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Sample records for external tibial torsion

  1. Measurement of tibial torsion by computer tomography

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    Jend, H.H.; Heller, M.; Dallek, M.; Schoettle, H. (Hamburg Univ. (Germany, F.R.))

    1981-01-01

    A CT procedure for objective measurements of tibial torsion independent of axial rotation in the nearby joints is described. Transverse sections in defined planes of the tibia permit easy calculation of normal and abnormal congenital or posttraumatic angles of torsion. In 69 limbs normal tibial torsion was 40/sup 0/+-9/sup 0/. In a series of 42 limbs with complicated healing of a fracture of both bones of the leg it is shown that tibial maltorsion is a deformity which in most cases leads to arthrosis of the ankle joint.

  2. Tibial torsion in non-arthritic Indian adults: A computer tomography study of 100 limbs

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    Mullaji Arun

    2008-01-01

    Full Text Available Background: Knowledge of normal tibial torsion is mandatory during total knee replacement (TKR, deformity correction and fracture management of tibia. Different values of tibial torsion have been found in different races due to biological and mechanical factors. Value of normal tibial torsion in Indian limbs is not known, hence this study to determine the norm of tibial torsional value in normal Indian population. Materials and Methods: Computer tomography (CT scans were performed in 100 non-arthritic limbs of 50 Indian adults (42 males, eight females; age 26-40 years. Value of tibial torsion was measured using dorsal tangent to tibial condyles proximally and bimalleolar axis distally. Results: Normal tibial torsion was found to be 21.6 ± 7.6 (range 4.8 to 39.5 with none of the values in internal rotation. Right tibia was externally rotated by 2 degrees as compared to the left side ( P 0.029. No significant difference was found in male and female subjects. Value of tibial torsion was less than in Caucasian limbs, but was comparable to Japanese limbs when studies using similar measurement technique were compared. Conclusions: Indian limbs have less tibial torsion than Caucasian limbs but the value of tibial torsion is comparable to Japanese limbs.

  3. MR evaluation of femoral neck version and tibial torsion

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    Koenig, James Karl; Dwek, Jerry R. [University of California, San Diego, Children' s Hospital and Health Center, Department of Radiology, San Diego, CA (United States); Pring, Maya E. [Rady Children' s Hospital, Department of Pediatric Orthopedic Surgery, San Diego, CA (United States)

    2012-01-15

    Abnormalities of femoral neck version have been associated with a number of hip abnormalities in children, including slipped capital femoral epiphysis, proximal femoral focal deficiency, coxa vara, a deep acetabulum and, rarely, developmental dysplasia of the hip. Orthopedic surgeons also are interested in quantifying the femoral neck anteversion or retroversion in children especially to plan derotational osteotomies. Historically, the angle of femoral version and tibial torsion has been measured with the use of radiography and later by CT. Both methods carry with them the risks associated with ionizing radiation. Techniques that utilize MR are used less often because of the associated lengthy imaging times. This article describes a technique using MRI to determine femoral neck version and tibial torsion with total scan times of approximately 10 min. (orig.)

  4. Human tibial torsion - Morphometric assessment and clinical relevance

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    Swati Gandhi

    2014-02-01

    Full Text Available Background: Tibial torsion is an important anatomical parameter in clinical practice and displays variability among individuals. These variations are extremely significant in view of alignment guides such as those related to rotational landmarks of tibia in total knee arthroplasty. Further, precise knowledge and information pertaining to angle of tibial torsion also helps in correction of traumatic malunion or congenital maltorsion of tibia. Methods: The present study was carried out to determine the angle of tibial torsion in 100 adult dry tibia bones in the Department of Anatomy, Government Medical College, Amritsar. The study group comprised 50 males and 50 females with equal number of right- and left-sided bones. The measurements were meticulously recorded and the data were subjected to statistical analysis. The results were analyzed and discussed in the light of existing literature. Results: On the right side, it was found to be 29.84° ± 4.86°° (range = 22.00° -38.00° in males and 28.92° ± 5.10°° (range = 15.00°-38.00° in females. On the left side, it was found to be 28.00° ± 4.94°° (range = 20.00°-40.00°° in males and 28.12° ± 4.28°° (range = 20.00°-37.00°° in females. Conclusion: The present study is an endeavor to provide baseline data with reference to the angle of tibial torsion in the Indian population. The results of the study assume special importance in view of the technical advancements in reconstructive surgical procedures in orthopedic practice.

  5. Do physical examination and CT-scan measures of femoral neck anteversion and tibial torsion relate to each other?

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    Sangeux, Morgan; Mahy, Jessica; Graham, H Kerr

    2014-01-01

    Informed clinical decision making for femoral and/or tibial de-rotation osteotomies requires accurate measurement of patient function through gait analysis and anatomy through physical examination of bony torsions. Validity of gait analysis has been extensively studied; however, controversy remains regarding the accuracy of physical examination measurements of femoral and tibial torsion. Comparison between CT-scans and physical examination measurements of femoral neck anteversion (FNA) and external tibial torsion (ETT) were retrospectively obtained for 98 (FNA) and 64 (ETT) patients who attended a tertiary hospital for instrumented gait analysis between 2007 and 2010. The physical examination methods studied for femoral neck anteversion were the trochanteric prominence angle test (TPAT) and the maximum hip rotation arc midpoint (Arc midpoint) and for external tibial torsion the transmalleolar axis (TMA). Results showed that all physical examination measurements statistically differed to the CT-scans (bias(standard deviation): -2(14) for TPAT, -10(12) for Arc midpoint and -16(9) for TMA). Bland and Altman plots showed that method disagreements increased with increasing bony torsions in all cases but notably for TPAT. Regression analysis showed that only TMA and CT-scan measurement of external tibial torsion demonstrated good (R(2)=57%) correlation. Correlations for both TPAT (R(2)=14%) and Arc midpoint (R(2)=39%) with CT-scan measurements of FNA were limited. We conclude that physical examination should be considered as screening techniques rather than definitive measurement methods for FNA and ETT. Further research is required to develop more accurate measurement methods to accompany instrumented gait analysis. Copyright © 2013. Published by Elsevier B.V.

  6. A STUDY ON TIBIAL TORSION IN ADULT DRY TIBIA OF EAST AND SOUTH INDIAN POPULATION

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    Jami Sagar Prusti

    2017-05-01

    Full Text Available BACKGROUND Rotational deformities of the lower limbs are very common. There is increasing evidence that abnormal torsion in the tibia is associated with severe knee and ankle arthritis. Primary knee osteoarthritis is a leading cause of disability in older persons. Varus or valgus alignment increases the risk of osteoarthritis. Coexistence of tibial torsional deformity may increase the risk further. Variability in the tibial torsion has been reported and is due to the torsional forces applied on tibia during development. The aim of the study is to estimate the angle of tibial torsion on both sides and both sexes. The present study was an attempt to provide baseline data of tibial torsion in the East and South Indian population. MATERIALS AND METHODS The study was conducted mechanically on 100 dry adult unpaired human tibia, i.e. 50 male and 50 female bones. The measurements were recorded and statistically analysed using Student’s unpaired t-test using GraphPad Prism 5.0 (free trial version. RESULTS Out of the 100 tibia undertaken, mean value of tibial torsion angle obtained is 25.8°. In males, it is 23.68° and in females it is about 27.86°. Statistical analysis revealed significant greater average angle of tibial torsion in female bones. The angle of the right-sided bones was more and this was statistically significant. CONCLUSION The gender variation for the angle could be the result of the difference in lifestyle in day-to-day activities. The knowledge of the angle in a population could be helpful in understanding the incidence of pathogenesis related to gait and knee osteoarthritis and in view of reconstructive surgeries in orthopaedic practice.

  7. [The geometry of the keel determines the behaviour of the tibial tray against torsional forces in total knee replacement].

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    García David, S; Cortijo Martínez, J A; Navarro Bermúdez, I; Maculé, F; Hinarejos, P; Puig-Verdié, L; Monllau, J C; Hernández Hermoso, J A

    2014-01-01

    The keel design of the tibial tray is essential for the transmission of the majority of the forces to the peripheral bone structures, which have better mechanical proprieties, thus reducing the risk of loosening. The aim of the present study was to compare the behaviour of different tibial tray designs submitted to torsional forces. Four different tibial components were modelled. The 3-D reconstruction was made using the Mimics software. The solid elements were generated by SolidWorks. The finite elements study was done by Unigraphics. A torsional force of 6 Nm. applied to the lateral aspects of each tibial tray was simulated. The GENUTECH® tibial tray, with peripheral trabecular bone support, showed a lower displacement and less transmitted tensions under torsional forces. The results suggest that a tibial tray with more peripheral support behaves mechanically better than the other studied designs. Copyright © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

  8. Internal tibial torsion correction study. [measurements of strain for corrective rotation of stressed tibia

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    Cantu, J. M.; Madigan, C. M.

    1974-01-01

    A quantitative study of internal torsion in the entire tibial bone was performed by using strain gauges to measure the amount of deformation occuring at different locations. Comparison of strain measurements with physical dimensions of the bone produced the modulus of rigidity and its behavior under increased torque. Computerized analysis of the stress distribution shows that more strain occurs near the torqued ends of the bones where also most of the twisting and fracturing takes place.

  9. External fixation in the treatment of open tibial shaft fractures

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    Golubović Zoran

    2008-01-01

    Full Text Available Background/Aim. Besides the conquasant fractures, open tibia shaft fractures belong to the group of the most severe fractures of tibia. Open tibia shaft fracture is one of the most common open fractures of long bones. They most frequently occur as a result of traffic accidents caused by the influence of a strong direct force. Methods. Within the period from January, 2000 to December 31, 2005. at the Clinic for Orthopaedics and Traumatology, Clinical Center Nis, 107 patients with open tibial fractures were treated. We analyzed 96 patients with open tibial fracture. In the series analyzed, the male sex was prevalent - there were 74 men (77.08%. The mean age was 47.3 years. The youngest patient was 17 years old, while the oldest patient was 79. According to the classification of the Gustilo et al. in the analysed group there were 30 (31.25% open tibial fractures of the I degree, 31 (32.29% of the II degree, 25 (26.05% of the III A degree, 8 (8.33% of the III B degree and 2 (2.08% of the III C degree. In 95 of the patients the treatment of open tibia shaft fractures consisted of the surgical treatment of wound and the external fixation of the fractured bone using "Mitkovic" type external fixator with a convergent method of pin applications. One primary amputations had been done in patients with grade IIIC open tibial fracture with large soft tissue defect. Results. Of the 96 open tibial fractures available for follow-up, 73 (76.04% healed without severe complications (osteitis, pseudoarthrosis, valgus malunion and amputation. Ther were nine (9.38% soft tissue pin track infections and six (6.25% superficial wound infections. The mean time of union was 21 (14-36 week. Among severe local complications associated with open tibial fractures, in eight patients (8.33% was registered osteitis, and in nine patients (9.38% fracture nonunion and the development of pseudoarthrosis. Three of the patients (3.13% had more than 10 degree valgus malunion. In one

  10. Results of open tibial fracture treatment using external fixation

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    Golubović Ivan

    2016-01-01

    Full Text Available Introduction. Open lower leg fractures are the most common open fractures of the locomotor system and their treatment is associated with a number of complications. Objective. The aim of the paper was to present the results of the treatment of 68 patients with open lower leg fractures, as well as the complications that accompany the treatment of these fractures. Methods. In the analyzed group, there were 45 (66.18% men and 23 (33.82% women. The majority of patients - 33 (48.53% of them - were injured in motor vehicle accidents, whereas 24 (35.29% patients sustained injuries due to falls from heights. In two (2.94% patients the cause of open tibial fractures was gunshot injuries. In the analyzed group, there were 18 (26.47% type I open fractures, 21 (30.88% type II open fractures, 19 (27.94% type IIIA open fractures, seven (10.29% type IIIB open fractures, and three (4.41% type IIIC open fractures. Results. The tibial shaft fracture healed without serious complications in 50 (73.53% patients, whereas in 18 (26.47% patients we observed some complications. Nonunion was found in 10 (14.71% patients, osteitis in four (5.88, malunion in two (2.94% patients. Milder complications such as soft tissue pin tract infection developed in 13 (19.12% patients, infection of the open fracture wound soft tissue was observed in four (5.88% patients. Conclusion. Basic principles in the treatment of open lower leg fractures in this study are thorough primary open fracture wound treatment followed by the delayed wound closure, stable fracture fixation using unilateral external skeletal device, proper antibiotic treatment and tetanus prophylaxis. The results correlate with similar studies. [Projekat Ministarstva nauke Republike Srbije, br. III 41017: Virtual Human Osteoarticular System and its Application in Preclinical and Clinical Practice

  11. Vibration mode of torsion balance and its response to external shock

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    汤洁; 罗俊; 范淑华

    1997-01-01

    Intrinsic vibration modes of typical torsion balances and their response to the external shock are discussed in detail. The study is important and instructive for improving measurement precision of gravitational experiments employing torsion balances, and gives a reasonable interpretation on detecting earthquake by high precision torsion balance.

  12. Low-dose biplanar radiography can be used in children and adolescents to accurately assess femoral and tibial torsion and greatly reduce irradiation

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    Meyrignac, Olivier; Baunin, Christiane; Vial, Julie; Sans, Nicolas [CHU Toulouse Purpan, Department of Radiology, Toulouse Cedex 9 (France); Moreno, Ramiro [ALARA Expertise, Oberhausbergen (France); Accadbled, Franck; Gauzy, Jerome Sales de [Hopital des Enfants, Department of Orthopedics, Toulouse Cedex 9 (France); Sommet, Agnes [Universite Paul Sabatier, Department of Fundamental Pharmaco-Clinical Pharmacology, Toulouse (France)

    2015-06-01

    To evaluate in children the agreement between femoral and tibial torsion measurements obtained with low-dose biplanar radiography (LDBR) and CT, and to study dose reduction ratio between these two techniques both in vitro and in vivo. Thirty children with lower limb torsion abnormalities were included in a prospective study. Biplanar radiographs and CTs were performed for measurements of lower limb torsion on each patient. Values were compared using Bland-Altman plots. Interreader and intrareader agreements were evaluated by intraclass correlation coefficients. Comparative dosimetric study was performed using an ionization chamber in a tissue-equivalent phantom, and with thermoluminescent dosimeters in 5 patients. Average differences between CT and LDBR measurements were -0.1 ±1.1 for femoral torsion and -0.7 ±1.4 for tibial torsion. Interreader agreement for LDBR measurements was very good for both femoral torsion (FT) (0.81) and tibial torsion (TT) (0.87). Intrareader agreement was excellent for FT (0.97) and TT (0.89). The ratio between CT scan dose and LDBR dose was 22 in vitro (absorbed dose) and 32 in vivo (skin dose). Lower limb torsion measurements obtained with LDBR are comparable to CT measurements in children and adolescents, with a considerably reduced radiation dose. (orig.)

  13. Tosic external fixator in the management of proximal tibial fractures in adults.

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    Tosic, A; Ebraheim, N A; Abou Chakra, I; Emara, K

    2001-06-01

    This retrospective clinical study assessed proximal tibial fractures managed with the Tosic external fixator. Nineteen patients with 21 proximal tibial fractures treated with the Tosic external fixator between July 1997 and October 1998 comprised the study population. Eleven fractures were graded as 41A2, 3 fractures as 41 A3, 4 fractures as 41C1, and 3 fractures as 41 C2. Fourteen fractures were closed, and 7 fractures were open. Average time to healing was 1 7 weeks. No revision of fixation was needed. There were five cases of pin tract infection. Average range of knee motion was 2 degrees-135 degrees. These results indicate the Tosic external fixator is an efficient and simple way to treat proximal tibial metaphyseal fractures.

  14. Non-relativistic correspondence of Dirac equation with external electromagnetic field and space-time torsion

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    Goncalves, Bruno; Dias Junior, Mario Marcio [Instituto Federal de Educacacao, Ciencia e Tecnologia Sudeste de Minas Gerais, Juiz de Fora, MG (Brazil)

    2013-07-01

    Full text: The discussion of experimental manifestations of torsion at low energies is mainly related to the torsion-spin interaction. In this respect the behavior of Dirac field and the spinning particle in an external torsion field deserves and received very special attention. In this work, we consider the combined action of torsion and magnetic field on the massive spinor field. In this case, the Dirac equation is not straightforward solved. We suppose that the spinor has two components. The equations have mixed terms between the two components. The electromagnetic field is introduced in the action by the usual gauge transformation. The torsion field is described by the field S{sub μ}. The main purpose of the work is to get an explicit form to the equation of motion that shows the possible interactions between the external fields and the spinor in a Hamiltonian that is independent to each component. We consider that S{sub 0} is constant and is the unique non-vanishing term of S{sub μ}. This simplification is taken just to simplify the algebra, as our main point is not to describe the torsion field itself. In order to get physical analysis of the problem, we consider the non-relativistic approximation. The final result is a Hamiltonian that describes a half spin field in the presence of electromagnetic and torsion external fields. (author)

  15. Outcome of complex tibial plateau fractures treated with external fixator

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    Sushil H Mankar

    2012-01-01

    Conclusion: We believe that minimally invasive treatment by percutaneous techniques and external fixation is a fairly reasonable treatment alternative, if near anatomical reduction of joint surface can be confirmed on fluoroscopy.

  16. External versus internal fixation for bicondylar tibial plateau fractures: systematic review and meta-analysis.

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    Metcalfe, David; Hickson, Craig J; McKee, Lesley; Griffin, Xavier L

    2015-12-01

    It is uncertain whether external fixation or open reduction internal fixation (ORIF) is optimal for patients with bicondylar tibial plateau fractures. A systematic review using Ovid MEDLINE, Embase Classic, Embase, AMED, the Cochrane Library, Open Grey, Orthopaedic Proceedings, WHO International Clinical Trials Registry Platform, Current Controlled Trials, US National Institute for Health Trials Registry, and the Cochrane Central Register of Controlled Trials. The search was conducted on 3rd October 2014 and no language limits were applied. Inclusion criteria were all clinical study designs comparing external fixation with open reduction internal fixation of bicondylar tibial plateau fractures. Studies of only one treatment modality were excluded, as were those that included unicondylar tibial plateau fractures. Treatment effects from studies reporting dichotomous outcomes were summarised using odds ratios. Continuous outcomes were converted to standardized mean differences to assess the treatment effect, and inverse variance methods used to combine data. A fixed effect model was used for meta-analyses. Patients undergoing external fixation were more likely to have returned to preinjury activities by six and twelve months (P = 0.030) but not at 24 months follow-up. However, external fixation was complicated by a greater number of infections (OR 2.59, 95 % CI 1.25-5.36, P = 0.01). There were no statistically significant differences in the rates of deep infection, venous thromboembolism, compartment syndrome, or need for re-operation between the two groups. Although external fixation and ORIF are associated with different complication profiles, both are acceptable strategies for managing bicondylar tibial plateau fractures.

  17. Evaluation of Structural Behavior of Externally Prestressed Segmented Bridge with Shear Key under Torsion

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    M. A. Algorafi

    2011-07-01

    Full Text Available Externally Prestressed Segmented (EPS concrete beams are generally used in the construction of bridge structures. External Prestressed technique uses tendons that are placed completely outside the concrete section and attached to the concrete at anchorages and deviators only. Segmented bridge is a bridge built in short sections. Segmented bridge applies smart technique that is a part of an engineering management. EPS bridges are affected by combined stresses i.e., bending, shear, normal, and torsion stresses especially at the segments interface joints. Previous studies on EPS bridges did not include the effect of torsion in the load carrying capacity and other structural behavior. This paper presents an experimental investigation of the structural behavior of EPS bridged under combined bending, shear, normal, and torsion stresses. The aim of this paper is to improve the existing equation to include the effect of torsion in estimating the failure load of EPS bridge. A parametric study was carried out to investigate the effect of different external tendon layouts and different levels of torsion.

  18. Distal tibial fracture: An ideal indication for external fixation using locking plate

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    Jing-wei Zhang; Nabil A.Ebraheim; Ming Li; Xian-Feng He; Joshua Schwind; Li-Mei Zhu; Yi-Hui Yu

    2016-01-01

    Objective:To evaluate the feasibility and efficiency of one-stage external fixation by using locking plate in distal tibial fractures.Methods:In this non-control prospective study,28 patients with distal tibial fractures were included and underwent one-stage external fixation by using locking plate.There were 21 males and 7 females,with a mean age of 43 years (19-63).According to AO/OTA fracture classification,there were 9 cases of Type A1,9 of Type A2,10 of Type A3 fractures.There were 21 close and 7 open fractures.The locking plate was placed on the anteromedial aspect of the tibia with 4-5 bicortical screws inserted in both distal metaphysis and diaphysis.The radiographic and clinic results were evaluated.Results:All patients were followed up for the average of 16 months (ranging from 12 to 21 months).The average surgery duration was 38 (25-60) minutes.The mean time to fracture healing were 14.6 ± 2.67,17.5 ± 3.66,and 18.4 ± 3.37 (p < 0.05) weeks in type A1,A2,and A3 fractures respectively.By the end of the follow-ups,the mean AOFAS score were 96.11 ± 2.32,92.67 ± 1.80 and 92.00 ± 2.06 (p > 0.05) in type A1,A2,and A3 fractures respectively.None of nonunion,deep infection,or breakage of screw or plate were observed.Conclusions:Distal tibial fracture was the ideal indication for external fixation using locking plate.The external plating is characterized by ease of performance,less invasive,fewer soft tissue impingement,improved cosmesis,and convenient for removal.

  19. Treatment of tibial defect and bone nonunion with limb shortening with external fixator and reconstituted bone xenograft

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    王志刚; 刘建; 胡蕴玉; 孟国林; 金格勒; 袁志; 王海强; 戴先文

    2003-01-01

    Objective: To explore the effect of external fixator and reconstituted bone xenograft (RBX) in the treatment of tibial bone defect, tibial bone nonunion and congenital pseudarthrosis of the tibia with limb shortening. Methods: Twenty patients ( 13 males and 7 females) with tibial bone defect, tibial bone nonunion or congenital pseudarthrosis of the tibia with limb shortening were treated with external fixation. Two kinds of external fixators were used: a half ring sulcated external fixator used in 13 patients and a combined external fixator in 7 patients. Foot-drop was corrected at the same time with external fixation in 4 patients. The shortened length of the tibia was in the range of 2-9 cm, with an average of 4.8 cm. For bone grafting, RBX was used in 12 patients, autogenous ilium was used in 3 patients and autogenous fibula was implanted as a bone plug into the medullary canal in 1 case, and no bone graft was used in 4 patients. Results: All the 20 patients were followed-up for 8 months to 7 years, averaging 51 months. Satisfactory function of the affected extremities was obtained. All the shortened extremities were lengthened to the expected length. For all the lengthening area and the fracture sites, bone union was obtained at the last. The average healing time of 12 patients treated with RBX was 4.8 months. Conclusions: Both the half ring sulcated external fixator and the combined external fixator have the advantages of small trauma, simple operation, elastic fixation without stress shielding and non-limitation from local soft tissue conditions, and there is satisfactory functional recovery of affected extremities in the treatment of tibial bone defects, tibial bone nonunion and congenital pseudarthrosis of the tibia combined with limb shortening. RBX has good biocompatibility and does not cause immunological rejections. It can also be safely used in treatment of bone nonunion and has reliable effect to promote bone healing.

  20. Ingenious method of external fixator use to maintain alignment for nailing a proximal tibial shaft fracture.

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    Behera, Prateek; Aggarwal, Sameer; Kumar, Vishal; Kumar Meena, Umesh; Saibaba, Balaji

    2015-09-01

    Fractures of the tibia are one of the most commonly seen orthopedic injuries. Most of them result from a high velocity trauma. While intramedullary nailing of tibial diaphyseal fractures is considered as the golden standard form of treatment for such cases, many metaphyseal and metaphyseal-diaphyseal junction fractures can also be managed by nailing. Maintenance of alignment of such fractures during surgical procedure is often challenging as the pull of patellar tendon tends to extend the proximal fragment as soon as one flexes the knee for the surgical procedure. Numerous technical modifications have been described in the literature for successfully nailing such fractures including semi extended nailing, use of medial plates and external fixators among others. In this study, it was aimed to report two cases in which we used our ingenious method of applying external fixator for maintaining alignment of the fracture and aiding in the entire process of closed intramedullary nailing of metaphyseal tibial fractures by the conventional method. We were able to get good alignment during and after the closed surgery as observed on post-operative radiographs and believe that further evaluation of this technique may be of help to surgeons who want to avoid other techniques.

  1. Distal tibial fracture treated by minimally invasive plate osteosynthesis after external fixation Retrospective clinical and radiographic assessment

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    Al. Șerban

    2014-02-01

    Full Text Available Fractures of the horizontal surface of the distal tibia are known commonly as pylon or plafond fractures, and represent 1-5% of lower extremity fractures, 7-10% of all tibial fractures. The protocol consisted of immediate (within eight to 24 hours open reduction and internal fixation of the fibula, using a fibular plate or one third tubular plate and application of an external fixator spanning the ankle joint. In the second stage, the treatment of proximal and distal tibial fractures with close reduction and MIPPO technique can preserve soft tissue, simplify operative procedure and decrease wound, obtain rigid internal fixation and guarantee early function exercises of ankle joint. In this study we evaluated 22 patients treated in Clinical Emergency Hospital Constanta between April 2012 - July 2013 diagnosed with multifragmentary fractures of the distal tibia. This study evaluates the treatment of complex fractures of distal tibia with locked plate after external fixation. There were 17 males and 5 females of mean age 51,7 years (31-68. The mean follow-up period was 14 weeks. (Ranging from 9-16 weeks. All patients were fully weight bearing at 16 weeks (ranging 9-16 weeks showing radiological union. There were no cases of failures of fixation, or rotational misalignment. No significant complication was observed in our patients. MIPO is an effective method of treatment for distal tibial fractures, reduce surgical trauma and maintain a more biologically favorable environment for fracture healing, reducing risks of infection and nonunion.

  2. Distal tibial pilon fractures (AO/OTA type B, and C treated with the external skeletal and minimal internal fixation method

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    Milenković Saša

    2013-01-01

    Full Text Available Background/Aim. Distal tibial pilon fractures include extra-articular fractures of the tibial metaphysis and the more severe intra-articular tibial pilon fractures. There is no universal method for treating distal tibial pilon fractures. These fractures are treated by means of open reduction, internal fixation (ORIF and external skeletal fixation. The high rate of soft-tissue complications associated with primary ORIF of pilon fractures led to the use of external skeletal fixation, with limited internal fixation as an alternative technique for definitive management. The aim of this study was to estimate efficacy of distal tibial pilon fratures treatment using the external skeletal and minimal internal fixation method. Methods. We presented a series of 31 operated patients with tibial pilon fractures. The patients were operated on using the method of external skeletal fixation with a minimal internal fixation. According to the AO/OTA classification, 17 patients had type B fracture and 14 patients type C fractures. The rigid external skeletal fixation was transformed into a dynamic external skeletal fixation 6 weeks post-surgery. Results. This retrospective study involved 31 patients with tibial pilon fractures, average age 41.81 (from 21 to 60 years. The average follow-up was 21.86 (from 12 to 48 months. The percentage of union was 90.32%, nonunion 3.22% and malunion 6.45%. The mean to fracture union was 14 (range 12-20 weeks. There were 4 (12.19% infections around the pins of the external skeletal fixator and one (3.22% deep infections. The ankle joint arthrosis as a late complication appeared in 4 (12.90% patients. All arthroses appeared in patients who had type C fractures. The final functional results based on the AOFAS score were excellent in 51.61%, good in 32.25%, average in 12.90% and bad in 3.22% of the patients. Conclusion. External skeletal fixation and minimal internal fixation of distal tibial pilon fractures is a good method for

  3. Outcome Assessment of Hybrid External Fixation in the Treatment of Comminuted Distal Femur and Proximal Tibial Fractures

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    Sarrafan

    2016-02-01

    Full Text Available Background Treatment of comminuted fractures of the distal femur and proximal tibia is difficult, and a challenge in the field of orthopedic trauma. Objectives The aim of this study was to assess the short-term results of hybrid external fixation in the treatment of these fractures. Patients and Methods In a prospective study, 44 patients with comminuted fractures of the distal femur or proximal tibia, with an overlying soft tissue injury treated by closed reduction and hybrid external fixation, were included. Parameters such as pin-track infection, union, limb shortening, knee motion, and alignment were evaluated during a mean follow-up period of 14 months. Results Forty-four patients with distal femoral (n = 23 and proximal tibial (n = 21 fractures were treated using hybrid external fixation. Bone union was seen in 35 (80% of the patients. Pin tract infection was seen in three patients (6.8%, one case (4.6% with a PTF and two cases (8% with DFFs. Malunion was observed in 4 patients (9.1%; of these, three cases (13% had DFF and one case (4.8% of pain was detected in the DFF group. One case had malunion and three cases had union. Findings showed satisfactory results in more than 80% of patients. In general, lower postoperative complications were detected in the proximal tibial fractures than the distal femoral fractures. According to a chi-square test, the difference between the patients with PTFs and those with DFFs was not clinically significant. Conclusions Closed reduction and hybrid external fixation can be used as a definitive treatment for severe comminuted fractures of the distal femur and proximal tibia, when the concomitant contusion of the skin and soft tissue damage prohibits safe open reduction and internal fixation.

  4. Surgical treatment of tibial nonunion after wounding by high velocity missile and external fixators: A case report

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    Golubović Ivan

    2012-01-01

    Full Text Available Introduction. The missiles of modern firearms can cause severe fractures of the extremity. High velocity missile fractures of the tibia are characterized by massive tissue destruction and primary contamination with polymorphic bacteria. Treatment of these fractures is often complicated by delayed healing, poor position healing, nonhealing and bone tissue infection. Case Outline. We present the management of tibial nonunion after wounding by high velocity missile and primary treatment by external fixation in a 25-year-old patient. The patient was primarily treated with external fixation and reconstructive operations of the soft tissue without union of the fracture. Seven months after injury we placed a compression-distraction external fixator type Mitkovic and started with compression and distraction in the fracture focus after osteotomy of the fibula and autospongioplasty. We recorded satisfactory fracture healing and good functional outcome. Conclusion. Contamination and devitalization of the softtissue envelope increase the risk of infection and nonunion in fractures after wounding by high velocity missile. The use of the compression-distraction external fixator type Mitkovic may be an effective method in nonunions of the tibia after this kind of injury. [Projekat Ministarstva nauke Republike Srbije, br. III 41004

  5. A meta-analysis of external fixation versus open reduction and internal fixation for complex tibial plateau fractures.

    Science.gov (United States)

    Zhao, Xing-Wen; Ma, Jian-Xiong; Ma, Xin-Long; Jiang, Xuan; Wang, Yin; Li, Fei; Lu, Bin

    2017-03-01

    Both external fixation (ExFx) and open reduction and internal fixation(ORIF) were used to treat complex tibial plateau fractures, but it was not sure which one was better. So we did this meta-analysis to evaluate the outcomes of ExFx and ORIF in managing complex tibial plateau fractures. Articles published before August 5, 2016 were selected from PubMed, Cochrane library, and some other electronic database. Relevant journals were also searched manually with no language limited. Two independent reviewers searched and assessed the literature. A fixed effect model was initially used for meta-analyses with RevMan 5.3. When compared with ORIF, cases undergoing ExFx were more likely to return to the preinjury state at the early stage, but no difference in the later period of follow-up. However, ExFx group had higher infection rate (OR 1.98, 95% CI 1.08-3.63, P = 0.03), higher venous thromboembolism rate (OR 1.56, 95% CI 0.49-4.96, P = 0.45), higher re-operation rate (OR 0.87, 95% CI 0.47-1.62, P = 0.66) and lower compartment syndrome rate (OR 0.61, 95% CI 0.12-3.22, P = 0.56), lower TKA rate (OR 0.51, 95% CI 0.20-1.34, P = 0.17). There were no statistically significant differences in the rate of deep infection, venous thromboembolism, compartment syndrome and VTE between the two groups. Although external fixation may offer some advantages, both were acceptable strategies in managing complex tibial plateau fractures. According to our analysis results, we strongly recommend that selection of definitive fixators should base on the fracture patterns, soft-tissue condition as well as the injury stages in clinical practice. More important, further multicentered, randomized controlled studies should be implemented to get a more reliable and clear result. Copyright © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  6. Femoral and tibial torsion measurements in children and adolescents: comparison of MRI and 3D models based on low-dose biplanar radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Rosskopf, Andrea B.; Buck, Florian M.; Pfirrmann, Christian W.A. [University Hospital Balgrist, Radiology, Zurich (Switzerland); University of Zurich, Faculty of Medicine, Zurich (Switzerland); Ramseier, Leonhard E. [University of Zurich, Faculty of Medicine, Zurich (Switzerland); University Hospital Balgrist, Department of Orthopedic Surgery, Zurich (Switzerland)

    2017-04-15

    The aim of our study was to evaluate the reliability and interchangeability of femoral (FT) and tibial torsion (TT) measurements in children using magnetic resonance (MR) imaging compared to measurements on 3D models based on biplanar radiographs (BPR). FT and TT were measured in 60 children (mean age 10.1 years; range 6.2-16.2 years; 28 female) using axial MR images by two readers. MR measurements were compared to measurements based on BPR-3D models by two separate independent readers. Interreader and intermethod agreements were calculated using descriptive statistics, the intraclass correlation coefficient (ICC), and Bland-Altman analysis. FT/TT was -8.4 -54.1 /0 -45.9 on MR images and -13 -63 /4 -52 for measurements on BPR-3D models. The median of difference between the two methods was -0.18 (range -13.6 -19.1 ) for FT and -0.20 (range -18.4 -9.5 ) for TT, respectively. Interreader agreement (ICC) of FT/TT measurements was 0.98/0.96 on MR images and 0.98/0.94 on BPR 3D models. Intermethod agreement (ICC) for MR measurements was 0.95 [95% confidence interval (CI), 0.93-0.96] for FT and of 0.86 (CI, 0.24-0.95) for TT. Mean interreader differences at MR were 3.1 (0.0 -8.0 ) for FT and 3.2 (0.1 -9.5 ) for TT. On Bland-Altman plots all measurements were within the 95% limit of agreement (-10.8 ; 11.5 for FT; -14.6 ; 4.2 ) for TT - except for five measurements of FT and six measurements of TT. FT measurements on MR images are comparable to measurements using BPR-3D models. TT measurements differ between the two modalities, but the discrepancy is comparable to measurement variations between CT and BPR. (orig.)

  7. External fixation versus open reduction and internal fixation for tibial pilon fractures: A meta-analysis based on observational studies

    Institute of Scientific and Technical Information of China (English)

    Yi-Chen Meng; Xu-Hui Zhou

    2016-01-01

    Purpose:Tibial pilon fractures remain challenging for an orthopaedic surgeon to repair.External fixation (ExFix) and open reduction and internal fixation (ORIF) are two widely used methods for repairing tibial pilon fractures.However,conclusions of comparative studies regarding which method is superior are controversial.Our aim is to compare ORIF and ExFix and clarify which method is better in terms of reduction and union results and major complications.Methods:A computerized research of MEDLINE,EMBASE,Springer,and Cochrane Library (before December 2014) for studies of any design comparing ORIF and ExFix was conducted.Weighted mean difference (WMD),risk ratio (RR) and corresponding 95% confidence intervals (CI) were used for estimating the effects of the two methods.Statistical analyses were done using Review Manager Version 5.2.Results:Ten cohort studies and one randomized clinical trial were included in our ultimate analysis.And the analysis found no significant difference between the two methods in deep infection (p =0.13),reduction (p =0.11),clinical evaluation (p =0.82),post-traumatic arthrosis (p =0.87),and union time (p =0.35).Besides,ExFix group was found to have a higher rate of superficial infection (p =0.001),malunion (p =0.01) and nonunion (p =0.02),but have a lower risk of unplanned hardware removal (p =0.0002).Conclusions:We suggest that ORIF has a relatively lower incidence rate of superficial infection,malunion and nonunion,but a higher rate of unplanned hardware removal.No difference was found in deep infection,reduction,clinical evaluation,post-traumatic arthrosis and union time.

  8. External fixation versus open reduction and internal fixation for tibial pilon fractures: A meta-analysis based on observational studies.

    Science.gov (United States)

    Meng, Yi-Chen; Zhou, Xu-Hui

    2016-10-01

    Tibial pilon fractures remain challenging for an orthopaedic surgeon to repair. External fixation (ExFix) and open reduction and internal fixation (ORIF) are two widely used methods for repairing tibial pilon fractures. However, conclusions of comparative studies regarding which method is superior are controversial. Our aim is to compare ORIF and ExFix and clarify which method is better in terms of reduction and union results and major complications. A computerized research of MEDLINE, EMBASE, Springer, and Cochrane Library (before December 2014) for studies of any design comparing ORIF and ExFix was conducted. Weighted mean difference (WMD), risk ratio (RR) and corresponding 95% confidence intervals (CI) were used for esti- mating the effects of the two methods. Statistical analyses were done using Review Manager Version 5.2. Ten cohort studies and one randomized clinical trial were included in our ultimate analysis. And the analysis found no significant difference between the two methods in deep infection (p = 0.13), reduction (p = 0.11), clinical evaluation (p = 0.82), post-traumatic arthrosis (p = 0.87), and union time (p = 0.35). Besides, ExFix group was found to have a higher rate of superficial infection (p =0.001), malunion (p = 0.01) and nonunion (p = 0.02), but have a lower risk of unplanned hardware removal (p = 0.0002). We suggest that ORIF has a relatively lower incidence rate of superficial infection, malunion and nonunion, but a higher rate of unplanned hardware removal. No difference was found in deep infection, reduction, clinical evaluation, post-traumatic arthrosis and union time.

  9. Metaphyseal locking plate as a definitive external fixator for treating open tibial fractures--clinical outcome and a finite element study.

    Science.gov (United States)

    Ma, Ching-Hou; Wu, Chin-Hsien; Tu, Yuan-Kun; Lin, Ting-Sheng

    2013-08-01

    We evaluated both the outcome of using a locking plate as a definitive external fixator for treating open tibial fractures and, using finite element analysis, the biomechanical performance of external and internal metaphyseal locked plates in treating proximal tibial fractures. Eight open tibial patients were treated using a metaphyseal locked plate as a low-profile definitive external fixator. Then, finite element models of internal (IPF) as well as two different external plate fixations (EPFs) for proximal tibial fractures were reconstructed. The offset distances from the bone surface to the EPFs were 6 cm and 10 cm. Both axial stiffness and angular stiffness were calculated to evaluate the biomechanical performance of these three models. The mean follow-up period was 31 months (range, 18-43 months). All the fractures united and the mean bone healing time was 37.5 weeks (range, 20-52 weeks). All patients had excellent or good functional results and were walking freely at the final follow-up. The finite element finding revealed that axial stiffness and angular stiffness decreased as the offset distance from the bone surface increased. Compared to the IPF models, in the two EPF models, axial stiffness decreased by 84-94%, whereas the angular stiffness decreased by 12-21%. The locking plate used as a definitive external fixator provided a high rate of union. While the locking plate is not totally rigid, it is clinically stable and may be advisable for stiffness reduction of plating constructs, thus promoting fracture healing by callus formation. Our patients experienced a comfortable clinical course, excellent knee and ankle joint motion, satisfactory functional results and an acceptable complication rate.

  10. MANAGEMENT OF INFECTED NON UNION TIBIAL FRACTURES WITH ILIZAROV EXTERNAL FIXATION

    Directory of Open Access Journals (Sweden)

    Nageshwara Rao

    2015-10-01

    Full Text Available BACKGROUND & OBJECTIVES: Infected non - union of tibia per se is a challenge to treat. Subcutaneous bone causes susceptibility to compartment syndrome, non - responsive infection, non - union, fibrosis, sinuses, deformities, shortening and various other sets of problems which are assoc iated with it. Ilizarov External fixation provides correction of all the complications associated with non - union, bone gap, infection, shortening, and deformities. Objective of this study is to assess the efficacy and safety of Ilizarov fixator method of t reatment in infected non - union tibia and to study various complications associated with Ilizarov external fixation. MATERIALS AND METHODS: 23 patients admitted and treated in Government General Hospital under the Department of Orthopaedics during the perio d of May 2010 to December 2012 were included in the study. Results were evaluated according to ASAMI criteria . 1 RESULTS : 59% patients had excellent bony results, 27.3% had good bony results, 9.1% had fair bony results, 4.6% had poor bony results. 68.1% had excellent functional results, 9.1% had good functional results, 9.1% had fair functional results, 13.7% had poor functional results. CONCLUSION : Ilizarov external fixator system is the best device and best solution for infected non - union tibia management.

  11. Early urbanization and mobility at Tell Brak, NE Syria: the evidence from femoral and tibial external shaft shape.

    Science.gov (United States)

    Sołtysiak, Arkadiusz

    2015-04-01

    Urbanization at Tell Brak began in the late 5th millennium BCE and the site reached its maximum size in the Late Chalcolithic (LC) 3, ca. 3900-3600 BCE. During that time, a large midden was formed at the edge of the early city, now known as Tell Majnuna. Rescue excavations at Tell Majnuna revealed several clusters of commingled human remains and a cemetery on the top. Several human skeletons dated to the LC 3 and Early Bronze Age (EBA) were found also at Tell Brak itself and it was possible to investigate differences in cross-sectional femoral and tibial shaft shapes between LC 3 and EBA to test the hypothesis that rapid and extensive urbanization in the LC 3 induced increase in mobility. External midshaft and subtrochanteric measurements of at least 152 femora and measurements of 55 tibiae at the nutrient foramen were taken to investigate the differences in the level of terrestrial mobility between four LC 3 and one EBA chronological subsets. Also the correlation was examined between shaft cross-sectional shapes and frequency of linear enamel hypoplasia (LEH) in canines, as a proxy indicator of population stress. Due to post-mortem damage, sex assessment was based only on the size of measured bones. In spite of the limited quality of the gathered data, significant differences in femoral midshaft shape in males were observed between the LC 3 and EBA subsets and the average shape index scores appeared to be correlated with the LEH frequencies. No such result was obtained for females, suggesting that only males were more mobile in the LC 3 and their mobility level was associated with general population stress. In contrast, in females the average shape of subtrochanteric femoral cross-section was more variable between temporal subsets. The patterns of temporal differences in tibial cross-section at the nutrient foramen were not conclusive due to the small sample size. Obtained results suggest that males in the LC 3, the period of rapid urbanization, were more mobile

  12. A Meta-Analysis for Postoperative Complications in Tibial Plafond Fracture: Open Reduction and Internal Fixation Versus Limited Internal Fixation Combined With External Fixator.

    Science.gov (United States)

    Wang, Dong; Xiang, Jian-Ping; Chen, Xiao-Hu; Zhu, Qing-Tang

    2015-01-01

    The treatment of tibial plafond fractures is challenging to foot and ankle surgeons. Open reduction and internal fixation and limited internal fixation combined with an external fixator are 2 of the most commonly used methods of tibial plafond fracture repair. However, conclusions regarding the superior choice remain controversial. The present meta-analysis aimed to quantitatively compare the postoperative complications between open reduction and internal fixation and limited internal fixation combined with an external fixator for tibial plafond fractures. Nine studies with 498 fractures in 494 patients were included in the present study. The meta-analysis found no significant differences in bone healing complications (risk ratio [RR] 1.17, 95% confidence interval [CI] 0.68 to 2.01, p = .58], nonunion (RR 1.09, 95% CI 0.51 to 2.36, p = .82), malunion or delayed union (RR 1.24, 95% CI 0.57 to 2.69, p = .59), superficial (RR 1.56, 95% CI 0.43 to 5.61, p = .50) and deep (RR 1.89, 95% CI 0.62 to 5.80) infections, arthritis symptoms (RR 1.20, 95% CI 0.92 to 1.58, p = .18), or chronic osteomyelitis (RR 0.31, 95% CI 0.05 to 1.84, p = .20) between the 2 groups. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  13. Role of Joshi's external stabilization system with percutaneous screw fixation in high-energy tibial condylar fractures associated with severe soft tissue injuries

    Institute of Scientific and Technical Information of China (English)

    Ashish Kumar Gupta; Rahul Sapra; Rakesh Kumar; Som Prakash Gupta; Devwart Kaushik; Sahil Gaba; Mahesh Chand Bansal

    2015-01-01

    Purpose: The treatment of high-energy tibial condylar fractures which are associated with severe sott tissue injuries remains contentious and challenging.In this study, we assessed the results of Joshi's external stabilization system (JESS) by using the principle of ligamentotaxis and percutaneous screw fixation for managing high-energy tibial condylar fractures associated with severe soft tissue injuries.Methods: Between June 2008 and June 2010, 25 consecutive patients who were 17-71 years (mean, 39.7), underwent the JESS fixation for high-energy tibial condylar fractures associated with severe soft tissue injuries.Out of 25 patients, 2 were lost during follow-up and in 1 case early removal of frame was done, leaving 22 cases for final follow-up.Among them, 11 had poor skin condition with abrasions and blisters and 2 were open injuries (Gustilo-Anderson grade Ⅰ & Ⅱ).The injury mechanisms were motor vehicle accidents (n =19), fall from a height (n =2) and assault (n =1).The fractures were classified according to Schatzker classification system.Results: There were 7 type-Ⅴ, 14 type-Ⅵ and 1 type-Ⅳ Schatzker's tibial plateau fractures.The average interval between the injury and surgery was 6.8 days (range 2-13).The average hospital stay was 13 days (range, 7-22).The average interval between the surgery and full weight bearing was 13.6 weeks (range 11-20).The average range of knee flexion was 121° (range 105°-135°).The normal extension of the knee was observed in 20 patients, and an extensor lag of 5°-8° was noted in 2 patients.The complications included superficial pin tract infections (n =4) with no knee stiffness.Conclusion: JESS with lag screw fixation combines the benefit of traction, external fixation, and limited internal fixation, at the same time as allowing the ease of access to the soft tissue for wound checks, pin care, dressing changes, measurement of compartment pressure, and the monitoring of the neurovascular status.In a nutshell, JESS

  14. Surgical treatment of tibial nonunion after wounding by high velocity missile and external fixators: A case report

    OpenAIRE

    2012-01-01

    Introduction. The missiles of modern firearms can cause severe fractures of the extremity. High velocity missile fractures of the tibia are characterized by massive tissue destruction and primary contamination with polymorphic bacteria. Treatment of these fractures is often complicated by delayed healing, poor position healing, nonhealing and bone tissue infection. Case Outline. We present the management of tibial nonunion after wounding by high velocity missile and primary treatment by...

  15. Management of paediatric tibial fractures using two types of circular external fixator: Taylor spatial frame and Ilizarov circular fixator.

    Science.gov (United States)

    Tafazal, Suhayl; Madan, Sanjeev S; Ali, Farhan; Padman, Manoj; Swift, Simone; Jones, Stanley; Fernandes, James A

    2014-05-01

    The use of circular fixators for the treatment of tibial fractures is well established in the literature. The aim of this study was to compare the Ilizarov circular fixator (ICF) with the Taylor spatial frame (TSF) in terms of treatment results in consecutive patients with tibial fractures that required operative management. A retrospective analysis of patient records and radiographs was performed to obtain patient data, information on injury sustained, the operative technique used, time duration in frame, healing time and complications of treatment. The minimum follow-up was 24 months. Ten patients were treated with ICF between 2000 and 2005, while 15 patients have been treated with TSF since 2005. Two of the 10 treated with ICF and 5 of the 15 treated with TSF were open fractures. All patients went on to achieve complete union. Mean duration in the frame was 12.7 weeks for ICF and 14.8 weeks for the TSF group. Two patients in the TSF group had delayed union and required additional procedures including adjustment of fixator and bone grafting. There was one malunion in the TSF group that required osteotomy and reapplication of frame. There were seven and nine pin-site infections in the ICF and TSF groups, respectively, all of which responded to antibiotics. There were no refractures in either group. In an appropriate patient, both types of circular fixator are equally effective but have different characteristics, with TSF allowing for postoperative deformity correction. Of concern are the two cases of delayed union in the TSF group, all in patients with high-energy injuries. We feel another larger study is required to provide further clarity in this matter. Level II-comparative study.

  16. Solitary Tibial Osteolytic Lesion

    Directory of Open Access Journals (Sweden)

    Emilios E. Pakos

    2009-01-01

    Full Text Available We report an unusual case of solitary osteolytic tibial metastasis from a primary endometrial cancer in a 62-year-old woman. The primary cancer was treated with total abdominal hysterectomy and bilateral salpingo-oophorectomy combined with postoperative external beam radiotherapy, while the tibial metastasis was treated with an above knee amputation. The rarity of the case lies on the fact that metastases distally to the elbow and knee are uncommon and endometrial cancer rarely gives distal bone metastases and particularly solitary to the extremities.

  17. 儿童胫腓骨骨折的外固定架治疗%External fixation for treatment of tibial and fibula fractures in children

    Institute of Scientific and Technical Information of China (English)

    伊力夏提·赛吾来提

    2015-01-01

    Objective:To analyze the therapeutic effect of external fixator for the treatment of children with fractures of the tibia and fibula. Methods:June 2009 to September 2014 in the treatment of children’s tibia and fibula fractures in 30 cases, using Orthofix unilateral external fixator in the treatment, in the C-arm X-ray under closed or open reduction of tibial fracture. Results:30 cases of patients with tibia and fibula fracture have healing with removal of the external fixator weight bearing walking and postoperative 6-8 months removal of external fixator, 3 cases about 1 month after surgery appeared pin tract local red, swollen, seepage considering the liquid I degree infection. After oral antibiotics and local dressing can be controlled without a cases due to severe pin tract infection caused by external fixation failure or osteomyelitis. Conclusion: external fixator for the treatment of tibial and fibula fractures of convenient operation, no damage to the folding end blood circulation, firm fixation, and adjacent joint can be early, beneficial to fracture healing and prevent the occurrence of osteoporosis, and other treatment methods compared has obvious superiority.%目的:分析儿童胫腓骨骨折的外固定架的治疗效果。方法选取2009年6月至2014年9月治疗的儿童胫腓骨干骨折30例,均采用orthofix单臂外固定架治疗,在C型臂透视下闭合或直视下复位胫骨骨折。结果30例患者胫腓骨骨折均已愈合并拆除外固定架重负重行走,术后6~8个月拆除外固定架,3例患者术后1个月左右曾出现针道局部有红、肿、渗液考虑为I度感染,经口服抗生素及局部换药后得以控制,无一例因发生严重针道感染等而导致外固定架失效或发生骨髓炎。结论外固定架治疗胫腓骨骨折操作方便、不破坏折端血运、固定牢固,且邻近关节可进行早期活动,利于骨折愈合及防止骨质疏松的发生;与其他治疗手法相比具有明显的优越性。

  18. [Omental torsion. Case Report].

    Science.gov (United States)

    Zaleta-Cruz, Janny Lizbeth; Rojas-Méndez, Javier; Garza-Serna, Ulises; González-Ruvalcaba, Román; Ortiz de Elguea-Lizarraga, José; Flores-Villalba, Eduardo

    Omental torsion is an infrequent cause of acute abdomen and its symptoms are non-specific, often presenting with pain at the right iliac fossa as the only symptom. Its aetiology remains unknown, but different risk factors have been associated with the disease, including obesity, congenital malformations, and tumours. These risk factors have been classified as predisposing or triggering, primary or secondary, and external or internal. The is a case of a 24-year-old male who complained about pain in the right iliac fossa without any other symptoms. The diagnosis was acute appendicitis, but during the laparoscopic approach, omental torsion was found. The diagnosis of omental torsion is is complex. However, computed tomography and ultrasound have been used successfully. The treatment for omental torsion is the resection of necrotised tissue by a laparoscopic approach. Copyright © 2015 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  19. Posterior Tibial Tendon Dysfunction

    Science.gov (United States)

    .org Posterior Tibial Tendon Dysfunction Page ( 1 ) Posterior tibial tendon dysfunction is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed or torn. As a result, the ...

  20. Pseudo-aneurisma de artéria tibial posterior pós-tratamento de fratura de perna com fixador externo: relato de caso e revisão da literatura Pseudoaneurysm of the posterior tibial artery after external fixation for leg fracture: case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Domingos de Morais Filho

    2007-06-01

    Full Text Available Este trabalho descreve um caso de pseudo-aneurisma da artéria tibial posterior devido ao uso de fixador externo para tratamento de fratura dos ossos da perna (técnica de Ilizarov, bem como as técnicas utilizadas para seu tratamento. A compressão guiada por ultra-som e a injeção de trombina guiada por ultra-som foram realizadas, sem sucesso. O tratamento definitivo do pseudo-aneurisma e reconstrução arterial foi conseguido através do tratamento cirúrgico clássico, usando enxerto interposto de veia safena magna homóloga invertida. As indicações, vantagens e desvantagens das técnicas de tratamento não invasivo (compressão guiada por ultra-som e injeção de trombina guiada por ultra-som e as possíveis causas de sua incapacidade na obliteração do pseudo-aneurisma são discutidas. Também foi realizada a revisão de casos de pseudo-aneurisma da artéria tibial posterior na literatura médica, encontrando-se apenas um caso semelhante, entre 24 publicados.We describe a case of pseudoaneurysm in the posterior tibial artery following treatment for tibial and fibula fractures using external fixation (Ilizarov technique, as well as the techniques used for its treatment. Ultrasound-guided compression and ultrasound-guided thrombin injection were unsuccessfully performed. Definite treatment of pseudoaneurysm and arterial reconstruction was achieved through the traditional surgical treatment, using interposed graft of inverted homologous great saphenous vein. Indications, advantages and disadvantages of noninvasive treatment techniques (ultrasound-guided compression and ultrasound-guided thrombin injection and the possible causes of their inability in obliterating the pseudoaneurysm are discussed. A literature review of pseudoaneurysms of the posterior tibial artery was also carried out, resulting in only one similar case out of 24 published cases.

  1. Étude expérimentale du comportement cyclique d'un acier du type 316 L sous chargement multiaxial complexe en traction-torsion-pressions interne et externe

    Science.gov (United States)

    Bocher, L.; Delobelle, P.

    1997-09-01

    This paper is concerned with the experimental determination of the behaviour of a 316 L austenitic stainless steel at room temperature and under non proportional cyclic strainings in tension-torsion- internal and external pressures. The two or three sinusoïdal strains were applied both in and out-of-phase and the main investigations deal with the additional hardening due to multiaxiality of the loadings. Typical stabilized hysteresis loops are presented. With respect to the maximum additional hardening the different tests can be classified as follows : in phase tests, out-of-phase internal-external pressures tests, out-of-phase tension-torsion tests and finally tension-torsion-pressure with significant phase angles A device is presented which allows cyclic tests to be performed on tubes for loadings in tension-torsion-internal and external pressures. It is composed of a medium pressure chamber enclosing the gage length of the test specimen, directly fixed on the specimen and connected to two pressure regulators. The specimen is also fastened to the jaws of a hydraulic tensile-torsion machine through two extension rods. The entire device is controlled with the help of strain gauges set directly on the gage zone of the test specimen. Different tests have been performed at ambient temperature on an austenitic stainless steel which has the particularity of presenting a strong supplementary hardening connected to the non-radiality of the loadings. The influence of the phase shift parameters, namely the angles δ and \\varphi (δ: tension-torsion, \\varphi: tension-pressures) for two or three cyclic sinusoïdal components and for a total equivalent strain amplitude level imposed at 0.4% was studied. The ratios of the maximum strain amplitudes were respectively fixed at r_2 = 1 and r_1 = ± 1 (r_2: tension-torsion and r_1: tension-pressures). These tests allowed both the hypotheses made in stress calculations and the whole of the experimental set up to be validated. They

  2. Testicular torsion

    DEFF Research Database (Denmark)

    Brasso, K; Andersen, L; Kay, L;

    1993-01-01

    Thirty-five patients were examined 6-11 years after operation for torsion of the testis. Loss of testicular tissue was significantly associated with long preoperative duration of symptoms and with low postoperative sperm counts. The sex hormones were normal in the majority of patients but there w......Thirty-five patients were examined 6-11 years after operation for torsion of the testis. Loss of testicular tissue was significantly associated with long preoperative duration of symptoms and with low postoperative sperm counts. The sex hormones were normal in the majority of patients...

  3. Treatment of Chronic Tibial Osteomyelitis Using External Fixation with Debridement and vacuum Sealing Drainage%外固定架结合 VSD 治疗慢性胫骨骨髓炎

    Institute of Scientific and Technical Information of China (English)

    张清华; 刘正; 张光武; 刘家帮

    2015-01-01

    目的:探讨外固定架结合彻底清创、真空负压引流术(vacuum sealing drainage,VSD)治疗慢性胫骨骨髓炎的疗效。方法2009年1月至2012年12月,采用外固定架结合彻底清创、真空负压引流方法治疗慢性胫骨骨髓炎69例,男62例,女7例。通过观察创面愈合情况、有无复发等指标评估疗效。结果清创术后13~42 d(平均23.3 d),67例患者感染得到控制,创面愈合,感染控制率97%,随访6~34个月(平均17. 4个月),无复发;2例患者多次行清创和真空负压引流术,感染无法控制,最终行截肢手术。结论外固定架结合彻底清创、真空负压引流术是治疗慢性胫骨骨髓炎的有效方法。%Objective To explore the therapeutic effect of chronic tibial osteomyelitis with external fixator,debridement and vacuum sealing drainage. Methods From January 2009 to December 2012,69 patients with chronic tibial osteomyelitis were treated by external fixation ,debridement and vacuum sealing drainage. Through the long - term following up,analyze its curative effect. Results Postoperation 13 to 42 days(mean 23. 3 days),the infection were cured in 67cases with sinus disap-peared and wound healing,the recovery rate of infection is 97% ,no relapse or fracture occurred during 6 to 34 months(aver-age of 17. 4 months)follow - up. Two patients after multiple(2 to 7,mean 4. 2)debridement and vacuum sealing drainage,in-fection can not be controlled,and amputation surgery were ultimately carried out. Conclusion External fixator combined de-bridement,vacuum drainage technique is an effective method for the treatment of chronic tibial osteomyelitis.

  4. Torsional locomotion

    Science.gov (United States)

    Bigoni, D.; Dal Corso, F.; Misseroni, D.; Bosi, F.

    2014-01-01

    One edge of an elastic rod is inserted into a friction-less and fitting socket head, whereas the other edge is subjected to a torque, generating a uniform twisting moment. It is theoretically shown and experimentally proved that, although perfectly smooth, the constraint realizes an expulsive axial force on the elastic rod, which amount is independent of the shape of the socket head. The axial force explains why screwdrivers at high torque have the tendency to disengage from screw heads and demonstrates torsional locomotion along a perfectly smooth channel. This new type of locomotion finds direct evidence in the realization of a ‘torsional gun’, capable of transforming torque into propulsive force. PMID:25383038

  5. [Tibial periostitis ("medial tibial stress syndrome")].

    Science.gov (United States)

    Fournier, Pierre-Etienne

    2003-06-01

    Medial tibial stress syndrome is characterised by complaints along the posteromedial tibia. Runners and athletes involved in jumping activities may develop this syndrome. Increased stress to stabilize the foot especially when excessive pronation is present explain the occurrence this lesion.

  6. Finite element analysis of tibial fractures

    DEFF Research Database (Denmark)

    Wong, Christian Nai En; Mikkelsen, Mikkel Peter W; Hansen, Leif Berner

    2010-01-01

    INTRODUCTION: Fractures of the tibial shaft are relatively common injuries. There are indications that tibial shaft fractures share characteristics in terms of site, type and local fracture mechanisms. In this study, we aimed to set up a mathematical, computer-based model using finite element...... analysis of the bones of the lower leg to examine if such a model is adequate for prediction of fracture locations and patterns. In future studies, we aim to use these biomechanical results to examine fracture prevention, among others, and to simulate different types of osteosynthesis and the process...... Project. The data consisted of 21,219 3D elements with a cortical shell and a trabecular core. Three types of load of torsion, a direct lateral load and axial compression were applied. RESULTS: The finite element linear static analysis resulted in relevant fracture localizations and indicated relevant...

  7. Control of motion of tibial fractures with use of a functional brace or an external fixator. A study of cadavera with use of a magnetic motion sensor.

    Science.gov (United States)

    McKellop, H; Hoffmann, R; Sarmiento, A; Ebramzadeh, E

    1993-07-01

    A computer-linked magnetic motion transducer was used to monitor and record the six components of motion of the bone fragments in eight cadaveric tibiae in which a simulated, oblique fracture of the middle of the shaft had been stabilized with a functional brace. The limbs were mounted in a servo-hydraulic testing frame, and a cyclic load of 150 newtons was applied along the axis of the tibia. Motion sensors, attached to each side of the fracture, measured and displayed the values of the three translations (axial, anterior-posterior, and medial-lateral), the axial rotation, and the two angulations (anterior-posterior and varus-valgus) as they occurred. Although only an axial load was applied, the off-axis motions were comparable in magnitude with the motion along the axis. The elastic (recoverable) translations of the fragments ranged from 0.5 to 1.9 millimeters, about four to ten times larger than the corresponding motions that were recorded in an earlier study of such fractures that had been stabilized with two types of external fixators. The recoverable rotation and angulations of the fragments of the limbs in the functional brace ranged from 0.7 to 1.2 degrees, about ten times those recorded when the external fixators were used.

  8. Analysis of the Effect of the Treatment of Open Tibial Fracture With External Fixation%浅析胫骨开放性骨折患者采用骨外固定加压治疗的效果

    Institute of Scientific and Technical Information of China (English)

    刘国华; 王建萍; 付明; 秦松媛

    2016-01-01

    Objective To investigate the clinical effect of the treatment of open tibial fracture with external ifxation. Methods 40 patients with open fracture of tibia were collected. The patients were treated with external fixation and compression method. For patients with thorough wound debridement, internal fixation with bone cross method. Direct stability after reduction of the fracture patients were pressurized ifxation, bone end instability and bone block patient can be broken down into the reduction by screws are fixed, the perioste(2.5)um without stripping, fracture and bone mass after separation come close to each other so that patients with fracture in order to improve the stability. Reconstruction of the medial head of the gastrocnemius muscle and the lfap of the upper and lower segment of the soft tissue of the upper and lower leg of the defect, the adjacent fascia flap was used to cover the soft tissue of the middle and lower segment. Results In 40 cases, 35 cases had wound healing, the average healing time was (2.5 ± 0.5) months, and the healing rate was 87.5%. Conclusion Open tibial fracture patients with bone compressive external fixation treatment is an ideal method. The method is easy to operate, can be clearly fixed, on bone growth environment has greater impact, for fracture healing is very favorable, the needle distance fracture far end, not on bone end blood circulation produced larger disturbances.%目的:针对胫骨开放性骨折患者采用骨外固定加压方法进行临床治疗的效果进行初步探讨。方法收集40例胫骨开放性骨折患者有关资料,患者采用骨外固定加压方法进行治疗。彻底对患者伤口进行清创后,骨外固定采用交叉穿针方法。可直接对复位后的稳定性骨折患者进行加压固定,骨端不稳定及骨块粉碎患者对其整复后采用螺钉进行固定,骨膜不进行剥离,骨折端和骨块分离后互相靠拢使患者骨折端提高稳定性。缺损小

  9. BIOMECHANICAL STUDY ON UNILATERAL SINGLE-PLANE EXTERNAL FIXER

    Institute of Scientific and Technical Information of China (English)

    刘国平; 杜靖远; 徐兆雄

    1995-01-01

    Six tibias removed from 30-40 years old males,who died in an accident for in less than 12 hours,were cateotomised at one-third supra-medium segment.They were fixed by an unilateral adjustable external fixer (UAEF),to be used as a model of external fixation of tibial fracture (MEFTF).The compression,tension,torsion,antero-posterior and lateral bending strength,and the strength for vertically extracting the pins from the tibia were determined in the MEFTF.Within a certain range of foad,the correlation of strain to stress was basically a linear relationship.These data provide a theoretical basis of biomechanjcs for the improvement of UAEF and for early exercises of fracture patients,such as extend-bending of the joint,raising the limb and walking with a walking stick.

