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"Brace technology" thematic series - the Gensingen braceℱ in the treatment of scoliosis.

Weiss HR - Scoliosis (2010)

Bottom Line: A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately.As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1 Orthopedic Rehabilitation Services, D-55457 Gensingen, Alzeyerstr, 23, Germany. hr.weiss@skoliose-dr-weiss.com.

ABSTRACT

Background: Bracing concepts in use today for the treatment of scoliosis include symmetric and asymmetric hard braces usually made of polyethylene (PE) and soft braces. A new asymmetric ChĂȘneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other ChĂȘneau CAD/CAM systems over the recent years.

Brace description: This CAD/CAM ChĂȘneau derivate has been called Gensingen braceℱ, a brace available to address all possible curve patterns. Once the patients' trunk is scanned with the help of a whole trunk optical 3D-scan and the patients' data from the clinical measurements are recorded, a model of the brace can be created by (1) modifying the trunk model of the patient 'on screen' to achieve a very individual brace model using the CAD/CAM tools provided or by (2) choosing a brace model from our library and re-size it to the patients' properties 'on screen'.

Results: End-result studies have been published on the ChĂȘneau brace as early as 1985. Cohort studies on the ChĂȘneau brace are available as is a prospective controlled study respecting the SRS criteria for bracing studies, demonstrating beneficial outcomes, when compared to the controls using a soft brace. Sufficient in-brace correction effects have been demonstrated to be achievable when the ChĂȘneau principles of correction are used appropriately. As there is a positive correlation between in-brace correction and the final outcome, the ChĂȘneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well. Case reports with high in-brace corrections, as shown within this paper using the Gensingen braceℱ promise beneficial outcomes when a good compliance can be achieved.

Conclusions: The use of the Gensingen braceℱ leads to sufficient in-brace corrections, when compared to the correction effects achieved with other braces, as described in literature.According to the patients' reports, the Gensingen braceℱ is comfortable to wear, when adjusted properly.Further studies are necessary (1) in order to evaluate brace comfort and (2) effectiveness using the SRS inclusion criteria.

No MeSH data available.


Related in: MedlinePlus

Patient from North America with a thoracic curve of 56° initially treated with a Milwaukee brace (upper line of pictures). The curve corrected from 56 to 53°, only. The same curve has been corrected to 27° in a ChĂȘneau brace with a good clinical and cosmetic intermediate result. Nevertheless, the patient from North America finally decided to have spinal surgery, although the ChĂȘneau brace treatment seemed promising.
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Figure 2: Patient from North America with a thoracic curve of 56° initially treated with a Milwaukee brace (upper line of pictures). The curve corrected from 56 to 53°, only. The same curve has been corrected to 27° in a ChĂȘneau brace with a good clinical and cosmetic intermediate result. Nevertheless, the patient from North America finally decided to have spinal surgery, although the ChĂȘneau brace treatment seemed promising.

Mentions: The Gensingen braceℱ is a ChĂȘneau derivative in principle. The ChĂȘneau brace was developed before 1978 [16]. As the first developments were made in MĂŒnster, Germany, the brace was initially called CTM-brace (ChĂȘneau-Toulouse-MĂŒnster). Jacques ChĂȘneau, who used to live in Toulouse, spent a few years in MĂŒnster, where he braced patients at the orthopedic department of the university. In 1985 the first end-result study was published with in-brace correction effects of more than 40% of the initial value [7] and final results superior to the end-results of the Milwaukee study from the same centre [17] (Fig. 2). The initial ChĂȘneau brace was upgraded in 1995 and from this year on, a new version each year was promoted by the inventor during the courses organized in Germany together with Dr. Weiss in Bad Sobernheim and Prof. Neff in Berlin. A working relationship between Dr. ChĂȘneau, Dr. Weiss and Dr. Rigo began in Bad Sobernheim towards the end of the 90's, which resulted in a collaboration publishing a book presenting the 1999 standard of the ChĂȘneau brace [18].


