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Sample records for lcp condylar plate

  1. Plate osteosynthesis of simple forearm fractures : LCP versus DC plates

    NARCIS (Netherlands)

    Stevens, Charles Tjerk; Ten Duis, Henk Jan

    2008-01-01

    The aim of this study was to compare the time to radiological bony union of simple A-type fractures of the forearm, treated with either a locking compression plate (LCP) or a dynamic compression plate (DCP). For each fracture, the relation between the use of compression and radiological healing time

  2. Plate osteosynthesis of simple forearm fractures : LCP versus DC plates

    NARCIS (Netherlands)

    Stevens, Charles Tjerk; Ten Duis, Henk Jan

    The aim of this study was to compare the time to radiological bony union of simple A-type fractures of the forearm, treated with either a locking compression plate (LCP) or a dynamic compression plate (DCP). For each fracture, the relation between the use of compression and radiological healing time

  3. A study on the mechanical characteristics of the EBM-printed Ti-6Al-4V LCP plates in vitro.

    Science.gov (United States)

    Liu, Peng-Cheng; Yang, Yun-Ji; Liu, Run; Shu, He-Xi; Gong, Jin-Peng; Yang, Yong; Sun, Qi; Wu, Xing; Cai, Ming

    2014-11-05

    The electron beam melting (EBM) Ti-6Al-4V material technology has been developed over a short time period. It was introduced through a research to develop Ti-6Al-4V implants for patients, but EBM printed locking compression plates have not been used for clinical implants. The main purpose of this study is to find whether the EBM Ti-6Al-4V plate suit for clinical implants. First, we scanned an AO-locking compression plate (LCP) and printed LCP samples using EBM. Next, we evaluated the EBM plate surface roughness through optical microscopy as well as the LCP and EBM plates' mechanical characteristics using the ASTM standard, which is commonly used to test the mechanical properties of bone plates subject to bending. Each sample was examined using a single-cycle four-point bending test and hardness testing to acquire data on bending stiffness, bending strength, bending structural stiffness, and hardness. The results show significant differences in bending stiffness, bending strength, bending structural stiffness, and hardness between the samples using EBM and the original LCP plates. The EBM-printed samples' surface roughness was 0.49 ± 0.02 μm. The mean hardness of the LCP sample was 266.67 HV10 ± 5.8, and the EBM-printed sample mean hardness was 341.1 HV10 ± 1.93. The EBM samples' bending stiffness was 87.67%, which is greater than using the LCP plates'; and the bending strength was 190.7% greater, the bending structural stiffness was 73.2% greater, and the hardness was 27.9% greater. The results show that the EBM plates' general mechanical strength was significantly greater than the LCP plates. An EBM plate is advantageous for clinical implants because it can be customized with great potential for improvement.

  4. The Effect of a Condylar Repositioning Plate on Condylar Position and Relapse in Two-Jaw Surgery

    Science.gov (United States)

    Jung, Gyu Sik; Kim, Taek Kyun; Lee, Jeong Woo; Yang, Jung Dug; Chung, Ho Yun; Cho, Byung Chae

    2017-01-01

    Background Numerous condylar repositioning methods have been reported. However, most of them are 2-dimensional or are complex procedures that require a longer operation time and a highly trained surgeon. This study aims to introduce a new technique using a condylar repositioning plate and a centric relation splint to achieve a centric relationship. Methods We evaluated 387 patients who had undergone surgery for skeletal jaw deformities. During the operation, a centric relation splint, intermediate splint, final centric occlusion splint, and condylar repositioning plate along with an L-type mini-plate for LeFort I osteotomy or a bicortical screw for bilateral sagittal split ramus osteotomy were utilized for rigid fixation. The evaluation included: a physical examination to detect preoperative and postoperative temporomandibular joint dysfunction, 3-dimensional computed tomography and oblique transcranial temporomandibular joint radiography to measure 3-dimensional condylar head movement, and posteroanterior and lateral cephalometric radiography to measure the preoperative and postoperative movement of the bony segment and relapse rate. Results A 0.3% relapse rate was observed in the coronal plane, and a 2.8% relapse rate in the sagittal plane, which is indistinguishable from the dental relapse rate in orthodontic treatment. The condylar repositioning plate could not fully prevent movement of the condylar head, but the relapse rate was minimal, implying that the movement of the condylar head was within tolerable limits. Conclusions Our condylar repositioning method using a centric relation splint and mini-plate in orthognathic surgery was found to be simple and effective for patients suffering from skeletal jaw deformities. PMID:28194343

  5. Condylar orientation plating in comminuted intraarticular fractures of adult distal humerus

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    Sukhendu Sarkhel

    2015-01-01

    Conclusion: Excellent pain free range of motion with a high rate of union can be achieved in comminuted intraarticular distal humerus fractures in adults with the use of condylar orientation precontoured plating technique. Condylar orientation is very important with perfect articular congruity in elbow motion.

  6. Closed treatment of condylar fractures by intermaxillary fixation with thermoforming plates.

    Science.gov (United States)

    Terai, Haruhiko; Shimahara, Masashi

    2004-02-01

    We report a new intermaxillary fixation (IMF) method for condylar fractures using a thermoforming plate. Fifteen cases of condylar fracture were selected and thermoforming plates were applied. The patient's recover was uneventful in all 15 cases, and the period of IMF ranged from 7 to 17 days, (mean 12) for the following 7 days IMF was used only at night together with functional jaw training during the day. The outcome was good. IMF using a thermoforming plate may be a useful technique for selected condylar fractures.

  7. Buttress plating for a rare case of comminuted medial condylar Hoffa fracture associated with patellar fracture

    Institute of Scientific and Technical Information of China (English)

    Ashwani Soni; Ramesh K Sen; Uttam Chand Saini; Dajjit Singh; Sushil Chaudhary

    2012-01-01

    Hoffa fracture is an uncommon injury.In the literature,lateral condylar Hoffa fracture is mentioned as a more common injury pattern than medial condylar Hoffa fracture.The mechanism of injury and method of treatment is not very well described in the literature.We are presenting a rare case of comminuted medial condylar Hoffa fracture with ipsitateral patellar fracture.The mechanism of injury has not been described in the literature.Lag screw fixation,which is the most acceptable method of treatment,is not possible due to comminution.We explain the possible mechanism of injury and fix the fracture with L-buttress plate.

  8. Comparing the In Vitro Stiffness of Straight-DCP, Wave-DCP, and LCP Bone Plates for Femoral Osteosynthesis.

    Science.gov (United States)

    Mariolani, José Ricardo Lenzi; Belangero, William Dias

    2013-01-01

    The objective of this study was to compare the Locking Compression Plate (LCP) with the more cost-effective straight-dynamic compression plate (DCP) and wave-DCPs by testing in vitro the effects of plate stiffness on different types of diaphyseal femur fractures (A, B, and C, according to AO classification). The bending structural stiffness of each plate was obtained from four-point bending tests according to ASTM F382-99(2008). The plate systems were tested by applying compression/bending in different osteosynthesis simulation models using wooden rods to simulate the fractured bone fragments. Kruskal-Wallis test showed no significant difference in the bending structural stiffness between the three plate models. Rank-transformed two-way ANOVA showed significant influence of plate type, fracture type, and interaction plate versus fracture on the stiffness of the montages. The straight-DCP produced the most stable model for types B and C fractures, which makes its use advantageous for complex nonosteoporotic fractures that require minimizing focal mobility, whereas no difference was found for type A fracture. Our results indicated that DCPs, in straight or wave form, can provide adequate biomechanical properties for fixing diaphyseal femoral fractures in cases where more modern osteosynthesis systems are cost restrictive.

  9. Dynamic Hip Screw Compared to Condylar Blade Plate in the Treatment of Unstable Fragility Intertrochanteric Fractures

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    CK Yong

    2009-05-01

    Full Text Available Dynamic hip screw (DHS fixation is considered standard treatment for most intertrochanteric fractures. However, excessive sliding at the fracture site and medialisation of femoral shaft may lead in fixation failure. In contrast, fixed- angled 95° condylar blade plate (CBP has no effective dynamic capacity and causes little bone loss compared to DHS. We compared the outcome of 57consecutive unstable intertrochanteric fragility fractures treated with these two fixation methods. CBP instrumentation is more difficult requiring longer incision, operating time and higher surgeon- reported operative difficulty. The six month post-operative mortality rate is 16%. Post-operative Harris hip scores were comparable between the two methods. Limb length shortening more than 20 mm was 6-fold more common with DHS. In elderly patients with unstable intertrochanteric fragility fractures, fixed angled condylar blade plate appears to be a better choice than dynamic hip screws for preventing fixation failures.

  10. Custom 95 degree condylar blade plate for pediatric subtrochanteric femur fractures.

    Science.gov (United States)

    Segal, L S

    2000-02-01

    Subtrochanteric fractures in the older child and adolescent often are not amenable to conservative methods of treatment. The anatomic constraints of the proximal femur including the small diameter of the femoral neck and the presence of the capital femoral physis may limit the type of internal fixation used in these patients. This article presents our preliminary experience with a custom 95 degree condylar blade plate for subtrochanteric fractures in older children and adolescents.

  11. Evaluating formability of LCP plate for sacral fractures with one step inverse forming finite element analysis.

    Science.gov (United States)

    Li, Xiaoda; Zhang, Xiangkui; Hu, Ping; Liu, Weijie; Shen, Guozhe; Zhan, Xianghui

    2015-01-01

    The locking compression plate fixation treatment for the unstable sacral fractures is simple and effective, with less trauma and complications. Some locking compression plate parts have been made of high-strength Plate manufactured by hot stamping process since the demand for lightweight biomedical materials. Finite Element (FE) method of One-Step inverse forming based on deformation theory is the tool to evaluate the formability of locking compression plate panel quickly in initial design for reducing costs and development cycle of Plate. But current one-step inverse forming methods are all suitable for cold stamping, not hot-stamping. This paper proposed one-step inverse forming method and workflow for hot-stamping of locking compression Plate. And the B pillar of a sacral bone was simulated and its computing result was compared with experimental value. The result shows that the proposed method in this paper can quickly evaluate high temperature formability of high-strength Plate. And the method is proposed to be used in initial design.

  12. Resorbable poly(D,L)lactide plates and screws for osteosynthesis of condylar neck fractures in sheep.

    Science.gov (United States)

    Rasse, Michael; Moser, Doris; Zahl, Christian; Gerlach, Klaus Louis; Eckelt, Uwe; Loukota, Richard

    2007-01-01

    We made osteotomies in the condylar neck in 12 adult sheep to simulate fractures, and joined the two ends with 2 poly(D,L)lactide (PDLLA) plates and 8 PDLLA screws 2mm in diameter. The animals were killed after 2, 6, and 12 months and bony healing was assessed macroscopically and histologically. The plates and screws remained intact and there was no displacement of the bony ends. The degrading plates, which were still visible in the specimens after 6 months, had been replaced by bone. At 12 months the PDLLA had been resorbed with no foreign body reaction and no resorption of underlying bone. The articular discs showed no signs of degeneration.

  13. A CLINICAL STUDY OF PROXIMAL FEMUR LOCKING COMPRESSION PLATE (LCP - PF IN THE MANAGEMENT OF COMMUNITED INTERTROCHANTERIC AND SUBTROCHANTERIC FRACTURES OF THE FEMUR

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    Hari Babu

    2015-10-01

    Full Text Available Fractures of proximal femur and hip are relatively common injuries in elderly individuals . The incidence of peritrochanteric and intertrochanteric fracture is also increasing among young population, who sustain high energy trauma Rigid Internal fixation and early mobilization has been the standard method of treatment. A combination of orthopaedic surgery and early postoperative physiotherapy and ambulation is the best approach. The overall goal in the treatment of hip fractures is to return the patient to pre - morbid level of function. AIMS & OBJECTIVE : To analyse the anatomical and f unctional outcome of the treatment with LCP - Proximal femur. METHODOLOGY : The present study consists of 12 adult patients of peritrochanteric factures of femur satisfying the inclusion criteria , treated with Proximal Femoral Locking Compression Plate at S. V. R. R . Govt . General Hospital, Tirupati during the period of nov 2013 to Oct 2015. INCLUSION CRITERIA : Age >18years , comminuted trochanteric and sub trochanteric fractures , Signed written informed consent . EXCLUSION CRITERIA: Inter trochanteric fractures involving piriformis fossa , Compound fractures . Pathological fractures . Any displacement of a femoral neck fracture . A ssociated malignancy. RESULTS : Average age incidence in the present study was 62.7 years. , Predominantly males (75% were affected. , Most cases occurred after a fall 10 (50% cases which was statistically significant , Right side involvement was more common. , Average post - operative stay was 13.5 days. , Out of the 12 cases, evaluated using Salvati - Wilson scoring : 3 cases (25% had good, 8 cases (66.67% fair, 1 case (8.33% had poor score , Average weight bearing time was14.5 weeks , Average union rate was 19.45 weeks.

  14. Biomechanical comparison of dynamic condylar screw and locking compression plate fixation in unstable distal femoral fractures: An in vitro study

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    Ashutosh Kumar Singh

    2013-01-01

    Full Text Available Background: Distal femur fractures are difficult to manage and the selection of implant for internal fixation remains controversial. The objective of this study is to establish the relative strength of fixation of a distal femoral locking plate (DFLP compared with the dynamic condylar screw (DCS in the distal femur fractures. Materials and Methods: Study was conducted on 16 freshly harvested cadaveric distal femoral specimens, eight implanted with DCS and other eight with DFLP. The construct was made unstable by removing a standard sized medial wedge of 1 cm base (gap-osteotomy beginning 6 cm proximal to the lateral joint line in distal metaphyseal region with the loss of medial buttress. Fatigue test was conducted under load control mode at the frequency of I Hz. Specimens were subjected to cyclic loading of 2 kN, under observation for 50,000 cycles or until failure/cutout, which ever occurred earlier. Results: In DFLP group, there was no implant failure and the average number of cycles sustained was 50,000. Six out of eight specimens completed 50,000 cycles and two failed in DCS group. The average number of cycles sustained by DCS was 46150. Though the bone quality as assessed by dual energy X-ray absorptiometry DEXA was comparable in both DFLP and DCS group ( P = 0.06, none failed in DFLP group and subsidence was 1.02 ± 0.34 mm (range: 0.60-1.32 mm, which was significantly 43% lower ( P = 0.006 than subsidence in DCS group (1.82 ± 0.58; range: 1.20-3.08 mm. The average stiffness of DCS group was 52.8 ± 4.2 N/mm, which was significantly lower than average stiffness of locked condylar plate group (71.2 ± 5.1 N/mm ( P = 0.02. Conclusions: DFLP fixation of the distal femur fractures resulted in stronger construct than the DCS fixation in both cyclic loading and ultimate strength in biomechanical testing of a simulated A3 distal femur fracture.

  15. Use of a condylar screw plate for repair of a Salter-Harris type-III fracture of the femur in a 2-year-old horse.

    Science.gov (United States)

    Byron, Christopher R; Stick, John A; Brown, Jennifer A; Lugo, Joel

    2002-11-01

    A 2-year-old sexually intact male Paint horse weighing 427 kg (940 lb) was admitted for examination and treatment of intermittent non-weight-bearing lameness of the right hind limb of 1 week's duration. Radiography revealed a displaced Salter-Harris type-III fracture of the right femoral condyle with the sagittal component of the fracture line located in the intercondylar space and the transverse component exiting on the medial aspect of the femur. The fracture was repaired with a condylar screw plate designed for repair of femoral condylar fractures in humans. The owner reported by telephone 9 months after surgery that the horse was sound. To our knowledge, use of this particular implant system for fixation of a Salter-Harris type-III fracture on the medial side of the femur in a horse has not been described. Results in this horse suggest that this implant can be successfully used for repair of femoral condylar fractures in selected adult horses.

  16. Femoral Locking Compression Plate (LCP)for the Subtrochanteric Fractures in Children%股骨锁定加压钢板(LCP)在儿童股骨转子下骨折中的应用

    Institute of Scientific and Technical Information of China (English)

    蔡文全; 覃佳强; 南国新; 王忠良; 宿玉玺; 张德文

    2014-01-01

    Objetive To study the clinical effect of the femoral locking compression plate (LCP)in children femoral subtrochanteric fracture. Methods 22 cases of femoral subtrochanteric fracture in children diagnosed in our hospital from February 201 0 to December 201 2 were analyzed retrospectively,including 1 6 ca-ses of male,6 cases of female,with an average age of 8.5.Results All of the 22 cases received follow-ups ranging from 6 to 48 months (27 months in average);osseous healing was found in all these 22 cases of frac-ture,without broken nails,nail,loose steel plate,broken board or coax vara,articular dyskinesia,etc. Con-clusion Application of femoral locking compression plate (LCP)for children femoral subtrochanteric fractures can effectively improve the deficiencies of the traditional conservative treatments including traction,k-wire,ti-tanium elastic nail fixation and other therapies,and can achieve a better effect through early functional exercise to reduce joint rigidity.%目的:探讨股骨锁定加压钢板(LCP)对儿童股骨转子下骨折的临床疗效。方法回顾性分析本院2010年2月至2012年12月收治的22例股骨转子下骨折患儿临床资料,其中男16例,女6例,平均年龄8.5岁。结果22例均获得随访,随访时间6~48个月,平均27个月,22例均骨性愈合,无断钉、脱钉、钢板松动、断板及髋内翻、关节活动障碍等并发症发生。结论股骨锁定加压钢板(LCP)对于儿童股骨转子下骨折可以有效改善传统保守牵引、克式针、弹性髓内钉固定及其他治疗方法的不足,可早期进行功能锻炼,减少关节僵直,效果良好。

  17. Mechanism Studies of LCP Synthesis

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    Anne Buyle Padias

    2011-05-01

    Full Text Available The LCP (Liquid Crystal Polymer known as Vectra is synthesized by acidolysis of 4-hydroxybenzoic acid with 6-hydroxy-2-naphthoic acid. The apparently simple acidolysis mechanism for LCP polycondensation is in fact a complex blend of mechanisms. Kinetics of model reactions and of actual polycondensations followed second-order kinetics and their rate constants were comparable. In the latter stages, ketene loss leads to phenolic ends, while decarboxylation provides phenyl ester ends. Accordingly, the mechanism changes to phenolysis. A quinone methide intermediate may also intervene, as revealed by kinetics studies and MALDI-TOF spectroscopy. Tailor-made matrices and synthesis of alternating well-defined oligomers assisted our studies. Nucleophilic aromatic substitutions may play a role, and we speculate on possible chain polycondensation. Esterolysis may be a useful alternative to LCP synthesis. Complications caused by ketene loss can be averted by the use of methoxycarbonyloxy monomers.

  18. 胫骨远端前外侧锁定钢板延期治疗复杂Pilon骨折%LCP Anterolateral Distal Tibia Plate for Treatment of Complex Pilon Fractures at a Delayed-stage

    Institute of Scientific and Technical Information of China (English)

    李宇; 黄涛; 葛俊波; 洪焕玉; 张海光

    2013-01-01

    目的:探讨延期切开复位结合胫骨远端前外侧“L”形锁定钢板治疗复杂Pilon骨折.方法:30例Pilon骨折患者,按AO分类方式,所有患者均为C型:C1型7例,C2型15例,C3型8例.6例为开放性骨折,24例为闭合性骨折,延迟手术时间为7~14d(平均10.5d),待肿胀消退后行切开复位结合胫骨远端前外侧“L”形锁定钢板内固定治疗.结果:30例均获术后随访,随访时间14~28个月(平均18.5个月).骨折临床愈合时间为12~23个月(平均14.3个月).术后有2例伤口感染;3例皮肤坏死;5例出现骨折延迟愈合,其中2例再次行植骨手术;1例过早负重,导致骨折端畸形愈合.临床疗效根据AOFAS评分系统进行评定:优18例,良9,可3例,优良率为90%.结论:严重Pilon骨折根据不同的骨折类型、软组织损伤程度选择不同的手术方式和手术时机非常重要.延期切开复位结合胫骨远端前外侧“L”形锁定钢板是临床治疗复杂Pilon骨折的理想方法.%Objective:To detect the curative effect of delayed open reduction and "L"-shaped LCP anterolateral distal tibia plate for treating of complex Pilon fractures.Methods:A total of 30 cases of Pilon fractures were treated by open reduction and "L"-shaped LCP anterolateral distal tibia plate after improvement of soft tissue conditions.All the cases were type C fracture according to AO classification,7 cases of which were type C1,15 cases were type C2,and 8 cases were type C3.There were 6 cases of open Pilon fractures and 24 cases of closed fractures.Operations were performed on average 10.5days after the injuries (range 7 to 14 days).Results:All the patients were followed-up for 14 months to 28 months (18.5months averagely).The average healing times was 12 to 23 months (14.3 months averagely).There were 2 cases of wound infection,3 cases of cutaneous necrosis,and 5 cases of delayed bone healing,including two cases of bone grafting surgery again.There was also one case of

  19. 解剖型髁支撑钢板在股骨远端骨折中的应用%Application of anatomic buttress condylar plate in treating femoral distal fracture

    Institute of Scientific and Technical Information of China (English)

    朱正兵

    2011-01-01

    Aim To evaluate the clinical effect of anatomic buttress condylar plate in treating femoral distal fracture. Methods Between January 2005 to December 2008 ,22 patients with femoral distal fracture undergoing internal fixation operation were treated by anatomic buttress condylar plate. All cases had been followed up for average 16 months. Results The patients recovered with good healing of the fracture. No dislocation and infec:tion occurred. Functional recovery was satisfactory, excellent results were seen in 8 patients, good in 10 and common in 4 respectively. The overall excellent rate was 81. 82 % . Conclusion Anatomic huttress condylar plate match the shape of emoral distal and can firmly fix femoral distal fractures.which can satisfy the demand of early functional exercising after operation.%目的 探讨股骨解剖型髁支撑钢板治疗股骨远端骨折的临床疗效.方法 对2005年1月~2008年12月收治的22例股骨远端骨折病人,采用股骨解剖型髁支撑钢板内固定治疗,获得平均16个月的随访.结果 本组术后均获得满意的复位效果,无切口感染和畸形愈合,关节功能优8例,良10例,可4例.优良率为81.82%.结论 股骨远端钢板符合股骨远端外形,固定牢靠,能满足术后早期功能锻炼的需要.

  20. FUNCTIONAL OUTCOME OF SURGICAL MANAGEMENT OF CLOSED TIBIAL CONDYLAR FRACTURES IN ADULTS

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    Ravish

    2014-02-01

    Full Text Available BACKGROUND AND OBJECTIVE: Tibial plateau fractures are one of the commonest intra-articular fractures. It results from indirect coronal or direct axial compressive forces. It comprises of 1% of all fractures. These fractures encompass many and varied fracture configurations that involve medial, lateral or both plateaus with many degrees of articular depressions and displacements. Being one of the major weight bearing joints of the body, fractures around it will be of paramount importance. METHODS: 30 cases of tibial plateau fractures treated by various modalities were studied from September 2009 to september 2011 at Kempegoda Institute of Medical Sciences and followed for minimum of 6 months. RESULTS: The selected patients evaluated thoroughly clinically and radiologically, after the relevant lab investigations, were taken for surgery. The indicated fractures treated as per the SCHATZKER’S types, accordingly with CRIF with percutaneous cannulated cancellous screws, MIPPO with LCP/ Butress plate and screw, ORIF with buttress plate/ LCP and screw. Early range of motion started soon after the surgery. No weight bearing upto 6 weeks. The full weight bearing deferred until 12 weeks or complete fracture union. Immobilization in insecurely fixed fractures continued for 3-6 weeks by POP cast. The knee range of motion was excellent to very good, gait and weight bearing after complete union was satisfactory. Infection in two cases and stiffness in 2 cases were seen and there was no non-union in our cases. CONCLUSION: Surgical management of tibial condylar fractures will give excellent anatomical reduction and rigid fixation to restore articular congruity, facilitate early motion, hence to achieve optimal knee function and reducing post-traumatic osteo arthritis

  1. The genomes of the non-clearing-zone-forming and natural-rubber- degrading species Gordonia polyisoprenivorans and Gordonia westfalica harbor genes expressing Lcp activity in Streptomyces strains.

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    Bröker, Daniel; Dietz, David; Arenskötter, Matthias; Steinbüchel, Alexander

    2008-04-01

    The latex-clearing protein (Lcp(K30)) from the rubber-degrading bacterium Streptomyces sp. strain K30 is involved in the cleavage of poly(cis-1,4-isoprene), yielding isoprenoid aldehydes and ketones. Lcp homologues have so far been detected in all investigated clearing-zone-forming rubber-degrading bacteria. Internal degenerated oligonucleotides derived from lcp genes of Streptomyces sp. strain K30 (lcp(K30)), Streptomyces coelicolor strain A3(2), and Nocardia farcinica strains IFM10152 and E1 were applied in PCR to investigate whether lcp homologues occur also in the non-clearing-zone-forming rubber-utilizing bacteria Gordonia polyisoprenivorans strains VH2 and Y2K, Gordonia alkanivorans strain 44187, and Gordonia westfalica strain Kb1, which grow adhesively on rubber. The 1,230- and 1,224-bp lcp-homologous genes from G. polyisoprenivorans strain VH2 (lcp(VH2)) and G. westfalica strain Kb1 (lcp(Kb1)) were obtained after screening genomic libraries by degenerated PCR amplification, and their translational products exhibited 50 and 52% amino acid identity, respectively, to Lcp(K30). Recombinant lcp(VH2) and lcp(Kb1) harboring cells of the non-rubber-degrading Streptomyces lividans strain TK23 were able to form clearing zones and aldehydes on latex overlay-agar plates, thus indicating that lcp(VH2) and lcp(Kb1) encode functionally active proteins. Analysis by gel permeation chromatography demonstrated lower polymer concentrations and molecular weights of the remaining polyisoprenoid molecules after incubation with these recombinant S. lividans strains. Reverse transcription-PCR analysis demonstrated that lcp(VH2) was transcribed in cells of G. polyisoprenivorans strain VH2 cultivated in the presence of poly(cis-1,4-isoprene) but not in the presence of sodium acetate. Anti-Lcp(K30) immunoglobulin Gs, which were raised in this study, were rather specific for Lcp(K30) and did not cross-react with Lcp(VH2) and Lcp(Kb1). A lcp(VH2) disruption mutant was still able to grow

  2. Demise of the LCP: villain or scapegoat?

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    MacKintosh, David

    2015-08-01

    The winding down and withdrawal of the Liverpool Care Pathway (LCP) following the Neuberger Report has been met with mixed reviews. It appears that responsibility for failures of clinical care has been laid at the feet of a care pathway rather than the practitioners who used it, a rather curious outcome given that the LCP was primarily a system of documentation, a tool with no intrinsic therapeutic properties. The Neuberger inquiry was the result of persistent and repeated reports of poor-quality end-of-life care associated with the use of the LCP. There were indeed problems with the LCP regarding the process of diagnosing dying and its approach to supportive care, particularly artificial nutrition and hydration. Some of the problems were the product of personal or professional ideology influencing goals of care rather than patient-centred considerations. These problems were not insurmountable, however, and were being addressed by the organisation responsible for the LCP. With the removal of the LCP, we are left with no bench mark for end-of-life care, only aspirational goals for individualised care plans. It seems unlikely that practitioners who could not provide appropriate care with the LCP will do so without it. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  3. Three-dimensional RF SoP technologies: LTCC versus LCP

    KAUST Repository

    Arabi, Eyad A.

    2014-12-18

    The system on package (SoP) is an emerging platform, introduced to provide enhanced functionality, and immense miniaturization through vertically integrated passive components in a multilayer process. This way the package is not a mere holder or cover but is a functional part of the system. The leading multilayer packaging technologies for SoP designs: low temperature co-fired ceramic (LTCC) and liquid crystal polymer (LCP) are compared in this work for the first time. Passive components and filters have been implemented in both technologies to show the advantages of the three-dimensional nature of these technologies. The comparison results show that parallel plate capacitors implemented in the ultra-thin LCP provides the highest capacitance density. For spiral inductors, conversely, LTCC inductors have the highest inductances while LCP inductors offer the highest self-resonant frequencies and the highest quality factors (Q). In a circuit level, simulated and measured results of a bandpass filter at 1.5 GHz show that both LCP and LTCC can provide similar performances with an incredible size reduction for the case of ultra-thin LCP. Also, the thin LCP filter exhibits a large degree of mechanical flexibility which makes this technology suitable for future flexible modules.

  4. Guidelines for the clinical application of the LCP.

    Science.gov (United States)

    Gautier, Emanuel; Sommer, Christoph

    2003-11-01

    The Locking Compression Plate (LCP), in combination with the LISS and the PHILOS, is part of a new plate generation requiring an adapted surgical technique and new thinking about commonly used concepts of internal fixation using plates. The following guidelines are needed to avoid failures and possible complications in the hands of surgeons not yet confident with the new implant philosophy. The importance of the reduction technique and minimal-invasive plate insertion and fixation is addressed to keep bone viability undisturbed. Understanding of mechanical background for choosing the proper implant length and the type and number of screws is essential to obtain a sound fixation with a high plate span ratio and a low plate screw density. A high plate span ration decreases the load onto the plate. A high working length of the plate in turn reduces the screw loading, thus fewer screws need to be inserted and the plate screw density can be kept low. Knowledge of the working length of the screw is helpful for the proper choice of monocortical or bicortical screws. Selection is done according to the quality of the bone structure and is important to avoid problems at the screw thread bone interface with potential pullout of screws and secondary displacement. Conclusive rules are given at the end of this chapter.

  5. Late reconstruction of condylar neck and head fractures.

    Science.gov (United States)

    Davis, Ben

    2013-11-01

    Condyle fractures are a common injury, but only a few of these injuries require immediate or late reconstruction. The complications that most frequently necessitate condylar reconstruction include proximal segment degeneration, malunion, and ankylosis. Costochondral grafts and total joint prostheses, both stock and custom, remain the most common methods of reconstruction. Reconstruction plates with condylar extensions should only be used temporarily as an unacceptable number cause serious complications. Distraction osteogenesis may have an occasional role in reconstructing the posttraumatic condyle.

  6. Integrated microsystems packaging approach with LCP

    Science.gov (United States)

    Jaynes, Paul; Shacklette, Lawrence W.

    2006-05-01

    Within the government communication market there is an increasing push to further miniaturize systems with the use of chip-scale packages, flip-chip bonding, and other advances over traditional packaging techniques. Harris' approach to miniaturization includes these traditional packaging advances, but goes beyond this level of miniaturization by combining the functional and structural elements of a system, thus creating a Multi-Functional Structural Circuit (MFSC). An emerging high-frequency, near hermetic, thermoplastic electronic substrate material, Liquid Crystal Polymer (LCP), is the material that will enable the combination of the electronic circuit and the physical structure of the system. The first embodiment of this vision for Harris is the development of a battlefield acoustic sensor module. This paper will introduce LCP and its advantages for MFSC, present an example of the work that Harris has performed, and speak to LCP MFSCs' potential benefits to miniature communications modules and sensor platforms.

  7. 3D lumped components and miniaturized bandpass filter in an ultra-thin M-LCP for SOP applications

    KAUST Repository

    Arabi, Eyad A.

    2013-01-01

    In this work, a library of 3D lumped components completely embedded in the thinnest, multilayer LCP (M-LCP) stack- up with four metallization layers and 100 μm of total thickness, is reported for the first time. A vertically and horizontally interdigitated capacitor, realized in this stack-up, provides higher self resonant frequency as compared to a similarly sized conventional parallel plate capacitor. Based on the above mentioned library, a miniaturized bandpass filter is presented for the GPS application. It utilizes mutually coupled inductors and is the smallest reported in the literature with a size of (0.035×0.028×0.00089)λg. Finally, the same filter realized in a competing ceramic technology (LTCC) is compared in performance with the ultra-thin M-LCP design. The M-LCP module presented in this work is inherently exible and offers great potential for wearable and conformal applications.

  8. Unification of binary and LCP fission processes

    Science.gov (United States)

    Asghar, M.; Bouzid, B.; Medkour, G.; Djebara, M.

    1996-11-01

    This paper discusses the ambiguities of the parameters of the models used to calculate the yields of binary and light-charged-particle-accompanied (LCP) ternary fission processes. A model based on the adiabatic perturbation theory is set up. It removes these ambiguities and helps to treat the two processes in a unified way.

  9. Graphic Interface for LCP2 Optimization Program

    DEFF Research Database (Denmark)

    Nicolae, Taropa Laurentiu; Gaunholt, Hans

    1998-01-01

    This report provides information about the software interface that is programmed for the Optimization Program LCP2. The first part is about the general description of the program followed by a guide for using the interface. The last chapters contain a discussion about problems or futute extension...

  10. FUNCTIONAL OUTCOME OF SUPRACONDYLAR FRACTURES OF FEMUR MANAGED BY OPEN REDUCTION AND INTERNAL FIXATION WITH LOCKING COMPRESSION PLATE

    Directory of Open Access Journals (Sweden)

    Madhusudhana

    2015-10-01

    Full Text Available INTRODUCTION : Incidence of distal femur fractures is approximately 37 per 1 , 00,000 person - years.¹Distal femoral fractures has two different injury mechanisms, high energy trauma and low energy trauma. In high - energy trauma, the problem of restoring the function in a destroyed knee joint persists. Complex knee ligament injuries frequently occur additionally to extensive cartilage injuries. In elderly patients, extreme osteoporosis represents a particular problem for anchoring the implant. 2 Supracondylar and inter condylar fractures often are unstable and comminuted and tend to occur in the elderly or those with multiple injuries. Treatment options are many with varied results. The final outcome would depend upon the type of fracture, stabilization of fixation and and perhaps patient general condition. 3 The options for operative treatment are traditional plating techniques that require compression of the implant to the femoral shaft (blade plate, Dynamic Condylar Screw, non - locking condylar buttress plate, antegrade nailing fixation, retrograde nailing, sub muscular locked internal fixation and external fixation. 4 However, as the complexity of fractures needing treatment has changed from simple extra - articular supra - condylar types to inter - condylar and metaphyseal comminuted types, these implants may not be ideal. Double plating, and more recently, locked plating techniques have been advocated 5 . However with double plating there is often extensive soft tissue stripping on both sides of the femur, resulting in reduced blood supply and potential non - union and failure of the implants 6 . The LCP is a single beam construct where the strength of its fixation is equal to the sum of all screw - bone interfaces rather than a single screw’s axial stiffness or pullout resistance as seen in unlocked plates 7,8 . Its unique biomechanical function is based on splinting rather than compression resulting in flexible stabilization

  11. Treatment of condylar fractures by anatomic reduction and rigid fixation with mini-plates%髁突骨折解剖复位及小型接骨板 坚强内固定

    Institute of Scientific and Technical Information of China (English)

    张益; 张兴文

    2001-01-01

    Objective To evaluate open reduction and miniplate rigid fixation for condylar fractures. Methods Ninty-seven condylar fractures (unilateral 47, bilateral 25) in 72 consecutive patients were studied. In them, 12 were old fractures, 81 were condylar neck and subcondylar fractures, 90 displaced or dislocated. Eighty-nine fractures were treated by operation, including removal of 7 broken condyles, reduction for 6 condyles with the aid of ramus osteotomy and directe anatomical reduction for 76 condyles. Fifty-nine fractures were fixed with a single miniplate, 21 with a double miniplates and 2 only with screws. Sixty-eight fractures were approached by retromandibular incision and 21 by periarticular incision. Postoperative follow-up period was 1 to 3 months in 9 cases, 3 to 6 months in 36 cases and 27 cases over 6 months, all cases were radiologically and clinically examinated to confirm the post-operative position of reduced fragment and complications secondary to operation. Results There were 2 wound infection, 2 malocclusion, 2 nonunion, 3 plate fracture, 2 plate deformity, 7 inaccurate reduction, 6 fractured bone absorption, 7 mouth open, 5 TMJ chronic pain, 9 facial nerve damages, all above accounted 33% morbidity; however 91% (70/77) severely displaced or dislocated condylar neck and subcondylar fractures got accurate reduction and satisfactory final outcomes. Conclusions miniplate rigid fixation based on anatomical reduction is an effective procedure in limitation of treating severely displaced or dislocated condylar neck and subcondylar fractures, biomechanical placement of plate is very important in successful application of this technique.%目的探讨髁突骨折解剖复位和小型接骨板坚强内固定的技术要点和并发症的发生因素。方法髁突骨折72例97侧(单侧47例,双侧25例)。陈旧性骨折12侧,髁颈和髁颈下骨折81侧,移位和脱位骨折90侧。8侧未手术,7侧髁突摘除,6侧升

  12. PERITROCHANTERIC FRACTURES - SURGICAL MANAGEMENT BY PF - LCP

    Directory of Open Access Journals (Sweden)

    Kiran

    2014-07-01

    Full Text Available : Background and objectives: - Due to increasing life span and sedentary habits of elderly people fractures around hip are common. Among these, peritrochanteric fractures are commonest and they need immediate and stable reconstruction to mobilize the affected patients. METHODS: We studied 20 cases of peritrochanteric fractures treated by PF-LCP at KR hospital, MMCRI from Sep 2013- May 2014. They included 14 male and 6 female patients of age group from 28 yrs. to 75 yrs. the cause of injury was trivial in 80%, RTA in 20% of cases. Follow up was done for 6-8 months and assessed using Boyd and Griffin’s classification and Harris hip score. RESULTS: Among the selected cases we evaluated both clinically and radiologically at the intervals of 6th, 12th, and 6 months we found that the final outcome was better than the cases treated with other type of implants and treated conservatively. The union rate was 40% (8/20 and 85% (17/20 at the 12th week and 6 months follow up respectively. We had 1 case of complication as cut-out of screws from proximal fragment. CONCLUSION: The peritrochanteric fractures when treated with PF-LCP resulted in stable reconstruction of fracture and maintenance of anatomical reduction and bio-mechanical axis. Because of its strong angular fixation by the top three screws PF-LCP is advantageous in all types of bone density.

  13. A CONSTRAINED OPTIMIZATION APPROACH FOR LCP

    Institute of Scientific and Technical Information of China (English)

    Ju-liang Zhang; Jian Chen; Xin-jian Zhuo

    2004-01-01

    In this paper, LCP is converted to an equivalent nonsmooth nonlinear equation system H(x, y) = 0 by using the famous NCP function-Fischer-Burmeister function. Note that some equations in H(x, y) = 0 are nonsmooth and nonlinear hence difficult to solve while the others are linear hence easy to solve. Then we further convert the nonlinear equation system H(x, y) = 0 to an optimization problem with linear equality constraints. After that we study the conditions under which the K T points of the optimization problem are the solutions of the original LCP and propose a method to solve the optimization problem.In this algorithm, the search direction is obtained by solving a strict convex programming at each iterative point. However, our algorithm is essentially different from traditional SQP method. The global convergence of the method is proved under mild conditions. In addition, we can prove that the algorithm is convergent superlinearly under the conditions:M is P0 matrix and the limit point is a strict complementarity solution of LCP. Preliminary numerical experiments are reported with this method.

  14. Molecular orientation of individual LCP particles in injection-moulded PPS/LCP blends

    Directory of Open Access Journals (Sweden)

    Kestenbach H.-J.

    2003-01-01

    Full Text Available Polarized light microscopy was used to investigate the presence of preferred molecular orientation in the LCP phase of PPS/LCP blends after injection moulding. Normal birefringence effects appeared to be complicated by artifacts due to sample preparation and by the complex nature of polarized light transmission through a multicomponent sample. It was found, however, that, during low-temperature cutting of optically transparent thin sections on a standard microtome, individual LCP particles could be separated from the PPS matrix, and their birefringence analyzed separately. Preferred orientation was detected only in LCP fibrils which dominated in skin regions, but not in droplet-shaped particles which had formed in core regions. Quantitative measurements indicated that the molecular orientation of the fibrils increased linearly with their length-to-diameter aspect ratios which ranged from 15 to 50. Even for the highest aspect ratios, however, the degree of orientation was always less than that which could easily be introduced into pure LCP thin-film samples by manual shearing.

  15. Topical diagnostics of traumatic condylar injuries and alloplastic reconstruction of temporomandibular joint heads.

    Science.gov (United States)

    Gvenetadze, Z; Danelia, T; Nemsadze, G; Gvenetadze, G

    2014-04-01

    Condylar fractures have an important place in facial traumatic injuries. Classification of condylar fractures according to clinical-anatomic picture is common in clinical practice. According to this classification there are: 1) fractures of mandibular joint head, aka intraarticular fractures, 2) condylar neck fractures or high extra articular fractures, 3) condylar base fractures. Radiographic imaging plays important role in diagnosing condylar fractures along with knowledge of clinical symptoms. We used computer tomography imaging in our clinical practice. Three-dimensional imaging of computer tomography gives exact information about location of condylar fractures, impact of fractured fragments, displacement of condylar head from articular fossa. This method is mostly important for the cases which are hard to diagnose (fractures of mandibular joint head, aka intraarticular fractures). For this group of patients surgical treatment is necessary with the method of arthroplasty. We have observed 5 patients with bilateral, fragmented, high condylar fractures. In all cases the surgery was performed on both sides with bone cement and titanium mini-plates. Long-term effects of the treatment included observation from 6 months to 2 years. In all cases anatomic and functional results were good. Shape of the mandible is restored, opening of mouth 3-3.5 cm, absence of malocclusion.

  16. MANAGEMENT OF DISTAL DIA PHYSI O METAPHYSEAL J UNCTION HUMERUS FRACTURES WITH SINGLE COLUMN POSTEROLATERAL LCP - OUR RESULTS

    Directory of Open Access Journals (Sweden)

    Lokesh Chowdary

    2015-03-01

    Full Text Available Fracture of the distal humerus are complex and challenging injuries to treat. In this study we used d istal humeral posterolateral LCP system, which is an anatomically shaped angular stable system. The purpose of this retrospective study was to evaluate clinical outcome after ORIF with posterolateral LCP plate. METHODS: 24 Consecutive patients with distal humerus fractures treated with posterolateral LCP between October 2010 to December 2014 . 20 patients had complete follow up of 20 months , patients evaluated both clinically & radiologically & VAS & DASH score were used. RESULTS: All patients except 4 r e gained full range of movements , 2 patients lost 5° of extension & 1 patient 10° of extension. No loss of flexion in any patient. One patient had failed fixation who had stated early manual labour.

  17. Transparotid approach for mandibular condylar neck and subcondylar fractures.

    Science.gov (United States)

    Croce, A; Moretti, A; Vitullo, F; Castriotta, A; Rosa, De M; Citraro, L

    2010-12-01

    Mandibular condylar neck fractures and subcondylar fractures represent, respectively, 19-29% and 62-70% of all mandibular fractures; treatment involves some problems, common to both, concerning the choice of an adequate approach. Herewith, personal experience is reported related to the surgical treatment of some cases of mandibular condylar neck and subcondylar fractures by transparotid approaches with partial parotidectomy, removing the salivary tissue overlying the condylar neck and/or the subcondylar region. Over the last 5 years, we observed 22 fractures of the condylar neck and 10 fractures of the subcondylar region. In 13 patients (11 male, 2 female, age range 10-68 years, mean 33 years), 10 of whom had other mandibular and/or other maxillo-facial and skeleton fractures - 50% of these with dislocated condylar heads - and the other 3 for their free choice, regarding the different treatments, 18 transparotid approaches with partial parotidectomy (bilateral in 5 cases), were performed reducing and fixing 12 condylar neck fractures and 5 subcondylar region fractures with appropriate plates (2.0 mm) and screws. After surgery, no intermaxillary fixation was performed. Complications included 4 salivary fistulae (bilateral in 1 patient), which closed spontaneously after 4 or 5 weeks with a dressing, 1 case of Frey's syndrome, which healed after 2 treatments with botulin and 6 cases of transient facial palsy lasting 4-8 weeks (1 case bilateral) affecting zygomatic, buccal and marginal mandibular nerves. During follow-up, functional parameters considered were: restoration of original pre-injury occlusion; vertical, lateral and protrusion mandibular movements. All patients re-acquired the original pre-injury occlusion; the maximal post-operative intrinsical distance was at least 40 mm after a variable period of rehabilitation and lateral and protrusion movements also led to satisfactory final results. All patients were free of pain and had no deflection or clicking upon

  18. High Q, Miniaturized LCP-Based Passive Components

    KAUST Repository

    Shamim, Atif

    2014-10-16

    Various methods and systems are provided for high Q, miniaturized LCP-based passive components. In one embodiment, among others, a spiral inductor includes a center connection and a plurality of inductors formed on a liquid crystal polymer (LCP) layer, the plurality of inductors concentrically spiraling out from the center connection. In another embodiment, a vertically intertwined inductor includes first and second inductors including a first section disposed on a side of the LCP layer forming a fraction of a turn and a second section disposed on another side of the LCP layer. At least a portion of the first section of the first inductor is substantially aligned with at least a portion of the second section of the second inductor and at least a portion of the first section of the second inductor is substantially aligned with at least a portion of the second section of the first inductor.

  19. Case report of LCP pediatric hip osteosynthesis of a proximal ...

    African Journals Online (AJOL)

    Case report of LCP pediatric hip osteosynthesis of a proximal femoral ... Pan African Medical Journal ... We present a case report demonstrating the experience of the department of pediatric orthopaedics of the University Orthopedic Hospital at ...

  20. CFRP materials reinforced with LCP fibres for applications in vehicle and aircraft engineering. Final report; Faserverbundkunststoffe mit einer LCP-Faserverstaerkung fuer Anwendungen im Fahrzeug- und Flugzeugbau. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-02-11

    CFRP materials reinforced with liquid crystalline polyester (LCP) fibres were produced and characterized with regard to their physical and mechanical characteristics. Compared with non-reinforced plastics, polypropylene/LCP fibre-UD laminates produced by filmstacking, epoxy resin/LCP fibre-UD laminates produced by spooling and epoxy resin composites with internal LCP fibre fleece had significantly higher strength and stiffness as well as high thermoforming resistance and waterproofness. [Deutsch] In diesem Forschungsvorhaben wurden Faserverbundkunststoffe mit einer Verstaerkungsfaser auf Basis eines thermotropen fluessigkristallinen Polyester [Liquid Crystalline Polyester, abgekuerzt LCP] hergestellt und bezueglich der physikalisch-mechanischen Eigenschaften charakterisiert. Die im `filmstacking`-Verfahren hergestellte Polypropylen/LCP-Faser-UD-Laminate und mittels Bewicklung gewonnene Epoxidharz/LCP-Faser-UD-Laminate sowie Epoxidharzverbunde mit eingearbeiteten LCP-Faservlies zeigen gegenueber den unverstaerkten Kunststoffmaterialien einen betraechtlichen Anstieg von Festigkeit und Steifigkeit. Die Faserverbunde weisen ausserdem eine hohe Waermeformbestaendigkeit und Wassersperrwirkung auf. (orig.)

  1. Minimally invasive proximal interphalangeal joint arthrodesis using a locking compression plate and tissue engineering in horses: a pilot study.

    Science.gov (United States)

    Seo, Jong-pil; Yamaga, Takashi; Tsuzuki, Nao; Yamada, Kazutaka; Haneda, Shingo; Furuoka, Hidefumi; Tabata, Yasuhiko; Sasaki, Naoki

    2014-11-01

    This pilot study assessed the efficacy of 2 minimally invasive techniques for proximal interphalangeal (PIP) joint arthrodesis in horses. The PIP joints of both forelimbs (n = 6) were stabilized with locking compression plates (LCP) using a minimally invasive technique (LCP technique). Subsequently, for 1 randomly selected PIP joint of each horse, surgical drilling (SurD) was performed and tissue engineering (TE) was applied (LCP/SurD/TE technique). Minimally invasive PIP joint arthrodesis with LCP demonstrated low postoperative infection rates. Gross and histological evaluations revealed considerable destruction of the articular cartilage in the LCP/SurD/TE-treated joints. In contrast, almost no destruction of the cartilage was observed in the LCP-treated joints. Our results suggest that the LCP technique alone is not sufficient for PIP joint arthrodesis and that the LCP/SurD/TE technique may be useful for PIP joint arthrodesis in horses.

  2. LCP crystallization and X-ray diffraction analysis of VcmN, a MATE transporter from Vibrio cholerae

    Energy Technology Data Exchange (ETDEWEB)

    Kusakizako, Tsukasa [Graduate School of Science, The University of Tokyo, 2-11-16 Yayoi, Bunkyo-ku, Tokyo 113-0032 (Japan); Tanaka, Yoshiki [Graduate School of Biological Sciences, Nara Institute of Science and Technology, 8916-5 Takayama-cho, Ikoma, Nara 630-0192 (Japan); Hipolito, Christopher J. [Graduate School of Science, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033 (Japan); University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575 (Japan); Kuroda, Teruo [Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553 (Japan); Ishitani, Ryuichiro [Graduate School of Science, The University of Tokyo, 2-11-16 Yayoi, Bunkyo-ku, Tokyo 113-0032 (Japan); Suga, Hiroaki [Graduate School of Science, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033 (Japan); Nureki, Osamu, E-mail: nureki@bs.s.u-tokyo.ac.jp [Graduate School of Science, The University of Tokyo, 2-11-16 Yayoi, Bunkyo-ku, Tokyo 113-0032 (Japan)

    2016-06-22

    A V. cholerae MATE transporter was crystallized using the lipidic cubic phase (LCP) method. X-ray diffraction data sets were collected from single crystals obtained in a sandwich plate and a sitting-drop plate to resolutions of 2.5 and 2.2 Å, respectively. Multidrug and toxic compound extrusion (MATE) transporters, one of the multidrug exporter families, efflux xenobiotics towards the extracellular side of the membrane. Since MATE transporters expressed in bacterial pathogens contribute to multidrug resistance, they are important therapeutic targets. Here, a MATE-transporter homologue from Vibrio cholerae, VcmN, was overexpressed in Escherichia coli, purified and crystallized in lipidic cubic phase (LCP). X-ray diffraction data were collected to 2.5 Å resolution from a single crystal obtained in a sandwich plate. The crystal belonged to space group P2{sub 1}2{sub 1}2{sub 1}, with unit-cell parameters a = 52.3, b = 93.7, c = 100.2 Å. As a result of further LCP crystallization trials, crystals of larger size were obtained using sitting-drop plates. X-ray diffraction data were collected to 2.2 Å resolution from a single crystal obtained in a sitting-drop plate. The crystal belonged to space group P2{sub 1}2{sub 1}2{sub 1}, with unit-cell parameters a = 61.9, b = 91.8, c = 100.9 Å. The present work provides valuable insights into the atomic resolution structure determination of membrane transporters.

