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https://www.readbyqxmd.com/read/28097386/biomechanical-analysis-of-clavicle-hook-plate-implantation-with-different-hook-angles-in-the-acromioclavicular-joint
#1
Li-Kun Hung, Kuo-Chih Su, Wen-Hsien Lu, Cheng-Hung Lee
PURPOSE: A clavicle hook plate is a simple and effective method for treating acromioclavicular dislocation and distal clavicle fractures. However, subacromial osteolysis and peri-implant fractures are complicated for surgeons to manage. This study uses finite element analysis (FEA) to investigate the post-implantation biomechanics of clavicle hook plates with different hook angles. METHODS: This FEA study constructed a model with a clavicle, acromion, clavicle hook plate, and screws to simulate the implantation of clavicle hook plates at different hook angles (90°, 95°, 100°, 105°, and 110°) for treating acromioclavicular joint dislocations...
January 18, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28094763/measuring-the-effect-of-femoral-malrotation-on-knee-joint-biomechanics-for-total-knee-arthroplasty-using-computational-simulation
#2
K-T Kang, Y-G Koh, J Son, O-R Kwon, C Baek, S H Jung, K K Park
OBJECTIVES: Malrotation of the femoral component can result in post-operative complications in total knee arthroplasty (TKA), including patellar maltracking. Therefore, we used computational simulation to investigate the influence of femoral malrotation on contact stresses on the polyethylene (PE) insert and on the patellar button as well as on the forces on the collateral ligaments. MATERIALS AND METHODS: Validated finite element (FE) models, for internal and external malrotations from 0° to 10° with regard to the neutral position, were developed to evaluate the effect of malrotation on the femoral component in TKA...
November 2016: Bone & Joint Research
https://www.readbyqxmd.com/read/28062353/indentation-across-interfaces-between-stiff-and-compliant-tissues
#3
Oliver E Armitage, Michelle L Oyen
Bone-tendon, bone-ligament and bone-cartilage junctions are multi-tissue interfaces that connect materials that differ by two orders of magnitude in mechanical properties, via gradual variations in mineral content and matrix composition. These sites mediate load transfer between highly dissimilar materials and are consequently a primary site of injury during orthopedic failure. Given the large incidence rate and the lack of suitable surgical solutions for their regeneration or repair, characterization of their natural structure and subsequent replication through tissue engineering is important...
January 3, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/28057631/ultimate-fracture-load-of-cadaver-proximal-humeri-correlates-more-strongly-with-mean-combined-cortical-thickness-than-with-areal-cortical-index-dexa-density-or-canal-to-calcar-ratio
#4
J G Skedros, C S Mears, W Z Burkhead
OBJECTIVES: This investigation sought to advance the work published in our prior biomechanical study (Journal of Orthopaedic Research, 2016). We specifically sought to determine whether there are additional easy-to-measure parameters on plain radiographs of the proximal humerus that correlate more strongly with ultimate fracture load, and whether a parameter resembling the Dorr strength/quality characterisation of proximal femurs can be applied to humeri. MATERIALS AND METHODS: A total of 33 adult humeri were used from a previous study where we quantified bone mineral density of the proximal humerus using radiographs and dual-energy x-ray absorptiometry (DEXA), and regional mean cortical thickness and cortical index using radiographs...
January 2017: Bone & Joint Research
https://www.readbyqxmd.com/read/28056127/use-of-robotic-manipulators-to-study-diarthrodial-joint-function
#5
Richard E Debski, Satoshi Yamakawa, Volker Musahl, Hiromichi Fujie
Diarthrodial joint function is mediated by a complex interaction between bones, ligaments, capsules, articular cartilage, and muscles. To gain a better understanding of injury mechanisms and to improve surgical procedures, an improved understanding of the structure and function of diarthrodial joints needs to be obtained. Thus, robotic testing systems have been developed to measure the resulting kinematics of diarthrodial joints as well as the in situ forces in ligaments and their replacement grafts in response to external loading conditions...
