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https://www.readbyqxmd.com/read/29666029/modern-day-bicruciate-retaining-total-knee-arthroplasty-a-short-term-review-of-146-knees
#1
Omar K Alnachoukati, Roger H Emerson, Elizabeth Diaz, Emily Ruchaud, Kwame A Ennin
BACKGROUND: Bicruciate retaining (BCR) implants were first proposed in the 1960s with the polycentric knee. Given the technical difficulty of implanting these devices, and the mixed results at the time, the BCR concept had stalled, until recently. This study seeks to provide a short-term review of the BCR implant design, describe patient-reported outcomes, and discuss key aspects to ensure successful implantation of the modern-day BCR implant design. METHODS: Between October 2014 and December 2016, the senior author performed 146 primary total knee arthroplasties using BCR implants...
March 17, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29624759/recent-advances-in-liquid-metal-manipulation-toward-soft-robotics-and-biotechnologies
#2
Yue Yu, Eijiro Miyako
Interest has grown significantly in the field of soft robotics, which seeks to develop machinery capable of duplicating the elastic and rheological properties of typically polymeric or elastomeric biological tissues and organs. As a result of a number of unique properties, gallium-based liquid metals (LMs) are emerging as materials used in the forefront of soft robotics research. Finding methods to enable the sophisticated manipulation of LMs will be essential for further progress in the field. This review provides a critical discussion of the manipulation of LMs and on important biotechnological applications of LMs including microfluidics, healthcare devices, biomaterials, and nanomedicines...
April 6, 2018: Chemistry: a European Journal
https://www.readbyqxmd.com/read/29618929/original-endoscopic-orbital-decompression-of-lateral-wall-through-hairline-approach-for-graves-ophthalmopathy-an-innovation-of-balanced-orbital-decompression
#3
Yi Gong, Jiayang Yin, Boding Tong, Jingkun Li, Jiexi Zeng, Zhongkun Zuo, Fei Ye, Yongheng Luo, Jing Xiao, Wei Xiong
Background: Orbital decompression is an important surgical procedure for treatment of Graves' ophthalmopathy (GO), especially in women. It is reasonable for balanced orbital decompression of the lateral and medial wall. Various surgical approaches, including endoscopic transnasal surgery for medial wall and eye-side skin incision surgery for lateral wall, are being used nowadays, but many of them lack the validity, safety, or cosmetic effect. Patients and methods: Endoscopic orbital decompression of lateral wall through hairline approach and decompression of medial wall via endoscopic transnasal surgery was done to achieve a balanced orbital decompression, aiming to improve the appearance of proptosis and create conditions for possible strabismus and eyelid surgery afterward...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29595991/the-clinical-effects-of-manipulative-therapy-in-people-with-chronic-obstructive-pulmonary-disease
#4
Jayde Galletti, George Mcheileh, Andrew Hahne, Annemarie Louise Lee
OBJECTIVES: This study aimed to determine the effects of manipulative therapies (MT), including spinal manipulation, and diaphragmatic release techniques on lung function, exercise capacity, symptoms, and health-related quality of life (HRQOL) in people with chronic obstructive pulmonary disease (COPD). DESIGN: Systematic review. PARTICIPANTS: People diagnosed with COPD. INTERVENTION: Randomized controlled trials of MT (either with or without pulmonary rehabilitation [PR]) compared to other treatments (soft tissue [ST] therapy or sham therapy) applied in people with COPD were identified following the search of seven databases...
March 29, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29595747/postoperative-infection-in-patients-undergoing-posterior-lumbosacral-spinal-surgery-a-pictorial-guide-for-diagnosis-and-early-treatment
#5
Shih-Hao Chen, Wen-Jer Chen, Meng-Huang Wu, Jen-Chung Liao, Chen-Ju Fu
Surgical site infections after posterior spinal surgery may lead to spondylodiscitis, pseudarthrosis, correction loss, adverse neurological sequelae, sepsis, and poor outcomes if not treated immediately. Infection rates vary depending on the type and extent of operative procedures, use of instrumentation, and patients' risk factors. Image evaluation is crucial for early diagnosis and should be complementary to clinical routes, laboratory survey, and treatment timing. Magnetic resonance imaging detects early inflammatory infiltration into the vertebrae and soft tissues, including hyperemic changes of edematous marrow, vertebral endplate, and abscess or phlegmon accumulation around the intervertebral disk, epidural, and paravertebral spaces...
