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https://www.readbyqxmd.com/read/28236917/outcomes-of-native-superficial-femoral-artery-chronic-total-occlusion-recanalization-after-failed-femoropopliteal-bypass
#1
Mark G Davies, Hosam F El-Sayed
OBJECTIVE: When a bypass fails, the options are lysis, redo bypass, or endovascular intervention. If lysis of the original bypass is not considered an option, which is better-redo bypass or attempts at endovascular recanalization of the native system? This retrospective study examined the outcomes of native superficial femoral artery (SFA) chronic total occlusion (CTO) recanalization compared with redo bypass after failed femoropopliteal bypass. METHODS: Patients presenting with a symptomatic failed femoropopliteal bypass that underwent attempted CTO endovascular (EV) recanalization of the native SFA or a redo femoropopliteal bypass (BP) from 2000 to 2015 were analyzed...
March 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28236551/soft-tissue-releases-in-total-knee-arthroplasty-for-valgus-deformities
#2
Ke Xie, Steven T Lyons
BACKGROUND: Primary total knee arthroplasty (TKA) for valgus knee deformities can be challenging. Soft tissue releases are often necessary to achieve a well-balanced knee. We reviewed the frequency of soft tissue releases including lateral retinacular release (LRR) as it pertains to preoperative limb alignment. Postoperatively, we evaluated limb alignment, knee range of motion, and complications. METHODS: From 2010 to 2016, 214 primary TKAs with valgus deformity were performed by a single surgeon...
January 25, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28235982/-transcutaneous-osseointegration-after-limb-amputation-a-review-over-27-years
#3
Horst-Heinrich Aschoff
Intramedullary, bone-anchored (osseointegrated), transcutaneous docking of artificial limbs has been in clinical use for more than 25 years. This system of prosthetic limb attachment is a valuable treatment option in the rehabilitation of patients after limb amputation. Only a few centers are systematically investigating this topic worldwide so that current knowledge on this special treatment option is still limited; however, mainstream medical opinion still regards percutaneous skeletal prosthetic docking with some skepticism...
February 24, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28227744/classification-of-non-weight-bearing-lower-limb-movements-towards-a-potential-treatment-for-phantom-limb-pain-based-on-myoelectric-pattern-recognition
#4
Eva Lendaro, Max Ortiz-Catalan, Eva Lendaro, Max Ortiz-Catalan, Max Ortiz-Catalan, Eva Lendaro
Research in myoelectric pattern recognition (MPR) for the prediction of motor volition has primarily focused on the upper limbs. Recent studies in the lower limbs have mainly concentrated on prosthetic control, while MPR for lower limb rehabilitation purposes has received little attention. In this work we investigated the viability of a MPR system for the prediction of four degrees of freedom controlled in a near natural or physiologically appropriate fashion. We explored three different electrode configurations for acquiring electromyographic (EMG) signals: two targeted (bipolar and monopolar) and one untargeted (electrodes equally spaced axially)...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227654/preliminary-results-for-an-adaptive-pattern-recognition-system-for-novel-users-using-a-powered-lower-limb-prosthesis
#5
John A Spanias, Ann M Simon, Eric J Perreault, Levi J Hargrove, John A Spanias, Ann M Simon, Eric J Perreault, Levi J Hargrove, Eric J Perreault, John A Spanias, Ann M Simon, Levi J Hargrove
Powered prosthetic legs are capable of improving the gait of lower limb amputees. Pattern recognition systems for these devices allow amputees to transition between different locomotion modes in a way that is seamless and transparent to the user. However, the potential of these systems is diminished because they require large amounts of training data that is burdensome to collect. To reduce the effort required to acquire these data, we developed an adaptive pattern recognition system that automatically learns from subject-specific data as the user is ambulating...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227650/real-time-gait-event-detection-for-lower-limb-amputees-using-a-single-wearable-sensor
#6