  3. LCP- LIFETIME COST AND PERFORMANCE MODEL FOR DISTRIBUTED PHOTOVOLTAIC SYSTEMS

    Science.gov (United States)

    Borden, C. S.

    1994-01-01

    The Lifetime Cost and Performance (LCP) Model was developed to assist in the assessment of Photovoltaic (PV) system design options. LCP is a simulation of the performance, cost, and revenue streams associated with distributed PV power systems. LCP provides the user with substantial flexibility in specifying the technical and economic environment of the PV application. User-specified input parameters are available to describe PV system characteristics, site climatic conditions, utility purchase and sellback rate structures, discount and escalation rates, construction timing, and lifetime of the system. Such details as PV array orientation and tilt angle, PV module and balance-of-system performance attributes, and the mode of utility interconnection are user-specified. LCP assumes that the distributed PV system is utility grid interactive without dedicated electrical storage. In combination with a suitable economic model, LCP can provide an estimate of the expected net present worth of a PV system to the owner, as compared to electricity purchased from a utility grid. Similarly, LCP might be used to perform sensitivity analyses to identify those PV system parameters having significant impact on net worth. The user describes the PV system configuration to LCP via the basic electrical components. The module is the smallest entity in the PV system which is modeled. A PV module is defined in the simulation by its short circuit current, which varies over the system lifetime due to degradation and failure. Modules are wired in series to form a branch circuit. Bypass diodes are allowed between modules in the branch circuits. Branch circuits are then connected in parallel to form a bus. A collection of buses is connected in parallel to form an increment to capacity of the system. By choosing the appropriate series-parallel wiring design, the user can specify the current, voltage, and reliability characteristics of the system. LCP simulation of system performance is site

  4. Immunohistochemical findings type I and type II collagen in prenatal mouse mandibular condylar cartilage compared with the tibial anlage.

    Science.gov (United States)

    Ishii, M; Suda, N; Tengan, T; Suzuki, S; Kuroda, T

    1998-07-01

    In growing animals the mandibular condylar cartilage serves not only as an articular but also as a growth cartilage, yet, condylar cartilage has some characteristic features that are not found in growth cartilage. For example, some reports suggest that type I collagen, which is not seen in the growth plate cartilage of long bones, is present in the extracellular matrix of condylar cartilage postnatally. Here, the condylar and limb bud cartilage of fetal mice was examined. The distribution of type I and type II collagen in condylar cartilage was already different from that in the limb bud at the first appearance of the cartilage. Type I collagen was demonstrated in the extracellular matrix of the condylar cartilage that first appeared on day 15 of gestation. However, the reaction for type II collagen was much weaker than that for type I collagen. On day 18 of gestation, type I collagen was still found throughout the cell layers but became gradually weaker with depth. Type II collagen was limited exclusively to the deeper layers at this stage. These findings are different from those in the limb bud cartilage, indicating a characteristic feature of the cells in the condylar cartilage present from the prenatal period.

  5. The role of a posteriorly inclined condylar neck in condylar resorption after orthognathic surgery.

    Science.gov (United States)

    Hwang, S J; Haers, P E; Sailer, H F

    2000-04-01

    Recently, it has been reported that a posteriorly inclined condylar neck is associated with condylar resorption following orthognathic surgery, although its role in resorption remains unknown. By cephalometric screening of 240 patients with Angle Class II occlusion 2 years after orthognathic surgery, 11 patients with postoperative condylar resorption were identified. The preoperative posterior inclination of the condylar neck and the surgical risk factors mentioned in the literature, particularly surgically induced counterclockwise rotation of the mandibular proximal segment were evaluated. In all 11 cases, the condylar neck was clearly inclined posteriorly. Counterclockwise rotation of the proximal segment was also observed in all cases, and it amounted to 6.7 degrees (2.5-12 degrees) on average. The contributing role of a posteriorly inclined condylar neck in connection with surgical mandibular movement in postoperative condylar resorption is discussed.

  6. Reverse distal femoral locking compression plate a salvage option in nonunion of proximal femoral fractures

    Directory of Open Access Journals (Sweden)

    Sampat S Dumbre Patil

    2016-01-01

    Full Text Available Background: When primary fixation of proximal femoral fractures with implants fails, revision osteosynthesis may be challenging. Tracts of previous implants and remaining insufficient bone stock in the proximal femur pose unique problems for the treatment. Intramedullary implants like proximal femoral nail (PFN or surface implants like Dynamic Condylar Screw (DCS are few of the described implants for revision surgery. There is no evidence in the literature to choose one implant over the other. We used the reverse distal femur locking compression plate (LCP of the contralateral side in such cases undergoing revision surgery. This implant has multiple options of fixation in proximal femur and its curvature along the length matches the anterior bow of the femur. We aimed to evaluate the efficacy of this implant in salvage situations. Materials and Methods: Twenty patients of failed primary proximal femoral fractures who underwent revision surgery with reverse distal femoral locking plate from February 2009 to November 2012 were included in this retrospective study. There were 18 subtrochanteric fractures and two ipsilateral femoral neck and shaft fractures, which exhibited delayed union or nonunion. The study included 14 males and six females. The mean patient age was 43.6 years (range 22-65 years and mean followup period was 52.1 months (range 27-72 months. Delayed union was considered when clinical and radiological signs of union failed to progress at the end of four months from initial surgery. Results: All fractures exhibited union without any complications. Union was assessed clinically and radiologically. One case of ipsilateral femoral neck and shaft fracture required bone grafting at the second stage for delayed union of the femoral shaft fracture. Conclusions: Reverse distal femoral LCP of the contralateral side can be used as a salvage option for failed fixation of proximal femoral fractures exhibiting nonunion.

  7. Reverse distal femoral locking compression plate a salvage option in nonunion of proximal femoral fractures

    Science.gov (United States)

    Dumbre Patil, Sampat S; Karkamkar, Sachin S; Patil, Vaishali S Dumbre; Patil, Shailesh S; Ranaware, Abhijeet S

    2016-01-01

    Background: When primary fixation of proximal femoral fractures with implants fails, revision osteosynthesis may be challenging. Tracts of previous implants and remaining insufficient bone stock in the proximal femur pose unique problems for the treatment. Intramedullary implants like proximal femoral nail (PFN) or surface implants like Dynamic Condylar Screw (DCS) are few of the described implants for revision surgery. There is no evidence in the literature to choose one implant over the other. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. This implant has multiple options of fixation in proximal femur and its curvature along the length matches the anterior bow of the femur. We aimed to evaluate the efficacy of this implant in salvage situations. Materials and Methods: Twenty patients of failed primary proximal femoral fractures who underwent revision surgery with reverse distal femoral locking plate from February 2009 to November 2012 were included in this retrospective study. There were 18 subtrochanteric fractures and two ipsilateral femoral neck and shaft fractures, which exhibited delayed union or nonunion. The study included 14 males and six females. The mean patient age was 43.6 years (range 22–65 years) and mean followup period was 52.1 months (range 27–72 months). Delayed union was considered when clinical and radiological signs of union failed to progress at the end of four months from initial surgery. Results: All fractures exhibited union without any complications. Union was assessed clinically and radiologically. One case of ipsilateral femoral neck and shaft fracture required bone grafting at the second stage for delayed union of the femoral shaft fracture. Conclusions: Reverse distal femoral LCP of the contralateral side can be used as a salvage option for failed fixation of proximal femoral fractures exhibiting nonunion. PMID:27512218

  8. Avaliação biomecânica da fixação da fratura supracondiliana do fêmur comparando placa-lâmina 95º com DCS Fixation of supracondylar femoral fractures: a biomechanical analysis comparingthe 95º blade plate and the dynamic condylar screw (DCS

    Directory of Open Access Journals (Sweden)

    Marco Antônio Percope Andrade

    2010-01-01

    Full Text Available OBJETIVO: Demonstrar por meio de ensaios biomecânicos comparativos entre a placa-lâmina de 95º e o parafuso condilar dinâmico (Dynamic Condylar Screw - DCS, qual apresenta maior resistência às cargas compressivas e de flexão, bem como tentar correlacionar o tipo de falha apresentada durante os testes com cada um dos tipos de placa. MÉTODOS: Sessenta e cinco fêmures suínos foram submetidos a osteotomia em cunha de subtração medial de um centímetro (cm, na região metafisária distal do fêmur, com o objetivo de simular fratura supracondiliana instável. Foi realizada osteossíntese dessas peças, sendo 35 fixadas com placa-lâmina 95º e 30 com placas com DCS, submetendo-as a cargas em compressão axial e flexão. Outra variável estudada foi o tipo de falha apresentada em cada grupo com a tentativa de correlacioná-la com o tipo de placa. RESULTADOS: Os resultados não mostraram diferença estatisticamente significante na resistência biomecânica entre os dois tipos de placas ou entre o tipo de falha e a placa utilizada na osteossíntese. CONCLUSÃO: Os dois tipos de placas se comportam de maneira semelhante, embora haja um indicativo de que a placa-lâmina seja, no ensaio de flexão, superior à placa DCS. Não foi observada diferença entre o tipo de falha e o tipo de placa utilizada.OBJECTIVE: to determine, by means of comparative biomechanical tests between the 95o angled blade plate and the dynamic condylar screw (DCS, the one that presents greater compressive load resistance and flexion, and to correlate the failure type presented during the tests with each type of plate. METHODS: Sixty-five porcine femurs were submitted to a 1 cm medial wedge osteotomy, in the metaphysic, to simulate an unstable supracondylar femoral fracture. Osteosynthesis of these pieces was performed: 35 were fixated with a 90o lateral blade plate, and 30 with DCS plates. Another variable studied was the failure type presented in each group, attempting

  9. 肱骨远端关节外锁定加压接骨板治疗肱骨干AO-B、C型骨折%Treatment of type B and Type C fractures of distal humeral shaft by LCP extra-articular distal humerus plate

    Institute of Scientific and Technical Information of China (English)

    韦旭明; 孙振中; 殷渠东; 刘学光; 周明; 庄胤

    2015-01-01

    目的 探讨经上臂后外侧入路肱骨远端关节外锁定加压接骨板(LCP-EDHP)内固定治疗肱骨干远端关节外粉碎性骨折的临床疗效.方法 自2011-12-2014-02经肱三头肌桡侧入路,向尺侧牵开肱三头肌,不损伤伸肘装置,并采用LCP-EDHP内固定治疗肱骨干远端关节外粉碎性骨折13例.结果 所有患者获得随访12~24个月,平均15.2个月.骨折全部愈合,骨折愈合时间为10~15周,平均12.3周.末次随访时肘关节伸直(5.6±5.5)°,屈曲(135.4±11.2)°,前臂旋前(85.6±7.4)°,旋后(86.6±5.9)°.根据Mayo肘关节评分标准:优12例,良1例.1例桡神经麻痹患者为桡神经被骨折端卡压,术后2个月后完全恢复.结论 经后外侧入路LCP-EDHP内固定治疗肱骨干远端关节外粉碎性骨折具有不损伤伸肘装置、固定牢固、骨折愈合率高、神经血管结构相对安全、关节功能恢复良好的优点.

  10. EVALUATION OF FUNCTIONAL OUTCOME AFTER OPEN REDUCTION AND INTERNAL FIXATION OF DISTAL FEMUR FRACTURES BY LOCKING COMPRESSION PLATE

    Directory of Open Access Journals (Sweden)

    L. Lokanadha Rao

    2016-09-01

    Full Text Available BACKGROUND In the supra and intercondylar fractures of femur particularly with intra articular extension, patient may develop stiffness of knee, shortening, rotational deformities, internal derangement of knee with instability, varus and valgus deformities which affect patient’s routine lifestyle. If these cases were treated with locking compression plate, the results obtained were successful, superior, timesaving providing early ambulation and least disability improving the functional outcome. MATERIALS AND METHODS This is a prospective interventional study. This study includes 25 supracondylar and intercondylar fractures of femur (both Muller’s Type ‘A’, Type B and Type ‘C’ fractures treated with open reduction and internal fixation by Locking Compression Plate in the Department of Orthopaedics, King George Hospital, Visakhapatnam from September 2013 to September 2015. There are 16 males and 9 females with age ranging from 20 to 80 years with an average of 44.6 years. Average age for males is 28.9 years and average age for females is 25 years. 18 fractures were due to road traffic accidents and 6 cases are due to fall from significant heights, 1 case due to simple fall from standing (osteoporosis. 15 cases were in right femur (60% and 10 cases were in left femur (40%. RESULTS 25 cases were included in the study. There is an increase in the rate of union, decreased time taken for union, increased knee range of motion, decreased time for weight-bearing, postoperative complications and duration for hospital stay. CONCLUSION LCP proved to be a good implant which could take the challenges like poor bone stock, severe comminution both metaphyseal and articular and prove successful. The locking head screws distally have prevented varus collapse, even in cases of osteoporosis. The Condylar LCP can be used in either an open or a minimally invasive manner.

  11. Osteoarthritis, osteoarthrosis, and idiopathic condylar resorption.

    Science.gov (United States)

    Mercuri, Louis G

    2008-05-01

    The term "osteoarthritis" has classically been defined as a low-inflammatory arthritic condition. The term "osteoarthrosis," a synonym for osteoarthritis in the medical orthopedic literature, has recently come to be identified in the dental/temporomandibular joint (TMJ) disorders literature with any noninflammatory arthritic condition that results in similar degenerative changes as in osteoarthritis. The term "idiopathic condylar resorption," also known as "progressive condylar resorption," is described as a dysfunctional remodeling of the TMJ manifested by morphologic change, decreased ramal height, progressive mandibular retrusion in the adult, or decreased mandibular growth in the juvenile. This article discusses the diagnosis and management of osteoarthritic TMJ disorders and idiopathic condylar resorption.

  12. Ex vivo biomechanical comparison of a 3.5 mm locking compression plate applied cranially and a 2.7 mm locking compression plate applied medially in a gap model of the distal aspect of the canine radius.

    Science.gov (United States)

    Uhl, Justin M; Kapatkin, Amy S; Garcia, Tanya C; Stover, Susan M

    2013-10-01

    To compare a medially applied 2.7 mm locking compression plate (LCP) to a cranially applied 3.5 mm LCP in a cadaveric distal radial fracture gap model. In vitro mechanical testing of paired cadaveric limbs Paired radii (n = 8) stabilized with either a 2.7 mm LCP medially or a 3.5 mm LCP cranially. Simulated distal radial comminuted fractures were created and stabilized with an LCP plate on the cranial surface in 1 limb, and on the medial surface in the contralateral limb. Gap stiffness, gap strain, and failure properties were compared between cranial and medial plate positions. Limb constructs were axially loaded, cyclically through 4 conditions that allowed mediolateral or craniocaudal bending at walk and trot loads, before monotonic failure loading. The effects of plate position on mechanical variables were assessed using paired t-tests. Gap stiffness was greater for cranial plate constructs than medial plate constructs for axial loading with mediolateral bending, but lower with craniocaudal bending. However, in loading that facilitated craniocaudal bending the medial plate construct also had bending apparent in the mediolateral direction. Gap strains for the different conditions followed similar trends as stiffness. Cranial plate constructs had significantly higher monotonic stiffness, yield, and failure loads. The larger, cranially applied LCP was biomechanically superior to the smaller, medially applied LCP in our distal radial fracture gap model, however the medial plate was superior to the cranial plate in cyclic loading allowing craniocaudal bending. © Copyright 2013 by The American College of Veterinary Surgeons.

  13. Quantification of Condylar Resorption in TMJ Osteoarthritis

    Science.gov (United States)

    Cevidanes, LHS; Hajati, A-K; Paniagua, B; Lim, PF; Walker, DG; Palconet, G; Nackley, AG; Styner, M; Ludlow, JB; Zhu, H; Phillips, C

    2010-01-01

    OBJECTIVE This study was performed to determine the condylar morphological variation of osteoarthritic (OA) and asymptomatic temporomandibular joints (TMJ) and to determine its correlation with pain intensity and duration. STUDY DESIGN Three dimensional surface models of mandibular condyles were constructed from Cone-Beam CT images of 29 female patients with TMJ OA (Research Diagnostic Criteria for Temporomandibular Disorders Group III) and 36 female asymptomatic subjects. Shape Correspondence was used to localize and quantify the condylar morphology. Statistical analysis was performed with MANCOVA analysis using Hotelling T2 metric based on covariance matrices, and Pearson correlation. RESULTS OA condylar morphology was statistically significantly different from the asymptomatic condyles (p<0.05). 3D morphological variation of the OA condyles was significantly correlated with pain intensity and duration. CONCLUSION 3D quantification of condylar morphology revealed profound differences between OA and asymptomatic condyles and the extent of the resorptive changes paralleled pain severity and duration. PMID:20382043

  14. Minimally invasive proximal interphalangeal joint arthrodesis using a locking compression plate and tissue engineering in horses: A pilot study

    OpenAIRE

    SEO, Jong-Pil; Yamaga, Takashi; TSUZUKI, Nao; YAMADA, Kazutaka; HANEDA, Shingo; Furuoka, Hidefumi; Tabata, Yasuhiko; SASAKI, Naoki

    2014-01-01

    This pilot study assessed the efficacy of 2 minimally invasive techniques for proximal interphalangeal (PIP) joint arthrodesis in horses. The PIP joints of both forelimbs (n = 6) were stabilized with locking compression plates (LCP) using a minimally invasive technique (LCP technique). Subsequently, for 1 randomly selected PIP joint of each horse, surgical drilling (SurD) was performed and tissue engineering (TE) was applied (LCP/SurD/TE technique). Minimally invasive PIP joint arthrodesis wi...

  15. Condylar volume and condylar area in class I, class II and class III young adult subjects

    Directory of Open Access Journals (Sweden)

    Saccucci Matteo

    2012-12-01

    Full Text Available Abstract Aim Aim of this study was to compare the volume and the shape of mandibular condyles in a Caucasian young adult population, with different skeletal pattern. Material and methods 200 Caucasian patients (15–30 years old, 95 male and 105 females were classified in three groups on the base of ANB angle: skeletal class I (65 patients, skeletal class II (70 patients and skeletal class III (65 patients. Left and right TMJs of each subject were evaluated independently with CBCT (Iluma. TMJ evaluation included: condylar volume; condylar area; morphological index (MI. Condylar volumes were calculated by using the Mimics software. The condylar volume, the area and the morphological index (MI were compared among the three groups, by using non-parametric tests. Results The Kruskal-Wallis test and the Mann Whitney test revealed that: no significant difference was observed in the whole sample between the right and the left condylar volume; subjects in skeletal class III showed a significantly higher condylar volume, respect to class I and class II subjects (p 3 in males and 663.5 ± 81.3 mm3 in females; p 2 in males and 389.76 ± 61.15 mm2 in females; p  Conclusion Skeletal class appeared to be associated to the mandibular condylar volume and to the mandibular condylar area in the Caucasian orthodontic population.

  16. Proximal Humeral Fractures: A Biomechanical Comparison of Locking Plate Constructs in a Cadaveric 3-Part Fracture Model

    OpenAIRE

    2010-01-01

    The purpose of our study was to biomechanically compare, under cyclic loading conditions, fracture site motion, humeral head collapse, and intra-articular hardware penetration in simulated 3-part osteoporotic proximal humeral fractures stabilized with 1 of 2 locking-plate constructs. We performed fixation on simulated 3-part proximal humeral fractures in 10 pairs of cadaveric osteoporotic humeri with a Hand Innovations S3 Proximal Humerus Plate (S3 plate) or an LCP Proximal Humerus Plate (LCP...

  17. 微创经皮钢板固定术结合动力髁螺钉治疗青壮年股骨转子下不稳定骨折%Minimally invasive percutaneous plate osteosynthesis with dynamic condylar screw for comminuted proximal femoral fracture

    Institute of Scientific and Technical Information of China (English)

    吴劲风; 叶冬平; 李锋生; 梁伟国

    2010-01-01

    Objective To evaluate the technique, indications and results of minimally invasive per-cutaneous plate osteosynthesis (MIPPO) with dynamic condylar screw (DCS) for the treatment of young adults unstable comminuted subtrochanteric fracture. Methods From January 2001 to January 2006, 25 patients with unstable subtrechanteric fracture were treated. There were 18 males and 7 females, with the average age of 35 years (ranged from 25 to 40 years). 20 cases suffered traffic accident injuries, and 5 cases suffered falling down injuries. According to Seinsheimer classification, 15 cases fracture were ⅢA classification, 4 cases fracture were ⅢB classification, 6 cases were ⅣV classification. All of patients were closed fracture, and underwent MIPPO with DCS. The hip joint function was evaluated according to Harris's scale after surgeries. Results All patients were followed up from 9 to 24 months, with the average of 16 months. All subtrochanteric fractures were healed and the healing time was 3--4 months, with the average of 3.5 months. No patients suffered from the complications of plate fracture, screw loosening or cutting out, delayed healing, re-fracture, hip varus deformity, and limb shortening. According to Harris's scale, there were 14 eases excellent, 8 cases were good, 3 cases were fair on the hip joint function, the excellent and good rate was 92%. Conclusion M1PPO with DCS is the credible method for the treatment of young adults unstable comminut-ed subtrochanteric fracture, which can reduce operation complications, and benefit for fracture heal and hip function recovery.%目的 评估微创经皮钢板固定术(minimally invasive percutaneous plate osteosynthesis, MIPPO)结合动力髁螺钉(dynamic condylar screw,DCS)治疗青壮年股骨转子下不稳定骨折的临床价值.方法 2001年1月至2006年1月,手术治疗25例股骨转子下不稳定骨折患者,男18例,女7例;年龄25~40岁,平均35岁;左侧12例,右侧13例;车祸伤20例,坠落伤5

  18. Effects of hybrid composition of LCP and glass fibres on abrasive wear of reinforced LLDPE

    Indian Academy of Sciences (India)

    S A R Hashmi; Ajay Naik; Navin Chand

    2006-02-01

    The hybrid of liquid crystalline polymer (LCP) fibres and glass fibres (GF) provide a combination of modulus and toughness to semi-crystalline linear-low-density-polyethylene (LLDPE). LCP and GF fibres reinforced composites were studied using two-body abrasion tester under different applied loads. Two sets of fibre reinforced LLDPE, 10 and 20 vol%, were investigated. The contents of LCP and glass fibres were varied as 25, 50, 75 and 100 vol% of overall volume of fibres in LLDPE. The effect of replacing glass fibre with LCP fibre on wear is reported. Wear loss increased with the applied loads and glass fibre contents in LLDPE. The replacements of glass fibres with LCP fibres improved abrasive wear resistance of composite. The composite containing 20 vol% of glass fibres in LLDPE showed the specific wear rate nearly double to that of LCP fibre reinforced LLDPE. Incorporation of LCP fibre improved wear resistance of glass fibre reinforced LLDPE. Worn surfaces were studied using SEM. Glass fibres were broken in small debris and removed easily whereas LCP fibres yielded to fibrillation during abrasive action. The overall wear rate was governed by the composition and test conditions.

  19. In-vitro comparison of LC-DCP- and LCP-constructs in the femur of newborn calves – a pilot study

    Directory of Open Access Journals (Sweden)

    Hoerdemann Mona

    2012-08-01

    Full Text Available Abstract Background To compare the biomechanical in-vitro characteristics of limited-contact dynamic compression plate (LC-DCP and locking compression plate (LCP constructs in an osteotomy gap model of femoral fracture in neonatal calves. Pairs of intact femurs from 10 calves that had died for reasons unrelated to the study were tested. A 7-hole LC-DCP with six 4.5 mm cortical screws was used in one femur and a 7-hole LCP with four 5.0 mm locking and two 4.5 mm cortical screws was used in the corresponding femur. The constructs were tested to failure by cyclic compression at a speed of 2 mm/s within six increasing force levels. Results The bone-thread interface was stripped in 21 of 80 cortical screws (26.3% before a pre-set insertion torque of 3 Nm was achieved. Only 3 corresponding intact pairs of constructs could be statistically compared for relative structural stiffness, actuator excursion and width of the osteotomy gap. Relative structural stiffness was significantly greater, actuator excursion and width of the osteotomy gap were significantly smaller in the LCP constructs. While failure occurred by loosening of the screws in the LC-DCP constructs, locking constructs failed by cutting large holes in the soft distal metaphyseal bone. Conclusions An insertion torque sufficient to provide adequate stability in femurs of newborn calves could not be achieved reliably with 4.5 mm cortical screws. Another limiting factor for both constructs was the weak cancellous bone of the distal fracture fragment. LCP constructs were significantly more resistant to compression than LC-DCP constructs.

  20. Study of LCP based flexible patch antenna array

    KAUST Repository

    Ghaffar, Farhan A.

    2012-07-01

    Wrapping of a two element LCP based patch antenna array is studied in this work. For the first time, the designed array is bent in both E and H planes to observe the effect on the radiation and impedance performance of the antenna. The 38 GHz simulation results reveal better performance for H plane bending as compared to E plane bending. A 100 um thick substrate is used for the design which is best suited for flexible antenna applications. Gain variations of 1.1 dB and 1.4 dB are observed for the two orientations while a significantly increased impedance bandwidth of 3 % is obtained with H plane wrapping. The design is highly suitable for broadband micro-cellular backhaul applications. © 2012 IEEE.

  1. The Gothic arch (needle point) tracing and condylar inclination.

    Science.gov (United States)

    el-Gheriani, A S; Winstanley, R B

    1987-11-01

    The records of 11 patients referred for treatment of TMJ disorders were used to compare condylar inclination found by drawing a tangent and by using a mathematic technique. Needle point tracing angles were also measured for the same patients and were compared with the condylar inclination. It can be concluded that (1) the mathematic technique outlined records a more accurate condylar angulation, and (2) there is a great variation in condylar inclination values between patients and between left and right sides of the same patient, and (3) there is no direct relationship between condylar inclination and the needle point tracing angle.

  2. Orthognathic Surgery in Patients With Large Condylar Destructions.

    Science.gov (United States)

    Sant'Ana, Eduardo; Dias-Ribeiro, Eduardo; de Lima, Valthierre Nunes; Correa, Ana Paula Simões; Sonoda, Celso Koogi; Nogueira, Renato Luiz Maia

    2016-03-01

    Condylar resorption is understood as changes in shape and volume of the condylar bone, due to local, systemic, and iatrogenic factors. The occurrence of condylar resorption after orthognathic surgery can occur when the condylar repositioning in mandibular fossa is performed improperly. In addition, systemic diseases such as osteoarthritis and rheumatoid arthritis seem to influence this process. The aim of this study was to report 3 cases of patients with severe condylar alterations, submitted to orthognathic surgery for treatment of dentofacial deformities. Considerations regarding the diagnosis, surgical planning (counterclockwise rotation), surgical techniques (bilateral sagittal split osteotomy, bimaxillary osteotomies, rigid fixation, maxillomandibular fixation period), and results (short terms) are discussed.

  3. PLATE

    DEFF Research Database (Denmark)

    Kling, Joyce; Hjulmand, Lise-Lotte

    2008-01-01

    ’s level of English is sufficient for the increasing number of courses offered in English each semester. This paper addresses these concerns and describes a pilot project initiated in 2003 at CBS to gauge the overall English language proficiency of those teaching content courses in English. Through......Copenhagen Business School (CBS) finds itself needing to address the issue of English-medium instruction for its increasing number of foreign exchange and full degree students. With internationalisation as a main pillar of the institution’s agenda, there are concerns whether the teaching faculty...... the Project in Language Assessment for Teaching in English (PLATE) language professionals from CBS’s Language Center observe teachers and provide feedback using evaluation criteria from the Common European Framework for Reference (CEFR) supplemented by some additional criteria which take the LSP nature...

  4. PLATE

    DEFF Research Database (Denmark)

    Kling, Joyce; Hjulmand, Lise-Lotte

    2008-01-01

    Copenhagen Business School (CBS) finds itself needing to address the issue of English-medium instruction for its increasing number of foreign exchange and full degree students. With internationalisation as a main pillar of the institution’s agenda, there are concerns whether the teaching faculty......’s level of English is sufficient for the increasing number of courses offered in English each semester. This paper addresses these concerns and describes a pilot project initiated in 2003 at CBS to gauge the overall English language proficiency of those teaching content courses in English. Through...... the Project in Language Assessment for Teaching in English (PLATE) language professionals from CBS’s Language Center observe teachers and provide feedback using evaluation criteria from the Common European Framework for Reference (CEFR) supplemented by some additional criteria which take the LSP nature...

  5. Long-term evaluation of a liquid crystal polymer (LCP)-based retinal prosthesis

    Science.gov (United States)

    Jeong, Joonsoo; Bae, So Hyun; Seo, Jong-Mo; Chung, Hum; Kim, Sung June

    2016-04-01

    Objective. The aim of this study is to evaluate the long-term reliability of a recently presented liquid crystal polymer (LCP) -based retinal prosthesis in vitro as well as in vivo. Because an all-polymer implant introduces another intrinsic leak type due to gas permeation, for which the traditional helium leak test for metallic packages was not designed to quantify, a new method to investigate its durability is required. Approach. We designed and carried out a series of reliability tests specifically for all-polymer implants by quantitatively investigating moisture ingress through various pathways of the polymer surface, and the polymer-polymer and polymer-metal adhesions. Moisture permeation through the bulk material was estimated by analytic calculation, while water ingress through the adhesively sealed LCP-LCP and LCP-metal interfaces was investigated using the separate parts of an electrode array and a package in an accelerated aging condition. In vivo tests were done in rabbits to examine the long-term biocompatibility and implantation stability by fundus observation and optical coherence tomography (OCT) imaging. Main results. The analytic calculation estimated good barrier properties of the LCP. Samples of the LCP-based electrode array failed after 114 days in 87 °C saline as a result of water penetration through the LCP-metal interface. An eye-conformable LCP package survived for 87 days in an accelerated condition at 87 °C. The in vivo results confirmed that no adverse effects were observed around the retina 2.5 years after the implantation of the device. Significance. These long-term evaluation results show the potential for the chronic use of LCP-based biomedical implants to provide an alternative to traditional metallic packages.

  6. [Evaluation of condylar fractures treatment].

    Science.gov (United States)

    Andrade Filho, Eduardo Fausto de; Martins, Dulce Maria Fonseca Soares; Sabino Neto, Miguel; Toledo J nior Cd, Carlos de Souza; Pereira, Max Domingues; Ferreira, Lydia Massako

    2003-01-01

    We analysed 40 patients with mandibular condylar process fractures, treated through the closed (intermaxilary fixation or conservatively) or open methods (wire internal fixation,titanium miniplates, bone reduction or articular exploration), from January 1993 to January 1999. We evaluated these patients clinically with pre-determined criteria through the temporomandibular articulation touching (ATM), by observing the mandibular symmetry, dental oclusion, deviation to the mouth opening and maximum interincisal opening, besides the questionnaire about the complaints at ATM, disfunction of the mastication system and satisfaction of the treatment. We found an index of good clinical results of, at least, 70% (in the maximum interincisal opening) in the patients submitted to IMF. In the conservative method, we found an index of, at least, 42.9% and in the patients submitted to wire open reduction, at least, 28.6% (in the ATM touching exam) without significant difference in the clinical exams; the pain index at ATM in the closed method was 3.7% and in the open one was 15.4%; mastication disfunction was 22.2% in the closed method and 15.4% in the open one; we only found 7.1% dissatisfied patients in the closed method. There was no significant difference in the method results. The closed method - with IMF and conservative - and the open reduction - with ORIF - brought good clinical results in an evaluation up to 6 months. We could also conclude that there is no difference in the complaint results after the open or closed treatment according to the patients' opinion.

  7. Histological evaluation of condylar hyperplasia model of rabbit following distraction osteogenesis of the condylar neck.

    Science.gov (United States)

    Meng, Q; Chen, G; Long, X; Deng, M; Cai, H; Li, J

    2011-01-01

    Condylar hyperplasia is the excessive unilateral growth of mandibular leading to facial asymmetry, occlusal disturbance, joint pain and dysfunction. The aim of this study is to evaluate the histological presence of temporomandibular joint in model of condylar hyperplasia by lengthening unilateral condylar neck of distraction osteogenesis. An extra oral distractor was employed to achieve unilateral condylar neck distraction (1·0 mm daily for 7 days). The experimental condylar necks were elongated by 7 mm compared to the contralateral. Eleven adult white rabbits were used. Eight rabbits were, respectively, sacrificed after the post-distraction period (4 or 8 weeks). All animals were evaluated clinically and histomorphometrically. The condyles radiologically showed remodelling, flattening and sclerosis. In 4-week group, thinning of the cartilage was evident, and the trabeculae were long, not multiply connected. A thin, dense fibrous layer covered all over the surface of cartilage. In 8-week group, the cartilaginous layer was similar to thickness of the normal cartilage, but still thinner than control. However, the fibrous layers covering condyle manifested slight degenerative changes, and even depressions and erosions were seen in the cartilage and subchondral bone. The trabeculae showed denser and multiply connected. In 8-week group, the cartilaginous thickness of surgical condyles was significantly thinner than the contralateral. This study indicates that unilateral distraction of condylar neck loads the condyles asymmetrically. Asymmetrical loads affect more on the surgical condyles than the contralateral, and after 8 weeks of the post-distraction, condyle could recover from asymmetrical loads in some degree.

  8. Condylar disarticulation; Analysis of 20 cases from a Nigerian Tertiary Centre

    Directory of Open Access Journals (Sweden)

    Victor I Akinmoladun

    2012-01-01

    Full Text Available Background: A disarticulation resection is a variant of mandibular segmental resection in which the condylar articulation is sacrificed. Indication varies from primary condylar lesions to jaw conditions involving the condyle. Aim: This retrospective analysis was carried out to highlight the pattern of disarticulation resections carried out in our centre over a five-year period. Materials and Methods: Cases of mandibular resection were identified from the operation book. The medical records of patients who had disarticulation resection were then retrieved and analyzed for demography, indications for disarticulations, methods of reconstruction and complications. Results: A total of 20 cases of disarticulation with complete records were obtained, this constituted 24.7% of total mandibular resections in the department. There were 9 males and 11 females with a male: female ratio of 1:1.2. The age ranged between 13 and 59 years with a mean of 30.4 years (std. 12.0. Sixteen patients received autogenous bone graft; two were stabilized using Steinman′s pins and two with reconstruction plates. One bone graft and one reconstruction plate were removed because of infection and exteriorization respectively. Condyle was not replaced in any case. Outcomes were satisfactory but jaw deviation on opening was a common complaint in all cases. Conclusion : Condylar disarticulation accounts for a considerably high percentage of mandibular resection in our centre. Non vascularized immediate bone grafting without actual joint reconstruction was common. No disarticulation was carried out for traumatic reasons.

  9. A radiographic study of the condylar hyperlasia

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin Soo; Kim, Young Jin; Choi, Eui Hwan; Kim, Jae Duk [Chosun University, Kwangju (Korea, Republic of)

    1995-08-15

    Condylar hyperplasia is a self-limiting condition characterized by a slowly progressing, enlargement of the mandible that results in facial asymmetry and a cross bite maloccusion. The facial asymmetry, open bite or cross bite, and radio graphic evidence of an enlarged condyle confirm the diagnosis of condylar hyperplasia. The etiology of the condition is unknown. This condition usually first becomes apparent during the second decade of life, when one condyle continues to grow while the other is no longer active. Radiographically, the condyle may appear enlarged or the neck of the condyle may be elongated or both may occur, sometimes, however, no raiographically demonstrable condylar abnormality will be noted. Surgical correction with subcondylar osteotomy is the treatment choice. We have observed two cases of condylar hyperplsia occurred in the left mandibular condyle of 24-year-old and 35-year- old women. We obtained that two cases were shown the followed results; 1. Clinically, both cases was unilaterally developed on C/C area, with temporomandibular disorders and pain, facial asymmetry and malcclusion. 2. Radiographically, hyperplastic mass confined to the condyle. 3. Histopathologically, these cases shown increased hypertrophic region in parts, and lamellated bone wit h irregular trabeculae.

  10. Genetics Home Reference: auriculo-condylar syndrome

    Science.gov (United States)

    ... Topic: Jaw Injuries and Disorders Health Topic: Temporomandibular Joint Dysfunction Genetic and Rare Diseases Information Center (1 link) ... Association of Oral and Maxillofacial Surgeons: The Temporomandibular Joint Disease InfoSearch: Dysgnathia Complex MalaCards: auriculo-condylar syndrome Merck ...

  11. Usefulness of the retromandibular transparotid approach for condylar neck and condylar base fractures.

    Science.gov (United States)

    Kim, Bae-Kyung; Kwon, Yong-Dae; Ohe, Joo Young; Choi, Yong-Ha; Choi, Byung-Joon

    2012-05-01

    Condyle fractures represent 20% to 30% of all mandibular fractures and are thus among the most common facial fractures. The fracture pattern can vary greatly and may occur anywhere along the line from the sigmoid notch to the mandibular angle. The main problems are access, difficulty in repositioning the extremely slender fragments, and fixation of the condyle.Eighty-seven patients were diagnosed with condylar neck or condylar base fractures from January 2007 to December 2009 in the Department of Oral & Maxillofacial Surgery of Kyung Hee University Dental Hospital. In this study, we included 35 patients who underwent open surgery and a total of 28 patients who were treated using a retromandibular transparotid approach.Surgical treatment aims were anatomic repositioning and rigid fixation of the fragments, occlusal stability, rapidly return to function, maintenance of vertical ramus dimension, no airway compromise, and reduced long-term temporomandibular joint dysfunction. Considering the high rate of occurrence of condylar fracture and the importance of the condylar as a growth center of the mandible, extraoral approaches for the open reduction of condylar fractures are considered effective and can be used widely.Short access route, easy reduction, short operating time, and stable postoperative occlusion are the advantages of the retromandibular transparotid approach. Also, there was no permanent damage from facial nerve injury, salivary leakage, or preauricular hypoesthesia. Therefore, the retromandibular transparotid approach is considered a safe and effective method for patients with a condylar neck or condylar base fracture classified according to the Strasbourg Osteosynthesis Research Group's classification, who require surgical treatment with an extraoral approach.

  12. Transparotid approach for mandibular condylar neck and subcondylar fractures

    OpenAIRE

    Croce, A; Moretti, A.; Vitullo, F.; CASTRIOTTA, A.; M. Rosa; Citraro, L

    2010-01-01

    SUMMARY Mandibular condylar neck fractures and subcondylar fractures represent, respectively, 19-29% and 62-70% of all mandibular fractures; treatment involves some problems, common to both, concerning the choice of an adequate approach. Herewith, personal experience is reported related to the surgical treatment of some cases of mandibular condylar neck and subcondylar fractures by transparotid approaches with partial parotidectomy, removing the salivary tissue overlying the condylar neck and...

  13. Change in condylar position in posterior bending osteotomy minimizing condylar torque in BSSRO for facial asymmetry.

    Science.gov (United States)

    Yang, Hoon Joo; Hwang, Soon Jung

    2014-06-01

    During the correction of an asymmetric mandible with sagittal split ramus osteotomy (SSRO), bony interference between the proximal and distal segments inevitably occurs. This results in positional change of the condyle. In order to avoid this, a posterior bending osteotomy (PBO) has been introduced. This is an additional vertical osteotomy posterior to the second molar after SSRO. To investigate the change in condylar position after SSRO with PBO, 22 patients with facial asymmetry were enrolled and divided into two groups based on the surgical method used to remove the bony interference after SSRO: PBO (n = 13) and the grinding method (n = 9). Each group was subdivided into large and small bony interference groups by estimating the volume of bony interference with simulation surgery. Condylar displacement was evaluated by three-dimensional superimposition and the amount of condylar displacement was calculated. The positional changes of the condyles were variable in each patient. When comparing patients with large bony interference in the PBO and grinding groups, the condyles were significantly inwardly rotated in the grinding group (p condylar torque. However, PBO would be beneficial in correcting large bony interferences while minimizing condylar torque.

  14. Bone splint technique and plating application in adolescent high-energy comminuted fracture of distal femur with bone defects

    Institute of Scientific and Technical Information of China (English)

    LIU Hui; DING Zhen-qi; ZHAI Wen-liang; KANG Liang-qi; YAO Xiao-tao

    2008-01-01

    @@ Comminuted fracture of distal femur is a common lower limb injury from traffic accidents, especially from motor accidents. Routine dynamic condylar screw ( DCS ) or 95-degree condylar plate ( CP ) sometimes cannot solve the bone defect in the center of alignment and contralateral diaphysis for the reason of absent screw anchor point, especially for AO C2. 2-2. 3 types.

  15. Unilateral condylar hyperplasia: a treatment strategy.

    Science.gov (United States)

    Ferreira, Sabrina; da Silva Fabris, André Luis; Ferreira, Gabriel Ramalho; Faverani, Leonardo Perez; Francisconi, Giovanna Barbosa; Souza, Francisley Avila; Garcia, Idelmo Rangel

    2014-05-01

    Condylar hyperplasia (CH) is a pathologic condition that causes overdevelopment of the condylar head and neck as well as the mandible. Slowly progressive unilateral enlargement of the head and the neck of the condyle causes crossbite malocclusion, facial asymmetry, and shifting of the midpoint of the chin to the unaffected side. The etiology and the pathogenesis of CH remain uncertain. The diagnosis is made by clinical and radiologic examinations and bone scintigraph. A difference in uptake of 10% or more between condyles is regarded as indicative of CH, and the affected condyles had a relative uptake of 55% or more. When the diagnosis of active CH is established, the treatment consists of removal of the growth center by a partial condylectomy. The authors present the case of a 46-year-old male patient with right active type II CH or hemimandibular hyperplasia who underwent a high condylectomy.

  16. Condylar Aplasia and Hypoplasia: A Rare Case

    Directory of Open Access Journals (Sweden)

    Peeyush Shivhare

    2013-01-01

    Full Text Available Aplasia of condyle is very rare, when this condition not seen as a part of a syndrome. We report a case of condylar aplasia on the right side and hypoplasia on the left side in a 21-year-old female. The patient reported to the department with a chief complaint of underdeveloped lower jaw. Clinical examination, conventional radiographs, and 3D CBCT images revealed complete absence of condyle on the right side and hypoplasia on the left side.

  17. Fetal jaw movement affects condylar cartilage development.

    Science.gov (United States)

    Habib, H; Hatta, T; Udagawa, J; Zhang, L; Yoshimura, Y; Otani, H

    2005-05-01

    Using a mouse exo utero system to examine the effects of fetal jaw movement on the development of condylar cartilage, we assessed the effects of restraint of the animals' mouths from opening, by suture, at embryonic day (E)15.5. We hypothesized that pre-natal jaw movement is an important mechanical factor in endochondral bone formation of the mandibular condyle. Condylar cartilage was reduced in size, and the bone-cartilage margin was ill-defined in the sutured group at E18.5. Volume, total number of cells, and number of 5-bromo-2'-deoxyuridine-positive cells in the mesenchymal zone were lower in the sutured group than in the non-sutured group at E16.5 and E18.5. Hypertrophic chondrocytes were larger, whereas fewer apoptotic chondrocytes and osteoclasts were observed in the hypertrophic zone in the sutured group at E18.5. Analysis of our data revealed that restricted fetal TMJ movement influences the process of endochondral bone formation of condylar cartilage.

  18. The Minimally Invasive Plate Osteosynthesis (MIPO Technique with a Locking Compression Plate for Femoral Lengthening

    Directory of Open Access Journals (Sweden)

    Tetsunaga,Tomonori

    2008-10-01

    Full Text Available A minimally invasive plate osteosynthesis technique using a locking compression plate (LCP has been used widely in trauma cases. Its advantages are that the MIPO technique does not interfere with the fracture site and thus provides improved biological healing, and that the LCP has excellent angular stability. Its use in bone lengthening, however, has not been established. In such cases, it is desirable to shorten the external skeletal fixation period as much as possible. Here, the MIPO technique using an LCP was applied to femoral distraction osteogenesis in an attempt to shorten the external skeletal fixation period. For femoral lengthening, the MIPO technique was performed in 2 stages. Orthofix external fixators (Orthofix, England were used to insert screws from the anterolateral side rather than from the lateral side of the femur for bone lengthening. When sufficient callus formation was detected postoperatively at the site of bone lengthening, and the absence of infection was ensured, limb draping was performed, including a whole external fixator, and then the MIPO technique was applied with an LCP. In 3 cases (5 limbs, the average duration of external skeletal fixation was 134days, the average external-fixation index was 24days/cm, and the average consolidation index was 22days/cm. The MIPO technique using an LCP made it possible to shorten the external skeletal fixation-wearing period in femoral lengthening.

  19. Computational modelling of long bone fractures fixed with locking plates - How can the risk of implant failure be reduced?

    LENUS (Irish Health Repository)

    Nassiri, M

    2013-03-01

    The Locking Compression Plate (LCP) is part of a new plate generation requiring an adapted surgical technique and new thinking about commonly used concepts of internal fixation using plates. Knowledge of the fixation stability provided by these new plates is very limited and clarification is still necessary to determine how the mechanical stability and the risk of implant failure can best be controlled.

  20. Ortho-surgical management of condylar hyperplasia: Rare case reports.

    Science.gov (United States)

    Singh, Virendra; Verma, Ajay; Attresh, Gyanander; Batra, Jitender

    2014-01-01

    Condylar hyperplasia of the mandible is a clinical condition of over-development and growth because of excessive cellular growth of one condylar part of the mandible leading to facial asymmetry, mandibular deviation and enlargement of condyle. The elongation of the condylar neck in turn leads to malocclusion and articular dysfunction. In the past the interceptive and corrective procedures of growth and deformity in condylar hyperplasia were either condylectomy or high condylotomy. However, the deformity ceases after growth is completed. Therefore, other surgical procedures have to be undertaken to correct the manifested deformity of condylar hyperplasia. Further it has to be stressed that no single procedure can completely correct the deformity. So in addition to condylectomy, other orthognathic surgical procedures both on body and ramus and also on maxilla can be undertaken to correct the canting of occlusion. Two rare cases of unilateral hyperplasia encountered in our hospital are presented which required different lines of treatment.

  1. [Condylar fracture and temporomandibular joint ankylosis].

    Science.gov (United States)

    Zhang, Yi

    2016-03-01

    This article summarized the advances in treatment and research of temporomandibular joint surgery in the last 5 years which was presented in "The 2nd Condyle Fracture and Temporomandibular Joint Ankylosis Symposium". The content includes 5 parts: non-surgical treatment of children condyle fracture and long-term follow-up, the improvement of operative approach for condyle fracture and key techniques, the importance and the method for the simultanesous reduction of disc in condylar fracture treatment, the development of traumatic temporomandibular joint ankylosis similar to hypertrophic non-union and the improved safety and accuracy by applying digital surgery in joint surgery.

  2. COMPARATIVE STUDY OF FOREARM FRACTURES TREATED WITH LOCKING COMPRESSION PLATE LIMITED CONTACT DYNAMIC COMPRESSION PLATE

    Directory of Open Access Journals (Sweden)

    Jayachandra Reddy

    2015-02-01

    Full Text Available OBJECTIVES: This study has been carried out to compare the functional outcome of fracture fixation in diaphyseal forearm fractures by using Locking Compression Plate versus Limited contact dynamic compression Plate. To study the difference in the duration of union & complications with LCP & LC - DCP. METHODOLOGY: It is a prospective randomised comparative study which was carried out from December 2012 to December 2014 in our In stitution. In Group I, 20 patients were subjected to open reduction and internal fixation with 3.5 mm stainless steel LCP and locking head/nonlocking screws. In Group II, 20 patients were managed by 3.5mm LCDCP and non - locking screws. Clinical assessments regarding pain and function, radiological assessments were undertaken at the final follow - up. RESULTS - The time required for LCP fixation (mean 93.5 min, range 75 - 120 min was found to be more than that required for LC - DCP (mean 81.94 min, range 60 - 110 mi n. But this time difference was not significant (P=0.07, unpaired t test. The mean time of union for the forearm fixed with LCP was found to be 18 weeks (range 14 - 26 weeks in comparison to 16 weeks (range 10 - 22 weeks for the LC - DCP group. CONCLUSION - LC plating is an effective treatment option for fractures shaft of forearm. The present study could not prove the superiority of LCP over LC - DCP. It is the proper application of the principles of plating and not the type of plate which decides the outco me. Further long - term multicentric study is required to prove behaviors of the implant.

  3. Comparison of filters: Inkjet printed on PEN substrate versus a laser-etched on LCP substrate

    KAUST Repository

    Arabi, Eyad A.

    2014-10-01

    In this paper, microstrip-based bandpass filters on polyethylene naphthalate (PEN) and liquid crystal polymers (LCP) are presented to investigate the performance of filters on ultra-thin substrates. PEN (with a thickness of 120 μm) has been characterized and used for a filter for the first time. In addition to being low cost and transparent, it demonstrates comparable RF performance to LCP. The conductor losses are compared by fabricating filters with inkjet printed lines as well as laser etched copper clad LCP sheets. With 5 layers of inkjet printing, and a curing temperature below 200°C, a final silver thickness of 2 μm and conductivity of 9.6 × 106 S/m are achieved. The designs are investigated at two frequencies, 24 GHz as well as 5 GHz to assess their performance at high and low frequencies respectively. The 24 GHz inkjet printed filter shows an insertion loss of 2 dB, while the 5 GHz design gives an insertion loss of 8 dB. We find that thin substrates have a strong effect on the insertion loss of filters especially as the frequency is reduced. The same design, realized on LCP (thickness of 100 μm) through laser etching, demonstrates a very similar performance, thus verifying this finding. © 2014 European Microwave Association.

