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D126   Category: General     Status: New idea



Meaurement of opening pressure with lumbar punctures is especially difficult in children because of the size of the patient (small) and length of needle (smaller) vis a vis the size of the manometer (relatively huge).  The manometer tube simply flops around up in the air.

 

It is, however, possible to measure pressure with multiple other devices:  think arterial pressure through an arterial line, hooked up to an electronic monitor.

 

Couldn't the same principals behind these electronic monitors and catheters be used to design a device that would improve the ease of measuring opening pressure during a lumbar puncture?

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D125   Category: Trauma     Status: New idea
Tags:  cast  info  mobility  need-trauma  walking 



Problem:
Femur and lower leg (tib/fib) fractures are fairly common in children.  Many of these are managed with casting.  For weeks, the child may need to keep weight off that leg.  Older kids can be taught to use crutches, whereas younger kids (<6) cannot reliably or safely use them.

I saw a 4 year old who combat crawled for a month.

 

The current ways for young kids in leg casts to get around include:

  • crutches
  • walkers
  • wagons
  • wheelchairs
  • reclining wheelchairs

But none of these provide the cool factor and freedom factor that a young kid is looking for

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D124   Category: General     Status: New idea



Recent research on premature neonates demonstrates that fluctuations in carbon dioxide (CO2) are responsible for significant neonatal morbidity and mortality from intraventricular hemorrhage, a bleed into the developing germinal matrix of the brain. Approximately 20% of very low and extremely low birth weight neonates hemorrhage into their brains with lifelong sequelae of cerebral palsy, neurological disorders and mental retardation, at a cost of $3 billion/year for ongoing care.

 

Oxygen toxicity is another area of major concern in the premature neonate and is a significant factor in the maldevelopment of the lungs called bronchopulmonary dysplasia. With a high mortality rate in the first two years of life, this entity affects children for years afterwards. Another result of excessive oxygen administration, retinopathy of prematurity, affects over 50% of this population and causes visual defects and blindness.

 

Current research confirms that direct and continuous real-time mon

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D121   Category: Sports     Status: New idea



What is an ACL tear?  It is a tear in one of the ligaments that holds the knee together.
http://video.about.com/sportsmedicine/Anterior-Cruciate-Ligament.htm

 

Why is this important?  Girl athletes are at higher risk. 1 in 50 high school girls who play sports suffers an ACL injury!
http://www.youtube.com/watch?v=tyxlqF_3_Vw&feature=related

 

What do people do to try and reduce the risk of reinjury?  Rehab

 

Rehabilitation begins immediately after the injury. Initial rehab should include ice, gentle knee motion, quad setting, straight leg raising, and protected weight bearing. The worst thing that can be done is to not move or use the knee.

 

Rehabilitation after surgery has come a long way in the past ten years. Today, most orthopaedic surgeons begin rehabilitation the day after surgery. Early rehabilitation begins with protected weight bearing, quad setting, straight leg raising, cycling, and guarded knee extensions. The early phase of the recovery is protected to guard

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D121   Category: Sports     Status: New idea



What is an ACL tear?  It is a tear in one of the ligaments that holds the knee together.
http://video.about.com/sportsmedicine/Anterior-Cruciate-Ligament.htm

 

Why is this important?  Girl athletes are at higher risk. 1 in 50 high school girls who play sports suffers an ACL injury!
http://www.youtube.com/watch?v=tyxlqF_3_Vw&feature=related

 

What do people do to try and reduce the risk of reinjury?  Rehab

 

Rehabilitation begins immediately after the injury. Initial rehab should include ice, gentle knee motion, quad setting, straight leg raising, and protected weight bearing. The worst thing that can be done is to not move or use the knee.

 

Rehabilitation after surgery has come a long way in the past ten years. Today, most orthopaedic surgeons begin rehabilitation the day after surgery. Early rehabilitation begins with protected weight bearing, quad setting, straight leg raising, cycling, and guarded knee extensions. The early phase of the recovery is protected to guard

More...

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D120   Category: Trauma     Status: New idea



The images below demonstrate the classic deformities that arise from supracondylar fracture.  These deformities limit the normal range of motion in kids and can impact simple activites like using a mouse.  The probelm is that it is very difficult to know if this type of deformity will arise at the time of setting the bone.

 

A current method to fix the deformity is to go back in, re-cut the bone and straighten everything out.  Alternatively, ultra-precise methods of setting or fixating the bone at the time of injury would result in better outcomes.

 

My ideas for improving the consistency of the outcome are to either build better tools for use during surgery or design a system that can gradually correct the deformity during the healing process.

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D118   Category: Deformity     Status: New idea

24 hour postural management has been shown to reduce the rate of hip contracture.  What if the postural management system was a video game that incorporated proper posture as part of the game.  For example, the device is always providing postural management but as you drive a car or fight bad guys, the postural system works and slightly manipulates the joints.

 

 

 

class="zeroBorder" style="width: 100%;" border="0"> >TI> >Management of hip dislocation with postural management.> >AU> >Pountney T; Mandy A; Green E; Gard P> >SO> >Child Care Health Dev 2002 Mar;28(2):179-85.> >

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D118   Category: Deformity     Status: New idea

24 hour postural management has been shown to reduce the rate of hip contracture.  What if the postural management system was a video game that incorporated proper posture as part of the game.  For example, the device is always providing postural management but as you drive a car or fight bad guys, the postural system works and slightly manipulates the joints.

 

 

 

class="zeroBorder" style="width: 100%;" border="0"> >TI> >Management of hip dislocation with postural management.> >AU> >Pountney T; Mandy A; Green E; Gard P> >SO> >Child Care Health Dev 2002 Mar;28(2):179-85.> >

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D117   Category: General     Status: New idea



A more effective way to treat drug-resistant joint infections could be achieved by implanting a micro aspiration/drainage tube for use in the joint space when there is risk of joint infection

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D116   Category: Trauma     Status: New idea

The goal of this idea is to make the reduction of the humerus even more of a process.

 

The idea is to have a casting or bracing system that allows for bone correction over time by causing stress fractures, distracting those fractures and moving them over time.

 

Why deformity happens:
Humerus pinned without proper alignment - Cubitus deformities result primarily from alignment of the fracture at the time that it is set rather than from physeal injury with associated deformity from asymmetric growth.  Currently, we rely on measuring angles on xrays (e.g. Baumann angle) and clinical exam.

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