  10. Tibial Plateau Fractures

    DEFF Research Database (Denmark)

    Elsøe, Rasmus

    This PhD thesis reported an incidence of tibial plateau fractures of 10.3/100,000/year in a complete Danish regional population. The results reported that patients treated for a lateral tibial plateau fracture with bone tamp reduction and percutaneous screw fixation achieved a satisfactory level...... with only the subgroup Sport significantly below the age matched reference population. The thesis reports a level of health related quality of life (Eq5d) and disability (KOOS) significantly below established reference populations for patients with bicondylar tibial plateau fracture treated with a ring...... fixator, both during treatment and at 19 months following injury. In general, the thesis demonstrates that the treatment of tibial plateau fractures are challenging and that some disabilities following these fractures must be expected. Moreover, the need for further research in the area, both with regard...

  11. Torsion gelometry of cheese.

    Science.gov (United States)

    Tunick, M H; Van Hekken, D L

    2002-11-01

    Torsion gelometry, a fundamental rheological test in which specimens are twisted until they fracture, was applied to several different cheese varieties to determine its suitability for measuring their textural properties. Fresh and aged Brick, Cheddar, Colby, Gouda, Havarti, Mozzarella, and Romano cheeses were subjected to torsion analysis, and the results were compared with those from small amplitude oscillatory shear (SAOS) tests and texture profile analysis (TPA). Strong relationships (correlation coefficients > 0.8) were found between torsion shear stress and TPA hardness, and between torsion shear strain and TPA cohesiveness. SAOS, which measures rheological properties of intact samples, did not correlate well with torsion or TPA. A map showing trends during aging toward brittle, mushy, rubbery, and tough texture was drawn using the torsion data. The findings show that torsion gelometry provides fundamental rheological data on cheese at the fracture point. The information can be used to compare textural qualities of cheese samples as they are being cut.

  12. TIBIAL LANDMARKS IN ACL ANATOMIC REPAIR

    Directory of Open Access Journals (Sweden)

    M. V. Demesсhenko

    2016-01-01

    Full Text Available Purpose: to identify anatomical landmarks on tibial articular surface to serve as reference in preparing tibial canal with respect to the center of ACL footprint during single bundle arthroscopic repair.Materials and methods. Twelve frozen knee joint specimens and 68 unpaired macerated human tibia were studied using anatomical, morphometric, statistical methods as well as graphic simulation.Results. Center of the tibial ACL footprint was located 13,1±1,7 mm anteriorly from posterior border of intercondylar eminence, at 1/3 of the distance along the line connecting apexes of internal and external tubercles and 6,1±0,5 mm anteriorly along the perpendicular raised to this point.Conclusion. Internal and external tubercles, as well as posterior border of intercondylar eminence can be considered as anatomical references to determine the center of the tibial ACL footprint and to prepare bone canals for anatomic ligament repair.

  13. Tibial lengthening over humeral and tibial intramedullary nails in patients with sequelae of poliomyelitis: a comparative study.

    Science.gov (United States)

    Chen, Daoyun; Chen, Jianmin; Jiang, Yao; Liu, Fanggang

    2011-06-01

    Leg discrepancy is common after poliomyelitis. Tibial lengthening is an effective way to solve this problem. It is believed lengthening over a tibial intramedullary nail can provide a more comfortable lengthening process than by the conventional technique. However, patients with sequelae of poliomyelitis typically have narrow intramedullary canals allowing limited space for inserting a tibial intramedullary nail and Kirschner wires. To overcome this problem, we tried using humeral nails instead of tibial nails in the lengthening procedure. In this study, we used humeral nails in 20 tibial lengthening procedures and compared the results with another group of patients who were treated with tibial lengthening over tibial intramedullary nails. The mean consolidation index, percentage of increase and external fixation index did not show significant differences between the two groups. However, less blood loss and shorter operating time were noted in the humeral nail group. More patients encountered difficulty with the inserted intramedullary nail in the tibial nail group procedure. The complications did not show a statistically significant difference between the two techniques on follow-up. In conclusion, we found the humeral nail lengthening technique was more suitable in leg discrepancy patients with sequelae of poliomyelitis.

  14. Affine Dynamics with Torsion

    CERN Document Server

    Gultekin, Kemal

    2015-01-01

    In this study, we give a thorough analysis of a general affine gravity with torsion. After a brief exposition of the affine gravities considered by Eddington and Schroedinger, we construct and analyze different affine gravities based on determinants of the Ricci tensor, torsion tensor, Riemann tensor and their combinations. In each case we reduce equations of motion to their simplest forms and give a detailed analysis of their solutions. Our analyses lead to construction of the affine connection in terms of curvature and torsion tensors. Our solutions of the dynamical equations show that curvature tensors at different points are correlated via non-local, exponential rescaling factors determined by the torsion tensor.

  15. The Effect of Malrotation of Tibial Component of Total Knee Arthroplasty on Tibial Insert during High Flexion Using a Finite Element Analysis

    Directory of Open Access Journals (Sweden)

    Kei Osano

    2014-01-01

    Full Text Available One of the most common errors of total knee arthroplasty procedure is a malrotation of tibial component. The stress on tibial insert is closely related to polyethylene failure. The objective of this study is to analyze the effect of malrotation of tibial component for the stress on tibial insert during high flexion using a finite element analysis. We used Stryker NRG PS for analysis. Three different initial conditions of tibial component including normal, 15° internal malrotation, and 15° external malrotation were analyzed. The tibial insert made from ultra-high-molecular-weight polyethylene was assumed to be elastic-plastic while femoral and tibial metal components were assumed to be rigid. Four nonlinear springs attached to tibial component represented soft tissues around the knee. Vertical load was applied to femoral component which rotated from 0° to 135° while horizontal load along the anterior posterior axis was applied to tibial component during flexion. Maximum equivalent stresses on the surface were analyzed. Internal malrotation caused the highest stress which arose up to 160% of normal position. External malrotation also caused higher stress. Implanting prosthesis in correct position is important for reducing the risk of abnormal wear and failure.

  16. Torsion formulation of gravity

    Energy Technology Data Exchange (ETDEWEB)

    Lledo, M A; Sommovigo, L, E-mail: Maria.Lledo@ific.uv.e, E-mail: Luca.Sommovigo@mfn.unipmn.i [Departament de Fisica Teorica, Universitat de Valencia, and IFIC (Centro mixto CSIC-UVEG) C/Dr Moliner, 50, E-46100 Burjassot (Valencia) (Spain)

    2010-03-21

    We explain precisely what it means to have a connection with torsion as a solution of the Einstein equations. While locally the theory remains the same, the new formulation allows for topologies that would have been excluded in the standard formulation of gravity. In this formulation it is possible to couple arbitrary torsion to gauge fields without breaking the gauge invariance.

  17. Torsional wave propagation in solar tornadoes

    Science.gov (United States)

    Vasheghani Farahani, S.; Ghanbari, E.; Ghaffari, G.; Safari, H.

    2017-03-01

    Aims: We investigate the propagation of torsional waves in coronal structures together with their collimation effects in the context of magnetohydrodynamic (MHD) theory. The interplay of the equilibrium twist and rotation of the structure, e.g. jet or tornado, together with the density contrast of its internal and external media is studied to shed light on the nature of torsional waves. Methods: We consider a rotating magnetic cylinder embedded in a plasma with a straight magnetic field. This resembles a solar tornado. In order to express the dispersion relations and phase speeds of the axisymmetric magnetohydrodynamic waves, the second-order thin flux tube approximation is implemented for the internal medium and the ideal MHD equations are implemented for the external medium. Results: The explicit expressions for the phase speed of the torsional wave show the modification of the torsional wave speed due to the equilibrium twist, rotation, and density contrast of the tornado. The speeds could be either sub-Alfvénic or ultra-Alfvénic depending on whether the equilibrium twist or rotation is dominant. The equilibrium twist increases the phase speed while the equilibrium rotation decreases it. The good agreement between the explicit versions for the phase speed and that obtained numerically proves adequate for the robustness of the model and method. The density ratio of the internal and external media also play a significant role in the speed and dispersion. Conclusions: The dispersion of the torsional wave is an indication of the compressibility of the oscillations. When the cylinder is rotating or twisted, in contrast to when it only possesses a straight magnetic field, the torsional wave is a collective mode. In this case its phase speed is determined by the Alfvén waves inside and outside the tornado.

  18. Twisted analytic torsion

    Institute of Scientific and Technical Information of China (English)

    MATHAI; Varghese

    2010-01-01

    We review the Reidemeister, Ray-Singer’s analytic torsion and the Cheeger-Mller theorem. We describe the analytic torsion of the de Rham complex twisted by a flux form introduced by the current authors and recall its properties. We define a new twisted analytic torsion for the complex of invariant differential forms on the total space of a principal circle bundle twisted by an invariant flux form. We show that when the dimension is even, such a torsion is invariant under certain deformation of the metric and the flux form. Under T-duality which exchanges the topology of the bundle and the flux form and the radius of the circular fiber with its inverse, the twisted torsion of invariant forms are inverse to each other for any dimension.

  19. Twisted Analytic Torsion

    CERN Document Server

    Mathai, Varghese

    2009-01-01

    We review the Reidemeister and Ray-Singer's analytic torsions and the Cheeger-M"uller theorem. We describe the analytic torsion of the de Rham complex twisted by a flux form introduced by the current authors and recall its properties. We define a new twisted analytic torsion for the complex of invariant differential forms on the total space of a principal circle bundle twisted by an invariant flux form. We show that when the dimension is even, such a torsion is invariant under certain deformation of the metric and the flux form. Under T-duality which exchanges the topology of the bundle and the flux form and the radius of the circular fiber with its inverse, the twisted torsions are inverse to each other for any dimensions.

  20. 应用半环槽外固定器建立山羊胫骨缺损模型%Constructing a goat tibial defect model by half-ring sulcated external fixator

    Institute of Scientific and Technical Information of China (English)

    简月奎; 田晓滨; 赵筑川; 安荣泽; 李波; 邱冰; 杨震

    2008-01-01

    Lane-Sandhu组织学评分均为0分.结论:应用半环槽外固定器在造成山羊胫骨20%缺损的条件下构建的骨缺损动物模型,术后15周经检X线及组织学检测未出现骨愈合现象,证明该方法具有可操作性及可重复性,适用于组织工程用大段骨缺损动物模型的建立.%BACKGROUND:Half-ring sulcated external fixator is a bone external fixation device.Its structure is relatively simple,with multi-plane fixed,and small occupying space.So far,there are few experimental reports about construction of tibial defect model by it in large animals.OBJECTIVE:To validate the practicality and repeatability of half-ring sulcated external fixator in establishing tibial defect models in goats.DESIGN,TIME AND SETTING:The randomized controlled observation was performed at the Animal Laboratory of the Third Military Medical University from March 2005 to February 2007.MATERIALS:Nine healthy adult(Animal Center of Third Military Medical University);Half-ring sulcated external fixator,made by Professor Li of the Third Military Medical University;Osseous pin,ψ2.5 mm,Shanghai Medicai Instruments Co.,Ltd.METHODS:After animals were anesthetized,two needles were threaded in the same plane of cancellous bone about 1.5-2.0 cm above the superior articular surface of the tibia,named group 1.The angle between the two needles was 40°.One needle was threaded at the place of 3.0 to 5.0 cm under the group 1 and parallel with optional needle of the group 1,named group 2.Needles of group 4 were threaded at the cancellous bone that was 2.0 cm from the joint surface of inferior extremity of the tibia.One needle was threaded at the place of 3.0 to 5.0 cm from group 4 and parallel with optional needle of the group 4.The included angle between these two needles of group 2 and group 3 was 60°.There were totally 6 needles.Tibia was fixed by half-ring sulcated external fixator.According to the length of the tibia from X-ray,tibia and periosteum were amputated by wire saw between the two

  1. A BIOMECHANICAL ANALYSIS OF UNILATERAL HOOKED-SULCATED EXTERNAL FIXATOR ON OSTEOMINED TIBIA

    Institute of Scientific and Technical Information of China (English)

    段德宇; 刘国平; 杜靖远; 饶振玉

    1998-01-01

    Four tibiae removed from 30~40 years males, who died of accidents in less than 12 hour, were osteomized at medium part. Then these tibiae were fixed by an unilateral hooked-sulcated external fixator (UHSEF), and the hone-fixator system was used as a model of external fixatitm of tibial fracture. The axial compression, distraction, torsion, antero-posterior and lateral bending rigidly and the strain of the pins were determined in this system, Based on the results, we found that compared with the configuration of four paralled pins,the rigidity of the fan-like configuratoa didn't decrease significantly if the angle between lateral and medium pins was less than 45°. But the reverse was true when the frame separation increased from 5 to 8 can. What'more, the pin strain decreased if the rigidity of the system was improved. These data provided a theoretical basis of biomechanies for the improvement of UHSEF.

  2. Comparison of Ilizarov external fixator and elastic nails's methods in the treatment of distal tibial and fibula fracture%Ilizarov外固定与弹性髓内钉治疗儿童胫腓骨远端骨折的比较

    Institute of Scientific and Technical Information of China (English)

    戴广新; 王晓东

    2011-01-01

    Objective: To compare the therapeutic efficacy of Ilizarovs extemal fixator and elastic nails in the treatment of distal children's tibial and fibula fracture. Methods: The data of 102 children with distal tibial and fibula fracture was analyzed retrospectively, group Ilizarov was 26 cases with Ilizarov extemal flxator, group elastic nails was 76 cases. Results:The average hospitalized days, fracture type were not remarkable difference (P>0.05); fracture average cured time, activing on the ground and bearing a heavy time on fracture leg. The numbers of incised fracture position, the average operational time, after the operations. phenomenon of a nail infection and bad articular activity, elastic nails group surpasses Ilizarov group (all P<0.05) . Conclusion: Ilizarov external fixator and the elastic nails which treat children's distal tibial are fibula fracture are two effective methods, but from the therapeutic efficacy, the author think effects of Ilizarov external fixator which treated children's dital tibial and fibula fracture surpassed elastic nails.%目的:比较Ilizarov外固定器和弹性髓内钉治疗儿童胫腓骨远端骨折的疗效.方法:分析102例胫腓骨远端骨折患儿的临床资料,其中用Ilizarov外圊定器治疗组26例,弹性髓内钉组76例.结果:两组患儿平均住院时间、骨折分型比较,差异无统计学意义(P>0.05);骨折平均愈合时间、下床活动、负重时间、断端切开复位例数以及关节功能障碍等并发症间比较,外固定组优于髓内钉组(P<0.05);外固定组平均手术时间、术后钉道感染例数高于髓内钉组(P<0.05).结论:Ilizarov外固定器治疗儿童胫腓骨远端骨折总体优于弹性髓内钉.

  3. Rotational alignment of the tibial component in total knee arthroplasty is better at the medial third of tibial tuberosity than at the medial border

    Directory of Open Access Journals (Sweden)

    Günther Klaus-Peter

    2010-03-01

    Full Text Available Abstract Background Correct rotational alignment of the femoral and tibial component is an important factor for successful TKA. The transepicondylar axis is widely accepted as a reference for the femoral component. There is not a standard reference for the tibial component. CT scans were used in this study to measure which of 2 tibial landmarks most reliably reproduces a correct femoro-tibial rotational alignment in TKA. Methods 80 patients received a cemented, unconstrained, cruciate-retaining TKA with a rotating platform. CT scans were performed 5-7 days postoperatively but before discharge. The rotational mismatch between the femoral and tibial components was measured. Furthermore, the rotational variance between the transepicondylar line, as a reference for the orientation of the femoral component and different tibial landmarks, was measured. Results There was notable rotational mismatch between the femoral and tibial components. The median mismatch was 0° (range: 16.2 degrees relative external to 14.4 degrees relative internal rotation of the femoral component. Using the transepicondylar line as a reference for femoral rotational alignment and the medial third of the tuberosity as a reference for tibial rotational alignment, 67.5% of all TKA had a femoro-tibial variance within ± 5 degrees, 85% within ± 10 degrees and 97.5% within ± 20 degrees. Using the medial border of the tibial tubercle as a reference this variance was greater, only 3.8% had a femoro-tibial variance within ± 5 degrees, 15% within ± 10 degrees and 68.8% within ± 20 degrees. Conclusion Using fixed bone landmarks for rotational alignment leads to a notable variance between femoral and tibial components. Referencing the tibial rotation on a line from the medial third of the tibial tubercle to the center of the tibial tray resulted in a better femoro-tibial rotational alignment than using the medial border of tibial tubercle as a landmark. Surgeons using fixed bearings

  4. Transosseous osteosynthesis with annular external fixator for the treatment of long bone defect after tibial traumatic%环形外固定架骨搬运治疗胫骨创伤后大段骨缺损

    Institute of Scientific and Technical Information of China (English)

    龙超; 刘炳胜; 王玮; 沈作佳

    2013-01-01

    Objective:To investigate the efficacy of the application of transosseous osteosynthesis with annular external fixator for the treatment of traumatic large bone defects of the tibia. Methods: From 2002 to 2011,17 cases of traumatic tibial long bone defect were treated by transosseous osteosynthesis with annular external fixator including 11 males and 6 females with an average age of (31.00±2.35) years old ranging from 22 to 45 years. The length of defect was from 5 to 13.1 cm with an average of (7.50+1.01) cm. The fixed time, bone healing time and the extend length of the affected limb were observed, and the degree of recovery of limb function after surgery were assessed ccording to the Paley's limb function evaluation. Results:All patients were followed up from 12 to 48 months with an average of (30.00±2.35) months,the bone defects of 17 patients achieved bone healing. The average bone healing time was (10.10±0.59) months (8 to 15 months) ;the average time of fixed time was (14.10±0.65 ) months (12 to 16 months) ;the average extend length of the affected limb was (7.50±1.01) cm. The results of Paley's functional evaluation was excellent in 9 cases,good in 6,fair in 2. Conclusion:Transosseous osteosynthesis with annular external fixator is an effective method for treatment of large bone defects of the tibia. It is successful reconstruction of limb length, simple operation, less soft tissue injury, and is clinical worthy of promotion.%目的:探讨应用环形外固定架辅助骨搬运术治疗创伤后胫骨大段骨缺损的疗效.方法:自2002年至2011年采用骨搬运术对17例创伤性胫骨长段骨缺损进行治疗,男11例,女6例;年龄22 ~45岁,平均(31.00±2.35)岁.骨缺损范围5~13.1 cm,平均(7.50±1.01) cm.观察外固定时间、骨性愈合时间、术后患肢延长长度.术后患肢功能恢复程度参照Paley评价标准进行功能评价.结果:全部病例获随访,时间12~48个月,平均(30.00±2.35)个月.17例

  5. Epidemiology of tibial shaft fractures

    Directory of Open Access Journals (Sweden)

    Grecco Marco Aurélio Sertório

    2002-01-01

    Full Text Available In this work an epidemiological analysis on tibial shaft fractures was performed. During four years, our service treated 179 fractures, 132 in male, 47 in female, aged 14 to 83 years. The 21 to 30-year-old patiens were the more injured. Of these, 120 were open and 59 close fractures of which prevailing cause was road traffic accident. The study based on patients promptuaries analyses and radiographs. The fractures occurred 97 times in the middle third (54.18%; 102 times (56.98% presented simple fragments, and 57 (31.38% oblique lines. We treated close and open fractures, respectively, 48 and 38 cases with plaster cast immobilization; 3 and 67 with external fixation after plaster cast immobilization; 5 and 12 with osteosynthesis by means of plate and screws, and 2 and 3 with external fixation only. In both close and open fractures, respectively, 7 and 20 cases of pseudarthrosis and 1 and 11 of infections have occurred. With the data obtained we verified an actual validity of the epidemiological studies as a contribution for better identifying lesions features and their treatment and complications. This allows proceedings and apprenticeship refinement.

  6. Bilateral tibial hemimelia I.

    Science.gov (United States)

    Suganthy, J; Rassau, Marina; Koshi, Rachel; Battacharjee, Suranjan

    2007-05-01

    Congenital absence of tibia is a rare anomaly. We report a case of bilateral tibial hemimelia born to phenotypically normal parents. The two amputated legs with tibial dysplasia obtained from a 3-year-old boy were studied by radiography and anatomical dissection. The radiological evaluation revealed a normal hip joint. The lower end of femur was normal without any bifurcation, shortening or bowing. Fibula was present on both legs and there was no sign of bowing or doubling. Both right and left tibiae were absent. In addition, on the right side, five tarsal bones, two metatarsals and the corresponding digital rays were absent. On the left side, three tarsal bones were absent. Dissection of the amputated segments showed the presence of extensor digitorum longus, peroneus tertius, peroneus longus and brevis, gastrocnemius, and soleus. Following bilateral knee disarticulation the patient was fitted with prosthesis and is doing well.

  7. Affine dynamics with torsion

    Energy Technology Data Exchange (ETDEWEB)

    Gueltekin, Kemal [Izmir Institute of Technology, Department of Physics, Izmir (Turkey)

    2016-03-15

    In this study, we give a thorough analysis of a general affine gravity with torsion. After a brief exposition of the affine gravities considered by Eddington and Schroedinger, we construct and analyze different affine gravities based on the determinants of the Ricci tensor, the torsion tensor, the Riemann tensor, and their combinations. In each case we reduce equations of motion to their simplest forms and give a detailed analysis of their solutions. Our analyses lead to the construction of the affine connection in terms of the curvature and torsion tensors. Our solutions of the dynamical equations show that the curvature tensors at different points are correlated via non-local, exponential rescaling factors determined by the torsion tensor. (orig.)

  8. Tibial shaft fracture

    DEFF Research Database (Denmark)

    Larsen, Peter

    IV also showed a significant worse outcome in 3 of the 5 KOOS subscales compared to a reference population at 12-months follow-up. Moreover, this study showed that increasing difference in muscle strength for knee extension between legs was associated with a decreasing QOL. The results of this thesis...... suggested that regaining pre injured QOL and muscle strength following a tibial shaft fracture takes considerable time....

  9. Torsion pendulum revisited

    CERN Document Server

    Bassan, Massimo; Marconi, Lorenzo; Pucacco, Giuseppe; Stanga, Ruggero; Visco, Massimo

    2013-01-01

    We present an analysis of the motion of a simple torsion pendulum and we describe how, with straightforward extensions to the usual basic dynamical model, we succeed in explaining some unexpected features we found in our data, like the modulation of the torsion mode at a higher frequency and the frequency splitting of the swinging motion. Comparison with observed values yields estimates for the misalignment angles and other parameters of the model.

  10. Fraturas do planalto tibial Tibial plateau fractures

    Directory of Open Access Journals (Sweden)

    Maurício Kfuri Júnior

    2009-01-01

    Full Text Available As fraturas do planalto tibial são lesões articulares cujos princípios de tratamento envolvem a redução anatômica da superfície articular e a restauração funcional do eixo mecânico do membro inferior. Contribuem para a tomada de decisões no tratamento dessas fraturas o perfil do paciente, as condições do envelope de tecidos moles, a existência de outros traumatismos associados e a infraestrutura disponível para abordagens cirúrgicas. Para as fraturas de alta energia, o tratamento estagiado, seguindo o princípio do controle de danos, tem como prioridade a manutenção do alinhamento do membro enquanto se aguarda a resolução das más condições de tecidos moles. Já nos traumas de baixa energia, desde que os tecidos moles não sejam um fator adverso, o tratamento deve ser realizado em tempo único, com osteossíntese definitiva. Fixação estável e movimento precoce são variáveis diretamente relacionadas com os melhores prognósticos. Desenvolvimentos recentes, como os implantes com estabilidade angular, substitutos ósseos e imagens tridimensionais para controle intraoperatório, deverão contribuir para cirurgias menos invasivas e melhores resultados.Tibial plateau fractures are joint lesions that require anatomical reduction of joint surface and functional restoration of mechanical axis of a lower limb. Patient profile, soft tissue conditions, presence of associated injuries and the available infrastructure for the treatment all contribute to the decision making about the best treatment for these fractures. High-energy fractures are usually approached in a staged manner respecting the principle of damage control, and are primarily targeted to maintain limb alignment while the resolution unfavorable soft tissue conditions is pending. Low-energy trauma can be managed on a single-stage basis, provided soft tissues are not an adverse factor, with open reduction and internal f-ixation. Stable fixation and early painless joint

  11. Mechanical origins of rightward torsion in early chick brain development

    Science.gov (United States)

    Chen, Zi; Guo, Qiaohang; Dai, Eric; Taber, Larry

    2015-03-01

    During early development, the neural tube of the chick embryo undergoes a combination of progressive ventral bending and rightward torsion. This torsional deformation is one of the major organ-level left-right asymmetry events in development. Previous studies suggested that bending is mainly due to differential growth, however, the mechanism for torsion remains poorly understood. Since the heart almost always loops rightwards that the brain twists, researchers have speculated that heart looping affects the direction of brain torsion. However, direct evidence is lacking, nor is the mechanical origin of such torsion understood. In our study, experimental perturbations show that the bending and torsional deformations in the brain are coupled and that the vitelline membrane applies an external load necessary for torsion to occur. Moreover, the asymmetry of the looping heart gives rise to the chirality of the twisted brain. A computational model and a 3D printed physical model are employed to help interpret these findings. Our work clarifies the mechanical origins of brain torsion and the associated left-right asymmetry, and further reveals that the asymmetric development in one organ can induce the asymmetry of another developing organ through mechanics, reminiscent of D'Arcy Thompson's view of biological form as ``diagram of forces''. Z.C. is supported by the Society in Science - Branco Weiss fellowship, administered by ETH Zurich. L.A.T acknowledges the support from NIH Grants R01 GM075200 and R01 NS070918.

  12. Torsional Strengthening of RC Beams Using GFRP Composites

    Science.gov (United States)

    Patel, Paresh V.; Jariwala, Vishnu H.; Purohit, Sharadkumar P.

    2016-09-01

    Fiber reinforced polymer as an external reinforcement is used extensively for axial, flexural and shear strengthening in structural systems. The strengthening of members subjected to torsion is recently being explored. The loading mechanism of beams located at the perimeter of buildings which carry loads from slabs, joists and beams from one side of the member generates torsion that are transferred from the beams to the columns. In this work an experimental investigation on the improvement of the torsional resistance of reinforced concrete beams using Glass Fiber Reinforced Polymer (GFRP) is presented. Total 24 RC beams have been cast in this work. Ten beams of dimension 150 mm × 150 mm × 1300 mm are subjected to pure torsion while fourteen beams of 150 mm × 150 mm × 1700 mm are subjected to combined torsion and bending. Two beams in each category are designated as control specimen and remaining beams are strengthened by GFRP wrapping of different configurations. Pure torsion on specimens is applied using specially fabricated support mechanism and universal testing machine. For applying combined torsion and bending a loading frame and test set up are fabricated. Measurements of angle of twist at regular interval of torque, torsion at first crack, and ultimate torque, are obtained for all specimens. Results of different wrapping configurations are compared for control and strengthened beams to suggest effective GFRP wrapping configuration.

  13. Gravitational Geometric Phase in the Presence of Torsion

    CERN Document Server

    Bakke, Knut; Nascimento, J R

    2008-01-01

    We investigate the relativistic and non-relativistic quantum dynamics of a neutral spin-1/2 particle submitted an external electromagnetic field in the presence of a cosmic dislocation. We analyze the explicit contribution of the torsion in the geometric phase acquired in the dynamic of this neutral spinorial particle. We discuss the influence of the torsion in the relativistic geometric phase. Using the Foldy-Wouthuysen approximation, the non-relativistic quantum dynamics are studied and the influence of the torsion in the Aharonov-Casher and He-McKellar-Wilkens effects are discussed.

  14. Tibial hypoplasia with a bifid tibia: an unclassified tibial hemimelia.

    Science.gov (United States)

    Shah, Krupa; Shah, Hitesh

    2016-08-16

    Tibial hemimelia is a rare congenital limb deficiency which is characterised by a hypoplastic/aplastic tibia. It actually represents a spectrum of anomalies, ranging from mild hypoplasia of the tibia to total absence of the tibia. Several classifications based on radiological description exist in the literature. The tibial hemimelia is usually described with preaxial mirror polydactyly, split hand/foot syndrome-ectrodactyly, polydactyly-triphalangeal thumb syndrome (Werner syndrome) and micromelia-trigonal brachycephaly syndrome. We describe a child with unclassified tibial hemimelia. The child had right incomplete tibial hemimelia with bifid tibia, left complete tibial hemimelia, bilateral split hands and left split foot. This is the first report of the bifid tibia in the literature.

  15. Collagen turnover after tibial fractures

    DEFF Research Database (Denmark)

    Joerring, S; Krogsgaard, M; Wilbek, H

    1994-01-01

    Collagen turnover after tibial fractures was examined in 16 patients with fracture of the tibial diaphysis and in 8 patients with fracture in the tibial condyle area by measuring sequential changes in serological markers of turnover of types I and III collagen for up to 26 weeks after fracture...... collagen. A group comparison showed characteristic sequential changes in the turnover of types I and III collagen in fractures of the tibial diaphysis and tibial condyles. The turnover of type III collagen reached a maximum after 2 weeks in both groups. The synthesis of type I collagen reached a maximum...... after 2 weeks in the diaphyseal fractures and after 6 weeks in the condylar fractures. The degradation of type I collagen increased after 4 days and reached a maximum at 2 weeks in both groups. The interindividual variation was wide. On a group basis, the turnover of types I and III collagen had...

  16. Angular position of the cleat according to torsional parameters of the cyclist's lower limb.

    Science.gov (United States)

    Ramos-Ortega, Javier; Domínguez, Gabriel; Castillo, José Manuel; Fernández-Seguín, Lourdes; Munuera, Pedro V

    2014-05-01

    The aim of this work was to study the relationship of torsional and rotational parameters of the lower limb with a specific angular position of the cleat to establish whether these variables affect the adjustment of the cleat. Correlational study. Motion analysis laboratory. Thirty-seven male cyclists of high performance. The variables studied of the cyclist's lower limb were hip rotation (internal and external), tibial torsion angle, Q angle, and forefoot adductus angle. The cleat angle was measured through a photograph of the sole and with an Rx of this using the software AutoCAD 2008. The variables were photograph angle (photograph), the variable denominated cleat-tarsus minor angle, and a variable denominated cleat-second metatarsal angle (Rx). Analysis included the intraclass correlation coefficient for the reliability of the measurements, Student's t test performed on the dependent variables to compare side, and the multiple linear regression models were calculated using the software SPSS 15.0 for Windows. The Student's t test performed on the dependent variables to compare side showed no significant differences (P = 0.209 for the photograph angle, P = 0.735 for the cleat-tarsus minor angle, and P = 0.801 for the cleat-second metatarsal angle). Values of R and R2 for the photograph angle model were 0.303 and 0.092 (P = 0.08), the cleat/tarsus minor angle model were 0.683 and 0.466 (P rotation of the hips) + (0.220 × Q angle).

  17. Higher Franz-Reidemeister torsion

    CERN Document Server

    Igusa, Kiyoshi

    2002-01-01

    The book is devoted to the theory of topological higher Franz-Reidemeister torsion in K-theory. The author defines the higher Franz-Reidemeister torsion based on Volodin's K-theory and Borel's regulator map. He describes its properties and generalizations and studies the relation between the higher Franz-Reidemeister torsion and other torsions used in K-theory: Whitehead torsion and Ray-Singer torsion. He also presents methods of computing higher Franz-Reidemeister torsion, illustrates them with numerous examples, and describes various applications of higher Franz-Reidemeister torsion, particularly for the study of homology of mapping class groups. Packed with up-to-date information, the book provides a unique research and reference tool for specialists working in algebraic topology and K-theory.

  18. Isolated Fallopian Tube Torsion

    Directory of Open Access Journals (Sweden)

    S. Kardakis

    2013-01-01

    Full Text Available Isolated torsion of the Fallopian tube is a rare gynecological cause of acute lower abdominal pain, and diagnosis is difficult. There are no pathognomonic symptoms; clinical, imaging, or laboratory findings. A preoperative ultrasound showing tubular adnexal masses of heterogeneous echogenicity with cystic component is often present. Diagnosis can rarely be made before operation, and laparoscopy is necessary to establish the diagnosis. Unfortunately, surgery often is performed too late for tube conservation. Isolated Fallopian tube torsion should be suspected in case of acute pelvic pain, and prompt intervention is necessary.

  19. Comparison of the effect of transplantation of fibula flap with vascular pedicle vs. Ilizarov external fixation in the treatment of nonunion of tibial bone defect%带血管蒂的腓骨瓣移植和Ilizarov外固定骨牵引术治疗胫骨骨缺损骨不连的比较

    Institute of Scientific and Technical Information of China (English)

    陈时高; 孙军锁; 景斗星; 蔡雅楠; 杨森; 王铁涛

    2016-01-01

    Objective To analyze and compare the curative effect of transplantation of fibula flap with vascular pedicle vs. Ilizarov external fixation in the treatment of nonunion of tibia bone defect. Methods The clinical data of 64 patients with nonunion of tibial bone defect from May 2009 to May 2013 were analyzed retro-spectively. From May 2009 to April 2012, 30 patients were given Ilizarov external fixation and bone traction therapy (bone traction group); from May 2012 to May 2013, 34 patients were subjected to vascularized fibula flap transplantation (fibula flap transplantation group). The medical indicators and Johner-Wruhs tibial shaft fracture efficacy evaluation criteria were compared between two groups. Results As compared with fibula flap transplantation group, operative time and hospital stay were significantly shortened in bone traction group ( P0.05). The healing time was significantly reduced in the fibula flap transplantation group as compared with bone traction group (P0.05).治疗后的Johner-Wruhs评分,腓骨瓣移植术组优良率为82.4%(28/34),骨牵引术组为60.0%(18/30),差异有统计学意义(P<0.05).结论 对比Ilizarov外固定骨牵引术,带血管蒂的腓骨瓣移植术治疗胫骨骨缺损骨不连患者具有骨折愈合时间短、疗效更佳的特点,但是其手术时间以及住院时间均显著延长.

  20. "Exotic" black holes with torsion

    OpenAIRE

    2013-01-01

    In the context of three-dimensional gravity with torsion, the concepts of standard and "exotic" Banados-Teitelboim-Zanelli black holes are generalized by going over to black holes with torsion. This approach provides a unified insight into thermodynamics of black holes, with or without torsion.

  1. Improved tibial component rotation in TKA using patient-specific instrumentation.

    Science.gov (United States)

    Heyse, Thomas J; Tibesku, Carsten O

    2015-05-01

    Patient-specific instrumentation (PSI) was introduced in an attempt to reduce positional outliers of components in total knee arthroplasty (TKA). It was hypothesized that PSI could help with the positioning of tibial components in optimal rotational alignment. A magnetic resonance imaging (MRI) analysis of 58 patients following TKA was conducted. Of these, 30 operations were performed using PSI and 28 using conventional instrumentation. The rotation of the tibial components was determined in MRI using three different reference lines: a tangent to the dorsal tibial condyles, the tibial epicondylar line, and the tibial tubercle. Deviations >9° were considered outliers. Also internal rotation >1° was considered an outlier. Data were analyzed statistically for positional outliers using the Chi-squared test. There was excellent inter- and intraobserver reliability with low standard deviations for the determination of tibial component rotation using the tangent to the dorsal condyles and the tibial epicondylar line as reference. Using the dorsal tangent as reference, there were eight components in excessive external rotation (28.6 %) and one component being in relative internal rotation (5.4°) in the conventional group, while there were two components in excessive external rotation in the PSI group (6.7 %). Using the tibial epicondyles as reference, there were seven components in excessive external rotation (21.4 %) and one component being in relative internal rotation (4.4°) in the conventional group; while there were two components in excessive external rotation in the PSI group (6.7 %). These differences were statistically significant (p rotational tibial component alignment during TKA. Anatomy of the proximal tibia does not deliver clear landmarks that are prominent and consistent. This makes both, MRI analysis as well as cutting jig production and intraoperative placement a challenge.

  2. Management of adnexal torsion

    Directory of Open Access Journals (Sweden)

    Neslihan Erkal

    2014-03-01

    Full Text Available Objective: To evaluate clinical findings, operative reports, the pathological results of patients with diagnosis of adnexal torsion. Methods: Fourteen patients with diagnosis of adnexal torsion who presented to our clinic between January 2009 and March 2013 were included in this retrospective analysis. Data including clinical findings, operative reports, the pathological results were recorded. Results: The mean age of the patients was 28.1 ± 10.5 with a range of 16 to 52 years. All patients underwent ultrasonography, and a pelvic mass appearance was detected in all cases. The mean diameter of the mass was 8,04±2,96 cm. All of the patients had lower abdominal pain, nausea and vomiting. Six patients were operated laparoscopically, while eight patients had laparotomy. Detorsion and cystectomy was performed in 7 (50.0% of the patients. Two of patients were pregnant in operation time that treated by cystectomy and detorsion of the ovaries successfully in the first and third trimester (one by laparoscopy. There was one patient of isolated fallopian tube torsion due to hydrosalpinks treated by laparoscopic salpingectomy. Two of the patients had paratubal cyst and tubal torsion. Detorsion and cystectomy by laparoscopy and salpingectomy by laparotomy were performed for these patients respectively. The most common histopathology was serous cystadenoma (28,6%. Conclusion: Adnexal torsion is a rare gynecologic emergency of women and occur in reproductive ages mostly. Prompt diagnosis and conservative treatment is important for the safety of ovaries and fallopian tubes and future fertility. J Clin Exp Invest 2014; 5 (1: 7-11

  3. Critical current degradation behaviour of GdBCO CC tapes in pure torsion and combined tension-torsion modes

    Science.gov (United States)

    Gorospe, Alking; Bautista, Zhierwinjay; Shin, Hyung-Seop

    2016-10-01

    Coated conductor (CC) tapes utilized in high-current-density superconducting cables are commonly subjected to different loading modes, primarily torsion and tension especially in the case of twisted stacked-tape cable. Torsion load can occur due to twisting along the length or when winding the CC tapes around a former, while tension load can occur due to pre-tension when coiled and as a hoop stress when the coil is energized. In this study, electromechanical properties of single CC tapes under torsion load were investigated using a new test apparatus. The results could provide basic information for cable designers to fully characterize stacked cables. Copper-electroplated and brass-laminated CC tapes fabricated with different deposition techniques were subjected to pure torsion and combined tension-torsion loading. The critical current, I c degradation behaviours of CC tapes under torsional deformation were examined. Also, the effect of further external lamination on the I c degradation behaviour of the CC tapes under such loading conditions was investigated. In the case of the combined tension-torsion test, short samples were subjected to twist pitches of 200 mm and 100 mm. Critical parameters including reversible axial stress and strain in such twist pitch conditions were also investigated.

  4. Comparison of a new braid fixation system to an interlocking intramedullary nail for tibial osteotomy repair in an ovine model.

    Science.gov (United States)

    Lu, Yan; Nemke, Brett; Lorang, Douglas M; Trip, Roel; Kobayashi, Hirohito; Markel, Mark D

    2009-06-01

    To compare bone healing of tibial osteotomy repaired with Nitinol wire braid and hardened steel rods (Braid system) and polymethylmethacrylate bone cement with an interlocking intramedullary (IM) nail fixation in an ovine model. In vitro and in vivo experimental study. Adult female sheep (n=22). Using sheep tibia, a middiaphyseal transverse osteotomy was performed in the right tibia, which were then randomly assigned to the Braid system group or IM nail group (n=5). The left tibia were used as controls. The torsional properties of tibial constructs were compared. The study was repeated in vivo in 12 sheep and mechanical properties and bone healing were evaluated at 12 weeks. In vitro, there was no significant difference in torsional stiffness between the groups. In vivo, operative time for the Braid system group was significantly shorter than the IM nail group. At 12 weeks, there were no significant differences in maximum torque and torsional stiffness between IM nail and Braid system groups nor were there significant radiographic or histologic differences between the groups. The Braid system might decrease operative time for repair of transverse middiaphyseal tibial fractures and result in similar bone healing at 12 weeks after surgery compared with an interlocking IM nail repair. A Nitinol Braid system may be a treatment option for transverse midshaft tibial fractures.

  5. Numerical Analysis of Stress and Strain in Specimens with Rectangular Cross-Section Subjected to Torsion and Bending with Torsion

    Directory of Open Access Journals (Sweden)

    Faszynka Sebastian

    2016-03-01

    Full Text Available The paper presents an analysis of the state of stress and crack tip opening displacement (strain in specimens with rectangular cross-section subjected to torsion and combined bending with torsion. The specimens were made of the EN AW-2017A aluminium alloy. The specimens had an external unilateral notch, which was 2 mm deep and its radius was 22.5 mm. The tests were performed at constant moment amplitude MT = MBT = 15.84 N·m and under stress ratio R = −1. The exemplary results of numerical computations being obtained by using the FRANC3D software were shown in the form of stress and crack tip opening displacement (CTOD maps. The paper presents the differences of fatigue cracks growth under torsion and bending with torsion being derived by using the FRANC3D software.

  6. Discrete torsion defects

    CERN Document Server

    Brunner, Ilka; Plencner, Daniel

    2014-01-01

    Orbifolding two-dimensional quantum field theories by a symmetry group can involve a choice of discrete torsion. We apply the general formalism of `orbifolding defects' to study and elucidate discrete torsion for topological field theories. In the case of Landau-Ginzburg models only the bulk sector had been studied previously, and we re-derive all known results. We also introduce the notion of `projective matrix factorisations', show how they naturally describe boundary and defect sectors, and we further illustrate the efficiency of the defect-based approach by explicitly computing RR charges. Roughly half of our results are not restricted to Landau-Ginzburg models but hold more generally, for any topological field theory. In particular we prove that for a pivotal bicategory, any two objects of its orbifold completion that have the same base are orbifold equivalent. Equivalently, from any orbifold theory (including those based on nonabelian groups) the original unorbifolded theory can be be obtained by orbifo...

  7. Medial tibial stress syndrome: a critical review.

    Science.gov (United States)

    Moen, Maarten H; Tol, Johannes L; Weir, Adam; Steunebrink, Miriam; De Winter, Theodorus C

    2009-01-01

    Medial tibial stress syndrome (MTSS) is one of the most common leg injuries in athletes and soldiers. The incidence of MTSS is reported as being between 4% and 35% in military personnel and athletes. The name given to this condition refers to pain on the posteromedial tibial border during exercise, with pain on palpation of the tibia over a length of at least 5 cm. Histological studies fail to provide evidence that MTSS is caused by periostitis as a result of traction. It is caused by bony resorption that outpaces bone formation of the tibial cortex. Evidence for this overloaded adaptation of the cortex is found in several studies describing MTSS findings on bone scan, magnetic resonance imaging (MRI), high-resolution computed tomography (CT) scan and dual energy x-ray absorptiometry. The diagnosis is made based on physical examination, although only one study has been conducted on this subject. Additional imaging such as bone, CT and MRI scans has been well studied but is of limited value. The prevalence of abnormal findings in asymptomatic subjects means that results should be interpreted with caution. Excessive pronation of the foot while standing and female sex were found to be intrinsic risk factors in multiple prospective studies. Other intrinsic risk factors found in single prospective studies are higher body mass index, greater internal and external ranges of hip motion, and calf girth. Previous history of MTSS was shown to be an extrinsic risk factor. The treatment of MTSS has been examined in three randomized controlled studies. In these studies rest is equal to any intervention. The use of neoprene or semi-rigid orthotics may help prevent MTSS, as evidenced by two large prospective studies.

  8. The effect of tibial lengthening on gastrosoleus muscle function: an electrophysiological study

    OpenAIRE

    Sarisozen, Bartu; Sadik Bilgen, Muhammet; Dinc, Mustafa; Murat Aksakal, Ahmet; Coskun, Ergür

    2004-01-01

    Objectives: We evaluated the changes in electrophysiological characteristics of the contraction forces of the gastrosoleus complex due to stretching in experimental tibial lengthening. Methods: Distraction histiogenesis was performed in 22 guinea pigs weighing 600 to 800 g. Following the application of a semicircular external fixator and right tibial osteotomy, distraction was applied at a rate of 0.25 mm two times a day for 15 days without a latency period. The animals were randomized to ...

  9. Medial tibial stress syndrome.

    Science.gov (United States)

    Reshef, Noam; Guelich, David R

    2012-04-01

    MTSS is a benign, though painful, condition, and a common problem in the running athlete. It is prevalent among military personnel, runners, and dancers, showing an incidence of 4% to 35%. Common names for this problem include shin splints, soleus syndrome, tibial stress syndrome, and periostitis. The exact cause of this condition is unknown. Previous theories included an inflammatory response of the periosteum or periosteal traction reaction. More recent evidence suggests a painful stress reaction of bone. The most proven risk factors are hyperpronation of the foot, female sex, and history of previous MTSS. Patient evaluation is based on meticulous history taking and physical examination. Even though the diagnosis remains clinical, imaging studies, such as plain radiographs and bone scans are usually sufficient, although MRI is useful in borderline cases to rule out more significant pathology. Conservative treatment is almost always successful and includes several options; though none has proven more superior to rest. Prevention programs do not seem to influence the rate of MTSS, though shock-absorbing insoles have reduced MTSS rates in military personnel, and ESWT has shortened the duration of symptoms. Surgery is rarely indicated but has shown some promising results in patients who have not responded to all conservative options.

  10. Torsional Rigidity of Minimal Submanifolds

    DEFF Research Database (Denmark)

    Markvorsen, Steen; Palmer, Vicente

    2006-01-01

    We prove explicit upper bounds for the torsional rigidity of extrinsic domains of minimal submanifolds $P^m$ in ambient Riemannian manifolds $N^n$ with a pole $p$. The upper bounds are given in terms of the torsional rigidities of corresponding Schwarz symmetrizations of the domains in warped...... for the torsional rigidity are actually attained and give conditions under which the geometric average of the stochastic mean exit time for Brownian motion at infinity is finite....

  11. Reliability of the assessment of lower limb torsion using computed tomography: analysis of five different techniques

    Energy Technology Data Exchange (ETDEWEB)

    Liodakis, Emmanouil; Doxastaki, Iosifina; Chu, Kongfai; Krettek, Christian; Gaulke, Ralph; Citak, Musa [Hannover Medical School, Trauma Department, Hannover (Germany); Kenawey, Mohamed [Sohag University Hospital, Orthopaedic Surgery Department, Sohag (Egypt)

    2012-03-15

    Various methods have been described to define the femoral neck and distal tibial axes based on a single CT image. The most popular are the Hernandez and Weiner methods for defining the femoral neck axis and the Jend, Ulm, and bimalleolar methods for defining the distal tibial axis. The purpose of this study was to calculate the intra- and interobserver reliability of the above methods and to determine intermethod differences. Three physicians separately measured the rotational profile of 44 patients using CT examinations on two different occasions. The average age of patients was 36.3 {+-} 14.4 years, and there were 25 male and 19 female patients. After completing the first two sessions of measurements, one observer chose certain cuts at the levels of the femoral neck, femoral condylar area, tibial plateau, and distal tibia. The three physicians then repeated all measurements using these CT cuts. The greatest interclass correlation coefficients were achieved with the Hernandez (0.99 intra- and 0.93 interobserver correlations) and bimalleolar methods (0.99 intra- and 0.92 interobserver correlations) for measuring the femoral neck and distal tibia axes, respectively. A statistically significant decrease in the interobserver median absolute differences could be achieved through the use of predefined CT scans only for measurements of the femoral condylar axis and the distal tibial axis using the Ulm method. The bimalleolar axis method underestimated the tibial torsion angle by an average of 4.8 and 13 compared to the Ulm and Jend techniques, respectively. The methods with the greatest inter- and intraobserver reliabilities were the Hernandez and bimalleolar methods for measuring femoral anteversion and tibial torsion, respectively. The high intermethod differences make it difficult to compare measurements made with different methods. (orig.)

  12. Tibial lengthening for unilateral Crowe type-IV developmental dysplasia of the hip

    Directory of Open Access Journals (Sweden)

    Jun Wan

    2014-01-01

    Conclusions: Tibial lengthening may effectively correct gait and satisfactorily improve body image in young patients with unilateral Crowe type-IV DDH. Mono-lateral external fixator allows for accelerated postoperative rehabilitation and optimal preservation of ankle movements. Lengthening along with intramedullary nails may significantly reduce the external fixation time and the risk of fixator-related complications.

  13. Posterior bicondylar tibial plateau fractures.

    Science.gov (United States)

    Carlson, DuWayne A

    2005-02-01

    To present a case series of patients with posterior bicondylar tibial plateau fractures treated by direct fracture exposure and fixation through dual incisions. Retrospective clinical study. Level 1 trauma centers. Eight patients were identified that had posterior bicondylar tibial plateau fractures. Two patients had depressed posterolateral tibial plateau fractures with contained defects and did not have direct fracture exposure. One patient died of medical problems leaving 5 patients who underwent direct fracture exposure, reduction, and fixation. Posteromedial followed by posterolateral open reduction and internal fixation of posterior bicondylar tibial plateau fractures. At 6 to 24 months follow-up (mean 13 months), all patients returned to near full activities, each with aching after prolonged standing (8-hour shift). Range of motion averaged 2 degrees to 121 degrees of flexion. Three of 5 returned to manual labor jobs; the others were not employed at the time of injury. Posterior bicondylar tibial plateau fractures have a high association with lateral meniscal pathology and can be associated with anterior cruciate ligament injury. Reduction of the posterior plateau condyles is easiest with the knee in full extension. Flexion contractures can be a problem, and patients should be encouraged to regain/maintain knee extension. The dual-incision approach to these challenging fractures can result in good to excellent knee function for these patients.

  14. Posterior tibial tendon dysfunction and flatfoot: analysis with simulated walking.

    Science.gov (United States)

    Watanabe, Kota; Kitaoka, Harold B; Fujii, Tadashi; Crevoisier, Xavier; Berglund, Lawrence J; Zhao, Kristin D; Kaufman, Kenton R; An, Kai-Nan

    2013-02-01

    Many biomechanical studies investigated pathology of flatfoot and effects of operations on flatfoot. The majority of cadaveric studies are limited to the quasistatic response to static joint loads. This study examined the unconstrained joint motion of the foot and ankle during stance phase utilizing a dynamic foot-ankle simulator in simulated stage 2 posterior tibial tendon dysfunction (PTTD). Muscle forces were applied on the extrinsic tendons of the foot using six servo-pneumatic cylinders to simulate their action. Vertical and fore-aft shear forces were applied and tibial advancement was performed with the servomotors. Three-dimensional movements of multiple bones of the foot were monitored with a magnetic tracking system. Twenty-two fresh-frozen lower extremities were studied in the intact condition, then following sectioning peritalar constraints to create a flatfoot and unloading the posterior tibial muscle force. Kinematics in the intact condition were consistent with gait analysis data for normals. There were altered kinematics in the flatfoot condition, particularly in coronal and transverse planes. Calcaneal eversion relative to the tibia averaged 11.1±2.8° compared to 5.8±2.3° in the normal condition. Calcaneal-tibial external rotation was significantly increased in flatfeet from mean of 2.3±1.7° to 8.1±4.0°. There were also significant changes in metatarsal-tibial eversion and external rotation in the flatfoot condition. The simulated PTTD with flatfoot was consistent with previous data obtained in patients with PTTD. The use of a flatfoot model will enable more detailed study on the flatfoot condition and/or effect of surgical treatment.

  15. Ilizarov环形外固定架治疗胫腓骨骨折的研究与进展%Research and development of Ilizarov ring external fixator in the treatment of tibial and fibula fractures

    Institute of Scientific and Technical Information of China (English)

    高骏凯; 蒋杰

    2015-01-01

    Tibia and fibula fracture is a common clinical fracture, fixation and external fixation of two kinds, in which the external fixator has a protective effect on the surrounding soft tissue and blood flow. And with external fixation of the advantages of the Ilizarov ring external fixation, more unique biomechanical properties, in the clinical practice should be used for a variety of complex fractures of the tibia and fibula and can achieve satisfactory results.%胫腓骨骨折是临床较常见的骨折,固定方式有内固定和外固定两种,其中外固定架有保护周围软组织和血运的作用。而具有外固定优点的基础的Ilizarov环形外固定支架,更有其独特的生物力学性能,在临床上常应用于各种复杂型的胫腓骨骨折并能取得满意效果。

  16. Ultrasound Guidance in Performing a Tendoscopic Surgery to Treat Posterior Tibial Tendinitis: A Useful Tool?

    Directory of Open Access Journals (Sweden)

    Akinobu Nishimura

    2016-01-01

    Full Text Available A 25-year-old man with a pronation-external rotation type of fracture was surgically treated using a fibular plate. Five years later, he underwent resection of bone hyperplasia because of the ankle pain and limitation of range of motion. Thereafter, the left ankle became intermittently painful, which persisted for about one year. He presented at the age of 43 with persistent ankle pain. Physical and image analysis findings indicated a diagnosis of posttraumatic posterior tibial tendinitis, which we surgically treated using tendoscopy. Endoscopic findings showed tenosynovitis and fibrillation on the tendon surface. We cleaned and removed the synovium surrounding the tendon and deepened the posterior tibial tendon groove to allow sufficient space for the posterior tibial tendon. Full weight-bearing ambulation was permitted one day after surgery and he returned to his occupation in the construction industry six weeks after surgery. The medial aspect of the ankle was free of pain and symptoms at a review two years after surgery. Although tendoscopic surgery for stage 1 posterior tibial tendon dysfunction has been reported, tendoscopic surgery to treat posttraumatic posterior tibial tendinitis has not. Our experience with this patient showed that tendoscopic surgery is useful not only for stage 1 posterior tibial dysfunction, but also for posttraumatic posterior tibial tendinitis.

  17. Torsion testing of bed joints

    DEFF Research Database (Denmark)

    Hansen, Klavs Feilberg; Pedersen, Carsten Mørk

    2008-01-01

    This paper describes a simple test method for determining the torsion strength of a single bed joint between two bricks and presents results from testing using this test method. The setup for the torsion test is well defined, require minimal preparation of the test specimen and the test can...... be carried out directly in a normal testing machine. The torsion strength is believed to be the most important parameter in out-of-plane resistance of masonry walls subjected to bending about an axis perpendicular to the bed joints. The paper also contains a few test results from bending of small walls about...... an axis perpendicular to the bed joints, which indicate the close connection between these results and results from torsion tests. These characteristics make the torsion strength well suited to act as substitute parameter for the bending strength of masonry about an axis perpendicular to the bed joints....

  18. Gravitation Is Torsion

    CERN Document Server

    Schucking, Engelbert L

    2008-01-01

    The mantra about gravitation as curvature is a misnomer. The curvature tensor for a standard of rest does not describe acceleration in a gravitational field but the \\underline{gradient} of the acceleration (e.g. geodesic deviation). The gravitational field itself (Einstein 1907) is essentially an accelerated reference system. It is characterized by a field of orthonormal four-legs in a Riemann space with Lorentz metric. By viewing vectors at different events having identical leg-components as parallel (teleparallelism) the geometry in a gravitational field defines torsion. This formulation of Einstein's 1907 principle of equivalence uses the same Riemannian metric and the same 1916 field equations for his theory of gravitation and fulfills his vision of General Relativity.

  19. Torsion Effects and LLG Equation

    CERN Document Server

    Ferreira, Cristine N; Neto, J A Helayël

    2016-01-01

    Based on the non-relativistic regime of the Dirac equation coupled to a torsion pseudo-vector, we study the dynamics of magnetization and how it is affected by the presence of torsion. We consider that torsion interacting terms in Dirac equation appear in two ways one of these is thhrough the covariant derivative considering the spin connection and gauge magnetic field and the other is through a non-minimal spin torsion coupling. We show within this framework, that it is possible to obtain the most general Landau, Lifshitz and Gilbert (LLG) equation including the torsion effects, where we refer to torsion as a geometric field playing an important role in the spin coupling process. We show that the torsion terms can give us two important landscapes in the magnetization dynamics: one of them related with damping and the other related with the screw dislocation that give us a global effect like a helix damping sharped. These terms are responsible for changes in the magnetization precession dynamics.

  20. The geometro-hydrodynamical representation of the torsion field

    Science.gov (United States)

    Trukhanova, Mariya, Iv.

    2017-09-01

    We construct the geometro-hydrodynamical formalism for a spinning particle based on the six-dimensional manifold of autoparallelism geometry which is represented as a vector bundle with a base formed by the manifold of the translational coordinates and a fiber specified at each point by the field of an orthogonal coordinate frame underlying the classical spin. We show that the geometry of oriented points leads to the existence of torsion field with the source - the classical spin. We expand the geometro-hydrodynamical representation of Pauli field developed by Takabayasi and Vigier. We show that the external torsion field has a force effect on the velocity and spin fields via the spin-vorticity, which is characteristic of the space structure with the inhomogene triad field. The possible experimental effects of torsion field are discussed.

  1. Re-torsion of the ovaries

    DEFF Research Database (Denmark)

    Hyttel, Trine E W; Bak, Geske S; Larsen, Solveig B;

    2015-01-01

    The increasing use of de-torsion of the ovaries may result in re-torsion. This review addresses risk of re-torsion and describes preventive strategies to avoid re-torsion in pre-menarcheal girls, and fertile and pregnant women. We clinically reviewed PubMed, Embase, Trip and Cochrane databases...

  2. Torsion testing of bed joints

    DEFF Research Database (Denmark)

    Hansen, Klavs Feilberg; Pedersen, Carsten Mørk

    2008-01-01

    be carried out directly in a normal testing machine. The torsion strength is believed to be the most important parameter in out-of-plane resistance of masonry walls subjected to bending about an axis perpendicular to the bed joints. The paper also contains a few test results from bending of small walls about...... an axis perpendicular to the bed joints, which indicate the close connection between these results and results from torsion tests. These characteristics make the torsion strength well suited to act as substitute parameter for the bending strength of masonry about an axis perpendicular to the bed joints....

  3. Hematosalpinx torsion in an adolescent

    Directory of Open Access Journals (Sweden)

    Inês Vaz

    2016-02-01

    Full Text Available Introduction: Isolated fallopian tube torsion is an uncommon cause of acute lower abdominal pain. Ectopic pregnancy, hydro or hematosalpinx, endometriosis, adnexal masses and other causes of adnexal disease are predisposing factors. The diagnosis is difficult and often delayed due to the lack of pathognomonic symptoms, characteristic physical signs, and specific imaging and laboratory studies. Defi nitive diagnosis requires a surgical approach. Case report: The authors present a case of hematosalpinx and its tubal torsion in a virgin teenager with no prior predisposing factors. Discussion: This rare case may highlight a new insight into pathophysiology of tubal torsion and recalls hematosalpinx as a differential diagnosis.

  4. [Treatment of tibial pseudoarthrosis. Complications after intramedullary, allogeneic fibular grafting].

    Science.gov (United States)

    Helfen, T; Prall, W C; Mutschler, W; Thaller, P H

    2015-04-01

    A 24-year-old woman underwent cosmetic bilateral tibial lengthening with severe complications. In all, 15 operations, including allogeneic fibular grafting of both tibia, were required to treat unstable bilateral non-union, malalignment, and osteomyelitis of the right tibia.The present article describes the surgical strategy of revision to achieve good recovery with full consolidation and proper alignment of the lower leg. Furthermore, the indications for allogeneic bone grafting, which was described by Erich Lexer 100 years ago, are discussed. For surgical revision, a T-external fixator was used on the right leg, while a customized tibial nail was used on the left leg. Using these techniques, full consolidation and proper alignment was achieved. Allogeneic bone grafts in upper extremity defects cannot be recommended.

  5. Measurement of tibial slope angle after medial opening wedge high tibial osteotomy: case series

    Directory of Open Access Journals (Sweden)

    Ricardo Hideki Yanasse

    Full Text Available CONTEXT AND OBJECTIVE: In the past, changes in tibial slope were not considered when planning or evaluating osteotomies, and success in high tibial osteotomy was related to the alignment and amount of femorotibial angular correction. The aim here was to measure changes in tibial slope after medial opening wedge tibial osteotomy and investigate the effect of tibial slope angle on the clinical results. DESIGN AND SETTING: Retrospective review study on a series of cases, at the Department of Orthopedics and Traumatology, Faculdade de Medicina de Marília (Famema, Marília, Brazil. METHODS: Twenty-eight patients were studied, and a total of thirty-one knees. Lateral roentgenograms of the tibia were used pre and postoperatively to measure the tibial slope based on the proximal tibial anatomical axis. The clinical results were measured using the Lysholm knee score. RESULTS: There was an average increase in tibial slope angle after surgery of 2.38° (95% confidence interval: ± 0.73°. There was no correlation (r = -0.28 between the postoperative Lysholm knee score and the difference in tibial slope angle from before to after surgery (P = 0.13. CONCLUSION: Medial opening wedge tibial osteotomy led to a small increase in tibial slope. No significant correlation was found between increased tibial slope and short-term clinical results after high tibial osteotomy. Other clinical studies are needed in order to establish whether extension or flexion osteotomy could benefit patients with medial compartment gonarthrosis.

  6. Index Theorems on Torsional Geometries

    CERN Document Server

    Kimura, Tetsuji

    2007-01-01

    We study various topological invariants on a differential geometry in the presence of a totally anti-symmetric torsion H under the closed condition dH=0. By using the identification between the Clifford algebra on a geometry and the canonical quantization condition of fermion in the quantum mechanics, we construct the N=1 quantum mechanical sigma model in the Hamiltonian formalism and extend this model to N=2 system, equipped with the totally anti-symmetric tensor associated with the torsion on the target space geometry. Next we construct transition elements in the Lagrangian path integral formalism and apply them to the analyses of the Witten indices in supersymmetric systems. We improve the formulation of the Dirac index on the torsional geometry which has already been studied. We also formulate the Euler characteristic and the Hirzebruch signature on the torsional geometry.

  7. TORSION OF HEMATOSALPINX WITH HEMOPERITONEUM

    Directory of Open Access Journals (Sweden)

    Lakshmikantha

    2013-02-01

    Full Text Available ABSTRACT: In cases presenting with hemoperitoneum diagnosis of ruptured ectopic pregnancy should be made unless proved otherwise during reprodu ctive age. Rarely ruptured ovarian cyst may be a cause. Hematosalpinx can undergo torsion du e to circulatory imbalance and the same can present as hemoperitoneum due to rupture. We presen t a rare case of torsion of hematosalpinx without an obvious rupture presenting as hemoperitoneum.

  8. Analytic torsion and symplectic volume

    DEFF Research Database (Denmark)

    McLellan, Brendan Donald Kenneth

    2013-01-01

    This article studies the abelian analytic torsion on a closed, oriented, quasi-regular Sasakian three-manifold and identifies this quantity as a specific multiple of the natural unit symplectic volume form on the moduli space of flat abelian connections. This identification effectively computes...... the analytic torsion explicitly in terms of Seifert data for a given quasi-regular Sasakian structure on a three-manifold....

  9. Harmonic structures and intrinsic torsion

    DEFF Research Database (Denmark)

    Conti, Diego; Madsen, Thomas Bruun

    2015-01-01

    We discuss the construction of Sp(2)Sp(1)-structures whose fundamental form is closed. In particular, we find 10 new examples of 8-dimensional nilmanifolds that admit an invariant closed 4-form with stabiliser Sp(2) Sp(1). Our constructions entail the notion of SO(4)-structures on 7-manifolds. We...... present a thorough investigation of the intrinsic torsion of such structures, leading to the construction of explicit Lie group examples with invariant intrinsic torsion....

  10. Harmonic structures and intrinsic torsion

    DEFF Research Database (Denmark)

    Conti, Diego; Madsen, Thomas Bruun

    We discuss the construction of 8-manifolds with harmonic Sp(2)Sp(1)-structures. In particular, we find 10 new examples of nilmanifolds that admit a closed 4-form Omega whose stabiliser is Sp(2)Sp(1). Our constructions entail the notion of SO(4)-structures on 7-manifolds. We present a thorough inv...... investigation of the intrinsic torsion of such structures; in addition to the construction of harmonic structures, this analysis leads to explicit Lie group examples with invariant intrinsic torsion....

  11. Testicular torsion in children: Scintigraphic assessment

    Energy Technology Data Exchange (ETDEWEB)

    Mendel, J.B.; Taylor, G.A.; Cheng, T.H.; Retik, A.; Bauer, S.; Treves, S.

