scholarly journals Determination of the Maximal Corrective Ability and Optimal Placement of the Ortho-SUV Frame for Femoral Deformity with respect to the Soft Tissue Envelope, a Biomechanical Modelling Study

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Petr V. Skomoroshko ◽  
Victor A. Vilensky ◽  
Ahmed I. Hammouda ◽  
Matt D. A. Fletcher ◽  
Leonid N. Solomin
Keyword(s):  
Soft Tissue ◽  
Deformity Correction ◽  
Optimal Placement ◽  
Ilizarov Method ◽  
Optimal Range ◽  
Soft Tissue Envelope ◽  
Femoral Deformity ◽  
Frame Construction ◽  
The Ideal

Circular fixation according to the Ilizarov method is a well-recognised modality of treatment for trauma and deformity. One shortcoming of the traditional fixator is its limited ability to correct more than one plane of deformity simultaneously, leading to lengthy frame-time indices. Hexapod circular fixation utilising computer guidance is commonplace for complex multidimensional deformity but difficulties often arise with correction of femoral deformity due to bulkiness of the frame construct, particularly in proximal deformity and in patients of increased size. The Ortho-SUV frame is an innovative hexapod which permits unique customisation to individual patient anatomy to maximise tolerance and optimal range of deformity correction. We hypothesised that the optimal configuration and maximal degree of correction achievable by the Ortho-SUV frame can be biomechanically modelled and applied clinically. A study was constructed using Ortho-SUV and femoral limb models to measure deformity correction via differing frame constructs and determine optimal frame configuration to achieve correction in proximal, middle, and distal third deformities with respect to the soft tissue envelope. The ideal frame configuration is determined for correction of deformity in all locations of the femur with the maximal parameters of correction calculated whilst avoiding and mitigating soft tissue irritation from bulky frame construction.

LOCAL RECURRENCES AFTER THE TREATMENT OF SOFT TISSUE MALIGNANT FIBROUS HISTIOCYTOMA (UNCLASSIFIEDPLEOMORPHIC SARCOMA) OF THE LIMBS

2019 ◽  
Vol 72 (8) ◽  
pp. 1523-1526
Author(s):  
Oleksandr O. Lytvynenko ◽  
Volodymyr F. Konovalenko ◽  
Anton Yu. Ryzhov
Keyword(s):  
Soft Tissue ◽  
Malignant Fibrous Histiocytoma ◽  
Fibrous Histiocytoma ◽  
Survival Rates ◽  
Soft Tissue Sarcomas ◽  
Primary Treatment ◽  
Radical Excision ◽  
Local Recurrences ◽  
Results Of Treatment

Introduction: The treatment of patients with malignant fibrous histiocytoma as well as other soft tissue sarcomas is not sufficiently effective up to date, and has largely changed and reflects the alterations, occurred in oncology as a whole. The number of amputation decreased over the last 10-15 years. Some researchers associate the improvement of treatment outcomes with the development of combined and complex methods. The aim of the study is an improvement of the results of treatment of patients with soft tissue malignant histiocytoma on the basis of determination of factors, influencing local recurrence development. Materials and methods: The basis of our study was a comprehensive analysis of examination and treatment results of 130 patients with MFH of the soft tissue of limbs, of them in 84 patients (64.6%) the recurrences developed. The group included 45 (53.6%) males and 39 (46.4%) females. The major part of patients – 82.1% (60 patients) were older than 40 years. Results and conclusions: The number of recurrences after the treatment in general surgical facilities is 86.9%, whereas in the patients after the treatment in the specialized oncological facilities this figure is twice lower (40%). The characteristic of the medical facility where the patient receives his/her primary treatment largely affects the development of local recurrences, patients’ quality of life and overall survival rates. The surgical method remains the leading modality in the treatment of MFH of ST. Wide and radical excision of tumors in the specialized oncological facilities allows achieving better survival outcomes of the patients.

scholarly journals Esthetic Considerations in Orthodontics: An Overview

2021 ◽  
Author(s):  
Swati Singh ◽  
Litesh Singla ◽  
Tanya Anand
Keyword(s):  
Soft Tissue ◽  
Profile Analysis ◽  
Dental Occlusion ◽  
Facial Profile ◽  
Mandibular Plane ◽  
The Face ◽  
Facial Proportions ◽  
Posterior Position ◽  
Anterior Posterior ◽  
The Ideal

