e., a single piezoelectric disk bonded on the skin can produce vibrations and measure strain or stress simultaneously. No separate sensors are needed to deploy in the feedback control systems. Such integrated design eliminates sensors, which saves space and reduces complexity, and it is important to wearable devices. A bridge circuit is adopted in this work to enable the collocated control. The bridge circuit, piezoelectric disk, and tissue are modeled separately. Finally, a single-input single-output system model is established for the whole system, and a corresponding controller is designed. Responses based on the SISO model are simulated and analyzed. The important system parameters are investigated and discussed.
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Ghosh, Shramana, Nina Robson, and J. M. McCarthy. "Geometric Design of a Passive Mechanical Knee for Lower Extremity Wearable Devices Based on Anthropomorphic Foot Task Geometry Scaling." In ASME 2015 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/detc2015-46499.

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The standard recovery treatment for ankle and lower leg injuries consists of using underarm crutches. Hands-free crutches have recently emerged as a more comfortable, natural and energy efficient alternative. However in the currently available devices such as the iWalk-Free (iWALKFree, Inc., USA) the lack of a knee joint results in abnormal motion pattern at the hip and pelvic joints to ensure foot clearance during the swing phase of the gait. To address this shortcoming, the paper describes the kinematic synthesis of a planar passive four-bar linkage that can be used as a mechanical knee in lower limb exoskeletons and other wearable devices. The knee design is based on anthropomorphic foot walking trajectory obtained from optical motion capture system. The task geometry at the foot, related to the contact and curvature constraints between the foot and the ground at two critical positions ‘heel strike’ and ‘toe off’ is scaled to the knee level. Velocity and acceleration specifications compatible with the contact and curvature constraints assist in defining the synthesis equations for the knee design. A working prototype of a passive wearable crutch substitute that incorporates the mechanical knee shows the applicability of the proposed technique.
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