    1985-02-01

    Seventy-five patients with suspected testicular torsion who had scintiscans and adequate clinical follow-up were analyzed retrospectively. The scintiscans diagnosed 12/13 cases of surgically proven missed torsion and 3/3 cases of surgically proven acute complete torsion. The scintiscans successfully distinguished all 35 cases of epididymo-orchitis, 14 cases of torsion of the appendix testes and 8 other miscellaneous conditions from testicular torsion. The incidence of testicular torsion in our patients undergoing scrotal scintigraphy was approximately 24%.

  12. TRANSIENT TORSIONAL WAVE IN FINITE HOLLOW CYLINDER WITH INITIAL AXIAL STRESS

    Institute of Scientific and Technical Information of China (English)

    Huiming Wang; Weiqiu Chen

    2008-01-01

    An analytical solution is obtained for transient torsional vibration of a finite hollow cylinder with initial axial stress. The cylinder is subjected to dynamic shearing stress at the internal surface and is fixed at the external surface. The basic equations are presented and the solution is obtained by means of Fourier series expansion technique and the separation of variables method.The effects of the initial stress on the natural frequencies and transient torsional responses are presented and discussed.

  13. Does Tibial Slope Affect Perception of Coronal Alignment on a Standing Anteroposterior Radiograph?

    Science.gov (United States)

    Schwartz, Adam J; Ravi, Bheeshma; Kransdorf, Mark J; Clarke, Henry D

    2017-07-01

    A standing anteroposterior (AP) radiograph is commonly used to evaluate coronal alignment following total knee arthroplasty (TKA). The impact of coronal alignment on TKA outcomes is controversial, perhaps due to variability in imaging and/or measurement technique. We sought to quantify the effect of image rotation and tibial slope on coronal alignment. Using a standard extramedullary tibial alignment guide, 3 cadaver legs were cut to accept a tibial tray at 0°, 3°, and 7° of slope. A computed tomography scan of the entire tibia was obtained for each specimen to confirm neutral coronal alignment. Images were then obtained at progressive 10° intervals of internal and external rotation up to 40° maximum in each direction. Images were then randomized and 5 blinded TKA surgeons were asked to determine coronal alignment. Continuous data values were transformed to categorical data (neutral [0], valgus [L], and varus [R]). Each 10° interval of external rotation of a 7° sloped tibial cut (or relative internal rotation of a tibial component viewed in the AP plane) resulted in perception of an additional 0.75° of varus. The slope of the proximal tibia bone cut should be taken into account when measuring coronal alignment on a standing AP radiograph. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Torsional Phacoemulsification and Tip Selection

    Directory of Open Access Journals (Sweden)

    Fırat Helvacıoğlu

    2014-10-01

    Full Text Available One of the recent advances in cataract surgery is torsional phacoemulsification. It was developed to increase the efficacy of ultrasonic emulsification. In torsional phacoemulsification, the torsional movement of the tip is translated to side-to-side cutting action with the aid of bent phaco tips. Lens material is cut in both directions, rather than only during a forward stroke. The efficiency of this technique is further enhanced by an improvement in followability provided by the inherent non-repulsive nature of the side-to-side motion. Tip selection is very important for the efficiency of torsional phacoemulsification. Theoretically, there are 2 ways to enhance the cutting efficiency of the tip. First is the stroke length; the 22-degree bent 30-degree Kelman mini-flared tip cuts longer than the 12-degree bent 30-degree mini-flared Kelman tip. Second is the angulation or bevel; the higher the degree (45 degrees, the better cutting efficiency. Retrospective analyses of the previously published clinical studies clearly demonstrated that the efficacy of the torsional phacoemulsification has positive correlation with both the aperture angles and neck angles of the tips. (Turk J Ophthalmol 2014; 44: 392-5

  15. Investigation of Torsional Oscillations in Railway Vehicles

    Directory of Open Access Journals (Sweden)

    Fridrichovský Tomáš

    2016-01-01

    Full Text Available The development of semiconductor electro-technics during last decades allowed us to produce railway vehicles with very high tractive power. High performances reveal new problems that were unknown until these days. One of these problems are torsional oscillations of running wheelsets, which may appear and compromise the safety of railway vehicles. This article analyzes dynamical events that may occur in drives of the vehicles and that are bound with transmission of the torque to the wheels during the operation of the vehicle, which is exposed to the variable external influences (adhesion conditions, track irregularities, variation of wheel forces, etc.. This is based on the idea of a model of simplified drive of the real railway vehicle, which is used for simulation purposes. The model serves for the parametric analysis of individual components, to make an effective design or control remedy.

  16. Lobar torsion after lung transplantation

    Directory of Open Access Journals (Sweden)

    Mong-Wei Lin

    2013-02-01

    Full Text Available Lobar torsion is a rare complication after lung transplantation. Here we report a case of right middle lobe (RML torsion after bilateral sequential lung transplantation (BLTx. This 30-year-old lady underwent BLTx for bronchiolitis obliterans due to paraneoplastic pemphigus. The right lower lobe of the donor lung was resected due to inflammatory change during procurement. The postoperative chest X-ray showed persisting RML infiltrates. Fever and leukocytosis were noted 1 week later. RML lobectomy was performed after the reconstructed chest computed tomography confirmed the diagnosis of RML torsion. Adult respiratory distress syndrome with unstable vital signs, refractory hypoxemia and respiratory acidosis occurred thereafter. After venoarterial extracorporeal membrane oxygenation support, the patient recovered slowly and was discharged 5 months after BLTx.

  17. Torsional Carbon Nanotube Artificial Muscles

    Science.gov (United States)

    Foroughi, Javad; Spinks, Geoffrey M.; Wallace, Gordon G.; Oh, Jiyoung; Kozlov, Mikhail E.; Fang, Shaoli; Mirfakhrai, Tissaphern; Madden, John D. W.; Shin, Min Kyoon; Kim, Seon Jeong; Baughman, Ray H.

    2011-10-01

    Rotary motors of conventional design can be rather complex and are therefore difficult to miniaturize; previous carbon nanotube artificial muscles provide contraction and bending, but not rotation. We show that an electrolyte-filled twist-spun carbon nanotube yarn, much thinner than a human hair, functions as a torsional artificial muscle in a simple three-electrode electrochemical system, providing a reversible 15,000° rotation and 590 revolutions per minute. A hydrostatic actuation mechanism, as seen in muscular hydrostats in nature, explains the simultaneous occurrence of lengthwise contraction and torsional rotation during the yarn volume increase caused by electrochemical double-layer charge injection. The use of a torsional yarn muscle as a mixer for a fluidic chip is demonstrated.

  18. Constraining Torsion with Gravity Probe B

    CERN Document Server

    Mao, Y; Guth, A H; Tegmark, M; Cabi, Serkan; Guth, Alan; Mao, Yi; Tegmark, Max

    2006-01-01

    It is well-entrenched folklore that torsion gravity theories predict observationally negligible torsion in the solar system, since torsion (if it exists) couples only to the intrinsic spin of elementary particles, not to rotational angular momentum. We argue that this assumption has a logical loophole which can and should be tested experimentally. We give an explicit counterexample where a rotating body generates a torsion field in Weitzenbock spacetime with a Hayashi-Shirafuji Lagrangian. More generally, in the spirit of action=reaction, if a rotating mass like a planet can generate torsion, then a gyroscope should also feel torsion. Using symmetry arguments, we show that to lowest order, the torsion field around a uniformly rotating spherical mass is determined by seven dimensionless parameters. These parameters effectively generalize the PPN formalism and provide a concrete framework for further testing GR. We construct a parametrized Lagrangian that includes both standard torsion-free GR and Hayashi-Shira...

  19. Torsional Weyl-Dirac Electrodinamics

    CERN Document Server

    Israelit, Mark

    1998-01-01

    Issuing from a geometry with nonmetricity and torsion we build up a classical theory of gravitation and electromagnetism. The theory is coordinate covariant as well Weyl-gauge covariant. Massless and massive photons, intrinsic electr. and magn. currents exist in this framework. The field EQ-s and EQ-s of motion are derived from a geometrically based action. It is shown that the magn.-magn. interaction is transmitted by massive photons. A magn. charge (monopole) cannot be located together with an electr. one. In absence of torsion and in the Einstein gauge one obtains the Einstein-Maxwell theory.

  20. Uterine torsion in term pregnancy

    Directory of Open Access Journals (Sweden)

    Sparić Radmila

    2007-01-01

    Full Text Available Introduction Uterine torsion has been defined as a rotation of more than 45 degrees of the uterus around its long axis that occurs at the junction between the cervix and the corpus. The extent of the rotation is usually 180 degrees, although cases with torsion from 60 to 720 degrees have been reported. Aetiopathogenesis of this condition is still unclear. Establishing clinical diagnosis of this condition is difficult, but very important for reducing maternal and fetal morbidity and mortality. Clinical symptoms are either absent or nonspecific, and the diagnosis is usually made at laparotomy. Case outlineA 31-year old patient was admitted to the Institute of Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, as an emergency, seven days upon the established intrauterine fetal demise in the 40th gestation week. On uterine examination, the cervical length of 1.5 cm and dilatation of 3 cm were determined, as well as a palpable soft tissue formation, not resembling placenta praevia. Ultrasound examination confirmed fetal demise and exclusion of the presence of placenta praevia. The labor was completed by caesarean section. During surgery, uterine torsion of 180 degrees to the right was diagnosed. There was a stillborn male baby, and the cause of death was intrauterine asphyxia. A fibrosing and calcified accessory lobe 9x6x2.5 cm in size was observed on placental examination, which is a possible sign of initial gemellary pregnancy. Conclusion The clinical presentation of uterine torsion is variable and clinical examination and ultrasonographic scanning may be insufficient for diagnosis. The method of choice for establishing the diagnosis is magnetic resonance imaging. Once the diagnosis of uterine torsion in pregnancy is established, emergency laparotomy is indicated. Following caesarean delivery, it is necessary to surgically remove all the anatomical causes of torsion, and rotate the uterus back to its normal position. There are some

  1. The odd side of torsion geometry

    DEFF Research Database (Denmark)

    Conti, Diego; Madsen, Thomas Bruun

    2014-01-01

    We introduce and study a notion of `Sasaki with torsion structure' (ST) as an odd-dimensional analogue of Kähler with torsion geometry (KT). These are normal almost contact metric manifolds that admit a unique compatible connection with 3-form torsion. Any odd-dimensional compact Lie group is sho...

  2. An Abnormal Vibrational Mode of Torsion Pendulum

    Institute of Scientific and Technical Information of China (English)

    赵亮; 涂英; 顾邦明; 胡忠坤; 罗俊

    2003-01-01

    In the experiment for the determination of the gravitational constant G, we found an abnormal vibrational mode of the torsion pendulum. The abnormal mode disappeared as a magnetic damper was introduced to the torsion pendulum system. Our experimental results also show that the magnetic damper can be used to suppress the high frequency vibrational noises to torsion pendulums effectively.

  3. On one-sided torsion pair

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Motivated by the concept of a torsion pair in a pre-triangulated category induced by Beligiannis and Reiten, the notion of a left (right) torsion pair in the left (right) triangulated category is introduced and investigated. We provide new connections between different aspects of torsion pairs in one-sided triangulated categories, pre-triangulated categories, stable categories and derived categories.

  4. Tibial hyperostosis: A diagnostic approach

    Energy Technology Data Exchange (ETDEWEB)

    Touraine, Sébastien, E-mail: sebastien.touraine@lrb.aphp.fr [Radiologie ostéo-articulaire, Hôpital Lariboisière, 2 rue Ambroise Paré, 75475 Paris Cedex 10 (France); Parlier-Cuau, Caroline, E-mail: caroline.parlier@lrb.aphp.fr [Radiologie ostéo-articulaire, Hôpital Lariboisière, 2 rue Ambroise Paré, 75475 Paris Cedex 10 (France); Bousson, Valérie, E-mail: valerie.bousson@lrb.aphp.fr [Radiologie ostéo-articulaire, Hôpital Lariboisière, 2 rue Ambroise Paré, 75475 Paris Cedex 10 (France); Sverzut, Jean-Michel, E-mail: jmsverzut21@hotmail.com [Radiologie ostéo-articulaire, Hôpital Lariboisière, 2 rue Ambroise Paré, 75475 Paris Cedex 10 (France); Centre d’imagerie du centre cardiologique du Nord, 32-36 rue des Moulins Gémeaux, 93200 Saint-Denis (France); Genah, Idan, E-mail: idan.genah@lrb.aphp.fr [Radiologie ostéo-articulaire, Hôpital Lariboisière, 2 rue Ambroise Paré, 75475 Paris Cedex 10 (France); and others

    2013-12-01

    Tibial hyperostosis may be encountered in musculoskeletal imaging, incidentally or during the investigation of a leg pain. Hyperostosis involves the exuberant production of osseous tissue and results in cortical, periosteal and/or endosteal thickening of the bone. As a long bone with thick cortices, the tibia has a significant probability of being affected by ubiquitous bone diseases. As a tubular long bone, the tibia is likely to be involved in extensive infectious conditions such as osteomyelitis. As a bone of the lower limb, the tibia undergoes high stresses and may be affected by decrease in bone strength or repetitive submaximal stress. The tibia is also particularly involved in some bone sclerosing dysplasias and Paget's disease. In this work, we aim at highlighting the main conditions leading to tibial hyperostosis and try to provide key elements to narrow down the several diagnostic possibilities. Osteoid osteomas, fatigue or insufficiency fractures, infectious conditions, vascular lesions, sclerosing bone dysplasias and Paget's disease represent the main challenging diagnoses to discuss.

  5. [Testicular torsion: A case report].

    Science.gov (United States)

    García-Fernández, Gustavo; Bravo-Hernández, Alberto; Bautista-Cruz, Raúl

    2016-07-13

    The acute scrotum is an emergency. Testicular torsion represents approximately 25% of the causes. The annual incidence of testicular torsion is approximately 1/4,000 persons under 25 years, with highest prevalence between 12 and 18 years old. It usually occurs without apparent cause, but it has been associated with anatomical, traumatic, and environmental factors, among others. A male 15 year-old male, with no history of importance, was seen in the Emergency Department, presenting with a sudden and continuous pain in the left testicle. It was accompanied by a pain that radiated to the abdomen and left inguinal area, with nausea and vomiting of more than 12h onset. Doppler ultrasound showed changes suggestive of testicular torsion. Surgery was performed that showed findings of a necrotic left testicle with rotation of the spermatic cord of 360°. A left orchiectomy was performed. Testicular torsion should always be considered one of the leading causes of acute scrotal pain. Delays in diagnosis should be avoided as this is directly related to the percentage of testicular salvage or loss. Copyright © 2016 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  6. Torsion Gravity for Dirac Fields

    CERN Document Server

    Fabbri, Luca

    2016-01-01

    In this article we will take into account the most complete back-ground with torsion and curvature, providing the most exhaustive coupling for the Dirac field: we will discuss the integrability of the interaction of the matter field and the reduction of the matter field equations.

  7. Tibial lengthening over nails in children using modified Ender nails: preliminary results of a new treatment.

    Science.gov (United States)

    Saraph, Vinay; Roposch, Andreas; Zwick, Ernst-Bernhard; Linhart, Wolfgang E

    2004-11-01

    Tibial lengthening over nails, using modified Ender nails, was performed in nine children whose mean age at surgery was 12.8 years. The prerequisite for using this technique was the absence of axial malalignment and an indication for tibial lengthening only. Lengthening was not performed in one case due to the development of a compartment syndrome after the tibial osteotomy. Breakage of one interlocking screw without loss of alignment or length was observed in one case. Superficial pin tract infections were observed in two cases. An average of 4.1 cm (range 3-4.5 cm) lengthening of the tibia was achieved in eight of the nine cases. The modified Ender nails used permitted locking at both ends after achieving the desired distraction and permitted early removal of the external fixator. The advantage of this technique is that it permits early removal of the fixator and thus decreases the incidence of fixator related problems and facilitates early rehabilitation.

  8. Bone transport for limb reconstruction following severe tibial fractures

    Directory of Open Access Journals (Sweden)

    Julian Fürmetz

    2016-03-01

    Full Text Available A common treatment of tibial defects especially after infections is bone transport via external fixation. We compare complications and outcomes of 25 patients treated with a typical Ilizarov frame or a hybrid system for bone reconstruction of the tibia. Average follow up was 5.1 years. Particular interest was paid to the following criteria: injury type, comorbidities, development of osteitis and outcome of the different therapies. The reason for segmental resection was a second or third grade open tibia fractures in 24 cases and in one case an infection after plate osteosynthesis. Average age of the patients was 41 years (range 19 to 65 years and average defect size 6.6 cm (range 3.0 to 13.4 cm. After a mean time of 113 days 23 tibial defects were reconstructed, so we calculated an average healing index of 44.2 days/cm. Two patients with major comorbidities needed a below knee amputation. The presence of osteitis led to a more complicated course of therapy. In the follow up patients with an Ilizarov frame had better results than patients with hybrid systems. Bone transport using external fixation is suitable for larger defect reconstruction. With significant comorbidities, however, a primary amputation or other methods must be considered.

  9. Increasing lateral tibial slope: is there an association with articular cartilage changes in the knee?

    Energy Technology Data Exchange (ETDEWEB)

    Khan, Nasir; Shepel, Michael; Leswick, David A.; Obaid, Haron [University of Saskatchewan, Department of Medical Imaging, Royal University Hospital, and College of Medicine, Saskatoon, Saskatchewan (Canada)

    2014-04-15

    The geometry of the lateral tibial slope (LTS) plays an important role in the overall biomechanics of the knee. Through this study, we aim to assess the impact of LTS on cartilage degeneration in the knee. A retrospective analysis of 93 knee MRI scans (1.5 T or 3 T) for patients aged 20-45 years with no history of trauma or knee surgery, and absence of internal derangement. The LTS was calculated using the circle method. Chondropathy was graded from 0 (normal) to 3 (severe). Linear regression analysis was used for statistical analysis (p < 0.05). In our cohort of patients, a statistically significant association was seen between increasing LTS and worsening cartilage degenerative changes in the medial patellar articular surface and the lateral tibial articular surface (p < 0.05). There was no statistically significant association between increasing LTS and worsening chondropathy of the lateral patellar, medial trochlea, lateral trochlea, medial femoral, lateral femoral, and medial tibial articular surfaces. Our results show a statistically significant association between increasing LTS and worsening cartilage degenerative changes in the medial patella and the lateral tibial plateau. We speculate that increased LTS may result in increased femoral glide over the lateral tibial plateau with subsequent increased external rotation of the femur predisposing to patellofemoral articular changes. Future arthroscopic studies are needed to further confirm our findings. (orig.)

  10. Tibial cortical lesions: A multimodality pictorial review

    Energy Technology Data Exchange (ETDEWEB)

    Tyler, P.A., E-mail: philippa.tyler@rnoh.nhs.uk [Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP (United Kingdom); Mohaghegh, P., E-mail: pegah1000@gmail.com [Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP (United Kingdom); Foley, J., E-mail: jfoley1@nhs.net [Department of Radiology, Glasgow Royal Infirmary, 16 Alexandra Parade, Glasgow G31 2ES (United Kingdom); Isaac, A., E-mail: amandaisaac@doctors.org.uk [Department of Radiology, King' s College Hospital, Denmark Hill, London SE5 9RS (United Kingdom); Zavareh, A., E-mail: ali.zavareh@gmail.com [Department of Radiology, North Bristol NHS Trust, Frenchay, Bristol BS16 1LE (United Kingdom); Thorning, C., E-mail: cthorning@doctors.org.uk [Department of Radiology, East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH (United Kingdom); Kirwadi, A., E-mail: anandkirwadi@gmail.com [Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL (United Kingdom); Pressney, I., E-mail: ipressney@hotmail.com [Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP (United Kingdom); Amary, F., E-mail: fernanda.amary@rnoh.nhs.uk [Department of Histopathology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP (United Kingdom); Rajeswaran, G., E-mail: grajeswaran@gmail.com [Department of Radiology, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH (United Kingdom)

    2015-01-15

    Highlights: • Multimodality imaging plays an important role in the investigation and diagnosis of shin pain. • We review the multimodality imaging findings of common cortically based tibial lesions. • We also describe the rarer pathologies of tibial cortical lesions. - Abstract: Shin pain is a common complaint, particularly in young and active patients, with a wide range of potential diagnoses and resulting implications. We review the natural history and multimodality imaging findings of the more common causes of cortically-based tibial lesions, as well as the rarer pathologies less frequently encountered in a general radiology department.

  11. The torsional and rotation-torsion spectra of CD2HOH

    Science.gov (United States)

    Ndao, M.; Kwabia Tchana, F.; Coudert, L. H.; Motiyenko, R. A.; Margulès, L.; Barros, J.; Manceron, L.; Roy, P.

    2016-08-01

    The torsional and rotation-torsion spectra of the doubly deuterated species of methanol CD2HOH have been analyzed using submillimeter wave, terahertz, and far infrared spectra. 101 torsional subbands, with subband centers ranging from 2.3 to 626 cm-1, were assigned. Analysis of these yielded kinetic energy and hindering potential parameters of the torsional Hamiltonian describing the large amplitude internal rotation of the CD2H methyl group with respect to the hydroxyl group. 3271 rotation and rotation-torsion transitions, involving the 24 torsional levels up to e1 with 3 ⩽ K ⩽ 10 , were assigned and fitted approximating the rotational energy of each torsional level with a Taylor-type expansion in J (J + 1) . The rotational structure of 48 torsional subbands involving torsional levels higher than e1 has also been analyzed. In most cases, only the Q branch could be observed and assigned.

  12. Distal realignment (tibial tuberosity transfer).

    Science.gov (United States)

    Feller, Julian Ashley

    2012-09-01

    Although tibial tuberosity (TT) transfer has for many years been the basis of many protocols for the management of patellar instability, the role of pure medial transfer in particular appears to be declining. In contrast, the greater recognition of the importance of patella alta as a predisposing factor to recurrent patellar dislocation has resulted in a resurgence in the popularity of distal TT transfer. When TT transfer is performed, the direction and amount of transfer is based on the patellar height and the lateralization of the TT relative to the trochlear groove. Patellar height is best assessed on a lateral radiograph with the knee in flexion using a ratio that uses the articular surface of the patella in relation to the height above the tibia. Assessment of lateralization of the TT relative to the trochlear groove can be made using either computed tomography or magnetic resonance imaging scans.

  13. TORSION OF THE VERMIFORM APPENDIX: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Dr. Imtiaz Wani

    2009-07-01

    Full Text Available Torsion of the vermiform appendix is a rare condition with few cases reported in the literature. Various factors predispose to torsion. Various factors predispose to torsion. We report a case of primary torsion of the vermiform appendix. The clinical presentation was indistinguishable from acute appendicitis and the diagnosis was made at operation. Appendix was preileal in position and the direction of torsion was anticlockwise. There was intrinsic torsion with no obvious factor for torsion identified. Appendectomy was performed.

  14. Segmental Bridges under Combined Torsion, Bending and Shear

    Institute of Scientific and Technical Information of China (English)

    黄真; 刘西拉

    2003-01-01

    Segmental bridges with unbonded prestressed tendons have some advantages, such as the weather independence and the corrosion protection of prestressing tendons. This paper analyzed the behavior of a prestressed segmental bridge with unbonded tendons under combined loading of torsion, bending and shear. According to the experiment research, a modified skew bending model was developed to calculate the bearing capacity of segmental bridges subjected to combined bending, shear and torsion. The finite element method was used to investigate the deflection behaviors of such structure, also to check the theoretical model. The theoretical and FEM research resuits were compared favorably with the test results from Technical University of Braunschweig, Germany. Finally, suggestion for the design and construction of segmental bridges with external prestressing was made.

  15. Analysis of torsional vibration in an electromechanical transmission system

    Directory of Open Access Journals (Sweden)

    Kai Chen

    2016-06-01

    Full Text Available Aiming at the torsional vibration in the electromechanical transmission system, this article introduces the active vibration method and analyzes the vibration characteristics on the condition of the external excitation, and then, the condition of the permanent magnetic synchronous motor parameter is obtained. In the braking energy recovery working condition, the permanent magnetic synchronous motor is operated in generator mode and is subjected to power control, this cause it to produce negative effect of damping. Negative effect of damping leads to the increasing torsional vibration. Then, the improved power control strategy is introduced to reduce the vibration. Computer simulations are used to demonstrate the active vibration method and the effectiveness of the proposed control strategy, which provides reference for the design of electromechanical systems in the hybrid electrical vehicles.

  16. [Retrograde nailing in a tibial fracture].

    Science.gov (United States)

    Valls-Mellado, M; Martí-Garín, D; Fillat-Gomà, F; Marcano-Fernández, F A; González-Vargas, J A

    2014-01-01

    We describe a case of a severely comminuted type iiia open tibial fracture, with distal loss of bone stock (7 cm), total involvement of the tibial joint surface, and severe instability of the fibular-talar joint. The treatment performed consisted of thorough cleansing, placing a retrograde reamed calcaneal-talar-tibial nail with proximal and distal blockage, as well as a fibular-talar Kirschner nail. Primary closure of the skin was achieved. After 3 weeks, an autologous iliac crest bone graft was performed to fill the bone defect, and the endomedullary nail, which had protruded distally was reimpacted and dynamized distally. The bone defect was eventually consolidated after 16 weeks. Currently, the patient can walk without pain the tibial-astragal arthrodesis is consolidated. Copyright © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

  17. Incidence and epidemiology of tibial shaft fractures

    DEFF Research Database (Denmark)

    Larsen, Peter; Elsøe, Rasmus; Hansen, Sandra Hope

    2015-01-01

    Introduction: The literature lacks recent population-based epidemiology studies of the incidence, trauma mechanism and fracture classification of tibial shaft fractures. The purpose of this study was to provide up-to-date information on the incidence of tibial shaft fractures in a large...... and complete population and report the distribution of fracture classification, trauma mechanism and patient baseline demographics. Methods: Retrospective reviews of clinical and radiological records. Results: A total of 196 patients were treated for 198 tibial shaft fractures in the years 2009 and 2010....... The mean age at time of fracture was 38.5 (21.2SD) years. The incidence of tibial shaft fracture was 16.9/100,000/year. Males have the highest incidence of 21.5/100,000/year and present with the highest frequency between the age of 10 and 20, whereas women have a frequency of 12.3/100,000/year and have...

  18. Posterior Tibial Slope Angle Correlates With Peak Sagittal and Frontal Plane Knee Joint Loading During Robotic Simulations of Athletic Tasks.

    Science.gov (United States)

    Bates, Nathaniel A; Nesbitt, Rebecca J; Shearn, Jason T; Myer, Gregory D; Hewett, Timothy E

    2016-07-01

    Tibial slope angle is a nonmodifiable risk factor for anterior cruciate ligament (ACL) injury. However, the mechanical role of varying tibial slopes during athletic tasks has yet to be clinically quantified. To examine the influence of posterior tibial slope on knee joint loading during controlled, in vitro simulation of the knee joint articulations during athletic tasks. Descriptive laboratory study. A 6 degree of freedom robotic manipulator positionally maneuvered cadaveric knee joints from 12 unique specimens with varying tibial slopes (range, -7.7° to 7.7°) through drop vertical jump and sidestep cutting tasks that were derived from 3-dimensional in vivo motion recordings. Internal knee joint torques and forces were recorded throughout simulation and were linearly correlated with tibial slope. The mean (±SD) posterior tibial slope angle was 2.2° ± 4.3° in the lateral compartment and 2.3° ± 3.3° in the medial compartment. For simulated drop vertical jumps, lateral compartment tibial slope angle expressed moderate, direct correlations with peak internally generated knee adduction (r = 0.60-0.65), flexion (r = 0.64-0.66), lateral (r = 0.57-0.69), and external rotation torques (r = 0.47-0.72) as well as inverse correlations with peak abduction (r = -0.42 to -0.61) and internal rotation torques (r = -0.39 to -0.79). Only frontal plane torques were correlated during sidestep cutting simulations. For simulated drop vertical jumps, medial compartment tibial slope angle expressed moderate, direct correlations with peak internally generated knee flexion torque (r = 0.64-0.69) and lateral knee force (r = 0.55-0.74) as well as inverse correlations with peak external torque (r = -0.34 to -0.67) and medial knee force (r = -0.58 to -0.59). These moderate correlations were also present during simulated sidestep cutting. The investigation supported the theory that increased posterior tibial slope would lead to greater magnitude knee joint moments, specifically

  19. Harmonic structures and intrinsic torsion

    DEFF Research Database (Denmark)

    Conti, Diego; Madsen, Thomas Bruun

    We discuss the construction of 8-manifolds with harmonic Sp(2)Sp(1)-structures. In particular, we find 10 new examples of nilmanifolds that admit a closed 4-form Omega whose stabiliser is Sp(2)Sp(1). Our constructions entail the notion of SO(4)-structures on 7-manifolds. We present a thorough inv...... investigation of the intrinsic torsion of such structures; in addition to the construction of harmonic structures, this analysis leads to explicit Lie group examples with invariant intrinsic torsion.......We discuss the construction of 8-manifolds with harmonic Sp(2)Sp(1)-structures. In particular, we find 10 new examples of nilmanifolds that admit a closed 4-form Omega whose stabiliser is Sp(2)Sp(1). Our constructions entail the notion of SO(4)-structures on 7-manifolds. We present a thorough...

  20. Harmonic structures and intrinsic torsion

    DEFF Research Database (Denmark)

    Conti, Diego; Madsen, Thomas Bruun

    2015-01-01

    We discuss the construction of Sp(2)Sp(1)-structures whose fundamental form is closed. In particular, we find 10 new examples of 8-dimensional nilmanifolds that admit an invariant closed 4-form with stabiliser Sp(2) Sp(1). Our constructions entail the notion of SO(4)-structures on 7-manifolds. We...... present a thorough investigation of the intrinsic torsion of such structures, leading to the construction of explicit Lie group examples with invariant intrinsic torsion.......We discuss the construction of Sp(2)Sp(1)-structures whose fundamental form is closed. In particular, we find 10 new examples of 8-dimensional nilmanifolds that admit an invariant closed 4-form with stabiliser Sp(2) Sp(1). Our constructions entail the notion of SO(4)-structures on 7-manifolds. We...

  1. Relative entropy and torsion coupling

    Science.gov (United States)

    Ning, Bo; Lin, Feng-Li

    2016-12-01

    We evaluate the relative entropy on a ball region near the UV fixed point of a holographic conformal field theory deformed by a fermionic operator of nonzero vacuum expectation value. The positivity of the relative entropy considered here is implied by the expected monotonicity of the decrease of quantum entanglement under the renormalization group flow. The calculations are done in the perturbative framework of Einstein-Cartan gravity in four-dimensional asymptotic anti-de Sitter space with a postulated standard bilinear coupling between the axial fermion current and torsion. By requiring positivity of relative entropy, our result yields a constraint on axial current-torsion coupling, fermion mass, and equation of state.

  2. Torsional Weyl-Dirac Electrodinamics

    OpenAIRE

    Israelit, Mark

    2007-01-01

    Issuing from a geometry with nonmetricity and torsion we build up a classical theory of gravitation and electromagnetism. The theory is coordinate covariant as well Weyl-gauge covariant. Massless and massive photons, intrinsic electr. and magn. currents exist in this framework. The field EQ-s and EQ-s of motion are derived from a geometrically based action. It is shown that the magn.-magn. interaction is transmitted by massive photons. A magn. charge (monopole) cannot be located together with...

  3. Torsions of 3-dimensional manifolds

    CERN Document Server

    Wurzbacher, T

    2002-01-01

    From the reviews: "This is an excellent exposition about abelian Reidemeister torsions for three-manifolds." ―Zentralblatt Math "This monograph contains a wealth of information many topologists will find very handy. …Many of the new points of view pioneered by Turaev are gradually becoming mainstream and are spreading beyond the pure topology world. This monograph is a timely and very useful addition to the scientific literature." ―Mathematical Reviews

  4. Influence of the ultimate torsion on the geometry of dental implants.

    Science.gov (United States)

    Teixeira, Ana Beatriz V; Beja, Gabriela B S P; Shimano, Antônio Carlos; Macedo, Ana Paula; Oliscovicz, Nathalia Ferraz; Reis, Andréa C dos

    2013-01-01

    This study evaluated the profile of implants subjected to torsion test. Four types of implants (Conexão®) were analyzed: Master Porous (MP - external hexagon, cylindrical, double-porous surface implants; 11.5 X 3.75 mm), Master Screw (MS - external hexagon, cylindrical, machined implants; 11.5 X 3.75 mm), Conect Conic (CC - external hexagon, cylindrical, machined implants; 11.5 X 3.5 mm) and Master Conect AR (CA - internal hexagon, cylindrical, double-porous surface implants; 11.5 X 3.75 mm). The Nikon® model C profile projector was used for the analysis before and after torsion test with a Mackena® model MK-20XX digital torque meter. The measures analyzed in the profile of implants were: diameter and height of the platform, diameter of the screw/platform connection, angle of the screw/platform connection, external diameter, internal diameter, thread pitch, height and length of the thread. Statistical analysis was performed using ANOVA and Tukey test at 5% significance level. The torsion test caused a visible deformity on the external implant profile. There was a statistical difference among the implants before and after torsion (pstripping of CC. Thus, it was concluded that excessive or some unadvised torque by the manufacturer can lead to changes in different geometric measurements of implants.

  5. A non-invasive device to objectively measure tibial rotation: verification of the device.

    Science.gov (United States)

    Lorbach, Olaf; Wilmes, P; Maas, S; Zerbe, T; Busch, L; Kohn, D; Seil, R

    2009-07-01

    The purpose of this study was the correlation of the results of a new measurement device for tibial rotation (Rotameter) in comparison with the measurements of a knee navigation system as standard method. In a biomechanical laboratory study, all soft tissues were removed from 20 human cadaveric knees leaving only the intact capsule and the bone. Specific tracers were bicortically fixed in the bone in order to measure tibial rotation using a knee navigation system. The knees were fixed to a custom-made inside-boot to rule out undesirable rotation of the reconstruction inside the Rotameter measurement device. Internal and external rotation values were measured at an applied torque of 5, 10 and 15 Nm. The different methods to evaluate tibial rotation were compared using the Pearson correlation coefficient. The correlations were deemed to be reliable if a value of >or=0.80 was achieved. At 5 Nm of applied torque, high correlations for the internal rotation, external rotation and the entire rotational range were found in the Pearson correlation coefficient between the Rotameter testing device in comparison with the knee navigation system as invasive reference method. These results were also confirmed at an applied torque of 10 and 15 Nm. In conclusion, the Rotameter testing device showed high correlations compared with the knee navigation system as an invasive standard method. It might be used as a non-invasive and easy alternative to investigate tibial rotation.

  6. Topological design of torsional metamaterials

    Science.gov (United States)

    Vitelli, Vincenzo; Paulose, Jayson; Meeussen, Anne; Topological Mechanics Lab Team

    Frameworks - stiff elements with freely hinged joints - model the mechanics of a wide range of natural and artificial structures, including mechanical metamaterials with auxetic and topological properties. The unusual properties of the structure depend crucially on the balance between degrees of freedom associated with the nodes, and the constraints imposed upon them by the connecting elements. Whereas networks of featureless nodes connected by central-force springs have been well-studied, many real-world systems such as frictional granular packings, gear assemblies, and flexible beam meshes incorporate torsional degrees of freedom on the nodes, coupled together with transverse shear forces exerted by the connecting elements. We study the consequences of such torsional constraints on the mechanics of periodic isostatic networks as a foundation for mechanical metamaterials. We demonstrate the existence of soft modes of topological origin, that are protected against disorder or small perturbations of the structure analogously to their counterparts in electronic topological insulators. We have built a lattice of gears connected by rigid beams that provides a real-world demonstration of a torsional metamaterial with topological edge modes and mechanical Weyl modes.

  7. Les torsions sur testicules cryptorchides

    Science.gov (United States)

    Gharbi, Mohamed; Amri, Najmeddine; Chambeh, Wahib; Braiek, Salem; Kamel, Rafik El

    2010-01-01

    Résumé But : La cryptorchidie est une pathologie assez fréquente en urologie. Elle est associée à un risque élevé d’infertilité et de dégénérescence. Elle semble aussi être associée à un risque important de torsion. Cette entité est très peu abordée dans la littérature. Nous rapportons tous les cas de torsion sur testicule cryptorchide observés à notre service dans le but de mieux caractériser cette pathologie et de réduire ainsi le taux d’orchidectomies. Méthodologie : Il s’agit d’une étude rétrospective portant sur tous les cas de torsion sur testicule cryptorchide opérés dans notre service d’urologie entre 1999 et 2007. Les patients ont fait l’objet d’une description basée sur le résumé de leurs observations. Résultats : Les patients étaient âgés de 7 mois à 39 ans. La torsion touchait le testicule droit dans 53 % des cas. Le tableau clinique comportait une douleur au niveau de la région inguinale d’apparition soudaine avec une masse sous-cutanée inflammatoire et douloureuse à ce niveau et surtout un hémiscrotum homolatéral vide. Dans 60 % des cas, le diagnostic était tardif et une orchidectomie a été réalisée. Dans les autre cas, un abaissement du testicule a été réalisé avec orchidopexie controlatéral dans le même temps opératoire. Conclusion : Bien qu’il s’agisse d’une pathologie peu courante, la torsion sur testicule cryptorchide doit être étudiée davantage. Le diagnostic précoce permettra de sauver et d’abaisser le testicule et faciliter ainsi le dépistage d’une éventuelle dégénérescence. PMID:21191497

  8. The g - 2 muon anomaly in di-muon production with the torsion in LHC

    Science.gov (United States)

    Syromyatnikov, A. G.

    2016-06-01

    the heavy axial vector torsion arises from coupling the muon with torsion as external field. This leads to negative energy additive to mass of muons which makes the missing part of the g-2 muon anomaly. It takes place at reasonable values of the transverse front size of the exact solution CGTG equations types of torsion waves with the spin-flip close to the size of the Compton length muon.

  9. Dirac operators and Killing spinors with torsion; Dirac-Operatoren und Killing-Spinoren mit Torsion

    Energy Technology Data Exchange (ETDEWEB)

    Becker-Bender, Julia

    2012-12-17

    On a Riemannian spin manifold with parallel skew torsion, we use the twistor operator to obtain an eigenvalue estimate for the Dirac operator with torsion. We consider the equality case in dimensions four and six. In odd dimensions we describe Sasaki manifolds on which equality in the estimate is realized by Killing spinors with torsion. In dimension five we characterize all Killing spinors with torsion and obtain certain naturally reductive spaces as exceptional cases.

  10. Hidden torsion, 3-manifolds, and homology cobordism

    CERN Document Server

    Cha, Jae Choon

    2011-01-01

    This paper continues our exploration of homology cobordism of 3-manifolds using our recent results on Cheeger-Gromov rho-invariants associated to amenable representations. We introduce a new type of torsion in 3-manifold groups we call hidden torsion, and an algebraic approximation we call local hidden torsion. We construct infinitely many hyperbolic 3-manifolds which have local hidden torsion in the transfinite lower central subgroup. By realizing Cheeger-Gromov invariants over amenable groups, we show that our hyperbolic 3-manifolds are not pairwise homology cobordant, yet remain indistinguishable by any prior known homology cobordism invariants.

  11. Cosmological Background torsion limits from Lorentz violation

    CERN Document Server

    Garcia de Andrade, L C

    2001-01-01

    Cosmological limits on Lorentz invariance breaking in Chern-Simons $(3+1)-dimensional$ electrodynamics are used to place limits on torsion. Birefrigence phenomena is discussed by using extending the propagation equation to Riemann-Cartan spacetimes instead of treating it in purely Riemannian spaces. The parameter of Lorentz violation is shown to be proportional to the axial torsion vector which allows us to place a limit on cosmological background torsion from the Lorentz violation constraint which is given by $ 10^{-33} eV <|S^{\\mu}| < 10^{-32} eV$ where $|S^{\\mu}|$ is the axial torsion vector.

  12. A multiaxial force-sensing implantable tibial prosthesis.

    Science.gov (United States)

    Kirking, Bryan; Krevolin, Janet; Townsend, Christopher; Colwell, Clifford W; D'Lima, Darryl D

    2006-01-01

    Accurate in vivo measurement of tibiofemoral forces is important in total knee arthroplasty. These forces determine polyethylene stresses and cold-flow, stress distribution in the implant, and stress transfer to the underlying implant bone interface. Theoretic estimates of tibiofemoral forces have varied widely depending on the mathematical models used. The six degrees of freedom of motion, complex articular surface topography, changing joint-contact position, intra- and extra-articular ligaments, number of muscles crossing the knee joint, and the presence of the patellofemoral joint contribute to the difficulty in developing reliable models of the knee. A prototype instrumented total knee replacement tibial prosthesis was designed, manufactured, and tested. This prosthesis accurately measured all six components of tibial forces (R2>0.997). The prosthesis was also instrumented with an internal microtransmitter for wireless data transmission. Remote powering of the sealed implanted electronics was achieved using magnetic coil induction. This device can be used to validate existing models of the knee that estimate these forces or to develop more accurate models. In conjunction with kinematic data, accurate tibiofemoral force data may be used to design more effective knee-testing rigs and wear simulators. Additional uses are intraoperative measurement of forces to determine soft-tissue balancing and to evaluate the effects of rehabilitation, external bracing, and athletic activities, and activities of daily living.

  13. Characteristics of unilateral tibial plateau fractures among adult patients hospitalized at an orthopaedic trauma centre in China

    Science.gov (United States)

    Liu, Yong; Liao, Zhengwen; Shang, Lei; Huang, Wenhua; Zhang, Dawei; Pei, Guoxian

    2017-01-01

    The aim of this study was to investigate the characteristics of unilateral tibial plateau fractures among hospitalized adult patients in Xijing Hospital, to evaluate the accuracy of Schatzker classification system and AO/OTA classification system to tibial plateau fractures. We retrospectively analysed clinical data on 274 patients admitted to Xijing Hospital between September 2006 and August 2015. The patients’ demographic characteristics, admission periods and seasons, external causes and fracture types were recorded and summarized. Then the characteristics of tibial plateau fractures and the accuracy rate of these two classification systems were analysed. Schatzker type II fractures and AO/OTA type 41-B3 fractures were the most common types. The external causes differed between genders, types of employment, urban-rural residents and both two systems. In addition, some fractures were difficult to classify using Schatzker or AO/OTA classification system. Rural male physical labourers aged between 30–59 years-old were most likely to suffer from unilateral tibial plateau fractures, due to traffic accidents, falls and indoor activity injuries, or falls from height. We should pay more attention to the related people and professions, which contributed to the high occurrence of tibial plateau fractures. Besides that, further improvements are required for both Schatzker and AO/OTA classification systems. PMID:28074894

  14. An outcome of surgical management of the tibial plateau fractures

    Directory of Open Access Journals (Sweden)

    Biju Ravindran

    2014-01-01

    Full Text Available Background: Advance in mechanization and acceleration of travel has been accompanied by an increase in number and severity of fractures and those of the tibial plateau are not an exception. As it is one of the major weight bearing joints of the body, fractures around it will be of at most importance. Aims: (1 To restore articular congruity and limb alignment by open reduction and rigid internal fixation. (2 To enable early knee motion and improve quadriceps and hamstring power. (3 To study the role of surgical treatment and functional outcome in tibial plateau fractures and its complications. Settings and Design: A prospective study was carried out, 32 cases of the tibial plateau fractures, which were admitted from August 2010 to April 2012 at Department of Orthopedics of our Hospital. Materials and Methods: 32 patients underwent surgical treatment for tibial plateau fractures. Fractures were classified according to the Schatzker′s system. The indications for surgery were defined as the presence of displacement, depression and instability being more than 4 mm, 10 mm and 10 degrees. The mean follow-up was 12 months. The selected patients were evaluated and were taken up for surgery. The indicated fractures were treated with closed reduction and internal fixation with percutaneous cannulated cancellous screws, external fixator, open reduction and internal fixation with buttress plate with or without bone grafting. The range of motion was started soon after surgery. The patients were advised nonweight bearing up to 6-8 weeks. Total weight bearing deferred until 12 weeks or complete union of fracture. Statistical Analysis: All parameters before and after the treatment were expressed in mean ± standard deviation and analyzed by the Student′s t-test using SPSS version 16. Results: The knee range of motion was excellent to very good and weight bearing after complete union was satisfactory. Malunion in two cases, knee stiffness in three

  15. Discrete Torsion and Symmetric Products

    CERN Document Server

    Dijkgraaf, R

    1999-01-01

    In this note we point out that a symmetric product orbifold CFT can be twisted by a unique nontrivial two-cocycle of the permutation group. This discrete torsion changes the spins and statistics of corresponding second-quantized string theory making it essentially ``supersymmetric.'' The long strings of even length become fermionic (or ghosts), those of odd length bosonic. The partition function and elliptic genus can be described by a sum over stringy spin structures. The usual cubic interaction vertex is odd and nilpotent, so this construction gives rise to a DLCQ string theory with a leading quartic interaction.

  16. Relative Entropy and Torsion Coupling

    CERN Document Server

    Lin, Feng-Li

    2016-01-01

    We evaluate the relative entropy on a ball region near the UV fixed point of a holographic conformal field theory deformed by a fermionic operator of nonzero vacuum expectation value. The positivity of the relative entropy considered here is implied by the expected monotonicity of decrease of quantum entanglement under RG flow. The calculations are done in the perturbative framework of Einstein-Cartan gravity in four-dimensional asymptotically anti-de Sitter space with a postulated standard bilinear coupling between axial fermion current and torsion. Our results however imply that the positivity of the relative entropy disfavors such a coupling.

  17. Simultaneous acute appendicitis with right testicular torsion

    Directory of Open Access Journals (Sweden)

    Tanveer Akhtar

    2012-01-01

    Full Text Available We present a child with both acute appendicitis and torsion of the right testis presenting at the same time. Testicular torsion possibly occurring due to vomiting in acute appendicitis so far has not been reported in the literature.

  18. Type IIB orientifolds with discrete torsion

    CERN Document Server

    Karp, R L; Witten, Louis; Karp, Robert L; Witten, Louis

    2001-01-01

    We consider compact four-dimensional ${\\bf Z_N}\\times {\\bf Z_M}$ type IIB orientifolds, for certain values of $N$ and $M$. We allow the additional feature of discrete torsion and discuss the modification of the consistency conditions arising from tadpole cancellation. We point out the differences between the cases with and without discrete torsion.

  19. Physeal growth arrest after tibial lengthening in achondroplasia

    OpenAIRE

    Song, Sang-Heon; Agashe, Mandar Vikas; Huh, Young-Jae; Hwang, Soon-Young; Song, Hae-Ryong

    2012-01-01

    Background and purpose Bilateral tibial lengthening has become one of the standard treatments for upper segment-lower segment disproportion and to improve quality of life in achondroplasia. We determined the effect of tibial lengthening on the tibial physis and compared tibial growth that occurred at the physis with that in non-operated patients with acondroplasia. Methods We performed a retrospective analysis of serial radiographs until skeletal maturity in 23 achondroplasia patients who und...

  20. 外固定架辅助复位结合微创钢板置入内固定修复复杂性胫腓骨粉碎性骨折%External fixation combined with minimally invasive plate fixation for complex tibial and fibular fracture

    Institute of Scientific and Technical Information of China (English)

    康国锋; 张光明; 王建炜; 梁英杰; 毕艳楠

    2011-01-01

    背景:高能量的胫腓骨粉碎性骨折常合并软组织损伤,若在内固定过程中复位方法不当可造成软组织的二次损伤;寻找一种既能达到稳定的内固定,又尽量避免加重软组织损伤的方法是骨科医生研究的目标.目的:观察应用临时外固定支架辅助复位结合微创钢板置入修复复杂性胫腓骨粉碎性骨折的临床疗效.方法:广州医学院附属广州市第一人民医院自2008-02/2010-03收治的复杂胫腓骨粉碎性骨折患者39例,在行微创内固定的同时采用临时外固定支架术中辅助复位,内固定安放牢固后拆除临时外固定.结果与结论:39例均获得随访,随访时间6~18个月.手术平均时间75 min,其中36例患者内固定后患肢肿胀程度轻,手术切口一期甲级愈合,2例患者伤口边缘水肿,结痂后瘢痕愈合,1例内固定后3个月出现急性骨髓炎,经保守抗炎治疗后恢复.未出现钉道感染、螺钉松动及切口感染、皮肤坏死、露骨露腱病例,依据AOFAS踝关节评分法,钢板置入半年后踝关节恢复情况:优29例,良8例,一般2例.踝关节屈伸活动范围≥30° 29例,20°~30° 8例,20°以下2例.%BACKGROUND:High-energy comminuted fracture of tibis and fibula is often associated with soft tissus injury, the improper reduction method during the operative process of internal fixation can cause secondary soft tissue damage, resulting in serious both to achieve stable internal fixation, and avoid aggravated soft tissue damage is the object of study for orthopaedic surgeon OBJECTIVE: To investigate the clinical therapeutic effect of external fixation combined with MIPO technology used in complex tibial and fibularfracture METHODS: Retrospective analysis was used in 39 cases of complex comminuted fracture of tibia and fibula selected from the temporary external fixation assisted reduction technology combined with MIPO technology used in all cases, and be removed after internal fixed

  1. Torsional optomechanics of a levitated nonspherical nanoparticle

    CERN Document Server

    Hoang, Thai M; Ahn, Jonghoon; Bang, Jaehoon; Robicheaux, F; Yin, Zhang-Qi; Li, Tongcang

    2016-01-01

    An optically levitated nanoparticle in vacuum is a paradigm optomechanical system for sensing and studying macroscopic quantum mechanics. While its center-of-mass motion has been investigated intensively, its torsional vibration has only been studied theoretically in limited cases. Here we report the first experimental observation of the torsional vibration of an optically levitated nonspherical nanoparticle in vacuum. We achieve this by utilizing the coupling between the spin angular momentum of photons and the torsional vibration of a nonspherical nanoparticle whose polarizability is a tensor. The torsional vibration frequency can be one order of magnitude higher than its center-of-mass motion frequency, which is promising for ground state cooling. With an ellipsoidal model, we propose a simple yet novel scheme to achieve ground state cooling of its torsional vibration with a linearly-polarized Gaussian cavity mode. A levitated nonspherical nanoparticle in vacuum will also be an ultrasensitive nanoscale tor...

  2. Torsion profiling of proteins using magnetic particles.

    Science.gov (United States)

    van Reenen, A; Gutiérrez-Mejía, F; van IJzendoorn, L J; Prins, M W J

    2013-03-05

    We report a method to profile the torsional spring properties of proteins as a function of the angle of rotation. The torque is applied by superparamagnetic particles and has been calibrated while taking account of the magnetization dynamics of the particles. We record and compare the torsional profiles of single Protein G-Immunoglobulin G (IgG) and IgG-IgG complexes, sandwiched between a substrate and a superparamagnetic particle, for torques in the range between 0.5 × 10(3) and 5 × 10(3) pN·nm. Both molecular systems show torsional stiffening for increasing rotation angle, but the elastic and inelastic torsion stiffnesses are remarkably different. We interpret the results in terms of the structural properties of the molecules. The torsion profiling technique opens new dimensions for research on biomolecular characterization and for research on bio-nanomechanical structure-function relationships.

  3. Optically probing torsional superelasticity in spider silks

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Bhupesh; Thakur, Ashish; Panda, Biswajit; Singh, Kamal P. [Department of Physical Sciences, IISER Mohali, Sector 81, Manauli, Mohali 140306 (India)

    2013-11-11

    We investigate torsion mechanics of various spider silks using a sensitive optical technique. We find that spider silks are torsionally superelastic in that they can reversibly withstand great torsion strains of over 10{sup 2−3} rotations per cm before failure. Among various silks from a spider, we find the failure twist-strain is greatest in the sticky capture silk followed by dragline and egg-case silk. Our in situ laser-diffraction measurements reveal that torsional strains on the silks induce a nano-scale transverse compression in its diameter that is linear and reversible. These unique torsional properties of the silks could find applications in silk-based materials and devices.

  4. Optically probing torsional superelasticity in spider silks

    Science.gov (United States)

    Kumar, Bhupesh; Thakur, Ashish; Panda, Biswajit; Singh, Kamal P.

    2013-11-01

    We investigate torsion mechanics of various spider silks using a sensitive optical technique. We find that spider silks are torsionally superelastic in that they can reversibly withstand great torsion strains of over 102-3 rotations per cm before failure. Among various silks from a spider, we find the failure twist-strain is greatest in the sticky capture silk followed by dragline and egg-case silk. Our in situ laser-diffraction measurements reveal that torsional strains on the silks induce a nano-scale transverse compression in its diameter that is linear and reversible. These unique torsional properties of the silks could find applications in silk-based materials and devices.

  5. Statefinder diagnostic in a torsion cosmology

    CERN Document Server

    Li, Xin-zhou; Xi, Ping

    2009-01-01

    We apply the statefinder diagnostic to the torsion cosmology, in which an accounting for the accelerated universe is considered in term of a Riemann-Cartan geometry: dynamic scalar torsion. We find that there are some typical characteristic of the evolution of statefinder parameters for the torsion cosmology that can be distinguished from the other cosmological models. Furthermore, we also show that statefinder diagnostic has a direct bearing on the critical points. The statefinder diagnostic divides the torsion parameter $a_1$ into differential ranges, which is in keeping with the requirement of dynamical analysis. In addition, we fit the scalar torsion model to ESSENCE supernovae data and give the best fit values of the model parameters.

  6. The importance of tibial alignment: finite element analysis of tibial malalignment.

    Science.gov (United States)

    Perillo-Marcone, A; Barrett, D S; Taylor, M

    2000-12-01

    The influence of the tibial plateau orientation on cancellous bone stress was examined by finite element analysis for a cemented device. The objectives of the study were i) to examine the effect of the plateau-ankle angle on the cancellous bone stress, ii) to analyze the significance of the anteroposterior angles of the tibial component on these stresses, and iii) to compare the finite element predictions with clinical data. In general, positioning the tibial plateau in valgus resulted in lower cancellous bone stresses. These results support previous clinical studies, which suggest that overall alignment in valgus results in lower migration rates and lower incidence of loosening.

  7. Hydroxyapatite-enhanced tibial prosthetic fixation.

    Science.gov (United States)

    Toksvig-Larsen, S; Jorn, L P; Ryd, L; Lindstrand, A

    2000-01-01

    Sixty-two knees (60 patients) were randomized to four noncemented groups. In Groups 1, 3, and 4, the bone cuts were made with a cooled saw blade. In Group 1, 15 patients were operated on with the porous coated Osteonic 7000 tibial component. In Group 2, 15 patients were operated on with the same tibial component as in Group 1 but with the use of a standard saw blade. In Group 3, 16 patients were operated on with the hydroxyapatite-coated Osteonic tibial component, and in Group 4, 16 patients were operated on with the hydroxyapatite Duracon tibial component. All patients were followed up clinically and with roentgenstereometric analysis. There were no differences among the groups regarding clinical outcome. One knee was revised (Group 2) after 1 year because of loosening of the tibial component. The maximum migration at 1 year was 1.7 mm in Group 1, 1.9 mm in Group 2, 1.3 mm in Group 3, and 1 mm in Group 4. At the 2-year followup, the migrations were 1.8 mm, 1.5 mm, 1.4 mm, and 1 mm in Groups 1, 2, 3, and 4, respectively. The inducible displacement that occurred at 1 year was 0.6 mm in Group 1, 0.5 mm in Group 2, 0.4 mm in Group 3, and 0.4 mm in Group 4. The hydroxyapatite coating had a strong positive effect on the tibial component fixation. No prosthesis in the hydroxyapatite groups showed continuous migration.

  8. Load along the tibial shaft during activities of daily living.

    Science.gov (United States)

    D'Angeli, V; Belvedere, C; Ortolani, M; Giannini, S; Leardini, A

    2014-03-21

    External load at the tibia during activities of daily living provides baseline measures for the improvement of the design of the bone-implant interface for relevant internal and external prostheses. A motion analysis system was used together with an established protocol with skin markers to estimate three-dimensional forces and moments acting on ten equidistant points along the tibial shaft. Twenty young and able-bodied volunteers were analysed while performing three repetitions of the following tasks: level walking at three different speeds, in a straight-line and with sudden changes of direction to the right and to the left, stair ascending and descending, squatting, rising from a chair and sitting down. Moment and force patterns were normalised to the percentage of body weight per height and body weight, respectively, and then averaged over all subjects for each point, about the three tibial anatomical axes, and for each task. Load patterns were found to be consistent over subjects, but different among the anatomical axes, tasks and points. Generally, moments were higher in the medio/lateral axis and influenced by walking speed. In all five walking tasks and in ascending stairs with alternating feet, the more proximal the point was the smaller the mean moment was. For the remaining tasks the opposite trend was observed. The overall largest value was observed in the medio/lateral direction at the ankle centre in level walking at high speed (9.1% body weight * height on average), nearly three times larger than that of the anterior/posterior axis (2.9) during level walking with a sidestep turn. The present results should be of value also for in-vitro mechanical tests and finite element models. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. Longitudinal tibial epiphyseal bracket in Nievergelt syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Burnstein, M.I.; De Smet, A.A.; Breed, A.L.; Thomas, J.R.; Hafez, G.R.

    1989-04-01

    A patient is described with lower extremity mesomelic dwarfism associated with bilateral congenital elbow, hip, and knee dislocations. Rhomboid-shaped tibiae and delayed ossification of the primary fibular ossification centers were demonstrated at birth. Plain films and magnetic resonance imaging revealed that the tibial deformities were due to the presence of longitudinal epiphyseal brackets. These brackets were observed at surgery and confirmed histologically. Recognition of the longitudinal epiphyseal bracket and its relationship to the tibial deformities seen in this patient with Nievergelt syndrome is important for planning surgical treatment. (orig.).

  10. Clinical and functional outcomes after operative management of Salter-Harris III and IV fractures of the proximal tibial epiphysis.

    Science.gov (United States)

    Hill, Brian W; Rizkala, Amir R; Li, Mengnai

    2014-09-01

    Pediatric proximal tibial epiphysis fractures are uncommon and have subsequently received little attention in terms of treatment and outcomes. We studied the clinical and functional outcomes of 13 patients with Salter-Harris III and IV fractures of the proximal tibial epiphysis after operative fixation. Associated meniscus, ligamentous, or neurovascular injury was present in 100% of this cohort. Provisional external fixation and locked plating spanning the open physis were used in the majority of cases. The mean clinical follow-up was 15.69 months, where all fractures progressed to union. Good functional outcomes with a low complication rate are possible after operative fixation of these infrequent injuries.

  11. Torsion balance for study on anisotropic magnetic characteristics of superconducting materials

    CERN Document Server

    Ashimov, S M

    2002-01-01

    Paper describes low-temperature torsion balances to investigate into magnetic features of superconductors under rotation or oscillation of axisymmetric specimen as to the external magnetic field. The facility enables to measure tau specimen applied torsion moments within 1-10 sup - sup 8 N m limit. Because of high sensitivity one applies two-layer permalloy screens enabling to cool down superconductor in <= 10 sup - sup 3 Oe field. One demonstrates the most essential potentialities of the technique when studying critical parameters and anisotropic magnetic features of superconductors

  12. Electrothermally-Actuated Micromirrors with Bimorph Actuators—Bending-Type and Torsion-Type

    Directory of Open Access Journals (Sweden)

    Cheng-Hua Tsai

    2015-06-01

    Full Text Available Three different electrothermally-actuated MEMS micromirrors with Cr/Au-Si bimorph actuators are proposed. The devices are fabricated with the SOIMUMPs process developed by MEMSCAP, Inc. (Durham, NC, USA. A silicon-on-insulator MEMS process has been employed for the fabrication of these micromirrors. Electrothermal actuation has achieved a large angular movement in the micromirrors. Application of an external electric current 0.04 A to the bending-type, restricted-torsion-type, and free-torsion-type mirrors achieved rotation angles of 1.69°, 3.28°, and 3.64°, respectively.

  13. Femoral Shaft Torsion in Injured and Uninjured Ballet Dancers and Its Association with Other Hip Measures: A Cross-sectional Study.

    Science.gov (United States)

    Hafiz, Eliza; Hiller, Claire E; Nicholson, Leslie L; Nightingale, Elizabeth J; Grimaldi, Alison; Refshauge, Kathryn M

    2016-03-01

    Low range femoral torsion, termed "lateral shaft torsion," has been associated with greater range of hip external rotation and turnout in dancers. It is also hypothesized that achieving greater turnout at the hip minimizes torsion at the knee, shank, ankle, and foot, and consequently reduces incidence of lower limb injuries. The primary aims of this study were to investigate: 1. differences in range of femoral shaft torsion between dancers with and without lower limb injuries; and 2. the relationship between femoral shaft torsion, hip external rotation range, and turnout. A secondary aim was to examine the relationship between femoral shaft torsion and other hip measures: hip strength, lower limb joint hypermobility, hip stability, and foot progression angle, as explanatory variables. Demographic, dance, and injury data were collected, along with physical measures of femoral shaft torsion, hip rotation range of motion, and turnout. Hip strength, control, lower limb hypermobility, and foot progression angle were also measured. Eighty female dancers, 50 with lower limb injury (20.7 ± 4.8 years of age) and 30 without lower limb injury (17.8 ± 4.1 years of age), participated in the study. There was no difference in range of femoral shaft torsion between the groups (p = 0.941). Femoral shaft torsion was weakly correlated with range of hip external rotation (r = -0.034, p = 0.384) and turnout (r = -0.066, p = 0.558). Injured dancers had a significantly longer training history than non-injured dancers (p = 0.001). It was concluded that femoral shaft torsion does not appear to be associated with the overall incidence of lower limb injury in dancers or to be a primary factor influencing extent of turnout in this population.

  14. Irreducible tibial pilon fracture caused by incarceration of the fibula in the tibial medullary canal.

    Science.gov (United States)

    Ellanti, Prasad; Hammad, Yassir; Kosutic, Damir; Grieve, Philip P

    2012-01-01

    Fractures can be irreducible for several reasons, including soft tissue or bone fragment interposition. We report an unusual fracture configuration of a comminuted tibial pilon fracture in which the distal fibular shaft fragment was occupying the medullary canal of the proximal tibial shaft fragment and inhibiting reduction and fixation. To the best of our knowledge, this has not been previously reported in a published study.

  15. A quasi-complete mechanical model for a double torsion pendulum

    CERN Document Server

    De Marchi, Fabrizio; Bassan, Massimo; De Rosa, Rosario; Di Fiore, Luciano; Garufi, Fabio; Grado, Aniello; Marconi, Lorenzo; Stanga, Ruggero; Stolzi, Francesco; Visco, Massimo

    2013-01-01

    We present a dynamical model for the double torsion pendulum nicknamed PETER, where one torsion pendulum hangs in cascade, but off-axis, from the other. The dynamics of interest in these devices lies around the torsional resonance, that is at very low frequencies (mHz). However, we find that, in order to properly describe the forced motion of the pendulums, also other modes must be considered, namely swinging and bouncing oscillations of the two suspended masses, that resonate at higher frequencies (Hz). Although the system has obviously 6+6 Degrees of Freedom, we find that 8 are sufficient for an accurate description of the observed motion. This model produces reliable estimates of the response to generic external disturbances and actuating forces or torques. In particular, we compute the effect of seismic floor motion (tilt noise) on the low frequency part of the signal spectra and show that it properly accounts for most of the measured low frequency noise.

  16. The Torsion of Spinor Connections and Related Structures

    Directory of Open Access Journals (Sweden)

    Frank Klinker

    2006-11-01

    Full Text Available In this text we introduce the torsion of spinor connections. In terms of the torsion we give conditions on a spinor connection to produce Killing vector fields. We relate the Bianchi type identities for the torsion of spinor connections with Jacobi identities for vector fields on supermanifolds. Furthermore, we discuss applications of this notion of torsion.

  17. Random torsional vibration in automobile transmissions

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    The action of a road profile to the torsional vibrations in automobile transmissions is studied. The model to calculate the random torsional vibrations in the transmissions is proposed and the values of the model parameters are determined by both computation and experiment. Furthermore, the dynamic characteristics and the responses of automobile transmissions to the random excitation of road profile are calculated. The results of road experiment demonstrate that the theoretic analyses and the calculation are correct, which imply that the low frequency torsional vibrations in automobile transmissions are caused by the random excitation of a road profile.

