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https://www.readbyqxmd.com/read/28927643/a-combined-kinematic-and-kinetic-analysis-at-the-residuum-socket-interface-of-a-knee-disarticulation-amputee
#1
Jinghua Tang, Michael McGrath, Nick Hale, Liudi Jiang, Dan Bader, Piotr Laszczak, David Moser, Saeed Zahedi
The bespoke interface between a lower limb residuum and a prosthetic socket is critical for an amputee's comfort and overall rehabilitation outcomes. Analysis of interface kinematics and kinetics is important to gain full understanding of the interface biomechanics, which could aid clinical socket fit, rehabilitation and amputee care. This pilot study aims to investigate the dynamic correlation between kinematic movement and kinetic stresses at the interface during walking tests on different terrains. One male, knee disarticulation amputee participated in the study...
September 15, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28910382/refining-experimental-dental-implant-testing-in-the-g%C3%A3-ttingen-minipig-using-3d-computed-tomography-a-morphometric-study-of-the-mandibular-canal
#2
Giuliano M Corte, Johanna Plendl, Hana Hünigen, Kenneth C Richardson, Ole Gemeinhardt, Stefan M Niehues
This study reports morphometric and age-related data of the mandibular canal and the alveolar ridge of the Göttingen Minipig to avoid complications during in vivo testing of endosseus dental implants and to compare these data with the human anatomy. Using 3D computed tomography, six parameters of the mandibular canal as well as the alveolar bone height and the alveolar ridge width were measured in Göttingen Minipigs aged 12, 17 and 21 months. Our null hypothesis assumes that the age and the body mass have an influence on the parameters measured...
2017: PloS One
https://www.readbyqxmd.com/read/28906326/tissue-engineering-strategies-for-auricular-reconstruction
#3
Michael J Schroeder, Mark S Lloyd
Simulating natural characteristics and aesthetics in reconstructed ears has provided a complex 3-dimensional puzzle for those treating patients with microtia. Costochondral grafts remain the gold standard for autologous reconstruction. However, other options such as Medpor and prosthetics are indicated depending on patient circumstances and personal choice. Research into tissue engineering offers an alternative method to a traditional surgical approach that may reduce donor-site morbidity. However, tissue engineering for microtia reconstruction brings new challenges such as cell sourcing, promotion of chondrogenesis, scaffold vascularization, and prevention of scaffold contraction...
September 12, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28900572/return-to-running-following-a-knee-disarticulation-amputation-a-case-report
#4
Angela R Diebal-Lee, Robert S Kuenzi, Christopher A Rábago
BACKGROUND AND PURPOSE: The evolution of running-specific prostheses has empowered athletes with lower extremity amputations to run farther and faster than previously thought possible; but running with proper mechanics is still paramount to an injury-free, active lifestyle. The purpose of this case report was to describe the successful alteration of intact limb mechanics from a Rearfoot Striking (RFS) to a Non-Rearfoot Striking (NRFS) pattern in an individual with a knee disarticulation amputation, the associated reduction in Average Vertical Loading Rate (AVLR), and the improvement in functional performance following the intervention...
August 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28893717/secondary-surgical-decompression-of-the-inferior-alveolar-nerve-after-overfilling-of-endodontic-sealer-into-the-mandibular-canal-case-report-and-literature-review
#5
Anne-Victoire Bastien, Jérôme Adnot, Hervé Moizan, Émile Calenda, Olivier Trost
The authors report the case of a 43 year-old woman who underwent endodontic treatment of the right second mandibular molar with substantial extrusion of endodontic material into the mandibular canal. The patient presented at the Department of Oral and Maxillofacial Surgery with a persistent total anaesthesia of the lower lip and chin after two months. 2D panoramic view and 3D CT-scan examination highlighted the overfilling into the mandibular canal with a more than 50% stenosis of the canal and a consequently significant compression of the dental pedicle...
September 8, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28888523/mechanical-alignment-technique-for-tka-are-there-intrinsic-technical-limitations
#6
Charles Rivière, FarhadIranpour, Edouard Auvinet, ArashAframian, Kirsty Asare, Simon Harris, Justin Cobb, Sébastien Parratte
BACKGROUND: Mechanically aligned (MA) total knee arthroplasty (TKA) is affected by disappointing functional outcomes in spite of the recent improvements in surgical precision and implant designs. This might suggest the existence of intrinsic technical limitations. Our study aims to compare the prosthetic and native trochlear articular surfaces and to estimate the extent of collateral ligament imbalance which is technically un-correctable by collateral ligament release when TKA implants are mechanically aligned...
September 6, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28886154/validity-and-reliability-of-a-novel-3d-scanner-for-assessment-of-the-shape-and-volume-of-amputees-residual-limb-models
#7
Elena Seminati, David Canepa Talamas, Matthew Young, Martin Twiste, Vimal Dhokia, James L J Bilzon
BACKGROUND: Objective assessment methods to monitor residual limb volume following lower-limb amputation are required to enhance practitioner-led prosthetic fitting. Computer aided systems, including 3D scanners, present numerous advantages and the recent Artec Eva scanner, based on laser free technology, could potentially be an effective solution for monitoring residual limb volumes. PURPOSE: The aim of this study was to assess the validity and reliability of the Artec Eva scanner (practical measurement) against a high precision laser 3D scanner (criterion measurement) for the determination of residual limb model shape and volume...