Abstract Esthetics has been an ever-evolving concept and has gained considerable importance in the field of orthodontics in the last few decades. The re-emergence of the soft tissue paradigm has further catapulted the interest of the orthodontist. So much so that achieving a harmonious profile and an esthetically pleasing smile has become the ideal goal of treatment and is no longer secondary to achieving a functional dental occlusion and/or a rigid adherence to skeletal and dental norms. Esthetics in the orthodontic sense can be divided into three categories: macroesthetics, miniesthetics, and microesthetics. Macroesthetics includes the evaluation of the face and involves frontal assessment and profile analysis. The frontal assessment involves assessment of facial proportions, while the profile analysis involves evaluation of anterior–posterior position of jaws, mandibular plane, and incisor prominence and lip posture. Miniesthetics involves study of the smile framework involving the vertical tooth–lip relationship, smile type, transverse dimensions of smile, smile arc, and midline. Microesthetics involves the assessment of tooth proportions, height-width relationships, connectors and embrasures, gingival contours and heights, and tooth shade and color. The harmony between these factors enables an orthodontist to achieve the idealized esthetic result and hence these parameters deserve due consideration. The importance placed on a pleasing profile cannot be undermined and the orthodontist should aim for a harmonious facial profile over rigid adherence to standard average cephalometric norms. This article aims to give an overview of the macro, mini, and microesthetic considerations in relation to orthodontic diagnosis and treatment planning.

Metabolic response to temperature stress in the Colombian freshwater crab Neostrengeria macropa (H. Milne Edwards, 1853) (Decapoda: Brachyura: Pseudothelphusidae)

2021 ◽  
Author(s):  
David M Hudson
Keyword(s):  
Metabolic Response ◽  
Infrastructure Development ◽  
Predator Prey ◽  
Temperature Range ◽  
Indicator Group ◽  
Response To Temperature ◽  
Performance Results ◽  
The City ◽  
The Ideal

Abstract Freshwater crustaceans are distributed throughout the montane and lowland areas of Colombia, and are therefore a useful indicator group for how aquatic species will respond to climate change. As such, metabolic determination of physiological performance was evaluated for the Colombian pseudothelphusid crab, Neostrengeria macropa (H. Milne Edwards, 1853), over a temperature range inclusive of current temperatures and those predicted by future scenarios in the plateau around the city of Bogotá, namely from 8 °C to 30 °C. The performance results mostly aligned with previous exploratory behavioral determination of the ideal temperature range in the same species, although the metabolism increased at the highest temperature treatments, a point when exploratory behavior declined. These results indicate that this species of montane crab behaviorally compensates for increased thermal stress by decreasing its physical activity, which could have negative predator-prey consequences with changes to community structure as different species undergo climate-mediated geographic range shifts in the region. As this species is endemic to the plateau surrounding Bogotá, it also experiences a number of other stressors to its survival, including infrastructure development and invasive species.

scholarly journals Study on Optimal Placement and Reasonable Number of Viscoelastic Dampers by Improved Weight Coefficient Method

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Ji-ting Qu ◽  
Hong-nan Li
Keyword(s):  
Mathematical Model ◽  
Weight Coefficient ◽  
Optimal Placement ◽  
Optimal Method ◽  
Analogy Method ◽  
Numerical Examples ◽  
Viscoelastic Dampers ◽  
Reasonable Number ◽  
Coefficient Method

A new optimal method is presented by combining the weight coefficient with the theory of force analogy method. Firstly, a new mathematical model of location index is proposed, which deals with the determination of a reasonable number of dampers according to values of the location index. Secondly, the optimal locations of dampers are given. It can be specific from stories to spans. Numerical examples are illustrated to verify the effectiveness and feasibility of the proposed mathematical model and optimal method. At last, several significant conclusions are given based on numerical results.