  4. Relationship of condylar position to disc position and morphology

    Energy Technology Data Exchange (ETDEWEB)

    Incesu, L.; Taskaya-Yilmaz, N. E-mail: nergizy@omu.edu.tr; Oeguetcen-Toller, M.; Uzun, E

    2004-09-01

    Introduction/objective: The purpose of this study was to assess whether condylar position, as depicted by magnetic resonance imaging, was an indicator of disc morphology and position. Methods and material: One hundred and twenty two TMJs of 61 patients with temporomandibular joint disorder were examined. Condylar position, disc deformity and degree of anterior disc displacement were evaluated by using magnetic resonance imaging. Results and discussion: Posterior condyle position was found to be the main feature of temporomandibular joints with slight and moderate anterior disc displacement. No statistical significance was found between the condylar position, and reducing and nonreducing disc positions. On the other hand, superior disc position was found to be statistically significant for centric condylar position. Conclusion: It was concluded that posterior condyle position could indicate anterior disc displacement whereas there was no relation between the position of condyle and the disc deformity.

  5. Condylar resorption in orthognathic surgery. The role of intermaxillary fixation.

    Science.gov (United States)

    Bouwman, J P; Kerstens, H C; Tuinzing, D B

    1994-08-01

    Condylar resorption that occurs after orthognathic surgery was investigated in a large sample of patients treated in the Department of Oral and Maxillofacial Surgery of the Free University in Amsterdam, the Netherlands. The findings correspond with previous publications on this subject. In a 1-year follow-up study the role of intermaxillary fixation was investigated radiologically. In a group of 158 patients prone to show occurrence of condylar resorption, 24 (26.4%) of the 91 patients treated with intermaxillary fixation showed signs of condylar resorption. In the group of 67 patients treated without intermaxillary fixation only eight (11.9%) of the patients showed signs of reduced volume of the condyle. Avoidance of intermaxillary fixation seems to reduce the incidence of condylar resorption after orthognathic surgery in patients with a mandibular deficiency with high mandibular plane angle.

  6. Treatment of displaced mandibular condylar fracture with botulinum toxin A.

    Science.gov (United States)

    Akbay, Ercan; Cevik, Cengiz; Damlar, Ibrahim; Altan, Ahmet

    2014-04-01

    The aim of this case report is to discuss the effect on condylar reduction of botulinum toxin A treatment used in a child with displaced fracture at condylar neck of mandible. A 3-years old boy was admitted to our clinic for incomplete fracture of mandibular symphysis and displaced condylar fracture at the left side. An asymmetrical occlusal splint with intermaxillary fixation was used instead of open reduction and internal fixation because of incomplete fracture of symphysis and possible complications of condyle surgery. However, it was observed that condylar angulation persisted despite this procedure. Thus, botulinum toxin A was administered to masseter, temporalis and pterygoideus medialis muscles. At the end of first month, it was seen that mandibular condyle was almost completely recovered and that fusion was achieved. In conclusion, Botulinum A toxin injection aiming the suppression of masticatory muscle strength facilitates the reduction in the conservative management of displaced condyle in pediatric patients.

  7. Unilateral condylar hyperplasia: A case report and review of literature

    OpenAIRE

    Bharathi, Saravana C.; Senthilnathan, S.; Kumar, Lokesh D.; Mohan, Anand C. S.; Taranath, M.

    2014-01-01

    Condylar hyperplasia is (CH) an uncommon malformation of the mandible involving change in size and morphology of the condylar neck and head. CH is an anomaly that usually occurs unilaterally and equally affects in both men and women. Hyperplasia of the condyle ‘differentiated into hemimandibular hyperplasia, hemimandibular elongation and CH. Here, we are presenting a case of 17-year-old male patient with unilateral CH and its review of the literature.

  8. Unilateral condylar hyperplasia: A case report and review of literature.

    Science.gov (United States)

    Bharathi, Saravana C; Senthilnathan, S; Kumar, Lokesh D; Mohan, Anand C S; Taranath, M

    2014-01-01

    Condylar hyperplasia is (CH) an uncommon malformation of the mandible involving change in size and morphology of the condylar neck and head. CH is an anomaly that usually occurs unilaterally and equally affects in both men and women. Hyperplasia of the condyle 'differentiated into hemimandibular hyperplasia, hemimandibular elongation and CH. Here, we are presenting a case of 17-year-old male patient with unilateral CH and its review of the literature.

  9. EFFECTIVENESS OF LOCKING VERSUS DYNAMIC COMPRESSION PLATES FOR DIAPHYSEAL HUMERUS FRACTURES

    Directory of Open Access Journals (Sweden)

    Penugonda Ravi Shankar

    2015-02-01

    Full Text Available The aim of this study was to compare the effectiveness of locking compression plate (LCP over dynamic compression plate (DCP in the management of diaphyseal fractures of the humerus. 38 patients with diaphyseal fracture of the shaft of the humerus were randomized prospectively and treated by open reduction and internal fixation with LCP or DCP. 11 patients underwent internal fixation by LCP and 27 by DCP. Fixation was done through an anterolateral or posterior approach. The outcome was assessed in terms of the union time, union rate, functional outcome, ROM and the incidence of complications. Functional outcome was assessed using the Romen’s et al series grading system . On comparing the results by tests of significance like Chi - sqare test, there was no significant difference in Romen’s et al scores between the two groups ( P >0.05. Though the average union time and recovery of ROM was found to be better for LCP as compared to DCP, it is not statistically significant. Complications such as infection were found to be higher with DCP as compared to LCP. This study proves that LCP can be considered a better surgical option for the management of diaphyseal fractures of the humerus as it offers a short union time and lower incidence of serious complications like infection. However, there appears to be no difference between the two groups in terms of the rate of union and functional outcome

  10. Comparison of the efficacy of double locking plate and Y plate in the treatment of type C inter-condylar humeral fracture%双锁定钢板与Y型钢板治疗C型肱骨髁间骨折的疗效对比

    Institute of Scientific and Technical Information of China (English)

    汪文录; 王春喜

    2016-01-01

    目的:比较双锁定钢板与 Y 型钢板内固定治疗 C 型肱骨髁间骨折的临床效果。方法选择2011年12月至2014年10月 C 型肱骨髁间骨折患者32例,随机分为观察组(双锁定钢板组)和对照组(Y 型钢板组),每组16例,观察组患者给予双锁定钢板内固定治疗,对照组患者给予 Y 型钢板内固定治疗,比较两组患者的手术时间、术中出血量、住院时间及肘关节功能。结果两组患者手术时间、术中出血量、住院时间比较差异均未见统计学意义(P ﹥0.05);观察组患者肘关节功能恢复优10例,良4例,可1例,差1例,优良率为87.50%;对照组患者肘关节功能恢复优7例,良4例,可3例,差2例,优良率为68.75%;观察组患者肘关节功能恢复优良率高于对照组(P ﹤0.05)。结论双锁定钢板治疗 C 型肱骨髁间骨折可提供坚强的内固定,有利于患者术后肘关节功能恢复,减少并发症。%Objective To compare the clinical effect of double locking plate and Y plate internal fixation in treatment of type C intercondylar humeral fractures. Methods From November 2011 to Octo-ber 2014,the 32 cases of type C intercondylar humeral fractures were randomly divided into two groups, the observation group(double locking plate group)and the control group(Y plate group),with 16 cases in each group. The observation group was treated by double locking plate internal fixation,and the control group was treated by Y plate internal fixation. The operation time,bleeding volume and hospitalization time and elbow joint function were compared between the two groups. Results By follow-up of 12 -24 months(mean,15. 6 months)for 32 cases,there was no significant difference in operation time, bleeding volume and hospitalization time between the two groups(P ﹥ 0. 05). In the observation group, the function of elbow joint was excellent in 10 cases,good in 4 cases,fair in 1 case,poor in 1 case

  11. Effect of MWNTs and SiC-Coated MWNTs on Properties of PEEK/LCP Blend

    Directory of Open Access Journals (Sweden)

    Ganesh Chandra Nayak

    2009-01-01

    Full Text Available Multiwall carbon nanotubes (MWNTs were modified with polycarbosilane-derived silicon carbide (SiC to improve its dispersion in the polymer matrix. PEEK/LCP/MWNTs nanocomposites were prepared by melt blending. TEM images show the improved dispersion of SiC-coated MWNTs against agglomerated structure of pure MWNTs in the blend. FESEM images shows better fibrillation of LCP in presence of SiC-coated MWNTs. TGA reveals that nanocomposites with SiC-coated MWNTs shows higher thermal stability than MWNTs filled blend system. Based on enhanced dispersion, storage modulus, tensile modulus and tensile strength were increased drastically with the incorporation of SiC-coated MWNTs. Glass transition temperature of the nanocomposites shows significant improvement with the incorporation of MWNTs.

  12. A p-adaptive LCP formulation for the compressible Navier-Stokes equations

    Science.gov (United States)

    Cagnone, J. S.; Vermeire, B. C.; Nadarajah, S.

    2013-01-01

    This paper presents a polynomial-adaptive lifting collocation penalty (LCP) formulation for the compressible Navier-Stokes equations. The LCP formulation is a high-order nodal scheme in differential form. This format, although computationally efficient, complicates the treatment of non-uniform polynomial approximations. In Cagnone and Nadarajah (2012) [9], we proposed to circumvent this difficulty by employing specially designed elements inserted at the interface where the interpolation degree varies. In the present study we examine the applicability of this approach to the discretization of the Navier-Stokes equations, with focus put on the treatment of the viscous fluxes. The stability of the scheme is analyzed with the scalar diffusion equation and the merits of the approach are demonstrated with various p-adaptive simulations.

  13. Comparison of limited-contact dynamic compression plate and locking compression plate constructs for proximal interphalangeal joint arthrodesis in the horse

    OpenAIRE

    Rocconi, Richard A.; Carmalt, James L.; Sampson, Sarah N.; Elder, Steve H.; Gilbert, Eric E.

    2015-01-01

    This study compared in vitro monotonic and cyclic mechanical properties of equine proximal interphalangeal joint arthrodeses stabilized using an open or closed technique combined with axial 4.5 mm narrow limited-contact dynamic compression plate (LC-DCP) or 4.5 mm narrow locking compression plate (LCP). Ten forelimb pairs were randomly assigned to LCP or LC-DCP groups. One limb in each pair was assigned to either open or closed technique. Limbs were tested for cyclic fatigue at 20 000 cycles ...

  14. The Comprehensive AOCMF Classification System: Condylar Process Fractures - Level 3 Tutorial

    OpenAIRE

    Neff, Andreas; Cornelius, Carl-Peter; Rasse, Michael; Torre, Daniel Dalla; Audigé, Laurent

    2014-01-01

    This tutorial outlines the detailed system for fractures of the condylar process at the precision level 3 and is organized in a sequence of sections dealing with the description of the classification system within topographical subdivisions along with rules for fracture coding and a series of case examples with clinical imaging. Basically, the condylar process comprises three fracture levels and is subdivided into the head region, the condylar neck, and the condylar base. Fractures of the con...

  15. Long-term results of nonsurgical management of condylar fractures in children

    NARCIS (Netherlands)

    Hovinga, J; Boering, G; Stegenga, B

    1999-01-01

    Twenty-five patients with 28 condylar or subcondylar fractures, sustained during their growth period and treated nonsurgically, have been followed for an average period of 15 years. The fractures were classified as intracapsular, high condylar neck and low condylar neck fractures, In 5 patients, two

  16. Bilateral Mandibular Condylar Fractures with Associated External Auditory Canal Fractures and Otorrhagia

    OpenAIRE

    Dang, David

    2016-01-01

    A rare case of bilateral mandibular condylar fractures associated with bilateral external auditory canal fractures and otorrhagia is reported. The more severe external auditory canal fracture was present on the side of high condylar fracture, and the less severe external auditory canal fracture was ipsilateral to the condylar neck fracture. A mechanism of injury is proposed to account for such findings.

  17. Bilateral Mandibular Condylar Fractures with Associated External Auditory Canal Fractures and Otorrhagia.

    Science.gov (United States)

    Dang, David

    2007-01-01

    A rare case of bilateral mandibular condylar fractures associated with bilateral external auditory canal fractures and otorrhagia is reported. The more severe external auditory canal fracture was present on the side of high condylar fracture, and the less severe external auditory canal fracture was ipsilateral to the condylar neck fracture. A mechanism of injury is proposed to account for such findings.

  18. Transparotid Approach fro Surgical Treatment of Condylar Neck Fractures and Condylar Base Fractures%穿腮腺入路治疗髁颈及髁突基底部骨折

    Institute of Scientific and Technical Information of China (English)

    郭家平; 李志进; 董青山; 王翔; 孙传孔; 侯君; 唐建军

    2011-01-01

    目的:探讨穿腮腺入路治疗髁颈及髁突基底部的安全性及有效性.方法:对15例(21侧)髁颈及髁突基底部骨折患者选择穿腮腺入路切开复位内固定术.结果:15例患者,21例侧髁突骨折行手术治疗.19例侧髁突骨折选择2块接骨板固定,2例侧选择1块接骨板固定.所有患者伤口均一期愈合,术后复查全口曲面断层片或三维CT示骨折断端对位良好.除1例患侧后牙暂时性轻度开(牙合)外,所有患者咬合关系恢复良好.术后1个月复查,张口度32~45 mm(平均38 mm).3例侧出现面神经损伤症状,术后3个月内均恢复正常,无1例出现永久性面瘫.所有患者均未出现涎瘘、感染等并发症.结论:相对于髁突骨折的颌后及颌下入路,穿腮腺入路行髁突骨折切开复位内固定术,容易暴露,可直视下完成骨折复位固定,是治疗髁颈和髁突基底部骨折安全有效的手术入路.%Objective: To discuss the safety and efficiency of surgical treatment for condylar neck fractures and con-dylar base fractures using a transparotid approach. Methods: A clinical study was conducted on 15 patients with 21 fractures of the condylar neck and condylar base. The fractures were treated surgically with a transparotid approach using plates and screws for internal fixation. Results: Fifteen patients with 21 condylar fractures were treated. Nineteen fractures were fixed with two plates and two fractures were fixed with one plate. Primary healing occurred in all 15 patients. Postoperative X-ray or CT images showed anatomical reduction. Except for a slight degree of transient postoperative open bite on the injured side in one case, all cases achieved perfect occlusion after operation. Postoperative maximal mouth opening was 32 - 45mm (mean 38mm). Three cases had transient facial palsy and all recovered in 3 months. No patients had permanent facial palsy. Postoperative salivary fistulae and infection were not observed in any patient

  19. Concomitant Suppurative Parotitis and Condylar Osteomyelitis.

    Science.gov (United States)

    Vorrasi, John; Zinberg, Geoffrey

    2017-03-01

    Parotitis is a common occurrence in the immunocompromised, dehydrated, and malnourished patient as a result of dysfunctional ductal and parotid cells. Inflammation can be acute or chronic based on clinical history, and it can be suppurative based on the presence of micro or macro abscess formation within the substance of the gland. This report presents a case of concomitant condylar osteomyelitis and chronic suppurative parotitis in the setting of previous methicillin-susceptible Staphylococcus aureus foot infection. Ultimately, resection of osteomyelitis, drainage of parotid infection, and intravenous antibiotic therapy led to full resolution of the infection and symptoms. The final pathology of osteomyelitis of the temporomandibular joint and methicillin-resistant S aureus infection is an unusual consequence of chronic parotitis. The patient was restored with a total joint replacement approximately 3 months after resection with no recurrence of infection after 24 months. Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  20. [Fracture of the glenoid fossa without mandibular condylar dislocation or fracture: two case reports].

    Science.gov (United States)

    Şahan, Murat; Derin, Serhan; Beydilli, Halil; Çullu, Neşet

    2014-01-01

    The mandibular condyle region which protects the middle cranial fossa from facial and jaw traumas has an excellent osteomuscular structure. Condylar structures reduce or limit the force of trauma. Most importantly, the condylar neck is the weakest part of the mandible and is easily fractured without dislocation. Generally, this mechanism prevents condylar penetration into the middle cranial fossa; however, there are condylar penetration into the middle cranial fossa can be rarely. Glenoid fossa fractures without mandibular condylar fracture and dislocation can be made. In this article, we present two cases to assess the isolated glenoid fossa fractures of the temporal bone.

  1. Effects of mechanical stimuli on adaptive remodeling of condylar cartilage.

    Science.gov (United States)

    Sriram, D; Jones, A; Alatli-Burt, I; Darendeliler, M A

    2009-05-01

    Trabecular bone has been shown to be responsive to low-magnitude, high-frequency mechanical stimuli. This study aimed to assess the effects of these stimuli on condylar cartilage and its endochondral bone. Forty female 12-week-old C3H mice were divided into 3 groups: baseline control (killed at day 0), sham (killed at day 28 without exposure to mechanical stimuli), and experimental (killed following 28 days of exposure to mechanical stimuli). The experimental group was subjected to mechanical vibration of 30 Hz, for 20 minutes per day, 5 days per week, for 28 days. The specimens were analyzed by micro-computed tomography. The experimental group demonstrated a significant decrease in the volume of condylar cartilage and also a significant increase in bone histomorphometric parameters. The results suggest that the low-magnitude, high-frequency mechanical stimuli enhance adaptive remodeling of condylar cartilage, evidenced by the advent of endochondral bone replacing the hypertrophic cartilage.

  2. Temporomandibular Joint Idiopathic Condylar Resorptions – A CBCT based case-control study

    DEFF Research Database (Denmark)

    Kristensen, Kasper Dahl; Schmidt, Bjarke Hjalting; Stoustrup, Peter Bangsgaard

    Aim: To describe condylar deformation in the temporomandibular joint (TMJ) in subjects with idiopathic condylar resorptions (ICR) and compare these changes to a healthy control group. Materials and method: CBCT scans were analyzed using anatomical points on the skull to create a reference line....... Subsequently, anatomical structures were identified on the mandible to measure the condylar axial angle, the condylar neck angle as well as the condylar width, length, and height in 25 patients with ICR and 25 controls (50 joints in each group). Secondly, cross sections of the TMJs were evaluated for deformity...... %), cavitation defect (22 %), and flattering (22 %). In the control group condylar flattening was seen in 2 %. More than 70 % of the joints with deformity changes evaluated in the sagittal and the coronal plane respectively showed deformity changes along the entire condylar surface. Conclusion: The results...

  3. Liquid Crystal Polymer (LCP) based antenna for flexible system on package (SoP) applications

    KAUST Repository

    Marnat, Loic

    2012-06-01

    The design, fabrication and measurement of a bowtie antenna on a flexible Liquid Crystal Polymer (LCP) substrate is reported in this paper. The antenna is fed by a balun transition which helps improve the gain up to 5.1 dB. The antenna performance is analyzed for both planar and curved substrates. The comparison between simulation and measurements shows a good agreement. This structure can either be used to sense the bending of the substrate or use the bending to tilt the beam. © 2012 IEEE.

  4. Biomechanical Property of a Newly Designed Assembly Locking Compression Plate: Three-Dimensional Finite Element Analysis

    Directory of Open Access Journals (Sweden)

    Jiang-Jun Zhou

    2017-01-01

    Full Text Available In this study, we developed and validated a refined three-dimensional finite element model of middle femoral comminuted fracture to compare the biomechanical stability after two kinds of plate fixation: a newly designed assembly locking compression plate (NALCP and a locking compression plate (LCP. CT data of a male volunteer was converted to middle femoral comminuted fracture finite element analysis model. The fracture was fixated by NALCP and LCP. Stress distributions were observed. Under slow walking load and torsion load, the stress distribution tendency of the two plates was roughly uniform. The anterolateral femur was the tension stress area, and the bone block shifted toward the anterolateral femur. Maximum stress was found on the lateral border of the number 5 countersink of the plate. Under a slow walking load, the NALCP maximum stress was 2.160e+03 MPa and the LCP was 8.561e+02 MPa. Under torsion load, the NALCP maximum stress was 2.260e+03 MPa and the LCP was 6.813e+02 MPa. Based on those results of finite element analysis, the NALCP can provide adequate mechanical stability for comminuted fractures, which would help fixate the bone block and promote bone healing.

  5. CBCT versus MSCT-Based Models on Assessing Condylar Morphology

    Science.gov (United States)

    Gomes, Liliane Rosas; Gomes, Marcelo Regis; Gonçalves, João Roberto; Ruellas, Antônio Carlos O.; Wolford, Larry M.; Paniagua, Beatriz; Benavides, Erika; Cevidanes, Lúcia Helena Soares

    2015-01-01

    Objective To quantitatively compare condylar morphology using CBCT and MSCT virtual 3D surface models. Study Design The sample consisted of secondary data analysis of CBCT and MSCT scans obtained for clinical purposes from 74 patients treated with condylar resection and prosthetic joint replacement. 3D surface models of 146 condyles were constructed from each scan modality. Across-subject models were approximated and voxel-based registration was performed between homologous CBCT and MSCT images, making it possible to create an average CBCT and MSCT-based condylar models. SPHARM-PDM provided matching points on each correspondent model. ShapeAnalysisMANCOVA assessed statistical significant differences between observers and imaging modalities. One-sample t-test evaluated the null hypothesis that the mean differences between each CBCT and MSCT-based model were not clinically significant (0.68). During pairwise comparison, the mean difference observed was 0.406mm, SD 0.173. One sample t-test showed that mean differences between each paired CBCT and MSCT-based models were not clinically significant (P=0.411). Conclusion 3D surface models constructed from CBCT images are comparable to those derived from MSCT scans and may be considered reliable tools for assessing condylar morphology. PMID:26679363

  6. Growth regulation of mandibular condylar cartilage in-vitro.

    NARCIS (Netherlands)

    Copray, Joseph Christofoor Vincentius Maria

    1984-01-01

    The significance of the mandibular condylar cartilage in the development of the orofacial complex, and particulary in the growth of the mandible has led to a considarable number of studies regarding its growth regulation. Especially clinicians concerned with craniofacial growth and development and t

  7. High condylectomy for the treatment of mandibular condylar hyperplasia

    DEFF Research Database (Denmark)

    Ghawsi, Sodaba; Aagaard, Esben; Thygesen, Torben Henrik

    2016-01-01

    Mandibular condylar hyperplasia (MCH) is a rare, idiopathic disorder, which can cause both functional and aesthetic problems. MCH has often been described in the literature, but a comprehensive analysis of the current literature on MCH has not been undertaken. This study presents a systematic rev...

  8. Arthroscopic Treatment of Medial Femoral Condylar Coronal Fractures and Nonunions

    Science.gov (United States)

    Ercin, Ersin; Bilgili, M. Gokhan; Basaran, S. Hakan; Baca, Emre; Kural, Cemal; Avkan, M. Cevdet

    2013-01-01

    Nonunion of medial femoral condylar coronal fractures are uncommon. In neglected Hoffa fractures despite nonunion, there is a risk of missing accompanying ligamentous and intra-articular injuries. Neither preoperative clinical examination nor magnetic resonance imaging showed these injuries before arthroscopy. Arthroscopy before internal fixation gives additional information and changes the surgical protocol for these fractures and nonunions. PMID:24400191

  9. Subclassification of fractures of the condylar process of the mandible

    NARCIS (Netherlands)

    Loukota, RA; Eckelt, U; De Bont, L; Rasse, M

    We present the definitions of various types of fracture of the condylar process, which have been adopted for the Strasbourg Osteosynthesis Research Group (SORG), in their Pan-European prospective randomised controlled trial into the management of such fractures. We think that this will assist people

  10. Association between 3-dimensional mandibular morphology and condylar movement in subjects with mandibular asymmetry.

    Science.gov (United States)

    Ikeda, Michiyo; Miyamoto, Jun J; Takada, Jun-Ichi; Moriyama, Keiji

    2017-02-01

    The purpose of this study was to evaluate the hypothesis that 3-dimensional mandibular morphology is correlated with condylar movement in patients with mandibular asymmetry. Subjects were classified into 2 groups (n = 25 each): mandibular asymmetry with a menton deviation greater than 4 mm and no mandibular asymmetry with a menton deviation less than 4 mm. Linear and volumetric measurements of 3-dimensional mandibular morphology were recorded using computed tomography. Mandibular functional movement was recorded by computerized axiography (CADIAX; Gamma Dental, Klosterneuburg, Austria), and condylar path length, sagittal condylar inclination, and transverse condylar inclination on protrusion were measured. We calculated side-to-side asymmetry (shifted side vs nonshifted side) in mandibular morphology and assessed condylar movement by using an asymmetry ratio (nonshifted side/shifted side). Significant differences in mandibular morphology and condylar movement were found between the 2 groups. In the group with menton deviation greater than 4 mm, significant correlations were found between the asymmetry ratio of mandibular morphology and condylar movement: ie, condylar path length and transverse condylar inclination. No significant correlations were found between any of these measurements in the group with menton deviation less than 4 mm. In support of our hypothesis, the results suggested that 3-dimensional mandibular morphologic asymmetry is associated with condylar movement in subjects with mandibular asymmetry. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  11. Fabrication of a LCP-based conductivity cell and resistive temperature device via PCB MEMS technology

    Science.gov (United States)

    Broadbent, Heather A.; Ivanov, Stanislav Z.; Fries, David P.

    2007-04-01

    Printed circuit board microelectromechanical systems are a set of fabrication techniques that use traditional inexpensive printed circuit board processes to construct microsensors. These techniques keep gaining popularity and are utilized herein. The design, fabrication and construction of a miniature, low-cost conductivity cell and resistive temperature device transducers are presented. The transducers utilize a liquid crystal polymer (LCP), a thin-film material, which exhibits moisture resistant properties that makes it suitable for aquatic applications. Novel processing techniques that are reported here include the use of a direct-write photolithography tool eliminating the use of photomasks and chemical catalytic metallization of LCP material. The rapid fabrication of these devices and the repeatability of the fabrication are demonstrated by comparing the calibration of multiple devices. The sensors' sensitivities are found to be 1082.40 ± 144.18 mS cm-1 per siemens and 5.910 ± 0.765 °C per ohm for the conductivity and temperature transducers, respectively.

  12. [The relationship between temporomandibular joint disc displacement and condylar resorption and the comprehensive treatment protocol].

    Science.gov (United States)

    Yang, C

    2017-03-09

    Temporomandibular joint (TMJ) anterior disc displacement (ADD) is one of the most common TMJ disease. However, the treatment of ADD have been far from reaching a consensus. In this article, we focused on the following three aspects: ①The relationship between ADD and condylar resorption. ②Whether disc reposition can stop condylar resorption or even make condylar regeneration. ③Proposing a more reasonable treatment pattern, that is TMJ-jaw-occlusion comprehensive treatment protocol.

  13. Development and Clinical Evaluation of MatrixMANDIBLE Subcondylar Plates System (Synthes).

    Science.gov (United States)

    Cortelazzi, Roberto; Altacera, Mario; Turco, Monica; Antonicelli, Viviana; De Benedittis, Michele

    2015-06-01

    In this article, authors report the different steps of development and clinical validation of MatrixMANDIBLE Subcondylar Plates (Synthes, Soletta, Switzerland), a specialized osteosynthesis system developed by Synthes during the past 4 years. Between 2009 and 2013, a total of 62 patients were treated for subcondylar and condylar neck fractures via a preauricular or retromandibular/transparotid approach. The MatrixMANDIBLE Subcondylar Plates System consists of a Trapezoidal Plate, a three-dimensional (3D) 4-hole 1.0-mm plate for smaller fracture areas, the Lambda Plate, a 7-hole 1.0-mm linear plate which mimics the two miniplates technique, and the Strut Plate, a 3D 1.0-mm plate with great versatility of employment. All devices satisfy the principles of a functionally stable osteosynthesis as stated by Champy et al. None of the plates broke and no macroscopic condylar displacement was noted on radiological follow-up. Clinical and functional parameters assessed at 6 months postoperative (mandibular range of motion, pain, dental occlusion) were almost restored. MatrixMANDIBLE Subcondylar Plates System (Synthes) has proved to provide sufficient mechanical stiffness and anatomically accurate fracture reduction to avoid major postoperative drawbacks of subcondylar and condylar neck fractures.

  14. Users Manual for the Program LCP2 (Version 2.40)

    DEFF Research Database (Denmark)

    Gaunholt, Hans

    1996-01-01

    LCP2 (Linear Circuit Program) is developed as an analysis and optimization tool to be used in the design of passive, active and digital filters with arbitrary structures. By the aid of an optimization loop the program may be used to solve nonlinear design equations for active filter structures...... or to compensate designs for the application of nonideal circuit components such as transmission lines with losses and nonideal operational amplifiers. The information needed by the program is some target responses such as the poles and zeros or tabulated responses of e.g. the magnitude and the group-delay. Output...... is a set of corrected component values according to a minimum of some error-function. The error function may be chosen to be of the least square, the least "2p", the minimax and the L1-norm type. Sensitivity information is available from the program together with the worst-case sensitivity index...

  15. Microfluidic formation of pH responsive 5CB droplets decorated with PAA-b-LCP.

    Science.gov (United States)

    Khan, Waliullah; Choi, Jin Ho; Kim, Gyu Man; Park, Soo-Young

    2011-10-21

    We are reporting for the first time the pH responsiveness of liquid crystal (LC) microdroplets decorated with an amphiphilic block copolymer of PAA-b-LCP. We successfully demonstrated the adsorption of block copolymer on LC droplets by fluorescence microscopy and pH response to the radial-to-bipolar orientational change of the LC droplets by changing pH from 12 to 2 through the polarized optical microscope (POM). We believe that our results may pave the way for the generation of monodisperse droplets decorated by various amphiphilic block copolymers which respond to several kinds of the external stimuli. These developments may be important for potential applications of the LC droplets in sensing and encapsulation fields.

  16. Condylar repositioning using centric relation bite in bimaxillary surgery

    Science.gov (United States)

    Lee, Chang-Youn; Jang, Chang-Su; Kim, Ju-Won; Kim, Jwa-Young

    2013-01-01

    Objective The purpose of this study was to evaluate displacement of the mandibular condyle after orthognathic surgery using a condylar-repositioning device. Methods The patient group comprised 20 adults who underwent bimaxillary surgery between August 2008 and July 2011. The degree of condylar displacement was measured by pre- and postoperative tomographic analysis using centric relation bite and a wire during surgery. A survey assessing temporomandibular joint (TMJ) sound, pain, and locking was performed. The 20 tomographs and surveys were analyzed using the Wilcoxon signed-rank test and McNemar's test, respectively. Results No significant changes were observed in the anterior, superior, or posterior joint space of the TMJ (p > 0.05). In addition, no significant change was observed in TMJ sound (p > 0.05). However, TMJ pain and locking both decreased significantly after surgery (p < 0.05). Conclusions Due to its simplicity, this method may be feasible and useful for repositioning condyles. PMID:23671832

  17. Maintenance of condylar position in a patient with mandibular deficiency

    Directory of Open Access Journals (Sweden)

    Nicolaos TOPOUZELIS, Maria LAZARIDOU, Nicolaos LAZARIDIS, Christos ILIOPOULOS

    2011-12-01

    Full Text Available Maintaining the preoperative position of condyles within the temporal fossa is necessary in any orthognathic surgery, in order to ensure a stable postoperative result and the normal functioning of the temporomandibular joints. A variety of condylar positioning devices have been described to help preserve the preoperative position of condyles within the temporal fossa and prevent temporomandibular joint disorders or relapses.Case report: A 18-year-old female patient presented with a severe class II maxillofacial deformity, which was treated with sagittal split mandibular osteotomy and simultaneous genioplasty with the use of a polytetrafluoroethylene allograft. A condylar positioning device was used to maintain the preoperative position of the condyles. The patient did not develop any temporomandibular joint symptoms postoperatively, and the final skeletal result remained stable despite the considerable anterior displacement of the peripheral mandibular segment.

  18. Orthokeratinized Odontogenic Cyst (OOC) of Condylar Head: A Rare Entity.

    Science.gov (United States)

    Managutti, Anil; Managutti, Sunita; Patel, Harsh; Menat, Shailesh

    2016-07-01

    Orthokeratinized odontogenic cyst (OOC) is a rare developmental jaw cyst, considered as distinct entity from odontogenic keratocysts as it exhibits a less aggressive behaviour and a very low rate of recurrence. Most commonly occurs in mandibular molar and ramus region, rarely seen in maxilla and mandibular premolar area. But till now never reported in condyle, this article describes a case of OOC involving the mandibular condylar head in a 41-year-old male. The initial clinical diagnosis was given as TMD based on the clinical features, but radiographic evaluation revealed osteolytic lesion in right side condylar head. Condylotomy was performed and the specimen was sent for histopathological examination. A definite diagnosis of OOC was made by histopathological examination of the biopsy specimen. We report a rare entity in this article with its management.

  19. Short-term supplementation of low-dose gamma-linolenic acid (GLA), alpha-linolenic acid (ALA), or GLA plus ALA does not augment LCP omega 3 status of Dutch vegans to an appreciable extent

    NARCIS (Netherlands)

    Fokkema, M R; Brouwer, D A; Hasperhoven, M B; Martini, I A; Muskiet, F A

    2000-01-01

    Vegans do not consume meat and fish and have therefore low intakes of long chain polyunsaturated fatty acids (LCP). They may consequently have little negative feedback inhibition from dietary LCP on conversion of alpha -linolenic acid (ALA) to the LCP omega 3 eicosapentaenoic (EPA) and docosahexaeno

  20. Short-term supplementation of low-dose gamma-linolenic acid (GLA), alpha-linolenic acid (ALA), or GLA plus ALA does not augment LCP omega 3 status of Dutch vegans to an appreciable extent

    NARCIS (Netherlands)

    Fokkema, M R; Brouwer, D A; Hasperhoven, M B; Martini, I A; Muskiet, F A

    2000-01-01

    Vegans do not consume meat and fish and have therefore low intakes of long chain polyunsaturated fatty acids (LCP). They may consequently have little negative feedback inhibition from dietary LCP on conversion of alpha -linolenic acid (ALA) to the LCP omega 3 eicosapentaenoic (EPA) and

  1. Condylar volume and surface in Caucasian young adult subjects

    OpenAIRE

    Cordasco Giancarlo; Pagnoni Mario; Polimeni Antonella; Nucera Riccardo; Saccucci Matteo; Tecco Simona; Festa Felice; Iannetti Giorgio

    2010-01-01

    Abstract Background There have been no quantitative standards for volumetric and surface measurements of the mandibular condyle in Caucasian population. However, the recently developed cone-beam computed tomography (CBCT) system allows measurement of these parameters with high accuracy. Methods CBCT was used to measure the condylar volume, surface and the volume to surface ratio, called the Morphometric Index (MI), of 300 temporo-mandibular joints (TMJ) in 150 Caucasian young adult subjects, ...

  2. Norepinephrine Regulates Condylar Bone Loss via Comorbid Factors.

    Science.gov (United States)

    Jiao, K; Niu, L; Xu, X; Liu, Y; Li, X; Tay, F R; Wang, M

    2015-06-01

    Degenerative changes of condylar subchondral bone occur frequently in temporomandibular disorders. Although psychologic stresses and occlusal abnormalities have been implicated in temporomandibular disorder, it is not known if these risks represent synergistic comorbid factors that are involved in condylar subchondral bone degradation that is regulated by the sympathetic nervous system. In the present study, chronic immobilization stress (CIS), chemical sympathectomy, and unilateral anterior crossbite (UAC) were sequentially applied in a murine model. Norepinephrine contents in the subjects' serum and condylar subchondral bone were detected by ELISA; bone and cartilage remodeling parameters and related gene expression in the subchondral bone were examined. Subchondral bone loss and increased subchondral bone norepinephrine level were observed in the CIS and UAC groups. These groups exhibited decreased bone mineral density, volume fraction, and bone formation rate; decreased expressions of osterix, collagen I, and osteocalcin; but increased trabecular separation, osteoclast number and surface, and RANKL expression. Combined CIS + UAC produced more severe subchondral bone loss, higher bone norepinephrine level, and decreased chondrocyte density and cartilage thickness when compared to CIS or UAC alone. Sympathectomy simultaneously prevented subchondral bone loss and decreased bone norepinephrine level in all experimental subgroups when compared to the vehicle-treated counterparts. Norepinephrine also decreased mRNA expression of osterix, collagen I, and osteocalcin by mesenchymal stem cells at 7 and 14 d of stimulation and increased the expression of RANKL and RANKL/OPG ratio by mesenchymal stem cells at 2 h. In conclusion, CIS and UAC synergistically promote condylar subchondral bone loss and cartilage degradation; such processes are partially regulated by norepinephrine within subchondral bone.

  3. Development and Clinical Evaluation of MatrixMANDIBLE Subcondylar Plates System (Synthes)

    OpenAIRE

    Cortelazzi, Roberto; Altacera, Mario; Turco, Monica; Antonicelli, Viviana; De Benedittis, Michele

    2014-01-01

    In this article, authors report the different steps of development and clinical validation of MatrixMANDIBLE Subcondylar Plates (Synthes, Soletta, Switzerland), a specialized osteosynthesis system developed by Synthes during the past 4 years. Between 2009 and 2013, a total of 62 patients were treated for subcondylar and condylar neck fractures via a preauricular or retromandibular/transparotid approach. The MatrixMANDIBLE Subcondylar Plates System consists of a Trapezoidal Plate, a three-dime...

  4. Condylar volume and surface in Caucasian young adult subjects

    Directory of Open Access Journals (Sweden)

    Cordasco Giancarlo

    2010-12-01

    Full Text Available Abstract Background There have been no quantitative standards for volumetric and surface measurements of the mandibular condyle in Caucasian population. However, the recently developed cone-beam computed tomography (CBCT system allows measurement of these parameters with high accuracy. Methods CBCT was used to measure the condylar volume, surface and the volume to surface ratio, called the Morphometric Index (MI, of 300 temporo-mandibular joints (TMJ in 150 Caucasian young adult subjects, with varied malocclusions, without pain or dysfunction of TMJs. Results The condylar volume was 691.26 ± 54.52 mm3 in males and 669.65 ± 58.80 mm3 in, and was significantly higher (p2 in males and 394.77 ± 60.73 mm2 in females. Furthermore, the condylar volume (693.61 ± 62.82 mm3 in the right TMJ was significantly higher than in the left (666.99 ± 48.67 mm3, p 2 in the right TMJ and 389.41 ± 56.63 mm2 in the left TMJ; t = 3.29; p Conclusion These data from temporomandibular joints of patients without pain or clinical dysfunction might serve as examples of normal TMJ's in the general population not seeking orthodontic care.

  5. Condylar hyperplasia: correlation of histological and scintigraphic features.

    Science.gov (United States)

    Gray, R J; Horner, K; Testa, H J; Lloyd, J J; Sloan, P

    1994-05-01

    Scintigaphy using 99mTc-MDP is widely advocated as a method of diagnosis and presurgical assessment of patients with condylar hyperplasia. A previous study has demonstrated that hyperplasia of the mandibular condyle is characterized histologically by the presence of an uninterrupted layer of undiffentiated germinative mesenchyme cells, a layer of hypertrophic cartilage and the presence of islands of chondrocytes in the subchondral trabecular bone. This study was undertaken to determine whether there was any association between the degree of 99mTc-MDP uptake and the histological features of condylar hyperplasia. The parameters examined were trabecular bone volume, depth of cartilage islands and the presence of forming and resorbing surfaces. The images were analyzed by three experienced observers, who ranked the images according to degree of asymmetry between sides and the degree of uptake on the affected side. There was a significant correlation between the proportions of resorbing and osteoid covered bone surfaces and scintigraphic appearances. The rank correlations were rs = 0.55 (P = 0.3) between the resorptive surfaces and degree of symmetry and rs = 0.53 (P = 0.04) between the osteoid surfaces and absolute uptake. The correlation was higher for both methods (rs = 0.64 in each case) when the osteoid surface and resorptive surface measurements were combined. The results indicate that visual examination of radioisotope bone scans by experienced observers is a valid form of assessment of bone activity in condylar hyperplasia.

  6. PTHrP regulates chondrocyte maturation in condylar cartilage.

    Science.gov (United States)

    Rabie, A B M; Tang, G H; Xiong, H; Hägg, U

    2003-08-01

    PTHrP is a key factor regulating the pace of endochondral ossification during skeletal development. Mandibular advancement solicits a cascade of molecular responses in condylar cartilage. However, the pace of cellular maturation and its effects on condylar growth are still unknown. The purpose of this study was to evaluate the pattern of expression of PTHrP and correlate it to cellular dynamics of chondrocytes in condylar cartilage during natural growth and mandibular advancement. We fitted 35-day-old Sprague-Dawley rats with functional appliances. Experimental animals with matched controls were labeled with bromodeoxyuridine 3 days before their death, so that mesenchymal cell differentiation could be traced. Mandibular advancement increased the number of differentiated chondroblasts and subsequently increased the cartilage volume. Higher levels of PTHrP expression in experimental animals coincided with the slowing of chondrocyte hypertrophy. Thus, mandibular advancement promoted mesenchymal cell differentiation and triggered PTHrP expression, which retarded their further maturation to allow for more growth.

  7. Treatment of distal clavicle fracture with distal radius volar locking compression plate

    Institute of Scientific and Technical Information of China (English)

    YU Chao; SUN Yue-hua; ZHAO Chang-qing; SHI Ding-wei; WANG You

    2009-01-01

    Objective: To observe the early clinical outcomes of the internal fixation with distal radius volar locking compression plate (LCP) in treatment of distal clavicle fracture.Methods: Six patients with unilateral distal clavicle fractures, identified as type Ⅱ according to Neer classification system, including 4 males and 2 females, were treated with open reduction and internal fixation using a distal radius volar LCP. Bone union was evaluated by routine X-ray radiography, and shoulder joint function were assessed by Constant score system.Results: All fractures achieved bone union at 6 to 8 weeks postoperatively, and Constant scores ranged from 95 to 100 at the postoperative 10 to 12 weeks.Conclusion: Fixation of distal clavicle fracture with distal radius volar LCP demonstrates excellent effects of bone union with rarely early complications, thus providing a new technique to treat distal clavicle fracture.

  8. 3D analysis of condylar remodelling and skeletal relapse following bilateral sagittal split advancement osteotomies.

    Science.gov (United States)

    Xi, Tong; Schreurs, Ruud; van Loon, Bram; de Koning, Martien; Bergé, Stefaan; Hoppenreijs, Theo; Maal, Thomas

    2015-05-01

    A major concern in mandibular advancement surgery using bilateral sagittal split osteotomies (BSSO) is potential postoperative relapse. Although the role of postoperative changes in condylar morphology on skeletal relapse was reported in previous studies, no study so far has objectified the precise changes of the condylar volume. The aim of the present study was to quantify the postoperative volume changes of condyles and its role on skeletal stability following BSSO mandibular advancement surgery. A total of 56 patients with mandibular hypoplasia who underwent BSSO advancement surgery were prospectively enrolled into the study. A cone beam computed tomography (CBCT) scan was acquired preoperatively, at 1 week postoperatively and at 1 year postoperatively. After the segmentation of the facial skeleton and condyles, three-dimensional cephalometry and condylar volume analysis were performed. The mean mandibular advancement was 4.6 mm, and the mean postoperative relapse was 0.71 mm. Of 112 condyles, 55% showed a postoperative decrease in condylar volume, with a mean reduction of 105 mm(3) (6.1% of the original condylar volume). The magnitude of condylar remodelling (CR) was significantly correlated with skeletal relapse (p = 0.003). Patients with a CR greater than 17% of the original condylar volume exhibited relapse as seen in progressive condylar resorption. Female patients with a high mandibular angle who exhibited postoperative CR were particularly at risk for postoperative relapse. Gender, preoperative condylar volume, and downward displacement of pogonion at surgery were prognostic factors for CR (r(2) = 21%). It could be concluded that the condylar volume can be applied as a useful 3D radiographic parameter for the diagnosis and follow-up of postoperative skeletal relapse and progressive condylar resorption.

  9. Three dimensional assessment of condylar surface changes and remodeling after orthognathic surgery

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jung Hye; Lee, Jin Woo; Huh, Kyung Hoe; Yi, Won Jin; Heo, Min Suk; Lee, Sam Sun; Choi, Soon Chul [Dental Research Institute, Seoul National University, Seoul (Korea, Republic of); Shin, Jae Myung [Dept. of Oral and Maxillofacial Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang (Korea, Republic of)

    2016-03-15

    This study was performed to evaluate condylar surface changes and remodeling after orthognathic surgery using three-dimensional computed tomography (3D CT) imaging, including comparisons between the right and left sides and between the sexes. Forty patients (20 males and 20 females) who underwent multi-detector CT examinations before and after surgery were selected. Three-dimensional images comprising thousands of points on the condylar surface were obtained before and after surgery. For the quantitative assessment of condylar surface changes, point-to-point (preoperative-to-postoperative) distances were calculated using D processing software. These point-to-point distances were converted to a color map. In order to evaluate the types of condylar remodeling, the condylar head was divided into six areas (anteromedial, anteromiddle, anterolateral, posteromedial, posteromiddle, and posterolateral areas) and each area was classified into three types of condylar remodeling (bone formation, no change, and bone resorption) based on the color map. Additionally, comparative analyses were performed between the right and left sides and according to sex. The mean of the average point-to-point distances on condylar surface was 0.11±0.03 mm. Bone resorption occurred more frequently than other types of condylar remodeling, especially in the lateral areas. However, bone formation in the anteromedial area was particularly prominent. No significant difference was found between the right and left condyles, but condylar surface changes in males were significantly larger than in females. This study revealed that condylar remodeling exhibited a tendency towards bone resorption, especially in the lateral areas. Condylar surface changes occurred, but were small.

  10. Radiographic cephalometry analysis of dimensions of condylar processus in persons with mandibular prognathism

    Directory of Open Access Journals (Sweden)

    Čutović Tatjana

    2008-01-01

    Full Text Available Introduction/Aim. There are numerous factors that influence the formation of condylar processus: the growth and development of cranial base, growth and development of the jaws and alveolar extensions, teething, the way of intercuspidation, the overlap of incisors, functions of masticatory muscles, etc. Considering the fact that the above-mentioned factors significantly differ in persons with different morphological set of the face, we set a hypothesis that dimensions of condylar processus and the mandibular ramus considerably differ in persons with mandibular prognathism compared to eugnatic persons. The aim of this study was to establish the differences in dimensions of condylar processus between the above-mentioned groups. Methods. Six parameters representing the dimensions of the condylar processus were measured on profile teleradiographs of 30 eugnatic persons and 30 paersons with mandibular prognathism: the height of condylar processus, the height of head of the mandible, width of the head, width of the neck, height of the ramus without the condylar processus and the overall height of the ramus. Results. A considerable difference in the values of the parameters was found, as well as the distribution toward the values of reference. It was found that the height of the condylar processus was significantly greater in persons with mandibular prognathism, whereas the width of the head of the mandible, the width of the neck and the height of the ramus without the condylar processus was considerably decreased within the same group. The height of the head of the mandible and the overall height of the ramus was not significantly changed. Conclusion. In persons with mandibular prognathism, morphological features of the condylar processus are changed. The condylar processus lengthens on account of shortening of the lower part of the ramus, and the mentioned lengthening is the most prominent in its condylar neck area which is also the centre of its most

  11. The mechanical behavior of locking compression plates compared with dynamic compression plates in a cadaver radius model.

    Science.gov (United States)

    Gardner, Michael J; Brophy, Robert H; Campbell, Deirdre; Mahajan, Amit; Wright, Timothy M; Helfet, David L; Lorich, Dean G

    2005-10-01

    The purpose of this cadaveric study was to compare the mechanical behavior of a locked compression plate, which uses threaded screw heads to create a fixed angle construct, with a dynamic compression plate construct in a cadaver radius model. Mechanical study with cyclic testing and high-speed optical motion analysis. Biomechanics laboratory at an academic institution. Eighteen pairs of fresh-frozen human cadaver radii were divided into 3 groups of 6 to be tested as a group in each of the following force applications: anteroposterior (AP) bending, mediolateral bending, or torsion. Each bone was osteotomized leaving a 5-mm fracture gap and then fixed with a plate. For each pair, 1 radius received a standard plate (limited-contact dynamic compression plates; LC-DCP), the contralateral radius was fixed with a locking compression plate (LCP), and specimens underwent cyclic loading. Normalized stiffness, average energy absorbed, and Newton-cycles to failure were calculated. In addition, a 3-dimensional, high-speed, infrared motion analysis system was used to evaluate motion at the fracture site. Construct stiffness, fracture site motion, cycles to failure, and energy absorption. Repeated measures ANOVA were used to detect differences between groups with time. In the torsion group, LCP specimens failed at 60% greater Newton-cycles than the LC-DCP (1473 vs. 918; P different biomechanical behavior with time. As cycling progressed in the LC-DCP specimens under torsion testing, stiffness (measured at the actuator at the bone ends) did not change significantly; however, fracture motion (measured at the fracture surfaces) decreased significantly (P = 0.04). The LCP specimens did not display similar behavior. Our findings indicated that LCP constructs may demonstrate subtle mechanical superiority compared with the LC-DCP. The LCP specimens had less energy absorption in the AP group and survived longer in the torsion group. Discordance of motion between measurement regions was

  12. Assessment of magnetic resonance images of displacement of the disc of the temporomandibular joint in different types of condylar fracture.

    Science.gov (United States)

    Zheng, JiSi; Zhang, ShanYong; Yang, Chi; Abdelrehem, Ahmed; He, DongMei; Chiu, HanHsuan

    2016-01-01

    To evaluate the displacement of the disc of the temporomandibular joint (TMJ) in different types of condylar fracture we studied 160 patients (222 joints) from May 2009-June 2014. All patients had computed tomographic scans (CT) and magnetic resonance images (MRI) taken preoperatively, and 24 patients (32 joints) had MRI postoperatively. CT scans were reviewed to categorise the types of condylar fracture (intracapsular, condylar neck, and subcondylar), and intracapsular condylar fractures were further classified into subtypes A, B, C, and M. MRI were then reviewed to record the position of the disc in each type of condylar fracture. The results were compared using the chi square test. There were 160 intracapsular condylar fractures, 40 fractures of the condylar neck, and 22 subcondylar fractures. Of the intracapsular condylar fractures, 75 were type A, 49 type B, 11 type C, and 25 type M. Discs were displaced in 153 intracapsular condylar fractures, 17 fractures of the condylar neck, and eight subcondylar fractures. Among the type A intracapsular condylar fractures, discs were displaced in 71/75, type B in 47/49, type C in 10/11, and in all 25 type M. The incidence of displaced discs between intracapsular condylar fractures on the one hand, and those of the condylar neck or subcondylar region on the other, was significant (pcondylar fractures. Postoperative MRI showed successful results in 28/32 joints. Intracapsular condylar fractures were more likely to have displaced discs than the other types. But there were no differences among different subtypes of intracapsular condylar fractures.