February 1, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/28047348/tu-fg-209-09-mathematical-estimation-and-experimental-measurement-of-patient-free-in-air-skin-entrance-exposure-during-a-panoramic-dental-x-ray-procedure
#6
A Errico, R Behrman, B Li
PURPOSE: To develop a simple mathematical model for estimating the patient free-in-air skin entrance exposure (SEE) during a panoramic dental x-ray that does not require the use of a head phantom. This eliminates issues associated with phantom centering and the mounting of a detector on the phantom for routine QC testing. METHODS: We used a Sirona Orthophos XG panoramic radiographic unit and a Radcal Accu-Gold system for this study. A solid state detector was attached over the slit of the Orthophos' sensor with the help of a custom-built jig...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28038688/biomechanical-evaluation-of-a-growth-friendly-rod-construct
#7
Sarah Galvis, Josh Arnold, Erin Mannen, Benjamin Wong, Hadley Sis, Eileen Cadel, John Anderson, Dennis Anderson, Paul Arnold, Elizabeth Friis
BACKGROUND: Distraction-type rods mechanically stabilize the thorax and improve lung growth and function by applying distraction forces at the rib, spine, pelvis, or a combination of locations. However, the amount of stability the rods provide and the amount the thorax needs is unknown. METHODS: Five freshly frozen and thawed cadaveric thoracic spine specimens were tested for lateral bending, flexion/extension, and axial rotation in displacement control (1°/sec) to a load limit of ±5 Nm for five cycles after which a growth-friendly unilateral rod was placed in a simulated rib-to-lumbar attachment along the right side...
January 2017: Spine Deformity
https://www.readbyqxmd.com/read/28024637/effect-of-ca-p-ratio-on-the-structural-and-corrosion-properties-of-biomimetic-cap-coatings-on-zk60-magnesium-alloy
#8
Kada Xia, Hui Pan, Taolei Wang, Shangjun Ma, Junchao Niu, Zhen Xiang, Yiming Song, Huawei Yang, Xiaoshan Tang, Wei Lu
Magnesium and its alloys have attracted much attention as metallic biodegradable implants for their excellent biocompatibility and mechanical properties. However, magnesium has a poor corrosion resistance, causing its rapid degrading in vivo via an electrochemical reaction, which has become a major obstacle to their applications in implants. In this work, CaP coating was successfully coated on the ZK60 magnesium alloys by a simple hydrothermal deposition method. The mechanisms of the hydrothermal reactions of CaP coatings on Mg substrate are described in details...
March 1, 2017: Materials Science & Engineering. C, Materials for Biological Applications
https://www.readbyqxmd.com/read/28017288/using-objective-structured-clinical-examinations-to-assess-intern-orthopaedic-physical-examination-skills-a-multimodal-didactic-comparison
#9
Donna Phillips, Christian A Pean, Kathleen Allen, Joseph Zuckerman, Kenneth Egol
: Patient care is 1 of the 6 core competencies defined by the Accreditation Council for Graduate Medical Education (ACGME). The physical examination (PE) is a fundamental skill to evaluate patients and make an accurate diagnosis. The purpose of this study was to investigate 3 different methods to teach PE skills and to assess the ability to do a complete PE in a simulated patient encounter. DESIGN: Prospective, uncontrolled, observational. SETTING: Northeastern academic medical center...
December 21, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/28005120/surgical-simulation-in-orthopedic-surgery-residency
#10
Daniel B Gibbs
No abstract text is available yet for this article.
November 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27993463/testing-the-construct-validity-of-a-virtual-reality-hip-arthroscopy-simulator
#11
Vikas Khanduja, John E Lawrence, Emmanuel Audenaert
PURPOSE: To test the construct validity of the hip diagnostics module of a virtual reality hip arthroscopy simulator. METHODS: Nineteen orthopaedic surgeons performed a simulated arthroscopic examination of a healthy hip joint using a 70° arthroscope in the supine position. Surgeons were categorized as either expert (those who had performed 250 hip arthroscopies or more) or novice (those who had performed fewer than this). Twenty-one specific targets were visualized within the central and peripheral compartments; 9 via the anterior portal, 9 via the anterolateral portal, and 3 via the posterolateral portal...