March 27, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29557639/patterning-highly-conducting-conjugated-polymer-electrodes-for-soft-and-flexible-microelectrochemical-devices
#6
Alexandre Khaldi, Daniel Falk, Katarina Bengtsson, Ali Maziz, Daniel Filippini, Nathaniel D Robinson, Edwin W H Jager
There is a need for soft actuators in various biomedical applications in order to manipulate delicate objects such as cells and tissues. Soft actuators are able to adapt to any shape and limit the stress applied to delicate objects. Conjugated polymer actuators, especially in the so-called trilayer configuration, are interesting candidates for driving such micromanipulators. However, challenges involved in patterning the electrodes in a trilayer with individual contact have prevented further development of soft micromanipulators based on conjugated polymer actuators...
March 20, 2018: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29536682/-application-of-tri-lock-bone-preservation-stem-in-acetabular-protrusion-combined-with-shorten-defect-of-femoral-head-and-neck
#7
Jun Liu, Ping Zhen, Sheng-Hu Zhou, Qi Tian, Hui Chen, Wei Wang, Xiao-le He, Xu-Sheng Li
OBJECTIVE: To evaluate the manipulation technique and clinical outcome of Tri-Lock bone preservation stem for acetabular protrusion combined with shorten defect of femoral head and neck. METHODS: From January 2013 to December 2015, 10 patients(12 hips) with acetabular protrusion combined with shorten defect of femoral head and neck were treated with total hip arthroplasty(THA) including 5 males and 5 female with an average age of(51.6±3.0) years old ranging from 42...
February 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29532106/elimination-of-aesthetic-deformations-of-the-midface-area-our-experience
#8
Marlen Sulamanidze, George Sulamanidze, Constantin Sulamanidze
INTRODUCTION: The aesthetic manifestations of the aging process in the cheekbone, cheek and infraorbital areas are especially concerning for patients, so rejuvenating interventions in these areas are most in demand. OBJECTIVE: To introduce the experience of our clinic for aesthetic manipulation using Aptos (anti-ptosis) thread lifting methods in the midface area. METHODS: Among the surgical interventions that we used were Aptos thread lifting methods both in combination with lower blepharoplasty, and without it...
March 12, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29517453/suspected-hypervitaminosis-d-in-red-rumped-agouti-dasyprocta-leporina-receiving-a-commercial-rodent-diet
#9
Kadie M Anderson, Albert Lewandowski, Patricia M Dennis
An 8 yr, intact male red-rumped agouti ( Dasyprocta leporina) was evaluated for weight loss. Examination revealed poor body condition, hypercalcemia, elevated serum 25-hydroxyvitamin D, metastatic calcification of soft tissues, and hyperechoic kidneys. The diet, formulated for laboratory rodents, contained elevated levels of vitamin D3 . Histopathology from a female conspecific that died 5 mo prior identified dystrophic mineralization and nephrosclerosis, suggestive of a vitamin D3 toxicity. The male agouti responded well to a dietary reduction in vitamin D3 and calcium...
March 2018: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
https://www.readbyqxmd.com/read/29504328/use-of-steroids-in-rhinoplasty-with-lateral-osteotomies-for-reducing-post-operative-oedema
#10
Aamna Sanober, Mamoon Rashid, Mohammad Ibrahim Khan, Saad Ur Rehman, Shumaila Yousaf, Ishtiaq Ur Rehman Orakzai, Samia Fatima, Farhan Ahmed Eitezaz, Adeela Hussain
BACKGROUND: TPostoperative periorbital oedema is a commonly encountered side effect of rhinoplasties in which lateral osteotomies have been incorporated. It dissatisfies the surgeon as well as the patient. Osteotomies are done at the end of all soft tissue manipulation to reduce the development of oedema. The aim of this study was to determine the efficacy of intravenous dexamethasone in reducing oedema in patients who undergo rhinoplasty with lateral osteotomies. METHODS: A Prospective randomized controlled trial was done at department of plastic and reconstructive surgery, Shifa International Hospital Islamabad...