  13. Preliminary functional results of endoscope-assisted transoral treatment of displaced bilateral condylar mandible fractures.

    Science.gov (United States)

    Schoen, R; Fakler, O; Metzger, M C; Weyer, N; Schmelzeisen, R

    2008-02-01

    Temporomandibular joint (TMJ) function was evaluated following endoscope-assisted transoral open reduction and miniplate fixation of displaced bilateral condylar mandibular fractures. The transoral treatment of bilateral condylar fractures was performed in 13 patients from May 2000 to December 2004. Eleven of the 13 patients had additional mandibular fractures. Out of 26 fractures of the condylar process, 11 were located at the condylar neck and 15 were subcondylar. One, 6 and 12 months after surgery TMJ function was evaluated. Anatomic reduction was achieved using an endoscope-assisted transoral approach even when the condylar fragment was displaced medially and in fractures with comminution. Good TMJ function was noted 6 and 12 months after surgery. Mouth opening was measured to be more than 40 mm without deviation. Postoperative range of motion with a satisfying lateral excursion was found. Early rehabilitation and pre-injury TMJ function was achieved following minimally invasive anatomic fracture reduction.

  14. Comparison of limited-contact dynamic compression plate and locking compression plate constructs for proximal interphalangeal joint arthrodesis in the horse.

    Science.gov (United States)

    Rocconi, Richard A; Carmalt, James L; Sampson, Sarah N; Elder, Steve H; Gilbert, Eric E

    2015-06-01

    This study compared in vitro monotonic and cyclic mechanical properties of equine proximal interphalangeal joint arthrodeses stabilized using an open or closed technique combined with axial 4.5 mm narrow limited-contact dynamic compression plate (LC-DCP) or 4.5 mm narrow locking compression plate (LCP). Ten forelimb pairs were randomly assigned to LCP or LC-DCP groups. One limb in each pair was assigned to either open or closed technique. Limbs were tested for cyclic fatigue at 20 000 cycles and then single-cycle to failure under 3-point dorsopalmar bending. There was no significant difference in stiffness of constructs during cyclic fatigue testing or on force or stiffness at failure in single cycle to failure testing between open and closed techniques or between plate types. Both implants, surgical technique, or combinations thereof are suitable for clinical use. More work is necessary to define the interaction between implant type and surgical technique.

  15. The Comprehensive AOCMF Classification System: Condylar Process Fractures - Level 3 Tutorial.

    Science.gov (United States)

    Neff, Andreas; Cornelius, Carl-Peter; Rasse, Michael; Torre, Daniel Dalla; Audigé, Laurent

    2014-12-01

    This tutorial outlines the detailed system for fractures of the condylar process at the precision level 3 and is organized in a sequence of sections dealing with the description of the classification system within topographical subdivisions along with rules for fracture coding and a series of case examples with clinical imaging. Basically, the condylar process comprises three fracture levels and is subdivided into the head region, the condylar neck, and the condylar base. Fractures of the condylar head show typical fracture lines either within the lateral pole zone, which may lead to loss of vertical height, or medially to the pole zone, with the latter ones usually not compromising the vertical condyle to fossa relation. In condylar head fractures, the morphology is further described by the presence of minor or major fragmentation, the vertical apposition of fragments at the plane of the head fracture, the displacement of the condylar head with regard to the fossa including a potential distortion of the condylar head congruency resulting in dystopic condyle to fossa relations and the presence or absence of a loss of vertical ramus height. A specific vertical fracture pattern extending from the head to the neck or base subregion is considered. Fractures of the condylar neck and base can be differentiated according to a newly introduced one-third to two-thirds rule with regard to the proportion of the fracture line above and below the level of the sigmoid notch, which is presented in the classification article, and are basically subdivided according to the presence or absence of displacement or dislocation. In both condylar neck and base fractures, the classification is again based on the above mentioned parameters such as fragmentation, displacement of the condylar head with regard to the fossa, including dystopic condyle to fossa relations and loss of vertical ramus height, that is, according to the measurement of the condylar process. In addition, the

  16. A miniaturized, eye-conformable, and long-term reliable retinal prosthesis using monolithic fabrication of liquid crystal polymer (LCP).

    Science.gov (United States)

    Jeong, Joonsoo; Bae, So Hyun; Min, Kyou Sik; Seo, Jong-Mo; Chung, Hum; Kim, Sung June

    2015-03-01

    A novel retinal prosthetic device was developed using biocompatible liquid crystal polymer (LCP) to address the problems associated with conventional metal- and polymer-based devices: the hermetic metal package is bulky, heavy, and labor-intensive, whereas a thin, flexible, and MEMS-compatible polymer-based system is not durable enough for chronic implantation. Exploiting the advantageous properties of LCP such as a low moisture absorption rate, thermobonding, and thermoforming, we fabricate a small, light-weight, long-term reliable retinal prosthesis that can be conformally attached on the eye-surface. A LCP fabrication process using monolithic integration and conformal deformation was established enabling miniaturization and a batch manufacturing process as well as eliminating the need for feed-through technology. The functionality of the fabricated device was tested through wireless operation in saline solution. Its efficacy and implantation stability were verified through in vivo animal tests by measuring the cortical potential and monitoring implanted dummy devices for more than a year, respectively.

  17. Non-syndromic bilateral condylar aplasia: A rare case

    Directory of Open Access Journals (Sweden)

    Peeyush Shivhare

    2015-01-01

    Full Text Available The temporomandibular joint is one of the most complex joints of the human body. It consists of the mandibular condyle, glenoid fossa and the articular eminence of the temporal bone. Aplasia of the condyle is usually seen as part of a syndrome otherwise it is rare. We report a case of bilateral condylar aplasia in a 20-year-old male not associated with any syndrome. The patient reported to the department with a chief complaint of the underdeveloped lower jaw. Clinical examination, conventional radiographs, and 3D computer tomography images revealed a complete absence of condyle on the right and left sides.

  18. Localization of Basicranium Midline by Submentovertex Projection for the Evaluation of Condylar Asymmetry

    Directory of Open Access Journals (Sweden)

    Michele Maglione

    2012-01-01

    Full Text Available The purpose of this research was to compare the reliability of two different methods for cranial midline localization through cephalometric analysis of mandibular condyle asymmetries. A retrospective cohort study was performed analyzing consecutively the SMV radiograms of 47 patients undergoing oral surgery before orthodontic treatment at the Dental School, University of Trieste (Italy from 2003 to 2008. Two different cephalometric analyses were used to identify the basicranium midline (Tracing 1: initial landmarks = craniostat ear rods; Tracing 2: initial landmarks = spinosum foramina, and the left/right symmetry ratio (SR for four parameters (condylar length, condylar angle, intra-condylar hemidistance, extra-condylar hemidistance was calculated. The main result showed that no significant statistical difference between the SRs of the intra-condylar and extra-condylar hemidistance obtained with the same tracing was found (-test; =NS; C.I. 95%. Conversely, the difference between the SRs obtained with the two different tracings was statistically significant (-test; <0.000; C.I. 95%. In conclusion, if the analysis of condylar asymmetries is performed in growing subjects, utilization of anatomic references such as the neurovascular foramina seems to guarantee a lower error compared to non-fixed references such as ear rods.

  19. Three-dimensional evaluation of healing joint morphology after closed treatment of condylar fractures.

    Science.gov (United States)

    Yamashita, Y; Inoue, M; Aijima, R; Danjo, A; Goto, M

    2016-03-01

    Closed treatment for condylar fractures has long been widely accepted. With closed treatment, the deviated bone fragments heal in their new positions, and this may subsequently cause a range of functional impairments. The association between healing morphology and post-treatment functional impairment is unclear. In this study, computed tomography images of 26 patients (35 sides) who had undergone closed treatment for condylar fractures were used to perform a comparative investigation of three-dimensional (3D) bone morphology before and after treatment. As a result, the morphology of the condylar process after treatment was classified into four different patterns: unchanged, spherical, L-shaped, and detached. In terms of the association between fracture types and healing morphology, fractures of the condylar head healed in the spherical pattern, simple fractures of the condylar neck healed in the spherical or L-shaped pattern, and comminuted fractures of the condylar neck healed in the spherical, L-shaped, or detached pattern. The association between mandibular deviation and healing morphology was also investigated, and it was found that deviation was greater for the spherical and detached patterns than for the L-shaped pattern. The present findings indicate that 3D evaluation of the fractured condylar process is required to elucidate the association with functional impairment after healing.

  20. Temporomandibular joint ankylosis caused by chondroid hyperplasia from the callus of condylar neck fracture.

    Science.gov (United States)

    Kim, Soung Min; Park, Jung Min; Kim, Ji Hyuck; Kwon, Kwang Jun; Park, Young Wook; Lee, Jong Ho; Lee, Sang Shin; Lee, Suk Keun

    2009-01-01

    A patient who complained of difficulty in opening his mouth after condylar neck fracture 1 year ago presented typical features of temporomandibular joint ankylosis in clinical and radiologic examinations. To demonstrate a possible pathogenesis of temporomandibular joint ankylosis after condylar neck fracture, the fractured condylar portion removed was examined by histologic and immunohistochemical stainings. Interpositional gap arthroplasty was performed by removing the inferomesially displaced fractured condyle, and reconstruction with subcutaneous dermis to the previous vertical height was performed immediately. The fractured condylar portion was almost intact with slight erosion of the condylar cartilage. In the hematoxylin and eosin and Masson trichrome stainings, an extensive chondroid hyperplasia with abundant hyaline cartilage was shown in the removed condylar portion. There were also hyperplastic features of the synovial membrane, which were abnormally distributed throughout the chondroid tissues. In the immunohistochemical stainings of proliferating cell nuclear antigen (PCNA) and bone morphogenetic protein (BMP)-2 and BMP-4, the chondroid tissues were conspicuously hyperplastic and strongly positive for BMP-4 but sparse for BMP-2. From these results, we think that the hyperplastic chondroid tissue was derived from the callus of the primary fractured site of the condylar neck and propose that the chondroid tissue could proliferate continuously because of synovial tissue support from around the temporomandibular joint, resulting in temporomandibular joint ankylosis. This pathogenesis is quite different from those of other diaphyseal fracture of long bones.

  1. A retrospective study of temporomandibular joint ankylosis secondary to surgical treatment of mandibular condylar fractures.

    Science.gov (United States)

    Xiang, Guo-lin; Long, Xing; Deng, Mo-hong; Han, Qian-chao; Meng, Qing-gong; Li, Bo

    2014-03-01

    We investigated the incidence of ankylosis of the temporomandibular joint (TMJ) after open operations for fractures of the mandibular condyle, and analysed possible risk factors in a total of 385 patients with 492 condylar fractures who had been operated on in our department from 2001 to 2010. Sixteen patients developed postoperative ankylosis of the TMJ with 26 joints (5%) affected during a follow-up of 6 months-10 years. Of the 492 condylar fractures, the most common ones that were associated with postoperative ankylosis were those of the condylar head (20/248), followed by the condylar neck (6/193). Subcondylar fractures did not cause postoperative ankylosis (0/51). Among the 16 patients with postoperative ankylosis, 13 had associated anterior mandibular fractures. Long-screw (bicortical screw) fixation of fractures of the condylar head seemed to be associated with a lower incidence of postoperative ankylosis than fixation by miniplate and wire or removal of the fractured fragment. The articular discs were damaged in all ankylosed joints, and the remaining fractured fragment was found in 10 ankylosed joints after fractures of the condylar head. The results suggest that fractures of the condylar head are more prone to lead to postoperative ankylosis of the TMJ, and that the possible risk factors seem to include the technique used for fixation and damage to the disc, together with an anterior mandibular fracture with the fractured fragment remaining.

  2. Temporomandibular Joint Condylar Changes Following Maxillomandibular Advancement and Articular Disc Repositioning

    Science.gov (United States)

    Goncalves, Joao Roberto; Wolford, Larry Miller; Cassano, Daniel Serra; da Porciuncula, Guilherme; Paniagua, Beatriz; Cevidanes, Lucia Helena

    2014-01-01

    Purpose To evaluate condylar changes 1 year after bimaxillary surgical advancement with or without articular disc repositioning using longitudinal quantitative measurements in 3-dimensional (3D) temporomandibular joint (TMJ) models. Methods Twenty-seven patients treated with maxillomandibular advancement (MMA) underwent cone-beam computed tomography before surgery immediately after surgery and at 1-year follow-up. All patients underwent magnetic resonance imaging before surgery to assess disc displacements. Ten patients without disc displacement received MMA only. Seventeen patients with articular disc displacement received MMA with simultaneous TMJ disc repositioning (MMA-Drep). Pre- and postsurgical 3D models were superimposed using a voxel-based registration on the cranial base. Results The location, direction, and magnitude of condylar changes were displayed and quantified by graphic semitransparent overlays and 3D color-coded surface distance maps. Rotational condylar displacements were similar in the 2 groups. Immediately after surgery, condylar translational displacements of at least 1.5 mm occurred in a posterior, superior, or mediolateral direction in patients treated with MMA, whereas patients treated with MMA-Drep presented more marked anterior, inferior, and mediolateral condylar displacements. One year after surgery, more than half the patients in the 2 groups presented condylar resorptive changes of at least 1.5 mm. Patients treated with MMA-Drep presented condylar bone apposition of at least 1.5 mm at the superior surface in 26.4%, the anterior surface in 23.4%, the posterior surface in 29.4%, the medial surface in 5.9%, or the lateral surface in 38.2%, whereas bone apposition was not observed in patients treated with MMA. Conclusions One year after surgery, condylar resorptive changes greater than 1.5 mm were observed in the 2 groups. Articular disc repositioning facilitated bone apposition in localized condylar regions in patients treated with MMA

  3. Comparison of condylar position in transcranial radiography and polytomography from Polytome-U

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    Nah, Kyung Soo; Cho, Bong Hae [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University, Pusan (Korea, Republic of)

    1998-08-15

    The authors examined the condylar position and shape of condylar process from the transcranial radiographs and polytomographs of the 130 temporomandibular joints of 65 patients who complained symptoms of temporomandibular disorder and the followings were obtained; 1. The age and sex distribution of the 65 patients showed peak incidence in 2nd decade (27.7%) followed by 3rd (18.5%) and 4th decade (18.5%) and female predominance (87.7%). 2. In polytomography 64 joints (49.2%) showed consistent condylar position from lateral to medial and 39 joints (30.0%) of them showed agreement with those of transcranial radiographs. Among the 66 joints (50.8%) which showed changes in condylar position, 48 joints (36.9%) showed agreement with lateral and central tomographic and transcranial radiographic position. 41 joints (31.5%) showed disagreement in condylar position between the polytomographic and transcranial radiographic images. 3. When the condylar position was classified as anterior, central and posterior, the posterior position was the most frequent position, that is, 42.3% of the transcranial radiography and 42.3%, 49.2% and 38.5% of the lateral, central and medial polytomographic radiographs. 4. In polytomography 84 joints (64.6%) showed consistent condylar shape from lateral to medial and 74 joints (56.9%) of them showed agreement with those of transcranial radiographs. Among the 46 joints (35.4%) which showed changes in condylar shape, 40 joints (30.1%) showed agreement with lateral and central tomographic and transcranial radiographic shape. 41 joints (31.5%) showed disagreement in condylar shape between the polytomographic and transcranial radiographic images.

  4. Clinical Efficacy Analysis of Application LCP and MIPPO Technology for Distal Tibial Fracture%LCP微创治疗胫骨中下段骨折的临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    陈军; 石卫星; 王冶; 付伦

    2014-01-01

    Objective To research combination LCP and MIPPO surgical treatment for distal tibial fracture.Methods From April 2009 to March 2011,34 cases of distal tibial fractures were treated with locking compression plate(LCP)combined with MIPPO, including 21 males and 13 females;aged 23 to 62 years, with an average of 43.8 years. Record incision length, amount of bleeding, operative time, hospital stay, fracture healing time, postoperative functional indicators Etc. Results Al fracture reached bone healing . 31 patients were followed up for 12 to 36 months, 3 were lost. Al fractures were healed in 13~21 weeks after surgery, an average of 14 weeks. There are no complications such as vascular injury、nonunion and fixation loosening, fracture. Conclusion Use of locking compression plate (LCP)combined with MIPPO technique in the treatment of distal Tibial fracture can reduce can reduce the range of periosteal stripping, improve the success rate of surgery and is conducive to the recovery of limb function.%目的:探讨运用经皮(minimal y invasive percutaneus plate osteosynthesis, MIPPO)技术结合锁定加压钢板(LCP)内固定术治疗胫骨中下段骨折的方法和临床意义。方法2009年4月~2011年3月收治胫骨中下段骨折患者34例,其中男21例,女13例;年龄23~62岁,平均43.8岁。采用经皮微创钢板固定治疗。记录的切口长度、出血量、手术时间、住院时间、骨折愈合时间、术后功能等指标进行比较。结果患者均一期愈合。31例随访12~36个月,3例失访。骨折全部愈合,愈合时间为术后13~21w,平均14w。无神经血管损伤、骨折不愈合和内固定松动、断裂等并发症。结论微创经皮技术结合LCP内固定是较好治疗胫骨中下段骨折的方法,能减少对骨膜剥离,提高手术成功率,有利于患者下肢功能的恢复。

  5. Condylar Resorption After Orthognathic Surgery: A Systematic Review

    Science.gov (United States)

    de Moraes, Paulo Hemerson; Rizzati-Barbosa, Célia Marisa; Olate, Sergio; Moreira, Roger Willian Fernandes; de Moraes, Márcio

    2016-01-01

    Summary The aim of this research was to evaluate the risk factors related to condylar resorption (CR) after orthognathic surgery. Was realized a systematic review with a search of the literature performed in the electronic databases PubMed, MedLine, Ovid, Cochrane Library for current evidence in the world literature as conducted, and relevant articles were selected in according to inclusion and exclusion criteria and the findings were compared. Eight papers, (follow-up 12 months to 69 months) were including. A sample of 2567 patient with mandible or bi maxillary surgery with an age range from 14 to 46 year old was observed. In 137 patients (5.3%) CR was observed, with a 97.6% (122) female. CR was related to 118 cases with mandibular deficiencies with high mandibular plane (advancement surgery). CR were present principally in bi maxillary surgery with a 103 cases (75.2%) and only two papers show any analysis to the relation with TMJ dysfunction. Current evidence in CR is poor but supports those female patients with mandibular deficiency and high mandibular plane angle submitted to bi maxillary surgery with change in occlusal plane (counterclockwise) are associated with condylar resorption after orthognathic surgery. PMID:28066126

  6. Mandibular condylar hyperplasia: clinical, histopathological, and treatment considerations.

    Science.gov (United States)

    Angiero, Francesca; Farronato, Giampietro; Benedicenti, Stefano; Vinci, Raffaele; Farronato, Davide; Magistro, Sarah; Stefani, Michele

    2009-01-01

    Condylar hyperplasia is a rare disorder characterized by an increased volume of the condyle, ramus, and mandibular body leading to facial asymmetry. We present three cases of condylar hyperplasia: two women and one man, age range 27 to 34. Clinically, all three patients showed a deviation of the mandible to the opposite side and a protruded position of the chin, hypertrophy of the lower border of the mandible, combined with an elongation of the mandibular ramus, open-bite on the deformed side, and cross-bite on the opposite side. In all three cases, scintigraphy showed an increased uptake. Radiography and CT scanning confirmed the clinical diagnosis and patients were subjected to surgery, comprising high condylectomy on the affected side with access in the pre-tragus area. The surgical piece sent to the Institute of Pathological Anatomy for histological examination revealed a nonuniform picture, in terms of both the depth of cartilage islands and the thickness of the fibrous layer covering the joint surface. Common to all three cases, however, was the apparent evolution of fibrous tissue to cartilage, and of this to compact bone tissue. At two-four years, all cases have maintained a good occlusal response. The asymmetric deformity of the mandible resulting from the rare condition of hemimandibular hyperplasia is presented and the clinical, histopathological and therapeutic aspects discussed.

  7. Condylar hyperplasia of the temporomandibular joint: types, treatment, and surgical implications.

    Science.gov (United States)

    Rodrigues, Daniel B; Castro, Vanessa

    2015-02-01

    Condylar hyperplasia (CH) is a progressive and pathologic overgrowth of either or both mandibular condyles, which can affect the neck, ramus, or body of the mandible. It may lead to facial asymmetry, malocclusion, speech, and masticatory problems. Identifying the specific type of condylar hyperplasia is crucial. Serial radiographs, dental models, clinical evaluations, and bone scan techniques are usually the best diagnostic methods to determine the type of CH and if the growth process is still active. The protocol of surgical procedures recommended in this article for CH has been proven to treat the condylar pathology and correct the jaw deformity.

  8. Plate selection for fixation of extra-articular distal humerus fractures: a biomechanical comparison of three different implants.

    Science.gov (United States)

    Scolaro, John A; Hsu, Jason E; Svach, David J; Mehta, Samir

    2014-12-01

    Operative fixation of extra-articular distal humerus using a single posterolateral column plate has been described but the biomechanical properties or limits of this technique is undefined. The purpose of this study was to evaluate the mechanical properties of distal humerus fracture fixation using three standard fixation constructs. Two equal groups were created from forty sawbones humeri. Osteotomies were created at 80mm or 50mm from the tip of the trochlea. In the proximal osteotomy group, sawbones were fixed with an 8-hole 3.5mm LCP or with a 6-hole posterolateral plate. In the distal group, sawbones were fixed with 9-hole medial and lateral 3.5mm distal humerus plates and ten sawbones were fixed with a 6-hole posterolateral plate. Biomechanical testing was performed using a servohydraulic testing machine. Testing in extension as well as internal and external rotation was performed. Destructive testing was also performed with failure being defined as hardware pullout, sawbone failure or cortical contact at the osteotomy. In the proximal osteotomy group, the average bending stiffness and torsional stiffness was significantly greater with the posterolateral plate than with the 3.5mm LCP. In the distal osteotomy group, the average bending stiffness and torsional stiffness was significantly greater with the posterolateral plate than the 3.5mm LCP. In extension testing, the yield strength was significantly greater with the posterolateral plate in the proximal osteotomy specimens, and the dual plating construct in the distal osteotomy specimens. The yield strength of specimens in axial torsion was significantly greater with the posterolateral plate in the proximal osteotomy specimens, and the dual plating construct in the distal osteotomy specimens. Limited biomechanical data to support the use of a pre-contoured posterolateral distal humerus LCP for fixation of extra-articular distal humerus exists. We have found that this implant provided significantly greater

  9. Role of endochondral ossification of articular cartilage and functional adaptation of the subchondral plate in the development of fatigue microcracking of joints.

    Science.gov (United States)

    Muir, P; McCarthy, J; Radtke, C L; Markel, M D; Santschi, E M; Scollay, M C; Kalscheur, V L

    2006-03-01

    The mechanisms that regulate functional adaptation of the articular ends of long bones are poorly understood. However, endochondral ossification of articular cartilage and modeling/remodeling of the subchondral plate and epiphyseal trabeculae are important components of the adaptive response. We performed a histologic study of the distal end of the third metacarpal/metatarsal bone of Thoroughbreds after bones were bulk-stained in basic fuchsin and calcified sections were prepared. The Thoroughbred racehorse is a model of an extreme athlete which experiences particularly high cyclic strains in distal limb bones. The following variables were quantified: microcrack boundary density in calcified cartilage (N.Cr/B.Bd); blood vessel boundary density in calcified cartilage (N.Ve/B.Bd); calcified cartilage width (Cl.Cg.Wi); duplication of the tidemark; and bone volume fraction of the subchondral plate (B.Ar/T.Ar). Measurements were made in five joint regions (lateral condyle and condylar groove; sagittal ridge; medial condylar and condylar groove). N.Cr/B.Bd was site-specific and was increased in the condylar groove region; this is the joint region from which parasagittal articular fatigue (condylar) fractures are typically propagated. Formation of resorption spaces in the subchondral plate was co-localized with microcracking. N.Ve/B.Bd was also site-specific. In the sagittal ridge region, N.Ve/B.Bd was increased, Cl.Cg.Wi was decreased, and B.Ar/T.Ar was decreased, when compared with the other joint regions. Multiple tidemarks were seen in all joint regions. Cumulative athletic activity was associated with a significant decrease in B.Ar/T.Ar in the condylar groove regions. N.Cr/B.Bd was positively correlated with B.Ar/T.Ar (P condylar fatigue (stress) fracture. Functional adaptation of the joint likely protects hyaline cartilage from injury in the short-term but may promote joint degeneration and osteoarthritis with ongoing athleticism.

  10. Biomechanical Evaluation of the Fixation Methods for Transcondylar Fracture of the Humerus:ONI Plate Versus Conventional Plates and Screws

    Directory of Open Access Journals (Sweden)

    Shimamura,Yasunori

    2010-04-01

    Full Text Available

    We biomechanically evaluated the bone fixation rigidity of an ONI plate (Group I during fixation of experimentally created transcondylar humerus fractures in cadaveric elbows, which are the most frequently observed humeral fractures in the elderly, and compared it with the rigidity achieved by 3 conventional fixation methods:an LCP reconstruction plate 3.5 using a locking mechanism (Group II, a conventional reconstruction plate 3.5 (CRP with a cannulated cancellous screw (Group III, and a CRP with 2 cannulated cancellous screws (CS in a crisscross orientation (Group IV. In the axial loading test, the mean failure loads were:Group I, 98.9+/-32.6;Group II, 108.5+/-27.2;Group III, 50.0+/-7.5;and Group IV, 34.5+/-12.2 (N. Group I fixations failed at a significantly higher load than those of Groups III and IV (p0.05. In the extension loading test, the mean failure loads were:Group I, 34.0+/-12.4;Group II, 51.0+/-14.8;Group III, 19.3+/-6.0;and Group IV, 14.7+/-3.1 (N. Group IV fixations showed a significantly lower failure load than those of Group I (p0.05. The fixation rigidities against mechanical loading by the ONI plate and LCP plate were comparable. These results suggested that an ONI system might be superior to the CRP and CS method, and comparable to the LCP method in terms of fixation rigidity for distal humerus fractures.

  11. Association between condylar morphology and inflammation in experimental temporomandibular joint TMJ arthritis

    DEFF Research Database (Denmark)

    Kristensen, Kasper Dahl; Stoustrup, Peter bangsgaard; Küseler, Annelise

      Background: In juvenile idiopathic arthritis involvement of the temporomandibular joints (TMJs) is often associated with severe mandibular growth deviations. The relation between condylar growth deviations, inflammation severity, the micro-architectural composition, and the bone quality has...

  12. Trans-tragal incision for improved exposure of diacapitular and condylar neck fractures.

    Science.gov (United States)

    Pau, M; Feichtinger, M; Reinbacher, K E; Ivancic, P; Kärcher, H

    2012-01-01

    The authors present a modification of the preauricular approach that improves the exposure of the condyle whilst reducing diacapitular and condylar neck fractures. The incision is a combination of the hockey-stick and endaural incisions. Its inferior part runs within the ear on the posterior face of the tragus; the tragal cartilage is transected together with the retrotragal skin and included in the anterior skin flap. Between May 2009 and December 2010, 16 patients with diacapitular or condylar neck fractures were treated with this approach. All patients showed good occlusion postoperatively and satisfactory aesthetic results. No infection or cartilage necrosis was observed in this series. This approach improves the exposure of the condylar head during the reduction of diacapitular and condylar neck fractures, ensuring easier internal fixation and good cosmetic results.

  13. Effects of intermittent versus continuous parathyroid hormone administration on condylar chondrocyte proliferation and differentiation

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Qi; Wan, Qilong; Yang, Rongtao; Zhou, Haihua [The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan 430079 (China); Li, Zubing, E-mail: lizubing0827@163.com [The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan 430079 (China); Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan 430079 (China)

    2012-07-20

    Highlights: Black-Right-Pointing-Pointer Different PTH administration exerts different effects on condylar chondrocyte. Black-Right-Pointing-Pointer Intermittent PTH administration suppresses condylar chondrocyte proliferation. Black-Right-Pointing-Pointer Continuous PTH administration maintains condylar chondrocyte proliferating. Black-Right-Pointing-Pointer Intermittent PTH administration enhances condylar chondrocyte differentiation. -- Abstract: Endochondral ossification is a complex process involving chondrogenesis and osteogenesis regulated by many hormones and growth factors. Parathyroid hormone (PTH), one of the key hormones regulating bone metabolism, promotes osteoblast differentiation and osteogenesis by intermittent administration, whereas continuous PTH administration inhibits bone formation. However, the effects of PTH on chondrocyte proliferation and differentiation are still unclear. In this study, intermittent PTH administration presented enhanced effects on condylar chondrocyte differentiation and bone formation, as demonstrated by increased mineral nodule formation and alkaline phosphatase (ALP) activity, up-regulated runt-related transcription factor 2 (RUNX2), ALP, collagen type X (COL10a1), collagen type I (COL1a1), osteocalcin (OCN), bone sialoprotein (BSP), bone morphogenetic protein 2 (BMP2) and osterix (OSX) mRNA and/or protein expression. On the contrary, continuous PTH administration promoted condylar chondrocyte proliferation and suppressed its differentiation, as demonstrated by up-regulated collagen type II (COL2a1) mRNA expression, reduced mineral nodule formation and down-regulated expression of the mRNAs and/or proteins mentioned above. Our data suggest that PTH can regulate condylar chondrocyte proliferation and differentiation, depending on the type of PTH administration. These results provide new insight into the effects of PTH on condylar chondrocytes and new evidence for using local PTH administration to cure mandibular

  14. Evaluation of Fractured Condylar Head Along the Sagittal Plane: Report of Three Cases

    OpenAIRE

    Rajesh Kumar, Bekal Pattathan; Rai, Kirthi Kumar; Shiva Kumar, H. R.; Upasi, Amarnath P.; Shah, Ashwin

    2011-01-01

    There are case reports of sagittal fractures of the condylar head leading to bifid condyle. However bifid condyles maybe found in patients with no history of trauma. A split in the saggital plane of the condyle is not visible with a lateral, oblique or panaromic radiographs but only with anteriorposterior, transorbital projections or CT scan of the temperomandibular joint. The chances of condyle being split in the sagittal plane may be due to the medial pole extending beyond the condylar neck...

  15. Radiographic cephalometry analysis of dimensions of condylar processus in persons with mandibular prognathism

    OpenAIRE

    Čutović Tatjana; Pavlović Jasna; Kozomara Ružica

    2008-01-01

    Introduction/Aim. There are numerous factors that influence the formation of condylar processus: the growth and development of cranial base, growth and development of the jaws and alveolar extensions, teething, the way of intercuspidation, the overlap of incisors, functions of masticatory muscles, etc. Considering the fact that the above-mentioned factors significantly differ in persons with different morphological set of the face, we set a hypothesis that dimensions of condylar processus and...

  16. Condylar Angle Differences between Dentulous and Edentulous Subjects in Deutero-Malay

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    Alexius E. Tondas

    2013-07-01

    Full Text Available Physiologically, the human teeth must fit into the jaw relationship harmony, not vice versa. In order to produce full dentures that fit into the harmony of the jaw, the denture teeth arrangement should be made according to the balanced occlusion principle. One of the most important factors in the principle is condylar angle adjustment. Objectives: To compare the condylar angle average values between the complete dentulous and totally edentulous subjects in Deutero-Malay. Methods: This was a descriptive comparative clinical research, that involved 16 complete dentulous Deutero-Malay dental students and 14 totally edentulous Deutero-Malay patients at Oral and Dental Hospital of Faculty of Dentistry Padjadjaran University who fullfilled the inclusion criteria. The condylar angle value measurement was done with protrusive record method using the fully-adjustable arcon type articulator. Results: The average value of the complete dentulous Deutero Malays’ condylar angles was 38.0±8.5° and the average value of the totally edentulous Deutero-Malay’ was 30.7±14.6°. Statistically, there was a significant difference between the condylar angle’s average value of the complete dentulous and the totally edentulous in the Deutero-Malay. Conclusion: There was a condylar angle decrease on complete edentulous subjects compared to the fully dentulous subjects in Deutero-Malay.

  17. MR imaging of the temporomandibular joint in patient with acute mandibular condylar fracture

    Energy Technology Data Exchange (ETDEWEB)

    Park, Il Soon; Na, Jae Boem; Kang, Su Jin; Kim, Jae Hyoung; You, Jin Jong; Lee, Sang Hwy; Kim, Il Hyun [Gyeongsang National Univ. College of Medicine, Seoul (Korea, Republic of)

    1999-09-01

    To analyze various MR imaging findings and thus evaluate the usefulness of MR imaging of the temporomandibular joint in patient with acute mandibular condylar fracture. MR imaging was performed within 1 week after trauma in 25 patients (total joints studied = 31) in whom condylar fracture had been diagnosed by simple radiographs. We analyzed the signal intensity of bone marrow and disk, displacement of bone fragment and disk, deformity. In addition, MRI findings of retrodiskal tissue, joint capsule and joint effusion were evaluated. No abnormal signal intensity was noted in bone marrow or disk. Displacement of a condylar fracture fragment was observed in 24 joints(77 %) (anteromedial, 63 %; medial, 25 %; anterior, 4 %; anterolateral, 4 %; and lateral, 4 %). Disk displacement occurred in 23 joints(74 %) (anteromedial, 65 %; medial, 9 %; anterior, 18 %; anterolateral, 4 %; and lateral, 4%). In 17 joints (55 %) the disk was displaced along with the fractured condylar fragment, and disk deformity was noted in five joints(16 %). MR imaging (T2WI) revealed a capsular tear(n=1), joint effusion(n=26), and high signal intensity in the retrodiskal tissue(n=6). MR imaging provided information concerning condylar fragments, disk, retrodiskal tissue, capsules, and joint effusion. In patients with acute mandibular condylar fracture, MRI is therefore useful for evaluation of the temporomandibular joint.

  18. Radiographic study on the interrelation between bone deformans and condylar head position in the TMJ arthrosis

    Energy Technology Data Exchange (ETDEWEB)

    You, Dong Soo [Dept. of Radiology, College of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    1981-11-15

    The author analysed the interrelation between the morphologic changes of bone structures and the position of condylar head from the routine radiographs of 134 cases of the temporomandibular joint arthrosis. The frequencies of coincidence between the site of bone deformity and condylar head positional change were examined. Also, the positional changes of condylar head and the direction of condylar movement in relation to the kind of bone deformities were observed. The results obtained were as follows; 1. In 52.65 per cent of total cases, the site of positional change of condylar head was coincided with the site of bone deformans. The frequencies of the coincidence between these in the five items among seven items examined were above 53 per cent. From the results, it seems that the positional changes of condylar head were related with the morphological change of bone structure. 2. Eburnation and erosion revealed frequently positional changes in the opening and closing position of the mouth, although in the early stages of the TMJ arthrosis. 3. In the bone deformans, during open position of the mouth 44.81 per cent of total cases revealed backward movement and 37.74 per cent showed forward movement. In closed position of the mouth, downward movement was revealed in 35.23 percent of total cases and upward movement 28.41 percent of total cases.

  19. Condyle and mandibular bone change after unilateral condylar neck fracture in growing rats.

    Science.gov (United States)

    Hu, Y; Yang, H-f; Li, S; Chen, J-z; Luo, Y-w; Yang, C

    2012-08-01

    Unilateral fracture of the condylar neck in immature subjects might lead to mandible asymmetry and condyle remodelling. A rat model was used to investigate mandibular deviation and condylar remodelling associated with condyle fracture. 72 4-week-old male rats were randomly divided into three groups: an experimental group (unilateral transverse condylar fracture induced surgically), a sham operation group (surgical exposure but no fracture), and a non-operative control group (no operation). The rats were killed at intervals up to 9weeks after surgery, and outcomes were assessed using various measures of mandible deviation, histological and X-ray observation, and immunohistochemical measures of expression levels of connective tissue growth factor (CTGF) and type II collagen (Col II). The fracture led to the degeneration of mandibular size, associated with atrophy of fractured condylar process. Progressive remodelling of cartilage and increasing expression levels of CTGF and Col II were found. The authors conclude that condylar fracture can lead to asymmetries in mandible and condyle remodelling and expression of CTGF and Col II in condylar cartilage on both the ipsilateral and the contralateral sides.

  20. Pathological changes after the surgical creation of a vertical intracapsular condylar fracture.

    Science.gov (United States)

    Long, X; Goss, A N

    2007-09-01

    The aim of this study was to create in a sheep model an intracapsular oblique vertical split fracture, and observe the histopathological changes in the temporomandibular joint (TMJ) condylar head. In 10 sheep, the right TMJ was operated through the preauricular region. The anterior and posterior attachments of the disc were cut; an oblique vertical osteotomy was made from the lateral pole of the condyle to the medial side of condylar neck. The condylar fragment was pushed anteriorly, inferiorly and medially together with the disc. The non-operated left TMJ served as control. Two sheep were killed at 1 week and four at both 4 and 12 weeks. Computed tomography scans were taken and histopathological changes of the joint observed. There was severe bone erosion and a new bony outgrowth on the lateral side of the condylar stump and temporal bone. The joint spaces were filled with fibrous tissue, cartilage tissue and bone in the 4 and 12 weeks operated groups. These results show that an oblique vertical intracapsular fracture through the lateral condylar pole, combined with an anteriorly and medially displaced condylar fragment and disc and damaged lateral capsule, are likely to result in the pathological changes of osteoarthritis, and the progressive development of ankylosis in a sheep TMJ.

  1. Structural and mechanical properties of mandibular condylar bone.

    Science.gov (United States)

    van Eijden, T M G J; van der Helm, P N; van Ruijven, L J; Mulder, L

    2006-01-01

    The trabecular bone of the mandibular condyle is structurally anisotropic and heterogeneous. We hypothesized that its apparent elastic moduli are also anisotropic and heterogeneous, and depend on trabecular density and orientation. Eleven condyles were scanned with a micro-CT system. Volumes of interest were selected for the construction of finite element models. We simulated compressive and shear tests to determine the principal mechanical directions and the apparent elastic moduli. Compressive moduli were relatively large in directions acting in the sagittal plane, and small in the mediolateral direction. The degree of mechanical anisotropy ranged from 4.7 to 10.8. Shear moduli were largest in the sagittal plane and smallest in the transverse plane. The magnitudes of the moduli varied with the condylar region and were proportional to the bone volume fraction. Furthermore, principal mechanical direction correlated significantly with principal structural direction. It was concluded that variation in trabecular structure coincides with variation in apparent mechanical properties.

  2. Indications and outcome of mandibular condylar and ramus surgeries

    Directory of Open Access Journals (Sweden)

    Babatunde O Akinbami

    2014-01-01

    Full Text Available Background: Different surgical procedures are utilized for treatment of various diseases of the posterior mandible depending on the type of disease, site, duration and age of the patient. A thorough knowledge of the anatomical relations of structures and adequate surgical skills are needed to minimize complications. The purpose of this study was to evaluate the indications and outcome of surgical techniques for diseases affecting the condyle and ramus of the mandibles. Patients and Methods: Data were retrieved from the case files of patients who had surgeries for diseases involving the ramus/condylar area of the mandible. The diagnosis/indications for surgery, procedure and postoperative outcomes were documented. Outcomes assessed were related to mouth opening, esthetics (appearance of scar and jaw symmetry and function (occlusion, Jaw movements. Complications such as nerve dysfunction were documented. Paresthesia was tested by simple tactile stimulations. Results: There were a total of 27 procedures done either on the condyle or ramus in 23 (100% patients between May 2006 and October, 2013. 16 procedures were done for tumors in 16 (69.6% patients, 14 (60.9% patients had Ameloblastoma, 1 (4.3% had central neurofibroma and one had keratocystic odontogenic tumor, two procedures for unilateral condylar fractures in 2 (8.6% patients, five procedures for ankylosis in 3 (13.0% patients and four procedures were done for dislocation in 2 (8.6% patients. There was no permanent nerve dysfunction; mouth opening, jaw movements and mastication were remarkably satisfactory. Conclusion: Esthetic and functional outcome were quite satisfactory when compared with the preoperative status.

  3. A study on the position of condylar head on computed tomogram

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jong Bok; Kim, Jae Duck [Dept. of Oral Radiology, Division of Dentistry, Chosun University, Kwangju (Korea, Republic of)

    1987-11-15

    The author obtained the computed tomograms around the condylar head form 10 normal subjects and 5 patients having clicking condylar head from 10 normal subjects and 5 patients having clicking sound or limitation of mouth opening by using a Hitachi-W 500. And then, the author had the axial analysis of 18 mm interincisal opening. Transcranial view and sub mentovertex view were taken and computed tomographic view. The obtained results were as follows: 1. Median angle of long axis of condylar head was 17 degrees on centric occlusion and the angles of long axis of both condylar heads were reduced symmetrically on 18 mm interincisal opening in normal group, however, in the patient group, the affected side of condyle heads showed greater change in the angle on 18 mm interincisal opening. 2. In the patient group, the condyle head of affected side was located superiorly to that of normal side on centric occlusion and the discrepancy of condylar positional height was increased after 18 mm interincisal opening. 3. The distances from medial pole of condylar head to triangular fossa of temporal bone were same on both right and left side in normal group, however, in the patient group, the distance of affected side was wider than that of opposite side on centric occlusion and became narrower than the opposite side on 18 mm interincisal opening. 4. The distances of posterior joint space were same on both right and left side. The distance at lateral pole 1/3 o f condyle head was similar to that on transcranial view on centric occlusion in normal group. 5. The distances of posterior joint space were narrower in patient group than in normal group. 6. Conclusively, the affected condylar head of patient showed postero-latero-superior displacement on centric occlusion and larger range of rotational movement on 18 mm interincisal opening.

  4. Tibial condylar valgus osteotomy (TCVO) for osteoarthritis of the knee: 5-year clinical and radiological results.

    Science.gov (United States)

    Chiba, Ko; Yonekura, Akihiko; Miyamoto, Takashi; Osaki, Makoto; Chiba, Goji

    2017-03-01

    Tibial condylar valgus osteotomy (TCVO) is a type of opening-wedge high tibial osteotomy for advanced medial knee osteoarthritis (OA) with subluxated lateral joint. We report the concept, the current surgical technique with a locking plate, and the short-term clinical and radiological results of this procedure. 11 knees with medial OA and a widened lateral joint were treated by TCVO (KL stage III: 6, IV: 5). In this procedure, by the L-shaped osteotomy from the medial side of the proximal tibia to the intercondylar eminence and the valgus correction, lateralization of the mechanical axis and reduction of the subluxated lateral joint are obtained with early postoperative weight-bearing. Before, 6 months, 1, and 5 years after the operation, a visual analog scale (VAS), the Western Ontario and McMaster Universities Arthritis Index (WOMAC), alignment of the lower extremity, and congruency and stability of the femorotibial joint were investigated. The VAS improved from an average of 73 mm to 13 mm, and the total WOMAC score from 52 to 14 before to 5 years after the operation, respectively. The mechanical axis changed from 1 to 60%, and the FTA changed from 186° to 171°. The joint line convergence angle (JLCA) changed from 6° to 1°, and the angle difference of JLCA between varus and valgus stress improved from 8° to 4° after the procedure. Improvements in pain and activities of daily living were observed by TCVO along with valgus correction of the lower extremity and stabilization of the femorotibial joint.

  5. New anterolateral LCP for internal fixation of pilon fractures%新型胫骨远端前外侧锁定加压钢板用于Pilon骨折内固定

    Institute of Scientific and Technical Information of China (English)

    史德海; 卢华定; 李东会; 蔡道章

    2010-01-01

    Objective To introduce experience of using the new AO anterolateral distal tibia locking com-pression plate (LCP) for treatment of Pilon fractures. Methods Between February and August of 2009,8 closed Pi-lon fractures were treated by open reduction and internal fixation. The distal fibula was fixed with a one-third tubular plate or an recontruction plate via a straight incision posterior to the fibular crest. The distal tibia was approched by a straight incision over the ankle joint, and the fracture was stabilized using an anterolateral distal tibia LCP. Regular follow up was made to observe and evaluate the preliminary clinical outcomes. Results Seven of the 8 patients were availabe for follow up for 3 ~ 6 months (average 4.5 months). All incisions obtained primary healing, though one ex-perienced mild superficial inflammation,and none developed deep infections. Based on the Burwell and Charnley radi-ographic criteria,anatomical reduction was obtained in 5 cases,good in 1 ,and fair in 1. Among the 5 cases exceeding 5 months postsurgery,4 were evaluated as excellent and 1 us good according to Tometta' s clinically based criteria for Pilon fractures. Conclusion With good surgical timing,internal fixation with anterolateral LCP for Pilon fractures is reliable and warrants less complications.%目的 介绍新型AO胫骨远端前外侧锁定加压钢板(IEP)治疗胫骨远端骨折(Pilon骨折)的初步经验.方法 手术治疗8例闭合性Pilon骨折,腓骨作外踝后方纵切口,复位后用1/3管形或重建钢板固定;胫骨远端骨折采用踝关节前方中点纵向直切口,复位后采用胫骨远端前外侧LCP内固定,术后进行定期临床随访.观察初步疗效.结果 术后7例患者获得随访3~6个月(平均4.5个月).虽有1例切口出现短暂的表浅轻微炎症,最终所有切口均一期愈合,无深部感染发生.按照Burwell-Charnley骨折复位放射学评价标准,解剖复位5例,1例复位好,1例可;采用Tometta治

  6. MANAGEMENT OF DISTAL FEMORAL FRACTURES USING DYNAMIC CONDYLAR SCREWS

    Directory of Open Access Journals (Sweden)

    Ambrish

    2015-11-01

    Full Text Available BACKGROUND Fractures of distal end of femur are complex injuries which are difficult to manage & are unstable and comminuted. Despite advances in implants treatment of distal femoral fractures remains a challenge. AIMS This study was done to analyze the functional outcome & complications associated with surgical management of fractures of distal end of femur in adults using Dynamic Condylar Screw (DCS. SETTINGS & DESIGN It was a prospective clinical study done at BMCH, Chitradurga. METHODS The present study included 25 patients with 13 Supracondylar and 12 Intercondylar fractures of femur. They were operated after stabilization using Dynamic Condylar Screw. RESULTS The study showed maximum presentation between 4th and 5th decade with mean age of 39.2 years with sex incidence of 11.5:1 (M:F. Mode of injury was RTA in 17, simple fall in 5, fall from height in 2 and assault in 1 patient. Patients presented to hospital within 0 to 4 days of injury. Left side was involved in 12 and right side in 13 cases. There were 9-A1, 3-A2, 1-A3, 2-C1, 8-C2 and 2-C3 fractures. Six patients had compound fracture. Patients were operated from 3 days to 40 days after admission at an average of 12.36 days. Results were found to be excellent in 8, good in 9, moderate in 3 and poor in 5 patients. Complication in form of valgus angulation, shortening, splintering of proximal femoral fragment, deep infection, Implant failure and lateral angulation at fracture site, Non-union with deep infection were noticed. Average range of knee flexion was 1040 and average time to radiological union was 13.42 weeks. CONCLUSION This study showed that DCS is a good method of treating closed type A1, A2, A3, C1 and C2 fractures. Type C3 and compound fractures treated by this method had more poor results. DCS provides rigid fixation and good purchase in osteoporotic bone. Early mobilization prevents knee stiffness.

  7. Condylar asymmetry in children with juvenile idiopathic arthritis assessed by cone-beam computed tomography.

    Science.gov (United States)

    Huntjens, Elisabeth; Kiss, Gabriel; Wouters, Carine; Carels, Carine

    2008-12-01

    The purpose of this study was to determine the degree of condylar asymmetry in children with juvenile idiopathic arthritis (JIA) using cone-beam computed tomography (CBCT) and analysis software. For 20 patients (14 girls and six boys; mean age 11.21 +/- 3.54 years), resultant cross-sectional images of the left and right temporomandibular joints (TMJs) were semi-automatically segmented, and exact registration of the right, with respect to the flipped left grey-level condyle, was obtained. Visual inspection of the volume images in 360 degree rotation showed a wide variety of condylar destruction patterns, ranging from small erosions within the cortex to almost complete deformation of the condylar head. Because segmentation was restricted to the delineation of the cortical region, possible changes in the deeper zones were not reproduced. Descriptive statistics [median and interquartile range (IQR)] and diagrams (frequency distribution) were used to assess the results. Initial analysis of condylar volume (including both flipped left and right) showed a median value for volume of 0.844 cm(3) (IQR 0.323), while the median value for volume difference between both condyles was 0.051 cm(3) (IQR 0.098). Analysis of the degree of asymmetry showed a median value of 26.18 per cent (IQR 14.46). Using the CBCT-based method, it was shown that condylar asymmetry was a common feature in children with JIA. The degree of asymmetry was variable, but significant in the majority of the subjects.

  8. Do skeletal cephalometric characteristics correlate with condylar volume, surface and shape? A 3D analysis

    Directory of Open Access Journals (Sweden)

    Saccucci Matteo

    2012-05-01

    Full Text Available Abstract Objective The purpose of this study was to determine the condylar volume in subjects with different mandibular divergence and skeletal class using cone-beam computed tomography (CBCT and analysis software. Materials and methods For 94 patients (46 females and 48 males; mean age 24.3 ± 6.5 years, resultant rendering reconstructions of the left and right temporal mandibular joints (TMJs were obtained. Subjects were then classified on the base of ANB angle the GoGn-SN angle in three classes (I, II, III . The data of the different classes were compared. Results No significant difference was observed in the whole sample between the right and the left sides in condylar volume. The analysis of mean volume among low, normal and high mandibular plane angles revealed a significantly higher volume and surface in low angle subjects (p  Class III subjects also tended to show a higher condylar volume and surface than class I and class II subjects, although the difference was not significant. Conclusions Higher condylar volume was a common characteristic of low angle subjects compared to normal and high mandibular plane angle subjects. Skeletal class also appears to be associated to condylar volume and surface.

