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Survey of Ophthalmology 2022Myopic traction maculopathy (MTM), one of the complications of pathologic myopia, is a spectrum of pathological conditions that are attributed to tractional changes in... (Review)
Review
Myopic traction maculopathy (MTM), one of the complications of pathologic myopia, is a spectrum of pathological conditions that are attributed to tractional changes in the eye characterized by retinoschisis, lamellar or full thickness macular hole, and foveal retinal detachment. Considering the global public health burden of MTM and pathologic myopia, it is important to understand these sight-threatening complications and their associations. We conducted an evidence-based review of the prevalence and natural history of MTM and associated risk factors. The prevalence of MTM in the general population is low, but is increased among high myopes. MTM is associated with preretinal tractional structures, myopic refractive error and axial elongation, posterior staphyloma, dome-shaped macula, chorioretinal atrophy, and myopic macular degeneration. The clinical course of MTM tends to be stable; however, MTM may progress, resulting in visual acuity deterioration, although spontaneous improvement also occurs. The associations of MTM progression include vitreous traction, location, and extent of MTM, and lamellar macular hole-specific factors. More high-quality population-based studies that assess MTM prevalence and natural history are needed.
Topics: Humans; Macular Degeneration; Myopia, Degenerative; Retinal Diseases; Retinal Perforations; Retrospective Studies; Tomography, Optical Coherence; Traction
PubMed: 35367479
DOI: 10.1016/j.survophthal.2022.03.007 -
Spine Deformity May 2019For the past 35 years, we have used halo gravity traction (HGT) to treat patients with a wide variety of underlying spinal deformities. This clinical concepts review... (Review)
Review
For the past 35 years, we have used halo gravity traction (HGT) to treat patients with a wide variety of underlying spinal deformities. This clinical concepts review will cover the indications, contraindications, HGT technique details, and our preferred method of dynamic HGT. Emphasis will be placed on our protocol, and recommendations that help to avoid complications. HGT is best applied by a standardized team approach intending to medically and nutritionally optimize the patient in preparation for an operative or medical/interventional treatment that will maintain and improve on the deformity correction achieved while avoiding peri- and postoperative complications.
Topics: Adolescent; Child; Child, Preschool; Humans; Infant; Kyphosis; Postoperative Complications; Scoliosis; Traction
PubMed: 31053309
DOI: 10.1016/j.jspd.2018.09.068 -
European Spine Journal : Official... Jul 2017Halo-gravity traction has been reported to successfully assist in managing severe spinal deformity. This is a systematic review of all studies on halo-gravity traction... (Meta-Analysis)
Meta-Analysis Review
PURPOSE
Halo-gravity traction has been reported to successfully assist in managing severe spinal deformity. This is a systematic review of all studies on halo-gravity traction in the treatment of spinal deformity to provide information for clinical practice.
METHODS
A comprehensive search was conducted for articles on halo-gravity traction in the treatment of spinal deformity according to the PRISMA guidelines. Appropriate studies would be included and analyzed. Preoperative correction rate of spinal deformity, change of pulmonary function and prevalence of complications were the main measurements.
RESULTS
Sixteen studies, a total of 351 patients, were included in this review. Generally, the initial Cobb angle was 101.1° in the coronal plane and 80.5° in the sagittal plane, and it was corrected to 49.4° and 56.0° after final spinal fusion. The preoperative correction due to traction alone was 24.1 and 19.3%, respectively. With traction, the flexibility improved 6.1% but postoperatively the patients did not have better correction. Less aggressive procedures and improved pulmonary function were observed in patients with traction. The prevalence of traction-related complications was 22% and three cases of neurologic complication related to traction were noted. The prevalence of total complications related to surgery was 32% and that of neurologic complications was 1%.
CONCLUSION
Partial correction could be achieved preoperatively with halo-gravity traction, and it may help decrease aggressive procedures, improve preoperative pulmonary function, and reduce neurologic complications. However, traction could not increase preoperative flexibility or final correction. Traction-related complications, although usually not severe, were not rare.
Topics: Gravitation; Humans; Severity of Illness Index; Spinal Curvatures; Traction; Treatment Outcome
PubMed: 27858237
DOI: 10.1007/s00586-016-4848-y -
Expert Review of Medical Devices Aug 2018Penile traction therapy (PTT) is increasingly being recognized as a viable nonsurgical approach to Peyronie's disease (PD). The goal of this article is to review the... (Review)
Review
INTRODUCTION
Penile traction therapy (PTT) is increasingly being recognized as a viable nonsurgical approach to Peyronie's disease (PD). The goal of this article is to review the current literature on PTT with attention to traction protocols, devices, and outcomes.
AREAS COVERED
Literature on the pathophysiology of PD, PTT as primary and adjunctive treatment for PD, perioperative use of PTT, and vacuum erection devices are all reviewed. Pertinent literature was obtained from the PubMed database. The key words 'penile traction,' 'mechanotransduction,' and 'Peyronie's disease' were searched and results were narrowed down based on relevance to the review.