  18. Left-sided omental torsion: CT appearance

    Energy Technology Data Exchange (ETDEWEB)

    Aoun, N.; Haddad-Zebouni, S.; Slaba, S.; Ghossain, M. [Hotel-Dieu de France Hospital, Beirut (Lebanon). Dept. of Radiology; Noun, R. [Hotel-Dieu de France Hospital, Beirut (Lebanon). Dept. of General Surgery

    2001-01-01

    A 34-year-old male presented with exquisite left flank pain. Computed tomography showed a hyperdense vascular structure surrounded by whirling linear streaks situated in the greater omentum under the splenic flexure of the colon. Omental stranding extended caudally into the pelvis where part of the inflamed omentum entered a left inguinal hernia sac. Surgery revealed left-sided torsion of the greater omentum. Left-sided omental torsion is infrequent and pre-operative diagnosis is rarely established. The CT findings of an omental fatty mass with a whirling pattern is characteristic of omental torsion. Preoperative diagnosis is important because conservative management has been suggested. (orig.)

  19. Avaliação do ângulo de inclinação tibial e altura patelar após osteotomia tibial de abertura medial Assessment of tibial slope angle and patellar height after medial-opening tibial osteotomy

    Directory of Open Access Journals (Sweden)

    Alan de Paula Mozella

    2012-01-01

    Full Text Available OBJETIVO: Mensurar a variação do ângulo de inclinação tibial posterior e da altura patelar em pacientes submetidos à osteotomia valgizante tibial proximal com técnica de cunha de abertura medial. MÉTODOS: Foram analisadas radiografias panorâmicas de membros inferiores em anteroposterior e perfil do joelho pré e pós-operatórias de 46 pacientes com artrose unicompartimental do joelho, em que se realizou osteotomia tibial. RESULTADOS: Em 23 casos, utilizou-se fixador externo para confecção de cunha de abertura medial gradual e nos outros 23, foi utilizada placa bloqueada com batente como método de fixação. Foram excluídos deste estudo aqueles pacientes com doença tricompartimental do joelho e aqueles submetidos à osteotomias para tratamento de sequelas de fraturas. Após a cirurgia, a inclinação tibial proximal aumentou, em média, 1,7 graus (p OBJECTIVE: To measure the variation in posterior tibial slope angle and patellar height in patients who underwent proximal tibial valgus-producing osteotomy using the medial-opening wedge technique. METHODS: Anteroposterior panoramic radiographs of the lower limbs and lateral radiographs of the knee obtained before and after tibial valgus-producing osteotomy on 46 patients with unicompartmental arthrosis of the knee were analyzed. RESULTS: In 23 patients, an external fixator was used to gradually apply a medial-opening wedge; and in the other 23, a blocked plate with a stop bar was applied as a fixation method. Patients with tricompartmental knee disease and those who underwent osteotomy to treat fracture sequelae were excluded from this study. After surgery, the mean increase in the tibial slope was 1.7 degrees (p < 0.01 in the group in which the blocked plate with a stop bar was used; and 2.7 degrees (p < 0.05 in the group in which the external fixator was used. There was no statistical difference between the groups regarding the increase in the posterior tibial slope. CONCLUSION: The

  20. Landing strategies focusing on the control of tibial rotation in the initial contact period of one-leg forward hops.

    Science.gov (United States)

    Chen, W-L; Chen, Y-T; Huang, S-Y; Yang, C-Y; Wu, C-D; Chang, C-W

    2017-08-01

    Anterior cruciate ligament (ACL) reconstruction (ACLR) surgeries successfully restore anterior tibial translation but not tibial rotation. This study aimed to explore landing strategies focusing on the control of tibial rotation at landing when the ACL is most vulnerable. Three groups of male subjects (50 ACLRs, 26 basketball players, and 31 controls) participated in one-leg forward hop tests for determining the tibial rotatory landing strategies adopted during the initial landing phase. The differences in knee kinematics and muscle activities between internal and external tibial rotatory (ITR, ETR) landing strategies were examined. A higher proportion of basketball players (34.6%) were found to adopt ITR strategies (controls: 6.5%), exhibiting significantly greater hopping distance and knee strength. After adjusting for hopping distance, subjects adopting ITR strategies were found to hop faster with straighter knees at foot contact and with greater ITR and less knee adduction angular displacement during the initial landing phase. However, significantly greater angular displacement in knee flexion, greater medial hamstring activities, and greater co-contraction index of hamstrings and medial knee muscles were also found during initial landing. Our results support the importance of the recruitments of medial hamstrings or the local co-contraction in assisting the rotatory control of the knee during initial landing for avoiding ACL injuries. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Reconstruction of large tibial bone defects following osteosarcoma resection using bone transport distraction: A report of two cases

    Science.gov (United States)

    Yang, Zhengming; Jin, Libin; Tao, Huimin; Yang, Disheng

    2016-01-01

    The clinical efficiency of bone transport distraction osteogenesis in the reconstruction of large tibial defects following resection of osteosarcoma remains unclear. The current study presents two cases of large tibial defects treated with bone transport distraction using an Orthofix external fixator. Case 1 was a 29-year-old man with a tibial defect 11 cm in length, while case 2 was a 16-year-old girl with a 15-cm-long defect. Bone transport distraction osteogenesis was initiated for the both cases on day 14 following resection of the tibial osteosarcoma. Bone transport distraction in case 1 and 2 was continued for 16 and 28 months, respectively, and the patients were followed up for 51 and 56 months, respectively. The two patients did not exhibit any signs of tumor recurrence or tumor metastasis during the follow-up period. The Musculoskeletal Tumor Society functional scores at final follow-up visits were 22 and 18 for case 1 and 2, respectively. Based on the experience gained in these 2 cases, a bone transport is a viable option for the reconstruction of large tibial defects following osteosarcoma resection. PMID:27446450

  2. Influence of temperature changes on torsional rigidity and damping coefficient of rubber torsional vibration damper

    OpenAIRE

    Wojciech HOMIK

    2011-01-01

    The short explanation of usefulness of rubber torsional dampers in crankshaft in multi-cylinder engines is presented. The description of the construction and operation of rubber torsional damper is also included. In the rubber torsional damper, the damping is achieved as the effect of internal friction resulting from the deformation of the rubber material. This deformation appears while the internal rubber elasticity is overloaded. Both the physical and mechanical rubber properties depend on ...

  3. Analytic torsion versus Reidemeister torsion on hyperbolic 3-manifolds with cusps

    CERN Document Server

    Pfaff, Jonathan

    2012-01-01

    For a non-compact hyperbolic 3-manifold with cusps we prove an explicit formula that relates the regularized analytic torsion associated to the even symmetric powers of the standard representation of SL_2(C) to the corresponding Reidemeister torsion. Our proof rests on an expression of the analytic torsion in terms of special values of Ruelle zeta functions as well as on recent work of Pere Menal-Ferrer and Joan Porti.

  4. Failure Mode Analysis Of Torsion Shaft In Garrett-5 Engine Using Two Test Pieces

    Directory of Open Access Journals (Sweden)

    Rio Melvin Aro. T

    2014-08-01

    Full Text Available This work deals with “Failure Analysis of Internal splines in Torsion Shaft” of “TPE 331-5-252D - GARRET ENGINE” which is used in Dornier aircraft. Garret Engine is a type of air breathing engine. It comes under the category of Turboprop engines of Gas turbine engine. As separate shafts are used for propeller and turbine, this aids them to rotate at different RPM. A torsion shaft is used to transmit the torque from main shaft to propeller shaft. Torsion shaft is used to give a deflection which is also used to measure the torque of the engine. This torsion shaft is internally connected with the main power transmission shaft and its other end is coupled to a coupler shaft with engagement of its internal splines to the external splines of coupler shaft. Further this coupler connects to the gearing system and transmits power to the propeller shaft. Due to Continues variable load over internal splines, it is subjected to high rate of wear and tear. This problem can be rectified by Failure Mode Analysis Method, in which heat treatment process of torsion shaft is being carried out. Two test pieces are heat treated separately at different temperatures of 5800C and 5400C at variable time durations. Tuffriding which is a Liquid nitriding process is done with this two test pieces and results are analyzed. The hardness of the material is increased to desired values and its life time is also increased which overcomes the problem.

  5. High tibial slope correlates with increased posterior tibial translation in healthy knees.

    Science.gov (United States)

    Schatka, Imke; Weiler, Andreas; Jung, Tobias M; Walter, Thula C; Gwinner, Clemens

    2017-09-09

    Notwithstanding the importance of the tibial slope (TS) for anterior tibial translation, little information is available regarding the implications on posterior laxity, particularly in healthy subjects. It was hypothesized that increased TS is associated with decreased posterior tibial translation (PTT) in healthy knees. A total of 124 stress radiographs of healthy knees were enrolled in this study. Tibial slope and the posterior tibial translation were evaluated using a Telos device with a 150-N force at 90° of knee flexion. Two blinded observers reviewed independently on two different occasions. One hundred and twenty-four patients [35 females and 89 males; 41 (range 18-75) years] were enrolled in this study, with a mean PTT of 2.8 mm (±1.9 mm; range 0-8 mm) and a mean TS of 8.6° (±2.6°; range 1°-14°). Pearson correlation showed a significant correlation between the PTT and TS in the overall patient cohort (P < 0.0001) with r = 0.76 and R (2) = 0.58. There was no statistical difference between female and male patients regarding the PTT or the TS. Subgrouping of the patient cohort (four groups with n = 31) according to their TS (groups I < 7°; II = 7°-8.5°; III = 9°-10.5°; IV ≥ 11°) revealed significant differences between each subgroup, respectively. Furthermore, there was a weak but significant correlation between age and PTT (P = 0.004, r = 0.26). In addition to the substantial variance in tibial slope and posterior laxity among healthy knees, high tibial slope significantly correlates with increased posterior tibial translation. Increasing age is further associated with a greater magnitude of posterior tibial translation. Consequently, knowledge of the tibial slope facilitates simple estimation of posterior knee laxity, which is mandatory for PCL reconstruction and knee arthroplasty.

  6. Influence of temperature changes on torsional rigidity and damping coefficient of rubber torsional vibration damper

    Directory of Open Access Journals (Sweden)

    Wojciech HOMIK

    2011-01-01

    Full Text Available The short explanation of usefulness of rubber torsional dampers in crankshaft in multi-cylinder engines is presented. The description of the construction and operation of rubber torsional damper is also included. In the rubber torsional damper, the damping is achieved as the effect of internal friction resulting from the deformation of the rubber material. This deformation appears while the internal rubber elasticity is overloaded. Both the physical and mechanical rubber properties depend on temperature change. In cooperation with rubber dampers manufacturer the experimental investigations are made in order to establish the influence of temperature change on torsional stiffness and damping.

  7. Torsional Oscillation Characteristics of Rotary Shafts Based on Torsion and Bending Coupled Vibration

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The torsional oscillation characteristics on the bending and torsion coupled vibration of rotary shaft system were investigated using the elasto-dynamic theory and other mathematic methods, such as difference approach, Fourier transform, and wavelet transform. It is concluded that mass eccentricity and other exciting modalities affect the bending and torsion coupled vibration of rotary shafts. Torsional vibration caused by bending vibration features linearity along with the change of amplitude of bending vibration. Meanwhile, energy spectrum concentrates on high frequency area with the wavelet analysis.

  8. Dark Energy: Is It of Torsion Origin?

    CERN Document Server

    Wanas, M I

    2010-01-01

    {\\it "Dark Energy"} is a term recently used to interpret supernovae type Ia observation. In the present work we give two arguments on a possible relation between dark energy and torsion of space-time.

  9. Torsion and Supersymmetry in Omega-background

    CERN Document Server

    Ito, Katsushi; Sasaki, Shin

    2012-01-01

    We study the dimensional reduction of ten-dimensional super Yang-Mills theory in curved backgrounds with torsion. We examine the parallel spinor conditions and the constraints for the torsion parameters which preserve supersymmetry and gauge symmetry in four dimensions. In particular we examine the ten-dimensional Omega-background with the torsion which is identified with the R-symmetry Wilson line gauge fields. After the dimensional reduction, we obtain the Omega-deformed N=4 super Yang-Mills theory. Solving the parallel spinor conditions and the torsion constraints, we classify the deformed supersymmetry associated with the topological twist of N=4 supersymmetry. We also study deformed supersymmetries in the Nekrasov-Shatashvili limit.

  10. Superconducting Cosmic String with Propagating Torsion

    CERN Document Server

    Ferreira, C N; Garcia de Andrade, L C

    2000-01-01

    We show that it is possible to construct a consistent model describing a current-carrying cosmic string endowed with torsion. The torsion contribution to the gravitational force and geodesics of a test-particle moving around the SCCS are analyzed. In particular, we point out two interesting astrophysical phenomena in which the higher magnitude force we derived may play a critical role: the dynamics of compact objects orbiting the torsioned SCCS and accretion of matter onto it. The deficit angle associated to the SCCS can be obtained and compared with data from the Cosmic Background Explorer (COBE) satellite. We also derived a value for the torsion contribution to matter density fluctuations in the early Universe.

  11. Torsional fluctuations in columnar DNA assemblies

    CERN Document Server

    Lee, D J

    2005-01-01

    In columnar assemblies of helical bio-molecules the azimuthal degrees of freedom, i.e. rotations about the long axes of molecules, may be important in determining the structure of the assemblies especially when the interaction energy between neighbouring molecules explicitly depends on their relative azimuthal orientations. For DNA this leads to a rich variety of mesophases for columnar assemblies, each categorized by a specific azimuthal ordering. In a preceding paper [A. Wynveen, D. J. Lee, and A. A. Kornyshev, Eur. Phys. J. E, 16, 303 (2005)] a statistical mechanical theory was developed for the assemblies of torsionally rigid molecues in order to determine how thermal fluctuations influence the structure of these mesophases. Here we extend this theory by including torsional fluctuations of the molecules, where a DNA molecule may twist about its long axis at the cost of torsional elastic energy. Comparing this with the previous study, we find that inclusion of torsional fluctuations further increases the d...

  12. Polyorchidism with presumed contralateral intrauterine testicular torsion

    Directory of Open Access Journals (Sweden)

    B.M. Leodoro

    2014-01-01

    CONCLUSION: We describe a unique case of a 2-year-old boy with right-sided polyorchidism and an absent left testis associated with a blind ending vas deferens and testicular vessels, presumed secondary to intrauterine testicular torsion.

  13. Proximal tibial osteophytes and their relationship with the height of the tibial spines of the intercondylar eminence: paleopathological study

    Energy Technology Data Exchange (ETDEWEB)

    Hayeri, Mohammad Reza [Children' s National Medical Center, Department of Radiology, Washington, DC (United States); Shiehmorteza, Masoud; Trudell, Debra J.; Resnick, Donald [University of California San Diego, Department of Radiology, San Diego, CA (United States); Hefflin, Tori [Museum of Man San Diego, San Diego, CA (United States)

    2010-09-15

    Tibial spiking (i.e., spurring of tibial spines), eburnation, and osteophytes are considered features of osteoarthritis. This investigation employed direct inspection of the medial and lateral tibial plateaus in paleopathological specimens to analyze the frequency and morphological features of osteoarthritis and to define any relationship between the size of osteophytes and that of the intercondylar tibial spines. A total of 35 tibial bone specimens were evaluated for the degree of osteoarthritis and presence of eburnation. Each plateau was also divided into four quadrants and the presence and size of bone outgrowths were recorded in each quadrant. The ''medial/lateral tibial intercondylar spine index'' for each specimen was calculated as follows: (medial/lateral intercondylar tibial spine height)/(anteroposterior width of the superior tibial surface). The relationships between medial and lateral tibial height indexes with the degree of osteoarthritis were then tested. Osteophytes were observed more frequently in the anterior quadrants of both tibial plateaus than in the posterior quadrants (29 vs 16 for the medial tibial plateau [p = 0.01] and 28 vs 20 for the lateral tibial plateau [p = 0.04]). Eburnation was seen more frequently in the posterior regions of both tibial plateaus than in the anterior regions (17 vs 5, p < 0.01). In specimens with no signs of osteoarthritis the lateral intercondylar tibial index was significantly lower than that in specimens with some degree of osteoarthritis (p = 0.02). The medial intercondylar tibial index of the specimens with no signs of osteoarthritis was not significantly different from that of the specimens with some degree of osteoarthritis (p = 0.45). There was a positive correlation between the lateral spine height index and the overall grading of osteoarthritis, (r = 0.6, p < 0.01). In the anteromedial and posteromedial quadrants of the lateral tibial plateau, the association between the lateral

  14. Spin-torsion in Chaotic Inflation

    CERN Document Server

    Garcia de Andrade, L C

    1999-01-01

    The role of spin-torsion coupling to gravity is analyzed in the context of a model of chaotic inflation. The system of equations constructed from the Einstein-Cartan and inflaton field equations are studied and it is shown that spin-torsion interactions are effective only at the very first e-folds of inflation, becoming quickly negligible and, therefore, not affecting the standard inflationary scenario nor the density perturbations spectrum predictions.

  15. Case report of primary omental torsion

    Directory of Open Access Journals (Sweden)

    Jaisingh Shinde

    2015-01-01

    Full Text Available Omental torsion is an uncommon diagnosis for an acute abdomen. We present a case of a 45-year-old obese male who presented with acute pain on the right side of the abdomen for 2 days. Ultrasonography and computed tomography abdomen suggested an omental torsion, which was confirmed on laparoscopy. The omental infarct was resected, and the patient is asymptomatic for the past 15 months.

  16. Torsion and geometrostasis in covariant superstrings

    Energy Technology Data Exchange (ETDEWEB)

    Zachos, C.

    1985-01-01

    The covariant action for freely propagating heterotic superstrings consists of a metric and a torsion term with a special relative strength. It is shown that the strength for which torsion flattens the underlying 10-dimensional superspace geometry is precisely that which yields free oscillators on the light cone. This is in complete analogy with the geometrostasis of two-dimensional sigma-models with Wess-Zumino interactions. 13 refs.

  17. Torsion of Wandering Gallbladder following Colonoscopy

    Directory of Open Access Journals (Sweden)

    Sean R. Warfe

    2013-01-01

    Full Text Available Torsion of the gallbladder is an uncommon condition that may present as an acute abdomen. Its preoperative diagnosis can often be challenging due to its variable presentation, with specific sonographic signs seen infrequently. We describe, to our knowledge, the first case of torsion of a wandering gallbladder following a colonoscopy in a 69-year-old female who presented with acute abdominal pain after procedure. This was discovered intraoperatively, and after a subsequent cholecystectomy, she had an uncomplicated recovery.

  18. Torsional oscillations of strange stars

    Directory of Open Access Journals (Sweden)

    Mannarelli Massimo

    2014-01-01

    Full Text Available Strange stars are one of the hypothetical compact stellar objects that can be formed after a supernova explosion. The existence of these objects relies on the absolute stability of strange collapsed quark matter with respect to standard nuclear matter. We discuss simple models of strange stars with a bare quark matter surface, thus standard nuclear matter is completely absent. In these models an electric dipole layer a few hundreds Fermi thick should exist close to the star surface. Studying the torsional oscillations of the electrically charged layer we estimate the emitted power, finding that it is of the order of 1045 erg/s, meaning that these objects would be among the brightest compact sources in the heavens. The associated relaxation times are very uncertain, with values ranging between microseconds and minutes, depending on the crust thickness. Although part of the radiated power should be absorbed by the electrosphere surrounding the strange star, a sizable fraction of photons should escape and be detectable.

  19. Staged minimally invasive plate osteosynthesis of proximal tibial fractures with acute compartment syndrome.

    Science.gov (United States)

    Kim, Joon-Woo; Oh, Chang-Wug; Oh, Jong-Keon; Kyung, Hee-Soo; Park, Kyeong-Hyeon; Kim, Hee-June; Jung, Jae-Wook; Jung, Young-Soo

    2017-06-01

    High-energy proximal tibial fractures often accompany compartment syndrome and are usually treated by fasciotomy with external fixation followed by secondary plating. However, the initial soft tissue injury may affect bony union, the fasciotomy incision or external fixator pin sites may lead to postoperative wound infections, and the staged procedure itself may adversely affect lower limb function. We assess the results of staged minimally invasive plate osteosynthesis (MIPO) for proximal tibial fractures with acute compartment syndrome. Twenty-eight patients with proximal tibial fractures accompanied by acute compartment syndrome who underwent staged MIPO and had a minimum of 12 months follow-up were enrolled. According to the AO/OTA classification, 6 were 41-A, 15 were 41-C, 2 were 42-A and 5 were 42-C fractures; this included 6 cases of open fractures. Immediate fasciotomy was performed once compartment syndrome was diagnosed and stabilization of the fracture followed using external fixation. After the soft tissue condition normalized, internal conversion with MIPO was done on an average of 37 days (range, 9-158) after index trauma. At the time of internal conversion, the external fixator pin site grades were 0 in 3 cases, 1 in 12 cases, 2 in 10 cases and 3 in 3 cases, as described by Dahl. Radiographic assessment of bony union and alignment and a functional assessment using the Knee Society Score and American Orthopedic Foot and Ankle Society (AOFAS) score were carried out. Twenty-six cases achieved primary bony union at an average of 18.5 weeks. Two cases of nonunion healed after autogenous bone grafting. The mean Knee Society Score and the AOFAS score were 95 and 95.3 respectively, at last follow-up. Complications included 1 case of osteomyelitis in a patient with a grade IIIC open fracture and 1 case of malunion caused by delayed MIPO due to poor wound conditions. Duration of external fixation and the external fixator pin site grade were not related to the

  20. Tibial crest fracture correction after tibial tuberosity advancement (TTA using a modified TTA technique

    Directory of Open Access Journals (Sweden)

    Tiago Carmagnani Prada

    2015-06-01

    Full Text Available Corrective osteotomies are challenging techniques that require specialized training and acquisition of specific materials. Nevertheless, they have been increasingly studied and used in clinical routine in the world. Several variations on the model and the application technique have been developed and refined in search of the improvement of surgical techniques and development of implants more affordable to purchase. The tibial tuberosity advancement (TTA consists on stabilization of tibial plateau perpendicular to the patellar tendon through the tibial tuberosity advancement. Our goal is to report a surgical complication of fracture of the tibial crest after TTA procedure. A dog with a confirmed diagnosis of rupture of the cranial cruciate ligament (CCLR was operated using conventional technique of TTA. After 3 days of surgery, the same animal had a fracture of the proximal tibial crest. The animal was sent back to surgery and was used a variation of TTA technique, with autologous iliac wing and three cortical screws. This variation of the technique was able to replace the original technique successfully.

  1. [Magnetic resonance imaging of tibial periostitis].

    Science.gov (United States)

    Meyer, X; Boscagli, G; Tavernier, T; Aczel, F; Weber, F; Legros, R; Charlopain, P; Martin, J P

    1998-01-01

    Tibial periostitis frequently occurs in athletes. We present our experience with MRI in a series of 7 patients (11 legs) with this condition. The clinical presentation and scintigraphic scanning suggested the diagnosis. MRI exploration of 11 legs demonstrated a high band-like juxta-osseous signal enhancement of SE and IR T2 weighted sequences in 6 cases, a signal enhancement after i.v. contrast administration in 4. Tibial periostitis is a clinical diagnosis and MRI and scintigraphic findings can be used to assure the differential diagnosis in difficult cases with stress fracture. MRI can visualize juxta-osseous edematous and inflammatory reactions and an increased signal would appear to be characteristic when the band-like image is fixed to the periosteum.

  2. Finite element analysis of tibial fractures

    DEFF Research Database (Denmark)

    Wong, Christian Nai En; Mikkelsen, Mikkel Peter W; Hansen, Leif Berner

    2010-01-01

    INTRODUCTION: Fractures of the tibial shaft are relatively common injuries. There are indications that tibial shaft fractures share characteristics in terms of site, type and local fracture mechanisms. In this study, we aimed to set up a mathematical, computer-based model using finite element...... analysis of the bones of the lower leg to examine if such a model is adequate for prediction of fracture locations and patterns. In future studies, we aim to use these biomechanical results to examine fracture prevention, among others, and to simulate different types of osteosynthesis and the process...... of bony healing. The biomechanical results are the basis for fracture healing, biomechanical fall analysis and stability analysis of osteosynthesis. MATERIAL AND METHODS: A finite element model of the bony part of the lower leg was generated on the basis of computed tomography data from the Visible Human...

  3. Anterior Tibial Artery Pseudoaneurysm: Case Report

    Directory of Open Access Journals (Sweden)

    Funda Tor

    2012-06-01

    Full Text Available The aneurysmsatic changes of the infrapopliteal arteries are rarely seen. They are pseudoaneurysms rather than true aneursyms. The most important cause of them is trauma. There is not a standart treatment for infrapopliteal aneursyms. In this study, we have evaluated a case operated for anterior tibial artery pseudoaneurysm developed after penetrant trauma and diagnosed two weeks later. [Cukurova Med J 2012; 37(3.000: 172-175

  4. Tibial forces measured in vivo after total knee arthroplasty.

    Science.gov (United States)

    D'Lima, Darryl D; Patil, Shantanu; Steklov, Nikolai; Slamin, John E; Colwell, Clifford W

    2006-02-01

    An instrumented tibial prosthesis was developed to measure forces in vivo after total tibial arthroplasty. This prosthesis was implanted in a 67-kg, 80-year-old man. The prosthesis measured forces at the 4 quadrants of the tibial tray. Tibial forces were measured postoperatively during rehabilitation, rising from a chair, standing, walking, and climbing stairs. By the sixth postoperative week, the peak tibial forces during walking averaged 2.2 times body weight (BW). Stair climbing increased from 1.9 times BW on day 6 to 2.5 times BW at 6 weeks. This represents the first direct in vivo measurement of tibial forces, which should lead to refined surgical techniques and enhanced prosthetic designs. Technical design improvements will enhance function, quality of life, and longevity of total knee arthroplasty.

  5. Wedged tibial components for total knee arthroplasty.

    Science.gov (United States)

    Jeffery, R S; Orton, M A; Denham, R A

    1994-08-01

    Severe coronal deformity of the knee is frequently associated with erosion of one tibial condyle. This can cause problems with fixation and alignment during total knee arthroplasty. If the tibia is cut to the level of the more worn side, valuable bone is sacrificed; if the less worn side is chosen, the deficiency must be filled with bone--graft, cement, or a prosthesis. Tibial components with an integral polyethylene wedge on the undersurface were introduced in 1980 for use in patients with a bony deficit on one tibial condyle. The authors believe that the Denham prosthesis (Biomet, Wales, U.K.) was the first knee arthroplasty to offer such spacers. Twenty-six patients with preoperative varus deformity in whom a wedged component was used were compared with 29 historic control subjects. None of the wedged components loosened after a median follow-up period of 8 years compared with loosening in five of the control subjects (P = .01). In three of the control subjects a fractured triangle of cement was present on the radiographs. Use of the wedges was not accompanied by an improvement in postoperative alignment. The authors conclude that the wedges resulted in improved fixation that was independent of postoperative alignment.

  6. Tibial Tubercle Osteotomy: Indication and Techniques.

    Science.gov (United States)

    Grawe, Brian; Stein, Beth Shubin

    2015-08-01

    Osteotomy of the tibial tubercle is a versatile procedure that can be utilized for several common pathologies about the patellofemoral joint. Most commonly, tuberosity transfer is employed for the treatment of patellar instability or symptomatic overload of the patella. The osteotomy can be combined with soft tissue realignment procedures or cartilage reconstructive techniques. A precise understanding of the surgical anatomy and the biomechanics of the patellofemoral articulation is essential for producing a successful outcome during surgery. Tailoring the direction of transfer to the pathoanatomy of each patient is critical for producing a durable and lasting result following a tibial tubercle osteotomy. When evaluating a patient for a possible transfer, a thorough history and physical evaluation must be undertaken, along with imaging to the patellofemoral joint. Several useful advanced imaging techniques can also be used to guide the surgeon toward the most appropriated osteotomy for the patient. The purpose of this article is to review the indications for performing a tibial tubercle osteotomy, and highlighting the various techniques for transfer.

  7. Systematic radiographic evaluation of tibial hemimelia with orthopedic implications

    Energy Technology Data Exchange (ETDEWEB)

    Kaplan-List, Katia [Rochester General Hospital, Department of Diagnostic Imaging, Rochester, NY (United States); Klionsky, Nina B. [University of Rochester Medical Center, School of Medicine and Dentistry, Rochester, NY (United States); Golisano Children' s Hospital, Department of Radiology, Rochester, NY (United States); Sanders, James O. [University of Rochester Medical Center, School of Medicine and Dentistry, Rochester, NY (United States); Golisano Children' s Hospital, Department of Orthopaedics, Rochester, NY (United States); Golisano Children' s Hospital, Department of Pediatrics, Rochester, NY (United States); Katz, Michael E. [St. Mary' s Medical Center and Palm Beach Children' s Hospital, Department of Radiology, West Palm Beach, FL (United States)

    2017-04-15

    Tibial hemimelia is a rare lower-extremity pre-axial longitudinal deficiency characterized by complete or partial absence of the tibia. The reported incidence is 1 in 1 million live births. In this pictorial essay, we define tibial hemimelia and describe associated conditions and principles of preoperative imaging assessment for a child with tibial hemimelia. We also indicate the imaging findings that might influence the choice of treatment, describe the most widely used classification systems, and briefly discuss current treatment approaches. (orig.)

  8. Histological Analysis of the Tibial Anterior Cruciate Ligament Insertion

    OpenAIRE

    Siebold, Rainer; Oka, Shinya; Traut, Ulrike; Schuhmacher, Peter; Kirsch, Joachim

    2017-01-01

    Objective: To describe the morphology of the tibial ACL insertion by histological assessment in the sagittal plane. Methods: For histology the native (undissected) tibial ACL insertion of 6 fresh-frozen cadaveric knees was cut into 4 sagittal sections parallel to the long axis of the medial tibial spine. The slices were stained with hematoxylin and eosin, Safranin O and Russell-Movat pentachrome. All slices were digitalized and analyzed at a magnification of ?20. Results: From medial to later...

  9. Torsional Oscillations in Automotive Transmissions: Experimental Analysis and Modelling

    Directory of Open Access Journals (Sweden)

    Enrico Galvagno

    2016-01-01

    Full Text Available The paper investigates the torsional oscillations of an automotive transmission system by means of an experimental test bench used to validate the proposed lumped parameter model. The rig consists of a Dual Clutch Transmission (DCT and a Manual Transmission (MT connected through the respective output shafts, while the excitation is provided by two electric motors, which are controlled in speed or torque. The experimental analysis includes the measurement of the external torques, applied by the two electric motors to the mechanical system, and the measurement of the system response in terms of angular speeds at different positions along the transmission line. The frequency response of the system is estimated from the experimental data and compared with the results of a 5-degree-of-freedom lumped parameter model, which proves to be adequate to describe the dynamic behaviour of the system up to a frequency of 200 Hz. The comparison between simulated results and experimental data shows good agreement, so the model can be used to predict the torsional vibrations of the transmission system in the linear field. Moreover, the effects of the nonlinearities associated with the mean value of the excitations are shown. Finally the influence of the selected gear ratio on the experimental frequency response is discussed.

  10. Einstein-Cartan Gravity with Torsion Field Serving as Origin for Cosmological Constant or Dark Energy Density

    CERN Document Server

    Ivanov, A N

    2016-01-01

    We analyse the Einstein-Cartan gravity in its standard form cal-R = R + cal-K^2, where cal-R and R are the Ricci scalar curvatures in the Einstein-Cartan and Einstein gravity, respectively, and cal-K^2 is the quadratic contribution of torsion in terms of the contorsion tensor cal-K. We treat torsion as an external (or a background) field and show that the contribution of torsion to the Einstein equations can be interpreted in terms of the torsion energy-momentum tensor, local conservation of which in a curved spacetime with an arbitrary metric or an arbitrary gravitational field demands a proportionality of the torsion energy--momentum tensor to a metric tensor, a covariant derivative of which vanishes because of the metricity condition. This allows to claim that torsion can serve as origin for vacuum energy density, given by cosmological constant or dark energy density in the Universe. This is a model-independent result may explain a small value of cosmological constant, which is a long--standing problem of ...

  11. Radiographic features of the development of the anterior tibial tuberosity.

    Science.gov (United States)

    Vergara-Amador, E; Davalos Herrera, D; Moreno, L Á

    2016-01-01

    Few studies have evaluated the radiologic characteristics of the development of the anterior tibial tuberosity. This study aimed to evaluate the radiologic characteristics of the anterior tibial tuberosity in a pediatric population broken down into age groups. We assessed 210 plain-film X-rays of the knee from patients aged from 10 to 17 years, divided into groups according to age and sex, for the presence of ossification of the anterior tibial tuberosity, the distance between the anterior tibial tuberosity and the metaphysis, and fusion with the epiphysis. At 10 years of age, the anterior tibial tuberosity was ossified in 50% of the girls but in only 25% of the boys. In all the girls, the anterior tibial tuberosity was ossified at 11 years, fusion of the anterior tibial tuberosity with the epiphysis had started at 12 years, and fusion was complete by 17 years. In boys, the process is delayed by one year compared to girls. A single center of ossification was found in all cases. The ossification of the anterior tibial tuberosity starts distally, then the proximal part fuses with the rest of the epiphysis, and finally the distal part fuses with the tibia. The results of this study help enable a better analysis of the anterior tibial tuberosity in cases of knee pain. Copyright © 2016 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.

  12. Torsion-mediated interaction between adjacent genes.

    Directory of Open Access Journals (Sweden)

    Sam Meyer

    2014-09-01

    Full Text Available DNA torsional stress is generated by virtually all biomolecular processes involving the double helix, in particular transcription where a significant level of stress propagates over several kilobases. If another promoter is located in this range, this stress may strongly modify its opening properties, and hence facilitate or hinder its transcription. This mechanism implies that transcribed genes distant of a few kilobases are not independent, but coupled by torsional stress, an effect for which we propose the first quantitative and systematic model. In contrast to previously proposed mechanisms of transcriptional interference, the suggested coupling is not mediated by the transcription machineries, but results from the universal mechanical features of the double-helix. The model shows that the effect likely affects prokaryotes as well as eukaryotes, but with different consequences owing to their different basal levels of torsion. It also depends crucially on the relative orientation of the genes, enhancing the expression of eukaryotic divergent pairs while reducing that of prokaryotic convergent ones. To test the in vivo influence of the torsional coupling, we analyze the expression of isolated gene pairs in the Drosophila melanogaster genome. Their orientation and distance dependence is fully consistent with the model, suggesting that torsional gene coupling may constitute a widespread mechanism of (coregulation in eukaryotes.

  13. Ultimate Strength of Ship Hulls under Torsion

    DEFF Research Database (Denmark)

    Paik, Jeom Kee; Thayamballi, Anil K.; Pedersen, Preben Terndrup

    2001-01-01

    For a ship hull with large deck openings such as container vessels and some large bulk carriers, the analysis of warping stresses and hatch opening deformations is an essential part of ship structural analyses. It is thus of importance to better understand the ultimate torsional strength characte......For a ship hull with large deck openings such as container vessels and some large bulk carriers, the analysis of warping stresses and hatch opening deformations is an essential part of ship structural analyses. It is thus of importance to better understand the ultimate torsional strength...... characteristics of ships with large hatch openings. The primary aim of the present study is to investigate the ultimate strength characteristics of ship hulls with large hatch openings under torsion. Axial (warping) as well as shear stresses are normally developed for thin-walled beams with open cross sections...... analyses, it is shown that the influence of torsion induced warping stresses on the ultimate hull girder bending strength is small for ductile hull materials while torsion induced shear stresses will of course reduce the ship hull ultimate bending moment....

  14. Metric-torsion preheating: cosmic dynamo mechanism?

    CERN Document Server

    de Andrade, L C Garcia

    2014-01-01

    Earlier Bassett et al [Phys Rev D 63 (2001) 023506] investigated the amplification of large scale magnetic fields during preheating and inflation in several different models. They argued that in the presence of conductivity resonance effect is weakened. From a dynamo equation in spacetimes endowed with torsion recently derived by Garcia de Andrade [Phys Lett B 711: 143 (2012)] it is shown that a in a universe with pure torsion in Minkowski spacetime the cosmological magnetic field is enhanced by ohmic or non-conductivity effect, which shows that the metric-torsion effects is worth while of being studied. In this paper we investigated the metric-torsion preheating perturbation, which leads to the seed cosmological magnetic field in the universe with torsion is of the order of $B_{seed}\\sim{10^{-37}Gauss}$ which is several orders of magnitude weaker than the decoupling value obtained from pure metric preheating of $10^{-15}Gauss$. Despite of the weakness of the magnetic field this seed field may seed the galact...

  15. On the relationship between tibia torsional deformation and regional muscle contractions in habitual human exercises in vivo.

    Science.gov (United States)

    Yang, Peng-Fei; Kriechbaumer, Andreas; Albracht, Kirsten; Sanno, Maximilian; Ganse, Bergita; Koy, Timmo; Shang, Peng; Brüggemann, Gert-Peter; Müller, Lars Peter; Rittweger, Jörn

    2015-02-05

    The mechanical relationship between bone and muscle has been long recognized. However, it still remains unclear how muscles exactly load on bone. In this study, utilizing an optical segment tracking technique, the in vivo tibia loading regimes in terms of tibia segment deformation in humans were investigated during walking, forefoot and rear foot stair ascent and running and isometric plantar flexion. Results suggested that the proximal tibia primarily bends to the posterior aspect and twists to the external aspect with respect to the distal tibia. During walking, peak posterior bending and peak torsion occurred in the first half (22%) and second half (76%) of the stance phase, respectively. During stair ascent, two noticeable peaks of torsion were found with forefoot strike (38% and 82% of stance phase), but only one peak of torsion was found with rear foot strike (78% of stance phase). The torsional deformation angle during both stair ascent and running was larger with forefoot strike than rear foot strike. During isometric plantar flexion, the tibia deformation regimes were characterized more by torsion (maximum 1.35°) than bending (maximum 0.52°). To conclude, bending and torsion predominated the tibia loading regimes during the investigated activities. Tibia torsional deformation is closely related to calf muscle contractions, which further confirm the notion of the muscle-bone mechanical link and shift the focus from loading magnitude to loading regimes in bone mechanobiology. It thus is speculated that torsion is another, yet under-rated factor, besides the compression and tension, to drive long bone mechano-adaptation.

  16. Experiences and lessons about soft-tissue flaps covering of severe open tibial fracture

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Objective: To sum up experiences and lessons about management of soft-tissue reconstruction in open tibial fracture over a 6-year period.Methods: Twenty-two flap reconstructions were performed to treat soft-tissue defect of 22 patients with open tibial fracture Type IIIB (Gustilo) from 1993 to 1998. The cases were analyzed and discussed retrospectively after follow up of 12-61 months.Results: The size of the flap ranged from 6.6 cm2 to 28.18 cm2 and the rate of flap failure was 13.6%. Besides, 3 partial necrosis and 2 postoperative infections occurred in this series.Conclusions: For soft tissuedefect of delayed open tibial fracture Type HIB, flap reconstruction is still an optimal option. The experiences we obtained are ① to design a triangular skin extension or a small Z-plasty over the pedicle to reduce the flap tension; ② to select a unilateral external fixation to provide convenience for anysecondary manipulation; and ③ to use serial debridementto diminish flap failure. de

  17. Application of Minimally Invasive Treatment of Locking Compression Plate in SchatzkerⅠ~Ⅲ Tibial Plateau Fracture

    Institute of Scientific and Technical Information of China (English)

    Zhao Guohui

    2014-01-01

    Objective:To investigate the clinical effect of minimally invasive treatment of locking compression plate (LCP) in SchatzkerⅠ~Ⅲ tibial plateau fracture. Methods: Thirty-eight patients with SchatzkerⅠ~Ⅲtibial plateau fracture in our hospital were given minimally invasive treatment of LCP, and the artificial bone was transplanted to the depressed bone. Adverse responses, wound healing time and clinical efifcacy were observed. Results:All patients were followed-up for 14~20 months, and the mean duration was 16 months. Within 1 week after operation, 1 patient suffered from short-term rejection reaction to artiifcial bone, but he healed after corresponding measures were taken. There were no complications like skin necrosis and externally-exposed steel plate among the patients. In addition, all fractures were recovered, and the recovery time was 2.6~4.1 months, with the mean duration being 3.4 months. The recovery of knee function was favorable, in which 20 cases were excellent, 14 were good, and 4 were general. The excellent and good rate was 89.5%. Conclusion: Minimally invasive treatment of LCP for SchatzkerⅠ~Ⅲ tibial plateau fracture can reduce the postoperative relocation loss, and has small trauma and stable ifxation.

  18. Active structures to reduce torsional vibrations

    Science.gov (United States)

    Matthias, M.; Schlote, D.; Atzrodt, H.

    2013-03-01

    This paper describes the development of different active measures to reduce torsional vibrations in power trains. The measures are based on concepts developed for active mounts to reduce the transmission of structure-borne sound. To show the potential of these active measures and investigate their mode of operation to influence torsional vibrations, numerical simulations of powertrains with different active measures were done. First experimental results from tests on an experimental (reduced size) power train were used to align the numerical models. The work was done within the project 'LOEWE-Zentrum AdRIA: Adaptronik - Research, Innovation, Application' funded by the German federal state of Hessen, and the Project AKTos: 'Active control of torsional vibrations by coupling elements' placed in the research Framework program 'Navigation and Maritime Technology for the 21st Century' funded by the German Federal Ministry of Economics and Technology.

  19. Torsional rigidity of submanifolds with controlled geometry

    DEFF Research Database (Denmark)

    Hurtado, Ana; Markvorsen, Steen; Palmer, Vicente

    2009-01-01

    We prove explicit upper and lower bounds for the torsional rigidity of extrinsic domains of submanifolds ^m$ with controlled radial mean curvature in ambient Riemannian manifolds ^n$ with a pole $ and with sectional curvatures bounded from above and from below, respectively. These bounds are given...... in terms of the torsional rigidities of corresponding Schwarz symmetrizations of the domains in warped product model spaces. Our main results are obtained using methods from previously established isoperimetric inequalities, as found in e.g. [MP4] and [MP5]. As in [MP4] we also characterize the geometry...... of those situations in which the bounds for the torsional rigidity are actually attained and study the behavior at infinity of the so-called geometric average of the mean exit time for Brownian motion....

  20. Clinical variants of idiopathic torsion dystonia.

    Science.gov (United States)

    Fahn, S

    1989-06-01

    Some patients with dystonic movements and postures not known to be caused by environmental or degenerative disorders can be segregated from classical-appearing idiopathic torsion dystonia on the basis of distinctive clinical and pharmacologic features. Many of them should be considered within the family of dystonia, as clinical variants of idiopathic torsion dystonia, while others are better classified as being part of other families of dyskinesias. In the former group are paradoxical dystonia, myoclonic dystonia, diurnal dystonia, and dopa-responsive dystonia. The latter group consists of dystonic tics and the various entities comprising paroxysmal dystonia, namely kinesigenic, nonkinesigenic and hypnogenic dystonia.

  1. Ventricular torsional relation to ventricular fiber arrangement

    CERN Document Server

    Ranjbar, Saeed; Meybodi, Mahmood Emami

    2014-01-01

    Left ventricular torsion from helically oriented myofibers is a key parameter of cardiac performance. Physicians observing heart motion on echocardiograms, during cardiac catheterization, or in the operating room, are impressed by the twisting or rotary motion of the left ventricle during systole. Conceptually, the heart has been treated as a pressure chamber. The rotary or torsional deformation has been poorly understood by basic scientists and has lacked clinical relevance. The aim of this paper attempts to discuss about this question: Is ventricular twisting related to ventricular fiber arrangement? That is dependent to an assumed model of the left ventricular structure.

  2. Torsional Performance of Wind Turbine Blades

    DEFF Research Database (Denmark)

    Branner, Kim; Berring, Peter; Berggreen, Christian

    2007-01-01

    The present work investigates how well different finite element modeling techniques can predict bending and torsion behavior of a wind turbine blade. Two shell models are investigated. One model has element offsets and the other has the elements at the mid-thickness surfaces of the model. The last...... two models investigated use a combination of shell and solid elements. The results from the numerical investigations are compared with measurements from testing of a section of a full-scale wind turbine blade. It is found that only the combined shell/solid models give reliable results in torsion. Both...

  3. Torsion Part of ℤ-module

    Directory of Open Access Journals (Sweden)

    Futa Yuichi

    2015-12-01

    Full Text Available In this article, we formalize in Mizar [7] the definition of “torsion part” of ℤ-module and its properties. We show ℤ-module generated by the field of rational numbers as an example of torsion-free non free ℤ-modules. We also formalize the rank-nullity theorem over finite-rank free ℤ-modules (previously formalized in [1]. ℤ-module is necessary for lattice problems, LLL (Lenstra, Lenstra and Lovász base reduction algorithm [23] and cryptographic systems with lattices [24].

  4. Torsion theories of pseudo-regular S-systems

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    The concept of pseudo-regular S-system is introduced. A torsion theory τu = ( Us, Us) with its torsion class Us consisting of pseudo-regular S-systems is constructed. Its corresponding quasi-filter is completely described. A number of results on the relations between τu and two special torsion theories, the stable and Larnbek torsion theories, are obtained.

  5. Posterior cruciate ligament's tibial insertions: topographic anatomy and morphometric study

    Directory of Open Access Journals (Sweden)

    Julio Cesar Gali

    2013-06-01

    Full Text Available OBJECTIVE: To provide anatomical and morphometric basis of the posterior cruciate ligament's tibial insertions in order to assist the creation of anatomical tibial tunnels, in the ligament surgical reconstruction. MATERIAL AND METHODS: The topographic anatomy and morphometry of the posterior cruciate ligament's anterolateral and posteromedial bundles' tibial insertions were analyzed in 24 anatomical knee pieces. The pieces were photographed by a digital camera and the images obtained were studied by the software ImageJ, where the bundles' insertion areas were measured in square millimeters, and the length of structures and the distances between significant points were measured in millimeters. RESULTS: In 54.2% of the knees the insertion' shape was concave; in most pieces (41.6% the form of insertion was oval. The average posterior cruciate ligament's tibial insertion total area was 88.33 ± 21.66 mm2; the average anterolateral bundle's tibial insertion area was 46.79 ± 14.10 mm2 and it was 41.54 ± 9.75 mm2 for the posteromedial bundle. CONCLUSIONS: The anterolateral bundle has a tibial insertion area larger than the posteromedial bundle; the insertion areas of those bundles in our study, were smaller than the ones found in the literature. The variations in the posterior cruciate ligament's tibial insertion area suggest that there should be an indication for anatomical reconstructions of this ligament using single or double tibial tunnels according to individual characteristics.

  6. The soleal line: a cause of tibial pseudoperiostitis.

    Science.gov (United States)

    Levine, A H; Pais, M J; Berinson, H; Amenta, P S

    1976-04-01

    An unusually prominent soleal line (a normal anatomic variant) may mimic periosteal reaction along the posterior margin of the proximal tibial shaft. This area of pseudoperiostitis is differentiated from hyperostoses arising from the anterior tibial tubercle and the interosseous membrane. It is always associated with normal, undisturbed architecture of the underlying bone.

  7. Clinical results of reversed V-shaped high tibial corticotomy with minimally invasive surgery without internal fixation devices.

    Science.gov (United States)

    Madadi, Firooz; Eajazi, Alireza; Madadi, Firoozeh; Daftari Besheli, Laleh; Rokni, Reza; Abbasian, Mohammad Reza; Bigdeli, Mohammad Reza

    2010-06-09

    High tibial osteotomy is a method of treating knee osteoarthritis due to genu varum in advanced stages. High tibial osteotomy-associated problems continue to be reported. The purpose of this study was to investigate the clinical results of a new, innovative method of high tibial osteotomy with 3- to 13-year follow-up. Between 1996 and 2006, our new surgical method was performed on 293 patients with medial compartment osteoarthritis and genu varum. All patients were examined preoperatively, 6 months postoperatively, and at final follow-up. The Hospital for Special Surgery Knee Scoring System (HSS) was used at final follow-up, and limb alignment and patient satisfaction were reassessed. Immediate postoperative complications included varus recurrence, knee instability, and peroneal nerve palsy, and no signs of tibial nonunion or infection were observed. At final follow-up, 3 cases of genu recurvatum, 2 cases of peroneal nerve palsy, and 25 cases of loss of correction were observed. Average postoperative HSS score was 85 (range, 47-97), and 97.8% of the patients were satisfied. This new method is a good alternative for the correction of genu varum because it requires a small incision, is soft tissue friendly, is a corticotomy instead of an osteotomy, requires no internal or external fixation devices, has a shorter duration and an acceptable complication and recurrence rate, and results in satisfactory HSS scores and higher patient satisfaction rates.

  8. Histological analysis of the tibial anterior cruciate ligament insertion.

    Science.gov (United States)

    Oka, Shinya; Schuhmacher, Peter; Brehmer, Axel; Traut, Ulrike; Kirsch, Joachim; Siebold, Rainer

    2016-03-01

    This study was performed to investigate the morphology of the tibial anterior cruciate ligament (ACL) by histological assessment. The native (undissected) tibial ACL insertion of six fresh-frozen cadaveric knees was cut into four sagittal sections parallel to the long axis of the medial tibial spine. For histological evaluation, the slices were stained with haematoxylin and eosin, Safranin O and Russell-Movat pentachrome. All slices were digitalized and analysed at a magnification of 20×. The anterior tibial ACL insertion was bordered by a bony anterior ridge. The most medial ACL fibres inserted from the medial tibial spine and were adjacent to the articular cartilage of the medial tibial plateau. Parts of the bony insertions of the anterior and posterior horns of the lateral meniscus were in close contact with the lateral part of the tibial ACL insertion. A small fat pad was located just posterior to the functional ACL fibres. The anterior-posterior length of the medial ACL insertion was an average of 10.8 ± 1.1 mm compared with the lateral, which was only 6.2 ± 1.1 mm (p flat and 'c-shaped' way. The most anterior part of the tibial ACL insertion was bordered by a bony anterior ridge and the most medial by the medial tibial spine. No posterolateral fibres nor ACL bundles have been found histologically. This histological investigation may improve our understanding of the tibial ACL insertion and may provide important information for anatomical ACL reconstruction.

  9. A 2-year prospective study of patient-relevant outcomes in patients operated on for knee osteoarthritis with tibial osteotomy

    Directory of Open Access Journals (Sweden)

    Toksvig-Larsen Sören

    2005-04-01

    Full Text Available Abstract Background Tibial osteotomy is a treatment for younger and/or physically active patients suffering from uni-compartmental knee osteoarthritis. The open wedge osteotomy by the hemicallotasis technique includes the use of external fixation. The use of external fixation has several advantages, as early mobilization and the opportunity for optimal correction. However, the hemicallotasis technique has also been described as a cumbersome procedure for the patient. The aim of this study was to prospectively evaluate patient-relevant outcomes during the first 2 post-operative years. Especially the treatment period, during which external fixation was used, was closely monitored. Methods In an uncontrolled study, fifty-eight consecutive patients, 30 men and 28 women (mean age 54 years were operated on by the hemicallotasis technique were evaluated with the patient-relevant outcome measure Knee injury and Osteoarthritis Outcome Score (KOOS preoperatively, during the treatment with external fixation, one week after removal of the external fixation, at 6 months, and at one and two years postoperatively. Results At the 2-year postoperative follow-up, all subscales of the KOOS were improved (p Conclusion Tibial osteotomy by the hemicallotasis technique yields large improvement in self-rated pain, function and quality of life, which persists over two years. Surprisingly, large improvements occurred already during the immediate post-operative period when the external fixation was still used.

  10. Thermoelastic Correction in the Torsion Pendulum Experiment

    Institute of Scientific and Technical Information of China (English)

    胡忠坤; 王雪黎; 罗俊

    2001-01-01

    The thermoelastic effect of the suspension fibre in the torsion pendulum experiment with magnetic damping was studied. The disagreement in the oscillation periods was reduced by one order of magnitude through monitoring the ambient temperature and thermoelastic correction. We also found that the period on uncertainty due to noise increases with the amplitude attenuation after thermoelastic correction.

  11. Torsion of the gallbladder: a case report

    Directory of Open Access Journals (Sweden)

    Ijaz Samia

    2008-07-01

    Full Text Available Abstract Introduction Torsion of the gallbladder is a rare condition that most commonly affects the elderly. Pre-operative diagnosis is the exception rather than the rule. Any delay in treatment can be fatal as the gallbladder may rupture, leading to biliary peritonitis. Case presentation We present the case of an 80-year-old woman who was admitted with right upper quadrant pain initially thought to be secondary to acute cholecystitis. Subsequent ultrasound and computed tomography scans of the abdomen revealed signs suggestive of acute cholecystitis but neither modality detected any gallstones. As the patient's symptoms failed to resolve on conservative management, she was taken to theatre for an open cholecystectomy. Intra-operatively, the gallbladder had undergone complete torsion and appeared gangrenous. A routine cholecystectomy followed and she recovered from the operation without incident. Conclusion It is rare to diagnose torsion of the gallbladder pre-operatively despite advances in diagnostic imaging. However, this differential diagnosis should be borne in mind particularly in the elderly patient, without proven gallstones, who fails to improve on conservative management. An emergency cholecystectomy is indicated in the event of diagnosing torsion of the gallbladder to avert the potentially lethal sequelae of biliary peritonitis.

  12. Test particle acceleration in torsional fan reconnection

    Science.gov (United States)

    Hosseinpour, M.

    2014-12-01

    Magnetic reconnection is understood to be a potential mechanism for particle acceleration in astrophysical and space plasmas, especially in solar flares. Torsional fan reconnection is one of the proposed mechanisms for steady-state three-dimensional (3D) magnetic reconnection. By using the magnetic and electric fields for `torsional fan reconnection', the features of test particle acceleration with input parameters for the solar corona are investigated numerically. We show that torsional fan reconnection is potentially an efficient particle accelerator and a proton can gain up to tens of MeV of kinetic energy within only a few milliseconds. Although the final kinetic energy of the accelerated particle depends on the injection position but there exists only one scenario for the particle's trajectory with different initial positions in which the particle is accelerated on the fan plane. Moreover, adopting either spatially uniform or non-uniform localized plasma resistivity does not much influence the features of trajectory. These results are compared with those of torsional spine reconnection.

  13. Plant-based torsional actuator with memory

    Science.gov (United States)

    Nayomi Plaza; Samuel L. Zelinka; Don S. Stone; Joseph E. Jakes

    2013-01-01

    A bundle of a few loblolly pine (Pinus taeda) cells are moisture-activated torsional actuators that twist multiple revolutions per cm length in direct proportion to moisture content. The bundles generate 10 N m kg􀀀1 specific torque during both twisting and untwisting, which is higher than an electric motor. Additionally, the bundles exhibit a moisture-...

  14. Symmetric products, permutation orbifolds and discrete torsion

    CERN Document Server

    Bántay, P

    2000-01-01

    Symmetric product orbifolds, i.e. permutation orbifolds of the full symmetric group S_{n} are considered by applying the general techniques of permutation orbifolds. Generating functions for various quantities, e.g. the torus partition functions and the Klein-bottle amplitudes are presented, as well as a simple expression for the discrete torsion coefficients.

  15. Torsional Vibration Analysis of an FR Driveline System

    Institute of Scientific and Technical Information of China (English)

    任少云; 朱正礼; 张建武

    2004-01-01

    Towing tractor drivelines are lightly damped non-linear systems. Interactions between components can cause dynamic behavors such as gear gap impact in gear transmissions, shuffle and clonk phenomena in driveline. The torsional vibration of driveline has an important effect on grand engineering vehicle vibration and noise. Through analyzing torsional vibration equations of driveline, torsional vibration model of driveline is developed by using Matlab/Simulink software, Shuffle and clonk phenomena are observed in torsional vibration. The modeling method of analysizing driveline torsional vibration can be used to research and improve similar engineering vehicle driveline behavors.

  16. Osteotomia alta da tíbia com cunha de abertura medial: relevância biomecânica da cortical oposta Open wedge tibial osteotomy: biomechanical relevance of the opposite cortex for the fixation method

    Directory of Open Access Journals (Sweden)

    Rafael Lara de Freitas

    2010-01-01

    Full Text Available OBJETIVO: Avaliar o impacto da integridade da cortical lateral osteo-tomia alta de tíbia (OAT com cunha de abertura. MÉTODOS: Modelos experimentais artificiais em poliuretano foram fixados com placa DCP® 4,5mm. Cunhas de abertura foram confeccionadas para simular a distração da osteotomia alta da tíbia. Realizadas falhas na cortical lateral para simular fraturas e fixadas com diferentes tipos de parafusos. Ensaios de torção e compressão axial foram realizados. 04 diferentes grupos foram constituídos. RESULTADOS: As medidas de torção registradas no grupo com cortical íntegra foram superiores àquelas obtidas no grupo com cortical rompida (p0,05. As medidas de compressão obtidas no grupo com cortical íntegra foram superiores aos demais grupos (p0,05. CONCLUSÃO: A cortical lateral íntegra agrega estabilidade às osteotomias com cunha de abertura medial. Modelo com cortical íntegra evidenciou superioridade biomecânica em rigidez nos ensaios de torção e compressão. Nos ensaios torcionais, os modelos com falha de continuidade cortical com parafusos de estabilização lateral de compressão ou de posição apresentaram equivalência aos modelos com cortical íntegra.OBJECTIVE: To evaluate the role of lateral tibial cortex integrity in open wedge tibial osteotomy (OWTO. METHODS: Experimental models of polyurethane fibers, simulating tibial models and modified with open wedge osteotomies were fixed with DCP® straight 4.5 mm plates. Four groups were constituted: two with cortical integrity and two with a gap in the lateral tibial cortex. Biomechanical analysis of torsion and axial compression were performed. RESULTS: The measures of twist recorded in the group with cortical integrity were higher than those obtained in the group with noncontinuous cortices (p 0.05. CONCLUSION: Integrity of lateral tibial cortex adds stability to open wedge tibial osteotomies. Models with lateral cortical integrity demonstrated superiority in

  17. Octyl-a-cyanoacrylate adhesive in the treatment of tibial transverse fracture in rabbits

    Institute of Scientific and Technical Information of China (English)

    Lü Bo; TU Zhong-qi; PEI Fu-xing; LIU Lei

    2005-01-01

    Objective: To observe the effect of octyl-a-cyanoacrylate upon bone healing and its degradation in vitro after middle tibial transverse fracture in rabbits, and to establish treatment of higher efficacy with the application of octyl-a-cyanoacrylate.Methods: Middle tibial transverse fracture model of New Zealand rabbits was established. In the experimental group, internal fixation with 2 mm Kirschner wires was performed and the broken ends were fixed with octyl-a-cyanoacrylate. In the control group, only internal fixation with 2 mm Kirschner wires was conducted. Animals were killed at preset time intervals of 2, 4, 6, 8, 10 and 12 weeks postoperatively and samples were harvested.Results: Two weeks after operation, clear fracture lines were observed in both the experimental and the control groups. Fibrous soft tissue connection was noted between the broken ends and there was soft tissue adhesion around the fracture site. There was no callus formation and the broken ends were surrounded by adhesive soft tissues. Obvious external callus formation was confirmed at 8 weeks after operation in both groups with partial disappearance of fracture lines. Ten and twelve weeks after the operation, fracture lines disappeared completely and there was obvious external callus formation and bone union. In the fourth week, fibrous cells and chondrocytes were found to grow into the colloid and surround it at the 6th week. The adhesive material was degraded and gradually absorbed at the 8th week. Chondrification was observed.Conclusions: Two weeks after fixation for tibial fracture in rabbits, octyl-a-cyanoacrylate begins in vivo degradation. Chondrocytes and fibrocytes gradually grow into the degradation area and surround the adhesive material, which broke into pieces at 8 weeks. Complete degradation and disappearance of the adhesive material is present between 10 and12 weeks. No barrier effect hampering fracture healing is noted.

  18. A staged surgical treatment outcome of type 3 open tibial fractures.

    Science.gov (United States)

    Aslan, Ahmet; Uysal, Emin; Ozmeriç, Ahmet

    2014-01-01

    Aim. In these case series which are about type 3 open tibial fractures formed with three different high energy trauma etiologies in different parts of tibia. We aimed to assess our three-stage treatment approach and discuss final results of our elective surgery management with three different fixation methods. Patients and Methods. We assessed 19 patients with type 3 open tibial fractures between 2009 and 2012. Our treatment protocol consisted of three stages. Early intervention in operating room, which including vascular repairs or soft tissue closure, was done if necessary. Definitive surgery was performed using internal or external fixation in the first 15 days. Patients were followed up for at least one year. Last conditions of all our cases were evaluated according to modified Johner and Wruhs criteria. Results. Nine cases were type 3A, seven cases were type 3B, and three cases were type 3C in terms of fracture typing. All patients were followed up for at least one year and mean follow up time was 15 months. In terms of functional and clinical outcome, six cases were evaluated as excellent, eight cases as good, two cases as fair, and three cases as poor. Discussion. Staged treatment option in type 3 open tibial fractures seems to be a good method in reducing complication and achieving the best result. We think that definitive staged treatment protocol including internal fixation with plating or intramedullary nailing (IMN) of the fractures is a reliable method, especially to avoid complications as a result of external fixator and to provide patient rapport.

  19. Estudo do desvio rotacional da tíbia Study of the tibial rotational deviation

    Directory of Open Access Journals (Sweden)

    Pedro José Labronici

    2008-01-01

    Full Text Available OBJETIVO: avaliar o desvio rotacional pós-operatório das fraturas diafisárias da tíbia de pacientes tratadas com haste intramedular bloqueada não-fresada e placa em ponte, utilizando a tomografia computadorizada. MÉTODOS: foram tratados 113 pacientes com fraturas diafisárias da tíbia, sendo que em 42 fraturas os autores utilizaram haste intramedular bloqueada e em 71 foram utilizadas placa em ponte. O método tomográfico utilizado ara se obter as medidas da rotação tibial. Foi empregada a classificação AO das fraturas; à exposição: fechadas e expostas e a percentagem de desvios em rotação interna e externa. RESULTADOS: foi demonstrado não haver diferença significativa de rotação tibial nos seguintes parâmetros analisados: localização, rotação interna ou externa e nos tipos A e B da classificação AO. Porém, nas fraturas do tipo C e nas fraturas expostas, a haste intramedular bloqueada apresentou diferença rotacional significativamente menor (p = 0,028 e (p = 0,05, quando comparada à placa em ponte. CONCLUSÃO: independente da localização das fraturas diafisárias da tíbia, os desvios rotacionais estão relacionados à energia do trauma, apresentando uma maior dificuldade de controle com a técnica placa em ponte.OBJECTIVE: to evaluate the postoperative rotational deviation of diaphyseal tibial fractures in patients treated with non-reamed, interlocking intramedullary nailing and bridge plate, using computerized tomography for measurement. METHOD: one hundred and thirteen patients with diaphyseal tibial fractures were treated; 42 fractures were treated with non-reamed, interlocking intramedullary nailing, and 71 fractures were treated with bridge plate. Tibial rotation measurements were obtained by using the CT scan. All of the fractures were classified by the AO scale, by their presentation (closed and open and the percentage of deviation on internal and external rotation. RESULTS: no significant difference in

  20. Evaluation of left ventricular torsion by cardiovascular magnetic resonance

    Directory of Open Access Journals (Sweden)

    Young Alistair A

    2012-07-01

    Full Text Available Abstract Recently there has been considerable interest in LV torsion and its relationship with symptomatic and pre-symptomatic disease processes. Torsion gives useful additional information about myocardial tissue performance in both systolic and diastolic function. CMR assessment of LV torsion is simply and efficiently performed. However, there is currently a wide variation in the reporting of torsional motion and the procedures used for its calculation. For example, torsion has been presented as twist (degrees, twist per length (degrees/mm, shear angle (degrees, and shear strain (dimensionless. This paper reviews current clinical applications and shows how torsion can give insights into LV mechanics and the influence of LV geometry and myocyte fiber architecture on cardiac function. Finally, it provides recommendations for CMR measurement protocols, attempts to stimulate standardization of torsion calculation, and suggests areas of useful future research.