  9. Analysis of mandibular condylar and glenoid fossa fractures with computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Ogura, Ichiro; Sasaki, Yusuke; Kaneda, Takashi [Nihon University School of Dentistry at Matsudo, Department of Radiology, Matsudo, Chiba (Japan)

    2014-04-15

    The purpose of this study was to investigate the prevalence of glenoid fossa and condylar fractures in patients with mandibular fractures using multidetector computed tomography (MDCT). A prospective study was performed in 227 patients with mandibular fractures who underwent 64-MDCT. Mandibular fractures were classified into four types: median, paramedian, angle and condylar. Statistical analysis of the relationship between prevalence of condylar fractures and mandibular fracture locations was performed using χ{sup 2} test with Fisher's exact test. A P value less than 0.05 was considered statistically significant. The prevalence of condylar fracture was 64.8 % of all patients with mandibular fractures, 66.7 % of median type (P = 0.667), 45.5 % of paramedian type (P = 0.001) and 12.3 % of angle type (P = 0.000), respectively. Furthermore, glenoid fossa fracture was seen in 1.4 % of patients with condylar fractures. The results of the presented study suggest focusing also on incidental findings such as glenoid fossa fractures. (orig.)

  10. Excess genistein suppresses the synthesis of extracellular matrix in female rat mandibular condylar cartilage

    Institute of Scientific and Technical Information of China (English)

    Shi-bin YU; Xiang-hui XING; Guang-ying DONG; Xi-li WENG; Mei-qing WANG

    2012-01-01

    Aim:To investigate the effect of excess genistein on the extracellular matrix in mandibular condylar cartilage of female rats in vivo.Methods:Female SD rats were administered through oral gavage with genistein (50 mg/kg) or placebo daily for 6 weeks.The morphological changes of temporomandibular joints were studied with HE staining.The expression of cartilage matrix compounds (aggrecan and collagen type Ⅱ),estrogen-related molecules (aromatase,estradiol,ERα and ERβ) and proliferating cell nuclear antigen (PCNA) in mandibular condylar cartilage was detected using immunohistochemistry,ELISA and real-time PCR.Results:The genistein treatment significantly reduced the thickness of the posterior and middle regions of mandibular condylar cartilage,and decreased the expression of collagen type Ⅱ,aggrecan and PCNA.Compared with the control group,the estradiol content and expression levels of the key estradiol-synthesizing enzyme aromatase in the genistein-treatment group were significantly decreased.The genistein treatment significantly increased the expression of ERβ,but decreased the expression of ERα.Conclusion:Excess genistein suppresses extracellular matrix synthesis and chondrocytes proliferation,resulting in thinner mandibular condylar cartilage.These effects may be detrimental to the ability of mandibular condylar cartilage to adapt to mechanical loads.

  11. The Relationship of the Facial Nerve to the Condylar Process: A Cadaveric Study with Implications for Open Reduction Internal Fixation.

    Science.gov (United States)

    Barham, H P; Collister, P; Eusterman, V D; Terella, A M

    2015-01-01

    Introduction. The mandibular condyle is the most common site of mandibular fracture. Surgical treatment of condylar fractures by open reduction and internal fixation (ORIF) demands direct visualization of the fracture. This project aimed to investigate the anatomic relationship of the tragus to the facial nerve and condylar process. Materials and Methods. Twelve fresh hemicadavers heads were used. An extended retromandibular/preauricular approach was utilized, with the incision being based parallel to the posterior edge of the ramus. Measurements were obtained from the tragus to the facial nerve and condylar process. Results. The temporozygomatic division of the facial nerve was encountered during each approach, crossing the mandible at the condylar neck. The mean tissue depth separating the facial nerve from the condylar neck was 5.5 mm (range: 3.5 mm-7 mm, SD 1.2 mm). The upper division of the facial nerve crossed the posterior border of the condylar process on average 2.31 cm (SD 0.10 cm) anterior to the tragus. Conclusions. This study suggests that the temporozygomatic division of the facial nerve will be encountered in most approaches to the condylar process. As visualization of the relationship of the facial nerve to condyle is often limited, recognition that, on average, 5.5 mm of tissue separates condylar process from nerve should help reduce the incidence of facial nerve injury during this procedure.

  12. Internal fixation of severely displaced mandibular condylar neck fracture with the aid of ramus osteotomy. A revised technique

    DEFF Research Database (Denmark)

    Hillerup, S

    1997-01-01

    A technique is described whereby the mandibular condyle can be located, replaced and fixed in case of a severely displaced fracture with exarticulation of the condylar head.......A technique is described whereby the mandibular condyle can be located, replaced and fixed in case of a severely displaced fracture with exarticulation of the condylar head....

  13. The Relationship of the Facial Nerve to the Condylar Process: A Cadaveric Study with Implications for Open Reduction Internal Fixation

    Directory of Open Access Journals (Sweden)

    H. P. Barham

    2015-01-01

    Full Text Available Introduction. The mandibular condyle is the most common site of mandibular fracture. Surgical treatment of condylar fractures by open reduction and internal fixation (ORIF demands direct visualization of the fracture. This project aimed to investigate the anatomic relationship of the tragus to the facial nerve and condylar process. Materials and Methods. Twelve fresh hemicadavers heads were used. An extended retromandibular/preauricular approach was utilized, with the incision being based parallel to the posterior edge of the ramus. Measurements were obtained from the tragus to the facial nerve and condylar process. Results. The temporozygomatic division of the facial nerve was encountered during each approach, crossing the mandible at the condylar neck. The mean tissue depth separating the facial nerve from the condylar neck was 5.5 mm (range: 3.5 mm–7 mm, SD 1.2 mm. The upper division of the facial nerve crossed the posterior border of the condylar process on average 2.31 cm (SD 0.10 cm anterior to the tragus. Conclusions. This study suggests that the temporozygomatic division of the facial nerve will be encountered in most approaches to the condylar process. As visualization of the relationship of the facial nerve to condyle is often limited, recognition that, on average, 5.5 mm of tissue separates condylar process from nerve should help reduce the incidence of facial nerve injury during this procedure.

  14. [Temporomandibular joint septic arthritis with secondary condylar resorption].

    Science.gov (United States)

    Constant, M; Nicot, R; Maes, J-M; Raoul, G; Ferri, J

    2016-09-01

    Septic arthritis are serious infections rarely observed for the temporomandibular joint. They are mainly hematogenous or transmitted by contiguity. Our patient presents the case of an infection of the temporomandibular joint by maxillary sinusitis of dental origin further complicated by cerebral abscess and empyema. Initial treatment consisted of an endonasal and intraoral drainage, intravenous empirical antibiotic therapy, a close clinicoradiological monitoring, and rehabilitation following a long-term active physiotherapy. Furthermore, the patient reported the onset of a dental articulation disorder with a left side premature contact and right lateral open bite, corresponding to a significant left condylar resorption. This infectious disease is very rare for temporomandibular location; however, its general and functional outcome is determined by the precocity of the treatment. It is important to know the diagnosis and the associated symptoms even if they are not very specifically described. It is essential to consider the diagnosis when facing atypical pain of the temporomandibular joint associated with trismus. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  15. Impaired maternal glucose homeostasis during pregnancy is associated with low status of long-chain polyunsaturated fatty acids (LCP) and essential fatty acids (EFA) in the fetus

    NARCIS (Netherlands)

    Dijck-Brouwer, DAJ; Hadders-Algra, M; Bouwstra, H; Decsi, T; Boehm, G; Martini, IA; Boersma, ER; Muskiet, FAJ

    2005-01-01

    Low status of long-chain polyunsaturated fatty acids (LCP) and essential fatty acids (EFA) in the fetus is associated with less favorable neonatal neurological condition. A 'relative', rather than 'absolute' EFA deficiency might explain this finding. A relative EFA deficiency may derive from impaire

  16. Impaired maternal glucose homeostasis during pregnancy is associated with low status of long-chain polyunsaturated fatty acids (LCP) and essential fatty acids (EFA) in the fetus

    NARCIS (Netherlands)

    Dijck-Brouwer, DAJ; Hadders-Algra, M; Bouwstra, H; Decsi, T; Boehm, G; Martini, IA; Boersma, ER; Muskiet, FAJ

    Low status of long-chain polyunsaturated fatty acids (LCP) and essential fatty acids (EFA) in the fetus is associated with less favorable neonatal neurological condition. A 'relative', rather than 'absolute' EFA deficiency might explain this finding. A relative EFA deficiency may derive from

  17. PVD Silicon Carbide as a Thin Film Packaging Technology for Antennas on LCP Substrates for Harsh Environments

    Science.gov (United States)

    Scardelletti, Maximilian C.; Stanton, John W.; Ponchak, George E.; Jordan, Jennifer L.; Zorman, Christian A.

    2010-01-01

    This paper describes an effort to develop a thin film packaging technology for microfabricated planar antennas on polymeric substrates based on silicon carbide (SiC) films deposited by physical vapor deposition (PVD). The antennas are coplanar waveguide fed dual frequency folded slot antennas fabricated on liquid crystal polymer (LCP) substrates. The PVD SiC thin films were deposited directly onto the antennas by RF sputtering at room temperature at a chamber pressure of 30 mTorr and a power level of 300 W. The SiC film thickness is 450 nm. The return loss and radiation patterns were measured before and after the SiC-coated antennas were submerged into perchloric acid for 1 hour. No degradation in RF performance or physical integrity of the antenna was observed.

  18. Physiological traits of Penicillium glabrum strain LCP 08.5568, a filamentous fungus isolated from bottled aromatized mineral water.

    Science.gov (United States)

    Nevarez, L; Vasseur, V; Le Madec, A; Le Bras, M A; Coroller, L; Leguérinel, I; Barbier, G

    2009-04-15

    Penicillium glabrum is a ubiquitous fungus distributed world wide. This fungus is a frequent contaminant in the food manufacturing industry. Environmental factors such as temperature, water activity and pH have a great influence on fungal development. In this study, a strain of P. glabrum referenced to as LCP 08.5568, has been isolated from a bottle of aromatized mineral water. The effects of temperature, a(w) and pH on radial growth rate were assessed on Czapeck Yeast Agar (CYA) medium. Models derived from the cardinal model with inflection [Rosso et al., 1993 An unexpected correlation between cardinal temperatures of microbial growth highlighted by a new model. J. Theor. Bio. 162, 447-463.] were used to fit the experimental data and determine for each factor, the cardinal parameters (minimum, optimum and maximum). Precise characterisation of the growth conditions for such a fungal contaminant, has an evident interest to understand and to prevent spoilage of food products.

  19. A clinico-radiographic analysis of sagittal condylar guidance determined by protrusive interocclusal registration and panoramic radiographic images in humans

    Directory of Open Access Journals (Sweden)

    D Krishna Prasad

    2012-01-01

    Full Text Available Purpose: To evaluate the correlation between sagittal condylar guidance obtained by protrusive interocclusal records and panoramic radiograph tracing methods in human dentulous subjects. Materials and Methods: The sagittal condylar guidance was determined in 75 dentulous subjects by protrusive interocclusal records using Aluwax through a face bow transfer (HANAU™ Spring Bow, Whip Mix Corporation, USA to a semi-adjustable articulator (HANAU™ Wide-Vue Articulator, Whip Mix Corporation, USA. In the same subjects, the sagittal outline of the articular eminence and glenoid fossa was traced in panoramic radiographs. The sagittal condylar path inclination was constructed by joining the heights of curvature in the glenoid fossa and the corresponding articular eminence. This was then related to the constructed Frankfurt′s horizontal plane to determine the radiographic angle of sagittal condylar guidance. Results: A strong positive correlation existed between right and left condylar guidance by the protrusive interocclusal method (P 0.000 and similarly by the radiographic method (P 0.013. The mean difference between the condylar guidance obtained using both methods were 1.97° for the right side and 3.18° for the left side. This difference between the values by the two methods was found to be highly significant for the right (P 0.003 and left side (P 0.000, respectively. The sagittal condylar guidance obtained from both methods showed a significant positive correlation on right (P 0.000 and left side (P 0.015, respectively. Conclusion: Panoramic radiographic tracings of the sagittal condylar path guidance may be made relative to the Frankfurt′s horizontal reference plane and the resulting condylar guidance angles used to set the condylar guide settings of semi-adjustable articulators.

  20. Association between condylar morphology and inflammation in experimental temporomandibular joint TMJ arthritis

    DEFF Research Database (Denmark)

    Kristensen, Kasper Dahl; Stoustrup, Peter bangsgaard; Küseler, Annelise;

      Background: In juvenile idiopathic arthritis involvement of the temporomandibular joints (TMJs) is often associated with severe mandibular growth deviations. The relation between condylar growth deviations, inflammation severity, the micro-architectural composition, and the bone quality has...... not previously been investigated. Aim: We studied the effects of antigen-induced arthritis on the bony structures in rabbit mandibular condylar development, in particular the morphological changes and the bone micro-architecture. Materials and Methods: Included were juvenile rabbits with ovalbumin-induced TMJ...... morphology was not associated with overall mandibular growth. Conclusion: We show that severe inflammation in the TMJs during mandibular development is associated with morphological changes of the mandibular condyle. Morphological changes may occur because of deficient development of condylar cartilage...

  1. The mandibular condylar growth center: separation and characterization of the cellular elements.

    Science.gov (United States)

    Landesberg, R; Proctor, R L; Rosier, R N; Puzas, J E

    1995-01-01

    The developing mandibular condylar growth center consists of a number of histologically distinct cell types. There is an increase in cell volume that takes place from the condylar surface layer through the center of ossification, resulting in a disorganized, irregular cellular pattern. Consequently, the isolation and separation of the different cells from this tissue is difficult using standard methodologies. Countercurrent centrifugal elutriation, whereby cells are separated on the basis of size, was applied to bovine mandibular condylar growth center cells. The cell volume, alkaline phosphatase content, proteoglycan synthesis, and type X collagen synthesis all showed a positive correlation with increasing cell size. The largest cells had characteristics that are consistent with hypertrophic chondrocytes; the smallest cells, on the other hand, had many fibroblastic characteristics.

  2. The relationship between malocclusion, benign joint hypermobility syndrome, condylar position and TMD symptoms.

    Science.gov (United States)

    Barrera-Mora, José Ma; Espinar Escalona, Eduardo; Abalos Labruzzi, Camilo; Llamas Carrera, José Ma; Ballesteros, Emilio Jiménez-Castellanos; Solano Reina, Enrique; Rocabado, Mariano

    2012-04-01

    The current study investigated the association between temporomandibular disorders, malocclusion patterns, benign joint hypermobility syndrome and the initial condylar position. One hundred sixty-two subjects were analyzed using the Rocabado Temporomandibular Pain Analysis; Helkimo Index parameters; the Carter-Wilkinson modified test; and a mounting cast with condylar position indicator registration (MPI). The study revealed a significant association between: 1. Delta H, skeletal pattern (p = 0.034); 2. Delta Y, transversal malocclusion (p = 0.04); 3. right and left, Delta Z, right and left posteroinferior synovial pain (p temporomandibular pain analysis joint (TPAJ) (p = 0.0034); 7. TMJ function impairment, left and right TPAJ (p = 0.007); and 8. mandibular motion, left and right TPAJ (p = 0.035, p = 0.015). The conclusion was that anterior crossbite and condylar displacements in the vertical plane are risk factors in developing TMJ symptoms.

  3. [Determination of the average value of the condylar slope of black Africans].

    Science.gov (United States)

    Konaté, N Y; Djérédou, K B; Kamagaté, F S; Thiam, A; Pesson, D M; Assi, K D; Touré, S

    2008-09-01

    The objective of this work was to determinate the average value of the condylar slope of Black African subject and to set up its variation according to whether the localization of the hinge axis is real or arbitrary. With this intention, we made an axiographic study at 63 subjects presented complete natural teeth, with a normoclusion in class 1 of Angle. The results of this study reveal that the average value of the slope condylar is 44,28 degrees in arbitrary hinge axis and 45,7 degrees in hinge axis real; and this difference is not statistically significant. The graphic recording of condylar displacement by the "Quick-Axis" is thus possible without risk of error in the layout and the reproduction of the mandible movements which is of a great interest for the general practitioner taking into account the simplicity of handling of the FAG system.

  4. Radiographic study of bone deformans on charged condylar head position in TMJ arthrosis

    Energy Technology Data Exchange (ETDEWEB)

    You, Dong Soo [Department of Oral Radiology, College of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    1983-11-15

    The author analyzed the morphologic changes of bone structure from 848 radiographics (424 joints) of 212 patients with temporomandibular joint arthrosis, which were obtained by the oblique-lateral transcranial projection and ortho pantomography. The interrelation of the bone changes and condylar head positions the results were as follows: 1. In the 212 patients with TMJ arthrosis, 210 patients (99.05%) show the condylar positional changes. Among them, 187 patients (89.05%) show the bone changes. 2. In TMJ arthrosis patients with bone changes, 108 patients (57.75%) show both the condylar positional changes and bone changes. 66 patients show the condylar positional changes bilaterally and bone changes unilaterally. On the other hand, 11 patients (5.88%) show the condylar positional changes unilaterally and bone change bilaterally. 3. The bone changes in the TMJ arthrosis patients with the condylar positional changes were as follows: There were the flattening of articular surface in 103 cases (26.55%) the erosion in 99 cases (25.52%), and the erosion in 88 cases (22.68%). There were not much differences among the three types of bone changes. And the deformity in 70 cases (18.04%), the sclerosis in 22 cases (5.67%), the marginal proliferation in 6 cases (1.55%) were seen. 4. The regions of bone changes in TMJ arthrosis patients with condylar positional changes were as follows: They occurred at the condyle head (51.04%), the articular eminence (39.20%) and the articular fossa (9.60%) in that order. The condylar positional changes and bone changes according to the regions were as follows: a) In the bone changes at the condylar head, the flattening (34.63%) was a most frequent finding and the deformity (27.63%) the erosion (34.63%) in the order. In the condylar positional changes, the downward positioning of condyle (41.44%) was a most frequent finding in the mouth closed state and the restricted movement within the articular fossa (35.46%) in the mouth open state. b) In

  5. Evaluation of fractured condylar head along the sagittal plane: report of three cases.

    Science.gov (United States)

    Rajesh Kumar, Bekal Pattathan; Rai, Kirthi Kumar; Shiva Kumar, H R; Upasi, Amarnath P; Shah, Ashwin

    2012-06-01

    There are case reports of sagittal fractures of the condylar head leading to bifid condyle. However bifid condyles maybe found in patients with no history of trauma. A split in the saggital plane of the condyle is not visible with a lateral, oblique or panaromic radiographs but only with anteriorposterior, transorbital projections or CT scan of the temperomandibular joint. The chances of condyle being split in the sagittal plane may be due to the medial pole extending beyond the condylar neck, moreover the condyle is composed of cancellous bone covered by a thin layer of cortical bone. Here we are presenting three case reports of Saggital split condyles and stress the need for inclusion of these type of fractures in the classification of condylar fractures.

  6. 切开复位内固定术治疗髁突骨折38例临床分析%The Clinical Effect Analysis of Open Reduction on Mandibular Condylar Fractures

    Institute of Scientific and Technical Information of China (English)

    王怀元; 朱坤鹍; 刘刚; 张朝奎; 郭维志

    2011-01-01

    Objective: Clinical study on the use of open reduction and fixation of condylar fractures. Methods:All 38 cases were treated with open reduction and internal fixation of condylar fractures, including 3 cases of old fractures, 35 patients with recent fractures, 12 cases are open fractures, 26 cases of a closed fracture, and 32 cases are unilateral condylar fracture, 6 cases are bilateral condylar fractures, joint head of condylar fractures in 4 patients, condylar neck fractures, 31 cases of condylar fracture of the base in 9 cases. In the opening degree based on observation after surgery, open type, occlusion, chewing ability and fracture healing, we conduct a comprehensive assessment of clinical efficacy. Results: 6 months after surgery, through the mouth opening, open type, occlusion of the assessment, obtained excellent surgery was 89. 5% ( 34/38 ). Conclusions: The use of open reduction and plate fixation for micro - condylar fractures can be determined, a reasonable choice of surgical indications, and standard surgical operation is to avoid surgical complications.%目的:探讨切开复位内固定手术治疗髁突骨折的临床疗效.方法:采用切开复位内固定术治疗髁突骨折38例,其中陈旧性骨折3例、新鲜骨折35例,开放性骨折12例、闭合性骨折26例,单侧髁突骨折32例、双侧髁突骨折6例,髁突头部骨折4侧、髁突颈部骨折31侧、髁突基部骨折9侧.术后观察开口度、开口型、咬牙合关系、咀嚼力及骨折愈合情况,对临床疗效进行综合评估.结果:术后6个月,开口度、开口型、咬牙合关系评估,优良率为89.5%(34/38).术后咀嚼力优34例,良3例,较差1例.术后影像学检查显示,34例髁突无移位,骨折无错位,髁突表面无明显吸收现象;3例上、下颌骨联合骨折因复位固定位置多骨折线未能达到解剖复位;1例术后因感染螺钉、钛板松动,髁突有再移位(角度<10°).结论:切开复位微型钛板内固定治疗

  7. Biomechanical properties of the mandibular condylar cartilage and their relevance to the TMJ disc.

    Science.gov (United States)

    Singh, M; Detamore, M S

    2009-03-11

    Mandibular condylar cartilage plays a crucial role in temporomandibular joint (TMJ) function, which includes facilitating articulation with the TMJ disc, reducing loads on the underlying bone, and contributing to bone remodeling. To improve our understanding of the TMJ function in normal and pathological situations, accurate and validated three-dimensional (3-D) finite element models (FEMs) of the human TMJ may serve as valuable diagnostic tools as well as predictors of thresholds for tissue damage resulting from parafunctional activities and trauma. In this context, development of reliable biomechanical standards for condylar cartilage is crucial. Moreover, biomechanical characteristics of the native tissue are important design parameters for creating functional tissue-engineered replacements. Towards these goals, biomechanical characteristics of the condylar cartilage have been reviewed here, highlighting the structure-function correlations. Structurally, condylar cartilage, like the TMJ disc, exhibits zonal and topographical heterogeneity. Early structural investigations of the condylar cartilage have suggested that the tissue possesses a somewhat transversely isotropic orientation of collagen fibers in the fibrous zone. However, recent tensile and shear evaluations have reported a higher stiffness of the tissue in the anteroposterior direction than in the mediolateral direction, corresponding to an anisotropic fiber orientation comparable to the TMJ disc. In a few investigations, condylar cartilage under compression was found to be stiffer anteriorly than posteriorly. As with the TMJ disc, further compressive characterization is warranted. To draw inferences for human tissue using animal models, establishing stiffness-thickness correlations and regional evaluation of proteoglycan/glycosaminoglycan content may be essential. Efforts directed from the biomechanics community for the characterization of TMJ tissues will facilitate the development of reliable and

  8. Increased mandibular condylar growth in mice with estrogen receptor beta deficiency.

    Science.gov (United States)

    Kamiya, Yosuke; Chen, Jing; Xu, Manshan; Utreja, Achint; Choi, Thomas; Drissi, Hicham; Wadhwa, Sunil

    2013-05-01

    Temporomandibular joint (TMJ) disorders predominantly afflict women of childbearing age, suggesting a role for female hormones in the disease process. In long bones, estrogen acting via estrogen receptor beta (ERβ) inhibits axial skeletal growth in female mice. However, the role of ERβ in the mandibular condyle is largely unknown. We hypothesize that female ERβ-deficient mice will have increased mandibular condylar growth compared to wild-type (WT) female mice. This study examined female 7-day-old, 49-day-old, and 120-day-old WT and ERβ knockout (KO) mice. There was a significant increase in mandibular condylar cartilage thickness as a result of an increased number of cells, in the 49-day-old and 120-day-old female ERβ KO compared with WT controls. Analysis in 49-day-old female ERβ KO mice revealed a significant increase in collagen type X, parathyroid hormone-related protein (Pthrp), and osteoprotegerin gene expression and a significant decrease in receptor activator for nuclear factor κ B ligand (Rankl) and Indian hedgehog (Ihh) gene expression, compared with WT controls. Subchondral bone analysis revealed a significant increase in total condylar volume and a decrease in the number of osteoclasts in the 49-day-old ERβ KO compared with WT female mice. There was no difference in cell proliferation in condylar cartilage between the genotypes. However, there were differences in the expression of proteins that regulate the cell cycle; we found a decrease in the expression of Tieg1 and p57 in the mandibular condylar cartilage from ERβ KO mice compared with WT mice. Taken together, our results suggest that ERβ deficiency increases condylar growth in female mice by inhibiting the turnover of fibrocartilage.

  9. Hyaline cartilage cells outperform mandibular condylar cartilage cells in a TMJ fibrocartilage tissue engineering application.

    Science.gov (United States)

    Wang, L; Lazebnik, M; Detamore, M S

    2009-03-01

    To compare temporomandibular joint (TMJ) condylar cartilage cells in vitro to hyaline cartilage cells cultured in a three-dimensional (3D) environment for tissue engineering of mandibular condylar cartilage. Mandibular condylar cartilage and hyaline cartilage cells were harvested from pigs and cultured for 6 weeks in polyglycolic acid (PGA) scaffolds. Both types of cells were treated with glucosamine sulfate (0.4 mM), insulin-like growth factor-I (IGF-I) (100 ng/ml) and their combination. At weeks 0 and 6, cell number, glycosaminoglycan (GAG) and collagen content were determined, types I and II collagen were visualized by immunohistochemistry and GAGs were visualized by histology. Hyaline cartilage cells produced from half an order to a full order of magnitude more GAGs and collagen than mandibular condylar cartilage cells in 3D culture. IGF-I was a highly effective signal for biosynthesis with hyaline cartilage cells, while glucosamine sulfate decreased cell proliferation and biosynthesis with both types of cells. In vitro culture of TMJ condylar cartilage cells produced a fibrous tissue with predominantly type I collagen, while hyaline cartilage cells formed a fibrocartilage-like tissue with types I and II collagen. The combination of IGF and glucosamine had a synergistic effect on maintaining the phenotype of TMJ condylar cells to generate both types I and II collagen. Given the superior biosynthetic activity by hyaline cartilage cells and the practical surgical limitations of harvesting cells from the TMJ of a patient requiring TMJ reconstruction, cartilage cells from elsewhere in the body may be a potentially better alternative to cells harvested from the TMJ for TMJ tissue engineering. This finding may also apply to other fibrocartilages such as the intervertebral disc and knee meniscus in applications where a mature cartilage cell source is desired.

  10. Unusual Unilateral Fracture of the Condylar and Coronoid Processes of the Mandible

    Directory of Open Access Journals (Sweden)

    Timucin Baykul

    2014-01-01

    Full Text Available The incidence of condylar fracture is very high and most are not caused by direct trauma. On the other hand, fracture of the coronoid process is reported less often than fracture of other parts of the mandible. We report a case of right subcondylar and coronoid fractures without any evidence of direct trauma to the zygomatic area or an indirect trauma to the mandibular corpus or sypmheseal region. The possible cause was identified as acute reflex contraction of the temporalis muscles leading to coronoid and condylar stress fractures.

  11. Preauricular transparotid approach to mandibular condylar fractures without dissecting facial nerves.

    Science.gov (United States)

    Yabe, Tetsuji; Tsuda, Tomoyuki; Hirose, Shunsuke; Ozawa, Toshiyuki

    2013-07-01

    Preauricular transparotid approach without dissecting the facial nerve was used for surgical treatment of 15 condylar fractures in 14 patients. The parotid fascia was opened just above the fracture site, and by dissecting the parotid gland and masseter muscle, the fracture was directly exposed. The facial nerve itself was not dissected expressly. All fractures could be reduced accurately and fixed firmly with miniplates. A direct approach just above the fracture site provided good vision of the fracture, avoiding facial nerve palsy caused by strong retraction. Moreover, by not dissecting the facial nerve, the operation time was shortened. This approach was useful for surgical treatment of both condylar neck and subcondylar fractures.

  12. Indications for the microvascular medial femoral condylar flap in craniomaxillofacial surgery.

    Science.gov (United States)

    Thiele, Oliver Christian; Kremer, Thomas; Kneser, Ulrich; Mischkowski, Robert Andreas

    2014-07-01

    The medial femoral condylar flap makes it possible to reconstruct bone, cartilage, and skin, but elongation of the pedicle is usually required to bridge the distances to the vascular connections in the neck. The indications in the maxillofacial area include reconstruction of the temporomandibular joint (TMJ), pseudarthrosis of the jaws, osteonecrosis of the jaws and skull, and augmentation of bone in irradiated or otherwise compromised tissue. If small bony defects require safe and reliable osseous, osteochondral, or osteocutaneous reconstruction, the medial femoral condylar flap can be used to fill the gap between small avascular, and larger microvascular, bone transplants.

  13. Effect of bimaxillary surgery on adaptive condylar head remodeling: metric analysis and image interpretation using cone-beam computed tomography volume superimposition.

    Science.gov (United States)

    Park, Soo-Byung; Yang, Yu-Mi; Kim, Yong-Il; Cho, Bong-Hae; Jung, Yun-Hoa; Hwang, Dae-Seok

    2012-08-01

    The aim of the present study was to use cone-beam computed tomography volume superimposition to investigate the effect of bimaxillary orthognathic surgery on condylar head remodeling. Using a retrospective study design, 2 investigators evaluated the cone-beam computed tomography data of subjects who had undergone Le Fort I osteotomy and mandibular setback surgery. The predictor variable was time, grouped as preoperative versus postoperative. The outcome variables were the measurement changes of the condylar heads and the distribution of the condylar head remodeling signs. Paired t and χ(2) tests were performed for the purposes of the 2-dimensional metric analysis and the condylar head remodeling distribution. P Bimaxillary orthognathic surgery caused a decrease in the condylar heights and condylar head remodeling. The cone-beam computed tomography volume superimposition method showed that the condylar head had undergone remodeling after bimaxillary surgery. Copyright © 2012 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  14. In vitro biomechanical comparison of a 4.5 mm narrow locking compression plate construct versus a 4.5 mm limited contact dynamic compression plate construct for arthrodesis of the equine proximal interphalangeal joint.

    Science.gov (United States)

    Ahern, Benjamin J; Showalter, Brent L; Elliott, Dawn M; Richardson, Dean W; Getman, Liberty M

    2013-04-01

    To compare the in vitro biomechanical properties of a 4.5 mm narrow locking compression plate (PIP-LCP) with 2 abaxially located transarticular screws and a 4.5 mm limited contact dynamic compression plate (LC-DCP) with 2 abaxially located transarticular screws using equine pasterns. Experimental. Paired in vitro biomechanical testing of 2 methods for stabilizing adult equine forelimb PIP joints. Adult equine forelimbs (n = 8 pairs). Each pair of PIP joints were randomly instrumented with either a PIP-LCP or LC-DCP plate axially and 2 parasagitally positioned 5.5 mm transarticular screws. The proximal aspect of the proximal phalanx (P1) and the distal aspect of the middle phalanx (P2) were embedded to allow for mounting on a mechanical testing machine. Each construct was tested in both cyclic and subsequently single cycle to failure in 4-point bending. The displacement required to maintain a target load of 1 kN over 3600 cycles at 1 Hz was recorded. Maximum bending moment at failure and construct stiffness was calculated from the single cycle to failure testing. In cyclic testing, significantly more displacement occurred in the LC-DCP (0.46 ± 0.10 mm) than for the PIP-LCP (0.17 ± 0.11 mm) constructs (P = .016). During single cycle testing there was no significant difference in the bending moment between the LC-DCP (148.7 ± 19.4 N m) and the PIP-LCP (164.6 ± 17.6 N m) constructs (P = .553) and the stiffness of the LC-DCP (183.9 ± 26.9 N mm) was significantly lower than for the PIP-LCP (279.8 ± 15.9 N/mm) constructs (P = .011). All constructs failed by fracture of the bone associated with the transarticular screws and subsequently bending of the plates at the middle hole. Use of the PIP-LCP resulted in a stiffer construct of the same strength as the LC-DCP in vitro using this 4-point bending model. © Copyright 2013 by The American College of Veterinary Surgeons.

  15. The Outcome in Early Cases of Treatment of Subtrochanteric Fractures with Proximal Femur Locking Compression Plate

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    U Gunadham

    2014-07-01

    Full Text Available The objective of this study was to evaluate the outcome in early treatment of subtrochanteric fractures with proximal femur locking compression plate (PF-LCP.The patients included in this study were those with subtrochanteric fractures (AO type 32A-C treated with PF-LCP (Synthes between Jan 2009 and Jun 2011. The patient characteristics and details of clinical conditions were obtained from records. Clinical and radiographic follow-ups were done at one, two, four and 6 months intervals, and at one year. The primary outcome studied included fracture union and functional ambulatory status. Twenty-six patients were included in the study, 19 of whom were male with a mean age of 42.4 years. Fourteen patients (53.9% had sustained AO type 32B fractures, the majority in motor vehicle accidents. Twenty-two fractures (84.6% achieved union, while sixpatients (23.1% had complications such as broken plate, varus collapse, and broken screw. Four patients (15.4% underwent a second operation. At the end of the follow-ups, 25 patients (96.2% were community ambulators. We conclude that PF-LCP is an effective alternative treatment for subtrochanteric fractures when properly performed.

  16. 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.

  17. Selection of Internal Rigid Fixation Method of Compound Condylar Fractures%髁状突颈部复合型骨折坚强内固定方式的选择

    Institute of Scientific and Technical Information of China (English)

    赵亮; 杨壮群; 虎小易; 陶洪; 陈曦; 黄亚莉

    2012-01-01

    目的:从生物力学角度探讨髁状突颈部复合型骨折坚强内固定方式选择.方法:用三维有限元法分析髁状突颈部复合型骨折于髁颈部采用单小型钛板和两个小型钛板两种方式固定后,下颌骨位移等值线图、yon Mises应力等值线图和固定板最大yon Mises值.结果:单板固定位移值在右侧关节骨折段减小,在中间和左侧骨折段增大;应力传导轨迹在左侧外斜线和右侧乙状切迹中断;固定板最大yon Mises应力为574.179Mpa.双板固定位移值右侧关节骨折段较单板固定大,中间和左侧骨折段较小;应力轨迹未中断;后缘固定板最大von Mises应力为263.324Mpa,前缘为199.122Mpa.结论:从生物力学角度看,对于单侧髁颈部骨折伴有对侧颏旁区骨折,在髁颈部骨折区采用两块小型钛板固定优于单块小型钛板固定.%Objective To select the compound condylar fractures internal rigid fixation method from a biomechanical perspective. Method Three-dimensional finite element method was used to analyze the displacement isograms, the von Mises stress isograms of the mandible and the maximum von Mises value in the fixed plate when the compound condylar fracture fixed with single mini titanium plates or two mini titanium plates in condylar neck. Results When fixed with single plate, the displacement value decreased in the right articular fracture segment, while it increased in the middle and the left segment; the stress conduction tracks in the left external oblique line and the right sigmoid notch interrupted; and the maximum von Mises stress in the fixed plate was 574.179Mpa. Compared with single plate fixation, when fixed with double plate, the displacement value in the right articular fracture segment was greater and it was smaller in the middle and the left segment; the stress conduction tracks did not interrupt; the maximum von Mises stress in the posterior plate was 263.324Mpa and in the anterior plate was 199

  18. Cone-Beam Computed Tomographic Assessment of Mandibular Condylar Position in Patients with Temporomandibular Joint Dysfunction and in Healthy Subjects

    Directory of Open Access Journals (Sweden)

    Maryam Paknahad

    2015-01-01

    Full Text Available Statement of the Problem. The clinical significance of condyle-fossa relationships in the temporomandibular joint is a matter of controversy. Different studies have evaluated whether the position of the condyle is a predictor of the presence of temporomandibular disorder. Purpose. The purpose of the present study was to investigate the condylar position according to gender in patients with temporomandibular disorder (TMD and healthy controls using cone-beam computed tomography. Materials and Methods. CBCT of sixty temporomandibular joints in thirty patients with TMD and sixty joints of thirty subjects without TMJ disorder was evaluated in this study. The condylar position was assessed on the CBCT images. The data were analyzed using Pearson chi-square test. Results. No statistically significant differences were found regarding the condylar position between symptomatic and asymptomatic groups. Posterior condylar position was more frequently observed in women and anterior condylar position was more prevalent in men in the symptomatic group. However, no significant differences in condylar position were found in asymptomatic subjects according to gender. Conclusion. This study showed no apparent association between condylar positioning and clinical findings in TMD patients.

  19. Cone-Beam Computed Tomographic Assessment of Mandibular Condylar Position in Patients with Temporomandibular Joint Dysfunction and in Healthy Subjects.

    Science.gov (United States)

    Paknahad, Maryam; Shahidi, Shoaleh; Iranpour, Shiva; Mirhadi, Sabah; Paknahad, Majid

    2015-01-01

    Statement of the Problem. The clinical significance of condyle-fossa relationships in the temporomandibular joint is a matter of controversy. Different studies have evaluated whether the position of the condyle is a predictor of the presence of temporomandibular disorder. Purpose. The purpose of the present study was to investigate the condylar position according to gender in patients with temporomandibular disorder (TMD) and healthy controls using cone-beam computed tomography. Materials and Methods. CBCT of sixty temporomandibular joints in thirty patients with TMD and sixty joints of thirty subjects without TMJ disorder was evaluated in this study. The condylar position was assessed on the CBCT images. The data were analyzed using Pearson chi-square test. Results. No statistically significant differences were found regarding the condylar position between symptomatic and asymptomatic groups. Posterior condylar position was more frequently observed in women and anterior condylar position was more prevalent in men in the symptomatic group. However, no significant differences in condylar position were found in asymptomatic subjects according to gender. Conclusion. This study showed no apparent association between condylar positioning and clinical findings in TMD patients.

  20. Radiographic cephalometry analysis of condylar position after bimaxillary osteotomy in patients with mandibular prognathism

    Directory of Open Access Journals (Sweden)

    Miković Nikola D.

    2016-01-01

    Full Text Available Background/Aim. Postoperative condylar position is a substantial concern in surgical correction of mandibular prognathism. Orthognathic surgery may change condylar position and this is considered a contributing factor for early skeletal relapse and the induction of temporomandibular disorders. The purpose of this study was to evaluate changes in condylar position, and to correlate angular skeletal measurements following bimaxillary surgery. Methods. On profile teleradiographs of 21 patients with mandibular angular and linear parametres, the changes in condylar position, were measured during preoperative orthodontic treatment and 6 months after the surgical treatment. Results. A statistically significant difference in values between the groups was found. The most distal point on the head of condyle point (DI moved backward for 1.38 mm (p = 0.02, and the point of center of collum mandibulae point (DC moved backward for 1.52 mm (p = 0.007. The amount of upward movement of the point DI was 1.62 mm (p = 0.04. Conclusion. In the patients with mandibular prognathism, the condyles tend to migrate upward and forward six months after bimaxillary surgery.

  1. 3D analysis of condylar remodelling and skeletal relapse following bilateral sagittal split advancement osteotomies

    NARCIS (Netherlands)

    Xi, T.; Schreurs, R.; Loon, B. van; Koning, M.J. de; Berge, S.J.; Hoppenreijs, T.J.; Maal, T.J.J.

    2015-01-01

    A major concern in mandibular advancement surgery using bilateral sagittal split osteotomies (BSSO) is potential postoperative relapse. Although the role of postoperative changes in condylar morphology on skeletal relapse was reported in previous studies, no study so far has objectified the precise

  2. Morphometric evaluation of condylar cartilage of growing rats in response to mandibular retractive forces

    Directory of Open Access Journals (Sweden)

    Milena Peixoto Nogueira de Sá

    2013-08-01

    Full Text Available INTRODUCTION: The mandibular condylar surface is made up of four layers, i.e., an external layer composed of dense connective tissue, followed by a layer of undifferentiated cells, hyaline cartilage and bone. Few studies have demonstrated the behavior of the condylar cartilage when the mandible is positioned posteriorly, as in treatments for correcting functional Class III malocclusion. OBJECTIVE: The aim of this study was to assess the morphologic and histological aspects of rat condyles in response to posterior positioning of the mandible. METHODS: Thirty five-week-old male Wistar rats were selected and randomly divided into two groups: A control group (C and an experimental group (E which received devices for inducing mandibular retrusion. The animals were euthanized at time intervals of 7, 21 and 30 days after the experiment had began. For histological analysis, total condylar thickness was measured, including the proliferative, hyaline and hypertrophic layers, as well as each layer separately, totaling 30 measurements for each parameter of each animal. RESULTS: The greatest difference in cartilage thickness was observed in 21 days, although different levels were observed in the other periods. Group E showed an increase of 39.46% in the total layer, reflected by increases in the thickness of the hypertrophic (42.24%, hyaline (46.92% and proliferative (17.70% layers. CONCLUSIONS: Posteriorly repositioning the mandible produced a series of histological and morphological responses in the condyle, suggesting condylar and mandibular adaptation in rats.

  3. Roles of the Fibrous Superficial Zone in the Mechanical Behavior of TMJ Condylar Cartilage.

    Science.gov (United States)

    Ruggiero, Leonardo; Zimmerman, Brandon K; Park, Miri; Han, Lin; Wang, Liyun; Burris, David L; Lu, X Lucas

    2015-11-01

    In temporomandibular joints (TMJs), the cartilage on the condylar head displays a unique ultrastructure with a dense layer of type I collagen in the superficial zone, different from hyaline cartilage in other joints. This study aims to elucidate the roles of this fibrous zone in the mechanical behaviors, particularly lubrication, of TMJ under physiological loading regimes. Mechanical tests on porcine condylar cartilage demonstrated that the superficial and middle-deep zones exhibit tension-compression nonlinearity. The tensile and compressive moduli of the superficial zone are 30.73 ± 12.97 and 0.028 ± 0.016 MPa, respectively, while those for the middle-deep zone are 2.43 ± 1.75 and 0.14 ± 0.09 MPa. A nonlinear finite element model of condylar cartilage was built to simulate sliding of a spherical probe over the articular surface. The presence of the superficial zone significantly promoted interstitial fluid pressurization (IFP) inside the loaded cartilage and reduced the friction force on the surface, compared to the case without the superficial zone. Finite element simulations showed that IFP depends on sliding speed but not normal load, which matches the experimental results. This study revealed the presence of the fibrous zone can significantly reduce the deformation of condylar cartilage under compression and the friction force on its surface during sliding.

  4. Condylar position on the lateral individualized corrected tomography in internal derangement of temporomandibular joint

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Keun Min; Hwang, Eui Hwan; Lee, Sang Rae [College of Dentistry, Kyung Hee University, Seoul (Korea, Republic of)

    2002-06-15

    To examine the possible relationship between condylar position and disk displacement in the temporomandibular joint. 79 temporomandibular joints in 40 patients having temporomandibular disorders were classified into three categories: no disk displacement (NDD), disk displacement with reduction (DDWR), and disk displacement without reduction (DDWOR). Disk positions were assessed from clinical and MRI findings. The relationship between the three categories and condylar positions was evaluated using lateral individualized corrected tomography. Clinical findings regarding the relationship between condyle and disk positions having anterior, centric, and posterior positions were 27%, 27%, and 46%, respectively, in NDD, 43%, 17%, and 40%, respectively, in DDWR, and 44%, 22%, and 34%, respectively, in DDWOR. There were no significant differences in condylar positions between each of the groups (P>0.05). In the relationship between condyle and disk positions with MRI findings, anterior, centric, and posterior positions were 38%, 38%, and 24%, respectively, in NDD, 29%, 21%, and 50%, respectively, in DDWR, and 44%, 9%, and 47% respectively, in DDWOR. There were significant differences in the condylar positions when MRI was utilized (P<0.05). There was a significant correlation between the condyle and disk positions with MRI findings on lateral individualized corrected tomography.

  5. Condylar bony changes in patients with temporomandibular disorders: a CBCT study

    Energy Technology Data Exchange (ETDEWEB)

    Nah, Kyung Soo [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University, Yangsan (Korea, Republic of)

    2012-09-15

    Diagnosis of osteoarthritis most commonly depends on clinical and radiographic findings. The present study attempted to observe the bony changes in temporomandibular joint (TMJ) patients from all age groups. The first-visit clinical records and cone beam computed tomography (CBCT) data of 440 TMJs from 220 consecutive TMJ patients were reviewed retrospectively. The most frequent condylar bony change observed was sclerosis (133 joints, 30.2%) followed by surface erosion (129 joints, 29.3%), flattening of the articular surface (112 joints, 25.5%), and deviation in form (58 joints, 13.2%), which included 33 TMJs in a cane-shape, 16 with a lateral or medial pole depression, 6 with posterior condylar surface flattening, and 3 with a bifid-shaped condyle. Fifty-three joints (12.0%) showed hypoplastic condyles but only 1 joint showed hyperplasia. Osteophyte was found in 35 joints (8.0%) and subcortical cyst in 24 joints (5.5%), 5 of which had surface erosion as well. One hundred nineteen joints (27.0%) had only one kind of condylar bony change, 66 joints (15.0%) had two, 52 joints (11.8%) had three, 12 joints (5.0%) had four, and 6 joints (1.4%) had five kinds of condylar bony changes at the same time. Eighty-five (65.9%) of 129 joints with surface erosion had pain recorded at the chief complaint. With more widespread use of CBCT, more specific or detailed guidelines for osteoarthritis are needed.

  6. Modified endaural approach for the treatment of condylar fractures: A review of 75 cases

    Directory of Open Access Journals (Sweden)

    S M Balaji

    2016-01-01

    Conclusion: Surgery for mandibular condyle fractures with modified approach allows direct vision of the fracture and reduces surgical trauma to the site while avoiding permanent facial nerve injury. Hence, the author's modified Al-Kayat Bramley incision via endaural approach could be considered as the best approach for open reduction and internal fixation of condylar neck and subcondylar mandibular fractures.

  7. Twenty-degree-tilt radiography for evaluation of lateral humeral condylar fracture in children

    Energy Technology Data Exchange (ETDEWEB)

    Imada, Hideaki; Tanaka, Ryuji; Itoh, Yohei; Kishi, Kazuhiko [National Hospital Organization, Higashi-Hiroshima Medical Center, Department of Orthopedic Surgery, Higashi Hiroshima, Hiroshima (Japan)

    2010-03-15

    To investigate the efficacy of '20 -tilt anteroposterior (A-P) radiography' in the assessment of lateral condylar fractures of the distal humerus. Eighteen children with lateral humeral condylar fractures were studied. Every child underwent conventional A-P and lateral radiography, and six children underwent multi-detector computed tomography (MDCT). For the investigation of 20 -tilt radiography, ten children with lateral humeral condylar fractures had conventional and 20 -tilt A-P and lateral radiography both preoperatively and postoperatively. Fragment dislocation was measured at the lateral and medial margins of the fracture on both the conventional A-P and 20 -tilt A-P radiographs. The lateral condylar fragment was triangular and was most prominent posteriorly. The fracture line was typically tilted approximately 20 to a reference line perpendicular to the long axis of the humerus in the lateral view. The extent of dislocation at the lateral and medial margins of the fracture site by 20 -tilt A-P radiography (9.3 {+-} 3.6 mm and 5.6 {+-} 2.5 mm) was significantly wider than that measured by the conventional method (6.8 {+-} 4.1 mm and 2.0 {+-} 1.5 mm), which may influence treatment. Twenty-degree-tilt A-P radiography may more precisely demonstrate fragment dislocation than standard radiographs and may influence patient treatment. (orig.)

  8. Morphometric evaluation of condylar cartilage of growing rats in response to mandibular retractive forces.

    Science.gov (United States)

    de Sá, Milena Peixoto Nogueira; Zanoni, Jacqueline Nelisis; de Salles, Carlos Luiz Fernandes; de Souza, Fabrício Dias; Suga, Uhana Seifert Guimarães; Terada, Raquel Sano Suga

    2013-01-01

    The mandibular condylar surface is made up of four layers, i.e., an external layer composed of dense connective tissue, followed by a layer of undifferentiated cells, hyaline cartilage and bone. Few studies have demonstrated the behavior of the condylar cartilage when the mandible is positioned posteriorly, as in treatments for correcting functional Class III malocclusion. The aim of this study was to assess the morphologic and histological aspects of rat condyles in response to posterior positioning of the mandible. Thirty five-week-old male Wistar rats were selected and randomly divided into two groups: A control group (C) and an experimental group (E) which received devices for inducing mandibular retrusion. The animals were euthanized at time intervals of 7, 21 and 30 days after the experiment had began. For histological analysis, total condylar thickness was measured, including the proliferative, hyaline and hypertrophic layers, as well as each layer separately, totaling 30 measurements for each parameter of each animal. The greatest difference in cartilage thickness was observed in 21 days, although different levels were observed in the other periods. Group E showed an increase of 39.46% in the total layer, reflected by increases in the thickness of the hypertrophic (42.24%), hyaline (46.92%) and proliferative (17.70%) layers. Posteriorly repositioning the mandible produced a series of histological and morphological responses in the condyle, suggesting condylar and mandibular adaptation in rats.

  9. Effect of lower third molars on the incidence of mandibular angle and condylar fractures.

    Science.gov (United States)

    Choi, Byung-Joon; Park, Soong; Lee, Deok-Won; Ohe, Joo-Young; Kwon, Yong-Dae

    2011-07-01

    Numerous previous studies already have proven that mandibles with a third molar are significantly more susceptible to angle fracture by external force. Similarly, other data suggest that the absence of a third molar increases the risk of condylar fracture, while concurrently decreasing the risk of angular fracture. We attempt to characterize the effect of a third molar on the incidence of mandibular angle and condylar fractures. This retrospective study reviews data from 385 patients, all of whom were seen in our clinics between February 2006 and November 2009. All data were collected from clinical examination notes and panoramic radiographs, with third-molar state evaluated by the Pell and Gregory classification system. Our results mirror those of previous studies. The incidence of mandibular angle fracture was significantly greater on sides with a third molar, whereas the condylar fracture rate significantly increased in mandibles lacking a third molar or without a fully erupted third molar. The rate of symphysis and mandibular angle fracture was also high in cases of multiple comorbid fractures. Both the presence and the state of the lower third molar affect the risk of future mandibular angle and condylar fracture.