H F Maqbool, M A B Husman, M I Awad, A Abouhossein, P Mehryar, N Iqbal, A A Dehghani-Sanij, H F Maqbool, M A B Husman, M I Awad, A Abouhossein, P Mehryar, N Iqbal, A A Dehghani-Sanij, M A B Husman, M I Awad, N Iqbal, P Mehryar, H F Maqbool, A Abouhossein, A A Dehghani-Sanij
This paper presents a rule-based real-time gait event/phase detection system (R-GEDS) using a shank mounted inertial measurement unit (IMU) for lower limb amputees during the level ground walking. Development of the algorithm is based on the shank angular velocity in the sagittal plane and linear acceleration signal in the shank longitudinal direction. System performance was evaluated with four control subjects (CS) and one transfemoral amputee (TFA) and the results were validated with four FlexiForce footswitches (FSW)...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227647/a-feasibility-study-of-depth-image-based-intent-recognition-for-lower-limb-prostheses
#7
Huseyin Atakan Varol, Yerzhan Massalin, Huseyin Atakan Varol, Yerzhan Massalin, Huseyin Atakan Varol, Yerzhan Massalin
This paper presents our preliminary work on a depth camera based intent recognition system intended for future use in robotic prosthetic legs. The approach infers the activity mode of the subject for standing, walking, running, stair ascent and stair descent modes only using data from the depth camera. Depth difference images are also used to increase the performance of the approach by discriminating between static and dynamic instances. After confidence map based filtering, simple features such as mean, maximum, minimum and standard deviation are extracted from rectangular regions of the frames...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227623/hand-motion-recognition-based-on-forearm-deformation-measured-with-a-distance-sensor-array
#8
Sung-Gwi Cho, Masahiro Yoshikawa, Kohei Baba, Kazunori Ogawa, Jun Takamatsu, Tsukasa Ogasawara, Sung-Gwi Cho, Masahiro Yoshikawa, Kohei Baba, Kazunori Ogawa, Jun Takamatsu, Tsukasa Ogasawara, Sung-Gwi Cho, Jun Takamatsu, Masahiro Yoshikawa, Kazunori Ogawa, Tsukasa Ogasawara, Kohei Baba
Studies of upper limb motion analysis using surface electromyogram (sEMG) signals measured from the forearm plays an important role in various applications, such as human interfaces for controlling robotic exoskeletons, prosthetic hands, and evaluation of body functions. Though the sEMG signals have a lot of information about the activities of the muscles, the signals do not have the activities of the deep layer muscles. We focused on forearm deformation, since hand motion brings the muscles, tendons, and skeletons under the skin...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227542/biologically-inspired-multi-layered-synthetic-skin-for-tactile-feedback-in-prosthetic-limbs
#9
Luke Osborn, Harrison Nguyen, Joseph Betthauser, Rahul Kaliki, Nitish Thakor, Luke Osborn, Harrison Nguyen, Joseph Betthauser, Rahul Kaliki, Nitish Thakor, Joseph Betthauser, Luke Osborn, Nitish Thakor, Rahul Kaliki, Harrison Nguyen
The human body offers a template for many state-of-the-art prosthetic devices and sensors. In this work, we present a novel, sensorized synthetic skin that mimics the natural multi-layered nature of mechanoreceptors found in healthy glabrous skin to provide tactile information. The multi-layered sensor is made up of flexible piezoresistive textiles that act as force sensitive resistors (FSRs) to convey tactile information, which are embedded within a silicone rubber to resemble the compliant nature of human skin...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227203/real-time-ultrasound-based-control-of-a-virtual-hand-by-a-trans-radial-amputee
#10
Clayton A Baker, Nima Akhlaghi, Huzefa Rangwala, Jana Kosecka, Siddhartha Sikdar, Clayton A Baker, Nima Akhlaghi, Huzefa Rangwala, Jana Kosecka, Siddhartha Sikdar, Nima Akhlaghi, Siddhartha Sikdar, Clayton A Baker, Jana Kosecka, Huzefa Rangwala
Advancements in multiarticulate upper-limb prosthetics have outpaced the development of intuitive, non-invasive control mechanisms for implementing them. Surface electromyography is currently the most popular non-invasive control method, but presents a number of drawbacks including poor deep-muscle specificity. Previous research established the viability of ultrasound imaging as an alternative means of decoding movement intent, and demonstrated the ability to distinguish between complex grasps in able-bodied subjects via imaging of the anterior forearm musculature...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226938/a-wearable-skin-stretch-haptic-feedback-device-towards-improving-balance-control-in-lower-limb-amputees