  1. Outcome of limb reconstruction system in open tibial diaphyseal fractures

    Directory of Open Access Journals (Sweden)

    Anand Ajmera

    2015-01-01

    Full Text Available Background: Management of open tibial diaphyseal fractures with bone loss is a matter of debate. The treatment options range from external fixators, nailing, ring fixators or grafting with or without plastic reconstruction. All the procedures have their own set of complications, like acute docking problems, shortening, difficulty in soft tissue management, chronic infection, increased morbidity, multiple surgeries, longer hospital stay, mal union, nonunion and higher patient dissatisfaction. We evaluated the outcome of the limb reconstruction system (LRS in the treatment of open fractures of tibial diaphysis with bone loss as a definative mode of treatment to achieve union, as well as limb lengthening, simultaneously. Materials and Methods: Thirty open fractures of tibial diaphysis with bone loss of at least 4 cm or more with a mean age 32.5 years were treated by using the LRS after debridement. Distraction osteogenesis at rate of 1 mm/day was done away from the fracture site to maintain the limb length. On the approximation of fracture ends, the dynamized LRS was left for further 15-20 weeks and patient was mobilized with weight bearing to achieve union. Functional assessment was done by Association for the Study and Application of the Methods of Illizarov (ASAMI criteria. Results: Mean followup period was 15 months. The mean bone loss was 5.5 cm (range 4-9 cm. The mean duration of bone transport was 13 weeks (range 8-30 weeks with a mean time for LRS in place was 44 weeks (range 24-51 weeks. The mean implant index was 56.4 days/cm. Mean union time was 52 weeks (range 31-60 weeks with mean union index of 74.5 days/cm. Bony results as per the ASAMI scoring were excellent in 76% (19/25, good in 12% (3/25 and fair in 4% (1/25 with union in all except 2 patients, which showed poor results (8% with only 2 patients having leg length discrepancy more than 2.5 cm. Functional results were excellent in 84% (21/25, good in 8% (2/25, fair in 8% (2/25. Pin

  2. Tibial bowing in children - what is normal? A radiographic study

    Energy Technology Data Exchange (ETDEWEB)

    Zbinden, Isabella [University of Basel, Department of Radiology, Basel (Switzerland); Rutz, Erich [University Children' s Hospital, Department of Orthopedic Surgery, Basel (Switzerland); Jacobson, Jon A. [University of Michigan, Department of Radiology, Ann Arbor, MI (United States); Magerkurth, Olaf [University Children' s Hospital, Department of Radiology, Basel (Switzerland); Kantonsspital Baden, Department of Radiology, Baden (Switzerland)

    2015-12-15

    To define osseous landmarks on tibia radiographs in order to establish age-related normal values characterizing physiological tibial bowing in children. Five hundred and twenty-six patients aged 0-17 years with normal radiographs of the lower legs were identified and retrospectively reviewed by two blinded radiologists. In anteroposterior (ap)/lateral (lat)-views, 3 lines defined tibial length and angulation. Line-A connecting proximal to distal corner of tibial metaphysic, lines B and C corresponding to corners of tibial metaphysis. Angle A/B defines proximal, A/C distal tibial-angulation. Tibial curvature is defined by distance of line-D parallel to A and tangential to tibial cortex. Normal values were calculated with linear-regression. Intra-/Interreader agreement were tested with a Bland-Altman-plot. Intrareader-agreement: Reader 1 showed a bias of -0.1, standard-deviation of bias was 1.9 and 95 %-limits-of-agreement -3.9- 3.7. Reader 2: -0.01, 2.4 and -4.7- 4.7. Interreader: 0.2, 1.6 and -2.9- 3.3. Angle-A/B ap was 80-100 , increasing with age (86.5-88); angle-AC ap was 82-107 (96.8-90.5), angle-AB lat was 81-107 (93.0-98.0); angle-AC lat was 76-102 (89.5-86.5); depth of curve ap was 0-11 % (8-3.5) and lat 2-13 %, (8.5-3.5). Age dependent tibial bowing can be assessed with this new measurement system and age-related normal-values characterizing physiological tibial bowing in children is established. (orig.)

  3. Patella height changes post high tibial osteotomy

    Directory of Open Access Journals (Sweden)

    Siew Ghim Gooi

    2017-01-01

    Full Text Available Background: Medial opening wedge high tibial osteotomy (HTO is a well-described treatment in early medial compartmental osteoarthritis of the knee. However, two undesirable sequelae may follow –patella baja and changes in the posterior tibial slope (TS. Materials and Methods: We conducted a retrospective study in patients who underwent HTO in our center between September 2009 and February 2017. Preoperative and 6-week postoperative long-leg weight bearing films and lateral knee radiographs were assessed. Pre- and postoperative radiological measurements include the Caton-Deschamps Index (CDI, the mechanical axis deviation (MAD, and the posterior TS. Independant t-test and Pearson correlation test were performed. Results: A total of 106 knees were recruited. The mean age was 48.8 ± 10.8 years. 66 (62.3% and 40 (37.7% knees were from males and females, respectively. The mean pre- and postoperative measurements was (−9.70° ± 3.67° to 0.08° ± 2.80° (−varus; +valgus for the MAD, (7.14° ± 1.78° to 8.72° ± 3.11° for posterior TS, and (0.93° ± 0.084° to 0.82° ± 0.13° for CDI (P ≤ 0.001 for all. The association between patella height change and the level of osteotomy (supra-tubercle vs. infra-tubercle was statistically significant (P < 0.001. A supra-tubercle osteotomy cut significantly lowering patella height (P = 0.011. There was otherwise no statistically significant correlations between patella height changes and the correction angle (P = 0.187 or posterior TS change (P = 0.744. Conclusions: A medial opening wedge HTO above the tibial tubercle was significantly associated with lowering patella height or reducing CDI postoperatively. Based on our results, we would recommend the use of an infra-tubercle osteotomy during the corrective surgery to prevent the complication of patella baja.

  4. Step-response of a torsional device with multiple discontinuous non-linearities: Formulation of a vibratory experiment

    Science.gov (United States)

    Krak, Michael D.; Dreyer, Jason T.; Singh, Rajendra

    2016-03-01

    A vehicle clutch damper is intentionally designed to contain multiple discontinuous non-linearities, such as multi-staged springs, clearances, pre-loads, and multi-staged friction elements. The main purpose of this practical torsional device is to transmit a wide range of torque while isolating torsional vibration between an engine and transmission. Improved understanding of the dynamic behavior of the device could be facilitated by laboratory measurement, and thus a refined vibratory experiment is proposed. The experiment is conceptually described as a single degree of freedom non-linear torsional system that is excited by an external step torque. The single torsional inertia (consisting of a shaft and torsion arm) is coupled to ground through parallel production clutch dampers, which are characterized by quasi-static measurements provided by the manufacturer. Other experimental objectives address physical dimensions, system actuation, flexural modes, instrumentation, and signal processing issues. Typical measurements show that the step response of the device is characterized by three distinct non-linear regimes (double-sided impact, single-sided impact, and no-impact). Each regime is directly related to the non-linear features of the device and can be described by peak angular acceleration values. Predictions of a simplified single degree of freedom non-linear model verify that the experiment performs well and as designed. Accordingly, the benchmark measurements could be utilized to validate non-linear models and simulation codes, as well as characterize dynamic parameters of the device including its dissipative properties.

  5. Einstein-Cartan Gravity with Torsion Field Serving as an Origin for the Cosmological Constant or Dark Energy Density

    Science.gov (United States)

    Ivanov, A. N.; Wellenzohn, M.

    2016-09-01

    We analyse the Einstein-Cartan gravity in its standard form { R }=R+{{ K }}2, where { R } {and} R are the Ricci scalar curvatures in the Einstein-Cartan and Einstein gravity, respectively, and {{ K }}2 is the quadratic contribution of torsion in terms of the contorsion tensor { K }. We treat torsion as an external (or background) field and show that its contribution to the Einstein equations can be interpreted in terms of the torsion energy-momentum tensor, local conservation of which in a curved spacetime with an arbitrary metric or an arbitrary gravitational field demands a proportionality of the torsion energy-momentum tensor to a metric tensor, a covariant derivative of which vanishes owing to the metricity condition. This allows us to claim that torsion can serve as an origin for the vacuum energy density, given by the cosmological constant or dark energy density in the universe. This is a model-independent result that may explain the small value of the cosmological constant, which is a long-standing problem in cosmology. We show that the obtained result is valid also in the Poincaré gauge gravitational theory of Kibble, where the Einstein-Hilbert action can be represented in the same form: { R }=R+{{ K }}2.

  6. Tibial rotation in anterior cruciate ligament reconstructed knees during single limb hop and drop landings.

    Science.gov (United States)

    Webster, Kate E; Feller, Julian A

    2012-06-01

    Alterations in knee joint kinematics have been suggested as a potential mechanism that influences the development of osteoarthritis of the knee after anterior cruciate ligament reconstruction. Whilst previous work has shown changes in internal-external tibial rotation during level walking, many patients aim to return to high impact activities following surgery. This study examined tibial rotation during single limb hop and drop landings in anterior cruciate ligament reconstructed knees compared to a control group, and also evaluated the influence of graft type (hamstring or patellar tendon). In 48 participants (17 patellar tendon graft, 18 hamstring graft and 13 controls) internal-external rotation was measured during single limb hop and drop landings in a gait laboratory at mean of 10 months after surgery. There was no difference between the two graft types and both patient groups had less internal rotation when compared to the control group. For 60% of patients, internal rotation values were at least 5° less than the control group mean. Anterior cruciate ligament reconstructed knees with both hamstring tendon and patellar tendon grafts show altered rotational kinematic patterns during high impact dynamic load activities. Copyright © 2011 Elsevier Ltd. All rights reserved.

  7. Lower extremity soft tissue reconstruction and amputation rates in patients with open tibial fractures in Sweden during 1998–2010

    Science.gov (United States)

    2014-01-01

    Background The rates of soft tissue reconstruction and amputation after open tibial fractures have not been studied on a national perspective. We aimed to determine the frequency of soft tissue coverage after open tibial fracture as well as primary and secondary amputation rates. Methods Data on all patients (> = 15 years) admitted to hospital with open tibial fractures were extracted from the Swedish National Patient Register (1998–2010). All surgical procedures, re-admissions, and mechanisms of injury were analysed accordingly. The risk of amputation was calculated using logistic regression (adjusted for age, sex, mechanism of injury, reconstructive surgery and fixation method). The mean follow-up time was 6 (SD 3.8) years. Results Of 3,777 patients, 342 patients underwent soft tissue reconstructive surgery. In total, there were 125 amputations. Among patients with no reconstructive surgery, 2% (n = 68 patients) underwent amputation. In an adjusted analysis, patients older than 70 years (OR = 2.7, 95%, CI = 1.1-6) and those who underwent reconstructive surgery (OR = 3.1, 95% CI = 1.6-5.8) showed higher risk for amputation. Fixations other than intramedullary nailing (plate, external fixation, closed reduction and combination) as the only method were associated with a significant higher risk for amputation (OR 5.1-14.4). Reconstruction within 72 hours (3 days) showed better results than reconstruction between 4–90 days (p = 0.04). Conclusions The rate of amputations after open tibial fractures is low (3.6%). There is a higher risk for amputations with age above 70 (in contrast: male sex and tissue reconstruction are rather indicators for more severe soft tissue injuries). Only a small proportion of open tibial fractures need soft tissue reconstructive surgery. Reconstruction with free or pedicled flap should be performed within 72 hours whenever possible. PMID:25323662

  8. 〈110〉 Fiber Texture Evolution of Ferrite Wires during Drawn-torsion and Drawn-annealing-torsion Process

    Institute of Scientific and Technical Information of China (English)

    Y.D. Liu; Y.D. Zhang; A. Tidul; L. Zuo

    2012-01-01

    In this paper, the texture and microstructure evolution of drawn-torsion and drawn-annealing-torsion ferrite wires are studied by electron back scattering diffraction (EBSD) in order to investigate the special torsion texture evolution. Compared to the simulation results, the stable texture components {110}〈 110 〉 and {110}〈112〉 in both drawn-torsion and drawn-annealing-torsion wires display different evolution processes. The texture of the drawn-annealing-torsion wire fits to the Taylor model. A special texture evolution is found in drawn-torsion wires, related to the grain shape, and the heterogeneous deformation. A new plastic deformation viewpoint is suggested based on the special microstructure of drawn ferrite wire.

  9. Exact solution and transient behavior for torsional vibration of functionally graded finite hollow cylinders

    Institute of Scientific and Technical Information of China (English)

    H.M.Wang; C.B.Liu; H.J.Ding

    2009-01-01

    Exact solutions are obtained for transient torsional responses of a finitely long, functionally graded hollow cylinder under three different end conditions, I.e. Free--free, free-fixed and fixed-fixed. The cylinder with its external surface fixed is subjected to a dynamic shearing stress at the internal surface. The material properties are assumed to vary in the radial direction in a power law form, while keep invariant in the axial direction. With expansion in the axial direction in terms of trigonometric series, the governing equations for the unknown functions about the radial coordinate r and time t are deduced. By applying the variable substitution technique, the superposition method and the separation of variables consecutively, series-form solutions of the equations are obtained. Natural frequencies and the transient torsional responses are finally discussed for a functionally graded finite hollow cylinder.

  10. Osteoarthritis Imaging by Quantification of Tibial Trabecular Bone

    DEFF Research Database (Denmark)

    Marques, Joselene

    The pathogenesis of osteoarthritis (OA) includes complex events in the whole joint. In this project, we combined machine-learning techniques in a texture analysis framework and evaluated it in a longitudinal study, where magnetic resonance images of knees were used to quantify the tibial trabecular...... bone in both a marker for OA diagnosis and another marker for prediction of tibial cartilage loss. By multiple-instance learning, we also investigated which region of the tibia provided the best prognosis for cartilage loss. The inferior part of the tibial bone was classified as the most relevant...

  11. Suprapatellar Nailing of Tibial Shaft Fractures in Total Knee Arthroplasty.

    Science.gov (United States)

    Woyski, Dustin; Emerson, Jason

    2016-12-01

    Fractures of the tibial shaft in patients with ipsilateral total knee arthroplasty are rare but difficult to treat. Nonoperative treatment of these fractures with casting or bracing limits weight bearing for an extended period and can result in unacceptable malalignment. Operative fixation with plate and screws also limits early weight bearing and requires healing of soft tissue that is of poor quality. The authors present a method of internal fixation that uses a standard intramedullary tibial nail and suprapatellar instrumentation. This method can easily be performed, avoids the tibial baseplate, and does not require alteration of the instrumentation or intramedullary nail.

  12. Comparison of glenohumeral contact pressures and contact areas after glenoid reconstruction with latarjet or distal tibial osteochondral allografts.

    Science.gov (United States)

    Bhatia, Sanjeev; Van Thiel, Geoffrey S; Gupta, Deepti; Ghodadra, Neil; Cole, Brian J; Bach, Bernard R; Shewman, Elizabeth; Wang, Vincent M; Romeo, Anthony A; Verma, Nikhil N; Provencher, Matthew T

    2013-08-01

    Glenoid reconstruction with distal tibial allografts offers the theoretical advantage over Latarjet reconstruction of improved joint congruity and a cartilaginous articulation for the humeral head. Hypothesis/ To investigate changes in the magnitude and location of glenohumeral contact areas, contact pressures, and peak forces after (1) the creation of a 30% anterior glenoid defect and subsequent glenoid bone augmentation with (2) a flush Latarjet coracoid graft or (3) a distal tibial osteochondral allograft. It was hypothesized that the distal tibial bone graft would best normalize glenohumeral contact areas, contact pressures, and peak forces. Controlled laboratory study. Eight cadaveric shoulder specimens were dissected free of all soft tissues and randomly tested in 3 static positions of humeral abduction with a 440-N compressive load: 30°, 60°, and 60° of abduction with 90° of external rotation (ABER). Glenohumeral contact area, contact pressure, and peak force were determined sequentially using a digital pressure mapping system for (1) the intact glenoid, (2) the glenoid with a 30% anterior bone defect, and (3) the glenoid after reconstruction with a distal tibial allograft or a Latarjet bone block. Glenoid reconstruction with distal tibial allografts resulted in significantly higher glenohumeral contact areas than reconstruction with Latarjet bone blocks in 60° of abduction (4.87 vs. 3.93 cm2, respectively; P Latarjet reconstruction in the ABER position (2.39 vs. 2.61 N, respectively; P Latarjet reconstruction also followed this same pattern, but differences in contact areas and peak forces between the defect model and Latarjet reconstruction in the ABER position were not statistically significant (P > .05). Reconstruction of anterior glenoid bone defects with a distal tibial allograft may allow for improved joint congruity and lower peak forces within the glenohumeral joint than Latarjet reconstruction at 60° of abduction and the ABER position

  13. Investigation of the torsional stiffness of flexible disc coupling

    Science.gov (United States)

    Buryy, A.; Simonovsky, V.; Obolonik, V.

    2017-08-01

    Calculation of flexible coupling torsional stiffness is required when analyzing the torsional vibrations of the reciprocating machinery train. While having the lowest torsional stiffness of all the elements of the train, flexible coupling has a significant influence on the natural frequencies of torsional vibration. However, considering structural complexity of coupling, precise definition of its torsional stiffness is quite a difficult task. The paper presents a method for calculating the torsional stiffness of flexible disc coupling based on the study of its finite element model response under the action of torque. The analysis of the basic parameters that quantitatively and qualitatively affect the coupling torsional stiffness has been also provided. The results of the calculation as well as model adequacy, sufficient for practical application, have been confirmed at the experimental measurement of flexible disc coupling torsional stiffness. The obtained elastic characteristics (dependences of applied torque and torsional stiffness versus twist angle) are nonlinear in the initial stage of loading. This feature should be taken into account when creating reliable mathematical models of torsional vibrations of reciprocating machinery trains containing flexible disc couplings.

  14. General Torsional Stiffness Matching of Off-road Vehicle

    Institute of Scientific and Technical Information of China (English)

    HUANG Song

    2009-01-01

    Increasing frame torsional stiffness of off-road vehicle will lead to the decrease of body torsional deformation, but the increase of torsional loads of flame and suspension system and the decrease of wheel adhesive weight. In severe case, a certain wheel will be out of contact with road surface. Appropriate matching of body, flame and suspension torsional stiffnesses is a difficult problem for off-road vehicle design. In this paper, these theoretically analytic models of the entire vehicle, body, frame and suspension torsional stiffness are constructed based on the geometry and mechanism of a light off-road vehicle's body, frame and suspension. The body and frame torsional stiffnesses can be calculated by applying body CAE method, meanwhile the suspension's rolling angle stiffness can be obtained by the bench test of the suspension's elastic elements. Through fixing the entire vehicle, using sole timber to raise wheels to simulate the road impact on a certain wheel, the entire vehicle torsional stiffness can be calculated on the geometric relation and loads of testing. Finally some appropriate matching principles of the body, frame and suspension torsional stiffness are summarized according to the test and analysis results. The conclusion can reveal the significance of the suspension torsional stiffness on off-road vehicle's torsion-absorbing capability. The results could serve as a reference for the design of other off-road vehicles.

  15. Torsion method for measuring piezooptic coefficients

    Energy Technology Data Exchange (ETDEWEB)

    Skab, I.; Smaga, I.; Savaryn, V.; Vasylkiv, Yu.; Vlokh, R. [Institute of Physical Optics, Lviv (Ukraine)

    2011-01-15

    We develop and describe analytically a torsion method for measuring piezooptic coefficients associated with shear stresses. It is shown that the method enables to increase significantly the accuracy of determination of piezooptic coefficients. The method and the appropriate apparatus are verified experimentally on the example of LiNbO{sub 3} crystals. (copyright 2011 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

  16. TORSIONAL OSCILLATIONS OF NONBARE STRANGE STARS

    Energy Technology Data Exchange (ETDEWEB)

    Mannarelli, Massimo; Pagliaroli, Giulia; Parisi, Alessandro; Pilo, Luigi; Tonelli, Francesco, E-mail: massimo@lngs.infn.it [INFN, Laboratori Nazionali del Gran Sasso, Via G. Acitelli, 22, I-67100 Assergi (AQ) (Italy)

    2015-12-20

    Strange stars are one of the possible compact stellar objects that can form after a supernova collapse. We consider a model of a strange star having an inner core in the color-flavor locked phase surmounted by a crystalline color superconducting (CCSC) layer. These two phases constitute the quarksphere, which we assume to be the largest and heaviest part of the strange star. The next layer consists of standard nuclear matter forming an ionic crust, hovering on the top of the quarksphere and prevented from falling by a strong dipolar electric field. The dipolar electric field arises because quark matter is confined in the quarksphere by the strong interaction, but electrons can leak outside forming an electron layer a few hundred fermi thick separating the ionic crust from the underlying quark matter. The ionic matter and the CCSC matter constitute two electromagnetically coupled crust layers. We study the torsional oscillations of these two layers. Remarkably, we find that if a fraction larger than 10{sup −4} of the energy of a Vela-like glitch is conveyed to a torsional oscillation, the ionic crust will likely break. The reason is that the very rigid and heavy CCSC crust layer will absorb only a small fraction of the glitch energy, leading to a large-amplitude torsional oscillation of the ionic crust. The maximum stress generated by the torsional oscillation is located inside the ionic crust and is very close to the star’s surface. This peculiar behavior leads to a much easier crust cracking than in standard neutron stars.

  17. Electrostatically actuated torsional resonant sensors and switches

    KAUST Repository

    Younis, Mohammad I.

    2016-12-29

    Embodiments in accordance of a torsional resonant sensor disclosure is configured to actuate a beam structure using electrostatic actuation with an AC harmonic load (e.g., AC and DC voltage sources) that is activated upon detecting a particular agent having a mass above a predefined level. In various embodiments, the beam structure may be different types of resonant structures that is at least partially coated or layered with a selective material.

  18. Is Torsion a Fundamental Physical Field?

    CERN Document Server

    Lecian, Orchidea Maria; Montani, Giovanni

    2016-01-01

    The local Lorentz group is introduced in flat space-time, where the resulting Dirac and Yang-Mills equations are found, and then generalized to curved space-time: if matter is neglected, the Lorentz connection is identified with the contortion field, while, if matter is taken into account, both the Lorentz connection and the spinor axial current are illustrated to contribute to the torsion of space-time.

  19. Gravitomagnetic effect and spin-torsion coupling

    CERN Document Server

    Sousa, A A

    2003-01-01

    We study the gravitomagnetic effect in the context of absolute parallelism with the use of a modified geodesic equation via a free parameter b. We calculate the time difference in two atomic clocks orbiting the Earth in opposite directions and find a small correction due to the coupling between the torsion of the spacetime and the internal structure of atomic clocks measured by the free parameter.

  20. the Analysis of Coupled Lateral Torsional Vibrations

    Directory of Open Access Journals (Sweden)

    Tomasz Szolc

    2000-01-01

    Full Text Available In the paper, dynamic investigations of the rotor shaft systems are performed by means of the discrete-continuous mechanical models. In these models the rotor shaft segments are represented by the rotating cylindrical flexurally and torsionally deformable continuous viscoelastic elements. These elements are mutually connected according to the structure of the real system in the form of a stepped shaft which is suspended on concentrated inertial viscoelastic supports of linear or non-linear characteristics. At appropriate shaft crosssections, by means of massless membranes, there are attached rigid rings representing rotors, disks, gears, flywheels and others. The proposed model enables us to investigate coupled linear or non-linear lateral torsional Vibrations of the rotating systems in steady-state and transient operating conditions. As demonstrative examples, for the steam turbo-compressor under coupled lateral torsional vibrations, the transient response due to a blade falling out from the turbine rotor as well as the steady-state response in the form of parametric resonance caused by residual unbalances are presented.

  1. Total knee arthroplasty and fractures of the tibial plateau

    Science.gov (United States)

    Softness, Kenneth A; Murray, Ryan S; Evans, Brian G

    2017-01-01

    Tibial plateau fractures are common injuries that occur in a bimodal age distribution. While there are various treatment options for displaced tibial plateau fractures, the standard of care is open reduction and internal fixation (ORIF). In physiologically young patients with higher demand and better bone quality, ORIF is the preferred method of treating these fractures. However, future total knee arthroplasty (TKA) is a consideration in these patients as post-traumatic osteoarthritis is a common long-term complication of tibial plateau fractures. In older, lower demand patients, ORIF is potentially less favorable for a variety of reasons, namely fixation failure and the need for delayed weight bearing. In some of these patients, TKA can be considered as primary mode of treatment. This paper will review the literature surrounding TKA as both primary treatment and as a salvage measure in patients with fractures of the tibial plateau. The outcomes, complications, techniques and surgical challenges are also discussed.

  2. Tibial tubercle osteotomy for patello-femoral joint disorders.

    Science.gov (United States)

    Hall, Matthew J; Mandalia, Vipul I

    2016-03-01

    Tibial tubercle osteotomy has a long history in the management of patella instability and patello-femoral arthritis. This review aims to provide a comprehensive review of the literature describing the biomechanics of the patello-femoral joint and the rationale behind the use of the tibial tubercle osteotomy in modern day practice. Several different tibial tubercle osteotomies are available and we aim to detail the concepts behind their use and the subsequent clinical results. With continued developments of chondrocyte implantation techniques, the potential to fill defects on the chondral surface of either the patella or trochlea in conjunction with a tibial tubercle osteotomy may well become more commonplace in a group that is commonly young and difficult to manage. Level of evidence III.

  3. PHILOS humerus plate for a distal tibial fracture.

    Science.gov (United States)

    Twaij, Haider; Damany, Dev

    2013-01-04

    This report discusses the use of an alternative implant in the emergency fixation of a distal tibial fracture. We planned to fix the shear-type medial malleolar fracture in a closed, tri-malleolar fracture with a locking distal tibial plate. Intra-operatively, it was noted that the required plate was unavailable. A PHILOS humeral plate seemed to fit the contours of the distal tibia. The broad end of the PHILOS, when placed distally, gave options to place locking screws in the medial malleolar fragment. The fracture was stable after fixation. The patient made a full post-operative recovery and follow-up at 4 months was satisfactory. Despite adequate planning, there will be instances where one has to improvise. An understanding of the principles of fracture management can aid in finding solutions. PHILOS humeral plate may be used to stabilize a distal tibial fracture if an appropriate distal tibial locking plate is not available.

  4. Safe surgical technique: intramedullary nail fixation of tibial shaft fractures.

    Science.gov (United States)

    Zelle, Boris A; Boni, Guilherme

    2015-01-01

    Statically locked, reamed intramedullary nailing remains the standard treatment for displaced tibial shaft fractures. Establishing an appropriate starting point is a crucial part of the surgical procedure. Recently, suprapatellar nailing in the semi-extended position has been suggested as a safe and effective surgical technique. Numerous reduction techiques are available to achieve an anatomic fracture alignment and the treating surgeon should be familiar with these maneuvers. Open reduction techniques should be considered if anatomic fracture alignment cannot be achieved by closed means. Favorable union rates above 90 % can be achieved by both reamed and unreamed intramedullary nailing. Despite favorable union rates, patients continue to have functional long-term impairments. In particular, anterior knee pain remains a common complaint following intramedullary tibial nailing. Malrotation remains a commonly reported complication after tibial nailing. The effect of postoperative tibial malalignment on the clinical and radiographic outcome requires further investigation.

  5. Open segmental fractures of the tibia treated by external fixation

    Directory of Open Access Journals (Sweden)

    Golubović Ivan

    2012-01-01

    Full Text Available Introduction. Open segmental fractures of the tibia are rare but severe injuries. In these fractures the wide zone of injury (damage of all structures of the lower leg creates very unsuitable biological conditions for healing of the fracture. Objective. The aim of our work was to present the results of treatment of patients with segmental open fractures of the tibia treated by external fixation. Methods. We analyzed treatment results of 21 patients with open segmental tibial fractures who were treated using the method of external fixation at the Clinical Center Niš from January 1, 1995 to July 31, 2010. The average age of the patients was 53 years; the youngest patient was 27 years and the oldest one 80 years. According to the Gustilo open fracture classification, there were 3 (14.3% type I, 6 (28.6% type II, 8 (38.1% type IIIA, and 4 (19.0% type IIIB. All the patients were treated by a unilateral type Mitković external fixator by Traffix Company. Results. Union was attained in 16 (76.2% fractures without severe complications (pseudoarthrosis, chronic osteitis and angular deformities of over 10 degrees. Among severe complications associated with open segmental tibial fractures, in two cases we registered septic pseudoarthrosis, in one aseptic pseudoarthrosis and in two large angular deformities of the tibia after union, with a valgus of over 10 degrees and extremity shortening of over 2 cm which required additional surgery. Conclusion. External fixation by the use of Mitković external fixator is one of the methods of choice in the treatment of open segmental tibial fractures, which incorporated with antibiotic therapy provides good biomehanical conditions for segmental fracture healing that enables good stability of the segmental tibial fracture and decreases the risk of deep infections. [Projekat Ministarstva nauke Republike Srbije, br. 41017: Virtuelni koštano­zglobni sistem čoveka i njegova primena u pretkliničkoj i kliničkoj praksi

  6. The medial tibial stress syndrome. A cause of shin splints.

    Science.gov (United States)

    Mubarak, S J; Gould, R N; Lee, Y F; Schmidt, D A; Hargens, A R

    1982-01-01

    The medial tibial stress syndrome is a symptom complex seen in athletes who complain of exercise-induced pain along the distal posterior-medial aspect of the tibia. Intramuscular pressures within the posterior compartments of the leg were measured in 12 patients with this disorder. These pressures were not elevated and therefore this syndrome is a not a compartment syndrome. Available information suggests that the medial tibial stress syndrome most likely represents a periostitis at this location of the leg.

  7. Patient-specific instrumentation improves tibial component rotation in TKA.

    Science.gov (United States)

    Silva, Alcindo; Sampaio, Ricardo; Pinto, Elisabete

    2014-03-01

    To compare the femoral and tibial components rotational alignment in total knee arthroplasty (TKA) performed either with conventional or with patient-specific instrumentation. Forty-five patients underwent primary TKA and were prospectively randomized into two groups: 22 patients into the conventional instrumentation group (group A) and 23 patients into the Signature™ patient-specific instrumentation group (group B). All patients underwent computed tomography of the operated knee in the first week after surgery to measure the components rotation. The femoral component rotation was 0.0° (-0.25, 1.0) in group A, and 0.0° (0.0, 1.0) in group B. The tibial component rotation was -16.0° (-18.5, 11.8) in group A, and -16.0° (-19.0, -14.0) in group B. There were no significant differences between the two groups in tibial and femoral components rotation. The difference between the tibial component rotation and the neutral tibial rotation was similar in both groups [2.0° (-0.5, 6.3) in group A and 2.0° (-1.0, 4.0) in group B], but the dispersion around the median was different between the two groups. The amplitude of the difference between tibial rotation and neutral position was 27° (-13, 14) in group A and 9° (-3, 6) in group B. There is a smaller chance of internal malrotation of the tibial component with the Signature™ patient-specific instrumentation system, with less dispersion and amplitude of the tibial component rotation around the neutral position. II.

  8. Physeal growth arrest after tibial lengthening in achondroplasia

    Science.gov (United States)

    2012-01-01

    Background and purpose Bilateral tibial lengthening has become one of the standard treatments for upper segment-lower segment disproportion and to improve quality of life in achondroplasia. We determined the effect of tibial lengthening on the tibial physis and compared tibial growth that occurred at the physis with that in non-operated patients with acondroplasia. Methods We performed a retrospective analysis of serial radiographs until skeletal maturity in 23 achondroplasia patients who underwent bilateral tibial lengthening before skeletal maturity (lengthening group L) and 12 achondroplasia patients of similar height and age who did not undergo tibial lengthening (control group C). The mean amount of lengthening of tibia in group L was 9.2 cm (lengthening percentage: 60%) and the mean age at the time of lengthening was 8.2 years. The mean duration of follow-up was 9.8 years. Results Skeletal maturity (fusion of physis) occurred at 15.2 years in group L and at 16.0 years in group C. The actual length of tibia (without distraction) at skeletal maturity was 238 mm in group L and 277 mm in group C (p = 0.03). The mean growth rates showed a decrease in group L relative to group C from about 2 years after surgery. Physeal closure was most pronounced on the anterolateral proximal tibial physis, with relative preservation of the distal physis. Interpretation Our findings indicate that physeal growth rate can be disturbed after tibial lengthening in achondroplasia, and a close watch should be kept for such an occurrence—especially when lengthening of more than 50% is attempted. PMID:22489887

  9. Displaced tibial shaft fractures treated with ASIF compression internal fixation

    DEFF Research Database (Denmark)

    Gebuhr, Peter Henrik; Larsen, T K; Petersen, O C

    1990-01-01

    Fifty-one tibial shaft fractures treated by ASIF compression osteosynthesis were seen at follow-up at a median time of 46 weeks after injury. Twenty-four were open fractures and the patients received prophylactic antibiotics. The median stay in hospital was 15 days for open fractures and 6 days...... for closed fractures. There were complications in 26 cases, with deep infection in 9 cases. At present we cannot advocate the use of ASIF compression osteosynthesis for displaced tibial fractures....

  10. Biothermal sensing of a torsional artificial muscle

    Science.gov (United States)

    Lee, Sung-Ho; Kim, Tae Hyeob; Lima, Márcio D.; Baughman, Ray H.; Kim, Seon Jeong

    2016-02-01

    Biomolecule responsive materials have been studied intensively for use in biomedical applications as smart systems because of their unique property of responding to specific biomolecules under mild conditions. However, these materials have some challenging drawbacks that limit further practical application, including their speed of response and mechanical properties, because most are based on hydrogels. Here, we present a fast, mechanically robust biscrolled twist-spun carbon nanotube yarn as a torsional artificial muscle through entrapping an enzyme linked to a thermally sensitive hydrogel, poly(N-isopropylacrylamide), utilizing the exothermic catalytic reaction of the enzyme. The induced rotation reached an equilibrated angle in less than 2 min under mild temperature conditions (25-37 °C) while maintaining the mechanical properties originating from the carbon nanotubes. This biothermal sensing of a torsional artificial muscle offers a versatile platform for the recognition of various types of biomolecules by replacing the enzyme, because an exothermic reaction is a general property accompanying a biochemical transformation.Biomolecule responsive materials have been studied intensively for use in biomedical applications as smart systems because of their unique property of responding to specific biomolecules under mild conditions. However, these materials have some challenging drawbacks that limit further practical application, including their speed of response and mechanical properties, because most are based on hydrogels. Here, we present a fast, mechanically robust biscrolled twist-spun carbon nanotube yarn as a torsional artificial muscle through entrapping an enzyme linked to a thermally sensitive hydrogel, poly(N-isopropylacrylamide), utilizing the exothermic catalytic reaction of the enzyme. The induced rotation reached an equilibrated angle in less than 2 min under mild temperature conditions (25-37 °C) while maintaining the mechanical properties

  11. Design of a nonlinear torsional vibration absorber

    Science.gov (United States)

    Tahir, Ammaar Bin

    Tuned mass dampers (TMD) utilizing linear spring mechanisms to mitigate destructive vibrations are commonly used in practice. A TMD is usually tuned for a specific resonant frequency or an operating frequency of a system. Recently, nonlinear vibration absorbers attracted attention of researchers due to some potential advantages they possess over the TMDs. The nonlinear vibration absorber, or the nonlinear energy sink (NES), has an advantage of being effective over a broad range of excitation frequencies, which makes it more suitable for systems with several resonant frequencies, or for a system with varying excitation frequency. Vibration dissipation mechanism in an NES is passive and ensures that there is no energy backflow to the primary system. In this study, an experimental setup of a rotational system has been designed for validation of the concept of nonlinear torsional vibration absorber with geometrically induced cubic stiffness nonlinearity. Dimensions of the primary system have been optimized so as to get the first natural frequency of the system to be fairly low. This was done in order to excite the dynamic system for torsional vibration response by the available motor. Experiments have been performed to obtain the modal parameters of the system. Based on the obtained modal parameters, the design optimization of the nonlinear torsional vibration absorber was carried out using an equivalent 2-DOF modal model. The optimality criterion was chosen to be maximization of energy dissipation in the nonlinear absorber attached to the equivalent 2-DOF system. The optimized design parameters of the nonlinear absorber were tested on the original 5-DOF system numerically. A comparison was made between the performance of linear and nonlinear absorbers using the numerical models. The comparison showed the superiority of the nonlinear absorber over its linear counterpart for the given set of primary system parameters as the vibration energy dissipation in the former is

  12. Vascularized fibular graft in infected tibial bone loss

    Directory of Open Access Journals (Sweden)

    C Cheriyan Kovoor

    2011-01-01

    Full Text Available Background : The treatment options of bone loss with infections include bone transport with external fixators, vascularized bone grafts, non-vascularized autogenous grafts and vascularized allografts. The research hypothesis was that the graft length and intact ipsilateral fibula influenced hypertrophy and stress fracture. We retrospectively studied the graft hypertrophy in 15 patients, in whom vascularized fibular graft was done for post-traumatic tibial defects with infection. Materials and Methods : 15 male patients with mean age 33.7 years (range 18 - 56 years of post traumatic tibial bone loss were analysed. The mean bony defect was 14.5 cm (range 6.5 - 20 cm. The mean length of the graft was 16.7 cm (range 11.5 - 21 cm. The osteoseptocutaneous flap (bone flap with attached overlying skin flap from the contralateral side was used in all patients except one. The graft was fixed to the recipient bone at both ends by one or two AO cortical screws, supplemented by a monolateral external fixator. A standard postoperative protocol was followed in all patients. The hypertrophy percentage of the vascularized fibular graft was calculated by a modification of the formula described by El-Gammal. The followup period averaged 46.5 months (range 24 - 164 months. The Pearson correlation coefficient (r was worked out, to find the relationship between graft length and hypertrophy. The t-test was performed to find out if there was any significant difference in the graft length of those who had a stress fracture and those who did not and to find out whether there was any significant difference in hypertrophy with and without ipsilateral fibula union. The Chi square test was performed to identify whether there was any association between the stress fracture and the fibula union. Given the small sample size we have not used any statistical analysis to determine the relation between the percentage of the graft hypertrophy and stress fracture. Results : Graft

  13. Isolated Penile Torsion in Brothers: A Case Report

    Directory of Open Access Journals (Sweden)

    Metin Gunduz

    2012-04-01

    Full Text Available Penile torsion can be congenital and associated with hypospadias and chordee, or can be acquired after circumcision. The incidence of isolated neonatal penile torsion was 1.7 to 27% in the literature. The majority were between 10 and deg; and 20 and deg;. Generally, torsion was to the left in cases. The techniques for correction of penile torsion described in the literature are penile de-gloving and reattaching of skin, resection of Buck's fascia incising the base of the penis and removing angular ellipses of corporeal tissue with subsequent plication of tunica, and dorsal dartos flap rotation in severe cases. In conclusion, penile torsion may be familial. Therefore, brothers should be examined carefully. The degloving and realignment technique is successful in isolated penile torsion. [Arch Clin Exp Surg 2012; 1(2.000: 122-124

  14. Analytic Torsion of Z_2-graded Elliptic Complexes

    CERN Document Server

    Mathai, Varghese

    2010-01-01

    We define analytic torsion of Z_2-graded elliptic complexes as an element in the graded determinant line of the cohomology of the complex, generalizing most of the variants of Ray-Singer analytic torsion in the literature. It applies to a myriad of new examples, including flat superconnection complexes, twisted analytic and twisted holomorphic torsions, etc. The definition uses pseudo-differential operators and residue traces. We also study properties of analytic torsion for Z_2-graded elliptic complexes, including the behavior under variation of the metric. For compact odd dimensional manifolds, the analytic torsion is independent of the metric, whereas for even dimensional manifolds, a relative version of the analytic torsion is independent of the metric. Finally, the relation to topological field theories is studied.

  15. Arthrofibrosis of the knee following a fracture of the tibial plateau.

    Science.gov (United States)

    Haller, J M; Holt, D C; McFadden, M L; Higgins, T F; Kubiak, E N

    2015-01-01

    The aim of this study was to report the incidence of arthrofibrosis of the knee and identify risk factors for its development following a fracture of the tibial plateau. We carried out a retrospective review of 186 patients (114 male, 72 female) with a fracture of the tibial plateau who underwent open reduction and internal fixation. Their mean age was 46.4 years (19 to 83) and the mean follow-up was16.0 months (6 to 80). A total of 27 patients (14.5%) developed arthrofibrosis requiring a further intervention. Using multivariate regression analysis, the use of a provisional external fixator (odds ratio (OR) 4.63, 95% confidence interval (CI) 1.26 to 17.7, p = 0.021) was significantly associated with the development of arthrofibrosis. Similarly, the use of a continuous passive movement (CPM) machine was associated with significantly less development of arthrofibrosis (OR = 0.32, 95% CI 0.11 to 0.83, p = 0.024). The effect of time in an external fixator was found to be significant, with each extra day of external fixation increasing the odds of requiring manipulation under anaesthesia (MUA) or quadricepsplasty by 10% (OR = 1.10, p = 0.030). High-energy fracture, surgical approach, infection and use of tobacco were not associated with the development of arthrofibrosis. Patients with a successful MUA had significantly less time to MUA (mean 2.9 months; sd 1.25) than those with an unsuccessful MUA (mean 4.86 months; sd 2.61, p = 0.014). For those with limited movement, therefore, performing an MUA within three months of the injury may result in a better range of movement. Based our results, CPM following operative fixation for a fracture of the tibial plateau may reduce the risk of the development of arthrofibrosis, particularly in patients who also undergo prolonged provisional external fixation. ©2015 The British Editorial Society of Bone & Joint Surgery.

  16. Irreducible Salter Harris type II distal tibial physeal fracture secondary to interposition of the posterior tibial tendon: a case report.

    Science.gov (United States)

    Soulier, Robert; Fallat, Lawrence

    2010-01-01

    Pediatric distal tibial fractures generally occur without significant long-term sequelae, and patients are commonly able to return to their preinjury activities after proper management. The literature reports excellent outcomes after anatomical reduction of distal tibial and ankle physeal fractures with closed or open treatment. Treatment options include simple immobilization of nondisplaced fractures, and closed or open reduction for restoration of anatomic alignment of displaced fractures. Soft tissue interposition within the fracture can threaten successful closed reduction, and may warrant open management if closed reduction fails to produce a satisfactory result. Despite the documented possibility of soft tissue interposition preventing closed reduction of pediatric ankle fractures, there is a paucity of literature reporting this complication. We report a unique case of an irreducible Salter-Harris type II distal tibial physeal fracture secondary to interposition of the posterior tibial tendon. Copyright 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  17. Torsional Alfven waves in stratified and expanding magnetic flux tubes

    OpenAIRE

    2011-01-01

    The effects of both density stratification and magnetic field expansion on torsional Alfven waves in magnetic flux tubes are studied. The frequencies, the period ratio P1/P2 of the fundamental and its first-overtone, and eigenfunctions of torsional Alfven modes are obtained. Our numerical results show that the density stratification and magnetic field expansion have opposite effects on the oscillating properties of torsional Alfven waves.

  18. Cooling Torsional Nanomechanical Vibration by Spin-Orbit Interactions

    Institute of Scientific and Technical Information of China (English)

    ZHAO Nan; ZHOU Duan-Lu; ZHU Jia-Lin

    2008-01-01

    We propose and study a spin-orbit interaction based mechanism to actively cool down the torsional vibration of a nanomechanical resonator made by semiconductor materials. We show that the spin-orbit interactions of electrons can induce a coherent coupling between the electron spins and the torsional modes of nanomechanical vibration. This coupling leads to an active cooling for the torsional modes through the dynamical thermalization of the resonator by the spin ensemble.

  19. Does proximal tibial osteotomy with a novel osteotomy system obtain coronal plane correction without affecting tibial slope and patellar height?

    Science.gov (United States)

    Blackman, Andrew J; Krych, Aaron J; Engasser, William M; Levy, Bruce A; Stuart, Michael J

    2015-12-01

    To determine changes in tibial slope, patellar height, and coronal plane alignment after medial opening wedge proximal tibial osteotomy (PTO) using a modern osteotomy system. Patients undergoing medial opening wedge PTO for any indication with follow-up until radiographic union were identified. Pre- and post-operative tibial slope (referenced off the anterior tibial cortex, proximal tibial anatomic axis, and posterior tibial cortex), patellar height (Caton-Deschamps, Blackburne-Peel, and Insall-Salvati indices), and coronal plane [mechanical axis and weight-bearing line (WBL) ratio] measurements were taken by two observers and compared. Review of 27 patients demonstrated unchanged tibial slope and slightly decreased patellar height post-operatively (Caton-Deschamps: -0.10 ± 0.09; Blackburne-Peel: -0.11 ± 0.10). Coronal plane measurements showed 6.4° ± 1.8° mean change in mechanical axis. Mean post-operative WBL ratio was significantly lower (51.6 ± 11.5 %) than mean goal WBL ratio (62.2 ± 2.5 %). Preoperative mechanical axis >6° varus and osteoarthritis alone as the surgical indication were risk factors for undercorrection >10 %. Medial opening wedge PTO using a recently developed instrumentation system was found to have no effect on tibial slope. Patellar height was decreased after osteotomy using this system, although clinical significance of these findings is unknown. Coronal plane undercorrection of 10.6 % of the target WBL ratio was seen in the group as a whole, although secondary analysis of these results indicated that patients with medial compartment osteoarthritis and/or preoperative mechanical axis of >6° varus accounted for the majority of the cases of undercorrection. Retrospective case series, Level IV.

  20. Constraining Torsion in Maximally symmetric (sub)spaces

    CERN Document Server

    Sur, Sourav

    2013-01-01

    We look into the general aspects of space-time symmetries in presence of torsion, and how the latter is affected by such symmetries. Focusing in particular to space-times which either exhibit maximal symmetry on their own, or could be decomposed to maximally symmetric subspaces, we work out the constraints on torsion in two different theoretical schemes. We show that at least for a completely antisymmetric torsion tensor (for e.g. the one motivated from string theory), an equivalence is set between these two schemes, as the non-vanishing independent torsion tensor components turn out to be the same.

  1. Alpha surfaces for complex space-times with torsion

    CERN Document Server

    Esposito, G

    1993-01-01

    This paper studies necessary conditions for the existence of alpha-surfaces in complex space-time manifolds with nonvanishing torsion. For these manifolds, Lie brackets of vector fields and spinor Ricci identities contain explicitly the effects of torsion. This leads to an integrability condition for alpha-surfaces which does not involve just the self-dual Weyl spinor, as in complex general relativity, but also the torsion spinor, in a nonlinear way, and its covariant derivative. Interestingly, a particular solution of the integrability condition is given by conformally right-flat and right-torsion-free space-times.

  2. Isolated Penile Torsion in Brothers: A Case Report

    OpenAIRE

    2012-01-01

    Penile torsion can be congenital and associated with hypospadias and chordee, or can be acquired after circumcision. The incidence of isolated neonatal penile torsion was 1.7 to 27% in the literature. The majority were between 10 and deg; and 20 and deg;. Generally, torsion was to the left in cases. The techniques for correction of penile torsion described in the literature are penile de-gloving and reattaching of skin, resection of Buck's fascia incising the base of the penis and removing an...

  3. Association of Torsion With Testicular Cancer: A Retrospective Study.

    Science.gov (United States)

    Uguz, Sami; Yilmaz, Sercan; Guragac, Ali; Topuz, Bahadır; Aydur, Emin

    2016-02-01

    Testicular torsion is a medical emergency that usually requires surgical exploration. However, testicular malignancy has been anecdotally reported with the association of torsion in surgical specimens, and the published data remain scant on the association of torsion with testicular tumors. By retrospective medical record review, we identified 32 patients who had been diagnosed with testicular torsion, 20 of whom had undergone orchiectomy. Of these 20 patients, 2 were diagnosed with a malignancy. Our study, the largest case series to date, has shown an association between testicular torsion and testicular cancer of 6.4%. Testicular torsion is a medical emergency that usually requires surgical exploration. However, testicular malignancy has been anecdotally reported in association with torsion in surgical specimens. However, the published data remain scant on the association between torsion and the presence of testicular tumors. The present retrospective study explored the association between torsion and testicular cancer in patients with testicular torsion undergoing orchiectomy during scrotal exploration. A medical record review was performed of patients who had had a diagnosis of testicular torsion from January 2003 to February 2015. The clinicopathologic characteristics of the patients were recorded. A total of 32 patients were identified. Their mean age was 21.1 years (range, 7-39 years). All the patients had unilateral testicular torsion, which affected the left side in 17 and the right side in 15. Manual detorsion was successful in 6 patients, and 26 patients underwent emergency surgery with testicular detorsion (6 fixation surgery and 20 orchiectomy). The type of incision was scrotal in 6, inguinal in 10, and unspecified in 4. Pathologic examination of the orchiectomy specimens showed malignancy in 2 cases (seminoma and malign mixed germ cell tumor). To the best of our knowledge, the present single-center case series is the largest case series to date of

  4. Torsional Newton-Cartan geometry from Galilean gauge theory

    CERN Document Server

    Banerjee, Rabin

    2016-01-01

    Using the recently advanced Galilean gauge theory we give a comprehensive construction of torsional Newton Cartan geometry. A complete (implicit) expression of the torsion tensor for the Newton Cartan spacetime is provided. The implicit expression containing torsion is similar to contorsion tensor in Riemann - Cartan space time and it contains an arbitrary shift. This is similar to the shift given by Dautcourt's formula for the symmetric part of the connection. These findings are new in the literature. The well known result for the temporal part of torsion is reproduced from our expression.

  5. Taylor spatial frame in the treatment of open tibial shaft fractures

    Directory of Open Access Journals (Sweden)

    Al-Sayyad Mohammed

    2008-01-01

    Full Text Available Background: The Taylor spatial frame (TSF is a modern multiplanar external fixator that combines the ease of application and computer accuracy in the reduction of fractures. A retrospective review of our prospective TSF database for the use of this device for treating open tibial fractures in pediatric, adolescent, and adult patients was carried out to determine the effectiveness and complications of TSF in the treatment of these fractures. Materials and Methods: Nineteen male patients with open tibial fractures were included. Of these fractures, 10 were Gustilo Type II, five were Gustilo Type IIIA (two had delayed primary closure and three had split thickness skin grafting, and four were Gustilo Type IIIB (all had rotational flaps. Twelve of our patients presented immediately to the emergency room, and the remaining seven cases presented at a mean of 3 months (range, 2.2-4.5 months after the initial injury. The fractures were located in proximal third (n=1, proximal/middle junction (n=2, middle third (n=3, middle/distal junction (n=8, distal third (n=3, and segmental fractures (n=2. Patients were of an average age of 26 years (range, 6-45years. Mean duration of follow-up was 3.5 years. Results: All fractures healed over a mean of 25 weeks (range, 9-46 weeks. All were able to participate in the activities of daily living without any difficulty and most were involved in sports during the last follow-up. Postoperative complications included pin tract infection in 12 patients. Conclusion: The TSF is an effective definitive method of open tibial fracture care with the advantage of early mobilization, ease of soft tissue management through gradual fracture reduction, and the ability to postoperatively manipulate the fracture into excellent alignment.

  6. Results of bypasses to the anterior tibial artery through the interosseous membrane.

    Science.gov (United States)

    Illuminati, G; Calio, F G; Bertagni, A; Martinelli, V

    1998-08-01

    The purpose of the present study was to retrospectively evaluate the results of anatomically tunneled grafts to the anterior tibial artery for distal revascularization in terms of patency and limb salvage rates as well as local morbidity, which can lengthen the postoperative hospital stay. Twenty-three patients received 24 bypasses to the anterior tibial artery, with grafts tunneled through the interosseous membrane. The mean age was 67 years; 10 patients were diabetic, 12 were smokers, 9 presented with significant coronary artery disease, and 2 with chronic renal insufficiency. The donor vessel was the common femoral artery in 17 cases, the superficial femoral artery in 4, and the infra-articular popliteal artery in 3. The graft material consisted in the reversed saphenous vein in 4 cases, the non-reversed devalvulated ex situ saphenous vein in 11, composite polytetrafluoroethylene (PTFE) + inversed saphenous vein in 6, and PTFE alone in 3 cases. No postoperative mortality was observed, nor was there postoperative graft occlusion or need for major amputation. The average postoperative length of stay in the hospital was 9.7 days. Two local surgical wound complications were observed, which did not necessitate a postoperative hospital stay exceeding 15 days. Cumulative primary patency and limb salvage rates at 3 years were 50% and 70%, respectively. Anatomic tunneling of grafts to the anterior tibial artery yields patency and limb salvage rates comparable to those reported in the literature for distal bypasses and, considered overall, an acceptably low local morbidity and short hospital stay. Definitive superiority over externally tunneled grafts, however, is not definitely demonstrated by this study and should be prospectively tested.

  7. A novel approach for manual de-torsion of an atypical (outward) testicular torsion with bedside Doppler ultrasonography guidance.

    Science.gov (United States)

    Güneş, Mustafa; Umul, Mehmet; Çelik, Ahmet Orhan; Armağan, Hamit Hakan; Değirmenci, Bumin

    2015-01-01

    A 17-year-old boy presented with right testicular torsion to the lateral side. Torsion was diagnosed by physical examination; the colour Doppler ultrasonography (CDU) confirmed right testicular torsion with minimal peripheral hydrocele. Transverse and longitudinal examination of the spermatic cord with ultrasound and CDU revealed a counter-clockwise testicular torsion. Manual de-torsion was performed in a clockwise direction (720o) and testicular blood flow and the neutral position of the spermatic cord were confirmed by CDU. We did not encounter a residual twist of the spermatic cord upon surgical exploration. In our experience, ultrasound and CDU may predict the direction of testicular torsion and may allow appropriate management of cases prior to surgery.

  8. Global Dynamic Characteristic of Nonlinear Torsional Vibration System under Harmonically Excitation

    Institute of Scientific and Technical Information of China (English)

    SHI Peiming; LIU Bin; HOU Dongxiao

    2009-01-01

    Torsional vibration generally causes serious instability and damage problems in many rotating machinery parts. The global dynamic characteristic of nonlinear torsional vibration system with nonlinear rigidity and nonlinear friction force is investigated. On the basis of the generalized dissipation Lagrange's equation, the dynamics equation of nonlinear torsional vibration system is deduced. The bifurcation and chaotic motion in the system subjected to an external harmonic excitation is studied by theoretical analysis and numerical simulation. The stability of unperturbed system is analyzed by using the stability theory of equilibrium positions of Hamiltonian systems. The criterion of existence of chaos phenomena under a periodic perturbation is given by means of Melnikov's method. It is shown that the existence of homoclinic and heteroclinic orbits in the unperturbed system implies chaos arising from breaking of homoclinic or heteroclinic orbits under perturbation. The validity of the result is checked numerically. Periodic doubling bifurcation route to chaos, quasi-periodic route to chaos, intermittency route to chaos are found to occur due to the amplitude varying in some range. The evolution of system dynamic responses is demonstrated in detail by Poincare maps and bifurcation diagrams when the system undergoes a sequence of periodic doubling or quasi-periodic bifurcations to chaos. The conclusion can provide reference for deeply researching the dynamic behavior of mechanical drive systems.

  9. A novel torsional exciter for modal vibration testing of large rotating machinery

    Science.gov (United States)

    Sihler, Christof

    2006-10-01

    A novel exciter for applying a dynamic torsional force to a rotating structure is presented in this paper. It has been developed at IPP in order to perform vibration tests with shaft assemblies of large flywheel generators (synchronous machines). The electromagnetic exciter (shaker) needs no fixture to the rotating shaft because the torque is applied by means of the stator winding of an electrical machine. Therefore, the exciter can most easily be applied in cases where a three-phase electrical machine (a motor or generator) is part of the shaft assembly. The oscillating power for the shaker is generated in a separate current-controlled DC circuit with an inductor acting as a buffer storage of magnetic energy. An AC component with adjustable frequency is superimposed on the inductor current in order to generate pulsating torques acting on the rotating shaft with the desired waveform and frequency. Since this torsional exciter does not require an external power source, can easily be installed (without contact to the rotating structure) and provides dynamic torsional forces which are sufficient for multi-megawatt applications, it is best suited for on-site tests of large rotating machinery.

  10. Structural Modifications for Torsional Vibration Control of Shafting Systems Based on Torsional Receptances

    Directory of Open Access Journals (Sweden)

    Zihao Liu

    2016-01-01

    Full Text Available Torsional vibration of shafts is a very important problem in engineering, in particular in ship engines and aeroengines. Due to their high levels of integration and complexity, it is hard to get their accurate structural data or accurate modal data. This lack of data is unhelpful to vibration control in the form of structural modifications. Besides, many parts in shaft systems are not allowed to be modified such as rotary inertia of a pump or an engine, which is designed for achieving certain functions. This paper presents a strategy for torsional vibration control of shaft systems in the form of structural modifications based on receptances, which does not need analytical or modal models of the systems under investigation. It only needs the torsional receptances of the system, which can be obtained by testing simple auxiliary structure attached to relevant locations of the shaft system and using the finite element model (FEM of the simple structure. An optimization problem is constructed to determine the required structural modifications, based on the actual requirements of modal frequencies and mode shapes. A numerical experiment is set up and the influence of several system parameters is analysed. Several scenarios of constraints in practice are considered. The numerical simulation results demonstrate the effectiveness of this method and its feasibility in solving torsional vibration problems in practice.

  11. Precise Determination of Period of a Torsion Pendulum in Measurement of Gravitational Constant

    Institute of Scientific and Technical Information of China (English)

    LUO Jie; WANG Dian-Hong; LIU Qi; SHAO Cheng-Gang

    2005-01-01

    @@ The period of a torsion pendulum would vary under the disturbances of environmental noise factors. In order to subtract the period of the pendulum from external influence, we employ the correlation method to determine the period with a high precision. Theoretical analysis shows that the relative precision is improved to be proportional to 1/m3/2 with the number of the period m, compared with the conventional statistical mean that is proportional to 1/m1/2, which is significant for the determination of gravitational constant with the swing time method.

  12. Behavior of Torsional Alfven Waves and Field Line Resonance on Rotating Magnetars

    CERN Document Server

    Kojima, T O Y

    2005-01-01

    Torsional Alfven waves are likely excited with bursts in rotating magnetars. These waves are probably propagated through corotating atmospheres toward a vacuum exterior. We have studied the physical effects of the azimuthal wave number and the characteristic height of the plasma medium on wave transmission. In this work, explicit calculations were carried out based on the three-layered cylindrical model. We found that the coupling strength between the internal shear and the external Alfven modes is drastically enhanced, when resonance occurs in the corotating plasma cavity. The spatial structure of the electromagnetic fields in the resonance cavity is also investigated when Alfven waves exhibit resonance.

  13. Biomechanical analysis of fracture fixation with external fixator in vivo

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Objective: To investigate the different ways of measuring the main axial strain during treatment with an external fixator and to find the suitable compression loaded by the external fixator at an early stage.Methods: Eighteen healthy big-ear rabbits were randomly divided into two groups according to different measuring methods: Group A and Group B. In Group A,a strain gauge was affixed to the external tibial cortex with 502 glue, and in Group B, a bone cement-coated strain gauge was installed on the internal tibial cortex. Groups A and B were divided into two subgroups A1, A2 and B1,B2, respectively, according to the pressure of half of and the same as the body weight. A Z-shaped left mid-shaft tibial osteotomy was performed and fixed by an external fixator. Results: The scaler curves of Group A changed dramatically during the early stage. The trendlines of the internal and external cortex went consistently after reaching the stable stage while the latter strain value was higher than the former. The time for Group B reaching the stable stage was short, but its absolute strain value was less than that of Group A. Before they were pressed to the stable stage, the declined speed of Subgroup A1 was more slowly than that of Subgroup A2 while the results of Subgroups B1 and B2 were same. Group A had an ascending trend after it declined while Group B didn't have. After they reached the stable stage, both Subgroups A1 and A2 had a declining trend while Subgroup A2 was more quickly than Subgroup Al, Subgroup B1 was kept at a definite level while Subgroup B2 fluctuated.Conclusions: The axial strain under external fixator can be measured by bone cement coated-strain gauge in vivo. The data may suggest that half of the body weight load was suitable for external fixator.

  14. Search for torsional oscillations in isolated sunspots

    Science.gov (United States)

    Griñón-Marín, A. B.; Socas-Navarro, H.; Centeno, R.

    2017-07-01

    In this work we seek evidence for global torsional oscillations in alpha sunspots. We have used long time series of continuum intensity and magnetic field vector maps from the Helioseismic and Magnetic Imager (HMI) instrument on board the Solar Dynamics Observatory (SDO) spacecraft. The time series analysed here span the total disk passage of 25 isolated sunspots. We found no evidence of global long-term periodic oscillations in the azimuthal angle of the sunspot magnetic field within 1 degree. This study could help us to understand the sunspot dynamics and its internal structure.

  15. Transverse posterior element fractures associated with torsion

    Energy Technology Data Exchange (ETDEWEB)

    Abel, M.S.

    1989-01-01

    Six examples of a previously undescribed class of transverse vertebral element fractures are presented. These fractures differ from Chance and Smith fractures and their variants in the following respects: (1) the etiology is torsion and not flexion; (2) there is neither distraction of posterior ring fragments nor posterior ligament tears; (3) in contrast to Chance and Smith fractures, extension of the fracture into the vertebral body is absent or minimal; (4) the transverse process of the lumbar vertebra is avulsed at its base with a vertical fracture, not split horizontally. These fractures occur in cervical, lumbar, and sacral vertebrae in normal or compromised areas of the spine.

  16. Embeddings of Kleinian Groups with Torsion

    Institute of Scientific and Technical Information of China (English)

    Shi Cheng WANG; Qing ZHOU

    2001-01-01

    Rips conjectured that a non-elementary word hyperbolic group is cohopfian if and only ifit is freely indecomposable. The results and examples in this paper show that cohopficity phenomenonin the case of word hyperbolic group with torsion is much more complicated than the conjecture. Inparticular, the cohopficity of such groups is not determined by the numbers of their ends and thecohopficity is not preserved by finite index subgroups. Our results and examples arise from Kleiniangroups. Orbifold structures and orbifold maps are the new tools in our discussions.

  17. Torsional stiffness after subtalar arthrodesis using second generation headless compression screws: Biomechanical comparison of 2-screw and 3-screw fixation.

    Science.gov (United States)

    Riedl, Markus; Glisson, Richard R; Matsumoto, Takumi; Hofstaetter, Stefan G; Easley, Mark E

    2017-06-01

    Subtalar joint arthrodesis is a common operative treatment for symptomatic subtalar arthrosis. Because excessive relative motion between the talus and calcaneus can delay or prohibit fusion, fixation should be optimized, particularly in patients at risk for subtalar arthrodesis nonunion. Tapered, fully-threaded, variable pitch screws are gaining popularity for this application, but the mechanical properties of joints fixed with these screws have not been characterized completely. We quantified the torsion resistance of 2-screw and 3-screw subtalar joint fixation using this type of screw. Ten pairs of cadaveric subtalar joints were prepared for arthrodesis and fixed using Acutrak 2-7.5 screws. One specimen from each pair was fixed with two diverging posterior screws, and the contralateral joint was fixed using two posterior screws and a third screw directed through the anterior calcaneus into the talar neck. Internal and external torsional loads were applied and joint rotation and torsional stiffness were measured at two torque levels. Internal rotation was significantly less in specimens fixed with three screws. No difference was detectable between 2-screw and 3-screw fixation in external rotation or torsional stiffness in either rotation direction. Both 2-screw and 3-screw fixation exhibited torsion resistance surpassing that reported previously for subtalar joints fixed with two diverging conventional lag screws. Performance of the tapered, fully threaded, variable pitch screws exceeded that of conventional lag screws regardless of whether two or three screws were used. Additional resistance to internal rotation afforded by a third screw placed anteriorly may offer some advantage in patients at risk for nonunion. Copyright © 2017. Published by Elsevier Ltd.