December 16, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27989355/knee-shoulder-and-fundamentals-of-arthroscopic-surgery-training-validation-of-a-virtual-arthroscopy-simulator
#12
Josef N Tofte, Brian O Westerlind, Kevin D Martin, Brian L Guetschow, Bastián Uribe-Echevarria, Chamnanni Rungprai, Phinit Phisitkul
PURPOSE: To validate the knee, shoulder, and virtual Fundamentals of Arthroscopic Training (FAST) modules on a virtual arthroscopy simulator via correlations with arthroscopy case experience and postgraduate year. METHODS: Orthopaedic residents and faculty from one institution performed a standardized sequence of knee, shoulder, and FAST modules to evaluate baseline arthroscopy skills. Total operation time, camera path length, and composite total score (metric derived from multiple simulator measurements) were compared with case experience and postgraduate level...
December 15, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27987831/development-and-characterization-of-a-bioglass-chitosan-composite-as-an-injectable-bone-substitute
#13
Parastoo Khoshakhlagh, Sayed Mahmood Rabiee, Gita Kiaee, Pedram Heidari, Amir K Miri, Roshanak Moradi, Fathollah Moztarzadeh, Roya Ravarian
SiO2-CaO-P2O5 based bioglass (BG) systems constitute a group of materials that have wide applications in bone implants. Chitosan (Cn) is a biocompatible and osteoconductive natural polymer that can promote wound healing. In this study, bioactivity of chitosan/bioglass (CnB) composites as minimally invasive bone regenerative materials was assessed both in vitro and in vivo. Injectability tests and scanning electron microscopy (SEM) results demonstrated the formation of uniform injectable paste-like composites using BG particles and Cn...
February 10, 2017: Carbohydrate Polymers
https://www.readbyqxmd.com/read/27987699/effects-of-simulated-inflammation-on-the-corrosion-of-316l-stainless-steel
#14
Emily K Brooks, Richard P Brooks, Mark T Ehrensberger
Stainless steel alloys, including 316L, find use in orthopaedics, commonly as fracture fixation devices. Invasive procedures involved in the placement of these devices will provoke a local inflammatory response that produces hydrogen peroxide (H2O2) and an acidic environment surrounding the implant. This study assessed the influence of a simulated inflammatory response on the corrosion of 316L stainless steel. Samples were immersed in an electrolyte representing either normal or inflammatory physiological conditions...
February 1, 2017: Materials Science & Engineering. C, Materials for Biological Applications
https://www.readbyqxmd.com/read/27974819/adjacent-tooth-trauma-in-complicated-mandibular-third-molar-surgery-risk-degree-classification-and-digital-surgical-simulation
#15
Zhou-Xi Ye, Chi Yang, Jing Ge
Analysis of adjacent tooth resistance is essential in wisdom teeth extraction to prevent adjacent tooth trauma, however it lacks adequate attention nowadays. This study aims at suggesting special extraction methods based on adjacent tooth resistance analysis for prevention of adjacent tooth damage. In this study, 136 complicated mandibular third molars extracted using piezosurgery were reviewed and classified based on the adjacent teeth resistances shown in orthopantomogram (OPG) during their mesio-distal rotations: degree I refers to teeth with no adjacent teeth resistance; degree II refers to teeth with resistance released after mesial-half crown sectioning; degree III refers to teeth which still had resistance after mesial-half crown sectioning...
