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Psychiatric Evaluation of Patients Using External Fixators

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Basic Techniques for Extremity Reconstruction
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Abstract

External fixators (external stabilizing devices) are used in skeletal muscle trauma or for necessary limb reconstruction to fix congenital defects. This technique, also known as the Ilizarov method, has been developed to rehabilitate serious skeletal and soft tissue defects in both children and adults [1].

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Bibliography

  1. Dheensa S, Thomas S. Investigating the relationship between coping, quality of life and depression/anxiety in patients with external fixation devices. Int J Orthop Trauma Nurs. 2012;16:30–8.

    Article  Google Scholar 

  2. Patterson M. Impact of external fixation on adolescents: an integrative research review. Orthop Nurs. 2006;25(5):300–8.

    PubMed  Google Scholar 

  3. Martin L, Farrell M, Lambrenos K, Nayagam D. Living with the Ilizarov frame: adolescent perceptions. J Adv Nurs. 2003;43(5):478–87.

    Article  PubMed  Google Scholar 

  4. Ramaker RR, Lagro SWJ, van Roermund PM, Sinnema G. The psychological and social functioning of 14 children and 12 adolescents after Ilizarov leg lengthening. Acta Orthop Scand. 2000;71(1):55–9.

    Article  CAS  PubMed  Google Scholar 

  5. Paloski M, Taylor BC. Pediatric and adolescent applications of the Taylor Spatial Frame. CME review article. 2012; 35(6):518–528.

    Google Scholar 

  6. Niemala BJ, Tjernström B, Andersson G, Wahlsten VS. Does leg lengthening pose a threat to a child’s mental health? an interim report one year after surgery. J Pediatr Orthop. 2007;27:611–7.

    Article  Google Scholar 

  7. Ghoneem HF, Wright JG, Cole WG, Rang M. The Ilizarov method for correction of complex deformities. Psychological and functional outcomes. J Bone Joint Surg Am. 1996;78(10):1480–5.

    Article  CAS  PubMed  Google Scholar 

  8. Hrutkay JM, Eilert RE. Operative lengthening of the lower extremity and associated psychological aspects: the children’s hospital experience. J Pediatr Orthop. 1990;10(3):373–7.

    Article  CAS  PubMed  Google Scholar 

  9. Yildiz C, Uzun O, Sinici E, Atesalp AS, Ozsahin A, Basbozkurt M. Psychiatric symptoms in patients treated with an Ilizarov external fixator. [Article in Turkish]. Acta Orthop Traumatol Turc. 2005;39:59–63.

    PubMed  Google Scholar 

  10. Santy J et al. The principles of caring for patients with Ilizarov external fixation. Nurs Stand. 2009;23(26):50–5.

    Article  PubMed  Google Scholar 

  11. Limb M. Psychosocial issues relating to external fixation of fractures. Nurs Times. 2003;99(44):28–30.

    Google Scholar 

  12. Limb M. An evaluation survey of self-concept issues in adult clients undergoing limb reconstruction procedures. J Orthop Nurs. 2004;8(1):34–40.

    Article  Google Scholar 

  13. Cash TF, Pruzinsky T. Body images: development, deviance and change. NY: Guilford Press; 1990.

    Google Scholar 

  14. Lee-Smith J. Pin site management. Towards a consensus part 1. J Orthop Nurs. 2001;5:37–42.

    Article  Google Scholar 

  15. Moraal JM, Elzinga-Plomp A, Jongmans MJ, et al. Long-term psychosocial functioning after Ilizarov limb lengthening during childhood. Acta Orthop. 2009;80(6):704–10.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Coglianese DB, Herzenberg JE, Goulet JA. Physical therapy management of patients undergoing limb lengthening by distraction osteogenesis. J Orthop Sports Phys Ther. 1993;17(3):124–1.

    Article  CAS  PubMed  Google Scholar 

  17. Richard H, Nguyen D, et al. Clinical implications of psychosocial factors on pediatric external fixation treatment and recommendations. Clin Orthop Relat Res. 2015;473:3154–62.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Adaş M, Tekin A. Effects of the lower extremity external fixators on the sexual life of males. Acta Orthop Traumatol Turc. 2015;Ahead of print.

    Google Scholar 

  19. Horgan O, MacLachlan M. Psychosocial adjustment to lower-limb amputation: a review. Disabil Rehabil. 2004;26:837–50.

    Article  PubMed  Google Scholar 

  20. Atay İM, Turgay O. Alt ekstremite ampütasyonlarında protez kullanımının sıklığı ile beden imajı, depresyon, anksiyete ve benlik saygısı üzerine etkileri. Türk Fiz Tıp Rehab Derg. 2014;60:184–7.

    Google Scholar 

  21. Durmuş D, Safaz İ, et al. The relationship between prosthesis use, phantom pain and psychiatric symptoms in male traumatic limb amputees. Compr Psychiatry. 2015;59:45–53.

    Article  PubMed  Google Scholar 

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Correspondence to İrem Yaluğ Ulubil MD .

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Ulubil, İ.Y. (2018). Psychiatric Evaluation of Patients Using External Fixators. In: Çakmak, M., Şen, C., Eralp, L., Balci, H., Civan, M. (eds) Basic Techniques for Extremity Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-45675-1_45

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  • DOI: https://doi.org/10.1007/978-3-319-45675-1_45

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  • Print ISBN: 978-3-319-45673-7

  • Online ISBN: 978-3-319-45675-1

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