  10. Evaluation of Hanau's formula in determination of lateral condylar guidance: A clinical research study

    Science.gov (United States)

    Bhawsar, Sanjay Vasant; Marathe, Ashlesha Subhash; Ansari, Sadekh Abdul

    2015-01-01

    Statement of Problem: The accuracy and reliability of the methods used for programming the semi-adjustable articulators determine the accuracy in occlusion. The current recommended average settings using the Hanau's formula commonly used by clinicians is questionable, and thus reassessment is needed. This study was carried out to evaluate and compare the lateral condylar guidance: (1) Using the Hanau's formula and the computerized jaw tracking device (Kinesiograph). (2) On the right and left sides using both these methods. Materials and Methods: A total of 20 completely edentulous patients (14 male and 6 females) within 40–60 years of age were selected. Jaw relation was recorded followed by face bow transfer. Extraoral Gothic arch tracing was recorded; three protrusive records were obtained and condylar guidance was calculated. Lateral condylar guidance was then calculated using Hanau's formula, followed by the computerized jaw tracking device. A comparative evaluation was done of the obtained values. The same investigator worked with each of the study participants for the purpose of standardization. Results: The lateral condylar guidance values obtained using the Hanau's formula ranged from 14 to 17° while those obtained using the computerized K7 jaw tracking device ranged from 8 to 40°. Bennett angle values, obtained using the jaw tracking device and Hanau's formula showed statistically significant differences (P 0.05). Conclusion: Based on the results, dentist and dental technicians should consider reassessing the current recommended average settings and use of the Hanau's formula for programming the semi-adjustable articulators. PMID:26929535

  11. Panoramic imaging is not suitable for quantitative evaluation, classification, and follow up in unilateral condylar hyperplasia

    NARCIS (Netherlands)

    Nolte, J.W.; Karssemakers, L.H.E.; Grootendorst, D.C.; Tuinzing, D.B.; Becking, A.G.

    2015-01-01

    Patients with suspected unilateral condylar hyperplasia are often screened radiologically with a panoramic radiograph, but this is not sufficient for routine diagnosis and follow up. We have therefore made a quantitative analysis and evaluation of panoramic radiographs in a large group of patients w

  12. Static bone cavity in the condylar neck and mandibular notch of the mandible.

    Science.gov (United States)

    Minowa, K; Kobayashi, I; Matsuda, A; Ohmori, K; Kurokawa, Y; Inoue, N; Totsuka, Y; Nakamura, M

    2009-03-01

    This study presents the radiographic findings of two cases of static bone cavity in the inferior aspect of the condylar neck and mandibular notch of the mandible. On plain CT, a soft tissue mass was observed in each cavity. The submandibular gland and the other glands were not found in each cavity. On contrast-enhanced CT, the soft tissue in the cavity in the inferior aspect of the condylar neck had marked linear enhancement and dilated vasculature structure was observed in the cavity. On the contrast-enhanced MRI, the soft tissue in the cavity of the mandibular notch had marked enhancement and flow void was detected in the cavity. In the inferior aspect of the condylar neck, the cavity size had enlarged radiographically over a period of three years. Vascular lesions were found in the cavity located in the inferior aspect of the condylar neck and mandibular notch of the mandible by both CT and MRI. The vascular lesion might explain the enlargement of the static bone cavity.

  13. Panoramic imaging is not suitable for quantitative evaluation, classification, and follow up in unilateral condylar hyperplasia.

    Science.gov (United States)

    Nolte, J W; Karssemakers, L H E; Grootendorst, D C; Tuinzing, D B; Becking, A G

    2015-05-01

    Patients with suspected unilateral condylar hyperplasia are often screened radiologically with a panoramic radiograph, but this is not sufficient for routine diagnosis and follow up. We have therefore made a quantitative analysis and evaluation of panoramic radiographs in a large group of patients with the condition. During the period 1994-2011, 132 patients with 113 panoramic radiographs were analysed using a validated method. There was good reproducibility between observers, but the condylar neck and head were the regions reported with least reliability. Although in most patients asymmetry of the condylar head, neck, and ramus was confirmed, the kappa coefficient as an indicator of agreement between two observers was poor (-0.040 to 0.504). Hardly any difference between sides was measured at the gonion angle, and the body appeared to be higher on the affected side in 80% of patients. Panoramic radiographs might be suitable for screening, but are not suitable for the quantitative evaluation, classification, and follow up of patients with unilateral condylar hyperplasia.

  14. Endoscopically assisted reduction and fixation of condylar neck/base fractures--The learning curve.

    Science.gov (United States)

    Loukota, R A

    2006-12-01

    Following the introduction of a new technique for fixation of fractures of the condylar neck and base in our department, the operative times were compared with those for the traditional and frequently used method of open reduction and internal fixation. A distinct learning curve was seen.

  15. Miniaturized and Ferrite Based Tunable Bandpass Filters in LCP and LTCC Technologies for SoP Applications

    KAUST Repository

    Arabi, Eyad A.

    2015-04-01

    Wireless systems with emerging applications are leaning towards small size, light-weight and low cost. Another trend for these wireless devices is that new applications and functionalities are being added without increasing the size of the device. To accomplish this, individual components must be miniaturized and the system should be designed to maximize the integration of the individual components. The high level of 3D integration feasible in system on package design (SoP) concept can fulfill the latter requirement. Bandpass filters are important components on all wireless systems to reject the unwanted signals and reduce interference. Being mostly implemented with passive and distributed components, bandpass filters take considerable space in a wireless system. Moreover, with emerging bands and multiple applications encompassed in a single device, many bandpass filters are required. The miniaturization related to bandpass filters can be approached by three main ways: (1) at the component level through the miniaturization of individual bandpass filters, (2) at the system level through the use of tunable filters to reduce the overall number of filters, and (3) at the system level through the high level of integration in a 3D SoP platform. In this work we have focused on all three aspects of miniaturization of band pass filters mentioned above. In the first part of this work, a low frequency (1.5 GHz global positioning system (GPS) band) filter implemented through 3D lumped components in two leading SoP technologies, namely low temperature co-fired ceramic (LTCC) and the liquid crystal polymers (LCP) is demonstrated. The miniaturized filter is based on a second order topology, which has been modified to improve the selectivity and out-of-band rejection without increasing the size. Moreover, for the case of LCP, the filter is realized in an ultra-thin stack up comprising four metallization layers with an overall thickness of only 100 _m. Due to its ultra

  16. Biomechanical investigation of an alternative concept to angular stable plating using conventional fixation hardware

    Directory of Open Access Journals (Sweden)

    Radtke Roman

    2010-05-01

    Full Text Available Abstract Background Angle-stable locking plates have improved the surgical management of fractures. However, locking implants are costly and removal can be difficult. The aim of this in vitro study was to evaluate the biomechanical performance of a newly proposed crossed-screw concept ("Fence" utilizing conventional (non-locked implants in comparison to conventional LC-DCP (limited contact dynamic compression plate and LCP (locking compression plate stabilization, in a human cadaveric diaphyseal gap model. Methods In eight pairs of human cadaveric femora, one femur per pair was randomly assigned to receive a Fence construct with either elevated or non-elevated plate, while the contralateral femur received either an LCP or LC-DCP instrumentation. Fracture gap motion and fatigue performance under cyclic loading was evaluated successively in axial compression and in torsion. Results were statistically compared in a pairwise setting. Results The elevated Fence constructs allowed significantly higher gap motion compared to the LCP instrumentations (axial compression: p ≤ 0.011, torsion p ≤ 0.015 but revealed similar performance under cyclic loading (p = 0.43. The Fence instrumentation with established bone-plate contact revealed larger fracture gap motion under axial compression compared to the conventional LC-DCP osteosynthesis (p ≤ 0.017. However, all contact Fence specimens survived the cyclic test, whereas all LC-DCP constructs failed early during torsion testing (p Conclusions Even though accentuated fracture gap motion became obvious, the "Fence" technique is considered an alternative to cost-intensive locking-head devices. The concept can be of interest in cases were angle-stable implants are unavailable and can lead to new strategies in implant design.

  17. Positional change of the condylar heads after wearing complete denture on dental cone beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Bong Ho; Kim, Jae Duk; Chung, Chae Heon [Department of Dental Science Graduate School and Oral Biology Research, Chosun University, Gwangju (Korea, Republic of)

    2008-03-15

    The aim of this study was to evaluate the change in the position of the mandibular condyle within articular fossa by a CBCT after wearing complete denture (CD). CBCT of 34 temporomandibular joints were taken from 9 male and 8 female patients with CB Mercuray{sup TM} (Hitachi, Japan) before and after wearing a CD for rehabilitation. Position of mandibular condyle within articular fossa at centric occlusion was evaluated with Vimplant2.0{sup TM} (CyberMed, Korea) on the central parasagittal view and curved panoramic coronal view of the condylar head. A statistical evaluation was done with SPSS. The range of anteroposterior positional rate (AP) of condylar head within articular fossa was -16-5 and -10-12 respectively on the right and left sides. Before wearing CD, the AP rate showed discrepancy between right and left sides (p<0.05). After wearing CD, both condyles showed a tendency to decrease in posterior condylar position (right side; p<0.05). The average discrepancy between right and left side in mediolateral positional rate (MD) was 15.5 and 4.5 respectively before and after wearing CD. The improvement was observed in mediolateral relationship of both condylar heads after wearing CD (p<0.01). Before wearing CD, the average horizontal angle of long axis of condylar head was 79.6 {+-} 2.7 .deg. C and 80.1 {+-} 5.7 .deg. C respectively on the right and left sides. After wearing CD, both condyles were rotated in the same direction in average on axial plane. We observed with CBCT the significant clinical evidence in case of positional change of mandibular condyle after wearing complete denture.

  18. Effects of estradiol on proliferation and metabolism of rabbit mandibular condylar cartilage cells in vitro

    Institute of Scientific and Technical Information of China (English)

    程鹏; 马绪臣; 薛延; 李盛琳; 张祖燕

    2003-01-01

    Objective To investigate the effects in vitro of 17 β-estradiol (E2) on the proliferation and metabolism of rabbit mandibular condylar cartilage cells.Methods Chondrocytes were derived from neonatal rabbit mandibular condylar cartilage using a modified enzyme method. 17β-estradiol was added to the culture medium in a variety of concentrations. Cell growth and DNA, collagen, and proteoglycan synthesis were used as indicators of proliferation and differentiation of condylar chondrocytes. These were measured by cell number, 3H-proline and 35S-incorporation, respectively.Results E2 increased cell number and 3H-thymidine incorporation at 10-8 to 10-10 mol/L, and 10-8 to 10-11 mol/L in a dose-dependent manner, peaking at 10-8 mol/L and 10-9 mol/L, respectively. However, further increase in the concentration of estradiol caused inhibition of both cell number and 3H-thymidine incorporation, and this was significant at 10-6 mol/L. The effect of E2 on proteglycan synthesis was similar; the maximum stimulating effect was at 10-8 mol/L, and inhibition was significant at 10-6 mol/L. There was no obvious stimulatory effect of E2 on 3H-thymidine incorporation observed.Conclusions Estradiol affects condylar chondrocyte cell growth, DNA, and proteoglycan synthesis in a biphasic manner depending on its concentration. This indicates that estrogen may be important in the proliferation and differentiation of mandibular condylar chondrocytes, and could be relevant to some aspects of certain tempormandibular joint diseases by modulating the function of the chondrocytes.

  19. EARLY RESULTS OF UNSTABLE DISTAL RADIUS FRACTURES- ORIF WITH LOCKING COMPRESSION PLATE VERSUS LIGAMENTOTAXIS WITH EXTERNAL FIXATORS

    Directory of Open Access Journals (Sweden)

    Mondeep Gayan

    2017-04-01

    Full Text Available BACKGROUND External Fixation (EF and Open Reduction and Internal Fixation (ORIF have been the traditional surgical modalities for unstable distal radius fractures. The Locking Compression Plates (LCP acting as “internal external fixators” are particularly valuable in difficult situations of fractures. We undertook a study to evaluate the outcome of unstable distal radius fractures treated with ORIF with LCP versus those treated by ligamentotaxis with external fixators. MATERIALS AND METHODS A comparative study was carried out in a tertiary care centre with 30 cases of unstable distal radius fractures (15 cases in each group. In one group, open reduction and internal fixation with distal radius volar locking compression plate was carried out and in the other group ligamentotaxis with external fixator was done. The patients were treated and followed up over a period of one and a half year between June 2011 to November 2012. The fractures were classified according to AO classification (Arbeitsgemeinschaft für Osteosynthesefragen: German for “Association for the Study of Internal Fixation” or AO. The functional results were evaluated at the end of 6 months according to Demerit point system of Gartland and Werley modified by Sarmiento (1975 and the anatomical results as per Lindstrom criteria (1959 modified by Sarmiento (1980. RESULTS Overall 86.66% (13 cases had good-to-excellent anatomical results in external fixator group as compared to 93.33% (14 cases in LCP group. The functional outcome was excellent in 80% (12 and good in 13.33% (2 cases in external fixator group as compared to 66.66% (10 excellent and 26.66% (4 good in LCP group. CONCLUSION Both open reduction and internal fixation with locking compression plate and ligamentotaxis with external fixators are good treatment modalities for unstable distal radius fractures. However, the choice should be guided by the fracture configuration, surgeons’ experience and patient’s profile.

  20. The treatment of condylar fractures: to open or not to open? A critical review of this controversy

    Directory of Open Access Journals (Sweden)

    Renato VALIATI, Danilo IBRAHIM, Marcelo Emir Requia ABREU, Claiton HEITZ, Rogério Belle de OLIVEIRA, Rogério Miranda PAGNONCELLI, Daniela Nascimento SILVA

    2008-01-01

    Full Text Available The treatment of condylar process fractures has generated a great deal of discussion and controversy in oral and maxillofacial trauma and there are many different methods to treat this injury. For each type of condylar fracture, the techniques must be chosen taking into consideration the presence of teeth, fracture height, patient's adaptation, patient's masticatory system, disturbance of occlusal function, deviation of the mandible, internal derangements of the temporomandibular Joint (TMJ and ankylosis of the joint with resultant inability to move the jaw, all of which are sequelae of this injury. Many surgeons seem to favor closed treatment with maxillomandibular fixation (MMF, but in recent years, open treatment of condylar fractures with rigid internal fixation (RIF has become more common. The objective of this review was to evaluate the main variables that determine the choice of method for treatment of condylar fractures: open or closed, pointing out their indications, contra-indications, advantages and disadvantages.

  1. 髁突骨折钛板内固定术后失败原因分析%Analysis of the causes of failure in condylar fracture internal fixation

    Institute of Scientific and Technical Information of China (English)

    金宝忠; 肖进; 徐伟

    2013-01-01

    Objective:Analysis of the causes of failure in condylar fracture internal fixation.Methods: Col ect the cases from April 2003 to April 2012 .Postoperative examination x-ray and ct,Divide the cases into 3 groups: Intracapsular condylar fracture; Condylar neck fractures; Base of condylar fracture. Result: In the 210 Fol ow-up cases, Malocclusion 30;Screws loose 57;Titanium plates fracture 0; Zygomatic branch of facial nerves injury 15; Temporal branch of nerves injury15;Limitation of mouth opening and Mandibular deviation 35;Conclusion:Facial nerve injury; Infection; Undue stress concentration;Titanium plate and titanium nail whether or not in the ideal position;Ignore the intermaxil ary traction;Periarticular soft tissues reset are Factors related to operations failure.%目的:分析髁状突骨折行钛板内固定术后失败的原因。方法收集2003年4月~2012年4月完成的髁状突骨折行钛板内固定术患者,术后随诊复查, X光片及CT检查。根据骨折部位分为髁突囊内骨折,髁突颈部骨折,髁突基部骨折3组,对3组骨折术后愈合情况进行回顾性分析。结果210例随访病例中,术后咬合关系恢复不良30例;螺钉松动57枚,钛板断裂0例,面神经颧支损伤15例,面神经颞支损伤30例,张口受限伴有下颌偏斜35例。结论术中面神经损伤,术后感染、不适当的应力集中、钛板和螺钉的数量、是否固定于理想部位、忽视术后短期颌间牵引固定,关节周围相关软组织是否良好复位为髁突骨折坚强内固定手术失败的相关因素。

  2. Radiological study of the condylar heads in temporomandibular joint arthrosis

    Energy Technology Data Exchange (ETDEWEB)

    You, Dong Soo [Department of Oral Radiology, College of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    1985-11-15

    The author obtained the oblique lateral transcranial radiograms from 376 patients (114 of male, and 262 of female) with temporomandibular joint arthrosis. After tracing each film, the author analyzed the dimensional changes of the condylar heads with pain, clicking, mouth opening limitation, and masticatory difficulty respectively, which were the chief complaints of the TMJ arthrosis and compared these data with control group. The results were as follows; 1. There was a great predilection for occurrence of the TMJ arthrosis in female (262 cases) over male (114 cases). But there was no significant difference in ratio between the sexes on each symptom. In male, 60 patients (52.6%) had pain, 28 patients (24.6%) had clicking, 21 patients (18.4%) had mouth opening limitation, and 5 patients (4.4%) had masticatory difficulty. In female, 148 patients (56.5%) had pain, 57 patients (21.8%) had clicking, 47 patients (17.9%) had mouth opening limitation, and 10 patients (3.8%) had masticatory difficulty. 2. Examined controlled group, the author analyzed the dimension of W-W', 0-H, 0-A, 0-B on the right side first, and left side second. In male, the dimension of W-W' was 14.52 mm, 14.13 mm; 0-H was 13.92 mm, 13.71 mm; 0-A was 8.91 mm, 9.03 mm and 0-B was 8.67 mm, 8.78 mm. In female, W-W' was 13.77 mm, 13.51 mm; 0-H was 13.42 mm, 13.35 mm; 0-A was 8.92 mm, 9.01 mm and 0-B was 8.59 mm, 8.80 mm. 3. W-W' and 0-H of the experimental group were distinctly lesser than the controlled group. Male with mouth opening limitation show the least (12.70 mm, 13.00 mm) on W-W', but both sexes with pain show the least on 0-H. There was no significant difference between experimental group with clicking and controlled group on 0-H, 0-A, and 0- B. And also there was no difference on 0-B in patients with every symptom except masticatory difficulty. The dimensional changes of the condylar heads with those symptoms were as follows; a) In male patients, complaining of pain, W

  3. Comparison of (99m)Tc-MDP SPECT qualitative vs quantitative results in patients with suspected condylar hyperplasia.

    Science.gov (United States)

    López Buitrago, D F; Ruiz Botero, J; Corral, C M; Carmona, A R; Sabogal, A

    To compare qualitative vs quantitative results of Single Photon Emission Computerised Tomography (SPECT), calculated from percentage of (99m)Tc-MDP (methylene diphosphonate) uptake, in condyles of patients with a presumptive clinical diagnosis of condylar hyperplasia. A retrospective, descriptive study was conducted on the (99m)Tc-MDP SPECT bone scintigraphy reports from 51 patients, with clinical impression of facial asymmetry related to condylar hyperplasia referred by their specialist in orthodontics or maxillofacial surgery, to a nuclear medicine department in order to take this type of test. Quantitative data from (99m)Tc-MDP condylar uptake of each were obtained and compared with qualitative image interpretation reported by a nuclear medicine expert. The concordances between the 51 qualitative and quantitative reports results was established. The total sample included 32 women (63%) and 19 men (37%). The patient age range was 13-45 years (21±8 years). According to qualitative reports, 19 patients were positive for right side condylar hyperplasia, 12 for left side condylar hyperplasia, with 8 bilateral, and 12 negative. The quantitative reports diagnosed 16 positives for right side condylar hyperplasia, 10 for left side condylar hyperplasia, and 25 negatives. Nuclear medicine images are an important diagnostic tool, but the qualitative interpretation of the images is not as reliable as the quantitative calculation. The agreement between the two types of report is low (39.2%, Kappa=0.13; P>.2). The main limitation of quantitative reports is that they do not register bilateral condylar hyperplasia cases. Copyright © 2017 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

  4. A clinico-radiographic analysis of sagittal condylar guidance determined by protrusive interocclusal registration and panoramic radiographic images in humans

    OpenAIRE

    Krishna Prasad, D.; Namrata Shah; Chethan Hegde

    2012-01-01

    Purpose: To evaluate the correlation between sagittal condylar guidance obtained by protrusive interocclusal records and panoramic radiograph tracing methods in human dentulous subjects. Materials and Methods: The sagittal condylar guidance was determined in 75 dentulous subjects by protrusive interocclusal records using Aluwax through a face bow transfer (HANAU™ Spring Bow, Whip Mix Corporation, USA) to a semi-adjustable articulator (HANAU™ Wide-Vue Articulator, Whip Mix Corporation, USA). I...

  5. The Relationship of the Facial Nerve to the Condylar Process: A Cadaveric Study with Implications for Open Reduction Internal Fixation

    OpenAIRE

    Barham, H. P.; Collister, P.; V. D. Eusterman; Terella, A. M.

    2015-01-01

    Introduction. The mandibular condyle is the most common site of mandibular fracture. Surgical treatment of condylar fractures by open reduction and internal fixation (ORIF) demands direct visualization of the fracture. This project aimed to investigate the anatomic relationship of the tragus to the facial nerve and condylar process. Materials and Methods. Twelve fresh hemicadavers heads were used. An extended retromandibular/preauricular approach was utilized, with the incision being based pa...

  6. The retromandibular transparotid approach for reduction and rigid internal fixation using two locking miniplates in mandibular condylar neck fractures.

    Science.gov (United States)

    Kanno, T; Sukegawa, S; Tatsumi, H; Nariai, Y; Ishibashi, H; Furuki, Y; Sekine, J

    2014-02-01

    We evaluated the safety, efficacy, and morbidity associated with the treatment of displaced mandibular condylar neck fractures using a retromandibular transparotid approach to reduce and rigidly fix using two 2.0-mm locking miniplates. Our surgical inclusion criteria were: patient selection of open reduction and fixation, displaced unilateral condylar fractures with derangement of occlusion, and bilateral condylar fractures with an anterior open bite. The study group consisted of 19 patients who underwent surgery for 19 mandibular condylar neck fractures; patients were analyzed prospectively, with more than 6 months of follow-up, and were evaluated in terms of functional results, scar formation, postoperative complications, and stability of fixation. The results showed that functional occlusion identical to the preoperative condition and correct anatomical reduction of the condylar segments in centric occlusion, followed by immediate functional recovery, was achieved in all patients. No patient suffered from any major or permanent complication postoperatively, although there were two cases (11%) of temporary facial nerve palsy, which resolved completely within 3 months. Surgical scars were barely visible. The retromandibular transparotid approach with open reduction and rigid internal fixation for displaced condylar neck fractures of the mandible is a feasible and safe, minimally invasive surgical technique that provides reliable clinical results.

  7. Surgical treatment of adult mandibular condylar fractures:a clinical analysis of 32 cases%成人下颌骨髁突骨折手术治疗32例临床分析

    Institute of Scientific and Technical Information of China (English)

    严颖彬; 穆洁; 张兰成; 刘浩; 王志兴; 张军; 沈军; 张萍

    2016-01-01

    Objective To investigate the effect of surgical treatment of adult mandibular condylar fractures (including intracapsular fracture). Methods Thirty-two patients (33 sides) with condylar fractures underwent open reduction and rigid fixation. Six patients with intracapsular condylar fractures were treated with two 18-mm positional screws through a preauricular approach. Six patients (7 sides) with condylar neck fractures were rigidly fixed by 1 mini-plate via a retromandibular transparotid approach. Twenty patients with subcondylar fractures were operated and fixed by two titanium plates using an angular approach. Results The mean follow-up period was 13.5 months, and the mean maximum mouth opening was 37.5 mm by the last visit. All patients acquired good occlusal relationship and mandibular symmetry. Seven patients (21.9%) experienced transient palsy of the branches of the facial nerve, and recovered completely after three months. One patient developed a salivary fistula, and healed after two weeks of gauze compression. No permanent deficit of any facial nerve branch was observed. No patient showed condylar head resorption. Conclusion Appropriate surgical approaches and fixation methods for different types of condylar fractures are the key factors to achieve reliable clinical results.%目的:探讨包括囊内骨折在内的成人下颌骨髁突骨折的手术疗效。方法32例33侧髁突骨折中,囊内骨折6例,采用耳前入路和2枚18 mm的长螺钉固定;髁颈骨折6例7侧,采用颌后穿腮腺入路及1块小型板固定;髁颈下骨折20例,采用环下颌角入路和2块接骨板固定。结果术后平均随访13.5个月,随访期末平均最大张口度37.5 mm。32例患者均获得良好的咬合关系和面部对称性。7例(21.9%)出现暂时性面神经瘫痪,术后3个月均完全恢复,1例出现涎漏,加压包扎后痊愈。无永久性面瘫、髁头吸收等严重并发症。结论对不同类型的髁突骨折

  8. Evaluation of condylar inclination of dentulous subjects determined by axiograph and to compare with manual programming of articulators using protrusive interocclusal record

    OpenAIRE

    Prasad, Krishna D.; Manoj Shetty; Chandy, Binoj K.

    2015-01-01

    Aims: To determine the average condylar inclination using ultrasonic axiograph; to determine the average condylar inclination using protrusive interocclusal bite records; to compare whether there is any marked difference in the values obtained by these techniques. Settings and Design: This clinical study compares the mean horizontal condylar inclination of the ultrasonic axiograph (Axioquick system) and the manual programming using protrusive interocclusal records. Materials and Methods: The ...

  9. Evaluation of Condylar Position after Orthognathic Surgery for Treatment of Class II Vertical Maxillary Excess and Mandibular Deficiency by Using Cone-Beam Computed Tomography

    OpenAIRE

    Reza Tabrizi; Shoaleh Shahidi; Dept. of Oral and Maxillofacial Radiology, Biomaterials Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.; Hamidreza Arabion

    2016-01-01

    Statement of the Problem: In orthognathic surgeries, proper condylar position is one of the most important factors in postoperative stability. Knowing the condylar movement after orthognathic surgery can help preventing postoperative instabilities. Purpose: The aim of this study was to evaluate the condylar positional changes after Le Fort I maxillary superior repositioning along with mandibular advancement by using cone beam computed tomography (CBCT). Materials and Method: This cross...

  10. A Tomographic Study of Condylar Position in Asymptomatic Subjects with Malocclusion

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Ju; Ko, Kwang Jun [Dept. of Oral Radiology, College of Dentistry, Chon Buk National University, Chonju (Korea, Republic of)

    1989-11-15

    The author analysed tomograms and submento-vertex radiograms of 90 temporomandibular joints from 45 asymptomatic young adults. 15 had Angle class I malocclusion, 15 class II and 15 class III. Corrected lateral tomograms were obtained in three condylar positions; centric occlusion, centric relation and 1 inch mouth opening. The condylar angulation, depth of cut, joint spaces were analysed in each radiogram. The obtained results were as follow; 1. The mean condylar angulation in Angle class I, II, III group was 17.55 {+-} 5.51 degree,13.33 {+-} 8.85 degree,16.25 {+-} 6.60 degree, respectively, and there was no significant difference in each group. The mean condylar angulation of right side (16.62 {+-} 7.23 degree) was larger than left side (14.80 {+-} 7.33 degree). 2. The mean depth of cut in Angle class I, II, III group was 8.13 {+-} 1.61 cm, 3.05 {+-} 3.80 cm, 7.75 {+-} 2.19 cm, respectively. Angle class I and class II group revealed significant difference in measurement (p<0.01). 3. The mean height of articular fossa in Angle class I, II, III group was 8.67 {+-} 3.06 mm, 9.61 {+-} 2.57 mm, 8.93 {+-} 2.83 mm, respectively. And the mean width of articular fossa was 19.90 {+-} 2.80 mm, 19.48 {+-} 3.83 mm, 20.36 {+-} 4.82 mm, respectively. 4. The mean height and width of condylar head was 5.11{+-} 1.16 mm, 11.20 {+-} 2.26 mm, respectively. 5. In centric occlusion, the superior joint space was the largest (3.42 {+-} 1.42 mm), followed by anterior joint space (2.94 {+-} 1.95 mm) and the posterior joint space (2.64 {+-} 1.19 mm). In centric relation, the anterior joint space was the largest (3.86 {+-} 2.17 mm), followed by the superior joint space (3.64 {+-} 3.68 mm) and the posterior joint space (1.18 {+-} 0.77 mm). 6. The displaced measurement from centric relation to centric occlusion was 1.10 {+-} 1.04 mm anteriorly and 0.24 {+-} 0.97 mm inferiorly. In 1 inch mouth opening state, the condylar head displaced posteroinferiorly (2.49 {+-} 2.49 mm posteriorly, 1

  11. DAE-LCP MIXED METHOD FOR MULTIBODY SYSTEM DYNAMICS WITH FRICTIONAL CONTACTS%多体系统摩擦接触问题的DAE-LCP方法

    Institute of Scientific and Technical Information of China (English)

    富立; 岳凤桐

    2011-01-01

    当多体系统的约束全部是摩擦接触时,其动力学问题可归结为一个常微分方程(ordinary differential equation,ODE)与线性互补问题(linear complementarity problem,LCP)的混合动力学问题.如果除了摩擦接触之外还增加了光滑的双边约束,则需要将ODE-LCP混合动力学模型推广为微分代数方程(differential algebra equation,DAE)与LCP的混合动力学模型.该文采用DAE与LCP混合动力学方法求解不考虑碰撞但同时含有持续摩擦接触及光滑等式约束的多体系统动力学问题.在建立系统动力学模型时,首先将含摩擦的约束从系统中移去得到基本动力学系统.由于基本系统中带有等式约束,所以基本系统的动力学方程为一组DAE.结合基本系统的DAE与约束的互补条件便可以得到DAE-LCP混合动力学模型.数值计算采用基于DAE与LCP的步进(time-stepping)算法,将系统动力学方程及其约束离散化并转化为一个混合LCP进行求解.该算法无需进行滞-滑状态检测,避免了事件检测导致的繁复计算.利用所提方法对典型机构的非光滑非线性特征进行了数值分析,验证了该文方法的正确有效性.%Presently, dynamics of nonsmooth multibody systems is a hot research topic. The usual approach in treating such systems is to derive basic system from the original system by removing the nonsmooth constraints firstly. The Lagrange equations of the second kind of basic system combine with the complementarity condition of the nonsmooth constraints to set up at each discrete moment in time a Linear Complementarity Problem (LCP).This article focuses on the problem of dynamic modeling and numerical simulating of multibody systems with friction contacts. By neglecting the clearance and the effect of impact between rigid bodies and constraints,the state variables in the differential equations are continuous. Due to the set-value mapping characteristic of dry friction forces, the

  12. Evaluation of condylar inclination of dentulous subjects determined by axiograph and to compare with manual programming of articulators using protrusive interocclusal record

    Directory of Open Access Journals (Sweden)

    Krishna D Prasad

    2015-01-01

    Full Text Available Aims: To determine the average condylar inclination using ultrasonic axiograph; to determine the average condylar inclination using protrusive interocclusal bite records; to compare whether there is any marked difference in the values obtained by these techniques. Settings and Design: This clinical study compares the mean horizontal condylar inclination of the ultrasonic axiograph (Axioquick system and the manual programming using protrusive interocclusal records. Materials and Methods: The study was conducted on a group of 30 subjects reporting to Department of Prosthodontics. Axioquick software system of SAM III (School Articulator Munich fully-adjustable articulator was used, and interocclusal recording of condylar inclination is the manual method used in semi-adjustable articulators using Aluwax. The condylar inclination of the articulator was adjusted and set using protrusive interocclusal record. Statistical Analysis: The horizontal condylar inclination values of both methods were collected, and the mean of right and left condylar inclination was compared using paired t-test. Results: A statistically significant difference exists between Axioquick system and the manual method of programming articulator with protrusive interocclusal records (P ≤ 0.001. Conclusions: Within the limitations of the present study, the following conclusions were drawn: The average condylar inclination by axiograph is 42.125°. The average condylar inclination by interocclusal record is 33.25°. Comparison of both values shows a difference of 8.88° ± 4.03° that showed a significant difference (P < 0.001.

  13. Evaluation of condylar inclination of dentulous subjects determined by axiograph and to compare with manual programming of articulators using protrusive interocclusal record

    Science.gov (United States)

    Prasad, Krishna D.; Shetty, Manoj; Chandy, Binoj K.

    2015-01-01

    Aims: To determine the average condylar inclination using ultrasonic axiograph; to determine the average condylar inclination using protrusive interocclusal bite records; to compare whether there is any marked difference in the values obtained by these techniques. Settings and Design: This clinical study compares the mean horizontal condylar inclination of the ultrasonic axiograph (Axioquick system) and the manual programming using protrusive interocclusal records. Materials and Methods: The study was conducted on a group of 30 subjects reporting to Department of Prosthodontics. Axioquick software system of SAM III (School Articulator Munich) fully-adjustable articulator was used, and interocclusal recording of condylar inclination is the manual method used in semi-adjustable articulators using Aluwax. The condylar inclination of the articulator was adjusted and set using protrusive interocclusal record. Statistical Analysis: The horizontal condylar inclination values of both methods were collected, and the mean of right and left condylar inclination was compared using paired t-test. Results: A statistically significant difference exists between Axioquick system and the manual method of programming articulator with protrusive interocclusal records (P ≤ 0.001). Conclusions: Within the limitations of the present study, the following conclusions were drawn: The average condylar inclination by axiograph is 42.125°. The average condylar inclination by interocclusal record is 33.25°. Comparison of both values shows a difference of 8.88° ± 4.03° that showed a significant difference (P < 0.001). PMID:26321837

  14. Finite element analysis of constrained total Condylar Knee Prosthesis

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-13

    Exactech, Inc., is a prosthetic joint manufacturer based in Gainesville, FL. The company set the goal of developing a highly effective prosthetic articulation, based on scientific principles, not trial and error. They developed an evolutionary design for a total knee arthroplasty system that promised improved performance. They performed static load tests in the laboratory with similar previous designs, but dynamic laboratory testing was both difficult to perform and prohibitively expensive for a small business to undertake. Laboratory testing also cannot measure stress levels in the interior of the prosthesis where failures are known to initiate. To fully optimize their designs for knee arthroplasty revisions, they needed range-of-motion stress/strain data at interior as well as exterior locations within the prosthesis. LLNL developed computer software (especially NIKE3D) specifically designed to perform stress/strain computations (finite element analysis) for complex geometries in large displacement/large deformation conditions. Additionally, LLNL had developed a high fidelity knee model for other analytical purposes. The analysis desired by Exactech could readily be performed using NIKE3D and a modified version of the high fidelity knee that contained the geometry of the condylar knee components. The LLNL high fidelity knee model was a finite element computer model which would not be transferred to Exactech during the course of this CRADA effort. The previously performed laboratory studies by Exactech were beneficial to LLNL in verifying the analytical capabilities of NIKE3D for human anatomical modeling. This, in turn, gave LLNL further entree to perform work-for-others in the prosthetics field. There were two purposes to the CRADA (1) To modify the LLNL High Fidelity Knee Model to accept the geometry of the Exactech Total Knee; and (2) To perform parametric studies of the possible design options in appropriate ranges of motion so that an optimum design could be

  15. Do patients treated with bimaxillary surgery have more stable condylar positions than those who have undergone single-jaw surgery?

    Science.gov (United States)

    Kim, Yoon-Ji; Oh, Kyung-Min; Hong, Ji-Suk; Lee, Jeong-Hwa; Kim, Hyung-Min; Reyes, Mauricio; Cevidanes, Lucia H S; Park, Yang-Ho

    2012-09-01

    Because condylar positioning after sagittal split ramus osteotomy of the mandible has been known to affect postoperative skeletal stability, accurate positional assessment of the temporomandibular joint after orthognathic surgery is vital to maximize stability of the surgery. The purpose of this study was to evaluate condylar changes after single-jaw and double-jaw surgeries in mandibular prognathism patients by comparing 3-dimensional angular and positional changes of the condylar heads in groups of patients receiving combined maxillary posterior impaction and mandibular setback and those undergoing only mandibular setback surgeries. We assessed condylar changes of patients who have been diagnosed with mandibular prognathism and underwent either bimaxillary surgery or isolated mandibular surgery at Kangdong Sacred Heart Hospital and SmileFuture Orthodontic Clinic, Seoul, South Korea, from August 2008 to February 2011. Condylar angulation, intercondylar distance, and amount of condylar displacement were examined based on the 3-dimensional reconstructed images. Preoperative and postoperative changes within each group were assessed by paired t test. Differences between the groups were determined by independent t test. A total of 43 skeletal Class III patients were included in this retrospective, multicenter study. After single-jaw surgery, condylar angulations in all dimensions did not change. In contrast, those who received double-jaw surgery showed forward rotation of 1.93° (P = .027) and medial rotation of 1.48° (P = .032) in the sagittal and axial planes, respectively. The mean distances of condylar displacements were 0.28 ± 0.44 mm in the single-jaw group and 0.31 ± 0.51 mm in the double-jaw group, but there was no statistically significant difference. Condylar angulations are more stable after sagittal split ramus osteotomy of the mandible as an isolated procedure than in combination with the posterior maxillary impaction in treatment of skeletal Class III

  16. Ligand-Controlled CO2 Activation Mediated by Cationic Titanium Hydride Complexes, [LTiH](+) (L=Cp2 , O).

    Science.gov (United States)

    Tang, Shi-Ya; Rijs, Nicole J; Li, Jilai; Schlangen, Maria; Schwarz, Helmut

    2015-06-01

    CO2 activation mediated by [LTiH](+) (L=Cp2 , O) is observed in the gas phase at room temperature using electrospray-ionization mass spectrometry, and reaction details are derived from traveling wave ion-mobility mass spectrometry. Wheresas oxygen-atom transfer prevails in the reaction of the oxide complex [OTiH](+) with CO2 , generating [OTi(OH)](+) under the elimination of CO, insertion of CO2 into the metal-hydrogen bond of the cyclopentadienyl complex, [Cp2 TiH](+) , gives rise to the formate complex [Cp2 Ti(O2 CH)](+) . DFT-based methods were employed to understand how the ligand controls the observed variation in reactivity toward CO2 . Insertion of CO2 into the Ti-H bond constitutes the initial step for the reaction of both [Cp2 TiH](+) and [OTiH](+) , thus generating formate complexes as intermediates. In contrast to [Cp2 Ti(O2 CH)](+) which is kinetically stable, facile decarbonylation of [OTi(O2 CH)](+) results in the hydroxo complex [OTi(OH)](+) . The longer lifetime of [Cp2 Ti(O2 CH)](+) allows for secondary reactions with background water, as a result of which, [Cp2 Ti(OH)](+) is formed. Further, computational studies reveal a good linear correlation between the hydride affinity of [LTi](2+) and the barrier for CO2 insertion into various [LTiH](+) complexes. Understanding the intrinsic ligand effects may provide insight into the selective activation of CO2 .

  17. Orthodontic camouflage via total arch movement in a Class II with idiopathic condylar resorption

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    Ji-Sung Jang

    2014-01-01

    Full Text Available Idiopathic condylar resorption (ICR, also known as idiopathic condylysis or condylar atrophy, is multifactorial pathology leading to severe mandibular retrognathism. The etiology has been shown to be multifactorial, such as avascular necrosis, traumatic injuries, hormone and autoimmune disease and it is largely difficult to distinguish the exact cause in each individual. In spite of the remarkable morphological alteration, surgical intervention is not readily recruited due to the possibility of recurrence of resorption. In order to restore balanced facial profile and occlusion. In this report, we present a camouflage treatment for skeletal Class II with ICR and facial asymmetry involving total arch movement, for the improvement facial profile and reconstruction of occlusion.

  18. Microvascular medial femoral condylar flaps in 107 consecutive reconstructions in the head and neck.

    Science.gov (United States)

    Brandtner, Christian; Hachleitner, Johannes; Bottini, Gian Battista; Buerger, Heinz; Gaggl, Alexander

    2016-07-01

    We have assessed the role of the medial femoral condylar flap in 107 patients who had reconstructions of the head and neck. We retrospectively reviewed their medical records for indications, complications, and outcomes. The flap was primarily used for coverage of alveolar ridge defects (n=67), secondly for defects of the facial bone, calvaria, or skull base (n=35), and thirdly for partial laryngeal defects (n=5). Two flaps were lost. One patient fractured a femur 5 weeks postoperatively. The duration of follow up ranged from 6 months to 12 years. The medial femoral condylar flap is well-suited to individual reconstructions of the alveolar ridge, midface, calvaria, skull base, and part of the larynx with poor recipient sites. The flap does not replace other wellknown flaps, but offers new solutions for solving special problems in head and neck surgery.

  19. Difficulties encountered in preauricular approach over retromandibular approach in condylar fracture.

    Science.gov (United States)

    Jayavelu, Perumal; Riaz, R; Tariq Salam, A R; Saravanan, B; Karthick, R

    2016-10-01

    Fracture of mandible can be classified according to its anatomical location, in which condylar fracture is the most common one overall and is missed on clinical examination. Due to the unique geometry of the mandible and temporomandibular joint, without treatment the fractures can result in marked pain, dysfunction, and deformity. The condylar fracture may be further classified depending on the sides involved: unilateral/bilateral, depending on the height of fracture: intracapsular (within the head of condyle), extracapsular - head and neck (high condyle fracture), and subcondylar (low condyle fracture), and depending on displacement: nondisplaced, displaced (anteromedially, medially, and lateral), and dislocated. The clinical features include swelling and tenderness over the temporomandibular joint region, restricted mouth opening, and anterior open bite. A 34-year-old male patient reported to the Department of Oral and Maxillofacial Surgery at Madha Dental College and Hospital; suffered fall trauma resulting in bilateral condyle fracture, dentoalveolar fracture in mandible with restricted mouth opening, and anterior open bite.

  20. Osteoarthritic changes and condylar positioning of the temporomandibular joint in Korean children and adolescents

    OpenAIRE

    Cho, Bong-Hae; Jung, Yun-Hoa

    2012-01-01

    Purpose To investigate the prevalence of osteoarthritic changes and condylar positioning of the temporomandibular joint (TMJ) in Korean children and adolescents with or without temporomandibular disorders (TMDs). Materials and Methods A total of 101 asymptomatic and 181 symptomatic children and adolescents aged 10 to 18 years old were included in the study. Osteoarthritic changes such as flattening, sclerosis, osteophytes, or erosion, and the parasagittal positioning of the condyle were asses...

  1. Treatment of fractures of the condylar head with resorbable pins or titanium screws: an experimental study.

    Science.gov (United States)

    Schneider, Matthias; Loukota, Richard; Kuchta, Anne; Stadlinger, Bernd; Jung, Roland; Speckl, Katrin; Schmiedekampf, Robert; Eckelt, Uwe

    2013-07-01

    We aimed to compare in vivo the stability of fixation of condylar fractures in sheep using sonic bone welding and standard titanium screws. We assessed stability of the osteosynthesis and maintenance of the height of the mandibular ramus. Height decreased slightly in both groups compared with the opposite side. The volume of the condyle increased considerably in both groups mainly because callus had formed. The results showed no significant disadvantages for pin fixation compared with osteosynthesis using titanium screws.

  2. Increased mandibular condylar growth in mice with estrogen receptor beta deficiency

    OpenAIRE

    Yosuke, Kamiya; JING, Chen; Manshan, Xu; Achint, Utreja; Thomas, Choi; Hicham, Drissi; Sunil, Wadhwa

    2013-01-01

    Temporomandibular joint (TMJ) disorders predominantly afflict women of childbearing age, suggesting a role for female hormones in the disease process. In long bones, estrogen acting via estrogen receptor beta (ERβ) inhibits axial skeletal growth in female mice. However, the role of ERβ in the mandibular condyle is largely unknown. We hypothesize that female ERβ deficient mice will have increased mandibular condylar growth compared with wild type (WT) female mice. This study examined female 7-...

  3. Treatment of Long-standing Condylar Dislocation with Vertical Ramus Osteotomy: A Case Report

    Directory of Open Access Journals (Sweden)

    Saeed Nezafati

    2015-03-01

    Full Text Available Condylar dislocation is not an uncommon condition and occurs when the condyles are displaced anterior to the articular eminence and are unable to reduce back into the glenoid fossa. Long-standing dislocations are difficult to treat with the con-servative methods and usually need surgical intervention. In this paper, a long-standing dislocation treated by bilateral ex-tra-oral ramus osteotomy is described and the literature is reviewed.

  4. Transmasseteric antero-parotid facelift approach for open reduction and internal fixation of condylar fractures

    OpenAIRE

    Choi, Moon-Gi

    2015-01-01

    Surgical approaches to the condylar fracture include intraoral, preauricular, submandibular, and retromandibular approaches. Each approach has its own advantages and disadvantages. When a patient needs esthetic results and an intraoral approach is not feasible, the transmasseteric antero-parotid facelift approach is considered. This approach permits direct exposure and allow the surgeon to fixate the fractured unit tangentially. Tangential fixation is critical to osteosynthesis. Disadvantages...

  5. Recurrent condylar luxation after third molar extraction: an uncommon condition treated by eminectomy

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    Maiolino Thomaz Fonseca OLIVEIRA

    Full Text Available INTRODUCTION: Extraction of third molars can rarely provoke post-operative complications, such as temporomandibular joint disorders (TMDs. OBJECTIVE: Although the literature presents a series of discussions of the clinical evidence related to this subject, in this report, we present an uncommon case of a patient submitted for the extraction of third molars who presented, in postoperative monitoring, with recurrent bilateral condylar luxation. CONCLUSION: Due to this critical condition, the patient was successfully treated by bilateral eminectomy.

  6. Cellular and Matrix Response of the Mandibular Condylar Cartilage to Botulinum Toxin

    Science.gov (United States)

    Dutra, Eliane H.; O’ Brien, Mara H.; Lima, Alexandro; Kalajzic, Zana; Tadinada, Aditya; Nanda, Ravindra; Yadav, Sumit

    2016-01-01

    Objectives To evaluate the cellular and matrix effects of botulinum toxin type A (Botox) on mandibular condylar cartilage (MCC) and subchondral bone. Materials and Methods Botox (0.3 unit) was injected into the right masseter of 5-week-old transgenic mice (Col10a1-RFPcherry) at day 1. Left side masseter was used as intra-animal control. The following bone labels were intraperitoneally injected: calcein at day 7, alizarin red at day 14 and calcein at day 21. In addition, EdU was injected 48 and 24 hours before sacrifice. Mice were sacrificed 30 days after Botox injection. Experimental and control side mandibles were dissected and examined by x-ray imaging and micro-CT. Subsequently, MCC along with the subchondral bone was sectioned and stained with tartrate resistant acid phosphatase (TRAP), EdU, TUNEL, alkaline phosphatase, toluidine blue and safranin O. In addition, we performed immunohistochemistry for pSMAD and VEGF. Results Bone volume fraction, tissue density and trabecular thickness were significantly decreased on the right side of the subchondral bone and mineralized cartilage (Botox was injected) when compared to the left side. There was no significant difference in the mandibular length and condylar head length; however, the condylar width was significantly decreased after Botox injection. Our histology showed decreased numbers of Col10a1 expressing cells, decreased cell proliferation and increased cell apoptosis in the subchondral bone and mandibular condylar cartilage, decreased TRAP activity and mineralization of Botox injected side cartilage and subchondral bone. Furthermore, we observed reduced proteoglycan and glycosaminoglycan distribution and decreased expression of pSMAD 1/5/8 and VEGF in the MCC of the Botox injected side in comparison to control side. Conclusion Injection of Botox in masseter muscle leads to decreased mineralization and matrix deposition, reduced chondrocyte proliferation and differentiation and increased cell apoptosis in the

  7. Management-related outcomes and radiographic findings of idiopathic condylar resorption: a systematic review.

    Science.gov (United States)

    Sansare, K; Raghav, M; Mallya, S M; Karjodkar, F

    2015-02-01

    Idiopathic condylar resorption (ICR) is progressive resorption of the condyle of unknown aetiology. There is no consensus on the approaches for diagnostic imaging and management of this disease. The objective of this systematic review was to examine the best practices for imaging and to appraise the success of surgical and non-surgical therapy of ICR. Eleven search engines were queried via explicit literature searches for studies describing ICR, published until 2012. Two authors independently extracted data using predetermined characteristics. Studies that identified patients as having either ICR or progressive condylar resorption and that described the radiographic findings or treatment options were included. Seventeen studies contributing 178 cases met the eligibility criteria. The major radiographic findings, as assessed mostly by two-dimensional imaging, included decreased ramus height, decreased condylar height, altered volume of the condyle, decreased SNB angle and mandibular plane angle, and a retrognathic profile. Treatments included occlusal splints with orthodontic treatment, condylectomy with costochondral graft, and other surgical approaches. This systematic review was limited by the lack of meta-analysis. Nevertheless, we identified the need for future investigations: characterization of findings on three-dimensional imaging and its contribution to treatment planning, outcomes of non-surgical and pharmacological management of ICR, and randomized trials and comparative studies with longer follow-up periods.

  8. Evaluating condylar position in different skeletal malocclusion patterns: A cephalometric study

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    Sandesh S Hegde

    2015-01-01

    Full Text Available Context: The cranial base and variations in its morphology affect the anterior-posterior positioning of jaws causing changes in the glenoid fossa and condylar position. Aims: To evaluate the condylar position in patients with different skeletal sagittal malocclusion patterns. Materials and Methods: Pretreatment lateral cephalometric radiographs of 112 subjects (both males and females were categorized into three classes (Class I, Class II, Class III based on their ANB angulation and studied for N-S-Ar (saddle angle, S-Ar-Go (articular angle, S-Ar (posterior cranial base length. Statistical Analysis: Shapiro-Wilk test was done to check for normality of the distribution of values. Groups were evaluated using parametric tests (one-way ANOVA. Significance for all tests was predetermined as P < 0.05. Results: N-S-Ar and S-Ar-Go and also S-Ar did not vary significantly in all the three classes. N-S-Ar and S-Ar-Go angles have shown a significant negative correlation in all the three classes. Conclusions: There is no significant difference in condylar position in different skeletal malocclusion patterns. N-S-Ar and S-Ar-Go angles show a negative correlation in any skeletal malocclusion pattern.