  18. Distal tibial fractures are a poorly recognised complication with fibula free flaps.

    Science.gov (United States)

    Durst, A; Clibbon, J; Davis, B

    2015-09-01

    The fibula free flap is ideal for complex jaw reconstructions, with low reported donor and flap morbidity. We discuss a distal tibial stress fracture two months following a vascularised fibula free flap procedure. Despite being an unrecognised complication, a literature review produced 13 previous cases; only two were reported in the reconstructive surgery literature, with the most recent claiming to be the first. The majority of these studies treated this fracture non-operatively; none reported their patient follow-up. Each case presented with ipsilateral leg pain, which has been cited as an early donor site morbidity in as many as 40% of fibula free flap cases. It is known that the fibula absorbs at least 15% of leg load on weight bearing. Studies have shown severe valgus deformities in up to 25% of patients with fibulectomies. We treated our patient operatively, first correcting his worsening valgus deformity with an external fixator, then reinforcing his healed fracture with a long distal tibial plate. We believe that this complication is underreported, unexpected and not mentioned during the consenting process. By highlighting the management of our case and the literature, we aim to increase awareness (and thus further reporting and appropriate management) of this debilitating complication.

  19. Comparative study of the results of compound tibial shaft fractures treated by Ilizarov ring fixators and limb reconstruction system fixators

    Institute of Scientific and Technical Information of China (English)

    Chandra Prakash Pal; Harish Kumar; Deepak Kumar; K.S.Dinkar; Vivek Mittal; Naveen Kumar Singh

    2015-01-01

    Purpose: Ilizarov ring fixator and limb reconstruction system (LRS) fixators have been used in the management of complex tibial fractures with severe soft tissue injuries, compound tibial fractures, and infected tibial nonunion for which conventional internal fixation cannot be contemplated.Fracture union and distraction osteogenesis can be done simultaneously with these external fixators, allowing early weight bearing.Several previous studies have shown almost equal results of rail and ring fixators for the compound tibial shaft fractures.Thus we performed a prospective study to evaluate the union rate, functional outcome and amount of limb lengthening after the treatment of compound tibial shaft fractures with or without infected nonunion by ring or LRS fixators.Methods: This prospective study was done at Sarojini Naidu Medical College and Hospital, Agra, India and included 32 patients of compound tibial shaft fractures with or without infected nonunion.There were 26 males and 6 females and the average age was 40 years.Patients were randomly divided into two groups (n =16 for each): one underwent Ilizarov fixation and the other received LRS fixation.Cases were followed up for 3-24 months, 6 months on average from September 2012 to October 2014.Functional and radiological outcomes were assessed using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria for both rail and ring fixators.Results: Union was achieved in all cases.Radiological outcome was found excellent in 68.75%, good in 18.75% and fair in 12.50% of cases treated by rail fixators whereas it was excellent in 56.25%, good in 18.75%, fair in 12.50% and poor in 12.50% of cases treated by ring fixators.Functional result was satisfactory in 75.00% of cases treated by rail fixator and 68.75% of cases treated by ring fixators whereas the corresponding rate of unsatisfactory was 25.00% vs.31.25%.Conclusion: In our short-term assessment, LRS fixators show a

  20. Treatment of open tibial fracture with bone defect caused by high velocity missiles: a case report.

    Science.gov (United States)

    Golubović, Zoran; Vukajinović, Zoran; Stojiljković, Predrag; Golubović, Ivan; Visnjić, Aleksandar; Radovanović, Zoran; Najman, Stevo

    2013-01-01

    Tibia fracture caused by high velocity missiles is mostly comminuted and followed by bone defect which makes their healing process extremely difficult and prone to numerous complications. A 34-year-old male was wounded at close range by a semi-automatic gun missile. He was wounded in the distal area of the left tibia and suffered a massive defect of the bone and soft tissue. After the primary treatment of the wound, the fracture was stabilized with an external fixator type Mitkovic, with convergent orientation of the pins. The wound in the medial region of the tibia was closed with the secondary stitch, whereas the wound in the lateral area was closed with the skin transplant after Thiersch. Due to massive bone defect in the area of the rifle-missile wound six months after injury, a medical team placed a reconstructive external skeletal fixator type Mitkovic and performed corticotomy in the proximal metaphyseal area of the tibia. By the method of bone transport (distractive osteogenesis), the bone defect of the tibia was replaced. After the fracture healing seven months from the secondary surgery, the fixator was removed and the patient was referred to physical therapy. Surgical treatment of wounds, external fixation, performing necessary debridement, adequate antibiotic treatment and soft and bone tissue reconstruction are essential in achieving good results in patients with the open tibial fracture with bone defect caused by high velocity missiles. Reconstruction of bone defect can be successfully treated by reconstructive external fixator Mitkovic.

  1. Constraints on torsion from bounds on lorentz violation.

    Science.gov (United States)

    Kostelecký, V Alan; Russell, Neil; Tasson, Jay D

    2008-03-21

    Exceptional sensitivity to space-time torsion can be achieved by searching for its couplings to fermions. Recent experimental searches for Lorentz violation are exploited to extract new constraints involving 19 of the 24 independent torsion components down to levels of order 10(-31) GeV.

  2. Hydrostatic self-aligning axial/torsional mechanism

    Science.gov (United States)

    O'Connor, Daniel G.; Gerth, Howard L.

    1990-01-01

    The present invention is directed to a self-aligning axial/torsional loading mechanism for testing the strength of brittle materials which are sensitive to bending moments. Disposed inside said self-aligning loading mechanism is a frictionless hydrostatic ball joint with a flexure ring to accommodate torsional loads through said ball joint.

  3. Torsion of right middle lobe after a right upper lobectomy

    Directory of Open Access Journals (Sweden)

    Chen Tung-Ying

    2009-04-01

    Full Text Available Abstract Lobar torsion after lung resection is a quite rare complication. A 50-year-old woman presented typical features on chest radiographs and CT(computed tomography scan of lobar torsion after a right upper lobectomy. After emergency lobectomy of right middle lobe, the patient recovered well and discharged 10 days after the second operation.

  4. Reconstrucción tibial: transferencia sóleo-peroné ipsilateral. Tibialización peroneal Tibial reconstruction: ipsilateral soleus-fibula transfer. Fibular tibialization

    Directory of Open Access Journals (Sweden)

    E. Revelo Jiron

    2009-12-01

    Full Text Available Las transferencias óseas peroneales en forma libre o ipsilateral han sido propuestas para la reconstrucción de grandes defectos tibiales. Están también descritas varias modificaciones al respecto, siendo una de ellas la constitución de un colgajo compuesto soleo-peroné realizado como transferencia libre. En este estudio presentamos nuestra experiencia con esta variante, pero en forma ipsilateral. logrando la reconstrucción del defecto tibial por medio de la tibialización peroneal. Escogimos realizar un colgajo compuesto soleo-peroné ipsilateral a flujo anterógrado o retrogrado para la reconstrucción de una serie personal de 14 pacientes consecutivos, 13 hombre y 1 mujer, con edad media de 30 años, y con amplios defectos tibiales y de tejidos blandos causados por accidentes de transito en 12 casos, 1 por proyectil balístico y 1 por artefacto explosivo artesanal. El promedio de tamaño del defecto tibial fue de 9.4 cm. Elegimos la forma ipsilateral por no disponer de infraestructura adecuada para realizar una transferencia libre. La serie de estudio se realizó durante el periodo comprendido entre Abril de 1995 y Abril del 2005. Todos los colgajos sobrevivieron. Dos pacientes desarrollaron pseudoartrosis. El apoyo completo y la marcha en 12 pacientes, se logró en un periodo promedio de 9 meses. El seguimiento postoperatorio ha sido de 3 a 6 años. Doce pacientes se han incorporado a la vida activa. Discutimos algunos aspectos prácticos de la técnica como resultado de la experiencia quirúrgica obtenida de esta serie personal. Consideramos que el método es fiable, fácil de realizar y proporciona excelentes resultados.Fibular flaps such as in there free form or as ipsilateral transfers have been proposed for reconstruction of large tibial defects. Several modifications have been described for the use of this flap. In this study we will present our experience using the ipsilateral transfer of an osteomuscular soleous fibular flap

  5. Alternative method for direct measurement of tibial slope

    Directory of Open Access Journals (Sweden)

    Stijak Lazar

    2014-01-01

    Full Text Available Background/Aim. The tibial slope is one of the most frequently cited anatomical causes of anterior cruciate ligament trauma. The aim of this study was to determine the possibility of direct measuring of the tibial slope of the knee without prior soft tissue dissection in cadavers. Methods. Measurement was performed on the two groups of samples: osteological and cadaveric. The osteological group consisted of 102 matured tibiae and measurement was performed: indirectly by sagittal photographing of the tibia, and directly by a set of parallel bars. The cadaveric group consisted of 50 cadaveric knees and measurement was performed directly by a set of parallel bars. The difference and correlation between indirect and the direct measurements were observed, which included also measuring of the difference and correlation of the tibial slope on the medial and lateral condyles. Results. A statistically significant difference between the direct and indirect method of measuring (p 0.05. However, the slope on the medial condyle, as well as indirect measurement showed a statistically significant difference (p < 0.01. Conclusion. By the use of a set of parallel bars it is possible to measure the tibial slope directly without removal of the soft tissue. The results of indirect, photographic measurement did not statistically differ from the results of direct measurement of the tibial slope.

  6. Spontaneous collapse of the tibial plateau: radiological staging

    Energy Technology Data Exchange (ETDEWEB)

    Carpintero, P.; Leon, F.; Zafra, M. [University Hospital ' ' Reina Sofia' ' , Orthopaedic Department, Cordoba (Spain); Montero, R.; Carreto, A. [University Hospital ' ' Reina Sofia' ' , Radiology Department, Cordoba (Spain)

    2005-07-01

    This paper proposes a radiological staging system for necrosis of the tibial plateau, similar to those already developed for the hip and the medial femoral condyle. We retrospectively studied the clinical case histories and radiographic findings of 14 patients (15 affected knees) with histologically proven osteonecrosis of the tibial plateau. Stage I was marked by normal radiograph, but increased uptake in bone scan and subchondral areas of abnormal marrow signal intensity in magnetic resonance imaging (MRI), as reported in other osteonecrosis sites. Stage II was characterised by cystic and sclerotic changes, and stage III fracture of the medial rim of the medial tibial plateau and tibial plateau collapse were present. Stage IV was marked by joint narrowing. These changes appeared earlier and were more pronounced when there was genu varum/valgum or involvement of the lateral tibial plateau. The radiological evolution of the disease appears to follow a four-stage course over a period of roughly one year from the onset of symptoms. (orig.)

  7. The Reidemeister torsion of 3-manifolds

    CERN Document Server

    Nicolaescu, Liviu I

    2003-01-01

    This is a state-of-the-art introduction to the work of Franz Reidemeister, Meng Taubes, Turaev, and the author on the concept of torsion and its generalizations. Torsion is the oldest topological (but not with respect to homotopy) invariant that in its almost eight decades of existence has been at the center of many important and surprising discoveries. During the past decade, in the work of Vladimir Turaev, new points of view have emerged, which turned out to be the "right ones" as far as gauge theory is concerned. The book features mostly the new aspects of this venerable concept. The theoretical foundations of this subject are presented in a style accessible to those, who wish to learn and understand the main ideas of the theory. Particular emphasis is upon the many and rather diverse concrete examples and techniques which capture the subleties of the theory better than any abstract general result. Many of these examples and techniques never appeared in print before, and their choice is often justified by ...

  8. Torsion angle preferences in druglike chemical space: a comprehensive guide.

    Science.gov (United States)

    Schärfer, Christin; Schulz-Gasch, Tanja; Ehrlich, Hans-Christian; Guba, Wolfgang; Rarey, Matthias; Stahl, Martin

    2013-03-14

    Crystal structure databases offer ample opportunities to derive small molecule conformation preferences, but the derived knowledge is not systematically applied in drug discovery research. We address this gap by a comprehensive and extendable expert system enabling quick assessment of the probability of a given conformation to occur. It is based on a hierarchical system of torsion patterns that cover a large part of druglike chemical space. Each torsion pattern has associated frequency histograms generated from CSD and PDB data and, derived from the histograms, traffic-light rules for frequently observed, rare, and highly unlikely torsion ranges. Structures imported into the corresponding software are annotated according to these rules. We present the concept behind the tree of torsion patterns, the design of an intuitive user interface for the management and usage of the torsion library, and we illustrate how the system helps analyze and understand conformation properties of substructures widely used in medicinal chemistry.

  9. Krukenberg Tumor: A Rare Cause of Ovarian Torsion

    Directory of Open Access Journals (Sweden)

    Sameer Sandhu

    2012-01-01

    Full Text Available Ovarian torsion is the fifth most common gynecological surgical emergency. Ovarian torsion is usually associated with a cyst or a tumor, which is typically benign. The most common is mature cystic teratoma. We report the case of a 43-year-old woman who came to the Emergency Department with rare acute presentation of bilateral Krukenberg tumors, due to unilateral ovarian torsion. In this case report, we highlight the specific computed tomography (CT features of ovarian torsion and demonstrate the unique radiological findings on CT imaging. Metastasis to the ovary is not rare and 5 to 10% of all ovarian malignancies are metastatic. The stomach is the common primary site in most Krukenberg tumors (70%; an acute presentation of metastatic Krukenberg tumors with ovarian torsion is rare and not previously reported in radiology literature.

  10. Torsion and accelerating expansion of the universe in quadratic gravitation

    CERN Document Server

    Chee, Guoying

    2012-01-01

    Several exact cosmological solutions of a metric-affine theory of gravity with two torsion functions are presented. These solutions give a essentially different explanation from the one in most of previous works to the cause of the accelerating cosmological expansion and the origin of the torsion of the spacetime. These solutions can be divided into two classes. The solutions in the first class define the critical points of a dynamical system representing an asymptotically stable de Sitter spacetime. The solutions in the second class have exact analytic expressions which have never been found in the literature. The acceleration equation of the universe in general relativity is only a special case of them. These solutions indicate that even in vacuum the spacetime can be endowed with torsion, which means that the torsion of the spacetime has an intrinsic nature and a geometric origin. In these solutions the acceleration of the cosmological expansion is due to either the scalar torsion or the pseudoscalar torsi...

  11. Torsional and rotational coupling in non-rigid molecules

    CERN Document Server

    Omiste, Juan J

    2016-01-01

    We analyze theoretically the interplay between the torsional and the rotational motion of an aligned biphenyl-like molecule. To do so, we consider a transition between two electronic states with different internal torsional potentials, induced by means of a resonant laser pulse. The change in the internal torsional potential provokes the motion of the torsional wavepacket in the excited electronic state, modifying the structure of the molecule, and hence, its inertia tensor. We find that this process has a strong impact on the rotational wave function, displaying different behavior depending on the electronic states involved and their associated torsional potentials. We describe the dynamics of the system by considering the degree of alignment and the expectations values of the angular momentum operators for the overall rotation of the molecule.

  12. Peculiar torsion dynamical response of spider dragline silk

    Science.gov (United States)

    Liu, Dabiao; Yu, Longteng; He, Yuming; Peng, Kai; Liu, Jie; Guan, Juan; Dunstan, D. J.

    2017-07-01

    The torsional properties of spider dragline silks from Nephila edulis and Nephila pilipes spiders are investigated by using a torsion pendulum technique. A permanent torsional deformation is observed after even small torsional strain. This behaviour is quite different from that of the other materials tested here, i.e., carbon fiber, thin metallic wires, Kevlar fiber, and human hair. The spider dragline thus displays a strong energy dissipation upon the initial excitation (around 75% for small strains and more for a larger strain), which correspondingly reduces the amplitude of subsequent oscillations around the new equilibrium position. The variation of torsional stiffness in relaxation dynamics of spider draglines for different excitations is also determined. The experimental result is interpreted in the light of the hierarchical structure of dragline silk.

  13. Cosmological background torsion inhomogeneities and Lorentz violation in QED

    CERN Document Server

    Garcia de Andrade, L C

    2003-01-01

    A non-minimal photon-torsion axial coupling in the quantum electrodynamics (QED) framework is considered. The geometrical optics in Riemann-Cartan spacetime is considering and a plane wave expansion of the electromagnetic vector potential is considered leading to a set of the equations for the ray congruence. Since we are interested mainly on the torsion effects in this first report we just consider the Riemann-flat case composed of the Minkowskian spacetime with torsion. It is also shown that in torsionic de Sitter background the vacuum polarisation does alter the propagation of individual photons, an effect which is absent in Riemannian spaces. It is shown that the cosmological torsion background inhomogeneities induce Lorentz violation and massive photon modes in this QED.

  14. Is device-assisted reduction prior to semi-extended intramedullary nailing of distal tibial fractures necessary?

    Science.gov (United States)

    Mehta, Nisarg; Selvaratnam, Veenesh; Giotakis, Nikolaos; Narayan, Badri

    2017-02-01

    Traditional methods of nailing distal tibial fractures have an unacceptable risk of mal-alignment due to difficulty in obtaining and maintaining reduction intra-operatively. Methods to obtain and maintain reduction when nailing these fractures, and therefore reducing the risk of Mal-alignment include modified external fixators, distractors and commercial reduction tools. Semi-extended intramedullary nailing of distal tibial fractures via a supra-patellar approach is now being used more commonly. The aim of this study was to assess whether a commercial reduction device (Staffordshire Orthopaedic Reduction Machine - STORM, Intelligent Orthopaedics, Stafffordshire, UK) is necessary to reduce the risk of mal-alignment in patients undergoing semi-extended nailing for distal tibial fractures. A case-control study was conducted in 20 patients who had STORM-assisted reduction of distal tibial fractures prior to intramedullary nailing and 20 controls without STORM. The control group was matched for age, sex, fracture type (AO/OTA), ASA and gender. All patients had an intramedullary nail (IMN) using the semi-extended system. Primary outcome measures were coronal and sagittal mal-alignment. Secondary outcome measure was unplanned return to theatre for complications and problems with fracture healing. There was no difference in post-operative mal-alignment in both groups. There was no significant difference in time to union in both groups Both groups had equal number of patients requiring unplanned return to theatre. The STORM group was associated with a significantly increased operative time [p=0.007, 130.3min (SD 49.4) STORM vs 95.6 mins (SD 22.9) Control]. Intraoperative use of STORM significantly increases operative time with no difference in outcome. The superior orthogonal views and manual control obtained during semi-extended nailing via a supra-patellar approach obviate the need for additional methods: of intraoperative reduction for this fracture group. Copyright

  15. In vitro comparison of tibial plateau leveling osteotomy with and without use of a tibial plateau leveling jig.

    Science.gov (United States)

    Schmerbach, Kay Ingo; Boeltzig, Christian Konrad Matthias; Reif, Ullrich; Wieser, Jan Carsten; Keller, Thomas; Grevel, Vera

    2007-02-01

    To evaluate the influence of a tibial plateau leveling jig on osteotomy orientation, fragment reduction, and postoperative tibial plateau angle (TPA) during tibial plateau leveling osteotomy (TPLO). In vitro experimental study. Large-breed canine cadavers (n=20). TPLO was performed on 40 hindlimbs using 4 methods. Group 1: Jig; dogs in dorsal recumbency with the osteotomy parallel to the distal jig pin. Groups 2-4: No jig; dogs in lateral recumbency with the osteotomy in a vertical orientation (group 2: tibia parallel to the table top; group 3: controlled superimposition of the femoral condyles; group 4: internal rotation of the tibia). Postoperative TPA, fragment reduction, and osteotomy orientation relative to the tibial plateau were compared. Positive or negative values denoted deviation from parallel relative to the tibial plateau. Postoperative TPA, fragment reduction, and proximodistal osteotomy orientation were not significantly different between groups. Craniocaudal osteotomy orientation was significantly different (Ptable surface. TPLO without use of a jig reduces surgical trauma, is less time consuming, and reduces cost.

  16. [Anatomical quantification of the tibial part of the plantar aponeurosis].

    Science.gov (United States)

    Hiramoto, Y

    1983-03-01

    The metrical analysis of the anatomical characteristics is important because of its objectiveness. As it is concerned with the organs belonging to the locomotor system, the metrical method of the bones has already been systematized by Martin (1928), whereas the same kind of method for use on other organs remains undeveloped. The author aims to establish the metrical method of the plantar aponeurosis. The method for measuring the tibial part of the aponeurosis developed in this paper is sufficiently applicable for obtaining its principal anatomical characteristics. The results show that the tibial portion of the plantar aponeurosis becomes statistically significantly wider and thinner in its anterior part, and that the thickness of the tibial portion of the aponeurosis in the anterior part is larger on the right side than on the left side.

  17. TIBIAL PLATEAU FRACTURES – SURGICAL MANAGEMENT BY MIPPO

    Directory of Open Access Journals (Sweden)

    Bharath Raju

    2014-06-01

    Full Text Available BACKGROUND AND OBJECTIVES: Tibial plateau fractures are one of the most common intra-articular fractures. They are the outcome of indirect coronal or direct compressive forces. The incidence of tibial plateau fractures is 1.3% of all fractures. These fractures have varied degree of fracture configuration involving medial, lateral or both tibial plateaus with varied degree of intra-articular depressions and displacements. Due to speedy vehicles and mechanization there has been increase in the number of tibial plateau fractures. Knee joints being one of the major weight bearing joints of human body, these fractures are of big importance. METHODS: We studied 30 cases of tibial plateau fractures treated by MIPPO at kempegowda institute of medical sciences from June 2012 to April 2014 with minimum follow up of up to 6months. RESULTS: All the selected patients were evaluated both clinically as well as radiologically. The lab investigations were done and then they were taken up for the surgery. The fractures were classified as per schatzker’s classification and treated accordingly. In the post-op period early range of movements were started and the patients were non weight bearing till 6 weeks. Till 12 weeks partial weight bearing was allowed and full weight bearing was allowed after radiological union of the fracture. CONCLUSION: Tibial plateau fractures when treated with MIPPO give articular anatomical reduction, rigid fixation and early mobolisation of the knee joint. This prevents development of osteoarthritis and includes all the advantages of minimally invasive procedure and so better patient compliance.

  18. Emergency department external fixation for provisional treatment of pilon and unstable ankle fractures

    Directory of Open Access Journals (Sweden)

    Craig R Lareau

    2015-01-01

    Full Text Available Unstable ankle fractures and impacted tibial pilon fractures often benefit from provisional external fixation as a temporizing measure prior to definitive fixation. Benefits of external fixation include improved articular alignment, decreased articular impaction, and soft tissue rest. Uniplanar external fixator placement in the Emergency Department (ED ex-fix is a reliable and safe technique for achieving ankle reduction and stability while awaiting definitive fixation. This procedure involves placing transverse proximal tibial and calcaneal traction pins and connecting the pins with two external fixator rods. This technique is particularly useful in austere environments or when the operating room is not immediately available. Additionally, this bedside intervention prevents the patient from requiring general anesthesia and may be a cost-effective strategy for decreasing valuable operating time. The ED ex-fix is an especially valuable procedure in busy trauma centers and during mass casualty events, in which resources may be limited.

  19. 21 CFR 888.3590 - Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Knee joint tibial (hemi-knee) metallic resurfacing... Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis is a device intended to be...

  20. Reconstruction of compound tibial and soft tissue loss using a traction histogenesis technique.

    Science.gov (United States)

    Lenoble, E; Lewertowski, J M; Goutallier, D

    1995-08-01

    We used simultaneous bone and soft tissue transport for reconstruction of large compound tissue loss in the lower leg. We report the results and complications of a 12-patient series. The average age of the patients was 31.2 years (range 20 to 48 years). Seven patients had grade IIIB open tibial fractures, three had complications after grade II or IIIA, and two had an en-bloc resection of bone, muscle, and skin for a malignant bone tumor. Arteriography was routinely performed, and demonstrated at least one patent tibial artery. Every patient had normal sensibility of the sole. The first stage of the reconstruction was an aggressive excision of the all necrotic skin, muscle, and bone. The Ilizarov external fixator was applied and wires were secured under a tension of 100 kg, using a dynamometric tensioner. Cutaneous tissue loss was not replaced in 10 patients, when the bone was not exposed. A medial gastrocnemius flap was performed in two patients and lengthened with the bone. Corticotomy was performed 15 days after the first stage with careful respect for the periosteum. Distraction was initiated 15 days after the corticotomy. The average bone defect was 12.5 cm after initial excision. An average of 9 operative procedures and 18 months of treatment were required before bony union. The mean duration of bone transport was 6.5 months, and the mean duration of external fixation was 12 months. The final functional results were fair and only two patients returned to work. One patient had a below-knee amputation after 10 months of treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

  1. Multidirectional Tibial Tubercle Transfer Technique: Rationale and Biomechanical Investigation.

    Science.gov (United States)

    Sarin, Vineet K; Camisa, William; Leasure, Jeremi M; Merchant, Alan C

    This study describes a new surgical technique to transfer the tibial tubercle, explains the rationale for its development, and reports the results of initial biomechanical testing. The design goals were to create a tibial tubercle osteotomy that would provide equivalent or better initial fixation compared with traditional techniques, yet would be more flexible, reproducible, accurate, less invasive, and safer. The results of the biomechanical analysis suggest that initial fixation with this novel tubercle transfer technique is as strong as traditional Elmslie-Trillat and anteromedialization procedures.

  2. Ischial hypoplasia, tibial hypoplasia and facial abnormalities: a new syndrome?

    Energy Technology Data Exchange (ETDEWEB)

    Nishimura, G. [Department of Radiology, Dokkyo University School of Medicine (Japan); Haga, Yoshihiko [Department of Orthopaedics, Shizuoka Children`s Hospital, Shizuoka (Japan); Aoki, Katsuhiko [Department of Radiology, Shizuoka Children`s Hospital, Shizuoka (Japan); Hasegawa, Tomoko [Division of Clinical Genetics, Shizuoka Children`s Hospital, Shizuoka (Japan)

    1998-12-01

    A child with facial abnormalities, short stature and a variety of skeletal alterations is reported. The facial abnormalities comprised low-set ears, short nose with a long philtrum, micrognathia and cleft palate. The skeletal alterations included ischial hypoplasia, malformations of the cervical spine, hypoplasia of the lesser trochanters, tibial hypoplasia with bowing of the lower legs, tibio-fibular diastasis with malformed distal tibial epiphyses, clubfeet and brachymesophalangy. The constellation of clinical and radiological findings in the present patient do not fit any known malformation syndrome. (orig.) With 4 figs., 8 refs.

  3. Tibial and fibular angles in homozygous sickle cell disease

    Energy Technology Data Exchange (ETDEWEB)

    Akamaguna, A.I.; Odita, J.C.; Ugbodaga, C.I.; Okafor, L.A.

    1986-05-01

    Measurements of the tibial and fibular angles made on ankle radiographs of 34 patients with sickle cell disease were compared with those of 36 normal Nigerians. Widening of the fibular angle, which is an indication of tibiotalar slant, was demonstrated in about 79% of sickle cell disease patients. By using fibular angle measurements as an objective method of assessing subtle tibiotalar slant, it is concluded that the incidence of this deformity is much higher among sickle cell disease patients than previously reported. The mean values of tibial and fibular angles in normal Nigerians are higher than has been reported amongst Caucasians.

  4. High tibial osteotomy in Sweden, 1998-2007

    DEFF Research Database (Denmark)

    W-Dahl, Annette; Robertsson, Otto; Lohmander, Stefan

    2012-01-01

    Most studies on high tibial osteotomies (HTOs) have been hospital-based and have included a limited number of patients. We evaluated the use and outcome-expressed as rate of revision to knee arthroplasty-of HTO performed in Sweden with 9 million inhabitants, 1998-2007.......Most studies on high tibial osteotomies (HTOs) have been hospital-based and have included a limited number of patients. We evaluated the use and outcome-expressed as rate of revision to knee arthroplasty-of HTO performed in Sweden with 9 million inhabitants, 1998-2007....

  5. On Torsion of Functionally Graded Elastic Beams

    Directory of Open Access Journals (Sweden)

    Marina Diaco

    2016-01-01

    Full Text Available The evaluation of tangential stress fields in linearly elastic orthotropic Saint-Venant beams under torsion is based on the solution of Neumann and Dirichlet boundary value problems for the cross-sectional warping and for Prandtl stress function, respectively. A skillful solution method has been recently proposed by Ecsedi for a class of inhomogeneous beams with shear moduli defined in terms of Prandtl stress function of corresponding homogeneous beams. An alternative reasoning is followed in the present paper for orthotropic functionally graded beams with shear moduli tensors defined in terms of the stress function and of the elasticity of reference inhomogeneous beams. An innovative result of invariance on twist centre is also contributed. Examples of functionally graded elliptic cross sections of orthotropic beams are developed, detecting thus new benchmarks for computational mechanics.

  6. Torsion-free Sheaves and ACM Schemes

    CERN Document Server

    Greco, S; Spreafico, M L

    2012-01-01

    In this paper we study short exact sequences $ 0 \\to \\mathcal P \\to \\mathcal N \\to \\ii_D(k) \\to 0 $ with $ \\mathcal P, \\mathcal N $ torsion--free sheaves and $ D $ closed projective scheme. This is a classical way to construct and study projective schemes (e.g. see \\cite{hart-1974}, \\cite{hart-2}, \\cite{mdp}, \\cite{serre-1960}). In particular, we give homological conditions on $ \\mathcal P $ and $ \\mathcal N $ that force $ D $ to be ACM, without constrains on its codimension. As last result, we prove that if $ \\mathcal N $ is a higher syzygy sheaf of an ACM scheme $ X,$ the scheme $ D $ we get contains $ X.$

  7. Torsional oscillations of nonbare strange stars

    CERN Document Server

    Mannarelli, Massimo; Parisi, Alessandro; Pilo, Luigi; Tonelli, Francesco

    2015-01-01

    Strange stars are one of the possible compact stellar objects that can be formed after a supernova collapse. We consider a model of strange star having an inner core in the color-flavor locked phase surmounted by a crystalline color superconducting layer. These two phases constitute the {\\it quarksphere}, which we assume to be the largest and heaviest part of the strange star. The next layer consists of standard nuclear matter forming a ionic crust, hovering on the top of the quarksphere and prevented from falling by a strong dipolar electric field. The dipolar electric field arises because quark matter is confined in the quarksphere by the strong interaction, but electrons can leak outside forming a few hundreds Fermi thick electron layer separating the ionic crust from the underlying quark matter. The ionic matter and the crystalline color superconducting matter constitute two electromagnetically coupled crust layers. We study the torsional oscillations of these two layers. Remarkably, we find that if a fra...

  8. Torsion based universal MEMS logic device

    KAUST Repository

    Ilyas, Saad

    2015-10-28

    In this work we demonstrate torsion based complementary MEMS logic device, which is capable, of performing INVERTER, AND, NAND, NOR, and OR gates using one physical structure within an operating range of 0-10 volts. It can also perform XOR and XNOR with one access inverter using the same structure with different electrical interconnects. The paper presents modeling, fabrication and experimental calculations of various performance features of the device including lifetime, power consumption and resonance frequency. The fabricated device is 535 μm by 150 μm with a gap of 1.92 μm and a resonant frequency of 6.51 kHz. The device is capable of performing the switching operation with a frequency of 1 kHz.

  9. Laser micro-impulse torsion pendulum

    Institute of Scientific and Technical Information of China (English)

    Jing Li; Zhiping Tang

    2005-01-01

    @@ In order to investigate the feasibility regarding micro-satellite posture steering by laser micro-propulsion, a laser torsion pendulum has been set up so as to get first-hand basic physical and mechanical parameters on laser micro-propulsion. The instrumentation consists of the optical, mechanical, and electrical sub-systems.The optical system includes the main beam optics, the measuring optics, and the observation optics. The mechanical system includes the gyration apparatus, transverse translation stage, vertical translator, focal lenses translator, calibration pendulum translator, and vacuum chamber. For the electrical system a computer is used to control stepping motors to drive the above moving apparatuses. With this instrument the calibration experiment and laser ablation experiment have been carried out. The experimental results about 10.4%, which can satisfy the requirement of micro-impulse measurement.

  10. Plant-based torsional actuator with memory

    Science.gov (United States)

    Plaza, Nayomi; Zelinka, Samuel L.; Stone, Don S.; Jakes, Joseph E.

    2013-07-01

    A bundle of a few loblolly pine (Pinus taeda) cells are moisture-activated torsional actuators that twist multiple revolutions per cm length in direct proportion to moisture content. The bundles generate 10 N m kg-1 specific torque during both twisting and untwisting, which is higher than an electric motor. Additionally, the bundles exhibit a moisture-activated, shape memory twist effect. Over 70% of the twist in a wetted bundle can be locked-in by drying under constraint and then released by rewetting the bundle. Our results indicate that hemicelluloses dominate the shape fixity mechanism and lignin is primarily responsible for remembering the bundle’s original form. The bundles demonstrate proof of a high specific torque actuator with large angles of rotation and shape memory twist capabilities that can be used in microactuators, sensors, and energy harvesters.

  11. Doxorubicin, DNA torsion, and chromatin dynamics

    Science.gov (United States)

    Yang, Fan; Teves, Sheila S.; Kemp, Christopher J.; Henikoff, Steven

    2014-01-01

    Doxorubicin is one of the most important anti-cancer chemotherapeutic drugs, being widely used for the treatment of solid tumors and acute leukemias. The action of doxorubicin and other anthracycline drugs has been intensively investigated during the last several decades, but the mechanisms that have been proposed for cell killing remain disparate and controversial. In this review, we examine the proposed models for doxorubicin action from the perspective of the chromatin landscape, which is altered in many types of cancer due to recurrent mutations in chromatin modifiers. We highlight recent evidence for effects of anthracyclines on DNA torsion and chromatin dynamics that may underlie basic mechanisms of doxorubicin-mediated cell death and suggest new therapeutic strategies for cancer treatment. PMID:24361676

  12. [Torsion and necrosis of epiploic appendices of the large bowel].

    Science.gov (United States)

    Timofeev, M E; Fedorov, E D; Krechetova, A P; Shapoval'iants, S G

    2014-01-01

    The features of the clinical symptoms was studied, the possibility of laparoscopy in modern diagnosis and treatment of epiploic appendices torsion and necrosis of the large bowel was assessed in the article. It was done the retrospective analysis of the medical records of 87 patients with a diagnosis of epiploic appendices torsion and necrosis of the large bowel. The patients had laparoscopic operations in our hospital in the period from January 1995 to December 2012. The clinical picture, laboratory and instrumental datas in cases of epiploic appendices torsion and necrosis were scarce and nonspecific. An abdominal pain preferentially localized in the lower divisions was the main symptom (97.7%). The instrumental methods did not allow to diagnose the torsion and necrosis of epiploic appendices in the majority of cases and all these techniques were used for the differential diagnosis with other diseases. The assumption of the presence of appendices torsion and necrosis occured just in 34.5% of cases before the operation. Diagnosis of epiploic appendices torsion and necrosis present significant difficulties on prehospital and preoperative stages. The diagnostic laparoscopy is the method of choice in unclear situations and it allows to diagnose the torsion and necrosis of epiploic appendices in 96.6% of cases. Successful surgical treatment by using laparoscopic approach is possible in 90.8% of cases.

  13. J-integral in the description of fatigue crack growth rate induced by different ratios of torsion to bending Loading in AlCu4Mg1

    Energy Technology Data Exchange (ETDEWEB)

    Rozumek, D.; Macha, E. [Opole University of Technology, Department of Mechanics and Machine Design, Opole (Poland)

    2009-10-15

    The paper presents the results of tests on fatigue crack growth under proportional torsion with bending in AlCu4Mg1 aluminium alloy. Specimens with rectangular cross-sections and stress concentrator in the form of external one-sided sharp notch were used. The tests were performed under the different ratios of torsion to bending moments. The results of the experimental tests have been described by a nonlinear formula based on {delta}J-integral range. The tests have shown that the change of ratio of torsion to bending moments from 0.58 to 1.73 caused an increase in crack growth rate. It has been shown that at the constant loading and the change of stress ratio (R) from - 1 to 0, the fatigue crack growth rate also increases. (Abstract Copyright [2009], Wiley Periodicals, Inc.)

  14. On the Torsion Units of Integral Adjacency Algebras of Finite Association Schemes

    Directory of Open Access Journals (Sweden)

    Allen Herman

    2014-01-01

    Full Text Available Torsion units of group rings have been studied extensively since the 1960s. As association schemes are generalization of groups, it is natural to ask about torsion units of association scheme rings. In this paper we establish some results about torsion units of association scheme rings analogous to basic results for torsion units of group rings.

  15. Torsion of a wandering spleen: an unusual abdominal catastrophe.

    Science.gov (United States)

    Riaz ul Haq, Muhammad; Elhassan, Elbagir; Mahdi, Diaa

    2014-11-01

    Wandering spleen is a rare clinical entity characterised by splenic hypermobility resulting from laxity or maldevelopment of the suspensory gastrosplenic, splenorenal, and phrenicocolic ligaments. Diagnosis is quite difficult, especially in children because of the lack of symptoms and signs until splenic torsion have occurred. An array of investigations is possible but US with color Doppler, CT with intravenous contrast and MRI are frequently being used to diagnose wandering spleen with or without torsion. We present a case of 5 years old child with torsion of wandering spleen to highlight the importance of prompt diagnosis and management.

  16. 5D Lovelock gravity: new exact solutions with torsion

    CERN Document Server

    Cvetković, B

    2016-01-01

    We investigate Lovelock gravity in five dimensions in first order formalism. We construct a new class of solutions: BTZ black ring with(out) torsion. We show that our solution with torsion exists in the different sector of the Lovelock gravity compared to Lovelock Chern-Simons and the sector investigated by Canfora et al. We compute conserved charges of the solutions by using Nester's formula, and confirm the results by canonical method. We show that the theory linearized around the background with torsion possesses additional degrees of freedom compared to general relativity.

  17. Avaliação radiográfica da osteotomia proximal de abertura gradual da tíbia Radiographic assessment of the opening wedge proximal tibial osteotomy

    Directory of Open Access Journals (Sweden)

    Carlos Francisco Bittencourt Silva

    2010-01-01

    Full Text Available OBJETIVO: Avaliar radiograficamente indivíduos submetidos à osteotomia de abertura gradual da tíbia proximal com o objetivo de analisar a inclinação tibial proximal no plano frontal e no plano sagital e a altura patelar. MÉTODO: Foram incluídos no estudo 22 indivíduos operados no Instituto Nacional de Traumatologia e Ortopedia (INTO para correção do desvio angular em varo da tíbia pela técnica de osteotomia de abertura gradual (OAG com fixador externo monolateral da Orthofix. Foram analisados pacientes submetidos à OAG com término de tratamento entre janeiro de 2000 e dezembro de 2006. A técnica utilizada para a mensuração dos valores foi obtida através de radiografias em AP com carga e perfil com flexão a 30º dos joelhos operados. RESULTADOS: Não houve diferenças entre os valores dos índices de altura patelar e inclinação tibial pré-operatórios e pós-operatórios de significância estatística nos pacientes avaliados. CONCLUSÃO: A osteotomia tibial de abertura gradual representa uma técnica que evita os problemas apresentados pela osteotomia tibial proximal alta, pois ela é realizada sem promover alterações do mecanismo extensor, desequilíbrio ligamentar ou distorções na tíbia proximal.OBJETIVO: To radiographically evaluate patients who underwent opening wedge proximal tibial osteotomy in order to analyze the proximal tibial slope in the frontal plane, sagittal plane, and patellar height. METHOD: The study included 22 patients operated on at the Instituto Nacional de Traumatologia e Ortopedia (INTO for the correction of varus angular tibial deviation using the opening wedge osteotomy (OWO technique with the Orthofix monolateral external fixator. We analyzed patients with OWO having completed treatment between January 2000 and December 2006. Values were measured by using X-rays of the anteroposterior profile with load and lateral profile with 30º flexion of the operated knees. RESULTS: No statistically

  18. Random gust response statistics for coupled torsion-flapping rotor blade vibrations.

    Science.gov (United States)

    Gaonkar, G. H.; Hohenemser, K. H.; Yin, S. K.

    1972-01-01

    An analysis of coupled torsion-flapping rotor blade vibrations in response to atmospheric turbulence revealed that at high rotor advance ratios anticipated for future high speed pure or convertible rotorcraft both flapping and torsional vibrations can be severe. While appropriate feedback systems can alleviate flapping, they have little effect on torsion. Dynamic stability margins have also no substantial influence on dynamic torsion loads. The only effective means found to alleviate turbulence caused torsional vibrations and loads at high advance ratio was a substantial torsional stiffness margin with respect to local static torsional divergence of the retreating blade.

  19. Age variations in the properties of human tibial trabecular bone

    DEFF Research Database (Denmark)

    Ding, Ming; Dalstra, M; Danielsen, CC;

    1997-01-01

    We tested in compression specimens of human proximal tibial trabecular bone from 31 normal donors aged from 16 to 83 years and determined the mechanical properties, density and mineral and collagen content. Young's modulus and ultimate stress were highest between 40 and 50 years, whereas ultimate...

  20. Aetiology, imaging and treatment of medial tibial stress syndrome

    NARCIS (Netherlands)

    Moen, M.H.

    2012-01-01

    The work contained is this thesis discusses aetiology, imaging and treatment of a common leg injury: medial tibial stress syndrome (MTSS). Although a common injury, the number of scientific articles on this topic is relatively low as is explained in chapter 1. This chapter also highlights that the m

  1. Tibial inlay for posterior cruciate ligament reconstruction: a systematic review.

    Science.gov (United States)

    Papalia, Rocco; Osti, Leonardo; Del Buono, Angelo; Denaro, Vincenzo; Maffulli, Nicola

    2010-08-01

    Although no consensus has been reached regarding the management of PCL deficiency, in vitro and in vivo studies have investigated whether the tibial inlay technique restores the anatomical site of insertion of the PCL, prevents elongation, stretching, graft failure, and improves long-term PCL stability. A systematic search using PubMed, Ovid, the Cochrane Reviews, and Google Scholar databases using 'posterior cruciate ligament tear', 'Tibial inlay technique' and 'posterior cruciate ligament reconstruction' as keywords identified 71 publications, of which 10 were relevant to the topic, and included a total of 255 patients. The tibial inlay technique restores the anatomic insertion site of the PCL, eliminates the killer turn effect, and places the graft at lower potential risk for abrasion and subsequent rupture. It has the disadvantages of increased operating time and risk to the posterior neurovascular structures. There was no evidence of an association between outcome results and Coleman methodology score, but the Coleman methodology scores correlated positively with the level-of-evidence rating. The methodological quality of the studies included has not improved over the years. Given the few reported published findings, we cannot ascertain whether this procedure may provide a consistent alternative to commonly used PCL surgical strategies. The lack of published randomized clinical trials and few reported findings did not allow to ascertain whether the tibial inlay for posterior cruciate ligament reconstruction may provide a consistent alternative to commonly used PCL surgical strategies and to demonstrate procedure efficacy.

  2. Contact Stress Generation on the UHMWPE Tibial Insert

    Directory of Open Access Journals (Sweden)

    S. Petrović Savić

    2014-12-01

    Full Text Available Total knee replacement (TKR is considered, during last years, as a very successful surgical technique for removing knee joint deformities and eliminating pain caused by cartilage damage. In literature, as primary causes for knee joint endoprothesis damage are cited complex movements which cause occurrences of complex stress conditions, sagital radius conformity, sliding, types of materials etc. Aim of this study is analysis of contact stresses that occur on tibial implant for 15°, 45° and 60° knee flexion and 50 kg, 75 kg, 100 kg and 125 kg weight. Knee joint prosthesis model and finite elements method (FEM analysis are done in software Catia V5. For this analysis we used ultra-high molecular weight polyethylene (UHMWPE for tibial implant material and AISI 316, AISI 317, AISI 321, 17-4PH, CoCrMo, Ti6Al4V and SAE A-286 for femoral component materials. Results show that area of maximal contact stress is identified in medial and lateral part of tibial implant. Von Mises stress values vary regarding of flexion degree and weight, but values are approximate for types of chosen materials. Contact stress location corresponds to damage that occur on tibial implant during exploitation.

  3. Osteoarthritis Imaging by Quantification of Tibial Trabecular Bone

    DEFF Research Database (Denmark)

    Marques, Joselene

    The pathogenesis of osteoarthritis (OA) includes complex events in the whole joint. In this project, we combined machine-learning techniques in a texture analysis framework and evaluated it in a longitudinal study, where magnetic resonance images of knees were used to quantify the tibial trabecul...

  4. Anterior cruciate ligament reconstruction failure after tibial shaft malunion.

    Science.gov (United States)

    LaFrance, Russell M; Gorczyca, John T; Maloney, Michael D

    2012-02-17

    Anterior cruciate ligament (ACL) reconstruction is common, with >100,000 procedures performed each year in the United States. Several factors are associated with failure, including poor surgical technique, graft incorporation failure, overly aggressive rehabilitation, and trauma. Tibial shaft fracture is also common and frequently requires operative intervention. Failure to reestablish the anatomic alignment of the tibia may cause abnormal forces across adjacent joints, which can cause degenerative joint disease or attritional failure of the surrounding soft tissues. This article describes a case of ACL reconstruction failure after a tibial fracture that resulted in malunion. Excessive force across the graft from lower-extremity malalignment and improper tunnel placement likely contributed to the attritional failure of the graft. This patient required a staged procedure for corrective tibial osteotomy followed by revision ACL reconstruction. This article describes ACL reconstruction failure, tibial shaft malunions, their respective treatments, the technical details of each procedure, and the technical aspects that must be considered when these procedures are done in a staged manner by 2 surgeons.

  5. Olanzapine-induced tender pitting pre-tibial edema

    Directory of Open Access Journals (Sweden)

    Kaliaperumal Mathan

    2015-01-01

    Full Text Available Antipsychotic-induced edema is uncommonly encountered in clinical practice. We report a case of tender pitting pre-tibial edema with olanzapine in a woman with no medical comorbidities. The peculiar distribution of edema resulted in diagnostic confusion necessitating specific investigations. Eventually, the edema resolved following complete stoppage of the drug, but caused distress to the patient and the caregiver.

  6. Total knee arthroplasty after high tibial osteotomy. A systematic review

    NARCIS (Netherlands)

    T.M. van Raaij (Tom); M. Reijman (Max); A. Furlan (Alessandro); J.A.N. Verhaar (Jan)

    2009-01-01

    textabstractBackground: Previous osteotomy may compromise subsequent knee replacement, but no guidelines considering knee arthroplasty after prior osteotomy have been developed. We describe a systematic review of non-randomized studies to analyze the effect of high tibial osteotomy on total knee art

  7. Preliminary evaluation of the tibial tuberosity-trochlear groove measurement

    DEFF Research Database (Denmark)

    Miles, James Edward; Kirpensteijn, Jolle; Svalastoga, Eiliv Lars

    guide surgical treatment. The TTTG measures tibial tuberosity position relative to the axis of the femoral trochlea. A preliminary investigation of TTTG measurement was performed using the red fox (Vulpes vulpes) cadavers as a morphologically similar and homogenous substitute for dog cadavers. CT...

  8. Asymmetry in gait pattern following tibial shaft fractures

    DEFF Research Database (Denmark)

    Larsen, Peter; Læssøe, Uffe; Rasmussen, Sten

    2017-01-01

    INTRODUCTION: Despite the high number of studies evaluating the outcomes following tibial shaft fractures, the literature lacks studies including objective assessment of patients' recovery regarding gait pattern. The purpose of the present study was to evaluate whether gait patterns at 6 and 12 m...

  9. MR imaging findings of medial tibial crest friction

    Energy Technology Data Exchange (ETDEWEB)

    Klontzas, Michail E., E-mail: miklontzas@gmail.com; Akoumianakis, Ioannis D., E-mail: ioannis.akoumianakis@gmail.com; Vagios, Ilias, E-mail: iliasvagios@gmail.com; Karantanas, Apostolos H., E-mail: akarantanas@gmail.com

    2013-11-01

    Objective: Medial tibial condyle bone marrow edema (BME), associated with soft tissue edema (STe) surrounding the medial collateral ligament, was incidentally observed in MRI examinations of young and athletic individuals. The aim of the present study was to 1. Prospectively investigate the association between these findings and coexistence of localized pain, and 2. Explore the possible contribution of the tibial morphology to its pathogenesis. Methods: The medial tibial condyle crest was evaluated in 632 knee MRI examinations. The angle and depth were measured by two separate evaluators. The presence of STe and BME was recorded. A third evaluator blindly assessed the presence of pain at this site. Results: BME associated with STe was found in 24 patients (with no history of previous trauma, osteoarthritis, tumor or pes anserine bursitis). The mean crest angle was 151.3° (95%CI 147.4–155.3°) compared to 159.4° (95%CI 158.8–160°) in controls (Mann–Whitney test, P < 0.0001). MRI findings were highly predictive of localized pain (sensitivity 92% specificity 99%, Fisher's exact test, P < 0.0001). Conclusion: Friction at the medial tibial condyle crest is a painful syndrome. MRI is a highly specific and sensitive imaging modality for its diagnosis.

  10. Multichannel recording of tibial-nerve somatosensory evoked potentials

    NARCIS (Netherlands)

    de Wassenberg, W. J. G. van; Kruizinga, W. J.; van der Hoeven, J. H.; Leenders, K. L.; Maurits, N. M.

    2008-01-01

    Study aims. -The topography of the peaks of tibial.-nerve somatosensory evoked potential (SEP) varies among healthy subjects, most likely because of differences in position and orientation of their cortical generator(s). Therefore, amplitude estimation with a standard one- or two-channel derivation

  11. Do ethnicity and gender influence posterior tibial slope?

    Science.gov (United States)

    Bisicchia, Salvatore; Scordo, Gavinca M; Prins, Johan; Tudisco, Cosimo

    2017-02-02

    Ethnicity and gender can affect posterior tibial slope; however, studies on this topic have limitations and are in disagreement. The aim of the present study was to evaluate posterior tibial slope in a large group of consecutive patients, determining whether ethnicity and gender can influence its value. Secondly, to determine intra- and inter-rater reliability of the two radiographic methods adopted. Posterior tibial slope was calculated (rater 1) in lateral view X-rays of the knee according to the posterior tibial cortex (PTC) and tibial proximal anatomical axis (TPAA) methods. Data were matched with ethnicity and gender. For determination of intra- and inter-rater reliability, 50 random X-rays were selected, and blindly measured by two other raters (2 and 3). A total of 581 radiographs were included (413 white and 168 black knees). Comparing white and black subjects, a statistically significant difference was found for both PTC (4.9 ± 1.2 vs 7.1 ± 2.9, p < 0.0001), and for TPAA (7.7 ± 1.1 vs 10.2 ± 3.0, p < 0.0001). In white subjects, an influence of gender was found only for TPAA (6.4 ± 1.1 in males vs 7.6 ± 1.1 in females, p < 0.0001). In black subjects, an influence of gender was found only for PTC (7.4 ± 3.0 in males vs 6.2 ± 2.9 in females, p = 0.01). Intra-rater reliability was good for both methods for rater 1, and very good for rater 2. Inter-rater reliability among the 3 raters was very good for both methods. Differences in posterior tibial slope between different ethnic groups exist. Differences observed between genders are conflicting and might be too small to have implications in clinical practice. The TPAA method is recommended for the evaluation of posterior tibial slope because of higher intra- and inter-rater reliability. Level of evidence 3 Case-control study.

  12. Torsion and antero-posterior bending in the in vivo human tibia loading regimes during walking and running.

    Science.gov (United States)

    Yang, Peng-Fei; Sanno, Maximilian; Ganse, Bergita; Koy, Timmo; Brüggemann, Gert-Peter; Müller, Lars Peter; Rittweger, Jörn

    2014-01-01

    Bending, in addition to compression, is recognized to be a common loading pattern in long bones in animals. However, due to the technical difficulty of measuring bone deformation in humans, our current understanding of bone loading patterns in humans is very limited. In the present study, we hypothesized that bending and torsion are important loading regimes in the human tibia. In vivo tibia segment deformation in humans was assessed during walking and running utilizing a novel optical approach. Results suggest that the proximal tibia primarily bends to the posterior (bending angle: 0.15°-1.30°) and medial aspect (bending angle: 0.38°-0.90°) and that it twists externally (torsion angle: 0.67°-1.66°) in relation to the distal tibia during the stance phase of overground walking at a speed between 2.5 and 6.1 km/h. Peak posterior bending and peak torsion occurred during the first and second half of stance phase, respectively. The peak-to-peak antero-posterior (AP) bending angles increased linearly with vertical ground reaction force and speed. Similarly, peak-to-peak torsion angles increased with the vertical free moment in four of the five test subjects and with the speed in three of the test subjects. There was no correlation between peak-to-peak medio-lateral (ML) bending angles and ground reaction force or speed. On the treadmill, peak-to-peak AP bending angles increased with walking and running speed, but peak-to-peak torsion angles and peak-to-peak ML bending angles remained constant during walking. Peak-to-peak AP bending angle during treadmill running was speed-dependent and larger than that observed during walking. In contrast, peak-to-peak tibia torsion angle was smaller during treadmill running than during walking. To conclude, bending and torsion of substantial magnitude were observed in the human tibia during walking and running. A systematic distribution of peak amplitude was found during the first and second parts of the stance phase.

  13. Protective effect of sildenafil citrate on contralateral testis injury after unilateral testicular torsion/detorsion

    OpenAIRE

    Yíldíz,Hamit; Durmus, Ali Said; Şimşek,Halil; Yaman, Mine

    2011-01-01

    OBJECTIVES: This study was designed to investigate prevention of contralateral testicular injury with sildenafil citrate after unilateral testicular torsion/detorsion. METHODS: Thirty-seven adult male rats were divided into four groups: sham operated (group 1, n = 7), torsion/detorsion + saline (group 2, n = 10), torsion/detorsion + 0.7 mg of sildenafil citrate (group 3, n = 10) and torsion/detorsion + 1.4 mg of sildenafil citrate (group 4, n = 10). Unilateral testicular torsion was created b...

  14. Analysis of Knee Joint Line Obliquity after High Tibial Osteotomy.

    Science.gov (United States)

    Oh, Kwang-Jun; Ko, Young Bong; Bae, Ji Hoon; Yoon, Suk Tae; Kim, Jae Gyoon

    2016-11-01

    The aim of this study was to evaluate which lower extremity alignment (knee and ankle joint) parameters affect knee joint line obliquity (KJLO) in the coronal plane after open wedge high tibial osteotomy (OWHTO). Overall, 69 knees of patients that underwent OWHTO were evaluated using radiographs obtained preoperatively and from 6 weeks to 3 months postoperatively. We measured multiple parameters of knee and ankle joint alignment (hip-knee-ankle angle [HKA], joint line height [JLH], posterior tibial slope [PS], femoral condyle-tibial plateau angle [FCTP], medial proximal tibial angle [MPTA], mechanical lateral distal femoral angle [mLDFA], KJLO, talar tilt angle [TTA], ankle joint obliquity [AJO], and the lateral distal tibial ground surface angle [LDTGA]; preoperative [-pre], postoperative [-post], and the difference between -pre and -post values [-Δ]). We categorized patients into two groups according to the KJLO-post value (the normal group [within ± 4 degrees, 56 knees] and the abnormal group [greater than ± 4 degrees, 13 knees]), and compared their -pre parameters. Multiple logistic regression analysis was used to examine the contribution of the -pre parameters to abnormal KJLO-post. The mean HKA-Δ (-9.4 ± 4.7 degrees) was larger than the mean KJLO-Δ (-2.1 ± 3.2 degrees). The knee joint alignment parameters (the HKA-pre, FCTP-pre) differed significantly between the two groups (p knee joint alignment and knee joint convergence angle evaluated by HKA-pre and FCTP-pre angle, respectively, were significant predictors of abnormal KJLO after OWHTO. However, -pre ankle joint parameters were not significantly associated with abnormal KJLO after OWHTO.

  15. Localização do ponto de entrada tibial Localization of the tibial entry point

    Directory of Open Access Journals (Sweden)

    Pedro José Labronici

    2010-01-01

    Full Text Available OBJETIVO: Verificar, através de um questionário, o ponto de entrada da haste intramedular na região proximal da tíbia. Métodos: 230 participantes que tratam fraturas da tíbia foram entrevistados. O questionário foi formulado com três segmentos que poderiam ser respondidos com um formato "sim" ou "não" e um quarto, com duas figuras que representavam uma radiografia em anteroposterior (AP e lateral que poderiam ser respondidas com um formato "A", "B" ou "C". RESULTADOS: A razão mais frequente foi a "facilidade de acesso" (67,8%, seguida do "melhor acesso para inserção da haste" (60,9% e em terceiro "prevenir a dor no joelho" (27,4%. Existiu relação significativa entre as razões de escolha do acesso como "prevenir dor no joelho" e "evitar tendinites" com os pontos A e C da figura esquemática de radiografia em AP, principalmente o ponto C (crista tibial medial. Observou-se que não existiu diferença significativa nos tipos de acesso em relação ao ligamento patelar, nas figuras esquemáticas de radiografia em AP e perfil entre as faixas etárias. CONCLUSÃO: Observou-se que quanto maior a faixa etária maior a proporção de escolher a pergunta "evitar deformidade em valgo". As razões de aspecto médico (prático foram relacionadas com o tipo de acesso no ligamento transpatelar, enquanto que as razões de aspecto paciente (funcional foram relacionadas com o acesso parapatelar medial. O acesso transpatelar foi escolhido pela maioria dos participantes (66,5%.OBJETIVE: To assess, through a questionnaire, the intramedullary nail entry point in the proximal aspect of the tibia. Me-thods: 230 attendees who treat tibial fractures were interviewed. The questionnaire was created with three sections that could be answered with "Yes" or "No" answers and a fourth section that had two figures representing anteroposterior (AP and lateral view x-rays that could be answered with a format "A, "B" or "C". RESULTS: The most frequent reason was "ease

  16. The dynamics and excitation of torsional waves in geodynamo simulations

    CERN Document Server

    Teed, Robert J; Tobias, Steven M

    2013-01-01

    The predominant force balance in rapidly rotating planetary cores is between Coriolis, pressure, buoyancy and Lorentz forces. This magnetostrophic balance leads to a Taylor state where the spatially averaged azimuthal Lorentz force is compelled to vanish on cylinders aligned with the rotation axis. Any deviation from this state leads to a torsional oscillation, signatures of which have been observed in the Earth's secular variation and are thought to influence length of day variations via angular momentum conservation. In order to investigate the dynamics of torsional oscillations, we perform several three-dimensional dynamo simulations in a spherical shell. We find torsional oscillations, identified by their propagation at the correct Alfv\\'{e}n speed, in many of our simulations. We find that the frequency, location and direction of propagation of the waves are influenced by the choice of parameters. Torsional waves are observed within the tangent cylinder and also have the ability to pass through it. Severa...

  17. Outcomes of Surgery for Posterior Polar Cataract Using Torsional Ultrasound

    Directory of Open Access Journals (Sweden)

    Selçuk Sızmaz

    2013-10-01

    Full Text Available Purpose: The aim of this study is to report outcomes of surgery for posterior polar cataract using torsional ultrasound. Material and Method: Medical records of 26 eyes of 21 consecutive patients with posterior polar cataract who had cataract surgery using the torsional phacoemulsification were evaluated retrospectively. The surgical procedure used, phacoemulsification parameters, intraoperative complications, and postoperative visual outcome were recorded. Results: Of the 26 eyes, 24 (92.3% had small to medium posterior polar opacity. Two eyes had large opacity. All surgeries were performed using the torsional handpiece. Posterior capsule rupture occurred in 4 (15.3% eyes. The mean visual acuity improved significantly after surgery (p<0.001. The postoperative visual acuity was worse than 20/20 in 5 eyes. The cause of the low acuity was amblyopia. Discussion: Successful surgical results and good visual outcome can be achieved with phacoemulsification using the torsional handpiece. (Turk J Ophthalmol 2013; 43: 345-7

  18. Torsional dynamics of steerable needles: modeling and fluoroscopic guidance.

    Science.gov (United States)

    Swensen, John P; Lin, MingDe; Okamura, Allison M; Cowan, Noah J

    2014-11-01

    Needle insertions underlie a diversity of medical interventions. Steerable needles provide a means by which to enhance existing needle-based interventions and facilitate new ones. Tip-steerable needles follow a curved path and can be steered by twisting the needle base during insertion, but this twisting excites torsional dynamics that introduce a discrepancy between the base and tip twist angles. Here, we model the torsional dynamics of a flexible rod-such as a tip-steerable needle-during subsurface insertion and develop a new controller based on the model. The torsional model incorporates time-varying mode shapes to capture the changing boundary conditions inherent during insertion. Numerical simulations and physical experiments using two distinct setups-stereo camera feedback in semitransparent artificial tissue and feedback control with real-time X-ray imaging in optically opaque artificial tissue-demonstrate the need to account for torsional dynamics in control of the needle tip.

  19. Behavior of the SU(2)-Reidemeister torsion form by mutation

    CERN Document Server

    Dubois, Jerome

    2012-01-01

    In this paper, we prove that the Reidemeister torsion twisted by the adjoint representation, which is considered as a 1-form, on the SU(2)-character variety of a knot exterior is invariant under mutation along a Conway sphere.

  20. Multiscale modeling and simulation of nanotube-based torsional oscillators

    Directory of Open Access Journals (Sweden)

    Xiao Shaoping

    2006-01-01

    Full Text Available AbstractIn this paper, we propose the first numerical study of nanotube-based torsional oscillators via developing a new multiscale model. The edge-to-edge technique was employed in this multiscale method to couple the molecular model, i.e., nanotubes, and the continuum model, i.e., the metal paddle. Without losing accuracy, the metal paddle was treated as the rigid body in the continuum model. Torsional oscillators containing (10,0 nanotubes were mainly studied. We considered various initial angles of twist to depict linear/nonlinear characteristics of torsional oscillators. Furthermore, effects of vacancy defects and temperature on mechanisms of nanotube-based torsional oscillators were discussed.

  1. Spin-torsion effects in the hyperfine structure of methanol

    Energy Technology Data Exchange (ETDEWEB)

    Coudert, L. H., E-mail: laurent.coudert@lisa.u-pec.fr; Gutlé, C. [Laboratoire Inter-Universitaire des Systèmes Atmosphériques, UMR 7583 CNRS-Universités Paris Est Créteil et Paris Diderot, 61 Avenue du Général de Gaulle, 94010 Créteil Cedex (France); Huet, T. R. [Laboratoire de Physique des Lasers, Atomes et Molécules, UMR 8523 CNRS-Université Lille 1, Bâtiment P5, 59655 Villeneuve d’Ascq Cedex (France); Grabow, J.-U. [Institut für Physikalische Chemie, Callinstrasse 3–3a, 30167 Hannover (Germany); Levshakov, S. A. [St. Petersburg Electrotechnical University “LETI,” 197376 St. Petersburg (Russian Federation)

    2015-07-28

    The magnetic hyperfine structure of the non-rigid methanol molecule is investigated experimentally and theoretically. 12 hyperfine patterns are recorded using molecular beam microwave spectrometers. These patterns, along with previously recorded ones, are analyzed in an attempt to evidence the effects of the magnetic spin-torsion coupling due to the large amplitude internal rotation of the methyl group [J. E. M. Heuvel and A. Dymanus, J. Mol. Spectrosc. 47, 363 (1973)]. The theoretical approach setup to analyze the observed data accounts for this spin-torsion in addition to the familiar magnetic spin-rotation and spin-spin interactions. The theoretical approach relies on symmetry considerations to build a hyperfine coupling Hamiltonian and spin-rotation-torsion wavefunctions compatible with the Pauli exclusion principle. Although all experimental hyperfine patterns are not fully resolved, the line position analysis yields values for several parameters including one describing the spin-torsion coupling.

  2. Isolated adnexal torsion in a 20-week spontaneous twin pregnancy

    Directory of Open Access Journals (Sweden)

    Ilker Kahramanoglu

    2016-01-01

    Discussion: Adnexal torsion as a cause of acute abdomen may be kept in mind in pregnants, even if there is no predisposing factor. Laparoscopy may be performed safely in 2nd trimester for acute abdomen.

  3. Two-step spacetime deformation-induced dynamical torsion

    Energy Technology Data Exchange (ETDEWEB)

    Ter-Kazarian, G, E-mail: gago-50@yahoo.com [Byurakan Astrophysical Observatory, Byurakan 378433, Aragatsotn District (Armenia)

    2011-03-07

    We extend the geometrical ideas of the spacetime deformations to study the physical foundation of the post-Riemannian geometry. To this aim, we construct the theory of two-step spacetime deformation as a guiding principle. We address the theory of teleparallel gravity and construct a consistent Einstein-Cartan (EC) theory with the dynamical torsion. We show that the equations of the standard EC theory, in which the equation defining torsion is the algebraic type and, in fact, no propagation of torsion is allowed, can be equivalently replaced by the set of modified EC equations in which the torsion, in general, is dynamical. The special physical constraint imposed upon the spacetime deformations yields the short-range propagating spin-spin interaction.

