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, Lyons K. A modified thumb spica splint for thumb injuries in the ED. Am J Emerg Med. 2005; 23: 777-81. 15. I AsifM. Nonsurgical treatment for De Quervain’s tenosynovitis. Hand Sur. 2009; 34A: 928-29. 16. Lane LB, Boretz RS, Stuchin SA. Treatment of De Quervain’s tenosynovitis: role of conservative management. J Hand Sur. 2001; 73:258-60. 17. Witt J, Press G, Gelberman RH. Treatmemnt of De Quervain’s tenosynovitis. A prospective study of the result of injection of steroids and immobilization insplint. J Bone Joint Sur. 1991; 73:219-22. 18. Skoff HD. Postpartum

References 1. Davidovich E, Heling I, Fuks AB. The fate of a mid-root fracture: a case report. Dent Traumatol, 2005;21:170-173. 2. Karhade I, Gulve MN. Management of Horizontal Root Fracture in the Middle Third via Intraradicular Splinting Using a Fiber Post. Case Rep Dent, 2016;2016:9684035. 3. Welbury R, Kinirons MJ, Day P, Humphreys K, Gregg TA. Outcomes for root-fractured permanent incisors: a retrospective study. Pediatr Dent, 2002;24:98-102. 4. Tsai YL, Liao WC, Wang CY, Chang MC, Chang SH, Chang SF, et al. Horizontal root fractures in posterior teeth

implants for the treatment of partial edentulism. J Prosthet Dent, 1992; 67:236-245. 13. Richter EJ. Basic biomechanics of dental implants in prosthetic dentistry. J Prosthet Dent, 1989; 61:602-609. 14. Lundgren D, Laurell L. Biomechanical aspects of fixed bridgework supported by natural teeth and endosseous implants. Periodontol, 2000 1994; 4:23-40. 15. Lin CL, Wang JC, Chang WJ. Biomechanical interactions in tooth-implant supported fixed partial dentures with variations in the number of splinted teeth and connector type: a finite element analysis. Clin Oral Implants

References 1. Luke PA, Faralli VJ, Orenstein EM, Ecker ML. Blood loss after total knee replacement. J Bone Joint Surg Am. 1991; 73:1037-40. 2. Sehat KR, Evans R, Newman JH. How much blood is really lost in total knee arthroplasty? Correct blood loss management should take hidden loss into account. The Knee. 2000; 7:151-5. 3. Zenios M, Wykers P, Johnson DS, Clayson AD, Kay P. The use of knee splints after total knee replacements. The Knee. 2002; 9:225-8. 4. Horton TC, Jackson R, Mohan N, Hambidge JE. Is routine splint following primary total knee replacement

more Kirschner wires (K-wires) plus splints for 3 weeks. Then, the K-wires and finger splints were removed and the patients were instructed how to use a mobile frame improvised from a standard disposable syringe barrel. The frames were constructed from 20 mL polypropylene syringe barrels. The barrels were cut in a transverse fashion at the dorsal part and at the wedge volar part at the level of the PIPJ that preserves a 5-mm hinge on the radial and ulnar sides. The hinges allow some flexion motion of the finger. In case of a larger size or swollen finger, a


Introduction: Cephalea from orofacial origin is a diffuse, mild to moderate pain that appears as a bandage around the head. There are many different etiological causes of dental origin that contribute to the appearance of cephalea.

Purpose: The purpose of our research is dental treatment of patients with traumatic occlusion, bruxism and loss of occlusal support, which have a pathological condition - cephalea from orofacial origin.

Material and methods:For the purposes of this paper, 15 patients with cephalea from orofacial origin were analysed, diagnosed and treated. The control group consisted of 15 patients without etiological factors. A butterfly deprogrammer and a stabilization splint were made depending on the indication.

Results and discussion: According to our patient study results, it appears to be a link between inadequately made prosthetic devices, bruxism and loss of occlusal support with cephalea. The therapy should help the patient urgently and continue to relieve the cephalea symptoms from orofacial origin. The results show an improvement in 86.7% of the examinees.