  9. Computer-assisted virtual technology in intracapsular condylar fracture with two resorbable long-screws.

    Science.gov (United States)

    Wang, W H; Deng, J Y; Zhu, J; Li, M; Xia, B; Xu, B

    2013-03-01

    Our aim was to fix intracapsular condylar fractures (ICF) with two resorbable long screws using preoperative computer-assisted virtual technology. From February 2008 to July 2011, 19 patients with ICF were treated with two resorbable long screws. Preoperatively we took panoramic radiographs and spiral computed tomography (CT). Depending on their digital imaging and communications in medicine (DICOM) data, the dislocated condylar segments were restored using the SimPlant Pro™ software, version 11.04. The mean (SD) widths of the condylar head and neck from lateral to medial were 19.01 (1.28)mm and 13.84 (1.13)mm, respectively. In all patients, the mandibles and the ICF seen intraoperatively corresponded with the preoperative three-dimensional and virtual reposition. All patients were followed up for 6-46 months (mean 21). Occlusion and mouth opening had been restored completely in all but one patient, and absolute anatomical reduction was also achieved in most cases. Computer-assisted virtual technology plays an important part in the diagnosis of ICF, as well as in its preoperative design. Fixation with only two resorbable long screws is an effective and reliable method for fixing ICF.

  10. Correlation of Condylar Guidance Determined by Panoramic Radiographs to One Determined by Conventional Methods

    Science.gov (United States)

    Godavarthi, A Sowjanya; Sajjan, M C Suresh; Raju, A V Rama; Rajeshkumar, P; Premalatha, Averneni; Chava, Narayana

    2015-01-01

    Background: To evaluate the feasibility of using panoramic radiographs as an alternative to an interocclusal recording method for determining the condylar guidance in dentate and edentulous conditions. Materials and Methods: 20 dentulous individuals with an age range of 20-30 years and 20 edentulous patients of 40-65 years were selected. An interocclusal bite registration was done in protrusive position for all the subjects. Orthopantomographs were made for all patients in open mouth position. Hanau articulator was modified to record the angulations to the accuracy of 1°. Tracing of glenoid fossa on radiograph was done to measure the condylar guidance angles. Readings were recorded and analyzed by Freidman’s test and t-test. Results: Condylar guidance values obtained by the interocclusal method and radiographic method in dentate individuals on the right side and left side 40.55°, and 37.1°, and 40.15°, and 34.75°, respectively. In the edentulous individuals, the values on the right side and left side was 36.7° and 36.1° and 35.95° and 33.6,° respectively. The difference was statistically significant (P = < 0.001) in dentate group and was not statistically significant (P = 0.6493) in edentulous group. Conclusion: Panoramic radiograph can be used as an alternative to interocclusal technique only in edentulous patients. Further studies comparing panoramic radiograph to jaw tracking devices would substantiate the results of this study. PMID:26464554

  11. Cervical column morphology related to head posture, cranial base angle, and condylar malformation.

    Science.gov (United States)

    Sonnesen, Liselotte; Pedersen, Claus Egemose; Kjaer, Inger

    2007-08-01

    The present study describes the cervical column as related to head posture, cranial base, and mandibular condylar hypoplasia. Two groups were included in the study. The 'normal' sample comprised 21 subjects, 15 females aged 23-40 years (mean 29.2 years), and six males aged 25-44 years (mean 32.8 years) with neutral occlusion and normal craniofacial morphology. The condylar hypoplasia group comprised the lateral profile radiographs of 11 patients, eight females, and three males, aged 12-38 years (mean 21.6 years). For each individual, a profile radiograph was taken to perform a visual assessment of the morphology of the cervical column. For the normal group only, the profile radiographs were taken in the standardized head posture to measure the head posture and the cranial base angle. Cervical column: Morphological deviations of the cervical column occurred significantly more often in the subjects with condylar hypoplasia compared with the normal group (P Cervical column related to head posture and cranial base: The cervicohorizontal and cranial base angles were statistically larger in females than in males (P cervical lordosis angle (OPT/CVT, P upper cervical spine (OPT/HOR, P angle (n-s-ba, P cervical column. These associations were not due to the effect of age.

  12. High condylectomy for the treatment of mandibular condylar hyperplasia: a systematic review of the literature.

    Science.gov (United States)

    Ghawsi, S; Aagaard, E; Thygesen, T H

    2016-01-01

    Mandibular condylar hyperplasia (MCH) is a rare, idiopathic disorder, which can cause both functional and aesthetic problems. MCH has often been described in the literature, but a comprehensive analysis of the current literature on MCH has not been undertaken. This study presents a systematic review analyzing the efficacy of high condylectomy in patients with MCH, with an emphasis on its role in the management of unilateral condylar hyperplasia. A systematic search of the current literature on high condylectomy was performed to find studies with sample sizes of more than five patients using a set of inclusion/exclusion criteria. The search terms revealed 664 studies, of which only 11 articles with a total of 289 patients were eligible for inclusion. Due to differences in the presentation of data, a meta-analysis was not conducted. High condylectomy appears to be a relevant surgical method to correct unilateral condylar hyperplasia. The current literature indicates large variations in terms of aetiology, use of diagnostic tools, and preferred time of intervention. Thus, further systematic studies are needed to determine which procedures offer the best aesthetic and functional results.

  13. A radiographic study on the condylar position in temporomandibular joint dysfunction patients

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    Bang, Seo Howan; Kim, Jae Duck [Dept. of Oral Radiology, Division of Dentistry, Chosun University, Kwangju (Korea, Republic of)

    1987-11-15

    The author obtained the transcranial-oblique lateral radiograms from 78 patients (26 male, 52 female) with temporom andibular dysfunction problem. And then, the author analyzed the dimensional changes of the TMJ space on centric occlusion, horizontal condylar movement and antero-posterior positional relationship of condyle to the articular eminence on 2.54 cm mouth opening with clicking, TMJ pain and mouth opening limitation respectively, which were the symptoms of the temporomandibular joint pain dysfunction problem, and compared these data with control group. The results were as follow: 1. In centric occlusion, anterior and posterior TMJ space of experimental group was slightly lesser than those of the control group, also superior TMJ space of experimental group was significantly lesser than that of the control group. (p<0.01) br> 2. In 2.54 cm mouth opening, the condylar horizontal movement and the antero-posterior positional relationship to the articular eminence were significantly lesser than those of the control group. (p<0.01) br> 3. Examined experimental group, the degree of condylar horizontal movement of affected side was lesser than that of the normal side in 2.54 cm mouth opening.

  14. Finite element analysis of a condylar support prosthesis to replace the temporomandibular joint.

    Science.gov (United States)

    Abel, Eric W; Hilgers, André; McLoughlin, Philip M

    2015-04-01

    This paper presents a finite element study of a temporomandibular joint (TMJ) prosthesis in which the mandibular component sits on the condyle after removal of only the diseased articular surface and minimal amount of condylar bone. The condylar support prosthesis (CSP) is customised to fit the patient and allows a large part of the joint force to be transmitted through the condyle to the ramus, rather than relying only on transfer of the load by the screws that fix the prosthesis to the ramus. The 3-dimensional structural finite element analysis compared a design of CSP with a standard commercial prosthesis and one that was modified to fit the ramus, to relate the findings to the different designs and geometrical features. The models simulated an incisal bite under high loading. In the CSP and in its fixation screws, the stresses were much lower than those in the other 2 prostheses and the bone strains were at physiological levels. The CSP gives a more physiological form of load transfer than is possible without the condylar contact, and considerably reduces the amount of strain on the bone around the screws.

  15. CLINICAL OUTCOMES OF LOCKING COMPRESSION PLATE FIXATION THROUGH MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS IN THE TREATMENT OF DISTAL TIBIAL FRACTURE

    Directory of Open Access Journals (Sweden)

    Venkateswara Rao

    2015-07-01

    Full Text Available BACKGROUND: Distal diametaphyseal tibia fracture though requires operative treatment is difficult to manage. Conventional osteosynthesis is not suitable because distal tibia is subcutaneous bone with poor vascularity. Closed reduction and minimally invasive percutaneous plate osteosynthes is with locking compression plate (LCP has emerged as an alternative treatment option because it respects biology of distal tibia and fracture hematoma and also provides biomechanica l ly stable construct. OBJECTIVES: To find out suitability of minimally invasive percutaneous plate osteosynthesis with Locking compression plate for distal diametaphyseal tibia fracture including union time and complications. METHODS: Twenty patients with closed distal tibia fracture with or without intra articular extension (AO classification type - A1, type - A2, type - A3 treated with minimally invasive percutaneous plate osteosynthesis with Locking compression plate were prospectively followed for average duration of 12 months. RESULTS: Ave rage duration of injury - surgery interval was 4.5 days (Range 3 - 7 days all fractures got united with an average duration of 23.5 weeks (range17 - 30weeks. No non - union or mal - union were found. There was one superficial infection found which healed with exte nded period of intravenous antibiotics.

  16. Mandibular repositioning modulates IGFBP-3, -4, -5 and -6 expression in the mandibular condylar cartilage of young rats.

    Science.gov (United States)

    Hajjar, Denise; Santos, Marinilce F; Kimura, Edna Teruko

    2006-01-01

    Functional orthopedic appliances correct dental malocclusion partially by exerting indirect mechanical stimulus on the condylar cartilage, modulating growth and the adaptation of orofacial structures. However, the exact nature of the biological responses to this therapy is not well understood. Insulin-like growth factors I and II (IGF-I and II) are important local factors during growth and differentiation in the condylar cartilage [D. Hajjar, M.F. Santos and E.T. Kimura, Propulsive appliance stimulates the synthesis of insulin-like growth factors I and II in the mandibular condylar cartilage of young rats, Arch. Oral Biol. 48 (2003), 635-642]. The bioefficacy of IGFs at the cellular level is modulated by IGF binding proteins (IGFBP). The aim of this study was to verify the mRNA and protein expression of IGFBP-3, IGFBP-4, IGFBP-5 and IGFBP-6 in the condylar cartilage of young male Wistar rats that used a mandibular propulsive appliance for 3, 9, 15, 20, 30 or 35 days. For this purpose, sagittal sections of decalcified and paraffin-embedded condyles were submitted to immunohistochemistry and the condylar cartilage to RT-PCR. The control group showed a gradual increase in the protein expression of all IGFBPs, except IGFBP-4. Following use of the appliance, IGFBP-3 and IGFBP-6 expression decreased in the early stage of the treatment. At 20 days of treatment there was a decline in the IGFs and IGFBP-3, IGFBP-4 and IGFBP-5 expression and at 30 days there was a peak in the IGFs and all IGFBPs expression except for IGFBP-3 where the peak was observed in the control animals. The expression patterns of all IGFBPs in the condylar cartilage were similar. The modulation of IGFBP-3, -4, -5 and -6 expression in the condylar cartilage in response to the propulsive appliance suggests that those peptides are involved in the mandibular adaptation during this therapy.

  17. Proximal humeral fractures: a biomechanical comparison of locking plate constructs in a cadaveric 3-part fracture model.

    Science.gov (United States)

    Rose, David M; Sutter, Edward G; Mears, Simon C; Gupta, Rohit R; Belkoff, Stephen M

    2010-11-01

    The purpose of our study was to biomechanically compare, under cyclic loading conditions, fracture site motion, humeral head collapse, and intra-articular hardware penetration in simulated 3-part osteoporotic proximal humeral fractures stabilized with 1 of 2 locking-plate constructs. We performed fixation on simulated 3-part proximal humeral fractures in 10 pairs of cadaveric osteoporotic humeri with a Hand Innovations S3 Proximal Humerus Plate (S3 plate) or an LCP Proximal Humerus Plate (LCP plate; 1 each for each pair). The specimens were potted, mounted on a materials testing machine, and subjected to 5000 cycles of abduction in the scapular plane, loading through the supraspinatus tendon. Interfragmentary displacement at 2 virtual points (the most medial aspect of the calcar and the most superior aspect of the osteotomy line between the greater tuberosity and humeral head) was measured using an optical tracking system. Humeral head rotation was also measured. We used a generalized linear latent and mixed model to check for an effect of cyclic loading and treatment on the parameters of interest (significance, P fracture site motion, it is unknown whether the magnitude of the motion is clinically significant.

  18. Late extensor pollicis longus rupture following plate fixation in Galeazzi fracture dislocation

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    Dhananjaya Sabat

    2014-01-01

    Full Text Available Late rupture of extensor pollicis longus (EPL tendon after Galeazzi fracture dislocation fixation is an unknown entity though it is a well-established complication following distal radius fractures. We report the case of a 55-year old male who presented with late EPL tendon rupture 4 months following internal fixation of Galeazzi fracture dislocation with a Locking Compression Plate (LCP. He was managed with extensor indicis proprius (EIP transfer to restore thumb extension. At 4 years followup, functional result of the transfer was good. We identify possible pitfalls with this particular patient and discuss how to avoid them in future.

  19. Late extensor pollicis longus rupture following plate fixation in Galeazzi fracture dislocation.

    Science.gov (United States)

    Sabat, Dhananjaya; Dabas, Vineet; Dhal, Anil

    2014-07-01

    Late rupture of extensor pollicis longus (EPL) tendon after Galeazzi fracture dislocation fixation is an unknown entity though it is a well-established complication following distal radius fractures. We report the case of a 55-year old male who presented with late EPL tendon rupture 4 months following internal fixation of Galeazzi fracture dislocation with a Locking Compression Plate (LCP). He was managed with extensor indicis proprius (EIP) transfer to restore thumb extension. At 4 years followup, functional result of the transfer was good. We identify possible pitfalls with this particular patient and discuss how to avoid them in future.

  20. Conservative Approach to Unilateral Condylar Fracture in a Growing Patient: A 2.5-Year Follow Up

    Science.gov (United States)

    Tuna, Elif Bahar; Dündar, Aysun; Çankaya, Abdülkadir Burak; Gençay, Koray

    2012-01-01

    Condylar fractures in children are especially important because of the risk of a mandibular growth-center being affected in the condylar head, which can lead to growth retardation and facial asymmetry. The purpose of this article is to follow up the two and half year clinical and radiological evaluation of the conservative treatment of a 10 year-old patient, who had a unilateral green-stick type fracture. The patient presented with painful facial swelling localized over the left condylar region, limited mouth-opening and mandibular deviation to the left. Panoramic radiography and computed tomography confirmed the diagnosis of incomplete fracture on the left condyle with one side of the bone fractured and the other bent. Closed reduction was chosen to allow for initial fibrous union of the fracture segments and remodeling with a normal functional stimulus. A non-rigid mandibular splint was applied in order to remove the direct pressure on the fracture side of the mandible. Clinical and radiologic examination after 30 months revealed uneventful healing with reduction of the condylar head and remodeling of the condylar process following conservative treatment. PMID:22276078

  1. Histopathological and immunocytochemical studies of the effect of raised occlusal vertical dimension on the condylar cartilage of the rabbit.

    Science.gov (United States)

    Rashed, M Z; Sharawy, M M

    1993-10-01

    The objective of this study was to evaluate the effect of raising the vertical dimension of occlusion on the condylar cartilage of young adult rabbits. Ten rabbits of approximately the same age were divided into two equal control and experimental groups. The vertical dimension of occlusion of the experimental group was raised bilaterally 1.5 mm using composite resin. No procedure was done for the control group. Animals were sacrificed during a six week period, and changes in condylar cartilage of experimental animals (compared to controls) were evaluated histomorphometrically. In addition, alterations of collagen type I and II were detected using immunohistochemical techniques. The results demonstrated an increase in the volume of the experimental condylar cartilage, which was attributed to an increase in the cartilage zone. Immunohistochemical examination of the hyperplastic cartilage showed no evidence for the production of type I collagen. These changes in condylar cartilage were considered adaptive and may lead to change in condylar shape. Further studies are needed to show if these adaptive changes would progress into osteoarthritis.

  2. Effects of growth factors and glucosamine on porcine mandibular condylar cartilage cells and hyaline cartilage cells for tissue engineering applications.

    Science.gov (United States)

    Wang, Limin; Detamore, Michael S

    2009-01-01

    Temporomandibular joint (TMJ) condylar cartilage is a distinct cartilage that has both fibrocartilaginous and hyaline-like character, with a thin proliferative zone that separates the fibrocartilaginous fibrous zone at the surface from the hyaline-like mature and hypertrophic zones below. In this study, we compared the effects of insulin-like growth factor-I (IGF-I), basic fibroblast growth factor (bFGF), transforming growth factor beta1 (TGF-beta1), and glucosamine sulphate on porcine TMJ condylar cartilage and ankle cartilage cells in monolayer culture. In general, TMJ condylar cartilage cells proliferated faster than ankle cartilage cells, while ankle cells produced significantly greater amounts of glycosaminoglycans (GAGs) and collagen than TMJ condylar cartilage cells. IGF-I and bFGF were potent stimulators of TMJ cell proliferation, while no signals statistically outperformed controls for ankle cell proliferation. IGF-I was the most effective signal for GAG production with ankle cells, and the most potent upregulator of collagen synthesis for both cell types. Glucosamine sulphate promoted cell proliferation and biosynthesis at specific concentrations and outperformed growth factors in certain instances. In conclusion, hyaline cartilage cells had lower cell numbers and superior biosynthesis compared to TMJ condylar cartilage cells, and we have found IGF-I at 100 ng/mL and glucosamine sulphate at 100 microg/mL to be the most effective signals for these cells under the prescribed conditions.

  3. Development of a computer-assisted system for model-based condylar position analysis (E-CPM).

    Science.gov (United States)

    Ahlers, M O; Jakstat, H

    2009-01-01

    Condylar position analysis is a measuring method for the three-dimensional quantitative acquisition of the position of the mandible in different conditions or at different points in time. Originally, the measurement was done based on a model, using special mechanical condylar position measuring instruments, and on a research scale with mechanical-electronic measuring instruments. Today, as an alternative, it is possible to take measurements with electronic measuring instruments applied directly to the patient. The computerization of imaging has also facilitated condylar position measurement by means of three-dimensional data records obtained by imaging examination methods, which has been used in connection with the simulation and quantification of surgical operation results. However, the comparative measurement of the condylar position at different points in time has so far not been possible to the required degree. An electronic measuring instrument, allowing acquisition of the condylar position in clinical routine and facilitating later calibration with measurements from later examinations by data storage and use of precise equalizing systems, was therefore designed by the present authors. This measuring instrument was implemented on the basis of already existing components from the Reference CPM und Cadiax Compact articulator and registration systems (Gamma Dental, Klosterneuburg, Austria) as well as the matching CMD3D evaluation software (dentaConcept, Hamburg).

  4. An Investigation on the Radiographic Relationship Between Condylar Shape and Facial Growth Pattern in Patients with Skeletal CI II Malocclusion

    Directory of Open Access Journals (Sweden)

    L Khakbaz

    2003-02-01

    Full Text Available Mandibular shape is an important determinant in facial morphology, consequently, it should bepaid special attention while investigating facial morphology changes. The aim of this study was todetermine the relationship between condylar radiographic shape and facial growth pattern in patients with CI II skeletal malocclusion. The present retrospective study is of cross-sectional type, performed in Yazd dental faculty, on lateral cephalometric and panoramic radiographs of 40 patients. Cases, under study, had skeletal CI II malocclusion, with an age range of 9-12 years for females and 10-13 years for males. Condylar properties, including shape, neck width and inclination were investigated. To study the results, X" test and pierson correlation coefficient were used. The findings showed that there is a significant relationship between condylar anterior angle and facial growth pattern. (PO.0001. This angle is increased in facial vertical growth pattern. Condylar flattening was observed in 57.5% cases, which didnot have any significant relationship with facial growth pattern. No significant relationship was found between facial growth pattern and condylar width.

  5. Surgical treatment of adolescent internal condylar resorption (AICR with articular disc repositioning and orthognathic surgery in the growing patient—a pilot study

    Directory of Open Access Journals (Sweden)

    Trevor P. Bodine

    2016-01-01

    Full Text Available Abstract Background The aim of this study was to better understand how surgical repositioning and stabilization of anteriorly displaced articular discs using the Mitek mini-anchor technique affects condylar growth in growing patients with adolescent internal condylar resorption (AICR. Methods Twenty-two adolescent patients diagnosed with AICR and anterior temporomandibular disc displacement were compared to untreated control subjects without AICR matched for age, sex, and Angle classification. Pre-surgical (T1 and T2 and post-surgical (T3 and T4 mandibular tracings were superimposed on natural stable structures to evaluate the horizontal, vertical, and total changes in the position of condylion. Results The treated group showed an overall decrease in condylar height pre-surgically and statistically significant changes in condylar growth direction between the pre- and post-surgical observation periods. Pre-surgically, the treated group showed significantly more posterior condylar growth than the control group; they also showed inferior condylar growth, while the controls showed superior growth. Controls and patients in the treated group showed no significant differences in condylar growth post-surgically. Conclusions Adolescent patients diagnosed with AICR and anterior disc displacement treated with mandibular ramus and maxillary osteotomies, along with Mitek anchors to reposition internally deranged discs, showed post-surgical normalization of condylar growth.

  6. Autogenous grafts for condylar reconstruction in treatment of TMJ ankylosis: current concepts and considerations for the future.

    Science.gov (United States)

    Khadka, A; Hu, J

    2012-01-01

    Temporomandibular joint (TMJ) ankylosis is characterized by difficulty or inability to open the mouth due to fusion of the temporal and the mandible, resulting in facial symmetry/deformity, malocclusion and dental problems. The only treatment option for TMJ ankylosis is surgical with or without condylar reconstruction. Various autogenous grafts are available for condylar reconstruction after freeing the ankylotic mass such as costochondral, sternoclavicular, fibular, coronoid, and metatarsophalangeal. Costochondral graft is preferred by surgeons, but distraction osteogenesis is slowly gaining popularity and may ultimately become the standard procedure, providing a cost-effective approach with low morbidity and excellent functional outcomes. Tissue engineering is another budding field which has shown promising results in animal studies but has not been applied to humans. To date, there is no ideal autogenous graft for condylar reconstruction that satisfies the complex anatomy and the myriad of functions of a missing condyle.

  7. Low level laser intensity improves propulsive appliance effects on condylar cartilage

    Science.gov (United States)

    Figueiredo, Augusto C. R.; dos Santos, Fernanda C. A.; Capeletti, Lucas R.; Galdino, Marcos V. B.; Araújo, Renan V.; Marques, Mara R.

    2012-01-01

    Mandibular propulsive appliance (MPA) stimulates cell proliferation and gene expression on mandible condylar cartilage (Marques et al., 2008). However, its association with low level laser therapy (LLLT) is unknown. This study evaluated the effects of LLLT associated to MPA on mandibular condyle. Twenty Wistar rats were divided into four groups. Group I received any treatment. Group II was bilaterally irradiated on temporomandibular joint with 10 J/cm2 low level laser (780nm, 40mW and 10s) on alternate days. Group III used the propulsive appliance for ten hours daily and Group IV used the appliance daily and was irradiated on alternate days. After 15 days the animals were killed by lethal doses of anesthetics. The condyles were fixed in Methacarn solution and decalcified in 4.13% EDTA solution for 30 days. Seriate saggital 5 μm-thick sections were stained by the hematoxilin-eosin method. Morphological and morphometric analyses were performed to measure the length and the height of the mandibular condyle, the thickness of the condilar cartilage and the bone mass. Results were expressed as mean +/- standard deviation (one-way ANOVA, Tukey's post-test.) The appliance increased all measures compared to the control group, except bone mass. Alone, LLLT had no effects on all measures, however, the association of the appliance with the LLLT increased condylar cartilage and bone mass significantly compared to the others groups. These results suggest that LLLT improves the effects of mandibular propulsive appliance in the condylar cartilage growth and formation of bone mass.

  8. Double plating in Vancouver type B1 periprosthetic proximal femur fractures: A biomechanical study.

    Science.gov (United States)

    Wähnert, Dirk; Grüneweller, Niklas; Gehweiler, Dominic; Brunn, Benjamin; Raschke, Michael J; Stange, Richard

    2017-02-01

    Periprosthetic hip fractures are an increasing problem in modern orthopedic and trauma surgery. Many options for the operative treatment are available to the surgeon ranging from modern variable angular systems to standard plates, screws, and cerclages. However, there is no gold standard and therefore, the aim of this study, was to investigate the biomechanical characteristics of double plating versus a lateral standard plate in a Vancouver B1 fracture model. Ten 4th generation composite femora were used to implant cementless total hip prosthesis and create Vancouver B1 periprosthetic fractures. Afterwards, the osteotomies were fixed using the locking compression plate in combination with the locking attachment plate (LCP, LAP, DePuy Synthes, Solothurn, Switzerland)-group I. Group II additionally achieved a 5-hole 4.5/5.0 mm LCP anteriorly. Each construct was cyclically loaded to failure in axial compression. Axial construct stiffness was 50.87 N/mm (SD 1.61) for group I compared to 738.68 N/mm (SD 94.8) for group II, this difference was statistically significant (p = 0.016). The number of cycles to failure was also significant higher for group II (2,375 vs. 13,000 cycles; p = 0.016). Double plating can significantly increase construct stiffness and stability, and thus, is an option in the treatment of complex periprosthetic fractures, in revision surgery and for patients with the inability to partial weight bear. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:234-239, 2017.

  9. Do skeletal cephalometric characteristics correlate with condylar volume, surface and shape? A 3D analysis

    OpenAIRE

    Saccucci Matteo; Polimeni Antonella; Festa Felice; Tecco Simona

    2012-01-01

    Abstract Objective The purpose of this study was to determine the condylar volume in subjects with different mandibular divergence and skeletal class using cone-beam computed tomography (CBCT) and analysis software. Materials and methods For 94 patients (46 females and 48 males; mean age 24.3 ± 6.5 years), resultant rendering reconstructions of the left and right temporal mandibular joints (TMJs) were obtained. Subjects were then classified on the base of ANB angle the GoGn-SN angle in three ...

  10. TIBIOFEMORAL KINEMATICS AND CONDYLAR MOTION DURING THE STANCE PHASE OF GAIT

    OpenAIRE

    Kozanek, Michal; Hosseini, Ali; Liu, Fang; Van de Velde, Samuel K.; Gill, Thomas J.; Rubash, Harry E.; Li, Guoan

    2009-01-01

    Accurate knowledge of the dynamic knee motion in vivo is instrumental for understanding normal and pathological function of the knee joint. However, interpreting motion of the knee joint during gait in other than the sagittal plane remains controversial. In this study, we utilized the dual fluoroscopic imaging technique to investigate the six-degree of freedom kinematics and condylar motion of the knee during the stance phase of treadmill gait in eight healthy volunteers at a speed of 0.67m/s...

  11. Biological Plating in Comminuted Subtrochanteric Fractures

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    MR Aghamirsalim

    2012-05-01

    Full Text Available Background: Comminuted subtrochanteric fractures have been a challenge for orthopedic surgeons in terms of appropriate reduction and stable fixation. Numerous methods have been used for the fixation of comminuted subtrochanteric fractures among which some are accompanied with technical difficulties and complications of their own. Regarding the results of previous studies, we decided to evaluate the biological fixation method in comminuted subtrochanteric fractures. Methods: In this prospective study, we evaluated 20 men with comminuted subtrochanteric femoral fractures. The patients underwent indirect reduction with dynamic hip screw (DHS or dynamic condylar screw (DCS fixation within one week of injury. The patients were evaluated clinically for pain, hip and knee range of motion, leg-length discrepancy and angular and rotational deformities, in addition the radiographic assessment of the union. Results: According to Seinsheimer's classification of subtrochanteric fractures, four patients had type III, nine had type IV and seven had type V fractures. Fracture fixation was performed by DCS in eight and by DHS in 12 cases. The average time of the operations was 79.4 (ranging from 60-125 minutes. Mean blood loss was 634 (ranging from 340-1160 milliliters. Uneventfully, union occurred in all patients with no clinical pain or dysfunction. Conclusion: Submuscular plating with either DCS or DHS is a viable option to treat comminuted subtrochanteric fractures. The results of this study highly suggest use of submuscular plating in the treatment of comminuted subtrochanteric fractures, especially in the third world countries.

  12. Current Concepts in the Mandibular Condyle Fracture Management Part I: Overview of Condylar Fracture

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    Kang-Young Choi

    2012-07-01

    Full Text Available The incidence of condylar fractures is high,but the management of fractures of the mandibularcondyle continues to be controversial. Historically, maxillomandibular fixation, externalfixation, and surgical splints with internal fixation systems were the techniques commonlyused in the treatment of the fractured mandible. Condylar fractures can be extracapsularor intracapsular, undisplaced, deviated, displaced, or dislocated. Treatment depends on theage of the patient, the co-existence of other mandibular or maxillary fractures, whether thecondylar fracture is unilateral or bilateral, the level and displacement of the fracture, thestate of dentition and dental occlusion, and the surgeonnds on the age of the patient, theco-existence of othefrom which it is difficult to recover aesthetically and functionally;anappropriate treatment is required to reconstruct the shape and achieve the function oftheuninjured status. To do this, accurate diagnosis, appropriate reduction and rigid fixation, andcomplication prevention are required. In particular, as mandibular condyle fracture may causelong-term complications such as malocclusion, particularly open bite, reduced posterior facialheight, and facial asymmetry in addition to chronic pain and mobility limitation, great cautionshould be taken. Accordingly, the authors review a general overview of condyle fracture.

  13. A comparative study of the detectability of TMJ radiographic techniques for artificial mandibular condylar lesions

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Hee Jeong; Jung, Yeon Hwa; Cho, Bong Hae [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University, Pusan(Korea, Republic of)

    1997-08-15

    The purpose of this study was to evaluate the detectability of various radiographic techniques for mandibular condylar lesions. Erosive lesion, osteophyte and flattening were formed on the artificial mandibular condyle, and panoramic, transcranial, transorbital radiography, lateral and frontal tomography were taken. The results were as follows; 1. The detectability for erosive lesions was superior in the order of frontal tomography (96%), lateral tomography (78%), transorbital (59%), transcranial (56%) and panoramic (48%) radiography. 2. The location of erosive lesion that showed the highest detectability was the medial third in panoramic, the lateral third in transcranial, the central portion of anteroposterior direction in transorbital, the central portion of mediolateral direction and the posterior third in lateral tomography. Frontal tomography disclosed all erosive lesions except one anterolateral lesion. 3. The detectability of osteophyte was 100% in lateral tomography, 78% in transcranial and 56% in panoramic radiography. 4. For flattening, lateral tomography showed the flattened condyle, but both panoramic and transcranial views showed only decreased bone density without the change of condylar shape.

  14. Meckel's and condylar cartilages anomalies in achondroplasia result in defective development and growth of the mandible.

    Science.gov (United States)

    Biosse Duplan, Martin; Komla-Ebri, Davide; Heuzé, Yann; Estibals, Valentin; Gaudas, Emilie; Kaci, Nabil; Benoist-Lasselin, Catherine; Zerah, Michel; Kramer, Ina; Kneissel, Michaela; Porta, Diana Grauss; Di Rocco, Federico; Legeai-Mallet, Laurence

    2016-07-15

    Activating FGFR3 mutations in human result in achondroplasia (ACH), the most frequent form of dwarfism, where cartilages are severely disturbed causing long bones, cranial base and vertebrae defects. Because mandibular development and growth rely on cartilages that guide or directly participate to the ossification process, we investigated the impact of FGFR3 mutations on mandibular shape, size and position. By using CT scan imaging of ACH children and by analyzing Fgfr3(Y367C/+) mice, a model of ACH, we show that FGFR3 gain-of-function mutations lead to structural anomalies of primary (Meckel's) and secondary (condylar) cartilages of the mandible, resulting in mandibular hypoplasia and dysmorphogenesis. These defects are likely related to a defective chondrocyte proliferation and differentiation and pan-FGFR tyrosine kinase inhibitor NVP-BGJ398 corrects Meckel's and condylar cartilages defects ex vivo. Moreover, we show that low dose of NVP-BGJ398 improves in vivo condyle growth and corrects dysmorphologies in Fgfr3(Y367C/+) mice, suggesting that postnatal treatment with NVP-BGJ398 mice might offer a new therapeutic strategy to improve mandible anomalies in ACH and others FGFR3-related disorders. © The Author 2016. Published by Oxford University Press.

  15. Difficulties encountered in preauricular approach over retromandibular approach in condylar fracture

    Science.gov (United States)

    Jayavelu, Perumal; Riaz, R.; Tariq Salam, A. R.; Saravanan, B.; Karthick, R.

    2016-01-01

    Fracture of mandible can be classified according to its anatomical location, in which condylar fracture is the most common one overall and is missed on clinical examination. Due to the unique geometry of the mandible and temporomandibular joint, without treatment the fractures can result in marked pain, dysfunction, and deformity. The condylar fracture may be further classified depending on the sides involved: unilateral/bilateral, depending on the height of fracture: intracapsular (within the head of condyle), extracapsular - head and neck (high condyle fracture), and subcondylar (low condyle fracture), and depending on displacement: nondisplaced, displaced (anteromedially, medially, and lateral), and dislocated. The clinical features include swelling and tenderness over the temporomandibular joint region, restricted mouth opening, and anterior open bite. A 34-year-old male patient reported to the Department of Oral and Maxillofacial Surgery at Madha Dental College and Hospital; suffered fall trauma resulting in bilateral condyle fracture, dentoalveolar fracture in mandible with restricted mouth opening, and anterior open bite. PMID:27829774

  16. Difficulties encountered in preauricular approach over retromandibular approach in condylar fracture

    Directory of Open Access Journals (Sweden)

    Perumal Jayavelu

    2016-01-01

    Full Text Available Fracture of mandible can be classified according to its anatomical location, in which condylar fracture is the most common one overall and is missed on clinical examination. Due to the unique geometry of the mandible and temporomandibular joint, without treatment the fractures can result in marked pain, dysfunction, and deformity. The condylar fracture may be further classified depending on the sides involved: unilateral/bilateral, depending on the height of fracture: intracapsular (within the head of condyle, extracapsular - head and neck (high condyle fracture, and subcondylar (low condyle fracture, and depending on displacement: nondisplaced, displaced (anteromedially, medially, and lateral, and dislocated. The clinical features include swelling and tenderness over the temporomandibular joint region, restricted mouth opening, and anterior open bite. A 34-year-old male patient reported to the Department of Oral and Maxillofacial Surgery at Madha Dental College and Hospital; suffered fall trauma resulting in bilateral condyle fracture, dentoalveolar fracture in mandible with restricted mouth opening, and anterior open bite.

  17. THE MANAGEMENT OF LIMITED MANDIBULAR MOVEMENT CAUSED BY CONDYLAR FRACTURE WITH REPOSITIONING SPLINT

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    Ira Tanti

    2015-06-01

    Full Text Available Fractures of the neck of condyle usually are the result of a blow to the mandible. A lateral blow to the body of the mandible commonly causes a contralateral condyle fracture. There are many signs and symptoms of a condylar fracture, for example crepitation, deviation of the mandible to the side of injury, and spasm of the associated group of muscles. These will result in a functional disability, which is usually seen as a limited mandibular movement. This paper reported a patient with a fracture of the condylar neck. Patient had been treated with closed reduction and immobilization for 2 months. After that, she felt that her bite was changed, she could not occlude her teeth well, and she had clicking sound in the right joint when she opened her mouth. Besides that, patient had difficulties to move the mandible to the left side, and she could not open her mouth widely. The patient was treated with a repositioning splint and she had to do some jaw exercises. The purposes were to regain the position of condyle, to reduce the muscle spasm and finally got the normal jaw movement.

  18. Three-dimensional analysis of condylar remodeling and skeletal relapse following bimaxillary surgery: A 2-year follow-up study.

    Science.gov (United States)

    Xi, Tong; van Luijn, Rik; Baan, Frank; Schreurs, Ruud; de Koning, Martien; Bergé, Stefaan; Maal, Thomas

    2017-08-01

    To quantify the postoperative condylar remodelling and its role in skeletal relapse after bimaxillary surgery. 50 patients with mandibular hypoplasia who underwent bimaxillary surgery were analyzed. CBCT scans were acquired preoperatively, one week postoperatively and two years postoperatively. 3D cephalometric analysis was carried out for each CBCT scan, after which the condylar volume analysis was performed. The maxilla was advanced by a mean of 2.1 mm with a corresponding mean relapse of 0.3 mm. The maxilla was impacted in 23 and extruded in 27 patients. The mean mandibular advancement was 7.8 mm. Two years after surgery a mean mandibular skeletal relapse of 1.3 mm was observed. 78% of condyles exhibited a postoperative reduction in volume of 179 mm(3) (mean), equivalent to 12.5 volume%. Postoperative condylar volume loss was correlated with mandibular skeletal relapse (r = 0.42, p bimaxillary advancement and postoperative reduction in condylar volume were particularly at risk for skeletal relapse. Copyright © 2017 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  19. The role of mandibular proximal segment rotations on skeletal relapse and condylar remodelling following bilateral sagittal split advancement osteotomies

    NARCIS (Netherlands)

    Xi, T.; Koning, M.; Berge, S.; Hoppenreijs, T.; Maal, T.

    2015-01-01

    PURPOSE: To quantify the postoperative rotation of the proximal segments in 3D and to assess its role on skeletal relapse and condylar remodelling following BSSO advancement surgery. MATERIAL AND METHODS: 56 patients with mandibular hypoplasia who underwent BSSO advancement surgery were enrolled int

  20. Low condylectomy as the sole treatment for active condylar hyperplasia: facial, occlusal and skeletal changes. An observational study.

    Science.gov (United States)

    Fariña, R; Pintor, F; Pérez, J; Pantoja, R; Berner, D

    2015-02-01

    The purpose of this study was to measure the changes in facial, occlusal, and skeletal relationships in patients with active unilateral condylar hyperplasia whose sole treatment was a low condylectomy. A retrospective observational descriptive study was conducted. All patients had undergone a low condylectomy as the sole or initial surgical treatment. The size of the condylar segment removed was decided by matching the affected side with the healthy side, leaving them both like the healthy one. The length of the ramus was measured using panoramic X-ray (distance from the highest part of the condyle to the mandibular angle). Facial, occlusal, and skeletal changes were evaluated using clinical, photographic, and radiological records before and after surgery. Condylectomy as the sole treatment for patients with active condylar hyperplasia allowed improvements to the alterations produced by this pathology, such as chin deviation, tilted lip commissure plane, tilted occlusal plane, angle of facial convexity, unevenness of the mandibular angles, and length of the mandibular ramus. The occlusal relationship also improved with orthodontic and elastic therapy. To conclude, low condylectomy as a sole and aetiological treatment for patients with active condylar hyperplasia allowed improvements to alterations produced by this pathology.

  1. Study on imaging analysis using three-dimensional CT system for mandibular condylar fracture. Establishing quantitative classification

    Energy Technology Data Exchange (ETDEWEB)

    Kurokawa, Hideto [National Defence Medical Coll., Tokorozawa, Saitama (Japan)

    1997-11-01

    We examined 13 patients with fractures of the condylar process (7 men, 6 women) by using 3-dimensional images. A break-down of 15 examined joints revealed 11 patients with unilateral and 2 patients with bilateral fractures of the condylar process. Eight joints of healthy control individual (2 men and 2 women) were used as controls. Fractures of the condylar process and healthy controls were compared, which comparison led to the following conclusions: Bone fragments of deviated fractures may move slightly within the joint, preferentially internally and medially; following displaced fractures, internal and downward movement of bone fragments within the joint is observed; after the occurrence of deviated dislocation fractures, bone fragments protrude from the joint and clearly move internally and inferiorly, showing a rotation of the bone fragments; after the occurrence of displaced dislocation fractures, bone fragments also protrude from the joint and clearly move anteriorly and inferiorly; sometimes an internal rotation of the bone fragments is observed; and with linear fractures there is only minimal overall increase in, and characteristic changes are not observed. Regarding diagnosis, the classical classification of fractures of the condylar process does not provide a classification for linear fractures. Thus, this type has to be newly added to the common classification: Fissure fractures (type I), Deviated fractures (type II), Displaced fractures (type III), Deviated dislocation fractures (type IV), Displaced dislocation fractures (type V), Longitudinal (type VI). (author)

  2. The influence of the leaf gauge and anterior jig on jaw muscle electromyography and condylar head displacement: a pilot study.

    Science.gov (United States)

    Santosa, R E; Azizi, M; Whittle, T; Wanigaratrne, K; Klineberg, I J

    2006-03-01

    A leaf gauge and an anterior jig may be used to assist the recording of a reproducible jaw position for restorative and prosthodontic treatment. This study investigated possible condylar displacement using an opto-electronic jaw-tracking device and a leaf gauge or anterior jig. The effect of a leaf gauge and anterior jig on jaw muscle electromyography was also examined. Five healthy adults without symptoms of temporomandibular disorders were selected. Condylar displacement during clenching were recorded simultaneously with electromyographic activity of superior and inferior heads of the lateral pterygoid, anterior and posterior temporalis, masseter, and suprahyoid muscles. Subjects were trained to bite at maximum and half-maximum bite-force using an anterior jig incorporating a force transducer. No consistent condylar displacement was observed in x, y and z axes between different bite-forces although there was a trend towards superior displacement. Comparison of maximum intercuspal clench and maximum clench on a leaf gauge and an anterior jig produced significant decrease in anterior temporalis activity (p < 0.05), whilst an anterior jig with maximum clench significantly decreased posterior temporalis muscle activity. Within the limits of this pilot study, no consistent change in condylar position was identified with these appliances.

  3. Evaluation of reformatted sagittal CT images for measurement of condylar position. Comparison between original axial and coronal images

    Energy Technology Data Exchange (ETDEWEB)

    Hiruma, Takayoshi; Funato, Masahiko; Suganuma, Takeshi; Shinya, Akiyuki; Furuya, Ryoichi; Kawawa, Tadaharu; Seki, Kenji; Okano, Tomohiro [Showa Univ., Tokyo (Japan). School of Dentistry

    1995-09-01

    Accurate measurement of the condylar position is important for diagnosis and treatment of temporomandibular joint dysfunction. Conventional radiographic techniques have been used for this purpose and the recent advance of computed tomography (CT) is applicable to temporomandibular joints. The accuracy of CT in the measurement of the condylar position is still unclear. The purpose of this study was to evaluate the measurement accuracy of the condylar position on reformatted sagittal CT images. Six TMJs obtained from dried skulls were used. The TMJs were examined using a CT scanner with 1 mm thickness/interval in the axial and coronal directions. The visibility of the condyle and fossa on the reformatted sagittal images created were evaluated by measuring the joint space defined in our study. The results were as follows: (1) The superior surface of the condyle and the deepest part of the fossa were obscured in the reformatted images created from the axial scan and coronal scan projected at 60deg to the F-H plane. (2) The reformatted images from the coronal scan projected at 90deg, 80deg or 70deg to the F-H plane clearly depicted the condyle and fossa, the reproducibility of the measurement on these images mentioned above was less than 0.1 mm. The results indicated that the coronal scan from 90deg to 70deg to the F-H plane is more accurate than the axial scan for determining the condylar position on the reformatted sagittal images. (author).

  4. Are there any differences in various polyaxial locking systems? A mechanical study of different locking screws in multidirectional angular stable distal radius plates.

    Science.gov (United States)

    Mehling, Isabella; Scheifl, Rebekka; Mehler, Dorothea; Klitscher, Daniela; Hely, Hans; Rommens, Pol M

    2013-04-01

    Numerous angular stable plates for the distal radius exist, and technically based comparisons of the polyaxial locking interfaces are lacking. The aim of this mechanical study was to investigate three different locking interfaces of angular stable volar plates by cantilever bending: VA-LCP Two-Column Distal Radius Plates 2.4 mm (Synthes® GmbH, Oberdorf, Switzerland), IXOS® P4 (Martin, Tuttlingen, Germany) and VariAX™ (Stryker®, Duisburg, Germany). We assessed the strength of 0°, 5°, 10° and 15° screw locking angles and tested the bending strength from 10° to 5° angles by cyclic loading until breakage. The final setup repeated the above assessments by inclusion of four locking screws. The single screw-plate interfaces of the VA-LCP showed the highest bending moment at an angle of 0° and 5°, the IXOS® P4 at an angle of 10° and 15° and the VariAX™ when changing the insertion angle from 10° into 5°. The strength of polyaxial locking interfaces and mechanism of failure proved to be different among the examined plates.

  5. Effect of microRNA-101 on apoptosis of rabbit condylar cartilage cells by inhibiting target gene SOX9

    Institute of Scientific and Technical Information of China (English)

    Xin Li; Zi-Xin Wang; Zi-Sheng Wang; Quan-Fang Li

    2015-01-01

    Objective:To explore the effect of microRNA-101 on apoptosis of condylar cartilage cells and the specific mechanism of molecular biology. Methods: IL-1 was used to stimulate and establish the model of apoptosis of condylar cartilage cells. The expression change of miR-101 in control group was compared with that in IL-1 stimulation group by qRT-PCR. Overexpression and down-regulation models of miR-101 were established by transfecting Mimics and Inhibitor and verified by qRT-PCR. Flow cytometry was used to detect the effect of miR-101 overexpression and down-regulation on apoptosis. Target gene of miR-101 was analyzed and calculated through bioinformatics. Western blot and Luciferase report assay were used to detect whether Sox9 could become the target gene of miR-101. Results:qRT-PCR results showed that IL-1 stimulation could cause the increase of miR-101 expression. After the transfection of rabbit condylar cartilage cells by Mimics and Inhibitor, qRT-PCR results confirmed the significant effect of miR-101 overexpression and down-regulation. It was confirmed by flow cytometry that overexpression of miR-101 could promote the apoptosis of condylar cartilage cells, and down-regulation of miR-101 could reduce the apoptosis. It was confirmed by Western blot and Luciferase report assay that Sox9 was the target gene of miR-101, and miR-101 inhibited SOX9 expression through complementary pairing with 3’UTR of Sox9 mRNA. Conclusions:miR-101 can promote the apoptosis of condylar cartilage cells through inhibiting the protein level of target gene SOX9.

  6. Endoscopic hemostasis with an ultrasonically activated device for hemorrhage from a branch of the maxillary artery during endoscopically assisted reduction of condylar neck fracture.

    Science.gov (United States)

    Iwai, Toshinori; Matsui, Yoshiro; Omura, Susumu; Tohnai, Iwai

    2013-03-01

    We describe here a case in which sudden hemorrhage from a branch of the maxillary artery during endoscopically assisted transoral reduction of condylar neck fracture was successfully controlled by endoscopic hemostasis with an ultrasonically activated device.

  7. Create Your Plate

    Medline Plus

    Full Text Available ... A A A Listen En Español Create Your Plate Create Your Plate is a simple and effective ... and that your options are endless. Create Your Plate! Click on the plate sections below to add ...

  8. Third metacarpal condylar fatigue fractures in equine athletes occur within previously modelled subchondral bone.

    Science.gov (United States)

    Whitton, R Christopher; Trope, Gareth D; Ghasem-Zadeh, Ali; Anderson, Garry A; Parkin, Timothy D H; Mackie, Eleanor J; Seeman, Ego

    2010-10-01

    Bone modelling and remodelling reduce the risk of fatigue fractures; the former by adapting bone to its loading circumstances, the latter by replacing fatigued bone. Remodelling transiently increases porosity because of the normal delay in onset of the formation phase of the remodelling sequence. Protracted intense loading suppresses remodelling leaving modelling as the only means of maintaining bone strength. We therefore hypothesized that race horses with fatigue fractures of the distal third metacarpal bone (MC3) will have reduced porosity associated with suppressed remodelling while continued adaptive modelling will result in higher volume fraction (BV/TV) at this site. Using high resolution peripheral quantitative computed tomography (HR-pQCT), we measured the distal aspect of the MC3 obtained at postmortem from 13 thoroughbred race horses with condylar fractures of the MC3 (cases), 8 horses without fractures (training controls), 14 horses with a fracture at another site (fractured controls) and 9 horses resting from training (resting controls). Porosity of the subchondral bone of MC3 was lower in cases than resting controls (12±1.4% vs. 18±1.6%, P=0.017) although areas of focal porosity were observed adjacent to fractures in 6/13 horses. BV/TV of the distal metacarpal epiphysis tended to be higher in horses with condylar fractures (0.79±0.015) than training controls (0.74±0.019, P=0.070), but also higher in controls with a fracture elsewhere (0.79±0.014) than the training controls (0.74±0.019, P=0.040). BV/TV was higher in horses over three years of age than those aged two or three years (0.79±0.01 vs. 0.74±0.01, P=0.016). All metacarpal condylar fractures occurred within focal areas of high BV/TV. We infer that intense training in equine athletes suppresses remodelling of third metacarpal subchondral bone limiting damage repair while modelling increases regional bone volume in an attempt to minimise local stresses but may fail to offset bone

  9. Evaluating condylar head morphology as it relates to the skeletal vertical facial dimension: A three-dimensional semi-automated landmark study

    OpenAIRE

    Curtis Contro; Miller, Arthur J.; David Hatcher; Snehlata Oberoi

    2016-01-01

    Introduction: Condylar growth direction and rotation affect the occlusion, especially in the vertical dimension. The first objective of this study was to evaluate the reliability of a novel three-dimensional semi-automated landmark computer software on mapping the head of the mandibular condyle using cone-beam computed tomography (CBCT). The second objective was to evaluate qualitatively how condylar morphology differs three-dimensionally according to skeletal vertical pattern and mandibular ...

  10. A multi-centre retrospective study of mandibular fractures: do occlusal support and the mandibular third molar affect mandibular angle and condylar fractures?