#11
M A B Husman, H F Maqbool, M I Awad, A Abouhossein, A A Dehghani-Sanij, M A B Husman, H F Maqbool, M I Awad, A Abouhossein, A A Dehghani-Sanij, A Abouhossein, A A Dehghani-Sanij, M A B Husman, M I Awad, H F Maqbool
Haptic feedback to lower limb amputees is essential to maximize the functionality of a prosthetic device by providing information to the user about the interaction with the environment and the position of the prostheses in space. Severed sensory pathway and the absence of connection between the prosthesis and the Central Nervous System (CNS) after lower limb amputation reduces balance control, increases visual dependency and increases risk of falls among amputees. This work describes the design of a wearable haptic feedback device for lower limb amputees using lateral skin-stretch modality intended to serve as a feedback cue during ambulation...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226916/a-pressure-and-shear-sensing-liner-for-prosthetic-sockets
#12
Jason Wheeler, Anirban Mazumdar, Lisa Marron, Kevin Dullea, Joan Sanders, Kate Allyn, Jason Wheeler, Anirban Mazumdar, Lisa Marron, Kevin Dullea, Joan Sanders, Kate Allyn, Kevin Dullea, Joan Sanders, Kate Allyn, Anirban Mazumdar, Lisa Marron, Jason Wheeler
Interface pressures are closely related to the comfort and fit of a lower-limb prosthetic socket and clinicians and researchers are interested in monitoring these loads. In particular, shear stresses at the socket/liner interface are indicative of important fit characteristics but are difficult to measure in situ. We have developed an elastomeric liner with sixteen integrated pressure and shear sensors, along with necessary wiring and data acquisition electronics. The sensors measure three-axis pressures using optical emitter/detector pairs coupled with transparent and opaque elastomeric layers...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226831/muscle-synergy-analysis-in-transtibial-amputee-during-ramp-ascending-activity
#13
P Mehryar, M S Shourijeh, H F Maqbool, M Torabi, A A Dehghani-Sanij, P Mehryar, M S Shourijeh, H F Maqbool, M Torabi, A A Dehghani-Sanij, A A Dehghani-Sanij, M S Shourijeh, P Mehryar, M Torabi, H F Maqbool
In developed countries, the highest number of amputees are elderly with transtibial amputation. Walking on inclined surfaces is difficult for amputees due to loss of muscle volume and strength thereby transtibial amputees (TA) rely on the intact limb to maintain stability. The aim of this study was to use the concatenated non-negative matrix factorization (CNMF) technique to calculate muscle synergy components and compare the difference in muscle synergies and their associated activation profiles in the healthy and amputee groups during ramp ascending (RA) activity...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28220058/semg-sensor-using-polypyrrole-coated-nonwoven-fabric-sheet-for-practical-control-of-prosthetic-hand
#14
Yinlai Jiang, Masami Togane, Baoliang Lu, Hiroshi Yokoi
One of the greatest challenges of using a myoelectric prosthetic hand in daily life is to conveniently measure stable myoelectric signals. This study proposes a novel surface electromyography (sEMG) sensor using polypyrrole-coated nonwoven fabric sheet as electrodes (PPy electrodes) to allow people with disabilities to control prosthetic limbs. The PPy electrodes are sewn on an elastic band to guarantee close contact with the skin and thus reduce the contact electrical impedance between the electrodes and the skin...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28214485/outcome-of-peripheral-venous-reconstructions-during-tumor-resection
#15
Philip Y Sun, Mark D Fleming, Kendall Stauffer, Manju Kalra, Gustavo Oderich, Thomas Bower, Peter Gloviczki, Randall R DeMartino
OBJECTIVE: Peripheral venous reconstruction surgery may be necessary for appropriate oncologic resection; however, the operative approach and surgical outcomes are not well described. We report our experience with these complex reconstructions to identify best practice. METHODS: We retrospectively reviewed all adult patients who underwent peripheral vein reconstruction for tumor resection at Mayo Clinic, Rochester (2000-2015). Patients were classified into three subgroups by the location: iliac (IL), lower extremity (LE), and upper extremity (UE)...
