Background: Creating a custom prosthetic device is challenging. The requirements of the patient's life must be taken into consideration when manufacturing the device. After having met the requirements for an autonomous daily life, adjustments can be made for recreational activities.
Subject And Methods: A 67-year-old patient with an above-elbow amputation following a hunting accident wanted to use a rifle to hunt again. We considered her desires, the short stump, and the constraints of the type of hunting and environment, bearing in mind the safety of the patient and other hunters.
Results And Conclusion: An orthopaedic prosthetic system was developed to allow her to pick up the rifle, aim (sight), and shoot with recoil. The 2 rifle supports are fixed onto a bolero vest. The supports are made of carbon fibre, which is lightweight, and the gun can be aimed between them. Appropriate safety was achieved. The efficiency depends on the patient. There are few publications regarding amputation cases of this type, in which the specification goals were precision and the ability to walk with the prosthesis. Multi-disciplinary collaboration enabled us to create a device that met the requirements of this case.
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http://dx.doi.org/10.2340/20030711-1000025 | DOI Listing |
J Orthop Case Rep
January 2025
Department of Orthopaedics, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India.
Introduction: Olecranon fractures account for 5-7% of elbow fractures, making them a common injury. The majority of these fractures are treated surgically because they are intra-articular and can disrupt the elbow extensor mechanism. Mayo Type II fractures are displaced with a stable ulnohumeral joint, indicating intact ligamentous structures, particularly the anterior portion of the medial collateral ligament.
View Article and Find Full Text PDFBMJ Case Rep
December 2024
Orthopaedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
A boy in middle childhood presented with complaints of swelling and pain in his right forearm for 4 months. He had previously undergone left above-elbow amputation due to a suspected malignant tumour in that arm. Radiological imaging revealed a locally aggressive bone tumour of the right distal radius.
View Article and Find Full Text PDFSkeletal Radiol
December 2024
Manchester University NHS Foundation Trust, Manchester, UK.
We present a case of biopsy-proven epithelioid angiosarcoma in an arteriovenous fistula (AVF). Angiosarcomas developing in non-functioning AVF in renal transplant recipients are rare clinical entities with poor prognosis. A 59-year-old male adequately immunosuppressed kidney transplant patient presented with pain and swelling at the site of a previously asymptomatic fistula.
View Article and Find Full Text PDFJ Wrist Surg
December 2024
Department of Orthopaedics, Tauranga Hospital, Christchurch, New Zealand.
Operative treatment of triangular fibrocartilage complex (TFCC) tears has been well researched; however, data regarding nonoperative management is mixed and scarce. Our review aimed to utilize available data to formulate conclusions regarding treatment algorithms for this heterogeneous injury group. A thorough literature review was performed in Medline (OVID), Embase, Cochrane Library, and PubMed databases with search terms including "triangular fibrocartilage complex" and variations on the full term including "triangular fibrocartilage" or "TFCC," alongside "non-operative" and "conservative.
View Article and Find Full Text PDFCureus
October 2024
Orthopaedics and Traumatology, University Hospital Galway, Galway, IRL.
This case report presents a 14-year-old male patient with a medical history of left nephrectomy for cystic nephroma and resolved hypertension, who sustained a right both-bone middle shaft forearm fracture while playing football. The injury was managed initially with manipulation under anesthesia, the insertion of the Titanium Elastic Nailing System (TENS), and the application of an above-elbow cast. Clinical and radiographic reviews confirmed fracture healing after seven weeks, allowing for cast removal and advising the patient to avoid contact sports.
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