Conclusion: The butterfly deprogrammer and stabilization splint are new methods that can contribute along with other therapeutic modalities in improving the quality of life in a patient with cephalea from orofacial origin.


In the last decades, rhinology has developed in a great manner concerning new surgical techniques and extending the use of compatible biomaterials in order to achieve normal morphology and normal functional aspect after surgery (endoscopic or open approach). Since biomaterials are integrated in biological active organs and systems, they have to be easily accepted by the receiver with no toxicity, inflammation or other side effects. The authors try to review all biocompatible materials used in several rhinological pathologies in order to obtain the best results after functional or reconstructive surgery. In rhinological surgery there are usually used homograft’s but the use of biomaterials like alloplastics (silicone, high density polyethylene, polytetrafluoroethylene, etc.) has widely increased. The authors present their experience in endoscopic approach of choanal atresia using nasal stents, closure techniques for septal perforation using nasal splints, endoscopic drainage and sinus ventilation using balloon sinuplasty, lacrimal pathway obstruction using double margin stent and some materials used in cosmetic and reconstructive rhinoplasty.


Distal tibial fractures usually result from high-energy trauma, affecting young, active people, producing long-term disability and numerous complications. Their treatment is difficult, especially in type C fractures, which affect both the articular surface and the metaphysis, are quite frequent comminuted fractures, and are accompanied by soft tissue injuries. In these situations, External Fixation (EF) is used as a temporary bridging method, either for treating concomitant soft tissue injuries (in open fractures) or for achieving and maintaining reduction in order to prevent blisters or compartment syndrome, possibly resulting from severe displacement, bleeding or oedema. It must be however underlined that EF is rarely a definitive method for these fractures, especially when the ankle is splinted, and it must be followed by definitive Internal Fixation (IF) - the so-called “sequential method”, otherwise restoration of a normal ankle anatomy and function is improbable, resulting in ankle stiffness or even osteoarthritis. This paper presents a case in which this principle was only partially applied, thus requiring corrective surgery followed by a long-term recovery period.


Purpose. Damage Control Orthopedics (DCO) is a surgical concept used in the recovery of seriously injured patients. Given that the leading cause of death among trauma patients remains uncontrolled hemorrhage, DCO emphasizes on preventing the "lethal triad” of acidosis, coagulopathy and hypothermia, rather than correcting the anatomy immediately. Thereby, we are presenting the crucial importance of using this technique in severe trauma cases. Methods. A 23-year-old female was admitted in the Emergency Room as a multi-trauma patient. Following the Advanced Trauma Life Support protocol, fully exposure examination showed bilateral forearm and femur deformities, with bilateral open femur fracture, left ankle deformity and pelvic ecchymosis. X-rays confirmed fractures of the ribs, bilateral pulmonary contusion, fracture of the left ankle fracture, bilateral superior and inferior pubic ramus, and bilateral femur fractures with both bone midshaft fracture on the right leg. DCO was proceeded immediately, during which external fixators were placed on the fractures, while splinting both forearms. After 11 days in the Intensive Care Unit (ICU), the patient underwent the definitive surgeries. Results. Managing the patient with the DCO protocol first and not rushing with the definitive surgical procedures resulted in a proper stabilization. After two years follow up, the patient fully recovered and returned to a normal life style. Conclusion. Performing a definitive operation on severely injured patients results in deleterious effects that could lower life expectancy. Short-term physiological recovery should be prioritized over definitive management and DCO should be proceeded in order for the best outcomes to be achieved.

finger’ in adults. J Hand Surg Br 1988;13:202-3. 6. Marks MR, Gunther SF. Efficacy of cortisone injection in treatment of trigger fingers and thumbs. J Hand Surg Am 1989;14:722-7. 7. Newport ML, Lane LB, Stuchin SA. Treatment of trigger finger by steroid injection. J Hand Surg 1990;15:748-50. 8. Murphy D, Failla JM, Koniuch MP. Steroid versus placebo injection for trigger finger. J Hand Surg Am 1995;20:628-31. 9. Patel MR, Bassini L. Trigger fingers and thumb: When to splint, inject, or operate. J Hand Surg Am 1992;17:110-3. 10. Kolind-Sørensen V. Treatment of trigger