Theoretical determination of the structures of CaSiO3 perovskites

2006 ◽  
Vol 62 (6) ◽  
pp. 1025-1030 ◽  
Author(s):  
Razvan Caracas ◽  
Renata M. Wentzcovitch
Keyword(s):  
Crystal Structure ◽  
Experimental Data ◽  
Density Functional Theory ◽  
Density Functional ◽  
Theoretical Determination ◽  
Functional Theory ◽  
Starting Point ◽  
Atomic Coordinates ◽  
The Ideal

Density functional theory is used to determine the possible crystal structure of the CaSiO3 perovskites and their evolution under pressure. The ideal cubic perovskite is considered as a starting point for studying several possible lower-symmetry distorted structures. The theoretical lattice parameters and the atomic coordinates for all the structures are determined, and the results are discussed with respect to experimental data.

scholarly journals Growth rate after limb deformity correction by the Ilizarov method with or without knee joint distraction

2009 ◽  
Vol 80 (3) ◽  
pp. 338-343 ◽  
Author(s):  
Hubert J Oostenbroek ◽  
Ronald Brand ◽  
Peter M van Roermund
Keyword(s):  
Growth Rate ◽  
Knee Joint ◽  
Deformity Correction ◽  
Ilizarov Method ◽  
Limb Deformity ◽  
Joint Distraction

scholarly journals Redefining Knee Balance in a Medially Stabilized Prosthesis: An In-Vitro Study

2017 ◽  
Vol 11 (1) ◽  
pp. 1165-1172
Author(s):  
Philippe Van Overschelde ◽  
Vera Pinskerova ◽  
Peter P. Koch ◽  
Christophe Fornasieri ◽  
Sandro Fucentese
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
In Vitro Study ◽  
Lateral Release ◽  
Soft Tissue Release ◽  
Iliotibial Band ◽  
Soft Tissue Envelope ◽  
Medial Side ◽  
Fresh Frozen

Background: To date, there is still no consensus on what soft tissues must be preserved and what structures can be safely released during total knee arthroplasty (TKA) with a medially stabilized implant. Objective: The aim of this study was to analyze the effect of a progressive selective release of the medial and lateral soft tissues in a knee implanted with a medially stabilized prosthesis. Method: Six cadaveric fresh-frozen full leg specimens were tested. In each case, kinematic pattern and mediolateral laxity were measured in three stages: firstly, prior to implantation; secondly, after the implantation of the trial components, but before any soft tissue release; and thirdly, progressively as soft tissue was released with the trial implant in place. The incremental impact of each selective release on knee balance was then analyzed. Results: In all cases sagittal stability was not affected by the progressive release of the lateral soft tissue envelope. It was possible to perform progressive lateral release provided the anterior one-third of the iliotibial band (ITB) remained intact. Progressive medial release could be performed on the medial side provided the anterior fibers of the superficial medial collateral ligament (sMCL) remained intact. Conclusion: The medially conforming implant remains stable provided the anterior fibers of sMCL and the anterior fibers of the ITB remain intact. The implant’s sagittal stability is mainly dependent on its medial ball-in-socket design.

scholarly journals What is a balanced knee replacement?

2018 ◽  
Vol 3 (12) ◽  
pp. 614-619 ◽  
Author(s):  
Lucy C. Walker ◽  
Nick D. Clement ◽  
Kanishka M. Ghosh ◽  
David J. Deehan
Keyword(s):  
Total Knee Arthroplasty ◽  
Soft Tissue ◽  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Current Evidence ◽  
Soft Tissue Envelope ◽  
Total Knee ◽  
Uneven Wear ◽  
Definition Of ◽  
Revision Tka

For multifactorial reasons an estimated 20% of patients remain unsatisfied after total knee arthroplasty (TKA). Appropriate tension of the soft tissue envelope encompassing the knee is important in total knee arthroplasty and soft tissue imbalance contributes to several of the foremost reasons for revision TKA, including instability, stiffness and aseptic loosening. There is debate in the literature surrounding the optimum way to achieve balancing of a total knee arthroplasty and there is also a lack of an accepted definition of what a balanced knee replacement is. It may be intuitive to use the native knee as a model for balancing; however, there are many difficulties with translating this into a successful prosthesis. One of the foundations of TKA, as described by Insall, was that although the native knee has more weight transmitted through the medial compartment this was to be avoided in a TKA as it would lead to uneven wear and early failure. There is a focus on achieving symmetrical tension and pressure and subsequent ‘balance’ in TKA, but the evidence from cadaveric studies is that the native knee is not symmetrically balanced. As we are currently trying to design an implant that is not based on its anatomical counterpart, is it possible to create a truly balanced prosthesis or to even to define what that balance is? The authors have reviewed the current evidence surrounding TKA balancing and its relationship with the native knee. Cite this article: EFORT Open Rev 2018;3:614-619. DOI: 10.1302/2058-5241.3.180008.

scholarly journals Determination of individual teleroentgenographic characteristics of the face profile in ukrainian young men and girls with orthognathic bite