2017: PloS One
https://www.readbyqxmd.com/read/28879329/creating-protective-appliances-for-preventing-dental-injury-during-endotracheal-intubation-using-intraoral-scanning-and-3d-printing-a-technical-note
#8
Jin-Hyung Cho, Wonse Park, Kyeong-Mee Park, Seo-Yul Kim, Kee-Deog Kim
Digital dentistry has influenced many dental procedures, such as three-dimensional (3D) diagnosis and treatment planning, surgical splints, and prosthetic treatments. Patient-specific protective appliances (PSPAs) prevent dental injury during endotracheal intubation. However, the required laboratory work takes time, and there is the possibility of tooth extraction while obtaining the dental impression. In this technical report, we utilized new digital technology for creating PSPAs, using direct intraoral scanners and 3D printers for dental cast fabrication...
March 2017: J Dent Anesth Pain Med
https://www.readbyqxmd.com/read/28856722/the-doppler-paradox
#9
Ioannis Ntalas, Júlia Karády, Stam Kapetanakis, Ronak Rajani
Obstructive prosthetic valve thrombosis (PVT) is a rare but severe complication that usually occurs in the presence of suboptimal anticoagulation. Although fluoroscopy is commonly used to detect abnormal leaflet motion as a surrogate marker for PVT, its inability to directly visualize adjacent tissue and valve physiology leaves it susceptible to miss clinically important PVT. In this manuscript, we report the case of a 54-year-old woman with a mechanical mitral valve who was admitted to our institute with exertional dyspnea...
August 30, 2017: Echocardiography
https://www.readbyqxmd.com/read/28822943/sound-side-joint-contact-forces-in-below-knee-amputee-gait-with-an-esar-prosthetic-foot
#10
Mohammad Taghi Karimi, Firooz Salami, Amir Esrafilian, Daniel W W Heitzmann, Merkur Alimusaj, Cornelia Putz, Sebastian I Wolf
The incidence of knee and hip joint osteoarthritis in subjects with below knee amputation (BK) appears significantly higher compared to unimpaired subjects, especially in the intact side. However, it is controversial if constant higher loads on the sound side are one of the major factors for an increased osteoarthritis (OA) incidence in subjects with BK, beside other risk factors, e.g. with respect to metabolism. The aim wasto investigate joint contact forces (JCF) calculated by a musculoskeletal model in the intact side and to compare it with those of unimpaired subjects and to further elucidate in how far increased knee JCF are associated with increased frontal plane knee moments...
August 8, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28814036/prosthetic-design-directives-low-cost-hands-within-reach
#11
G K Jones, A Rosendo, R Stopforth
Although three million people around the world suffer from the lack of one or both upper limbs 80% of this number is located within developing countries. While prosthetic prices soar with technology 3D printing and low cost electronics present a sensible solution for those that cannot afford expensive prosthetics. The electronic and control design of a low-cost prosthetic hand, the Touch Hand II, is discussed. This paper shows that sensorless techniques can be used to reduce design complexities, costs, and provide easier access to the electronics...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813997/dynamic-elasticity-measurement-for-prosthetic-socket-design
#12
Yujin Kim, Junghoon Kim, Hyeryon Son, Youngjin Choi
The paper proposes a novel apparatus to measure the dynamic elasticity of human limb in order to help the design and fabrication of the personalized prosthetic socket. To take measurements of the dynamic elasticity, the desired force generated as an exponential chirp signal in which the frequency increases and amplitude is maintained according to time progress is applied to human limb and then the skin deformation is recorded, ultimately, to obtain the frequency response of its elasticity. It is referred to as a Dynamic Elasticity Measurement Apparatus (DEMA) in the paper...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813978/evaluation-of-3d-printed-anatomically-scalable-transfemoral-prosthetic-knee
#13
Tyagi Ramakrishnan, Millicent Schlafly, Kyle B Reed
This case study compares a transfemoral amputee's gait while using the existing Ossur Total Knee 2000 and our novel 3D printed anatomically scalable transfemoral prosthetic knee. The anatomically scalable transfemoral prosthetic knee is 3D printed out of a carbon-fiber and nylon composite that has a gear-mesh coupling with a hard-stop weight-actuated locking mechanism aided by a cross-linked four-bar spring mechanism. This design can be scaled using anatomical dimensions of a human femur and tibia to have a unique fit for each user...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813846/closed-loop-emg-informed-model-based-analysis-of-human-musculoskeletal-mechanics-on-rough-terrains
#14
C Varotto, Z Sawacha, L Gizzi, D Farina, M Sartori
This work aims at estimating the musculoskeletal forces acting in the human lower extremity during locomotion on rough terrains. We employ computational models of the human neuro-musculoskeletal system that are informed by multi-modal movement data including foot-ground reaction forces, 3D marker trajectories and lower extremity electromyograms (EMG). Data were recorded from one healthy subject locomoting on rough grounds realized using foam rubber blocks of different heights. Blocks arrangement was randomized across all locomotion trials to prevent adaptation to specific ground morphology...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28806424/geometric-evaluation-of-the-effect-of-prosthetic-rehabilitation-on-the-facial-appearance-of-mandibulectomy-patients-a-preliminary-study
#15
Amel M Aswehlee, Mahmoud E Elbashti, Mariko Hattori, Yuka I Sumita, Hisashi Taniguchi
PURPOSE: The purpose of this study was to geometrically evaluate the effect of prosthetic rehabilitation on the facial appearance of mandibulectomy patients. MATERIALS AND METHODS: Facial scans (with and without prostheses) were performed for 16 mandibulectomy patients using a noncontact three-dimensional (3D) digitizer, and 3D images were reconstructed with the corresponding software. The 3D datasets were geometrically evaluated and compared using 3D evaluation software...