EXPERT COMMENTARY
PTT appears beneficial but the true magnitude of effect is difficult to discern. Most studies are not randomized, have small sample sizes, lack control arms, or have varying traction protocols. Patient compliance is critical and new devices and traction protocols are needed to maximize the benefit of PTT.
Topics: Humans; Male; Penile Induration; Penis; PubMed; Traction
PubMed: 30016597
DOI: 10.1080/17434440.2018.1502083 -
The Journal of the American Academy of... Sep 2016Although methods of traction for temporizing and definitive treatment of orthopaedic injuries are described in dated textbooks, current literature and recommendations on... (Review)
Review
Although methods of traction for temporizing and definitive treatment of orthopaedic injuries are described in dated textbooks, current literature and recommendations on the use of skin and skeletal traction in orthopaedic trauma are lacking. Elaborate traction schemas have been described, but few of them have been retained in practice and even fewer have been supported by scientific data. Several options exist for traction modalities that involve the pelvis and lower extremities, including portable traction devices and traction pins.
Topics: Humans; Leg Injuries; Lower Extremity; Traction
PubMed: 27454023
DOI: 10.5435/JAAOS-D-14-00458 -
Emergency Medicine Clinics of North... Aug 1994A thorough understanding of the underlying diseases and of the halo pin traction device will allow for appropriate treatment of complications. Consultation or referral... (Review)
Review
A thorough understanding of the underlying diseases and of the halo pin traction device will allow for appropriate treatment of complications. Consultation or referral to the neurosurgeon is advised to prevent serious sequelae. The following points should be remembered: 1. Pins should only be tightened during the first 24-hour period after application. 2. Pin infection is treated by local wound care in most cases. 3. CT scan cannot completely exclude the presence of an abscess secondary to artifact, but MRI may be compatible with the newer devices. 4. Pin penetration of the inner table of the skull requires admission. 5. Any suspected loss of alignment or reduction of the cervical spine requires C-spine immobilization. 5. Nasotracheal or fiberoptic intubation or emergent cricothyroidotomy should be used if orotracheal intubation proves difficult due to the device. 7. The anterior portion of the vest is removable for cardiopulmonary resuscitation without compromising the stability of the device.
Topics: Emergencies; Humans; Traction
PubMed: 8062799
DOI: No ID Found -
Joint Bone Spine 2000
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Clinical Orthopaedics and Related... Dec 2021
Topics: Constriction; History, 20th Century; Humans; Medical Illustration; Military Medicine; Traction
PubMed: 34751674
DOI: 10.1097/CORR.0000000000002026 -
Clinical Orthopaedics and Related... May 1994Gentle reduction of acute or the acute portion of acute-on-chronic severe slipped capital femoral epiphyses (SCFE) is generally recommended. Reports of the use of... (Review)
Review
Gentle reduction of acute or the acute portion of acute-on-chronic severe slipped capital femoral epiphyses (SCFE) is generally recommended. Reports of the use of longitudinal traction with medial rotation traction, although few, are uniform in describing a high rate of success with rare complications. Of 30 acute or acute-on-chronic SCFEs examined at the author's institution between 1970 and 1990, 13 underwent attempted traction reduction with longitudinal traction and medial rotation. Only five of these 13 hips had discernible reduction. One of these five hips developed aseptic necrosis; however, this hip was clearly distracted from the acetabulum by excessive longitudinal traction that may have contributed to the development of osteonecrosis. One of the seven hips that failed traction reduction developed aseptic necrosis, and one of the 17 acute SCFEs pinned in situ developed aseptic necrosis. All three hips developing necrosis were in a group of 14 hips with moderate to severe SCFEs and complete inability to bear weight with severe pain.
Topics: Acute Disease; Adolescent; Child; Epiphyses, Slipped; Female; Femur Head; Femur Head Necrosis; Humans; Male; Traction
PubMed: 8168285
DOI: No ID Found -
Physical Therapy Feb 1981Unilateral lumbar traction has been theorized to be superior to bilateral lumbar traction in certain cases. Many patients who cannot tolerate bilateral lumbar traction...
Unilateral lumbar traction has been theorized to be superior to bilateral lumbar traction in certain cases. Many patients who cannot tolerate bilateral lumbar traction are comfortable with this method. It enables the physical therapist to administer lumbar traction to patients with protective scoliosis who would otherwise be unable to tolerate treatment. Although the theory behind the treatment seems sound, very little unilateral lumbar traction is used clinically because of problems with patient positioning and adaptability of available equipment. This paper described a technique of effectively administering unilateral lumbar traction. The technique involves a heavy-duty lumbar traction harness, with bilateral pelvic straps, that can be used for conventional lumbar traction. It is constructed in such a way that when only one side of the pelvic harness is coupled to the traction source, a stronger force is transferred to that side of the spine. Although separation occurs on both sides of the spine, greater separation and stretching is achieved on the side of the pull.
Topics: Humans; Intervertebral Disc Displacement; Lumbar Vertebrae; Physical Therapy Modalities; Sciatica; Scoliosis; Traction
PubMed: 7465625
DOI: 10.1093/ptj/61.2.221