January 2018: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29475402/progressive-subcutaneous-emphysema-of-unknown-origin-a-surgical-dilemma
#11
Lynn De Roeck, Lauranne Van Assche, Veronique Verhoeven, Ina Vrints, Jana Van Thielen, Thierry Tondu, Filip Thiessen
OBJECTIVE: Subcutaneous emphysema can be an alarming sign of a necrotizing soft tissue infection. However, non-infectious etiologies exist that can be treated conservatively. This case report describes a subcutaneous emphysema of unknown origin and highlights the importance of distinguishing these clinical entities. METHODS: We present a 17-year old female with pain and subcutaneous emphysema of the left arm. There were no systemic symptoms. Inflammatory parameters were slightly elevated...
February 23, 2018: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29440702/a-fluidic-device-for-the-controlled-formation-and-real-time-monitoring-of-soft-membranes-self-assembled-at-liquid-interfaces
#12
Arturo Mendoza-Meinhardt, Lorenzo Botto, Alvaro Mata
Membrane materials formed at the interface between two liquids have found applications in a large variety of technologies, from sensors to drug-delivery and catalysis. However, studying the formation of these membranes in real-time presents considerable challenges, owing to the difficulty of prescribing the location and instant of formation of the membrane, the difficulty of observing time-dependent membrane shape and thickness, and the poor reproducibility of results obtained using conventional mixing procedures...
February 13, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29430055/conservative-management-of-mri-confirmed-knee-osteoarthritis-with-instrument-assisted-soft-tissue-mobilization-joint-manipulation-and-platelet-rich-plasma
#13
Arif Karmali
Objective: To describe the successful conservative management of a patient with chronic degenerative knee pain. Clinical Features: An active 47 year-old female office-worker with intermittent right knee pain inferolateral to the right patella for eight months described difficulty ascending stairs, sitting on a chair for one hour, and squatting. A physical exam led to the diagnosis of a suspected chronic degenerative tear of the posterior horn of the right medial meniscus and chronic right subpatellar chondrosis, in addition to extensive cartilaginous degeneration revealed by an MRI study conducted prior to initial presentation...
December 2017: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/29417348/perioperative-management-of-external-fixation-in-staged-protocols-an-international-survey
#14
Sandro Hodel, Björn-Christian Link, Reto Babst, W H Mallee, Philippe Posso, Frank J P Beeres
INTRODUCTION: Despite the frequent use of external fixation, various regimes of antibiotic prophylaxis, surgical technique and postoperative pin care exist and underline the lack of current evidence. The aim of the study was to assess the variability or consensus in perioperative protocols to prevent implant-associated infections for temporary external fixation in closed fractures of the extremities. MATERIALS AND METHODS: A 26-question survey was sent to 170 members of the Traumaplatform...
February 7, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29409275/early-radiographic-risk-factors-for-rigid-relapse-in-idiopathic-clubfoot-treated-with-the-ponseti-method
#15
Kenichi Mishima, Hiroshi Kitoh, Masaki Matsushita, Hiroshi Sugiura, Sachi Hasegawa, Akiko Kitamura, Yoshihiro Nishida, Naoki Ishiguro
BACKGROUND: This study aimed at identifying early risk factors for rigid relapse in idiopathic clubfoot using foot radiographs. METHODS: Thirty-four patients with 43 idiopathic clubfeet treated with the Ponseti method were retrospectively reviewed. RESULTS: There were seven rigid relapse recalcitrant to manipulation and requiring extensive soft-tissue release. Three radiograabphic measurements on the maximum dorsiflexion lateral (MD-Lat) radiograph, talocalcaneal (TaloCalc-Lat), tibiocalcaneal (TibCalc-Lat), and calcaneus-first metatarsal (CalcMT1-Lat) angles, showed significant differences between patients with and without rigid relapse...