August 14, 2017: International Journal of Prosthodontics
https://www.readbyqxmd.com/read/28771886/alternative-method-to-evaluate-the-adaptation-of-implant-supported-multi-unit-prosthetic-frameworks
#16
Ying Zhou, Yong Li, Xiao Ma, Yiqing Huang, Jiawei Wang
PURPOSE: Various methods to evaluate the adaptation of dental prostheses are available; however, only a few of these methods assess the adaptation of the framework as a whole. This study aimed to propose an alternative method to evaluate the adaptation of implant-supported multi-unit Co-Cr alloy frameworks. MATERIALS AND METHODS: A four-unit framework supported by two implants was designed using a computer. Six dots with a diameter of 0.2 mm were designed randomly using 3Shape software on the abutment surface of the framework for measurement...
August 3, 2017: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
https://www.readbyqxmd.com/read/28764697/femur-first-surgical-technique-a-smart-non-computer-based-procedure-to-achieve-the-combined-anteversion-in-primary-total-hip-arthroplasty
#17
Mattia Loppini, Umile Giuseppe Longo, Emanuele Caldarella, Antonello Della Rocca, Vincenzo Denaro, Guido Grappiolo
BACKGROUND: The relevance of prosthetic component orientation to prevent dislocation and impingement following total hip arthroplasty (THA) has been widely accepted. We investigated the use of a non-computer-based surgery to address the reciprocal orientation of the acetabular and femoral components. METHODS: In the femur first technique, the cup is positioned relative to the stem. When the definitive antetorsion of femoral component is fixed, the cup is positioned in a compliant anteversion to the stem...
August 1, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28740271/fabrication-of-a-3d-printing-definitive-obturator-prosthesis-a-clinical-report
#18
Theodoros Tasopoulos, Georgios Kouveliotis, Grigoris Polyzois, Vasiliki Karathanasi
INTRODUCTION: Digital technologies related to imaging and manufacturing provide the clinician with a wide variety of treatment options. Stereolithography (SLA) offers a simple and predictable way for an accurate reconstruction of congenital or acquired defects. CLINICAL CASE: A 65-years old cancer patient with non- keratinized squamous cell carcinoma of left maxillary sinus came for a prosthetic clinical evaluation. A bilateral maxillectomy was performed and the treatment plan included definite obturator prosthesis for the upper arch...
March 2017: Acta Stomatologica Croatica
https://www.readbyqxmd.com/read/28736923/applications-of-additive-manufacturing-in-dentistry-a-review
#19
REVIEW
Aishwarya Bhargav, Vijayavenkatraman Sanjairaj, Vinicius Rosa, Lu Wen Feng, Jerry Fuh Yh
Additive manufacturing (AM) or 3D printing has been hailed as the third industrial revolution as it has caused a paradigm shift in the way objects have been manufactured. Conventionally, converting a raw material to a fully finished and assembled, usable product comprises several steps which can be eliminated by using this process as functional products can be created directly from the raw material at a fraction of the time originally consumed. Thus, AM has found applications in several sectors including automotive, aerospace, printed electronics, and healthcare...
July 24, 2017: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://www.readbyqxmd.com/read/28713231/grip-force-and-3d-push-pull-force-estimation-based-on-semg-and-grnn
#20
Changcheng Wu, Hong Zeng, Aiguo Song, Baoguo Xu
The estimation of the grip force and the 3D push-pull force (push and pull force in the three dimension space) from the electromyogram (EMG) signal is of great importance in the dexterous control of the EMG prosthetic hand. In this paper, an action force estimation method which is based on the eight channels of the surface EMG (sEMG) and the Generalized Regression Neural Network (GRNN) is proposed to meet the requirements of the force control of the intelligent EMG prosthetic hand. Firstly, the experimental platform, the acquisition of the sEMG, the feature extraction of the sEMG and the construction of GRNN are described...
2017: Frontiers in Neuroscience
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