March 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28211795/a-murine-model-of-a-novel-surgical-architecture-for-proprioceptive-muscle-feedback-and-its-potential-application-to-control-of-advanced-limb-prostheses
#16
Tyler R Clites, Matthew Carty, Shriya Srinivasan, Anthony Zorzos, Hugh Herr
<i>Objective:</i> Proprioceptive mechanisms play a critical role in both reflexive and volitional lower extremity control. Significant strides have been made in the development of bionic limbs that are capable of bi-directional communication with the peripheral nervous system, but none of these systems have been capable of providing physiologically-relevant muscle-based proprioceptive feedback through natural neural pathways. In this study, we present the Agonist-antagonist Myoplastic Interface (AMI), a surgical approach with the capacity to provide graded kinesthetic feedback from a prosthesis through mechanical activation of native mechanoreceptors within residual agonist-antagonist muscle pairs...
February 17, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/28209508/systematic-review-of-measures-of-impairment-and-activity-limitation-for-person-with-upper-limb-trauma-and-amputation
#17
REVIEW
Linda Resnik, Matt Borgia, Ben Silver, Jill Cancio
OBJECTIVE: Study purposes were to 1) identify outcome measures used in studies of persons with traumatic upper limb injury and/or amputation and 2) evaluate focus, content and psychometric properties of each measure. DATA SOURCES: Searches of PubMed and CINAHL for terms including upper extremity, function, activities of daily living, outcome assessment, amputation and traumatic injuries. STUDY SELECTION: Included articles had a sample of ≥10 adults with limb trauma or amputation, and were in English...
February 13, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28203220/proof-of-concept-of-an-online-emg-based-decoding-of-hand-postures-and-individual-digit-forces-for-prosthetic-hand-control
#18
Alycia Gailey, Panagiotis Artemiadis, Marco Santello
INTRODUCTION: Options currently available to individuals with upper limb loss range from prosthetic hands that can perform many movements, but require more cognitive effort to control, to simpler terminal devices with limited functional abilities. We attempted to address this issue by designing a myoelectric control system to modulate prosthetic hand posture and digit force distribution. METHODS: We recorded surface electromyographic (EMG) signals from five forearm muscles in eight able-bodied subjects while they modulated hand posture and the flexion force distribution of individual fingers...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28198595/free-microvascular-rotationplasty-with-nerve-repair-for-rhabdomyosarcoma-in-a-18-month-old-patient
#19
Alberto Pérez-García, Marta Salom, María Eloísa Villaverde-Doménech, Francisco Baixauli, Eduardo Simón-Sanz
Rotationplasty is a limb-sparing surgical option in lower limb malignancies. Sciatic or tibial nerve encasement has been considered an absolute contraindication to this procedure. We report a case of an 18-month-old girl with a rhabdomyosarcoma that affected the leg and popliteal fossa, with neurovascular involvement. Knee and proximal leg intercalary resection was performed followed by reconstruction with free microvascular rotationplasty and neurorraphy from tibial division of sciatic nerve to sural and tibial nerves, and from saphenous nerve to superficial peroneal nerve...
February 15, 2017: Microsurgery
https://www.readbyqxmd.com/read/28195886/pedicled-sensate-composite-calcaneal-flap-in-children-with-congenital-tibial-pseudoarthrosis
#20
Mauricio L D Mongon, Fernando C Ribera, Antonio M A de Souza, Aurelio L Sposito, William D Belangero, Bruno Livani
BACKGROUND: The preservation and functionality of a limb affected by a malformation (such as congenital pseudoarthrosis of the tibia) or a severely mangled lower limb in children, despite modern reconstructive techniques, remains challenging, often eventually requiring amputation to achieve a better outcome. The classical Syme and Boyd procedures are functionally better than transtibial (TT) amputation, but are not feasible for congenital tibial pseudoarthrosis. TT amputation delivers an excellent, effective, and functional stump that usually leads, after prosthetization, to a functional gait...
February 10, 2017: Journal of Pediatric Orthopedics
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