"Brace technology" thematic series - the Gensingen braceℱ in the treatment of scoliosis.

Weiss HR - Scoliosis (2010)

Patient from North America with a thoracic curve of 56° initially treated with a Milwaukee brace (upper line of pictures). The curve corrected from 56 to 53°, only. The same curve has been corrected to 27° in a ChĂȘneau brace with a good clinical and cosmetic intermediate result. Nevertheless, the patient from North America finally decided to have spinal surgery, although the ChĂȘneau brace treatment seemed promising.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2967515&req=5

Figure 2: Patient from North America with a thoracic curve of 56° initially treated with a Milwaukee brace (upper line of pictures). The curve corrected from 56 to 53°, only. The same curve has been corrected to 27° in a ChĂȘneau brace with a good clinical and cosmetic intermediate result. Nevertheless, the patient from North America finally decided to have spinal surgery, although the ChĂȘneau brace treatment seemed promising.
Mentions: The Gensingen braceℱ is a ChĂȘneau derivative in principle. The ChĂȘneau brace was developed before 1978 [16]. As the first developments were made in MĂŒnster, Germany, the brace was initially called CTM-brace (ChĂȘneau-Toulouse-MĂŒnster). Jacques ChĂȘneau, who used to live in Toulouse, spent a few years in MĂŒnster, where he braced patients at the orthopedic department of the university. In 1985 the first end-result study was published with in-brace correction effects of more than 40% of the initial value [7] and final results superior to the end-results of the Milwaukee study from the same centre [17] (Fig. 2). The initial ChĂȘneau brace was upgraded in 1995 and from this year on, a new version each year was promoted by the inventor during the courses organized in Germany together with Dr. Weiss in Bad Sobernheim and Prof. Neff in Berlin. A working relationship between Dr. ChĂȘneau, Dr. Weiss and Dr. Rigo began in Bad Sobernheim towards the end of the 90's, which resulted in a collaboration publishing a book presenting the 1999 standard of the ChĂȘneau brace [18].

Bottom Line: A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately.As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1 Orthopedic Rehabilitation Services, D-55457 Gensingen, Alzeyerstr, 23, Germany. hr.weiss@skoliose-dr-weiss.com.

ABSTRACT

Background: Bracing concepts in use today for the treatment of scoliosis include symmetric and asymmetric hard braces usually made of polyethylene (PE) and soft braces. A new asymmetric ChĂȘneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other ChĂȘneau CAD/CAM systems over the recent years.

Brace description: This CAD/CAM ChĂȘneau derivate has been called Gensingen braceℱ, a brace available to address all possible curve patterns. Once the patients' trunk is scanned with the help of a whole trunk optical 3D-scan and the patients' data from the clinical measurements are recorded, a model of the brace can be created by (1) modifying the trunk model of the patient 'on screen' to achieve a very individual brace model using the CAD/CAM tools provided or by (2) choosing a brace model from our library and re-size it to the patients' properties 'on screen'.

Results: End-result studies have been published on the ChĂȘneau brace as early as 1985. Cohort studies on the ChĂȘneau brace are available as is a prospective controlled study respecting the SRS criteria for bracing studies, demonstrating beneficial outcomes, when compared to the controls using a soft brace. Sufficient in-brace correction effects have been demonstrated to be achievable when the ChĂȘneau principles of correction are used appropriately. As there is a positive correlation between in-brace correction and the final outcome, the ChĂȘneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well. Case reports with high in-brace corrections, as shown within this paper using the Gensingen braceℱ promise beneficial outcomes when a good compliance can be achieved.

Conclusions: The use of the Gensingen braceℱ leads to sufficient in-brace corrections, when compared to the correction effects achieved with other braces, as described in literature.According to the patients' reports, the Gensingen braceℱ is comfortable to wear, when adjusted properly.Further studies are necessary (1) in order to evaluate brace comfort and (2) effectiveness using the SRS inclusion criteria.

No MeSH data available.


Related in: MedlinePlus