June 17, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409220/safe-aftercare-following-foot-ankle-surgery-doing-less-is-more-the-jones-dressing-cast-part-2
#16
Tonio Gottlieb, Kaj Klaue
BACKGROUND: There is no universal approach to surgery aftercare among foot and ankle surgeons. Although infections following foot and ankle surgery are rare, soft tissue healing can be jeopardized after extensive and multiple approaches. METHODS: We defined a precise fixation technique of the foot and ankle in the immediate post-operative phase using what we call "the Jones dressing cast". This technique is a modification of the Jones dressing bandage...
February 17, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29406410/techniques-for-interventional-mri-guidance-in-closed-bore-systems
#17
Harald Busse, Thomas Kahn, Michael Moche
Efficient image guidance is the basis for minimally invasive interventions. In comparison with X-ray, computed tomography (CT), or ultrasound imaging, magnetic resonance imaging (MRI) provides the best soft tissue contrast without ionizing radiation and is therefore predestined for procedural control. But MRI is also characterized by spatial constraints, electromagnetic interactions, long imaging times, and resulting workflow issues. Although many technical requirements have been met over the years-most notably magnetic resonance (MR) compatibility of tools, interventional pulse sequences, and powerful processing hardware and software-there is still a large variety of stand-alone devices and systems for specific procedures only...
February 2018: Topics in Magnetic Resonance Imaging: TMRI
https://www.readbyqxmd.com/read/29374956/antitumorigenic-effects-of-zak%C3%AE-an-alternative-splicing-isoform-of-zak
#18
Jin-Sun Lee, Yuh-Yih Lin, Tsu-Shing Wang, Jer-Yuh Liu, Wei-Wen Lin, Jaw-Ji Yang
Sterile alpha motif (SAM)- and leucine-zipper-containing kinase (ZAK) plays a role in the regulation of cell cycle progression and oncogenic transformation. The ZAK gene generates two transcript variants, ZAKα and ZAKβ, through alternative splicing. In this study, we identified that ZAKα proteins were upregulated in tumor tissues, whereas ZAKβ proteins were mostly expressed in corresponding normal tissues. The ectopically expressed ZAKβ proteins in cancer cells inhibited cancer cell proliferation as well as anchorage-independent growth...
February 28, 2018: Chinese Journal of Physiology
https://www.readbyqxmd.com/read/29364873/small-scale-soft-bodied-robot-with-multimodal-locomotion
#19
Wenqi Hu, Guo Zhan Lum, Massimo Mastrangeli, Metin Sitti
Untethered small-scale (from several millimetres down to a few micrometres in all dimensions) robots that can non-invasively access confined, enclosed spaces may enable applications in microfactories such as the construction of tissue scaffolds by robotic assembly, in bioengineering such as single-cell manipulation and biosensing, and in healthcare such as targeted drug delivery and minimally invasive surgery. Existing small-scale robots, however, have very limited mobility because they are unable to negotiate obstacles and changes in texture or material in unstructured environments...
February 1, 2018: Nature
https://www.readbyqxmd.com/read/29355792/does-the-application-site-of-spinal-manipulative-therapy-alter-spinal-tissues-loading
#20
Martha Funabashi, François Nougarou, Martin Descarreaux, Narasimha Prasad, Gregory N Kawchuk
BACKGROUND CONTEXT: Previous studies found that the intervertebral disc (IVD) experiences the greatest loads during spinal manipulation therapy (SMT). PURPOSE: Based on that, this study aimed to determine if loads experienced by spinal tissues are significantly altered when the application site of SMT is changed. STUDY DESIGN: A biomechanical robotic serial dissection study. SAMPLE: Thirteen porcine cadaveric motion segments...
January 31, 2018: Spine Journal: Official Journal of the North American Spine Society
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