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Massive bone defects (>8 cm) will not unite without an additional intervention. They require a predictable, durable, and efficient method to regrow bone. The Ilizarov method of tension stress, or distraction osteogenesis, first involves a low-energy osteotomy1 - 5. The bone segments are then pulled apart, most often using an external device at a specific rate and rhythm (distraction phase), after which the newly formed bone (the regenerate) requires time for consolidation. The consolidation phase is variable and usually requires a substantially greater amount of time before the external device can be removed. Our technique of tibial bone transport over an intramedullary nail using cable and pulleys combines internal and external fixation, allowing the external fixator to be removed at the end of the distraction phase. This increases the efficiency of limb reconstruction and decreases the external-fixator-associated complications.

Amniotomy is the official term for artificially breaking the bag of waters during labor. It is believed that breaking the bag of waters will help to speed up an otherwise slow labor. Amniotomy is part of the Active Management of Labor practiced in some hospitals. Amniotomy is performed by a midwife or doctor. A long, thin instrument with a hook on the end is inserted into the vagina and through the cervix so it can catch and rip the bag of waters. To perform an amniotomy, the cervix must be dilated enough to allow the instrument through the cervix, generally at least a two. Why choose Amniotomy? Unlike other medical methods of starting labor, amniotomy does not add synthetic hormones to your labor. Instead it seems to stimulate your body’s own labor process. Amniotomy allows the use of an internal electronic fetal monitor. How effective is Amniotomy? Amniotomy alone is unpredictable, it may take hours for labor to start with amniotomy. Because amniotomy increases the risk for infection, most caregivers use amniotomy in combination with synthetic oxytocin. Birth does happen faster when amniotomy is combined with synthetic oxytocin than when amniotomy is used alone. Risks of Amniotomy Risks for Mother Increases the risk for infection. This risk is increased with length of time the waters are broken and with vaginal exams. Because of the infection risk, a time limit is given by which the mother must give birth. As the time limit approaches attempts to progress labor will become more aggressive. The fore waters equalize pressure on the cervix so it will open uniformly. When they are broken, the mother increases her chances of having uneven dilation. Risks for Baby Increases the risk of umbilical cord compression. The fore waters equalize pressure on the baby’s head as it presses against the cervix. When they are broken, the pressure on the baby’s head may be uneven causing swelling in some parts.

Myelomeningocele remains the most complex congenital malformation of the central nervous system that is compatible with life. This lesion results when the neural tube fails to fold normally during postovulatory Days 21 to 27.[6] The exact cause of disorders remains under some historical debate and is not within the scope of this paper. Myelomeningocele within the context of this discussion refers only to lesions that involve an open caudal neural tube defect on the surface of the skin

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Welcome to the official YouTube channel of Synergy Wellness Chiropractic & Physical Therapy. We are a multi discipline chiropractic and physical therapy practice located in the East Greenwich Village in Manhattan, New York City,
Schedule your new patient visit with us and start feeling better faster by calling
212-533-4900 or visit us on the web at www.SynergyWellnessNY.com.

If you've gotten any help from any of these videos we want to hear about your experience
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Dr. David Kulla, DC, CN, CEAS ll is a well known Chiropractor and CEO of Synergy Wellness Chiropractic and physical therapy working for organizations as a certified ergonomics assessment specialist for the united nations, morgan stanley, goldman sachs, broadway actors, dancers, collegiate and professional athletes with experience spanning over 2 decades in the New York Metropolitan area as a celebrity chiropractor. If you are looking for an experienced, skilled, knowledgable chiropractor nearby in nyc , we are just a subway or cab ride away.
#SHORTS thanks for watching our youtube shorts!

Dr. David Kulla and the Synergy Wellness team in lower manhattan near gramercy park offers Certified Flexion Distraction Technique by our Chiropractor. Dr. Kulla is also certified in Neurological testing or electrodiagnostic testing (EMG and NCV Testing), and a CCEP Certified Chiropractic Extremities Practitioner adjusting non spinal joints like shoulders, elbows, wrists, hands and fingers. Dr. Kulla also adjusts hips, knees and ankles and feet.
At Synergy Wellness Chiropractic & Physical Therapy New York City office we pride ourselves in patient focused care. We offer other services like custom orthotics, cold laser therapy and our channel features real patients , real experiences and any NYC actors, athletes and celebrities have given us permission to be featured in our videos.
for our videos.
You will hear LOUD CRACKS or Chiropractic Adjustments with loud CRACKING, The LOUD ASMR CRACKS you hear after a CHIROPRACTIC ADJUSTMENT is merely a byproduct of the joint cavitating, gas bouncing off synovial fluid making that extremely loud chiropractic crack or cracking noise that many people find soothing to watch (aka ASMR). We hope you enjoy our chiropractic and physical therapy youtube channel and spread the word! Thanks for TUBIN in!
Disclaimer: don't try any of these maneuvers or techniques at home on yourself or loved ones unless specifically told it ok to do on yourself or others safely.

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Anatomy of Love

Pediatric measurements: length, body weight...etc.

To license this video for patient education or content marketing, visit: http://www.nucleushealth.com/?utm_source=youtube&utm_medium=video-description&utm_campaign=tephernia-030615

An inguinal hernia is a bulging of the intestine through a defect or weak spot in the wall of the lower abdomen. This video shows how inguinal hernias form and how they are treated.
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Ettore Vulcano, MD, Foot and Ankle Orthopedic Surgeon at Mount Sinai West, discusses a new minimally invasive bunion surgery that has patients walking immediately after surgery, and getting back to an active lifestyle much quicker than with the traditional surgery.

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How to Use Tampons for The First Time Demo Video

On this week's episode of Macro Beauty, we follow a young woman on her journey to getting Lasik eye surgery. She opts for this corrective vision procedure and we captured it up close. Watch this video to see what the process is really like!

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An antecedent upper respiratory infection is present in 50% of patients. Abdominal pain is a presenting symptom in 1 0-15% of patients. The skin lesions are symmetric, involve dependent parts of the body, and classically progress from an erythematous, macular rash to papular purpura. The joints and kidneys are also commonly involved

A stress ulcer is a single or multiple mucosal defect which can become complicated by upper gastrointestinal bleeding during the physiologic stress of serious illness.

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