December 15, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27973962/computer-assisted-virtual-preoperative-planning-in-orthopedic-surgery-for-acetabular-fractures-based-on-actual-computed-tomography-data
#16
Guang-Ye Wang, Wen-Jun Huang, Qi Song, Yun-Tian Qin, Jin-Feng Liang
Acetabular fractures have always been very challenging for orthopedic surgeons; therefore, appropriate preoperative evaluation and planning are particularly important. This study aimed to explore the application methods and clinical value of preoperative computer simulation (PCS) in treating pelvic and acetabular fractures. Spiral computed tomography (CT) was performed on 13 patients with pelvic and acetabular fractures, and Digital Imaging and Communications in Medicine (DICOM) data were then input into Mimics software to reconstruct three-dimensional (3D) models of actual pelvic and acetabular fractures for preoperative simulative reduction and fixation, and to simulate each surgical procedure...
December 2016: Comput Assist Surg (Abingdon)
https://www.readbyqxmd.com/read/27895899/oxidatively-degradable-poly-thioketal-urethane-ceramic-composite-bone-cements-with-bone-like-strength
#17
Madison A P McEnery, Sichang Lu, Mukesh K Gupta, Katarzyna J Zienkiewicz, Joseph C Wenke, Kerem N Kalpakci, Daniel Shimko, Craig L Duvall, Scott A Guelcher
Synthetic bone cements are commonly used in orthopaedic procedures to aid in bone regeneration following trauma or disease. Polymeric cements like PMMA provide the mechanical strength necessary for orthopaedic applications, but they are not resorbable and do not integrate with host bone. Ceramic cements have a chemical composition similar to that of bone, but their brittle mechanical properties limit their use in weight-bearing applications. In this study, we designed oxidatively degradable, polymeric bone cements with mechanical properties suitable for bone tissue engineering applications...
2016: RSC Advances
https://www.readbyqxmd.com/read/27889088/osteoblast-cellular-activity-on-low-elastic-modulus-ti-24nb-4zr-8sn-alloy
#18
K C Nune, R D K Misra, S J Li, Y L Hao, R Yang
OBJECTIVES: Low modulus β-titanium alloys with non-toxic alloying elements are envisaged to provide good biocompatibility and alleviate the undesired stress shielding effect. The objective of this study is to fundamentally elucidate the biological response of novel high strength-low elastic modulus Ti2448 alloy through the study of bioactivity and osteoblast cell functions. METHODS: Characterization techniques such as SEM, EDX, XRD, and fluorescence microscopy were utilized to analyze the microstructure, morphology, chemical composition, and cell adhesion...
November 23, 2016: Dental Materials: Official Publication of the Academy of Dental Materials
https://www.readbyqxmd.com/read/27829731/dynamic-thermal-acoustic-response-for-human-bone-materials-at-different-energy-levels-a-diagnosis-approach
#19
Ashok Kumar Thella, James Rizkalla, Neeraj Rathi, Monika Kakani, Ahdy Helmy, Paul Salama, Maher E Rizkalla
BACKGROUND: The non-invasive diagnostic approaches have gained high attention in recent years, utilizing high technology sensor systems, including infrared, microwave devices, acoustic transducers, etc. The patient safety, high resolution images, and reliability are among the driving forces toward high technology approaches. The thermal and acoustic responses of the materials may reflect the important research parameters such as penetration depth, power consumption, and temperature change used for the practical models of the system...
March 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27819644/patient-specific-instruments-for-complex-tumor-resection-reconstruction-surgery-within-the-pelvis-a-series-of-4-cases
#20
Eduard Cernat, Pierre-Louis Docquier, Laurent Paul, Xavier Banse, Ion-Bogdan Codorean
The pelvis bone resection-reconstruction surgery is one of the most challenging fields in orthopedics. Being applied for tumors, as for other complex reconstruction cases, this type of surgery needs careful planning and is time consuming, in order to obtain proper accuracy. Unfortunately not all the time the expected accuracy is met, with consequences for the patients. PSI proved to provide good cutting accuracy during simulated tumor surgery within the pelvis. This article present a series of 4 patients operated in our department between June 2014 and Mars 2015 for tumors resectionreconstructions...
2016: Chirurgia
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