  4. Two-step spacetime deformation induced dynamical torsion

    CERN Document Server

    Ter-Kazarian, G

    2011-01-01

    We extend the geometrical ideas of the spacetime deformations to study the physical foundation of the post-Riemannian geometry. To this aim, we construct the theory of 'two-step spacetime deformation' as a guiding principle. We address the theory of teleparallel gravity and construct a consistent Einstein-Cartan (EC) theory with the 'dynamical torsion'. We show that the equations of the standard EC theory, in which the equation defining torsion is the algebraic type and, in fact, no propagation of torsion is allowed, can be equivalently replaced by the set of 'modified EC equations' in which the torsion, in general, is dynamical. The special physical constraint imposed upon the spacetime deformations yields the short-range propagating spin-spin interaction.

  5. Effect of tensile and torsion on GMI in amorphous wire

    Science.gov (United States)

    Blanco, J. M.; Zhukov, A.; Gonzalez, J.

    1999-05-01

    GMI effect, Δ Z/Z = [ Z( H) - Z( Hmax)]/ Z( Hmax) has been measured in (Fe 0.94Co 0.06) 72.5B 15Si 12.5 wire under tensile, σ ten, and torsional, σ tor, stresses. Generally Δ Z/Z( H) dependence has a non-monotonic shape with a maximum at certain axial magnetic field, Hm. Both tension and torsion modify Δ Z/Z( H) dependence. Application of tension results in an increase of Hm with σ ten. Torsional stress dependence of GMI effect has asymmetry with a maximum at torsion angle, φ, around + 12π/m in as-cast wire, when Δ Z/Z is around 250%. An increase of Δ Z/Zm up to 350% and change of Δ Z/Z(φ) dependence towards a nearly symmetric shape have been observed after Joule heating.

  6. The Torsion Theory Generated by M-Small Modules

    Institute of Scientific and Technical Information of China (English)

    A.(C)i(g)dem (O)zcan; Abdullah Harmanci

    2003-01-01

    Let M be a right R-module, M the class of all M-small modules,and P a projective cover of M in σ[M]. We consider the torsion theories TM =(TM,FM), TV = (TV,FV), and TP = (TP,FP) in σ[M], where TM is the torsion theory generated by M, TV is the torsion theory cogenerated by M, and TP is the dual Lambek torsion theory. We study some conditions for TM to be cohereditary,stable, or split, and prove that Rej(M, M) = M (→) FP = M (= TM = FV) (→)TP = TV (→) GenM(P) (∩-) TV.

  7. Quantization of Two-Dimensional Gravity with Dynamical Torsion

    CERN Document Server

    Lavrov, P M

    1999-01-01

    We consider two-dimensional gravity with dynamical torsion in the Batalin - Vilkovisky and Batalin - Lavrov - Tyutin formalisms of gauge theories quantization as well as in the background field method.

  8. M-theory moduli spaces and torsion-free structures

    CERN Document Server

    Graña, Mariana

    2014-01-01

    Motivated by the description of $\\mathcal{N}=1$ M-theory compactifications to four-dimensions given by Exceptional Generalized Geometry, we propose a way to geometrize the M-theory fluxes by appropriately relating the compactification space to a higher-dimensional manifold equipped with a torsion-free structure. As a non-trivial example of this proposal, we construct a bijection from the set of $Spin(7)$-structures on an eight-dimensional $S^{1}$-bundle to the set of $G_{2}$-structures on the base space, fully characterizing the $G_{2}$-torsion clases when the total space is equipped with a torsion-free $Spin(7)$-structure. Finally, we elaborate on how the higher-dimensional manifold and its moduli space of torsion-free structures can be used to obtain information about the moduli space of M-theory compactifications.

  9. M-theory moduli spaces and torsion-free structures

    Science.gov (United States)

    Graña, Mariana; Shahbazi, C. S.

    2015-05-01

    Motivated by the description of M-theory compactifications to four-dimensions given by Exceptional Generalized Geometry, we propose a way to geometrize the M-theory fluxes by appropriately relating the compactification space to a higher-dimensional manifold equipped with a torsion-free structure. As a non-trivial example of this proposal, we construct a bijection from the set of Spin(7)-structures on an eight-dimensional S 1-bundle to the set of G 2-structures on the base space, fully characterizing the G 2-torsion clases when the total space is equipped with a torsion-free Spin(7)-structure. Finally, we elaborate on how the higher-dimensional manifold and its moduli space of torsion-free structures can be used to obtain information about the moduli space of M-theory compactifications.

  10. Diffusion-weighted imaging findings of adnexal torsion: Initial results

    Energy Technology Data Exchange (ETDEWEB)

    Fujii, Shinya, E-mail: sfujii@grape.med.tottori-u.ac.jp [Division of Radiology, Department of Pathophysiological and Therapeutic Science, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori 683-8504 (Japan); Kaneda, Sachi; Kakite, Suguru; Kanasaki, Yoshiko; Matsusue, Eiji [Division of Radiology, Department of Pathophysiological and Therapeutic Science, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori 683-8504 (Japan); Harada, Tasuku [Division of Reproductive-Perinatal Medicine and Gynecological Oncology, Department of Surgery, Faculty of Medicine, Tottori University, Yonago (Japan); Kaminou, Toshio; Ogawa, Toshihide [Division of Radiology, Department of Pathophysiological and Therapeutic Science, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori 683-8504 (Japan)

    2011-02-15

    Our purpose is to clarify the diffusion-weighted (DW) imaging findings of adnexal torsion. We retrospectively analyzed the DW imaging findings in 11 consecutive patients with surgical confirmation of adnexal torsion. We assessed signal intensity of the adnexal mass and fallopian tube thickening, and the location of abnormal signal intensity within the adnexal mass. On DW imaging, thickening of the fallopian tube was apparent as abnormal signal intensity in 8 of 11 patients. Abnormal signal intensity was inhomogeneous in 7 of 8 patients. Abnormal signal intensity on DW imaging was observed in 10 of 11 adnexal masses, and in the walls of 7 out of 8 adnexal cystic lesions. In adnexal torsion, DW imaging showed abnormal signal intensity in the thickened fallopian tube and in the wall of cystic ovarian lesions. These findings would be feasible to diagnose adnexal torsion.

  11. experimental and analytical comparison of torsion, bending moment ...

    African Journals Online (AJOL)

    HOD

    AND SHEAR FORCES IN REINFORCED CONCRETE BEAMS USING BS 8110, EURO CODE. 2 AND ACI 318 ... In structural analysis and design, the effects of torsion are usually ... is fairly complex, owing to non-homogeneous, non-linear.

  12. Considerations on the Sp\\"orer-diagram - torsional wave relationship

    CERN Document Server

    Muraközy, J

    2014-01-01

    Studies on the earlier reported spatial correlations between magnetic field distributions and the torsional wave have been substantially extended to the period 1975-2009. The investigations are based on Debrecen sunspot data and magnetic field data of Mount Wilson. The recently available data and distributions seem to support the idea that the torsional wave may be caused by flows around the toruses which result in Coriolis-deviations forward and backward, establishing the prograde and retrograde belts.

  13. Anomalous pressure dependence of the torsional levels in solid nitromethane

    Science.gov (United States)

    Cavagnat, D.; Magerl, A.; Vettier, C.; Anderson, I. S.; Trevino, S. F.

    1985-01-01

    Inelastic neutron-scattering measurement of the torsional levels of CH3NO2 and CD3NO2 are presented as functions of pressure and temperature. In contrast to all previously observed pressure dependence of hindered rotors, the ground-state tunnel splitting increases and the energies of the bound torsional levels decrease with pressure. A potential which reproduces these anomalous effects is found and the source of the anomaly explained.

  14. Abnormalities of Penile Curvature: Chordee and Penile Torsion

    OpenAIRE

    2011-01-01

    Congenital chordee and penile torsion are commonly observed in the presence of hypospadias, but can also be seen in boys with the meatus in its orthotopic position. Varying degrees of penile curvature are observed in 4–10% of males in the absence of hypospadias. Penile torsion can be observed at birth or in older boys who were circumcised at birth. Surgical management of congenital curvature without hypospadias can present a challenge to the pediatric urologist. The most widely used surgical ...

  15. Torsion Points on an Algebraic Subset of an Affine Torus

    CERN Document Server

    Hironaka, E

    1996-01-01

    Work of Laurent and Sarnak, following a conjecture of Lang, shows that the number of torsion points of order n on an algebraic subset of an affine complex torus is polynomial periodic. In this paper, we find bounds on the degree and period of this number as a function of n. Some examples, including the number of n torsion points on Fermat curves, are computed to illustrate the methods.

  16. Muscular Basis of Whisker Torsion in Mice and Rats.

    Science.gov (United States)

    Haidarliu, Sebastian; Bagdasarian, Knarik; Shinde, Namrata; Ahissar, Ehud

    2017-09-01

    Whisking mammals move their whiskers in the rostrocaudal and dorsoventral directions with simultaneous rolling about their long axes (torsion). Whereas muscular control of the first two types of whisker movement was already established, the anatomic muscular substrate of the whisker torsion remains unclear. Specifically, it was not clear whether torsion is induced by asymmetrical operation of known muscles or by other largely unknown muscles. Here, we report that mystacial pads of newborn and adult rats and mice contain oblique intrinsic muscles (OMs) that connect diagonally adjacent vibrissa follicles. Each of the OMs is supplied by a cluster of motor end plates. In rows A and B, OMs connect the ventral part of the rostral follicle with the dorsal part of the caudal follicle. In rows C-E, in contrast, OMs connect the dorsal part of the rostral follicle to the ventral part of the caudal follicle. This inverse architecture is consistent with previous behavioral observations [Knutsen et al.: Neuron 59 (2008) 35-42]. In newborn mice, torsion occurred in irregular single twitches. In adult anesthetized rats, microelectrode mediated electrical stimulation of an individual OM that is coupled with two adjacent whiskers was sufficient to induce a unidirectional torsion of both whiskers. Torsional movement was associated with protracting movement, indicating that in the vibrissal system, like in the ocular system, torsional movement is mechanically coupled to horizontal and vertical movements. This study shows that torsional whisker rotation is mediated by specific OMs whose morphology and attachment sites determine rotation direction and mechanical coupling, and motor innervation determines rotation dynamics. Anat Rec, 300:1643-1653, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  17. A Numerical Model for Torsion Analysis of Composite Ship Hulls

    Directory of Open Access Journals (Sweden)

    Ionel Chirica

    2012-01-01

    Full Text Available A new methodology based on a macroelement model proposed for torsional behaviour of the ship hull made of composite material is proposed in this paper. A computer program has been developed for the elastic analysis of linear torsion. The results are compared with the FEM-based licensed soft COSMOS/M results and measurements on the scale simplified model of a container ship, made of composite materials.

  18. Elastic Knee Sleeves Limit Anterior Tibial Translation in Healthy Females

    Directory of Open Access Journals (Sweden)

    Robert Csapo, Simona Hosp, Ramona Folie, Robert Eberle, Michael Hasler, Werner Nachbauer

    2016-03-01

    Full Text Available Knee sleeves or braces represent auxiliary tools that have repeatedly been used by athletes, in an attempt to increase knee stability and, thus, reduce the risk of (recurrent ligamentous injuries. Since ACL injuries typically occur in situations involving either torsion or hyperextension of the knee, it has been speculated that braces might protect the ACL by countering excessive anterior translation of the tibia with respect to the femur (Beynnon et al., 1997. However, the preponderance of in vivo studies to test this hypothesis was performed in cohorts of patients suffering from existent ligamentous (Branch et al., 1988; Colville et al., 1986 or other knee injury (Beynnon et al., 1997; Fleming et al., 2000. This complicates the extrapolation of results to healthy subjects. Further, the braces used in these studies were mostly rigid constructs that consisted of either uni- or bilateral hinged bars (Rishiraj et al., 2009. Such braces might hinder performance (Veldhuizen et al., 1991 and would be rejected by the vast majority of healthy athletes. For these reasons, we would like to use this letter to the editor to report the results of our experiments investigating whether a relatively light elastic knee sleeve would limit the degree of anterior tibial translation in computerized arthrometry tests as performed in a sample of non-injured subjects. We recruited ten female college students (age: 23.4 ± 3.2 yrs, height: 1.68 ± 0.05 m, mass: 59.9 ± 5.5 kg who were free of acute or previous injury or any form of orthopaedic disease of the knee joints. The anterior displacement of the tibia was measured using the GNRB® computerized arthrometer (GeNouRob, Laval, France. With subjects lying in the supine position, the lower leg was firmly fixed with plastic caps mounted over the ankle joint and patella. An electrical pressure pad then exerted increasing pressure of up to 250 N on the calf, while a motion sensor, which was positioned on the ventral

  19. ESTIMATING TORSION OF DIGITAL CURVES USING 3D IMAGE ANALYSIS

    Directory of Open Access Journals (Sweden)

    Christoph Blankenburg

    2016-04-01

    Full Text Available Curvature and torsion of three-dimensional curves are important quantities in fields like material science or biomedical engineering. Torsion has an exact definition in the continuous domain. However, in the discrete case most of the existing torsion evaluation methods lead to inaccurate values, especially for low resolution data. In this contribution we use the discrete points of space curves to determine the Fourier series coefficients which allow for representing the underlying continuous curve with Cesàro’s mean. This representation of the curve suits for the estimation of curvature and torsion values with their classical continuous definition. In comparison with the literature, one major advantage of this approach is that no a priori knowledge about the shape of the cyclic curve parts approximating the discrete curves is required. Synthetic data, i.e. curves with known curvature and torsion, are used to quantify the inherent algorithm accuracy for torsion and curvature estimation. The algorithm is also tested on tomographic data of fiber structures and open foams, where discrete curves are extracted from the pore spaces.

  20. Torsional Vibration of a Shafting System under Electrical Disturbances

    Directory of Open Access Journals (Sweden)

    Ling Xiang

    2012-01-01

    Full Text Available Torsional vibration responses of a nonlinear shafting system are studied by a modified Riccati torsional transfer matrix combining with the Newmark-β method. Firstly, the system is modeled as a chain consisting of an elastic spring with concentrated mass points, from which a multi-segment lumped mass model is established. Secondly, accumulated errors are eliminated from the eigenfrequencies and responses of the system's torsional vibration by this newly developed procedure. The incremental transfer matrix method, combining the modified Riccati torsional transfer matrix with Newmark-β method, is further applied to solve the dynamical equations for the torsional vibration of the nonlinear shafting system. Lastly, the shafting system of a turbine-generator is employed as an illustrating example, and simulation analysis has been performed on the transient responses of the shaft's torsional vibrations during typical power network disturbances, such as three-phase short circuit, two-phase short circuit and asynchronous juxtaposition. The results validate the present method and are instructive for the design of a turbo-generator shaft.

  1. Flexural-torsional buckling behavior of aluminum alloy beams

    Institute of Scientific and Technical Information of China (English)

    Xiaonong GUO; Zhe XIONG; Zuyan SHEN

    2015-01-01

    This paper presents an investigation on the flexural-torsional buckling behavior of aluminum alloy beams (AAB). First, based on the tests of 14 aluminum alloy beams under concentrated loads, the failure pattern, load- deformation curves, bearing capacity and flexural-torsional buckling factor are studied. It is found that all the beam specimens collapsed in the flexuml-torsional buckling with excessive deformation pattern. Moreover, the span, loading location and slenderness ratio influence the flexural-torsional buckling capacity of beams significantly. Secondly, besides the experiments, a finite element method (FEM) analysis on the flexural-torsional buckling behavior of AAB is also conducted. The main parameters in the FEM analysis are initial imperfection, material property, cross-section and loading scheme. According to the analytical results, it is indicated that the FEM is reasonable to capture mechanical behavior of AAB. Finally, on the basis of the experimental and analytical results, theoretical formulae to estimate the flexural- torsional buckling capacity of AAB are proposed, which could improve the application of present codes for AAB.

  2. Thermal conductivity and torsional oscillations of solid 4He

    Science.gov (United States)

    Brazhnikov, M. Yu.; Zmeev, D. E.; Golov, A. I.

    2012-11-01

    Polycrystalline samples of hcp 4He of molar volume Vm = 19.5 cm3 with small amount of 3He impurities were grown in an annular container by the blocked-capillary method. Three concentrations of 3He, x3, were studied: isotopically purified 4He with the estimated x3 dummy bob of the double-frequency torsional oscillator. The analysis of the frequency shifts upon loading with helium and changing temperatures of different parts of the oscillator suggests that the three techniques probe the properties of solid helium in three different locations: the two different torsion modes respond to the changes of the shear modulus of solid helium in either of the two torsion rods while the thermal conductivity probes the phonon mean free path in solid helium inside the annular container. The temperature and width of the torsional anomaly increase with increasing frequency and x3. The phonon mean free path increases with increasing x3. Annealing typically resulted in an increased phonon mean free path but often in little change in the torsional oscillator response. While the magnitude of the torsional anomaly and phonon mean free path can be very different in different samples, no correlation was found between them.

  3. Torsion as a Dark Matter Candidate from the Higgs Portal

    CERN Document Server

    Belyaev, Alexander S; Thomas, Marc C

    2016-01-01

    Torsion is a metric-independent component of gravitation, which may provide a more general geometry than the one taking place within general relativity. On the other hand torsion could lead to interesting phenomenology in both particle physics and cosmology. In the present work it is shown that a torsion field interacting with the SM Higgs doublet and having a negligible coupling to SM fermions is protected from decaying by a $Z_2$ symmetry, and therefore becomes a promising Dark Matter (DM) candidate. In order to check the consistency of this scenario we evaluate the DM relic density and explore direct DM detection and collider constraints on this model. It turns out that in the model when the Higgs boson is only partly responsible for the generation of torsion mass, there is a region of parameter space where torsion contributes 100% to the DM budget of the Universe. Furthermore, we show that the LHC currently has a limited sensitivity to the torsion parameter space via mono-jet signature and will be able to...

  4. Bicavitary effusion secondary to liver lobe torsion in a dog

    Directory of Open Access Journals (Sweden)

    Khan Z

    2016-04-01

    Full Text Available Zaheda Khan,1 Kathryn Gates,2 Stephen A Simpson,31Emergency and Critical Care, Animal Specialty and Emergency Center, Los Angeles, CA, 2Emergency and Critical Care, Advanced Critical Care, Emergency and Specialty Services, Culver City, CA 3Emergency and Critical Care, Southern California Veterinary Specialty Hospital, Irvine, CA, USA Abstract: We described the diagnosis and successful treatment of pleural and peritoneal effusion secondary to liver lobe torsion in a dog. A 12-year-old female spayed Borzoi dog was referred for heart failure. Emergency room thoracic and abdominal ultrasound showed a large volume of pleural effusion with mild peritoneal effusion and an abdominal mass. Pleural fluid analysis classified the effusion as exudative. A complete ultrasound revealed mild peritoneal effusion and decreased blood flow to the right liver lobe. Other causes of bicavitary effusion were ruled out based on blood work, ultrasound, echocardiogram, and computed tomography. The patient was taken to surgery and diagnosed with caudate liver lobe torsion and had a liver lobectomy. At the 2-week postoperative recheck, the patient was doing well and there was complete resolution of the pleural effusion. Liver lobe torsion is a rare occurrence in dogs and can be difficult to diagnose. Clinical signs are nonspecific for liver lobe torsion and patients may present in respiratory distress with significant pleural fluid accumulation. When assessing patients with pleural and peritoneal effusion, liver lobe torsion should be considered as a differential diagnosis.Keywords: pleural effusion, peritoneal effusion, hepatic torsion

  5. External Otitis (Swimmer's Ear)

    Science.gov (United States)

    ... to Pneumococcal Vaccine Additional Content Medical News External Otitis (Swimmer's Ear) By Bradley W. Kesser, MD, Associate ... the Outer Ear Ear Blockages Ear Tumors External Otitis (Swimmer's Ear) Malignant External Otitis Perichondritis External otitis ...

  6. The protective role of erdosteine on testicular tissue after testicular torsion and detorsion.

    Science.gov (United States)

    Koc, Ahmet; Narci, Adnan; Duru, Mehmet; Gergerlioglu, H Serdar; Akaydin, Yesim; Sogut, Sadik

    2005-12-01

    Testicular torsion and detorsion are important clinical problems for infertile man and oxidative stress may have a role in this clinical situation. The aim of this study was to investigate the protective role of erdosteine, an antioxidant, on unilateral testicular reperfusion injury in rats. The rats were divided into four groups including seven rats in each group: control, torsion, torsion/detorsion and torsion/detorsion+erdosteine. Rats, except the sham operation group, were subjected to left unilateral torsion (720( composite function) rotation in the clockwise direction) without including the epididymis. The experiments were finished after sham operation time for control, 120 min torsion for torsion group and 120 min torsion and 240 min detorsion for torsion/detorsion groups. Bilateral orchiectomy was performed for all groups of rats. The ipsilateral and controlateral testis were divided into two pieces to analyse biochemical parameters and to investigate the light microscopic view. Malondialdehyde level of ipsilateral testis was increased in torsion and torsion/detorsion groups in comparison with the other groups (p Erdosteine treatment ameliorated lipid peroxidation after torsion/detorsion in ipsilateral testis (p Erdosteine treatment caused increased glutathione peroxidase activity in comparison with torsion and torsion/detorsion groups and catalase activity in comparison with the other groups in ipsilateral testis (p erdosteine groups than control and torsion groups (p erdosteine groups showed ipsilateral testicular damage in the histological examination, but the specimens from torsion/detorsion had a significantly greater histological injury than those from the other groups (p erdosteine group, the testicular tissues were affected with slight-to-moderate degenerative changes of the seminiferous epithelium. Administration of erdosteine resulted in a significantly reduced histological damage associated with torsion of the spermatic cord compared with torsion

  7. ROLE OF LOW PROFILE PRECONTOURED DISTAL TIBIAL LOCKING PLATE USING MIPPO TECHNIQUE IN PILON FRACTURE

    Directory of Open Access Journals (Sweden)

    Isaac Sunder

    2015-10-01

    Full Text Available : Tibial pilon fracture – Spectrum of injury ranging from fractures caused by low energy rotational foces to fractures caused by high energy axial compression forces due to RTA/ fall from height with significant metaphyseal communition articular communition with diaphyseal extension. Almost 80% patients will have fibula fracture. The aim of the study is study the efficacy of LP PD DTP in the management of closed pilon fractures (OTA type A Type B and Type C 1 and open pilon fractures (Grade 1 Grade II Grade III A (Gustilo Anterson grading. 1. I have studied 21 patients of pilon fracture classified using AO/OTA classification Type A-metaphyseal; Type B–Partially articular; Type C Metaphyseal fracture with articular involvement. 2. Used LP/ PC/ Distal tibial plate using MIPPO technique in OTA–A, B and C 1 closed & grade I II Grade III A compound fractures. OBSERVATIONS: 1. In contrary to stages protocol (Ist external fixation with fibular plating after 2-3 Weeks ORIF/MIPPO with/Without bone grafting, it is done percutaneously or minimally invasive and it can be done on day 1 without any major soft tissue problem & post-operative infection. 2. Duration of stay in the hospital can be reduced. 3. Since it is done through calcaneal traction or femoral distractor – fibula length restored & plating may not be necessary all the time and fibula plating can be avoid if the soft tissue condition is not favorable for plating laterally. 4. Since it is done through calcaneal traction/femoral distractor inspite of ground glass communition–good reduction is almost always possible. 5. Since MIPPO–need for bone grafting in less. 6. As in staged protocol more time is spent in soft tissue healing and after 2–3 weeks, fractures reduction if difficult and almost impossible with indirect reduction and may warrant open reduction. I conclude that LP PC distal tibial plate using MIPPO technique offers several advantages over two staged protocol and improved

  8. Magnetic resonance imaging findings in adnexial torsion

    Energy Technology Data Exchange (ETDEWEB)

    Trindade, Ronald Meira Castro; Quadros, Marianne Siquara de [Hospital Albert Einstein, Sao Paulo, SP (Brazil). Instituto de Ensino e Pesquisa], e-mail: rtrindade@einstein.br; Baroni, Ronaldo Hueb; Rosemberg, Michelle; Racy, Marcelo de Castro Jorge; Tachibana, Adriano [Hospital Albert Einstein, Sao Paulo, SP (Brazil); Funari, Marcelo Buarque de Gusmao [Hospital Albert Einstein, Sao Paulo, SP (Brazil). Imaging Service

    2010-01-15

    Adnexial torsion is an unusual event, but a major cause of abdominal pain in women. It is often associated with ovarian tumor or cyst, but can occur in normal ovaries, especially in children. The twisting of adnexial structures may involve the ovary or tube, but frequently affects both. In most cases, it is unilateral, with slight predilection for the right size. In imaging findings, increased ovarian volume and adnexial masses are observed, with reduced or absent vascularisation. In cases of undiagnosed or untreated complete twist, hemorrhagic necrosis may occur leading to complications; in that, peritonitis is the most frequent. Early diagnosis helps preventing irreversible damage with conservative treatment, thereby saving the ovary. Limitations in performing physical examination, possible inconclusive results in ultrasound and exposure to radiation in computed tomography makes magnetic resonance imaging a valuable tool in emergency assessment of gynecological diseases. The objective of this study was to report two confirmed cases of adnexial twist, emphasizing the contribution of magnetic resonance imaging in the diagnosis of this condition. (author)

  9. Failure Analysis of Aviation Torsional Springs

    Institute of Scientific and Technical Information of China (English)

    HOU Weiguo; ZHANG Weifang; LIU Xiao; WANG Zongren; DING Meili

    2011-01-01

    Cracks and fractures occur during the assembly process to a type of torsional springs used in the aviation mechanism.Besides visual examination,other experimental techniques used for the investigation are:1) fracture characteristics,damage morphology and ffactography by scanning electron microscopy(SEM),2) spectrum analysis of covering,3) metallographic observation of cracks and 4) hydrogen content testing.The results are obtained through the analysis of manufacture process and experimental data.Since no changes of microstructure are found,failures are irrelevant to the material.The cracks and fractures initiate on the inner surface,cracks initiate before the cadmium plating and after the winding.No obvious stress corrosion cracks are found near the crack source region.The opening direction of cracks is consistent with the residual tensile stress of the spring inner surface,and the springs are easy to contact hydrogen media between the spring winding and the cadmium plating.The cracks are caused by hydrogen-induced delayed cracking under the action of the residual tensile stress and hydrogen.

  10. Numerical simulation of in vivo intraosseous torsional failure of a hollow-screw oral implant

    Directory of Open Access Journals (Sweden)

    Akca Kivanc

    2006-11-01

    Full Text Available Abstract Background Owing to the complexity and magnitude of functional forces transferred to the bone-implant interface, the mechanical strength of the interface is of great importance. The purpose of this study was to determine the intraosseous torsional shear strength of an osseointegrated oral implant using 3-D finite element (FE stress analysis implemented by in vivo failure torque data of an implant. Methods A Ø 3.5 mm × 12 mm ITI® hollow screw dental implant in a patient was subjected to torque failure test using a custom-made strain-gauged manual torque wrench connected to a data acquisition system. The 3-D FE model of the implant and peri-implant circumstances was constructed. The in vivo strain data was converted to torque units (N.cm to involve in loading definition of FE analysis. Upon processing of the FE analysis, the shear stress of peri-implant bone was evaluated to assume torsional shear stress strength of the bone-implant interface. Results The in vivo torque failure test yielded 5952 μstrains at custom-made manual torque wrench level and conversion of the strain data resulted in 750 N.cm. FE revealed that highest shear stress value in the trabecular bone, 121 MPa, was located at the first intimate contact with implant. Trabecular bone in contact with external surface of hollow implant body participated shear stress distribution, but not the bone resting inside of the hollow. Conclusion The torsional strength of hollow-screw implants is basically provided by the marginal bone and the hollow part has negligible effect on interfacial shear strength.

  11. Second-order sliding mode control of a 2D torsional MEMS micromirror with sidewall electrodes

    Science.gov (United States)

    Chen, H.; Sun, W. J.; Sun, Z. D.; Yeow, J. T. W.

    2013-01-01

    A second-order sliding mode control (2-SMC) scheme with a proportional integral derivative (PID) sliding surface, to achieve enhanced transient response, accurate positioning and precise tracking performance of a 2-degree-of-freedom (2D) torsional MEMS micromirror with sidewall electrodes, is developed in this paper. The PID sliding surface is chosen to achieve a zero steady-state error of the closed-loop system. The 2-SMC is able to reduce the chattering phenomena, which comprises of an equivalent control and switching control to dominate model uncertainty and external disturbances leading to an enhanced performance of the controlled system. Finite-time convergence of the closed-loop system in the presence of bounded parameter uncertainties and external disturbances is guaranteed through Lyapunov stability analysis. The proposed 2-SMC is programmed in a LABVIEW environment and implemented based on National Instrument (NI) field-programmable gate array hardware to verify the effectiveness and robustness. The experimental results of set-point regulation and sinusoidal trajectory tacking demonstrate that the closed-loop system with the proposed control scheme significantly improves the transient performance, accurate positioning and trajectory tracking with robustness against external disturbance. The 95% settling time is shortened from 70 to 3 ms for the X-axis and from 60 to 3 ms for the Y-axis respectively, the overshoots and steady-state errors are eliminated in both axes, and less than 5% maximum positioning error is achieved in the presence of external disturbance.

  12. Treatment of open tibial fracture with bone defect caused by high velocity missiles: A case report

    Directory of Open Access Journals (Sweden)

    Golubović Zoran

    2013-01-01

    Full Text Available Introduction .Tibia fracture caused by high velocity missiles is mostly comminuted and followed by bone defect which makes their healing process extremely difficult and prone to numerous complications. Case Outline. A 34-year-old male was wounded at close range by a semi-automatic gun missile. He was wounded in the distal area of the left tibia and suffered a massive defect of the bone and soft tissue. After the primary treatment of the wound, the fracture was stabilized with an external fixator type Mitkovic, with convergent orientation of the pins. The wound in the medial region of the tibia was closed with the secondary stitch, whereas the wound in the lateral area was closed with the skin transplant after Thiersch. Due to massive bone defect in the area of the rifle-missile wound six months after injury, a medical team placed a reconstructive external skeletal fixator type Mitkovic and performed corticotomy in the proximal metaphyseal area of the tibia. By the method of bone transport (distractive osteogenesis, the bone defect of the tibia was replaced. After the fracture healing seven months from the secondary surgery, the fixator was removed and the patient was referred to physical therapy. Conclusion. Surgical treatment of wounds, external fixation, performing necessary debridement, adequate antibiotic treatment and soft and bone tissue reconstruction are essential in achieving good results in patients with the open tibial fracture with bone defect caused by high velocity missiles. Reconstruction of bone defect can be successfully treated by reconstructive external fixator Mitkovic. [Projekat Ministarstva nauke Republike Srbije, br. III 41017 i br. III 41004

  13. Fixator-assisted tibial lengthening over a plate in a patient with sequelae of poliomyelitis.

    Science.gov (United States)

    Tosun, Haci Bayram; Serbest, Sancar; Uludag, Abuzer; Gumustas, Seyitali; Celik, Suat

    2016-11-01

    There are many techniques for limb lengthening. Lengthening over a plate is an alternative choice of fixation in children or when nailing is difficult. We present a new technique for tibial lengthening with using a monolateral external fixator over a lengthening plate.Lengthening over an intramedullary nail is a commonly used method in patients with short stature or limb-length discrepancy. However, in patients with a narrow and excessively sclerotic intramedullary cavity in the pediatric age group where the skeletal system has not yet fully developed, difficulties have been observed in lengthening methods with nailing.Therefore, in these cases, the use of lengthening techniques over a plate is an alternative treatment option. Nevertheless, in lengthening techniques over a plate, if one side of the osteotomy area cannot be fixed, associated mechanical axis problems have been reported.We applied tibia lengthening with external fixator assistance over a custom-made lengthening plate in a patient with sequelae of poliomyelitis. This new lengthening technique applied over a plate could be the solution to the problems observed in other lengthening techniques over a plate.

  14. Motor adaptation to prosthetic cycling in people with trans-tibial amputation.

    Science.gov (United States)

    Lee Childers, W; Prilutsky, Boris I; Gregor, Robert J

    2014-07-18

    The neuromusculoskeletal system interacts with the external environment via end-segments, e.g. feet. A person with trans-tibial amputation (TTAmp) has lost a foot and ankle; hence the residuum with prosthesis becomes the new end-segment. We investigated changes in kinetics and muscle activity in TTAmps during cycling with this altered interface with the environment. Nine unilateral TTAmps and nine subjects without amputation (NoAmp) pedaled at a constant torque of 15 Nm and a constant cadence of 90 rpm (~150 watts). Pedal forces and limb kinematics were used to calculate resultant joint moments. Electromyographic activity was recorded to determine its magnitude and timing. Biomechanical and EMG variables of the amputated limb were compared to those of the TTAmp sound limb and to the dominant limb in the NoAmp group using a one-way ANOVA. Results showed maximum angular displacement between the residuum and prosthesis was 4.8±1.8 deg. The amputated limb compared to sound limb and NoAmp group produced lower extensor moments averaged over the cycle about the ankle (13±2.3, 20±5.7, and 19±5.3 Nm, respectfully) and knee (8.4±5.0, 15±4.5, and 12.7±5.9 Nm, respectfully) (pprosthetic socket control and highlight prosthetic control as an interaction between the residuum, prosthesis and external environment.

  15. Posterior Tibial Tendon Dysfunction: An Overlooked Cause of Foot Deformity

    Science.gov (United States)

    Bubra, Preet Singh; Keighley, Geffrey; Rateesh, Shruti; Carmody, David

    2015-01-01

    Posterior tibial tendon dysfunction is the most common cause of adult acquired flatfoot. Degenerative changes in this tendon, lead to pain and weakness and if not identified and treated will progress to deformity of the foot and degenerative changes in the surrounding joints. Patients will complain of medial foot pain, weakness, and a slowly progressive foot deformity. A “too many toes” sign may be present and patients will be unable to perform a single heal raise test. Investigations such X-ray, ultrasound and magnetic resonance imaging will help stage the disease and decide on management. The optimal manage may change based on the progression of deformity and stage of disease. Early identification and prompt initiation of treatment can halt progression of the disease. The purpose of this article is to examine the causes, signs, symptoms, examinations, investigations and treatment options for posterior tibial tendon dysfunction. PMID:25810985

  16. High tibial osteotomy in varus knees: indications and limits

    Science.gov (United States)

    LOIA, MARCO CORGIAT; VANNI, STEFANIA; ROSSO, FEDERICA; BONASIA, DAVIDE EDOARDO; BRUZZONE, MATTEO; DETTONI, FEDERICO; ROSSI, ROBERTO

    2016-01-01

    Opening wedge high tibial osteotomy (OWHTO) is a surgical procedure that aims to correct the weight-bearing axis of the knee, moving the loads laterally from the medial compartment. Conventional indications for OWHTO are medial compartment osteoarthritis and varus malalignment of the knee; recently OWHTO has been used successfully in the treatment of double and triple varus. OWHTO, in contrast to closing wedge high tibial osteotomy, does not require fibular osteotomy or peroneal nerve dissection, or lead to disruption of the proximal tibiofibular joint and bone stock loss. For these reasons, interest in this procedure has grown in recent years. The aim of this study is to review the literature on OWHTO, considering indications and prognostic factors (body mass index, grade of osteoarthritis, instability, range of movement and age), outcomes at mid-term follow-up, and limits of the procedure (slope modifications, patellar height changes and difficulties in conversion to a total knee arthroplasty). PMID:27602350

  17. Roentgen stereogrammetry in high tibial osteotomy for gonarthrosis

    Energy Technology Data Exchange (ETDEWEB)

    Tjoernstrand, B.; Selvik, G.; Egund, N.; Lingstrand, A.

    1981-01-01

    In three cases operated with high tibial osteotomy for medial gonarthrosis the exact method of roentgen stereophotogrammetry with tantalum balls as bone markers was used to study angular and translational movements in three dimensions at the operation and during the healing period. Tibial osteotomy caused angular and translational movements even in planes where correction was not intended, and the stereo technique revealed that stability was not present when knee mobilisation started. Correlation between the stereo values and conventional radiographic measurements were best in the frontal plane (root mean square value of discrepancies 1.3/sup 0/). Roentgen stereophotogrammetry gives superior information compared with the conventional radiographic technique, but it is concluded that the latter has sufficient accuracy for the clinical assessment of corrections in the frontal plane.

  18. Open tibial shaft fractures: II. Definitive management and limb salvage.

    Science.gov (United States)

    Melvin, J Stuart; Dombroski, Derek G; Torbert, Jesse T; Kovach, Stephen J; Esterhai, John L; Mehta, Samir

    2010-02-01

    Definitive treatment of open fractures of the tibial diaphysis is challenging. The high-energy nature of these fractures, as well as the contamination of the fracture site and devitalization of the soft-tissue envelope, greatly increases the risk of infection, nonunion, and wound complications. The goals of definitive treatment include wound coverage or closure; prevention of infection; restoration of length, alignment, rotation, and stability; fracture healing; and return of function. Advances in orthobiologics, modern plastic surgical techniques, and fracture stabilization methods, most notably locked intramedullary nailing, have led to improved prognosis for functional recovery and limb salvage. Despite improved union and limb salvage rates, the prognosis for severe type III open fracture of the tibial shaft remains guarded, and outcomes are often determined by patient psychosocial variables.

  19. Asymmetry in gait pattern following tibial shaft fractures

    DEFF Research Database (Denmark)

    Larsen, Peter; Læssøe, Uffe; Rasmussen, Sten

    2017-01-01

    INTRODUCTION: Despite the high number of studies evaluating the outcomes following tibial shaft fractures, the literature lacks studies including objective assessment of patients' recovery regarding gait pattern. The purpose of the present study was to evaluate whether gait patterns at 6 and 12...... months post-operatively following intramedullary nailing of a tibial shaft fracture are different compared with a healthy reference population. PATIENTS AND METHODS: The study design was a prospective cohort study. The primary outcome measurement was the gait patterns at 6 and 12 months post...... fracture, gait asymmetry accompanied with slower speed and cadence are common during the first 6 months and become normalized compared with a healthy reference population between 6 and 12 months post-operatively....

  20. Mechanical design of the University of Florida Torsion Pendulum for testing the LISA Gravitational Reference Sensor

    Science.gov (United States)

    Shelley, Ryan; Chilton, Andrew; Olatunde, Tawio; Ciani, Giacomo; Mueller, Guido; Conklin, John

    2014-03-01

    The Laser Interferometer Space Antenna (LISA) requires free falling test masses, whose acceleration must be below 3 fm/s2/rtHz in the lower part of LISA's frequency band ranging from 0.1 to 100 mHz. Gravitational reference sensors (GRS) house the test masses, shield them from external disturbances, control their orientation, and sense their position at the nm/rtHz level. The GRS torsion pendulum is a laboratory test bed for GRS technology. By decoupling the system of test masses from the gravity of the Earth, it is possible to identify and quantify many sources of noise in the sensor. The mechanical design of the pendulum is critical to the study of the noise sources and the development of new technologies that can improve performance and reduce cost. The suspended test mass is a hollow, gold-coated, aluminum cube which rests inside a gold-coated, aluminum housing with electrodes for sensing and actuating all six degrees of freedom. This poster describes the design, analysis, and assembly of the mechanical subsystems of the UF Torsion Pendulum.

  1. Posterior Tibial Tendon Dysfunction and Flatfoot: Analysis with Simulated Walking

    OpenAIRE

    Watanabe, Kota; Kitaoka, Harold B; Fujii, Tadashi; Crevoisier, Xavier M.; Berglund, Lawrence J.; Zhao, Kristin D.; Kaufman, Kenton R.; An, Kai-Nan

    2012-01-01

    Many biomechanical studies investigated pathology of flatfoot and effects of operations on flatfoot. The majority of cadaveric studies are limited to the quasistatic response to static joint loads. This study examined the unconstrained joint motion of the foot and ankle during stance phase utilizing a dynamic foot-ankle simulator in simulated stage 2 posterior tibial tendon dysfunction (PTTD). Muscle forces were applied on the extrinsic tendons of the foot using six servo-pneumatic cylinders ...

  2. Aetiology, imaging and treatment of medial tibial stress syndrome

    OpenAIRE

    Moen, M.H.

    2012-01-01

    The work contained is this thesis discusses aetiology, imaging and treatment of a common leg injury: medial tibial stress syndrome (MTSS). Although a common injury, the number of scientific articles on this topic is relatively low as is explained in chapter 1. This chapter also highlights that the most probable cause of MTSS is bone overload and not traction induced periostitis. In chapter 2 a review of the literature on MTSS is provided until 2009. Chapters 3 and 4 discuss different common a...

  3. Pigmented villonodular synovitis after TKA associated with tibial component loosening.

    Science.gov (United States)

    Chung, Byung June; Park, Yong Bum

    2011-08-08

    There is no known causal link between total knee arthroplasty (TKA) and pigmented villonodular synovitis (PVNS). There also is no known relationship between PVNS and implant loosening after TKA in the literature. This article presents a case of PVNS in a patient undergoing revision TKA for tibial component loosening. A 74-year-old woman who had undergone cemented bilateral TKA 5 years earlier presented with painful swelling in her right knee. At the time of the primary TKA, no abnormal signs were found in the synovial membrane. Routine follow-up radiographs did not indicate implant loosening. At the patient's final follow-up examination before revision surgery, a radiolucent lesion was found below the tibial component. During revision surgery, there was focal proliferation of the synovial tissue with heavy pigmentation around the anteromedial part of the tibial component. The abnormal tissue was removed, and the tibial component was exchanged. The articular surface of the polyethylene was not damaged, and backside wear was not found. For the revision surgery, 5-mm thick medial metal block and extension stem were used. Histological analysis of the resected tissue revealed the typical appearance of PVNS. We present a typical case of PVNS found during revision TKA 5 years after primary TKA. It is hoped this report will encourage surgeons to consider PVNS in the differential diagnosis of patients who present with painful swelling of the knee and to consider PVNS as one of the causes of implant loosening after TKA. Further research about causal factors between PVNS and implant loosening are needed. Copyright 2011, SLACK Incorporated.

  4. Tibial acceleration profiles during the menstrual cycle in female athletes.

    Science.gov (United States)

    Hohmann, Erik; Bryant, Adam L; Livingstone, Elisabeth; Reaburn, Peter; Tetsworth, Kevin; Imhoff, Andreas

    2015-10-01

    Fluctuating levels of endogenous estrogen are thought to have an adverse effect on lower limb biomechanics, given the observed higher rate of ACL injury at certain phases of the menstrual cycle. The purpose of this study was to investigate the effects of fluctuating endogenous estrogen levels during the menstrual cycle on acceleration transients at the proximal tibia in young physically active females. Eleven females aged 16-18 years participated in this study and were compared to a male control group. Female subjects were tested at each of the four phases of the menstrual cycle: menses, follicular, ovulation and luteal. On each test occasion, acceleration transients at the proximal tibia were measured while subjects performed an abrupt deceleration task (simulated netball landing). No significant differences were found between the different phases of the menstrual cycle for peak tibial acceleration (PTA; P = 0.57), and time to zero tibial acceleration (TZTA; P = 0.59). However, there was a significant difference for time to peak tibial acceleration (TPTA) between menstruation and follicular (P = 0.04), menstruation and ovulation (P = 0.001), menstruation and luteal phase (P = 0.002), and follicular phase and ovulation (P = 0.007). In the male control group, no significant between-test session differences were observed for PTA (P = 0.48), TZTA (P = 0.08) and TPTA (P = 0.29). While there were no significant between-group differences for PTA (P = 0.21) and TZTA (P = 0.48), significant between-group differences were observed for TPTA (P = 0.001). The results of this project strongly suggest that serum estrogen fluctuations have an effect on tibial acceleration profiles in young female athletes during different phases of the menstrual cycle.

  5. Safe surgical technique: intramedullary nail fixation of tibial shaft fractures

    OpenAIRE

    Zelle, Boris A.; Boni, Guilherme

    2015-01-01

    Statically locked, reamed intramedullary nailing remains the standard treatment for displaced tibial shaft fractures. Establishing an appropriate starting point is a crucial part of the surgical procedure. Recently, suprapatellar nailing in the semi-extended position has been suggested as a safe and effective surgical technique. Numerous reduction techiques are available to achieve an anatomic fracture alignment and the treating surgeon should be familiar with these maneuvers. Open reduction ...

  6. Dynamical flexibility of torsionally vibrating mechatronic system

    Directory of Open Access Journals (Sweden)

    A. Buchacz

    2008-01-01

    Full Text Available Purpose: of this paper is the application of the approximate method called Galerkin’s method to solve the task of assigning the frequency-modal analysis and characteristics of a mechatronic system.Design/methodology/approach: was the formulated and solved as a problem in the form of a set of differential equations of the considered mechatronic model of an object. To obtain the solution, Galerkin’s method was used. The discussed torsionally vibrating mechatronic system consists of mechanical system, which is a continuous bar of circular cross-section, clamped on its ends. The electrical subsystem of the considered mechatronic system is a ring transducer to be perfectly bonded to the bar surface.Findings: this study is that the parameters of the transducer have an important influence on the values of natural frequencies and on the form of the characteristics of the said mechatronic system. The results of the calculations were not only presented in a mathematical form but also as transients of the examined dynamical characteristic which are a function of frequency of the assumed excitation.Research limitations/implications: is that the linear mechatronic system was considered, for this type of systems, such approach is sufficient.Practical implications: of this researches was that another approach is presented, that means in the domain of frequency spectrum analysis. The method used and the obtained results can be of some value for designers of mechatronic systems.Originality/value: of this paper is that the mechatronic system, created from mechanical and electrical subsystems with electromechanical bondage was examined. This approach is other than those considered elsewhere.

  7. Does a Randall-Sundrum scenario create the illusion of a torsion-free universe?

    CERN Document Server

    Mukhopadhyaya, B; Sen-Gupta, S; Mukhopadhyaya, Biswarup; Sen, Somasri; Gupta, Soumitra Sen

    2002-01-01

    We consider spacetime with torsion in a Randall-Sundrum (RS) scenario where torsion, identified with the rank-2 Kalb-Ramond field, exists in the bulk together with gravity. While the interactions of both graviton and torsion in the bulk are controlled by the Planck mass, an additional exponential suppression comes for the torsion zero-mode on the visible brane. This may serve as a natural explanation of why the effect of torsion is so much weaker than that of curvature on the brane. The massive torsion modes, on the other hand, are correlated with the corresponding gravitonic modes and may be detectable in TeV-scale experiments.

  8. Heel and foot reconstruction using reverse-flow posterior tibial flap.

    Science.gov (United States)

    Satoh, K; Sakai, M; Hiromatsu, N; Ohsumi, N

    1990-04-01

    Island flaps supplied by the intermuscular cutaneous perforator (IMCP) from a deep vessel, such as the peroneal flap pedicled by IMCP from the peroneal vessel or the anterior tibial flap supplied by IMCP from the anterior tibial vessel, are reported to be useful in reconstructive procedures for soft-tissue defects of the lower leg. However, the posterior tibial flap, pedicled by IMCP from the posterior tibial vessel, has not yet been fully described. The posterior tibial flap can be used either as a normal-flow or as a reverse-flow flap. It is particularly versatile as a reverse-flow flap for reconstruction of soft-tissue defects of the heel and foot. Three reverse-flow posterior tibial flaps were clinically applied, without venous anastomosis, to reconstruct heel and foot defects, and all three survived completely. The operative procedure and its characteristics are described.

  9. Bilateral synchronous tibial periosteal osteosarcoma with familial incidence.

    Science.gov (United States)

    Maheshwari, Aditya V; Jelinek, James S; Seibel, Nita L; Meloni-Ehrig, Aurelia M; Kumar, Dhruv; Henshaw, Robert M

    2012-08-01

    Multifocal or multicentric osteosarcoma (OS) has been described as tumor occurrence at two or more sites in a patient without visceral metastasis. These may be synchronous (more than one lesion at presentation) or metachronous (new tumor developing after the initial treatment). The incidence of multifocal OS has ranged from 1.5 to 5.4% in large series, with the synchronous type being rarer. Similarly, periosteal OS is another rare subtype of surface OS and constitutes less than 2% of all OS. An 11-year-old female was diagnosed with bilateral synchronous tibial periosteal OS, which were confirmed by CT-guided biopsies. After neoadjuvant chemotherapy, the patient underwent a staged wide local resection of the tumors. The defect was reconstructed with a proximal tibial replacement on the left side and autologous bone grafting on the right side. The patient did well after surgery and is free of disease at 5.5 years of follow-up. However, her brother also developed a right tibial periosteal osteosarcoma 4 years after her index surgery. Genetic analysis of blood sample from both patients showed a similar missense mutation in at least one allele of TP53 gene (exon 8). To the best of our knowledge, a case of bilateral 'synchronous' periosteal OS with a familial incidence has not been reported before.

  10. Suprapatellar nailing of tibial fractures-Indications and technique.

    Science.gov (United States)

    Franke, J; Hohendorff, B; Alt, V; Thormann, U; Schnettler, R

    2016-02-01

    Intramedullary nailing is the standard procedure for surgical treatment of closed and Gustilo-Anderson Grade I-II° open fractures of the tibial shaft. The use of intramedullary nailing for the treatment of proximal metaphyseal tibia fractures is frequently followed by postoperative malalignment, whereas plate osteosynthesis is associated with higher rates of postoperative infection. Intramedullary nailing of tibial fractures is generally performed through an infrapatellar approach. The injured extremity must be positioned at a minimum of 90° of flexion in the knee joint to achieve optimal exposure of the correct entry point. The tension of the quadriceps tendon causes a typical apex anterior angulation of the proximal fragment. The suprapatellar approach improves reduction of the fracture and reduces the occurrence of malalignment during intramedullary nailing of extra-articular proximal tibial fractures. The knee is positioned in 20° of flexion to neutralise traction forces secondary to the quadriceps muscle, thus preventing an apex anterior angulation of the proximal fragment. An additional advantage of the technique is that it allows the surgeon to avoid or minimise further soft tissue damage because of the distance between the optimal incision point and the usual area of soft tissue damage.

  11. Stiffness matrix for beams with shear deformation and warping torsion

    Energy Technology Data Exchange (ETDEWEB)

    Schramm, K.; Pilkey, W. [Univ. of Virginia, Charlottesville, VA (United States)

    1995-12-31

    A beam model which considers the warping effect in beams with arbitrary cross sections is discussed. This model takes into account bending, shear, and warping torsion. The derivation builds on a result in beam theory that, if shear is considered, for arbitrary cross sections the deflections in the different coordinate directions are not uncoupled as has been widely assumed. This conclusion follows from the calculation of the shear coefficients from an elasticity solution using an energy formulation. The shear coefficients form a symmetric tensor. The principal axes for this tensor are called principal shear axes. In Reference 2 structural matrices for the shear problem are derived using these shear coefficients. This paper extends these matrices to warping torsion. St. Venant`s semi-inverse method is applied to calculate warping shear stresses. The usual assumptions of the beam theory are made. The material is linear elastic. The loads may consist of shear forces, axial loads and twisting moments. Small deformations are considered. The cross section of the beam can be of arbitrary shape, thin-walled or solid. A deformation coefficient matrix is calculated which describes the relations between the deformations and the different load cases such as shear, torsion, and warping torsion. Numerical results for warping shear stresses and deformations are given. Also, a method to derive a stiffness matrix for a beam of arbitrary cross section under combined loading including warping torsion is presented.

  12. Autoparallel vs. Geodesic Trajectories in a Model of Torsion Gravity

    Directory of Open Access Journals (Sweden)

    Luis Acedo

    2015-11-01

    Full Text Available We consider a parametrized torsion gravity model for Riemann–Cartan geometry around a rotating axisymmetric massive body. In this model, the source of torsion is given by a circulating vector potential following the celestial parallels around the rotating object. Ours is a variant of the Mao, Tegmark, Guth and Cabi (MTGC model in which the total angular momentum is proposed as a source of torsion. We study the motion of bodies around the rotating object in terms of autoparallel trajectories and determine the leading perturbations of the orbital elements by using standard celestial mechanics techniques. We find that this torsion model implies new gravitational physical consequences in the Solar system and, in particular, secular variations of the semi-major axis of the planetary orbits. Perturbations on the longitude of the ascending node and the perihelion of the planets are already under discussion in the astronomical community, and if confirmed as truly non-zero effects at a statistically significant level, we might be at the dawn of an era of torsion phenomenology in the Solar system.

  13. Computed Tomography Appearance of Ovarian Fibrothecomas With and Without Torsion

    Energy Technology Data Exchange (ETDEWEB)

    Chee-Wai Mak; Wen-Sheng Tzeng; Chin-Yu Chen (Dept. of Diagnostic Imaging, Chi-Mei Medical Center, Yung Kang, Tainan, Taiwan (China))

    2009-06-15

    Background: Fibrothecomas are the most common solid ovarian tumors and may undergo torsion. Early diagnosis of these tumors is important in order to allow prompt surgical treatment. Purpose: To describe the features of ovarian fibrothecoma on computed tomography (CT) and to determine the possibility of detecting tumor torsion in this kind of tumor. Material and Methods: The CT images of 11 patients with ovarian fibrothecomas in the past 8 years at our hospital were retrospectively reviewed. The CT attenuation values of each tumor were measured in both non-enhanced and enhanced scans. The size and degree of enhancement were evaluated and correlated with tumor torsion. All cases were pathologically proven. Results: Three kinds of tumor pattern were found: 1) homogeneous tumor with significant enhancement containing scattered, low-attenuated regions after contrast injection; 2) heterogeneous tumor with mild enhancement after contrast injection; and 3) low-attenuated soft-tissue mass with no obvious enhancement after contrast injection. Conclusion: Fibrothecomas usually appear as a homogeneous solid tumor with varying degrees of enhancement. Calcification may be present and, as these tumors enlarge, myxoid or cystic degeneration may occur, resulting in a heterogeneous pattern. The larger the tumor, the greater is the chance of torsion. Lack of tumor enhancement is the most reliable sign for detection of ovarian torsion and should facilitate prompt surgical intervention to remove damaged tissue

  14. Torsion of the Retroperitoneal Kidney: Uncommon or Underreported?

    Directory of Open Access Journals (Sweden)

    Michael Sosin

    2014-01-01

    Full Text Available Vascular torsion in a renal allograft after placement in the retroperitoneum is rare and has only been reported twice in the literature. It is an extrinsically mediated process that occurs at the vascular pedicle resulting in graft compromise and potential loss. Rapid diagnosis and immediate surgical intervention may salvage allograft function. Herein, we present a unique case of a 42-year-old male that developed renal allograft torsion following a second kidney transplant placed in the retroperitoneum. Immediate detorsion did not resolve allograft dysfunction, and a biopsy revealed acute cellular mediated rejection. After antithymocyte globulin treatment, allograft function was salvaged. A review of the current literature shows that the incidence, morbidity, and long term allograft function of intraperitoneal and extraperitoneal torsion are different. As such, torsion of the retroperitoneal kidney demonstrates encouraging allograft salvage rates. Only the third case reported to date, this serves as a contribution to the growing body of literature in retroperitoneal renal torsion and reviews the risks, medication considerations, diagnostic tests, and treatment modalities in a unique disease process.

  15. Torsional and Bending Vibration Measurement on Rotors Using Laser Technology

    Science.gov (United States)

    MILES, T. J.; LUCAS, M.; HALLIWELL, N. A.; ROTHBERG, S. J.

    1999-09-01

    Based on the principles of laser Doppler velocimetry, the laser torsional vibrometer (LTV) was developed for non-contact measurement of torsional oscillation of rotating shafts, offering significant advantages over conventional techniques. This paper describes comprehensive theory to account for the sensitivity of the LTV's measurements to shaft motion in all degrees of freedom. The optical geometry of the LTV offers inherent immunity to translational motion of the target shaft, either axial or radial. However, its measurements are sensitive to angular lateral vibration of the shaft. The significance of this sensitivity is compared with the instrument noise floor and typical torsional and lateral vibration levels. Optimum alignments of the instrument are then specified to ensure effective immunity to all lateral motion in typical applications. To overcome this problem more reliably, a new technique is proposed permitting unambiguous measurement of pure torsional vibration in situations where use of a single LTV demonstrates unacceptable sensitivity to angular lateral vibrations. Practical application of this technology is demonstrated with torsional vibration measurements from a diesel engine crankshaft. Simultaneously, previously unattained measurements of shaft bending vibration measurements are made. The first bending mode of the crankshaft was identified and its vibration amplitude and damping estimated. This application of laser vibrometry for non-contact measurements of shaft vibration represents a further step forward in the use of this technology for machinery diagnostics.

  16. Crack path in aeronautical titanium alloy under ultrasonic torsion loading

    Directory of Open Access Journals (Sweden)

    A. Nikitin

    2016-01-01

    Full Text Available This paper discusses features of fatigue crack initiation and growth in aeronautical VT3-1 titanium alloy under pure torsion loading in gigacycle regime. Two materials: extruded and forged VT3-1 titanium alloys were studied. Torsion fatigue tests were performed up to fatigue life of 109 cycles. The results of the torsion tests were compared with previously obtained results under fully reversed axial loading on the same alloys. It has been shown that independently on production process as surface as well subsurface crack initiation may appear under ultrasonic torsion loading despite the maximum stress amplitude located at the specimen surface. In the case of surface crack initiation, a scenario of crack initiation and growth is similar to HCF regime except an additional possibility for internal crack branching. In the case of subsurface crack, the initiation site is located below the specimen surface (about 200 μm and is not clearly related to any material flaw. Internal crack initiation is produced by shear stress in maximum shear plane and early crack growth is in Mode II. Crack branching is limited in the case of internal crack initiation compared to surface one. A typical ‘fish-eye’ crack can be observed at the torsion fracture surface, but mechanism of crack initiation seems not to be the same than under axial fatigue loading.

  17. Torsion as a dark matter candidate from the Higgs portal

    Science.gov (United States)

    Belyaev, Alexander S.; Thomas, Marc C.; Shapiro, Ilya L.

    2017-05-01

    Torsion is a metric-independent component of gravitation, which may provide a more general geometry than the one taking place within general relativity. On the other hand, torsion could lead to interesting phenomenology in both particle physics and cosmology. In the present work it is shown that a torsion field interacting with the SM Higgs doublet and having a negligible coupling to standard model (SM) fermions is protected from decaying by a Z2 symmetry, and therefore becomes a promising dark matter (DM) candidate. This model provides a good motivation for Higgs portal vector DM scenario. We evaluate the DM relic density and explore direct DM detection and collider constraints on this model to understand its consistency with experimental data and establish the most up-to-date limits on its parameter space. We have found in the model when the Higgs boson is only partly responsible for the generation of torsion mass, there is a region of parameter space where torsion contributes 100% to the DM budget of the Universe. Furthermore, we present the first results on the potential of the LHC to probe the parameter space of minimal scenario with Higgs portal vector DM using mono-jet searches and have found that LHC at high luminosity will be sensitive to the substantial part of model parameter space which cannot be probed by other experiments.

  18. Role of the fibula in the stability of diaphyseal tibial fractures fixed by intramedullary nailing

    OpenAIRE

    John G. Galbraith; Daly, Charles J.; Harty, James A; Dailey, Hannah L.

    2016-01-01

    Background: For tibial fractures, the decision to fix a concomitant fibular fracture is undertaken on a case-by-case basis. To aid in this clinical decision-making process, we investigated whether loss of integrity of the fibula significantly destabilises midshaft tibial fractures, whether fixation of the fibula restores stability to the tibia, and whether removal of the fibula and interosseous membrane for expediency in biomechanical testing significantly influences tibial interfragmentary m...

  19. Osteotomia tibial alta em pacientes com artrose do joelho High tibial osteotomy in patients with knee arthrosis

    Directory of Open Access Journals (Sweden)

    Roger Avakian

    2008-01-01

    Full Text Available OBJETIVO: Avaliar o tratamento da gonartrose medial com osteotomia tibial tipo cunha de fechamento lateral associado à liberação da articulação tibiofibular proximal. MÉTODOS: Realizamos esta técnica associado com liberação da articulação tibiofibular proximal no tratamento da gonartrose medial em 36 pacientes (41 joelhos de janeiro de 1995 a abril de 2003, com idade de 53,4 anos (média, seguidos por 51,6 meses (média. RESULTADOS: Na avaliação notamos que as osteotomias tibiais com cunha de fechamento lateral permitem correção satisfatória da deformidade fêmorotibial, com angulação femorotibial final em torno de 7º de valgo; o eixo mecânico foi desviado da região tibial medial (posição 1,2% para o centro do joelho (posição 50,5%; a inclinação tibial na incidência perfil pré-operatória de 9,8º foi corrigida para 6,5º (média; a mobilidade articular apresentou perda de 2,3º na extensão (média. CONCLUSÃO: A técnica permite correção satisfatória da deformidade em varo fêmorotibial, porém não é isenta de complicações (14,6%. O grau de satisfação (Lysholm dos pacientes teve incremento de 27,3 para 89. Assim, constitui uma parte essencial no arsenal de tratamento da gonartrose.PURPOSE: To assess medial gonarthrosis treatment with wedge-like side-closed tibial osteotomy combined with proximal tibial-fibular joint release. METHODS: we employed this technique combined with proximal tibial-fibular joint release in the treatment of medial gonarthrosis in 36 patients (41 knees, from January 1995 to April 2003, with mean age of 53.4 years, followed-up for 51.6 months (in average. RESULTS: In the assessment, we noticed that wedge-like side-closed tibial osteotomies allow for a satisfactory repair of the femorotibial deformity, with end femorotibial angle of about 7° valgus; the mechanical axis was dislocated from the medial region of the tibia (position: 1.2% to knee center (position: 50.5%; the 9.8° tibial

  20. Aneurisma verdadeiro bilateral de artéria tibial posterior True bilateral aneurysm of the posterior tibial artery

    Directory of Open Access Journals (Sweden)

    Silvio Romero de Barros Marques

    2006-03-01

    Full Text Available Neste artigo, faz-se o relato de um caso de aneurisma verdadeiro bilateral da artéria tibial posterior em paciente de 57 anos. Os aneurismas surgiram em épocas diferentes. Os aspectos clínicos, diagnósticos e terapêuticos deste caso são discutidos. Este relato é importante, pois os autores não têm conhecimento de caso semelhante na literatura consultada.This article reports a case of true bilateral aneurysm of the tibial posterior artery in a 57 year-old patient. The aneurysms occurred at different times. The clinical, diagnostic and therapeutic aspects of this case are discussed. This report is important because the authors did not find a similar description in the literature.

  1. Subluxación primaria recidivante medial de rótulas: Revisión a largo plazo de un caso asociado a síndrome de desalineación torsional severa Primary recurrent medial subdislocation of both patellae: Long-term review of an exceptional case of miserably malalignment syndrome

    Directory of Open Access Journals (Sweden)

    S. García-Mata

    2007-12-01

    jump she had suffered a right patellar luxation-self-reduced and not immobilised - followed by 10 subsequent episodes of subluxation and three more medial luxations. She could hardly walk autonomously due to persistent or habitual subluxation and patellofemoral pain, mainly in the right knee. Physical examination revealed habitual medial subluxation of both patellae, with clear medial patellar displacement, quadriceps amyotrophy and medial instability. The medial subluxation suppression test was positive. She showed excessive femoral anteversion of the hips (IR: 90º, ER: 30º, genu varum, neutral tibial torsion, patella alta, dysplastic trochlear grooves with medial condyle hipoplasia and both patellae were dysplastic (Wiberg type III. We performed a derotation subtrochanteric femoral osteotomy and bilateral proximal patellar realignment. Following surgery, bilateral stability of both sides permitted normal walking and running, as well as apprehension and the Smillie test (-, with a hip mobility of 65º ER and 50º IR. Fifteen years after the surgery the patient complains of antero-external knee pain in the right knee during prolonged walking, in getting up and down stairs and when in a prolonged sitting position, diagnosed as excessive lateral pressure syndrome.

