GAY XUONG DUI - Bong CT (10-03-2014)

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GAY XUONG DUI - Bong CT (10-03-2014)

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Using PAVLIK HARNESS in treatment of femoral fractures for newborns Overview Femoral Fractures are rare Especially in Neonates The thighbone (femur) is the largest and strongest bone in the body It can break when a child experiences a sudden forceful impact  Overview Femoral fractures resulting from birth injuries are rare Incidence 0.13 per 1,000 live births (0,13/1000) Cause Twin pregnancies Breech presentations Prematurity The baby is especially large Difficulties in the process of born Previous treatments Bryant skin traction Splints powder Cast spica Defect Injure skin long hospital stay Difficult to clean for baby Difficult for the breastfed baby Posture make baby uncomfortable New treatment Using PAVLIK HARNESS for babies from to months Pavlik harness To used to treatment of congenital hip dislocation It is also used in treatment of femoral fractures for newborns Physiotherapist apply this method Treatment time is about weeks Forte Don’t Injure skin Don’t stay at hospital Minimal cost Easy to clean for baby Easy for the breastfed baby Baby feel comfortable Evidence-based medicine J Pediatr Orthop. 2013 Sep;33(6):614-7 doi: 10.1097/BPO.0b013e318292464a Rush JK1, Kelly DM, Sawyer JR, Beaty JH, Warner WC Jr  Ten patients with 10 fractures met inclusion criteria  The average age of the patients : 2.2 months  The average duration of Pavlik harness treatment was 43 days  The average age at final follow-up was 5.2 years Result Treatment with the Pavlik harness provides for excellent clinical outcomes with a minimal complication rate Evidence-based medicine J Pediatr Orthop. 1995 Jul-Aug;15(4):461-6 Stannard JP1, Christensen KP, Wilkins KE Fourteen patients with 16 femur fractures sustained between birth and 18 months of age were treated with a Pavlik harness All of the fractures went on to stable union within weeks  The average time at final follow-up was 20.1 months Result All of the fractures healed in good alignment, with leg-length discrepancies < cm There have been no adverse results or complications as a result of treatment with the Pavlik harness to treat femur fractures Conclusion There are many treatment of femoral fractures in neonates However pavlik harness use in the treatment of positive results by : reducing the hospital stay Minimal cost  help them comfortable easy to care for baby avoid the Injure skin caused by other methods Reference  Bs Nguyễn văn Tiếp,Nhân trường hợp gãy xương đùi sơ sinh  http://orthoinfo.aaos.org/topic.cfm?topic=a00424  http://www.orthobullets.com/pediatrics/4019/femur-fractures pediatric  http://www.ima.org.il/FilesUpload/IMAJ/0/43/21981.pdf  http://emedicine.medscape.com/article/1246915-overview  http://orthopedics.about.com/od/pediatricorthopedics/p/birthinjuries.htm THANK YOU ... comfortable Evidence-based medicine J Pediatr Orthop. 2013 Sep;33(6):61 4-7 doi: 10.1097/BPO.0b013e318292464a Rush JK1, Kelly DM, Sawyer JR, Beaty JH, Warner WC Jr  Ten patients with 10 fractures met... follow-up was 5.2 years Result Treatment with the Pavlik harness provides for excellent clinical outcomes with a minimal complication rate Evidence-based medicine J Pediatr Orthop. 1995 Jul-Aug;15(4):46 1-6 ... Jul-Aug;15(4):46 1-6 Stannard JP1, Christensen KP, Wilkins KE Fourteen patients with 16 femur fractures sustained between birth and 18 months of age were treated with a Pavlik harness All of the fractures

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Mục lục

  • Slide 1

  • Overview

  • Overview

  • Cause

  • Previous treatments

  • Defect

  • New treatment

  • Pavlik harness

  • Slide 9

  • Forte

  • Evidence-based medicine

  • Result

  • Evidence-based medicine

  • Result

  • Slide 15

  • Slide 16

  • Slide 17

  • Conclusion

  • Reference

  • Slide 20

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