2018 ◽  
pp. 28-34
Author(s):  
М. О. Dmitriev
Keyword(s):  
Regression Analysis ◽  
Soft Tissue ◽  
Young Women ◽  
Stepwise Regression ◽  
Young Men ◽  
Stepwise Regression Analysis ◽  
Regression Equations ◽  
Determination Coefficient ◽  
Normal Occlusion

Modern dentistry requires the definition of individualized values of teleroentgenographic indicators. To solve such problems, methods of regression and correlation analysis are increasingly used, which help to establish not only the existence of various relationships between the anatomical structures of the head and the parameters of the dento-jaw system, but also allow more accurately predict the change in the contour of soft facial tissue in response to orthodontic treatment. The purpose of the study is to develop mathematical models for the determination of individual teleroentgenographic characteristics of the facial soft tissues by studying the cephalometric indices of young men and women of Ukraine with normal occlusion and balanced faces and conducting a direct stepwise regression analysis. With the use of Veraviewepocs 3D device, Morita (Japan) from 38 young men (17 to 21 years of age) and 55 young women (aged from 16 to 20 years) with occlusal close to the orthognathic bite and balanced faces received side teleroentgenograms. The cephalometric analysis was performed using OnyxCeph³™ licensed software. Cephalometric points and measurements were made according to the recommendations of Downs W. B., Holdway R. A., McNamara J., Schwarz A. M., Schmuth G. P. F., Steiner C. C. and Tweed C. H. With the help of direct stepwise regression analysis, in the licensed package “Statistica 6.0”, regression models of individual teleroentgenographic characteristics of the profile of soft facial tissues were constructed. In young men with normal occlusion close to the orthognathic bite of 19 possible models, 11 were constructed with a determination coefficient from 0.638 to 0.930, and in young women – 12 models with a determination coefficient from 0.541 to 0.927. The conducted analysis of models showed that in young men most often the regression equations included – angle N_POG, parameters of which indicate a linear interjaw relation in the anterior-posterior direction (14.0%); angle GL_SNPOG, or index of convexity of the soft tissue profile (8.8%); MAX maxillary length (7.0%), and GL_SN_S index, which defines vertical correlations in the facial profile (5.3%). The young women most often models included – the angle N_POG (12.5%); angle GL_SNPOG (7.5%); soft tissue front angle P_OR_N (6.25%); the reference angle ML_NL and the profile angle T (by 5.0%); the angle AB_NPOG, the angle NBA_PTGN, which defines the direction of development of the mandible and the distance PN_A (3.75%). Thus, in the work with the help of the method of stepwise regression with inclusion, among Ukrainians of adolescence age, based on the characteristics of teleroentgenographic indicators, reliable models of individual teleroentgenographic characteristics of the profile of soft facial tissues were developed and analyzed.

scholarly journals Methods to Form the Pedagogical Culture of Parents in the Educational System of the School

2020 ◽  
pp. 38-42
Author(s):  
Galina Veniaminovna Sorokoumova ◽  
Anastasiia Olegovna Bespalova
Keyword(s):  
Common Sense ◽  
Educational System ◽  
High Efficiency ◽  
Educational Institution ◽  
Parenting Skills ◽  
The Family ◽  
The Impact ◽  
The Ideal ◽  
Pedagogical Culture

The article deals with the concept of pedagogical culture of parents, the goals of development of pedagogical culture of parents and methods of formation and improvement of the level of pedagogical culture of parents. The paper focuses on the tasks of interaction between an educational institution and the family in the upbringing of children. Methods of study. To study the possibility of forming a pedagogical culture of parents, we used a questionnaire to survey the needs of parents to interact with the educational institution and the interest of teachers in working with the family, the «Ideas about the ideal parent» method by R. V. Ovcharova, Y.A. Degtyareva, «Family Biofield» inquirer by V. V. Boyko and «Determination of parenting skills» questionnaire by O.L. Zvereva. Results of the study. The article shows the results of the impact of the program, which includes a seminar using the case technology «pedagogical culture of parents» and parent training based on the program «education based on common sense» on the formation of the pedagogical culture of parents. Conclusion. The results of the study proved the possibility of purposeful formation of the pedagogical culture of parents in the educational system of the school and the high efficiency of practice – and personality-oriented methods of such work, and also showed greater competence and awareness among parents and kindergarten teachers in the education of children.

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