  2. Local and Widespread Hyperalgesia After Isolated Tibial Shaft Fractures Treated with Intramedullary Nailing

    DEFF Research Database (Denmark)

    Larsen, Peter; Elsøe, Rasmus; Graven-Nielsen, Thomas

    2016-01-01

    OBJECTIVES: Knee pain is accepted as a common complication to intramedullary nailing of tibial fractures. However, no studies have systematically studied the pain sequel following tibial fractures. The objective of this study was to assess pain and hyperalgesia from 6 weeks to 12 months postopera......OBJECTIVES: Knee pain is accepted as a common complication to intramedullary nailing of tibial fractures. However, no studies have systematically studied the pain sequel following tibial fractures. The objective of this study was to assess pain and hyperalgesia from 6 weeks to 12 months...

  3. Pseudoarthrosis of medial tibial plateau fracture——role of alignment procedure

    Institute of Scientific and Technical Information of China (English)

    Ashish Devgan; Pradeep Kamboj; Vinay Gupta; Narender K Magu; Rajesh Rohilla

    2013-01-01

    Nonunion in tibial plateau fractures is very rare.Limited literature is available on Pubmed search on intraarticular tibial nonunion.Most of the cases reported have been following failed surgical treatment and none was neglected fractures.Three patients of isolated and neglected medial tibial plateau nonunion with almost similar demographic profile are reported in this paper.All the three patients were managed by minimally invasive compression fixation using lag screws supplemented with limb realignme nt procedure of high tibial osteotomy.We discussed theinjury mechanism,management and rehabilitation in such cases and reviewed the available literature regarding such a presentation.

  4. Stress analysis of the tibial plateau according to the difference of blade path entry in opening wedge high tibial osteotomy

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jun Woo; Xin, YuanZhu; Yang, Seok Jo [Chungnam National University, Daejeon (Korea, Republic of); Ji, Jong Hun; Panchal, Karnav; Kwon, Oh Soo [The Catholic University of Korea, Daejeon (Korea, Republic of)

    2015-03-15

    High tibial osteotomy (HTO) has been used to successfully treat patients with genu varus deformities that can improve mechanical function and condition in the knee joint. Clinical studies have reported that bow legs often occur with a concentrated load on the varus of the tibia. This study aimed to analyze and verify the clinical test data result by utilizing the three-dimensional (3D) static finite element method (FEM). The 3D model of lower extremities, which include the femur, tibia, meniscus, and knee articular cartilage, was created using the images from a computer tomography scan and magnetic resonance imaging. In this report, we compared changes in stress distribution and force reaction on the tibial plateau because of critical problems caused by unexpected changes in the tibial posterior-slope angle because of HTO. The results showed that the 5 .deg. wedge-angle virtual opening wedge HTO without and with the posterior-slope angle shows has a load concentration of approximately 60% and 45% in the medial region, respectively.

  5. Torsional wave propagation in multiwalled carbon nanotubes using nonlocal elasticity

    Science.gov (United States)

    Arda, Mustafa; Aydogdu, Metin

    2016-03-01

    Torsional wave propagation in multiwalled carbon nanotubes is studied in the present work. Governing equation of motion of multiwalled carbon nanotube is obtained using Eringen's nonlocal elasticity theory. The effect of van der Waals interaction coefficient is considered between inner and outer nanotubes. Dispersion relations are obtained and discussed in detail. Effect of nonlocal parameter and van der Waals interaction to the torsional wave propagation behavior of multiwalled carbon nanotubes is investigated. It is obtained that torsional van der Waals interaction between adjacent tubes can change the rotational direction of multiwalled carbon nanotube as in-phase or anti-phase. The group and escape velocity of the waves converge to a limit value in the nonlocal elasticity approach.

  6. Early Universe Dynamos from Neutrino Oscillations Induced by Torsion

    CERN Document Server

    de Andrade, Garcia

    2016-01-01

    Earlier de Sabbata and Gasperini have shown that neutrinos oscillation which gives them a mass can be induced by torsion. More recently Enqvist et al have shown that it is possible to use massive neutrinos BBN magnetic fields to seed galactic magnetic fields. Thus based on these previous investigations we present several examples of how obtaining cosmological magnetic seed fields as galactic magnetic fields from massive neutrino densities and also from the torsion obtained by Nitsch as $T\\approx{10^{-24}s^{-1}}$ at the present day which yields magnetic seed field of the order of $B_{seed}\\approx{10^{-12}G}$. In the case we use torsion derived from massive neutrinos given by $T_{\

  7. A Case of Torsion of Gravid Uterus Caused by Leiomyoma

    Directory of Open Access Journals (Sweden)

    Gururaj Deshpande

    2011-01-01

    Full Text Available Uterine torsion during pregnancy is only sporadically reported in the literature. Here we present a case of leiomyoma causing uterine torsion in pregnancy and review the literature on etiology, diagnosis, and management. A 25-years-old primigravida with leiomyoma complicating pregnancy was admitted in our hospital with abdominal pain and uterine tenderness. She underwent emergency LSCS (lower segment cesarean section for fetal bradycardia. Intraoperatively, the uterus was rotated 180 degrees left to right. Inadvertent incision on the posterior wall was avoided by proper delineation of anatomy. Torsion was corrected by exteriorization of leiomyoma and uterus, and lower segment cesarean was carried out safely. Prompt recognition and management of this condition is necessary for better maternal and fetal outcome.

  8. Equation of State of Gravitational Scalar-Torsion Mode

    CERN Document Server

    Tseng, Huan-Hsin; Geng, Chao-Qiang

    2012-01-01

    We investigate the equation of state (EoS) of the scalar-torsion mode in Poincar\\'{e} gauge theory of gravity. We concentrate on two cases with the constant curvature solution and positive kinetic energy, respectively. In the former, we find that the torsion EoS has different values in the various stages of the universe. In particular, it behaves like the radiation (matter) EoS of $w_r=1/3$ ($w_m=0$) in the radiation (matter) dominant epoch, while in the late time the torsion density is supportive for the accelerating universe. In the latter, our numerical analysis shows that in general the EoS has an asymptotic behavior in the high redshift regime, while it could cross the phantom divide line in the low redshift regime.

  9. Worldsheet Instantons and Torsion Curves, Part A: Direct Computation

    CERN Document Server

    Braun, V; Ovrut, B A; Scheidegger, E; Braun, Volker; Kreuzer, Maximilian; Ovrut, Burt A.; Scheidegger, Emanuel

    2007-01-01

    As a first step towards studying vector bundle moduli in realistic heterotic compactifications, we identify all holomorphic rational curves in a Calabi-Yau threefold X with Z_3 x Z_3 Wilson lines. Computing the homology, we find that H_2(X,Z)=Z^3+Z_3+Z_3. The torsion curves complicate our analysis, and we develop techniques to distinguish the torsion part of curve classes and to deal with the non-toric threefold X. In this paper, we use direct A-model computations to find the instanton numbers in each integral homology class, including torsion. One interesting result is that there are homology classes that contain only a single instanton, ensuring that there cannot be any unwanted cancellation in the non-perturbative superpotential.

  10. Spin-Rotation Coupling in Gravitation with Torsion

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Based on the theory of gravitation with torsion developed by Hammond [Rep. Prog. Phys. 65 (2002)599], the interaction between the intrinsic spin of a particle and the mass source is calculated. It is shown that spin can interact with the gravitimagnetic field created by a rotational mass, where the spin-rotation coupling is also discussed.According to the recent torsion pendulum experiment with polarized electrons by Heckel et al. [Phys. Rev. Lett. 97(2006) 021603], we set a new limit on the value of the torsion coupling constant K as K ∈ [0.53, 0.95], which has improved many orders than the constraints from the early spin-spin experiment with K < 2 × 1014.

  11. Abnormalities of penile curvature: chordee and penile torsion.

    Science.gov (United States)

    Montag, Sylvia; Palmer, Lane S

    2011-07-28

    Congenital chordee and penile torsion are commonly observed in the presence of hypospadias, but can also be seen in boys with the meatus in its orthotopic position. Varying degrees of penile curvature are observed in 4-10% of males in the absence of hypospadias. Penile torsion can be observed at birth or in older boys who were circumcised at birth. Surgical management of congenital curvature without hypospadias can present a challenge to the pediatric urologist. The most widely used surgical techniques include penile degloving and dorsal plication. This paper will review the current theories for the etiology of penile curvature, discuss the spectrum of severity of congenital chordee and penile torsion, and present varying surgical techniques for the correction of penile curvature in the absence of hypospadias.

  12. Standing torsional waves in a fully saturated, porous, circular cylinder

    CERN Document Server

    Solorza, S; 10.1111/j.1365-246X.2004.02198.x

    2004-01-01

    For dynamic measurement of the elastic moduli of a porous material saturated with viscous fluid using the resonance-bar technique, one also observes attenuation. In this article we have carried out the solution of the boundary-value problem associated with standing torsional oscillations of a finite, poroelastic, circular cylinder cast in the framework of volume-averaged theory of poroelasticity. Analysing this solution by eigenvalue perturbation approach we are able to develop expressions for torsional resonance and temporal attenuation frequencies in which the dependence upon the material properties are transparent. It shows how the attenuation is controlled by the permeability and the fluid properties, and how the resonance frequency drops over its value for the dry solid-frame due to the drag effect of fluid mass. Based upon this work we have a firm basis to determine solid-frame shear modulus, permeability, and tortuosity factor from torsional oscillation experiments.

  13. Torsional impedance effect in Fe-rich amorphous wires

    Energy Technology Data Exchange (ETDEWEB)

    Prida, V.M. E-mail: vmpp@pinon.ccu.uniovi.es; Hernando, B.; Sanchez, M.L.; Li, Y.-F.; Tejedor, M.; Vazquez, M

    2003-03-01

    An amorphous ferromagnetic wire with a highly positive saturation magnetostriction constant, made of Fe{sub 73.5}Si{sub 13.5}B{sub 9}Nb{sub 3}Cu{sub 1}, was simultaneously submitted to both, an AC current flowing through it and a torsional stress, in order to induce a helical magnetic anisotropy that modifies the magnetic domain structure and therefore the magnetic response of the sample. We study the torsion-impedance effect in an Fe-rich amorphous wire when it is submitted to different applied torsional stresses in both senses, up to 0.8{pi} rad/cm, as a function of the drive current frequency, in the range of 10 Hz-2 MHz. The experimental results are explained on the basis of the core-shell magnetic structure model combined with the skin effect.

  14. Abnormalities of Penile Curvature: Chordee and Penile Torsion

    Directory of Open Access Journals (Sweden)

    Sylvia Montag

    2011-01-01

    Full Text Available Congenital chordee and penile torsion are commonly observed in the presence of hypospadias, but can also be seen in boys with the meatus in its orthotopic position. Varying degrees of penile curvature are observed in 4–10% of males in the absence of hypospadias. Penile torsion can be observed at birth or in older boys who were circumcised at birth. Surgical management of congenital curvature without hypospadias can present a challenge to the pediatric urologist. The most widely used surgical techniques include penile degloving and dorsal plication. This paper will review the current theories for the etiology of penile curvature, discuss the spectrum of severity of congenital chordee and penile torsion, and present varying surgical techniques for the correction of penile curvature in the absence of hypospadias.

  15. Torsion-balance experiments and ultra-low-mass fields

    Science.gov (United States)

    Terrano, William

    2017-01-01

    Many of the solutions to outstanding problems in modern cosmology posit new, ultra-light fields. Unifying General Relativity and Quantum Mechanics appears to require new ultra-light fields at some level. Such fields are also invoked to drive inflation and dark energy. Ultra-light fields may also make up much or all of the dark matter density of the universe. Torsion pendulums, a technology that dates to the 18th century, remain one of the most sensitive experimental techniques to search for ultra-light, weakly interacting fields. I will explain how torsion balance experiments can search for beyond-the-standard-model fields using laboratory-based as well as galactic sources, and the important cosmological implications of these measurements. I will also describe a new experimental signature for which certain torsion balance geometries make very sensitive direct dark matter detectors over a broad range of interesting dark matter parameter space.

  16. Left-sided omental torsion with inguinal hernia

    Institute of Scientific and Technical Information of China (English)

    Yasumitsu Hirano; Kaeko Oyama; Hiroshi Nozawa; Takuo Hara; Koichi Nakada; Masahiro Hada; Takeshi Takagi; Makoto Hirano

    2006-01-01

    We report a case of surgically proved left-sided torsion of the greater omentum that caused secondary by untreated inguinal hernia. Case A 36-year-old man presented to our hospital with abdominal pain. He had been diagnosed with a left inguinal hernia, but he had not received any treatments. Contrast-enhanced computed tomography (CT) of the abdomen showed a large fat density mass below the Sigmoid colon and left inguinal hernia with incarcerated fat. Exploratory laparotomy revealed torsion of the greater omentum with small bloody ascites. The greater omentum was twisted into one and a half circles and entered into a left inguinal hernia. An omentectomy with a repair of left inguinal hernia was performed. A resected omentum was submitted for pathological examination, which showed hemorrhagic infarction. Omental torsion is a rare cause of acute abdominal pain but should be included in the differential diagnoses of acute abdomen, especially in patients with untreated inguinal hernia.

  17. Mechanical Design of AM Fabricated Prismatic Rods under Torsion

    Directory of Open Access Journals (Sweden)

    Manzhirov Alexander V.

    2017-01-01

    Full Text Available We study the stress-strain state of viscoelastic prismatic rods fabricated or repaired by additive manufacturing technologies under torsion. An adequate description of the processes involved is given by methods of a new scientific field, mechanics of growing solids. Three main stages of the deformation process (before the beginning of growth, in the course of growth, and after the termination of growth are studied. Two versions of statement of two problems are given: (i given the torque, find the stresses, displacements, and torsion; (ii given the torsion, find the stresses, displacements, and torque. Solution methods using techniques of complex analysis are presented. The results can be used in mechanical and instrument engineering.

  18. Spin and torsion in the very early universe

    Energy Technology Data Exchange (ETDEWEB)

    Baeuerle, G.G.A.; Haneveld, C.J. (Amsterdam Univ. (Netherlands). Inst. voor Theoretische Fysica)

    1983-09-01

    In the very early universe with temperature T between 10/sup 24/ K and 10/sup 32/ K the gravitational effect of torsion is dominant if particles with spin are sufficiently polarized. The source of the torsion is the spin density and the latter is usually described by a classical theory of Weyssenhoff and Raabe. In this article the spinning particles are described quantum mechanically, i.e. with a Dirac field and the spin density is defined as the source of the torsion. The macroscopic average of the spin density is obtained by the relativistic Wigner function formalism. The expression of the spin density, as derived in this article, is different from the classical one, except when both are zero.

  19. Medial opening wedge high tibial osteotomy alters knee moments in multiple planes during walking and stair ascent.

    Science.gov (United States)

    Leitch, Kristyn M; Birmingham, Trevor B; Dunning, Cynthia E; Giffin, J Robert

    2015-07-01

    Medial opening wedge high tibial osteotomy is a surgical procedure intended to redistribute loads on the knee in patients with medial compartment knee osteoarthritis (OA). The surgery may affect moments in multiple planes during ambulation, with potential beneficial or detrimental effects on joint loads. The objective of this study was to investigate three-dimensional external knee moments before and after medial opening wedge high tibial osteotomy during level walking and during stair ascent. Fourteen patients with varus alignment and osteoarthritis primarily affecting the medial compartment of the tibiofemoral joint were assessed. Three-dimensional motion analyses during level walking and stair ascent was evaluated using inverse dynamics before, 6 and 12 months after surgery. Mean changes at 12 months suggested decreases in the peak knee adduction, flexion and internal rotation moments, with standardized response means ranging from 0.15 to 2.54. These decreases were observed despite increases in speed. Changes in alignment were associated with changes in the adduction and internal rotation moments, but not the flexion moment. Both pre- and postoperatively, the peak knee adduction moment was significantly lower (p=0.001) during stair ascent than during level walking, while the flexion and internal rotation moments were significantly higher (pplanes of motion during ambulation, suggesting substantial alterations of the loads on the knee during ambulation.

  20. Deep learning methods for protein torsion angle prediction.

    Science.gov (United States)

    Li, Haiou; Hou, Jie; Adhikari, Badri; Lyu, Qiang; Cheng, Jianlin

    2017-09-18

    Deep learning is one of the most powerful machine learning methods that has achieved the state-of-the-art performance in many domains. Since deep learning was introduced to the field of bioinformatics in 2012, it has achieved success in a number of areas such as protein residue-residue contact prediction, secondary structure prediction, and fold recognition. In this work, we developed deep learning methods to improve the prediction of torsion (dihedral) angles of proteins. We design four different deep learning architectures to predict protein torsion angles. The architectures including deep neural network (DNN) and deep restricted Boltzmann machine (DRBN), deep recurrent neural network (DRNN) and deep recurrent restricted Boltzmann machine (DReRBM) since the protein torsion angle prediction is a sequence related problem. In addition to existing protein features, two new features (predicted residue contact number and the error distribution of torsion angles extracted from sequence fragments) are used as input to each of the four deep learning architectures to predict phi and psi angles of protein backbone. The mean absolute error (MAE) of phi and psi angles predicted by DRNN, DReRBM, DRBM and DNN is about 20-21° and 29-30° on an independent dataset. The MAE of phi angle is comparable to the existing methods, but the MAE of psi angle is 29°, 2° lower than the existing methods. On the latest CASP12 targets, our methods also achieved the performance better than or comparable to a state-of-the art method. Our experiment demonstrates that deep learning is a valuable method for predicting protein torsion angles. The deep recurrent network architecture performs slightly better than deep feed-forward architecture, and the predicted residue contact number and the error distribution of torsion angles extracted from sequence fragments are useful features for improving prediction accuracy.

  1. Torsional instability in suspension bridges: The Tacoma Narrows Bridge case

    Science.gov (United States)

    Arioli, Gianni; Gazzola, Filippo

    2017-01-01

    All attempts of aeroelastic explanations for the torsional instability of suspension bridges have been somehow criticised and none of them is unanimously accepted by the scientific community. We suggest a new nonlinear model for a suspension bridge and we perform numerical experiments with the parameters corresponding to the collapsed Tacoma Narrows Bridge. We show that the thresholds of instability are in line with those observed the day of the collapse. Our analysis enables us to give a new explanation for the torsional instability, only based on the nonlinear behavior of the structure.

  2. A monolithically integrated torsional CMOS-MEMS relay

    Science.gov (United States)

    Riverola, M.; Sobreviela, G.; Torres, F.; Uranga, A.; Barniol, N.

    2016-11-01

    We report experimental demonstrations of a torsional microelectromechanical (MEM) relay fabricated using the CMOS-MEMS approach (or intra-CMOS) which exploits the full foundry inherent characteristics enabling drastic reduction of the fabrication costs and batch production. In particular, the relay is monolithically integrated in the back end of line of a commercial standard CMOS technology (AMS 0.35 μm) and released by means of a simple one-step mask-less wet etching. The fabricated torsional relay exhibits an extremely steep switching behaviour symmetrical about both contact sides with an on-state contact resistance in the k Ω -range throughout the on-off cycling test.

  3. Holography in 3D AdS gravity with torsion

    CERN Document Server

    Blagojević, Milutin; Miskovic, Olivera; Olea, Rodrigo

    2013-01-01

    Basic aspects of the AdS/CFT correspondence are studied in the framework of 3-dimensional gravity with torsion. After choosing a consistent holographic ansatz, we formulate an improved approach to the Noether--Ward identities for the boundary theory. The method is applied first to the topological Mielke--Baekler model, and then to the more interesting (parity-preserving) 3-dimensional gravity with propagating torsion. In both cases, we find the finite holographic energy-momentum and spin currents and obtain the associated (anomalous) Noether--Ward identities.

  4. Non-Kaehler string backgrounds and their five torsion classes

    Energy Technology Data Exchange (ETDEWEB)

    Cardoso, G.L. E-mail: gcardoso@physik.hu-berlin.de; Curio, G. E-mail: curio@physik.hu-berlin.de; Dall' Agata, G. E-mail: dallagat@physik.hu-berlin.de; Luest, D. E-mail: luest@physik.hu-berlin.de; Manousselis, P. E-mail: pman@central.ntua.gr; Zoupanos, G. E-mail: george.zoupanos@cern.ch

    2003-03-03

    We discuss the mathematical properties of six-dimensional non-Kaehler manifolds which occur in the context of N=1 supersymmetric heterotic and type IIA string compactifications with non-vanishing background H-field. The intrinsic torsion of the associated SU(3) structures falls into five different classes. For heterotic compactifications we present an explicit dictionary between the supersymmetry conditions and these five torsion classes. We show that the non-Ricci-flat Iwasawa manifold solves the supersymmetry conditions with non-zero H-field, so that it is a consistent heterotic supersymmetric groundstate.

  5. A Note on Torsion of Nonlocal Composite Nanobeams

    Directory of Open Access Journals (Sweden)

    Luciano Feo

    2016-01-01

    Full Text Available The ERINGEN elastic constitutive relation is used in this paper in order to assess small-scale effects in nanobeams. Structural behavior is studied for functionally graded materials in the cross-sectional plane and torsional loading conditions. The governing boundary value problem has been formulated in a mixed framework. Torsional rotations and equilibrated moments are evaluated by solving a first-order differential equation of elastic equilibrium with boundary conditions of kinematic-type. Benchmarks examples are briefly discussed, enlightening thus effectiveness of the proposed methodology.

  6. Torsion impedance of CoFeSiB amorphous wires

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, M.L. E-mail: grande@pinon.ccu.uniovi.es; Prida, V.M.; Hernando, B.; Tejedor, M.; Vazquez, M

    2002-08-01

    In this work we report some results concerning the torsion impedance of amorphous Co{sub 68.1}Fe{sub 4.4}Si{sub 12.5}B{sub 15} wires in the as-cast state, and after a stress annealing treatment. The influence of the drive current amplitude and frequency is also studied for these samples. A sensitivity to the applied torsion up to 17.6%/rad m is obtained for the annealed wire. The magnetoimpedance response of both types of samples gives evidence to the difference in their domain structure.

  7. Gravitational and torsion waves in linearised teleparallel gravity

    CERN Document Server

    Garcia de Andrade, L C

    2002-01-01

    Spin-2, spin-1 and spin-0 modes in linearised teleparallelism are obtained where the totally skew-symmetric complex contortion tensor generates scalar torsion waves and the symmetric contortion in the last two indices generates gravitational waves as gravitational perturbations of flat spacetime with contortion tensor. A gedanken experiment with this gravitational-torsion wave hitting a ring of spinless particles is proposed which allows us to estimate the contortion of the Earth by making use of data from LISA GW detector. This value coincides with previous value obtained by Nitsch in teleparallelism using another type of experiment.

  8. Primary decomposition of torsion R[X]-modules

    Directory of Open Access Journals (Sweden)

    William A. Adkins

    1994-01-01

    Full Text Available This paper is concerned with studying hereditary properties of primary decompositions of torsion R[X]-modules M which are torsion free as R-modules. Specifically, if an R[X]-submodule of M is pure as an R-submodule, then the primary decomposition of M determines a primary decomposition of the submodule. This is a generalization of the classical fact from linear algebra that a diagonalizable linear transformation on a vector space restricts to a diagonalizable linear transformation of any invariant subspace. Additionally, primary decompositions are considered under direct sums and tensor product.

  9. RARE PRESENTATION OF A CASE OF TESTICULAR TORSION

    Directory of Open Access Journals (Sweden)

    Mohapatra

    2014-06-01

    Full Text Available A 12yrs male child presented in the emergency department of VSS Medical College Burla with complains of acute pain over left testis for 3days, associated with vomiting, there was no h/o fever, trauma or lower urinary tract symptoms. Ultrasonography of scrotum revealed features of testicular torsion with absent vascularity. He was managed with urgent scrotal exploration and found to have torsion of cord and gangrene of testis. Orchidectomy was done for testis with orchiopexy of the contralateral testis.

  10. HOMOLOGICAL PROPERTIES OF TORSION CLASSES UNDER CHANGE OF RINGS

    Institute of Scientific and Technical Information of China (English)

    YAOMUSHENG

    1994-01-01

    Let R be a ring with identity, x be a central element of R which is neither a unit nor a zero divisor. S=R/xR is the quotient ring of R and φ:R→R/xR is the natural map. R-Mod(resp.S-Mod) denotes the category of unital left R-modules(resp.S-modules).In this paper, relationships betwee torsion theories on R-Mod and torsion theories on S-Mod are investigated. Properties of the functor ExtRn(N,-) are given. Properties of the localization functor Qσ are also investigated.

  11. Torsion Testing of Diffusion Bonded LIGA Formed Nickel

    Energy Technology Data Exchange (ETDEWEB)

    Buchheit, T.E.; Christenson, T.R.; Schmale, D.T.

    1999-01-27

    A test technique has been devised which is suitable for the testing of the bond strength of batch diffusion bonded LIGA or DXRL defined structures. The method uses a torsion tester constructed with the aid of LIGA fabrication and distributed torsion specimens which also make use of the high aspect ratio nature of DXRL based processing. Measurements reveal achieved bond strengths of 130MPa between electroplated nickel with a bond temperature of 450 C at 7 ksi pressure which is a sufficiently low temperature to avoid mechanical strength degradation.

  12. Singularities and n-dimensional black holes in torsion theories

    CERN Document Server

    Cembranos, J A R; Torralba, F J Maldonado

    2016-01-01

    In this work we have studied the singular behaviour of gravitational theories with non symmetric connections. For this purpose we introduce a new criteria for the appearance of singularities based on the existence of black/white hole regions of arbitrary codimension defined inside a spacetime of arbitrary dimension. We discuss this prescription by increasing the complexity of the particular torsion theory under study. In this sense, we start with Teleparallel Gravity, then we analyse Einstein-Cartan theory, and finally dynamical torsion models.

  13. Aerodynamic stability of long span suspension bridges with low torsional natural frequencies

    DEFF Research Database (Denmark)

    Andersen, Michael Styrk; Johansson, Jens; Brandt, Anders;

    2016-01-01

    Classical flutter of suspended bridge decks can be avoided if the torsional frequencies are lower than the vertical. Wind tunnel tests of single boxes and twin box section models with torsional natural frequencies above and below the vertical frequency has been conducted. Flutter was avoided in a....... In order to design aerodynamically stable suspension bridges with low torsional natural frequencies it is suggested to increase the mass moment of inertia and provide adequate torsional stiffness by the main cables spacing....

  14. Aerodynamic stability of long span suspension bridges with low torsional natural frequencies

    DEFF Research Database (Denmark)

    Andersen, Michael Styrk; Johansson, Jens; Brandt, Anders

    2016-01-01

    Classical flutter of suspended bridge decks can be avoided if the torsional frequencies are lower than the vertical. Wind tunnel tests of single boxes and twin box section models with torsional natural frequencies above and below the vertical frequency has been conducted. Flutter was avoided in all....... In order to design aerodynamically stable suspension bridges with low torsional natural frequencies it is suggested to increase the mass moment of inertia and provide adequate torsional stiffness by the main cables spacing....

  15. Ultrasonographic diagnosis of torsion of testicular appendages; Diagnostico por ecografia de la torsion de los apendices testiculares

    Energy Technology Data Exchange (ETDEWEB)

    Esparza, J.; Gonzalez, A.; Cordero, J. L. [Hospital Virgen del Camino. Pamplona (Spain)

    2000-07-01

    To determine the efficacy of ultrasound in boys presenting torsion of a testicular appendage. A series of 30 boys with acute scrotal pain due to torsion of a testicular appendage was studied. Nine patients underwent surgery. The clinical findings and course in the remaining 21 suggested the presence of this abnormality. All of them underwent conventional and color Doppler ultrasound using a 7.5 MHz transducer. In 15 boys, ultrasound images depicted the affected appendage as a mass between the epididymal head and the testicle. In 13 cases, only signs of a inflammatory reaction, with enlargement of the epididymal head and tunicas presenting hyperflow and hydrocele, mimicking acute epididymities. In two cases, the images were normal. There is no definitive, distinguishing ultrasound image corresponding to testicular appendage torsion. Therefore, this diagnostic technique should be accompanied by clinical assessment. (Author) 14 refs.

  16. Torsion, a multivalued gauge degree of freedom in Einstein's gravity

    Energy Technology Data Exchange (ETDEWEB)

    Kleinert, H, E-mail: h.k@fu-berlin.de [Institut fuer Theoretische Physik, Freie Universitaet Berlin, Arnimallee 14, D-14195 Berlin (Germany); ICRANet, Piazzale della Republica 10, 1-65122, Pescara (Italy)

    2011-07-08

    We show that there is an entire gauge symmetry of a novel kind which interpolates between an infinity of formulations of the laws of gravity, ranging from Einsteins pure curvature formulation to a pure torsion formulation in a teleparallel geometry. As a consequence, torsion and curvature are not independent and that torsion is an alternative description of curvature in gravity.

  17. Left common basal pyramid torsion following left upper lobectomy/segmentectomy.

    Science.gov (United States)

    Wang, Wei-Li; Cheng, Yen-Po; Cheng, Ching-Yuan; Wang, Bing-Yen

    2015-05-01

    Lobar or segmental lung torsion is a severe complication of lung resection. To the best of our knowledge, common basal pyramid torsion has never been reported. We describe a case of left basal pyramid torsion after left upper lobectomy and superior segmentectomy, which was successfully treated by thoracoscopic surgery.

  18. A 55-Year-Old Man with Right Testicular Pain: Too Old for Torsion?

    Science.gov (United States)

    Tang, Yu Ho; Yeung, Victor Hip Wo; Chu, Peggy Sau Kwan; Man, Chi Wai

    2017-02-01

    Testicular torsion is predominantly a disease of adolescence, but age itself should not be an exclusion criterion for the diagnosis. A lack of suspicion for testicular torsion in older patients may result in a missed or delayed diagnosis which jeopardizes the chance of testicular salvage. In this article, we report a case of testicular torsion in a 55-year-old Chinese man.

  19. Successive Torsion of the Right Middle and Left Cranial Lung Lobes in a Dog

    OpenAIRE

    Breton, Luc; DiFruscia, Rocky; Olivieri, Michel

    1986-01-01

    This case report describes the torsion of two lung lobes in a dog. The animal was first presented for a torsion of the right middle lung lobe. Following the surgical resection of that lobe, the dog suffered another torsion of the left cranial lung lobe (cranial and caudal segments).

  20. Medial tibial pain: a dynamic contrast-enhanced MRI study.

    Science.gov (United States)

    Mattila, K T; Komu, M E; Dahlström, S; Koskinen, S K; Heikkilä, J

    1999-09-01

    The purpose of this study was to compare the sensitivity of different magnetic resonance imaging (MRI) sequences to depict periosteal edema in patients with medial tibial pain. Additionally, we evaluated the ability of dynamic contrast-enhanced imaging (DCES) to depict possible temporal alterations in muscular perfusion within compartments of the leg. Fifteen patients with medial tibial pain were examined with MRI. T1-, T2-weighted, proton density axial images and dynamic and static phase post-contrast images were compared in ability to depict periosteal edema. STIR was used in seven cases to depict bone marrow edema. Images were analyzed to detect signs of compartment edema. Region-of-interest measurements in compartments were performed during DCES and compared with controls. In detecting periosteal edema, post-contrast T1-weighted images were better than spin echo T2-weighted and proton density images or STIR images, but STIR depicted the bone marrow edema best. DCES best demonstrated the gradually enhancing periostitis. Four subjects with severe periosteal edema had visually detectable pathologic enhancement during DCES in the deep posterior compartment of the leg. Percentage enhancement in the deep posterior compartment of the leg was greater in patients than in controls. The fast enhancement phase in the deep posterior compartment began slightly slower in patients than in controls, but it continued longer. We believe that periosteal edema in bone stress reaction can cause impairment of venous flow in the deep posterior compartment. MRI can depict both these conditions. In patients with medial tibial pain, MR imaging protocol should include axial STIR images (to depict bone pathology) with T1-weighted axial pre and post-contrast images, and dynamic contrast enhanced imaging to show periosteal edema and abnormal contrast enhancement within a compartment.

  1. High-resolution axial MR imaging of tibial stress injuries

    Directory of Open Access Journals (Sweden)

    Mammoto Takeo

    2012-05-01

    Full Text Available Abstract Purpose To evaluate the relative involvement of tibial stress injuries using high-resolution axial MR imaging and the correlation with MR and radiographic images. Methods A total of 33 patients with exercise-induced tibial pain were evaluated. All patients underwent radiograph and high-resolution axial MR imaging. Radiographs were taken at initial presentation and 4 weeks later. High-resolution MR axial images were obtained using a microscopy surface coil with 60 × 60 mm field of view on a 1.5T MR unit. All images were evaluated for abnormal signals of the periosteum, cortex and bone marrow. Results Nineteen patients showed no periosteal reaction at initial and follow-up radiographs. MR imaging showed abnormal signals in the periosteal tissue and partially abnormal signals in the bone marrow. In 7 patients, periosteal reaction was not seen at initial radiograph, but was detected at follow-up radiograph. MR imaging showed abnormal signals in the periosteal tissue and entire bone marrow. Abnormal signals in the cortex were found in 6 patients. The remaining 7 showed periosteal reactions at initial radiograph. MR imaging showed abnormal signals in the periosteal tissue in 6 patients. Abnormal signals were seen in the partial and entire bone marrow in 4 and 3 patients, respectively. Conclusions Bone marrow abnormalities in high-resolution axial MR imaging were related to periosteal reactions at follow-up radiograph. Bone marrow abnormalities might predict later periosteal reactions, suggesting shin splints or stress fractures. High-resolution axial MR imaging is useful in early discrimination of tibial stress injuries.

  2. Posterior cruciate ligament reconstruction by means of tibial tunnel: anatomical study on cadavers for tunnel positioning

    Directory of Open Access Journals (Sweden)

    Antônio Altenor Bessa de Queiroz

    2014-08-01

    Full Text Available Objective:To determine the reference points for the exit of the tibial guidewire in relation to the posterior cortical bone of the tibia.Methods:Sixteen knees from fresh cadavers were used for this study. Using a viewing device and a guide marked out in millimeters, three guidewires were passed through the tibia at 0, 10 and 15 mm distally in relation to the posterior crest of the tibia. Dissections were performed and the region of the center of the tibial insertion of the posterior cruciate ligament (PCL was determined in each knee. The distances between the center of the tibial insertion of the PCL and the posterior tibial border (CB and between the center of the tibial insertion of the PCL and wires 1, 2 and 3 (CW1, CW2 and CW3 were measured.Results:In the dissected knees, we found the center of the tibial insertion of the PCL at 1.09 ± 0.06 cm from the posterior tibial border. The distances between the wires 1, 2 and 3 and the center of the tibial insertion of the PCL were respectively 1.01 ± 0.08, 0.09 ± 0.05 and 0.5 ± 0.05 cm.Conclusion:The guidewire exit point 10 mm distal in relation to the posterior crest of the tibia was the best position for attempting to reproduce the anatomical center of the PCL.

  3. Immediate weight-bearing after osteosynthesis of proximal tibial fractures may be allowed

    DEFF Research Database (Denmark)

    Haak, Karl Tobias; Palm, Henrik; Holck, Kim;

    2012-01-01

    Immediate weight-bearing following osteosynthesis of proximal tibial fractures is traditionally not allowed due to fear of articular fracture collapse. Anatomically shaped locking plates with sub-articular screws could improve stability and allow greater loading forces. The purpose of this study...... was to investigate if immediate weight-bearing can be allowed following locking plate osteosynthesis of proximal tibial fractures....

  4. Arthroscopically assisted osteosynthesis of tibial plateau fractures in patients older than 55 years

    NARCIS (Netherlands)

    Roerdink, WH; Oskam, J; Vierhout, PAM

    2001-01-01

    Purpose: To evaluate the end results of arthroscopically assisted osteosynthesis of tibial plateau fractures in patients older than 55 years of age. Type of Study: Case series. Methods: Over a 5-year period, 201 consecutive patients presented with tibial plateau fracture; 131 of these patients were

  5. Chemotherapy affects the pattern of failure after shear loading of the proximal tibial growth plate.

    NARCIS (Netherlands)

    Leeuwen, B.L.; Hartel, R.M.; Jansen, H.W.B.; Verkerke, G.J.; Veth, R.P.H.; Kamps, W.A.; Hoekstra, H.J.

    2004-01-01

    INTRODUCTION: Tibial bones are shorter and less resistant to shear forces after treatment with doxorubicin, methotrexate, or cisplatin. We investigated the pattern of failure after shear loading of the proximal tibial growth plate in rats treated with these chemotherapeutic agents. MATERIALS AND MET

  6. Tibial slope in total ankle arthroplasty: Anterior or lateral approach.

    Science.gov (United States)

    Usuelli, Federico Giuseppe; Maccario, Camilla; Indino, Cristian; Manzi, Luigi; Gross, Christopher Edward

    2017-06-01

    A new total ankle arthroplasty (TAA) system performed through a lateral approach provides direct visualization of the centre of rotation, allowing for accurate reconstruction of the joint alignment and less bone resection. Radiographic references are needed to describe deformities and plan the surgical procedures. The tibial slope is an important factor when treating malalignment. The aim of this study is to show if there is any difference regarding the post-operative tibial slope (β angle) measurement comparing a fixed-bearing TAA through a lateral approach and a mobile-bearing TAA through an anterior approach. The study included 217 ankles. Between May 2011 and April 2015, 77 patients underwent a TAA with a mobile-bearing implant through an anterior approach and 45 with a fixed-bearing implant through a lateral approach: in these patients the β angle was measured 2 and 12 months postoperatively. 95 subjects with unilateral post-traumatic ankle arthritis composed the control group: in these patients we measured the anterior distal tibial angle (ADTA) of the controlateral, non arthritic tibiotalar joint. In the mobile-bearing group, the mean β angle at 2 and 12 months postoperatively was 86.4±3.1 and 86.8±3.1 (p-value=0.12). In the fixed-bearing group, the mean β angle at 2 and 12 months postoperatively was 83.1±5.4 and 83.9±6.5 (p-value=0.26). A statistically significant difference was found between the β angle of the two groups. In the control group the mean ADTA was 84.9±2.5. A non-statistically significant difference was observed only between β angle of the fixed-bearing group and the ADTA of the control group. Regarding the tibial slope, fixed-bearing TAA through a lateral approach showed a more anatomic placement. In contrast, β angle in mobile-bearing group appeared more reproducible than fixed-bearing group. Copyright © 2016 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

  7. Expected long-term outcome after a tibial shaft fracture

    DEFF Research Database (Denmark)

    Faergemann, C; Frandsen, P A; Röck, N D

    1999-01-01

    these expectations with the outcome measured in patients. METHODS: There were five groups of nonpatients: (1) 42 orthopedic surgeons, (2) 36 physiotherapists, (3) 42 students, (4) 49 white collar workers, and (5) 38 blue collar workers. Outcome was measured by Sickness Impact Profile (SIP). The SIP scores were...... compared with SIP scores obtained from 33 patients with a unilateral tibial fracture. RESULTS: Marked variation was observed between the groups. CONCLUSION: Physiotherapists expected the lowest degree of disability and orthopedic surgeons the highest. In the three groups of students, white collar workers...

  8. Double segmental tibial fractures——an unusual fracture pattern

    Institute of Scientific and Technical Information of China (English)

    Kamal Bali; Vishal Kumar; Sandeep Patel; Sameer Aggarwal

    2011-01-01

    A case of a 50-year-old pedestrian who was hit by a bike and suffered fractures of both bones of his right leg was presented. Complete clinical and radiographic assessment showed double segmental fractures of the tibia and multisegmental fractures of the fibula. Review of the literature revealed that this fracture pattern was unique and only a single case was reported so far. Moreover, we discussed the possible mechanisms which can lead to such an injury. We also discussed the management of segmental tibial fracture and the difficulties encountered with them. This case was managed by modern osteosynthesis tech nique with a pleasing outcome.

  9. Chronic venous disease as a clinical manifestation of tibial osteochondroma

    Directory of Open Access Journals (Sweden)

    Marcelo Fernandes Lima

    2013-06-01

    Full Text Available Osteochondromas are the most common type of benign tumor of the skeleton. They most frequently affect the distal extremity of the femur, with the tibia being the second most commonly affected long bone. Vascular complications of these lesions are rare, but pseudoaneurysm formation is the most frequently reported of them. In this case report, we describe a case of compression of the popliteal neurovascular bundle by a tibial osteochondroma in a diabetic patient who had been admitted to hospital to treat an infected lesion on his left foot and complained of edema and paresthesia of the left lower limb.

  10. Dirac theory in space-time without torsion

    CERN Document Server

    Hannibal, L

    1994-01-01

    It is proven that the usual quadratic general-covariant Lagrangian for the Dirac field leads to a symmetric, divergence-free energy-momentum tensor in the standard Riemannian framework of space-time without torsion, provided the tetrad field components are the only quantities related to gravitation that are varied independently.

  11. Ocular torsion before and after 1 hour centrifugation

    NARCIS (Netherlands)

    Groen, E.; Graaf, B. de; Bles, W.; Bos, J.E.

    1996-01-01

    To assess a possible otolith contribution to effects observed following prolonged expo-sure to hyper gravity, we used video-oculography to measure ocular torsion during static and dynamic conditions of lateral body tilt (roll) before and after one hour of centrifugation with a Gx-load of 3G. Static

  12. Numerical Simulation of Gleeble Torsion Testing of HSLA-65 Steel

    Science.gov (United States)

    2008-04-01

    LIMITATION OF ABSTRACT SAR 18. NUMBER OF PAGES 36 19b. TELEPHONE NUMBER (include area code) 301 -227-5033 Standard Form 298 (Rev. 8-98...3800 Torsion machine on AISI 304L and HSLA-65 steels to simulate the friction stir welding of these materials. A photograph of the experimental setup

  13. Torsion stiffness of a protein pair determined by magnetic particles

    NARCIS (Netherlands)

    Janssen, X.J.A.; Van Noorloos, J.M.; Jacob, A.; Van IJzendoorn, L.J.; De Jong, A.M.; Prins, M.W.J.

    2012-01-01

    We demonstrate the ability to measure torsion stiffness of a proteincomplex by applying a controlled torque on a magnetic particle. Asa model system we use protein G bound to an IgG antibody. The protein pair is held between a magnetic particle and a polystyrene substrate. The angular orientation of

  14. Ectopic ovary with torsion: uncommon diagnosis made by ultrasound

    Science.gov (United States)

    Castro, Adham do Amaral e; Morandini, Fernando; Calixto, Caroline Paludo; Barros, Wagner Haese; Nakatani, Edson Tetsuya; Castro, Allan do Amaral e

    2017-01-01

    Ultrasound is an important diagnostic tool in inguinal hernia and in the evaluation of the contents of the hernia sac. This report presents a case in which ultrasound revealed a herniated ectopic ovary, complicated by torsion of its vascular pedicle, in the right labia majora. We also present a brief discussion of ovarian hernia, its potential complications, and the treatments available. PMID:28298734

  15. Torsion and CO-stretching vibration interactions in methanol

    Science.gov (United States)

    Duan, Yun-Bo; Yuan, Shuping; Wang, Rubin; Mukhopadhyay, I.

    2006-11-01

    A model Hamiltonian is constructed to investigate the vibration-torsion-rotational interaction in methanol. The model Hamiltonian is based on the formulation of reduction of Hamiltonian, in which the CO-stretching mode ν8, the large-amplitude torsion mode ν12 and the three degrees of freedom that correspond to the overall rotation of the molecule, are considered simultaneously. This Hamiltonian is used to carry out an analysis of already published data for CH 3OH with vco ⩽ 1 (the CO-stretching vibrational quantum number), vt ⩽ 4 (the torsional quantum number), and J ⩽ 5 (the overall rotational quantum number). The relative locations of the CO-stretch vibrational ground state and the fundamental state are well reproduced for torsional states with vt ⩽ 4 and J ⩽ 5. An effective potential energy surface that describes ν8 and ν12 modes is obtained from this analysis. The present analyses show that a variety of resonance interactions can affect states for energies larger than 1100 cm -1.

  16. The human ocular torsion position response during yaw angular acceleration.

    Science.gov (United States)

    Smith, S T; Curthoys, I S; Moore, S T

    1995-07-01

    Recent results by Wearne [(1993) Ph.D. thesis] using the scleral search-coil method of measuring eye position indicate that changes in ocular torsion position (OTP) occur during yaw angular acceleration about an earth vertical axis. The present set of experiments, using an image processing method of eye movement measurement free from the possible confound of search coil slippage, demonstrates the generality and repeatability of this phenomenon and examines its possible causes. The change in torsion position is not a linear vestibulo-ocular reflex (LVOR) response to interaural linear acceleration stimulation of the otoliths, but rather the effect is dependent on the characteristics of the angular acceleration stimulus, commencing at the onset and decaying at the offset of the angular acceleration. In the experiments reported here, the magnitude of the angular acceleration stimulus was varied and the torsion position response showed corresponding variations. We consider that the change in torsion position observed during angular acceleration is most likely to be due to activity of the semicircular canals.

  17. Torsional Newton-Cartan geometry and the Schrodinger algebra

    NARCIS (Netherlands)

    Bergshoeff, Eric A.; Hartong, Jelle; Rosseel, Jan

    2015-01-01

    We show that by gauging the Schrodinger algebra with critical exponent z and imposing suitable curvature constraints, that make diffeomorphisms equivalent to time and space translations, one obtains a geometric structure known as (twistless) torsional Newton-Cartan geometry (TTNC). This is a version

  18. Torsion of an Epiploic Appendix Pretending as Acute Appendicitis

    Directory of Open Access Journals (Sweden)

    Kamran Ahmad Malik

    2010-07-01

    Full Text Available Torsion of an epiploic appendix is a rare surgical entity. Its unusual symptomatology, wide variation in physical findings and the absence of helpful laboratory and radiological studies makes it very difficult to diagnose pre-operatively. This is a report of this rare entity found in a patient upon diagnostic laparoscopy performed for suspected acute appendicitis

  19. In vitro transcription of a torsionally constrained template

    DEFF Research Database (Denmark)

    Bentin, Thomas; Nielsen, Peter E

    2002-01-01

    of torsionally constrained DNA by free RNAP. We asked whether or not a newly synthesized RNA chain would limit transcription elongation. For this purpose we developed a method to immobilize covalently closed circular DNA to streptavidin-coated beads via a peptide nucleic acid (PNA)-biotin conjugate in principle...

  20. Primary omental torsion in a 12-year-old boy

    Institute of Scientific and Technical Information of China (English)

    曹文刚; 张金哲

    2001-01-01

    @@Primany omental torsion (POT), known since 1899, is a disease that usually occurs in the fourth and fifth decades of life. Men are affected twice as frequently as women, with the majority being overweight.1 It is a rare acute abdomen among children, which should call for the special awareness of pediatric surgeons.

  1. Determination of ocular torsion by means of automatic pattern recognition

    NARCIS (Netherlands)

    Groen, E.L.; Bos, J.E.; Nacken, P.F.M.; Graaf, B. de

    1996-01-01

    A new, automatic method for determination of human ocular torsion (OT) was devel-oped based on the tracking of iris patterns in digitized video images. Instead of quanti-fying OT by means of cross-correlation of circular iris samples, a procedure commonly applied, this new method automatically selec

  2. Direct excitation of resonant torsional Alfven waves by footpoint motions

    NARCIS (Netherlands)

    Ruderman, M. S.; Berghmans, D.; Goossens, M.; Poedts, S.

    1997-01-01

    The present paper studies the heating of coronal loops by linear resonant Alfven waves that are excited by the motions of the photospheric footpoints of the magnetic field lines. The analysis is restricted to torsionally polarised footpoint motions in an axially symmetric system so that only

  3. Contravariantly finite subcategories in a tilting torsion class

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The contravariant finiteness of the subcategory consisting of modules with T-dimension not more than 1 in the torsion class induced by a tilting module T is proved under the condition that the projective dimension of the injective hull of the tilting module is not more than one.

  4. Anomalous Majorana Neutrino Masses from Torsionful Quantum Gravity

    CERN Document Server

    Mavromatos, Nick E

    2012-01-01

    The effect of quantum torsion in theories of quantum gravity is usually described by an axion-like field which couples to matter and to gravitation and radiation gauge fields. In perturbation theory, the couplings of this torsion-descent axion field are of derivative type and so preserve a shift symmetry. This shift symmetry may be broken, if the torsion-descent axion field mixes with other axions, which could be related to moduli fields in string-inspired effective theories. In particular, the shift symmetry may break explicitly via non-perturbative effects, when these axions couple to fermions via chirality changing Yukawa couplings with appropriately suppressed coefficients. We show, how in such theories an effective right-handed Majorana neutrino mass can be generated at two loops by gravitational interactions that involve global anomalies related to quantum torsion. We estimate the magnitude of the gravitationally induced Majorana mass and find that it is highly model dependent, ranging from multi-TeV to...

  5. Ponzano-Regge Model on Manifold with Torsion

    CERN Document Server

    Vargas, T

    2013-01-01

    The connection between angular momentum in quantum mechanics and geometric objects is extended to manifold with torsion. First, we notice the relation between the $6j$ symbol and Regge's discrete version of the action functional of Euclidean three dimensional gravity with torsion, then consider the Ponzano and Regge asymptotic formula for the Wigner $6j$ symbol on this simplicial manifold with torsion. In this approach, a three dimensional manifold $M$ is decomposed into a collection of tetrahedra, and it is assumed that each tetrahedron is filled in with flat space and the torsion of $M$ is concentrated on the edges of the tetrahedron, the length of the edge is chosen to be proportional to the length of the angular momentum vector in semiclassical limit. The Einstein-Hilbert action is then a function of the angular momentum and the Burgers vector of dislocation, and it is given by summing the Regge action over all tetrahedra in $M$. We also discuss the asymptotic approximation of the partition function and t...

  6. Penile torsion correction by diagonal corporal plication sutures

    Directory of Open Access Journals (Sweden)

    Brent W. Snow

    2009-02-01

    Full Text Available Penile torsion is commonly encountered. It can be caused by skin and dartos adherence or Buck’s fascia attachments. The authors suggest a new surgical approach to solve both problems. If Buck’s fascia involvement is demonstrated by artificial erection then a new diagonal corporal plication suture is described to effectively solve this problem.

  7. Can Ocular Torsion be Measured Using the Slitlamp Biomicroscope?

    Directory of Open Access Journals (Sweden)

    Kothari Mihir

    2005-03-01

    Full Text Available PURPOSE: To evaluate and compare a stereo-biomicroscopic technique of ocular torsion measurement with fundus photographic technique. METHODS: This prospective masked observational study included 72 eyes of 36 consecutive subjects with normal ocular motility. The disc-foveal angle was measured by two masked investigators using a slitlamp stereo-biomicroscopic and fundus photographic technique. RESULTS: The mean age was 13.7 years (6 - 44 years, and 15 (41.6% were males. The average torsion using the slitlamp technique was 5.5 3.3o and 6.1 4.3o with fundus photographic technique. Clinical agreement between the two techniques for 5o and 6o torsion was 81% and 90% respectively. The average difference between the two techniques was 3.0 2.6o. The mean inter-ocular difference was 3.3 2.7o (SD, 2.77 and 5.5 4.6o using the slitlamp and fundus photographic technique respectively. The Pearson correlation coefficient (r2 was 0.5 CONCLUSION: The fundus photographic technique remains the gold standard test for the measurement of ocular torsion. The slitlamp biomicroscopic method can be useful where a fundus camera is unavailable. Further studies are required to test the repeatability of these tests.

  8. The Torsion-Extension Coupling in Pretwisted Elastic Beams

    DEFF Research Database (Denmark)

    Krenk, Steen

    1983-01-01

    An explicit asymptotic formula is derived for the untwist of a pretwisted elastic beam subjected to homogeneous extension or equivalently for the longitudinal contraction produced by a torsional moment. It is based on an asymptotic expansion of the three dimensional equations of linear elasticity...

  9. Spectral Action for Torsion with and without Boundaries

    DEFF Research Database (Denmark)

    Iochum, B.; Levy, Cyril Olivier; Vassilevich, D.

    2012-01-01

    We derive a commutative spectral triple and study the spectral action for a rather general geometric setting which includes the (skew-symmetric) torsion and the chiral bag conditions on the boundary. The spectral action splits into bulk and boundary parts. In the bulk, we clarify certain issues...

  10. Computational modelling of ovine critical-sized tibial defects with implanted scaffolds and prediction of the safety of fixator removal.

    Science.gov (United States)

    Doyle, Heather; Lohfeld, Stefan; Dürselen, Lutz; McHugh, Peter

    2015-04-01

    Computational model geometries of tibial defects with two types of implanted tissue engineering scaffolds, β-tricalcium phosphate (β-TCP) and poly-ε-caprolactone (PCL)/β-TCP, are constructed from µ-CT scan images of the real in vivo defects. Simulations of each defect under four-point bending and under simulated in vivo axial compressive loading are performed. The mechanical stability of each defect is analysed using stress distribution analysis. The results of this analysis highlights the influence of callus volume, and both scaffold volume and stiffness, on the load-bearing abilities of these defects. Clinically-used image-based methods to predict the safety of removing external fixation are evaluated for each defect. Comparison of these measures with the results of computational analyses indicates that care must be taken in the interpretation of these measures.

  11. The External Degree.

    Science.gov (United States)

    Houle, Cyril O.

    This book examines the external degree in relation to the extremes of attitudes, myths, and data. Emphasis is placed on the emergence of the American external degree, foreign external-degree programs, the purpose of the external degree, the current scene, institutional issues, and problems of general policy. (MJM)

  12. Clinical features of a rare anatomical variation of the posterior tibial and fibular arteries

    Directory of Open Access Journals (Sweden)

    Pedro Oliveira Portilho

    Full Text Available Abstract The posterior tibial artery normally arises from tibial-fibular trunk at the popliteal fossa, together with the fibular artery. The classic course of the posterior tibial artery is to run between the triceps surae muscle and muscles of the posterior compartment of the leg before continuing its course posteriorly to the medial malleolus, while the fibular artery runs through the lateral margin of the leg. Studies of both arteries are relevant to the fields of angiology, vascular surgery and plastic surgery. To the best of our knowledge, we report the first case of an anastomosis between the posterior tibial artery and the fibular artery in their distal course. The two arteries joined in an unusual “X” format, before division of the posterior tibial artery into plantar branches. We also provide a literature review of unusual variations and assess the clinical and embryological aspects of both arteries in order to contribute to further investigations regarding these vessels.

  13. A Patient with Unilateral Tibial Aplasia and Accessory Scrotum: A Pure Coincidence or Nonfortuitous Association?

    Directory of Open Access Journals (Sweden)

    Zoran Gucev

    2010-01-01

    Full Text Available Tibial aplasia is an uncommon lower limb malformation that can occur isolated or be part of a more complex malformation pattern. We describe a 9-year-old boy born after uneventful pregnancy and delivery. Family history was negative for maternal diabetes and other malformations. The patient presented with left tibial aplasia and homolateral prexial foot polydactyly. He also displayed enamel dysplasia and bifid scotum with cryptorchidism. Literature review failed to identify a significant syndromic association between lower limb defects of the tibial type and the genital anomalies reported here. The combination of tibial aplasia with midline genital malformations further supports the hypothesis that the tibial ray development mirrors the morphogenetic process of the radial structures. Accordingly, the malformation pattern observed in the present patient may be pathogenetically explained by an insult occurring during late blastogenesis.

  14. Pseudoarthrosis of medial tibial plateau fracture-role of alignment procedure

    Directory of Open Access Journals (Sweden)

    Devgan Ashish

    2013-04-01

    Full Text Available 【Abstract】 Nonunion in tibial plateau fractures is very rare. Limited literature is available on Pubmed search on intraarticular tibial nonunion. Most of the cases reported have been following failed surgical treatment and none was neglected fractures. Three patients of isolated and neglected medial tibial plateau nonunion with almost similar demo-graphic profile are reported in this paper. All the three pa-tients were managed by minimally invasive compression fixation using lag screws supplemented with limb realign-ment procedure of high tibial osteotomy. We discussed the injury mechanism, management and rehabilitation in such cases and reviewed the available literature regarding such a presentation. Key words: Fracture healing; Tibial fractures; Frac-ture fixation; Osteotomy

  15. Tibial tunnel and pretibial cysts following ACL graft reconstruction: MR imaging diagnosis

    Energy Technology Data Exchange (ETDEWEB)

    Ghazikhanian, Varand [Brigham and Women' s Hospital, Musculoskeletal Imaging and Intervention, Department of Radiology, Boston, MA (United States); Beltran, Javier [Maimonides Medical Center, Brooklyn, NY (United States); Nikac, Violeta [Maimonides Medical Center, Department of Radiology, Brooklyn, NY (United States); Bencardino, Jenny T. [NYU Hospital for Joint Diseases, New York, NY (United States); Feldman, Marina

    2012-11-15

    Tunnel cyst formation is a rare complication after anterior cruciate ligament reconstruction, usually occurring 1-5 years post-operatively, which may occasionally be symptomatic. There are multiple proposed theories regarding the etiology of tunnel cysts. Theories include necrosis, foreign-body reaction, lack of complete graft osteo-integration, and intravasation of articular fluid. It is important to know if the tunnel cysts are communicating or not communicating with the joint, as surgical management may be different. Imaging characteristics on magnetic resonance images (MRI) include tibial tunnel widening, multilocular or unilocular cyst formation in the graft or tibial tunnel, with possible extension into the pretibial space, intercondylar notch, and/or popliteal fossa. The MR imaging differential diagnosis of tibial tunnel cysts includes infection, foreign-body granuloma, or tibial screw extrusion. Importantly, to the best of our knowledge, graft failure or instability has not been reported in association with tibial tunnel cysts. (orig.)

  16. Tibial lead determination by 99Tcm radiopharmaceutical x-ray fluorescence.

    Science.gov (United States)

    Mountford, P J; Green, S; Bradley, D A; Lewis, A D; Morgan, W D

    1994-04-01

    The feasibility of measuring tibial lead concentration by x-ray fluorescence with an internal 99Tcm labelled bone-seeking radiopharmaceutical was investigated using phantoms containing known values of lead concentration and 99Tcm activity. The minimum detectable concentration (MDC) at two standard deviations based on the counts in the Kalpha1 peak of 10.9 microg Pb ml(-1) was estimated to correspond to an MDC for an individual within a range of approximately 8-15 microg Pb (g bone mineral)(-1) if the counts from all four K x-ray peaks were included. Due to its much greater dose compared to an external source, the MDC of this internal source technique would have to be reduced before it could be used for measurements of occupationally or environmentally exposed individuals other than as an adjunct for a patient undergoing a bone scan. Methods of achieving such a reduction include increasing the acquisition time and the number of HPGE detectors, and optimizing the design of their collimators.

  17. Ilizarov fixator in management of nonunited and infected tibial shaft fractures

    Directory of Open Access Journals (Sweden)

    Abhinay Singh

    2015-01-01

    Full Text Available Background: Management of nonunion with bony defect and infection in long bones is a challenging problem for orthopedic surgeons. Objectives: Evaluation of Ilizarov circular fixation method of treatment for the management of nonunited and infected fractures of tibia. Materials and Methods: This prospective study was conducted in a tertiary care hospital of eastern region of India on 30 subjects in a time span of 3 years after taking clearance of the Institutional Ethical Committee and informed consent of the patients. Results: All the patients had infected nonunion before undergoing Ilizarov procedure. Following initial injury, 22 patients were treated with external fixation and 8 cases were treated with internal fixation. At the time of presentation, 18 patients had infected gap nonunion, 5 patients had infected hypertrophic and 2 patients had atrophic nonunion. The Ilizarov fixator was kept for an average period of 303.7 days. Based on Association for the Study and Application of Methods of Ilizarov scoring system, bony and functional results were assessed. The bony result was excellent in 16 patients, good in eight, fair in four and poor in two. The functional result was excellent in 10 patients, good in 16, fair in two, poor in two. Conclusion: Ilizarov ring fixator still remains an excellent treatment modality for tibial nonunion with a defect, regarding bone union, deformity correction, infection eradication, limb-length achievement, and limb function.

  18. Oxidative and antioxidative defense system in testicular torsion/detorsion

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    F A Elshaari

    2011-01-01

    Full Text Available Aim: The present study was aimed to assess the early effects of ischemia/reperfusion injury on the oxidants and anti-oxidant defense status in rat testicular tissue by measuring MDA, glucose-6-phosphte dehydrogenase activity and reduced glutathione levels in a designated time frame sequel to reperfusion. Animals were divided randomly into six groups (12 animals per group in the following order: Group I: Sham-operated control group (Cso without the application of the torsion. Group 2: Torsion-induced ischemia group (T30 m: Ischemia was induced through the torsion of spermatic cord for a period of 30 min. Group 3: One hour reperfusion group after detorsion (T30 mR1 h. Group 4: Twenty-four hour reperfusion group after detorsion (T30 mR24 h. Group 5: Forty-eight hours reperfusion group after detorsion (T30mR48h. Group 6: One week reperfusion group after detorsion (T30mR1wk. Results and Discussion: The oxidant-antioxidant system of the testicular tissue is altered during torsion as well as detorsion which results in the altered activities involved in the key enzyme of hexose monophosphate shunt pathway, glucose 6 phosphate dehydrogenase activity along with a reduction of glutathione (G.SH content. The increase in G6PDH activity during torsion and followed by an increase in detorsion indicates the tissue′s response to counter the oxidant stress caused by reduced blood supply. Continued exposure to such oxidant stressed physiological state of a tissue may lead to decreased capacity of the tissue to perform its physiological function such as testicular steroidogenesis and spermiogenesis shown in the present study.

  19. Development of a Meso-Scale SMA-Based Torsion Actuator for Image-Guided Procedures.

    Science.gov (United States)

    Sheng, Jun; Gandhi, Dheeraj; Gullapalli, Rao; Simard, J Marc; Desai, Jaydev P

    2017-02-01

    This paper presents the design, modeling, and control of a meso-scale torsion actuator based on shape memory alloy (SMA) for image-guided surgical procedures. Developing a miniature torsion actuator is challenging, but it opens the possibility of significantly enhancing the robot agility and maneuverability. The proposed torsion actuator is bi-directionally actuated by a pair of antagonistic SMA torsion springs through alternate Joule heating and natural cooling. The torsion actuator is integrated into a surgical robot prototype to demonstrate its working performance in the humid environment under C-Arm CT image guidance.

  20. Correção da falha óssea femoral e tibial pelo método do transporte ósseo de Ilizarov Femoral and tibial bone loss correction using Ilizarov's bone transport

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    Celso Herminio Ferraz Picado

    2000-12-01

    pacientes ficaram satisfeitos com o resultado do tratamento. Concluímos que a resposta biológica ao transporte ósseo é formidável, com a formação do regenerado reparando grandes falhas ósseas. Entretanto, consideramos que o aparelho circular externo preconizado por Ilizarov traz consigo diversas complicações principalmente relacionadas a presença dos fios transfixantes, causando sofrimento para os pacientes, principalmente quando instalados no fêmur.Eleven patients carrying diaphyseal bone fissure secondary to ressection of infected bone segments, 5 in the femur and 6 in the tibia, submitted to the Ilizarov bone transport technique were retrospectively analyzed. In the group of patients with femoral lesion the bone fissure varied from 7 cm to 12 cm, and in two there was a 2 cm shortening of the limb. In the group with tibial lesion the bone fissure varied from 2.5 cm to 10 cm, with limb shortening in two patients, respectively 1.5 cm and 2 cm. The mean follow-up period since the end of the treatment until evaluation was 49 months for the femoral lesion patients and 28.3 months for the tibial lesion patients. The femoral transports were bifocal and the tibial transports were bifocal in 4 patients and trifocal in 2. In all, patients formation of regenerate occurred. Consolidation of the target focus was naturally obtained in 7 patients; one patient needed bone grafting to obtain the focus consolidation. In three patients the nonunion of the target focus demanded modification of the treatment method with the external circular fixator withdrawal. In all the patients infection adjacent to the wires was observed. There was rupture of the wires in all assemblies made in the thigh. All the wires lost the tension initially imposed to them. Two patients submitted to femoral transport evolved with septic arthritis of the knee. Mobility of the knee was severely impaired in the patients submitted to femoral transport, and the same was observed in relation to the ankle of