    Science.gov (United States)

    Hasegawa, T; Sadakane, H; Kobayashi, M; Tachibana, A; Oko, T; Ishida, Y; Fujita, T; Takenono, I; Komatsubara, H; Takeuchi, J; Ichiki, K; Miyai, D; Komori, T

    2016-09-01

    This retrospective study was performed to investigate the influence of occlusal support and the presence, state, and position of mandibular third molars on the incidence of mandibular angle and condylar fractures. The following variables were investigated: age, sex, cause of fracture, presence and state (impaction, angulation, and the number of roots) of the mandibular third molars, site of the mandibular fracture, presence of occlusal support, duration of intermaxillary fixation, and postoperative complications. Various risk factors for mandibular angle and condylar fractures were investigated by univariate analysis. The risk of mandibular angle fracture was significantly higher in patients with occlusal support and mandibular third molars. The risk of condylar fracture was significantly higher in patients without occlusal support or mandibular third molars. The position and angulation of the mandibular third molars were not significant risk factors in mandibular angle and condylar fractures. This study demonstrated the influence of occlusal support and the presence of mandibular third molars on the incidence of mandibular angle and condylar fractures. The presence of occlusal support may be a more important factor affecting mandibular angle or condylar fractures than the position of the mandibular third molars.

  11. Type III occipital condylar fracture presenting with hydrocephalus, vertebral artery injury and vasospasm: case report

    Energy Technology Data Exchange (ETDEWEB)

    Menendez, J.A.; Baskaya, M.K.; Day, M.A.; Nanda, A. [Dept. of Neurosurgery, Louisiana State Univ., Shreveport (United States); Helath Sciences Center, Shreveport, LA (United States)

    2001-03-01

    Occipital condylar fractures (OCF) are rare and have a high mortality rate. We report a patient with OCF who presented with acute hydrocephalus and died from diffuse vasospasm secondary to vertebral artery injury. A 45-year-old man fell 20 feet from a deer stand and landed on his head. CT showed a type III OCF continuing to the anterior rim of the foramen magnum on the left, with a bone fragment pushing into the medulla, causing hydrocephalus. The patient was stabilized, and a four-vessel arteriogram showed diffuse vasospasm with complete occlusion of the left vertebral artery at the level of the OCF. To our knowledge, this is the first documented case of the conjunction of OCF, hydrocephalus, and vasospasm. (orig.)

  12. Orthodontic-surgical management of a case of severe mandibular deficiency due to condylar ankylosis

    Directory of Open Access Journals (Sweden)

    Sridevi Padmanabhan

    2014-01-01

    Full Text Available Dentofacial deformities involve deviations from the normal facial proportions and dental relationships and can range from mild to being severe enough to be severely handicapping.The term handicapping malocclusions though not a term commonly used, involves a fortunately small section (2-4% of patients who can suffer from esthetic,psychological and functional problems. Craniofacial Orthodontics is the area of orthodontics that treats patients with congenital and acquired deformities of the integument and it′s underlying musculoskeletal system within the craniofacial area and associated structures.This case report of a young woman with severe mandibular deficiency and facial asymmetry due to condylar ankylosis highlights the importance of team work in rehabilitation of such severe craniofacial deformities.

  13. Influence of Thickness and Contact Surface Geometry of Condylar Stem of TMJ Implant on Its Stability

    Science.gov (United States)

    Arabshahi, Zohreh; Kashani, Jamal; Kadir, Mohammed Rafiq Abdul; Azari, Abbas

    The aim of this study is to examine the effect thickness and contact surface geometry of condylar stem of TMJ implant on its stability in total reconstruction system and evaluate the micro strain resulted in bone at fixation screw holes in jaw bone embedded with eight different designs of temporomandibular joint implants. A three dimensional model of a lower mandible of an adult were developed from a Computed Tomography scan images. Eight different TMJ implant designs and fixation screws were modeled. Three dimensional finite element models of eight implanted mandibles were analyzed. The forces assigned to the masticatory muscles for incisal clenching were applied consisting of nine important muscular loads. In chosen loading condition, The results indicated that the anatomical curvature contact surface design of TMJ implant can moderately improve the stability and the strain resulted in fixation screw holes in thinner TMJ implant was diminished in comparison with other thicknesses.

  14. FUNCTIONAL OUTCOME OF LOCKING COMPRESSION PLATE OSTEOSYNTHESIS IN SCHATZKER’S TYPE V AND VI TIBIAL PLATEAU FRACTURES

    Directory of Open Access Journals (Sweden)

    Deependra

    2015-11-01

    Full Text Available : Tibial plateau fractures are the common injuries that may be associated with poor outcomes and a high rate of complications. The problem rise significantly in high energy trauma and severe soft tissue injuries. Early technique of osteosysnthesis were based on extensive surgical approach. Introduction of minimally invasive plate osteosynthesis using locking compression plate conserves the vascularity of the bone but also leads to the overall improvement in the values of bone healing. MATERIALS AND METHODS: Inclusion criteria for this study were patients of either sex, tibial plateau fractures Schatzker’s Type V and VI, age group 15 to 60 years and compounding upto Gustilo and Anderson’s Grade II and excluded the patients where the compounding was grade III and displacement <2mm. The fractures were treated applying LCP percutaneously either medially or laterally depending on the side of comminution. RESULTS: In our study conducted on 45 patients 4 lost to follow up in first 6 months with displaced tibial plateau overall the functional result using Rasmussen’s criteria was acceptable in all of the cases with an average score of 26.38. All the patients in our series showed union with average time for union being 13.3 weeks. DISCUSSION: Our study confirms that minimally invasive locking compression plate osteosynthesis is a viable alternative as a treatment for open tibial plateau fractures Gustilo and Anderson’s type I and II. The incidence of infection in our study wad 10% which is comparable with most of the series in literature that select the high energy tibial plateau fractures. None of the patients had nonunion only one had delayed union and does not required bone grafting as the metaphyseal area has a good blood supply. There were superficial infection in 4 cases which resolved to the dressing and antibiotic treatment within 3 weeks. The mean range motion at knee joint was 5 degree to 130 degree.(1 CONCLUSION: This paper reports the

  15. Diagnostic index of 3D osteoarthritic changes in TMJ condylar morphology

    Science.gov (United States)

    Gomes, Liliane R.; Gomes, Marcelo; Jung, Bryan; Paniagua, Beatriz; Ruellas, Antonio C.; Gonçalves, João Roberto; Styner, Martin A.; Wolford, Larry; Cevidanes, Lucia

    2015-01-01

    The aim of this study was to investigate imaging statistical approaches for classifying 3D osteoarthritic morphological variations among 169 Temporomandibular Joint (TMJ) condyles. Cone beam Computed Tomography (CBCT) scans were acquired from 69 patients with long-term TMJ Osteoarthritis (OA) (39.1 ± 15.7 years), 15 patients at initial diagnosis of OA (44.9 ± 14.8 years) and 7 healthy controls (43 ± 12.4 years). 3D surface models of the condyles were constructed and Shape Correspondence was used to establish correspondent points on each model. The statistical framework included a multivariate analysis of covariance (MANCOVA) and Direction-Projection- Permutation (DiProPerm) for testing statistical significance of the differences between healthy control and the OA group determined by clinical and radiographic diagnoses. Unsupervised classification using hierarchical agglomerative clustering (HAC) was then conducted. Condylar morphology in OA and healthy subjects varied widely. Compared with healthy controls, OA average condyle was statistically significantly smaller in all dimensions except its anterior surface. Significant flattening of the lateral pole was noticed at initial diagnosis (p < 0.05). It was observed areas of 3.88 mm bone resorption at the superior surface and 3.10 mm bone apposition at the anterior aspect of the long-term OA average model. 1000 permutation statistics of DiProPerm supported a significant difference between the healthy control group and OA group (t = 6.7, empirical p-value = 0.001). Clinically meaningful unsupervised classification of TMJ condylar morphology determined a preliminary diagnostic index of 3D osteoarthritic changes, which may be the first step towards a more targeted diagnosis of this condition. PMID:26709325

  16. Condylar Hyperplasia. A Case Presentation Hiperplasia condilar. Presentación de un caso

    Directory of Open Access Journals (Sweden)

    Yordany Boza Mejias

    2012-02-01

    Full Text Available

    Condylar hyperplasia should be carefully studied as one of the affectations of the temporomandibular. This condition is most common in women than in men and mostly in adulthood. As clinical characteristic it presents facial asymmetry. For the diagnosis of these cases, tests that range from simple radiographies to more complex studies such as computed tomography scans are necessary. Because of the rareness of this condition in our setting, we present the case report of a patient with condylar hyperplasia that was treated at the Maxillofacial Surgery Service of the Dr. Gustavo Aldereguía Lima General University Hospital in Cienfuegos.

    La hiperplasia condilar como una de las afectaciones de la articulación temporomandibular debe estudiarse detenidamente. Este padecimiento se presenta más comúnmente en mujeres que en varones y en la edad adulta; presenta como característica clínica la asimetría facial. Para el diagnóstico de estos casos se deben utilizar desde las radiografías simples hasta estudios más complejos como tomografías computarizadas. Por lo infrecuente de esta afección en nuestro medio se presenta el caso clínico de una paciente con una hiperplasia de cóndilo que fue atendida en el Servicio de Cirugía Máxilofacial del Hospital General Universitario Dr. Gustavo Aldereguía Lima, de Cienfuegos.

  17. Condylectomy and “surgery first” approach: An expedited treatment for condylar hyperplasia in a patient with facial asymmetry

    Science.gov (United States)

    López, Diego Fernando; Aristizábal, Juan Fernando; Martínez-Smit, Rosana

    2017-01-01

    ABSTRACT Condylar Hyperplasia (CH) is a self-limiting pathology condition that produces severe facial deformity at the expense of mandibular asymmetry. In this case report a 15-year-old female patient was diagnosed with Unilateral Condylar Hiperplasia (UCH) by mean of single-photon emission computed tomography (SPECT) and histological study. A high condylectomy in the right condyle was performed to stop the active status of the hyperplasia. A month after condylectomy, orthognathic jaw impaction and asymmetric mandibular setback surgery was performed with the Surgery First Approach (SFA). After 10 days, orthodontic appointments were made every two weeks during 4 months. The active phase of treatment lasted 14 months. Excellent facial and occlusal outcomes were obtained and after 24 months in retention the results remained stable.

  18. Finite element analysis of stress-shielding on lock internal fixation and use of unnecessary locking screws by LCP with MIPPO technology%MIPPO技术下LCP锁定固定减少锁钉个数后应力遮挡效应的有限元研究

    Institute of Scientific and Technical Information of China (English)

    钟华; 岑怡彪; 朱智敏; 孔禄生; 廖小燕; 黄艳; 刘敬东

    2012-01-01

    Objective To study the effect of stress-shielding on LCP's lock internal fixation and the use of unnecessary locking screws by comparing the changes in stress of the callus after lock internal fixation and the use of unnecessary locking screws and provide the basis of biomechatu'cs for the application of different types of plate and fixation methods in clinical MIPPO operation. Methods A three-dimensional finite element model of proximal tibia fracture with callus lock internal fixed was designed by the locking and compression of LCP,finite element was analyzed on the model,and stress of the model by different working condition and internal fixation was obtained. Results Under locking fixation,mean stress of callus through reducing two locked screws was greater than that through reducing one locked screw. According to the results of paired /-test, it had statistical signifieance.The stress shielding rate through reducing two locked screws was less than that through reducing one locked screw. Conclusion In all of the LCP locking fixation under MIPPO operation technique, the use of unnecessary locking screws should be minimized in order to reduce the effects of stress-shielding while providing a stable fixation,so as to promote formation and re-shaping of the callus and assist in fracture healing.%目的 比较经锁定固定减少锁钉个数后骨痂应力均值的变化,研究LCP锁定固定减少锁钉个数对应力遮挡效应的影响,为MIPPO术中应用不同类型的接骨板和固定方式提供生物力学依据.方法 应用有限元法根据LCP的锁定与加压结合孔,建立胫骨上端骨折LCP镇定固定后带骨痂的三维有限元模型.对模型进行力学有限元分析,得出不同工况和内固定方式下骨痂应力情况.结果 骨痂在锁定固定减少2个锁钉条件下的应力均值大于减少1个锁钉条件下的应力均值,根据配对t检验结果两者差异具有统计意义.锁定固定减少2个锁钉导致

  19. Surgical outcome of proximal femoral fractures using proximal femoral - locking compression plate

    Directory of Open Access Journals (Sweden)

    Prakash A. Sasnur

    2015-07-01

    Full Text Available Introduction: Proximal femoral fractures are complex fractures following devastating injuries in young and elderly population. Despite marked improvement in implant design, surgical technique and patient care these fractures are associated with high incidence of implant failure, refracture and varus collapse. Intramedullary nails are technically demanding and associated with high re-operation rates. The study was done to evaluate the outcome of proximal femoral fractures treated with proximal femur locking compression plate (PF-LCP. Methods: This study is conducted at Al Ameen Medical College and Hospital, Bijapur during the period Jan 2012 to March 2014.Pertrochanteric fractures especially unstable intertrochanteric & subtrochanteric fractures were included. Technical difficulties with the implant and operating time were quantified. Union of fracture site and implant related complications were followed up clinically and radiological. The Harris Hip Score was used to evaluate the functional outcome. Results: Thirty-two patients were available for final evaluation with average age of 55.4 years. The average operation time was 1 hour and 35 minutes with mean blood loss of 180ml. Union was achieved in all the cases with an average time of 17 weeks. Complications included one case of delayed union and three cases of varus collapse. Conclusion: PF-LCP achieves anatomical reduction and stable fixation with higher union rate and fewer complications.

  20. Plate osteosynthesis of fractures of the shaft of the humerus: comparison of limited contact dynamic compression plates and locking compression plates.

    Science.gov (United States)

    Singh, Ashutosh Kumar; Narsaria, Nidhi; Seth, R R; Garg, S

    2014-06-01

    The aim of this retrospective study was to compare outcomes and complications of displaced fractures of the shaft of the humerus treated with limited-contact dynamic compression plates (LCDCPs) and locking compression plates (LCPs). Two hundred and twelve patients with displaced fractures of the shaft of the humerus, treated with plate osteosynthesis from January 2005 to December 2009 were reviewed. One hundred and two patients (group A) were treated with LCDCP osteosynthesis and 110 patients (group B) were treated with LCP osteosynthesis. Clinical and radiological assessments were made at monthly intervals for the first 6 months and then at 2-month intervals for the next 6 months. Primary outcome measures like operative time, duration of hospital stay, time to fracture union, union rate and secondary outcome measures (functional outcome and complications such as infection, malunion, delayed union, nonunion, implant failure and iatrogenic radial nerve palsy) were compared between both groups. The ULCA scoring system and Mayo elbow performance index (MEPI) were used to assess shoulder and elbow functions, respectively. Rodriguez-Merchan criteria were used to assess the functional outcomes of the fracture fixation. There was no significant difference found between the two groups in terms of primary outcome measures. According to Rodriguez-Merchan criteria, comparison of functional outcomes of both groups showed insignificant difference (p = 0.48). There was no significant difference found between the two groups regarding mean ULCA score (p = 0.34) and mean MEPI sore (p = 0.54). In terms of complications, no significant difference was found between the two groups. This study concludes that the principle of fracture fixation was more important than plate selection in fractures of the shaft of the humerus. Level 3.

  1. Evaluation of three analysis methods for (99m)Tc MDP SPECT scintigraphy in the diagnosis of unilateral condylar hyperplasia.

    Science.gov (United States)

    Rushinek, H; Tabib, R; Fleissig, Y; Klein, M; Tshori, S

    2016-12-01

    The aims of the study were to evaluate the diagnostic accuracy and utility of the mean region of interest (ROI) and mean and maximum volume of interest (VOI) analysis methods for (99m)Tc MDP SPECT scintigraphy in the diagnosis of active unilateral condylar hyperplasia (UCH). Inactive UCH (n=43) and active UCH (n=8) patients, and patients without condylar hyperplasia (controls, n=41) were analyzed. Inter-observer agreement was good for all methods. Condylar uptake was not normally distributed, with a longer right tail in UCH patients compared to control patients. Receiver operating characteristic curve analysis indicated that the ROI method was slightly superior to both VOI methods for the diagnosis of active UCH (area under the curve=0.866, 0.811, and 0.817, and J=0.642, 0.596, and 0.573, respectively). The 'traditional' 55% cut-off value proved optimal for ROI and mean VOI methods, but a cut-off of 56.125% was optimal for maximum VOI. Sensitivity was 88% for all three methods using these cut-off values, while specificity was 77%, 65%, and 70% for mean ROI, mean VOI, and maximum VOI, respectively. These results indicate that corrective surgery for negative scan patients can be performed without delay, with an error rate of only 3%, but not in positive scan patients.

  2. Surgical Microanatomy of the Posterior Condylar Emissary Vein and its Anatomical Variations for the Transcondylar Fossa Approach.

    Science.gov (United States)

    Ota, Nakao; Tanikawa, Rokuya; Yoshikane, Tsutomu; Miyama, Masataka; Miyazaki, Takanori; Kinoshita, Yu; Matsukawa, Hidetoshi; Yanagisawa, Takeshi; Sakakibara, Fumihiro; Suzuki, Go; Saito, Norihiro; Miyata, Shiro; Noda, Kosumo; Tsuboi, Toshiyuki; Takeda, Rihei; Kamiyama, Hiroyasu; Tokuda, Sadahisa; Kamada, Kyousuke

    2017-06-01

    It is essential to identify and be aware of the anatomy of the posterior condylar emissary vein (PCEV) for achieving an adequate operative field for the transcondylar fossa approach (TCFA). To describe the variations in the drainage patterns of PCEVs and the technical issues encountered in such cases. This was a retrospective analysis of the anatomy of PCEVs in 104 sides in 52 cases treated by the TCFA. Preoperative findings of multidetector-row computed tomography (CT) and CT venography (CTV) were compared with the intraoperative findings. The drainage patterns were classified as 5 types: the sigmoid sinus (SS), jugular bulb (JB), occipital sinus (OS), anterior condylar emissary vein (ACEV), and marginal sinus (MS). The SS, JB, ACEV, and OS types were observed in 33 (31.7%), 42 (40.3%), 8 (7.7%), and 1 (1.0%) side(s), respectively. One side (1.0%) each had combined drainage from MS and JB, and ACEV and JB, respectively. In 17 sides (16.3%), the PCEVs and posterior condylar canals could not be identified on CT and CTV. Preoperative CT and CTV findings correlated well with the intraoperative findings. To make a sufficient operative field for TCFA, PCEVs should be appropriately dealt with based on the preoperative knowledge of their running course, pattern, and origin.

  3. Management Of Condylar And Synovial Hyperplasias With Pulsed Er: YAG Laser In The Temporomandibular Joints Of New Zealand Rabbits

    Science.gov (United States)

    El-Hadedi, M.; Badr, Y.; Gheith, M.

    2009-09-01

    The pulsed Er: YAG laser has recently emerged as an alternative to the mechanical instruments in surgery and medicine its wave length is close to the strong peak in the absorption spectrum of water, this feature combined with the high water content of biological tissues result in delivering of optical energy in an area of small optical extent and this enables highly controlled precise ablation with minimal thermal damage to the surrounding tissues. The aim of this study is to evaluate the role of Er: YAG laser in management of induced condylar and synovial hyperplasias in the TMJ of new Zealand rabbits. 12 New Zealand rabbits were divided into two groups for laser high condylar shave and laser synovectomy using Er: YAG laser 2.9 μm with parameters 250 mJ, 20 Hz frequency and 1 mm beam diameter. Histopathologial and ultramicroscopic assessments were performed at four weeks and six weeks postoperative. using this wave length with theses parameters was safe to perform high condylar shave and synovectomy.

  4. Quantitative analysis by MRI on condylar motion of the temporomandibular joint in patients applied with occlusal splints

    Energy Technology Data Exchange (ETDEWEB)

    Saito, Hiroki [Iwate Medical Univ., Morioka (Japan). School of Dentistry

    1999-03-01

    The purpose of this study was to assess the feasibility of a newly developed quantitative motion analysis method for the mandibular condyle before and after application of occlusal splints. The subjects were 50 consecutive patients with internal derangement. Stabilization type splints were applied in 23 cases (46%), anterior repositioning type in 18 cases (36%) and pivot type in 9 cases (18%). All patients underwent MR imaging with a 1.5-T MR unit with a 3-inch dual surface coil. Pseudodynamic MR study of the opening cycle was obtained using multiplanar GRASS sequence (MPGR). Incremental and decremental sagittal MR images before and after splint application were transferred to the workstation. Software originally developed by Nakasato and Katsuragawa was used to analyze the condylar motion and path. After splint application, normalized position of displaced discs was seen in 11 cases (22%), and occurred most frequently with anterior repositioning type splints. In patients with anterior repositioning type splints, improvement in the condylar motion was most significant, In patients with normalized disc position after application of occlusal splints, abnormal figure-eight-shaped`` condylar paths were corrected in 9 of 10 cases. In the case with normalized disc position after application of anterior repositioning splint, the maximum rotational angle before application of the splint is larger than that of the case without normalized disc position. Rotational function of the condyle in the inferior joint space may be associated with disc recapturing. (K.H.)

  5. Comparison of condylar displacement between three biotypological facial groups by using mounted models and a mandibular position indicator.

    Science.gov (United States)

    Ponces, Maria João; Tavares, José Pedro; Lopes, Jorge Dias; Ferreira, Afonso Pinhão

    2014-11-01

    Facial-type-associated variations in diagnostic features have several implications in orthodontics. For example, in hyperdivergent craniofacial types, growth imbalances are compensated by displacement of the condyle. When diagnosis and treatment planning involves centric relation (CR), detailed knowledge of the condylar position is desirable. The present study aimed to measure condylar displacement (CD) between CR and maximum intercuspation in three facial types of an asymptomatic orthodontic population. The study was conducted in 108 patients classified into three groups of 36 individuals each (27 women and 9 men; mean age, 20.5 years), based on the following facial patterns: hyperdivergent, hypodivergent, and intermediate. To quantify CD along the horizontal and vertical axes, the condylar position was analyzed using mounted casts on a semi-adjustable articulator and a mandibular position indicator. The Student t-test was used to compare CD between the groups. Vertical displacement was found to be significantly different between the hyperdivergent and hypodivergent groups (p displacement were not significant between the groups. In each group, vertical CD was more evident than horizontal displacement was. All facial types, especially the hyperdivergent type, carried a significantly high risk of CD. Therefore, the possibility of CD should be carefully evaluated and considered in the assessment of all orthodontic cases in order to accurately assess jaw relationships and avoid possible misdiagnosis.

  6. Does the presence or position of lower third molars alter the risk of mandibular angle or condylar fractures?

    Science.gov (United States)

    Naghipur, Saba; Shah, Adnan; Elgazzar, Reda Fouad

    2014-09-01

    The purpose of this study was to determine whether a relation exists between the presence of mandibular third molars (M3s) and mandibular angle and condylar fractures and whether the risk of these fractures varies with M3 position. A retrospective cohort study was conducted in patients with mandibular fractures presenting to the oral and maxillofacial surgery service from April 2007 to March 2012. Data sources were patients' hospital charts and panoramic radiographs. Predictor variables were the presence and position of M3s. M3 position was based on the Pell and Gregory classification and angulation was determined by measuring the angle between the long axis of the M3 and the mandibular occlusal plane. Outcome variables were the presence of angle and condylar fractures. Other study variables included age, gender, and fracture etiology. Data were analyzed using the χ(2) test and Student t test. The study sample consisted of 446 patients with 731 mandibular fractures. Results showed that the risk of mandibular angle fracture was significantly higher in patients and mandible sides with impacted M3s (P .05). The presence of impacted M3s increased the risk of angle fracture and simultaneously decreased the risk of condylar fracture. However, no relation appeared to exist between M3 position and fracture pattern. Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  7. Changes in mineralised tissue at the site of origin of condylar fracture are present before athletic training in Thoroughbred horses.

    Science.gov (United States)

    Firth, E C; Doube, M; Boyde, A

    2009-10-01

    To show that changes are present at the site of origin of metacarpal condylar fracture in young Thoroughbred horses before they enter race training. Bone slices, 2 mm thick, in three mediolateral planes through the centre of rotation of the metacarpo-phalangeal joint (MCPJ) of both distal third metacarpal bones (Mc3) of 12 Thoroughbred horses aged 17 months, were imaged using point-projection digital X-ray imaging (muXR). In some horses, linear or ovoid radiolucency was found in articular calcified cartilage (ACC) and subchondral bone of the palmaro-distal aspect of the sagittal groove, exactly at the site of more advanced stages of condylar fatigue fracture. An incidental finding was ovoid radiolucency in the apex of the dorso-distal aspect of the sagittal ridge, with or without fragmentation or disturbance of the subchondral mineralised tissue line, resembling equine osteochondrosis. The findings imply that the aetiology of condylar fatigue fracture in young Thoroughbred horses includes abnormality in development of the bone and joint that is present before athletic activity occurs.

  8. An in situ hybridization study of Runx2, Osterix, and Sox9 in the anlagen of mouse mandibular condylar cartilage in the early stages of embryogenesis.

    Science.gov (United States)

    Shibata, Shunichi; Yokohama-Tamaki, Tamaki

    2008-09-01

    Mandibular condylar cartilage is the best-studied mammalian secondary cartilage, differing from primary cartilage in that it originates from alkaline phosphatase-positive progenitor cells. We previously demonstrated that three transcription factors related to bone and cartilage formation, namely Runx2, Osterix and Sox9, are simultaneously expressed in the anlage of mandibular condylar cartilage (condylar anlage) at embryonic day (E)14. In this study, expression of these transcription factors was investigated in the anlagen of mandibular bone (mandibular anlagen) from E11.0 to 14.0. Runx2 mRNA was first expressed in the mandibular anlage at E11.5. Osterix mRNA was first expressed at E12.0, and showed a different expression pattern from that of Runx2 from E12.5 to E14.0, confirming that Osterix acts downstream of Runx2. Sox9 mRNA was expressed in Meckel's cartilage and its anlagen throughout the experimental period, but not clearly in the mandibular anlagen until E13.0. At E13.5, the condylar anlage was morphologically identified at the posterior end of the mandibular anlage, and enhanced Sox9 mRNA expression was detected here. At this stage, Runx2 and Osterix mRNA were simultaneously detected in the condylar anlage. These results indicate that the Sox9 mRNA-expressing condylar anlage is derived from Runx2/Osterix mRNA-expressing mandibular anlage, and that upregulation of Sox9 in this region acts as a trigger for subsequent condylar cartilage formation.

  9. Métodos no destructivos de estimación del área foliar por tallo en la variedad LCP 85-384 de caña de azúcar Non-destructive methods for estimating leaf area per stalk in LCP 85-384 sugarcane variety

    Directory of Open Access Journals (Sweden)

    Esteban Brito

    2007-12-01

    Full Text Available En este trabajo se ajustan métodos no destructivos para estimar el área foliar por tallo (AFT de caña de azúcar en la variedad LCP 85-384. Se midió durante el ciclo del cañaveral, en 1031 tallos, la altura de tallo al anillo de la hoja +1 (ALT+1 y se contó el número de hojas verdes liguladas por tallo (NHVt, determinando también la superficie foliar individual (AFi de todas las hojas verdes. El área foliar observada por tallo (AFTO resultó de la sumatoria del AFi de las hojas liguladas por tallo. Se evaluaron tres alternativas de estimación del AFT: en el Método 1, x= ALT+1 * NHVt; en el Método 2, x= AFi(hoja+3 * NHVt y en el Método 3, x= AFi(hoja+3* NHVt * ALT+1. Las ecuaciones de regresión se seleccionaron considerando el coeficiente de determinación (R², su significación estadística y la observación gráfica de los valores observados y calculados. Para el Método 1 se eligió la ecuación potencial AFT= 6,791 x 0,811 (R²:0,951; para el Método 2, el modelo lineal AFT= 0,930 x (R²: 0,955 y para el Método 3, la ecuación AFT= 2,267 x0,522 (R²: 0,958. Conociendo el número de hojas verdes liguladas por tallo y su altura al anillo de la hoja +1, y/o midiendo el área individual de la hoja+3, se puede estimar, durante todo el ciclo del cultivo, el área foliar por tallo de la variedad LCP 85-384, de manera no destructiva, rápida y precisa.Non-destructive methods for estimating leaf area per stalk (AFT in LCP 85-384 sugarcane variety were adjusted. During crop cycle, 1031 stalks were studied in terms of height with respect of leaf +1 dewlap (ALT+1 and number of green ligulated leaves (NHVt, and individual foliar surface (AFi of all green leaves per stalk was determined. The observed leaf area per stalk (AFTO turned out to be the sum of AFi values of all green ligulated leaves per stalk. Three alternatives for estimating AFT were evaluated: in Method 1, x= ALT+1 * NHVt; in Method 2, x= AFi(leaf +3 * NHVt and in Method 3, x

  10. Bilateral condylar morphology in adult patients with unilateral cleft lip and palate%成人单侧完全性唇腭裂双侧髁突的形态特点

    Institute of Scientific and Technical Information of China (English)

    李增才; 刘新强

    2015-01-01

    BACKGROUND:The characteristics of condylar morphology should be first understood in patients with unilateral cleft lip and palate. OBJECTIVE:To investigate the bilateral condylar morphology in adult patients with unilateral cleft lip and palate. METHODS:This study included 25 patients with unilateral cleft lip and palate (study group), and 25 normal volunteers (control group). The upper condylar height, ramal height, condylar height and condylar width were measured on panoramic radiographs. The ratio of the upper condylar height to the ramal height and the ratio of the condylar height to the condylar width were calculated. RESULTS AND CONCLUSION:Compared with the control group, upper condylar height, condylar width, condylar height and the ratio of the upper condylar height to the ramal height were reduced in the study group between the normal and affected sides (P0.05). No significant difference in upper condylar height, ramal height, condylar width, condylar height, the ratio of the upper condylar height to the ramal height, the ratio of the condylar height to the condylar width, and condylar morphology was detectable between the normal and affected sides in the experimental group (P>0.05). These data show that adult patients with unilateral cleft lip and palate presented short condylar process and narrow neck, and the condylar process is shorter than ramus, which provides clinical evidence for patients with unilateral cleft lip and palate.%背景:对单侧完全性唇腭裂患者进行正畸治疗,应首先了解其髁突形态的特点。目的:探索成人单侧完全性唇腭裂患者双侧髁突形态的特点。方法:收集临床单侧完全性唇腭裂患者和正常志愿者各25例,分别作为实验组和对照组,通过全颌曲面断层片,测量髁突上部高度、升支高度、髁突高度、髁突颈部宽度,并计算髁突上部高度/升支高度和髁突高度/髁突颈部宽度。结果与结论:与对照组相比,实

  11. Assessment of optimal condylar position with cone-beam computed tomography in south Indian female population

    Directory of Open Access Journals (Sweden)

    W S Manjula

    2015-01-01

    Full Text Available Aim: The purpose of this study was to investigate, the condyle-fossa relationship, in clinically asymptomatic orthodontically untreated south Indian female volunteers, by cone-beam computed tomography (CBCT. Materials and Methods: The study population consisted of 13 clinically symptom-free and orthodontically untreated angle′s Class I female subjects with the mean age of 18 years (ranges from 17 years to 20 years. The normal disc position of the 13 subjects was confirmed by history, clinical examination and magnetic resonance imaging scan. Then, the images of the temporomandibular joint (TMJ of the subjects were taken using CBCT to evaluate the optimal condylar position. Posterior joint space (PS, superior joint space (SS and anterior joint space (AS were measured, and the values were subjected to statistical analysis. Mean PS, SS and AS of right and left side TMJ′s were calculated. Paired samples t-test were used for each measurement to evaluate the average differences between the right and left side for each element of the sample. Results: The mean value of PS, SS and AS of right side TMJ′s were 2.1385, 2.2769 and 1.7615, respectively. The mean value of PS, SS and AS of left side TMJ′s were 2.1385, 2.5308 and 1.8538, respectively. Statistical analysis with the t-test indicated no significant differences in the AS, SS, or PS values between the right and left side. TMJ′s mean PS, SS, and AS measurements were 2.1 mm (standard deviation [SD] ±0.65 mm, 2.4 mm (SD ± 0.58 mm, and 1.8 mm (SD ± 0.52 mm, respectively. The ratios of SS and PS to AS, with AS set to 1.0, were 1.3 and 1.2, respectively. Conclusion: These data from optimal joints might serve as norms for the clinical assessment of condylar position obtained by CBCT.

  12. Tomographic evaluation of the temporomandibular joint in malocclusion subjects: condylar morphology and position

    Energy Technology Data Exchange (ETDEWEB)

    Merigue, Luciana Fonseca; Oltramari-Navarro, Paula Vanessa Pedron; Alemida, Marcio Rodrigues [Universidade do Norte do Parana (UNOPAR), Londrina, PR (Brazil). Faculdade de Odontologia; Conti, Ana Claudia de Castro Ferreira [Universidade do Sagrado Coracao (USC), Bauru, SP (Brazil). Faculdade de Odontologia; Navarro, Ricardo de Lima, E-mail: accfconti@uol.com.br [Universidade Estadual de Maringa (UEM), Maringa, P (Brazil). Departamento de Odontologia

    2016-06-01

    The aim of this study was to investigate condyle concentricity and morphology, and their association with Class I and II malocclusions (Angle). The sample consisted of 49 individuals of both genders, between 11 and 35 years old, divided into two groups, G1: 26 patients with Class I malocclusion, and G2: 23 patients with Class II malocclusion, selected for orthodontic treatment. Evaluation of the condyle morphology and position was performed by the same previously calibrated examiner using cone-beam computed tomography (CBCT) images of the subjects. The CBCT scans were analyzed by means of a 3D program (Dolphin 11.5, Dolphin Imaging and Management Solutions, Chatsworth, CA, USA), with a 25% level of sensitivity. The images obtained from the coronal slices were employed for the condyle morphology analysis, which classified the condyle form as rounded, as flat or convex, and as triangular or angled. The sagittal slices were used to classify further the condyles as concentric and displaced anteriorly or posteriorly. A clinical examination was also performed, including TMJ and muscle palpation. The kappa test was used to evaluate investigator calibration; the Chi-square and paired t-tests were used for analysis. The convex and anteriorly positioned condyles were found most frequently, regardless of the type of malocclusion. No association was observed between the groups regarding condylar characteristics. (author)

  13. Histopathological analysis of unilateral condylar hyperplasia: difficulties in diagnosis and characterization of the disease.

    Science.gov (United States)

    Vásquez, B; Olate, S; Cantín, M; Sandoval, C; Fariña, R; Del Sol, M

    2016-05-01

    The aim of this study was to perform a histological analysis of the conditions in patients undergoing surgery for unilateral condylar hyperplasia (UCH) using different histopathological analytical techniques and to describe the complications and existing controversy in order to better define the disease. A partial condylectomy was performed in five patients who had been diagnosed with UCH using clinical and imaging methods. The samples obtained were analyzed using routine histological techniques including haematoxylin-eosin, Van Gieson, picrosirius, alcian blue/haematoxylin-eosin, and AgNOR staining. The analyses were performed by an observer who was blinded to the clinical parameters of the disease. The cellularity, tissue layers, size of the anatomical structures, and the relationships between them were assessed. The analysis of these patients was complemented by a review of the scientific literature. Variability was observed in the analysis of the cases. The presence of connective tissue was detected at the bone level, with cartilage formation at different levels. Each island presented levels of involvement that could indicate various degrees of aggressiveness. Type I collagen was observed in most cases, although type III was also identified. The development of histological diagnostic methods to determine the aggressiveness or level of involvement in UCH is not currently possible. Further studies are needed to establish new histological classifications.

  14. Evaluation of condylar positions in patients with temporomandibular disorders: A cone-beam computed tomography study

    Energy Technology Data Exchange (ETDEWEB)

    Imanimoghaddam, Mahrokh; Mahdavi, Pirooze; Bagherpour, Ali; Darijani, Mansoreh; Ebrahimnejad, Hamed [Dept. of Oral and Maxillofacial Radiology, Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad (Iran, Islamic Republic of); Madani, Azam Sadat [Dept. of Oral and Maxillofacial Radiology, Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad (Iran, Islamic Republic of)

    2016-06-15

    This study was performed to compare the condylar position in patients with temporomandibular joint disorders (TMDs) and a normal group by using cone-beam computed tomography (CBCT). In the TMD group, 25 patients (5 men and 20 women) were randomly selected among the ones suffering from TMD according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). The control group consisted of 25 patients (8 men and 17 women) with normal temporomandibular joints (TMJs) who were referred to the radiology department in order to undergo CBCT scanning for implant treatment in the posterior maxilla. Linear measurements from the superior, anterior, and posterior joint spaces between the condyle and glenoid fossa were made through defined landmarks in the sagittal view. The inclination of articular eminence was also determined. The mean anterior joint space was 2.3 mm in the normal group and 2.8 mm in the TMD group, respectively. The results showed that there was a significant correlation between the superior and posterior joint spaces in both the normal and TMD groups, but it was only in the TMD group that the correlation coefficient among the dimensions of anterior and superior spaces was significant. There was a significant correlation between the inclination of articular eminence and the size of the superior and posterior spaces in the normal group. The average dimension of the anterior joint space was different between the two groups. CBCT could be considered a useful diagnostic imaging modality for TMD patients.

  15. Condylar restoration after early TMJ fractures and functional appliance therapy. Part II: Muscle evaluation.

    Science.gov (United States)

    Kahl-Nieke, B; Fischbach, R

    1999-01-01

    The aim of this study was to analyze and to describe the condition of the lateral pterygoid muscle during and after functional appliance therapy in children who had sustained condylar fractures. The treatment group consisted of 19 patients with an average age of 13.4 years, who had sustained a unilateral fracture at an average age of 8.4 years and had been treated functionally for 6 to 8 months. Muscle condition was assessed through axial soft tissue description. The volume and density of the lateral pterygoid muscle were measured in both groups and were compared on the basis of sex, age and fracture type. 74% of the patients in the follow-up group showed muscle differences of more than 10% between the 2 sides. In 2/3 of these patients the lateral pterygoid of the fracture side was 13 to 69% smaller. The volumes of the contralateral pterygoid muscles in the 2 patient groups differed by 10% on the basis of sex. Both in the treatment group and in the follow-up group the volume difference between the healthy and fractured side was as high as 70% depending on localization and type of fracture. Deep fractures and fractures with complete dislocation of the condyle evoked the most serious reduction in muscle volume.

  16. [Change in condylar and mandibular morphology in juvenile idiopathic arthritis: cone beam volumetric imaging].

    Science.gov (United States)

    Garagiola, Umberto; Mercatali, Lorenzo; Bellintani, Claudio; Fodor, Attila; Farronato, Giampietro; Lőrincz, Adám

    2013-03-01

    The aim of this study is to show the importance of Cone Beam Computerized Tomography to volumetrically quantify TMJ damage in patients with JIA, measuring condylar and mandibular real volumes. 34 children with temporomandibular involvement by Juvenile Idiopathic Arthritis were observed by Cone Beam Computerized Tomography. 4 were excluded because of several imaging noises. The mandible was isolated from others craniofacial structures; the whole mandibular volume and its components' volumes (condyle, ramus, hemibody, hemisymphysis on right side and on left side) has been calculated by a 3D volume rendering technique. The results show a highly significant statistical difference between affected side volumetric values versus normal side volumetric values above all on condyle region (P < 0.01), while they don't show any statistical differences between right side versus left side. The Cone Beam Computerized Tomography represents a huge improvement in understanding of the condyle and mandibular morphological changes, even in the early stages of the Juvenile Idiopathic Arthritis. The JIA can lead in children to temporomandibular joint damage with facial development and growth alterations.

  17. Tomographic evaluation of the temporomandibular joint in malocclusion subjects: condylar morphology and position

    Directory of Open Access Journals (Sweden)

    Luciana Fonseca MERIGUE

    2016-01-01

    Full Text Available Abstract The aim of this study was to investigate condyle concentricity and morphology, and their association with Class I and II malocclusions (Angle. The sample consisted of 49 individuals of both genders, between 11 and 35 years old, divided into two groups, G1: 26 patients with Class I malocclusion, and G2: 23 patients with Class II malocclusion, selected for orthodontic treatment. Evaluation of the condyle morphology and position was performed by the same previously calibrated examiner using cone-beam computed tomography (CBCT images of the subjects. The CBCT scans were analyzed by means of a 3D program (Dolphin 11.5, Dolphin Imaging & Management Solutions, Chatsworth, CA, USA, with a 25% level of sensitivity. The images obtained from the coronal slices were employed for the condyle morphology analysis, which classified the condyle form as rounded, as flat or convex, and as triangular or angled. The sagittal slices were used to classify further the condyles as concentric and displaced anteriorly or posteriorly. A clinical examination was also performed, including TMJ and muscle palpation. The kappa test was used to evaluate investigator calibration; the Chi-square and paired t-tests were used for analysis. The convex and anteriorly positioned condyles were found most frequently, regardless of the type of malocclusion. No association was observed between the groups regarding condylar characteristics.

  18. Diagnostic index of three-dimensional osteoarthritic changes in temporomandibular joint condylar morphology

    Science.gov (United States)

    Gomes, Liliane R.; Gomes, Marcelo; Jung, Bryan; Paniagua, Beatriz; Ruellas, Antonio C.; Gonçalves, João Roberto; Styner, Martin A.; Wolford, Larry; Cevidanes, Lucia

    2015-01-01

    Abstract. This study aimed to investigate imaging statistical approaches for classifying three-dimensional (3-D) osteoarthritic morphological variations among 169 temporomandibular joint (TMJ) condyles. Cone-beam computed tomography scans were acquired from 69 subjects with long-term TMJ osteoarthritis (OA), 15 subjects at initial diagnosis of OA, and 7 healthy controls. Three-dimensional surface models of the condyles were constructed and SPHARM-PDM established correspondent points on each model. Multivariate analysis of covariance and direction-projection-permutation (DiProPerm) were used for testing statistical significance of the differences between the groups determined by clinical and radiographic diagnoses. Unsupervised classification using hierarchical agglomerative clustering was then conducted. Compared with healthy controls, OA average condyle was significantly smaller in all dimensions except its anterior surface. Significant flattening of the lateral pole was noticed at initial diagnosis. We observed areas of 3.88-mm bone resorption at the superior surface and 3.10-mm bone apposition at the anterior aspect of the long-term OA average model. DiProPerm supported a significant difference between the healthy control and OA group (p-value=0.001). Clinically meaningful unsupervised classification of TMJ condylar morphology determined a preliminary diagnostic index of 3-D osteoarthritic changes, which may be the first step towards a more targeted diagnosis of this condition. PMID:26158119

  19. How to improve retromandibular transmasseteric anteroparotid approach for mandibular condylar fractures: our clinical experience.

    Science.gov (United States)

    Salgarelli, A C; Anesi, A; Bellini, P; Pollastri, G; Tanza, D; Barberini, S; Chiarini, L

    2013-04-01

    Fractures of the mandibular condyle are common and account for 25-35% of all mandibular fractures reported in the literature. Even with the development of a consensus on the preference for open reduction and internal fixation of these fractures, the clinician is still faced with a dilemma concerning the optimal approach to the ramus-condyle unit. Limited access and injury to the facial nerve are the most common problems. The most commonly used extraoral approaches are the submandibular, retromandibular and preauricular methods. In this study, we propose a modified cosmetic preauricular incision with a short end in the neck, to improve the transmasseteric anteroparotid (TMAP) approach previously described by Wilson et al. in 2005. We retrospectively analysed 13 patients treated in our department for mandibular condylar fractures. Post-operative complications, occlusal status, interincisal opening and joint tenderness were evaluated at 3 months after surgery. The wider skin incision described here provides a convenient approach for open reduction and rigid internal fixation, and good results were obtained. The follow-up ranged from 6 to 40 months.

  20. PTH [1-34] induced differentiation and mineralization of mandibular condylar cartilage.

    Science.gov (United States)

    O' Brien, Mara Heather; Dutra, Eliane Hermes; Lima, Alexandro; Nanda, Ravindra; Yadav, Sumit

    2017-06-12

    Intermittent Parathyroid Hormone (I-PTH) is the only FDA approved anabolic drug therapy available for the treatment of osteoporosis in males and postmenopausal females. The effects of I-PTH on the chondrogenic lineage of the mandibular condylar cartilage (MCC) are not well understood. To investigate the role of I-PTH on the MCC and subchondral bone, we carried out our studies using 4 to 5 week old triple transgenic mice (Col1a1XCol2a1XCol10a1). The experimental group was injected with PTH (80 μg/kg) daily for 2 weeks, while control group was injected with saline. Our histology showed that the I-PTH treatment led to an increased number of cells expressing Col1a1, Col2a1 and Col10a1. Additionally, there was an increase in cellular proliferation, increased proteoglycan distribution, increased cartilage thickness, increased TRAP activity, and mineralization. Immunohistochemical staining showed increased expression of pSMAD158 and VEGF in the MCC and subchondral bone. Furthermore our microCT data showed that I-PTH treatment led to an increased bone volume fraction, tissue density and trabecular thickness, with a decrease in trabecular spacing. Morphometric measurements showed increased mandibular length and condyle head length following I-PTH treatment. In conclusion, our study suggests that I-PTH plays a critical role in cellular proliferation, proteoglycan distribution, and mineralization of the MCC.

  1. PTH [1-34]-induced alterations predispose the mandibular condylar cartilage to mineralization.

    Science.gov (United States)

    Dutra, E H; O'Brien, M H; Gutierrez, T; Lima, A; Nanda, R; Yadav, S

    2017-06-01

    To study the effects of intermittent parathyroid hormone (PTH [1-34]) on the mandibular condylar cartilage (MCC) and subchondral bone in adult female mice. Twenty-two, 20-week-old female mice were used for in vivo experiments. The experimental mice (n=11) received daily intraperitoneal injections of PTH [1-34] for 3 weeks, while control mice (n=11) received intraperitoneal injections of 0.9% saline solution. Mice were euthanized and then micro-computed tomography (micro-CT); histology and immunostaining were carried out to assess the response. Intermittent PTH [1-34] led to early MCC breakdown and surface irregularities. Micro-CT analyses indicated that PTH [1-34] treatment led to increased bone volume fraction, tissue density and trabecular thickness, while decreasing the trabecular spacing. Histological analyses showed decreased proteoglycan secretion, increased bone turnover (TRAP staining) and increased mineralization. Furthermore, PTH [1-34] treatment showed increased apoptosis of the cells. Our immunohistochemistry showed increased expression of pSMAD158 in the MCC and subchondral bone with PTH administration, whereas sclerostin (SOST) expression was decreased. Intermittent PTH [1-34] results in early mineralization of the MCC, which may result in cartilage degeneration. Our results identified a novel mechanism by which PTH [1-34] induces alteration in the microarchitecture of the MCC and the subchondral bone. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  2. Evaluation of the condylar movement on MRI during maximal mouth opening in patients with internal derangement of TMJ; comparison with transcranial view

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Bong Hae [Pusan National Univ. School of Dentistry, Pusan (Korea, Republic of)

    2001-12-15

    To evaluate the condylar movement at maximal mouth opening on MRI in patients with internal derangement. MR images and transcranial views for 102 TMJs in 51 patients were taken in closed and maximal opening positions, and the amount of condylar movement was analyzed annotatively and qualitatively. For MR images, the mean condylar movements were 9.4 mm horizontally, 4.6 mm vertically and 10.9 mm totally, while those for transcranial views were 12.5 mm, 4.6 mm, and 13.7 mm respectively. The condyle moved forward beyond the summit of the articular eminence in 41 TMJs (40.2%) for MR images than in transcranial views.

  3. 髁突增生与下颌骨畸形研究进展%A Review of Condylar Hyperplasia and Mandibular Asymmetry

    Institute of Scientific and Technical Information of China (English)

    黄跃; 王旭东; 沈国芳

    2008-01-01

    1概述及流行病学情况 髁突增生(condylar hyperplasia),有文献称之为髁突肥大(condylar hypertrophy),髁突良性肥大(benign condylar hypertrophy)。本病是由于一侧髁突骨质增生而引起下颌骨不对称性畸形,在下颌骨不对称畸形中,其发病比例相当高,而国内文献却罕有这方面的报道。本文即针对该病的研究情况作一个综述。

  4. T-condylar fracture delayed for 10 days in a 5-year-old boy: a case report and review of the literature

    Institute of Scientific and Technical Information of China (English)

    Shashidhar B Kantharajanna; Vijay Goni; Pebam Sudesh; Nirmal Raj Gopinathan

    2013-01-01

    T-condylar fracture is rare in paediatric age group,especially in skeletally immature children less than 9 years old,with very few cases reported in available literature.We present such a case in a 5 year old child that was initially managed as a supracondylar fracture at another centre before referral to us,10 days after the injury.The child was diagnosed as having a displaced T-condylar fracture on plain radiograph.Open reduction and internal fixation with K-wires was performed.At 2 years follow-up,the child had good range of motion at elbow with 5°of cubitus varus.With this background we discuss the pertinent principles of management of T-condylar fractures in skeletally immature children.

  5. T-condylar fracture delayed for 10 days in a 5-year-old boy: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Kantharajanna Shashidhar B

    2013-02-01

    Full Text Available 【Abstract】 T-condylar fracture is rare in paediatric age group, especially in skeletally immature children less than 9 years old, with very few cases reported in available literature. We present such a case in a 5 year old child that was initially managed as a supracondylar fracture at an-other centre before referral to us, 10 days after the injury. The child was diagnosed as having a displaced T-condylar fracture on plain radiograph. Open reduction and internal fixation with K-wires was performed. At 2 years follow-up, the child had good range of motion at elbow with 5 o of cubi-tus varus. With this background we discuss the pertinent principles of management of T-condylar fractures in skele-tally immature children. Key words: Humeral fractures; Fracture fixation; Fracture healing; Child

  6. 髁状突颈部复合型骨折坚强内固定后应力遮挡效应分析%Stress Shielding Analysis of Internal Rigid Fixation of Compound Condylar Fractures

    Institute of Scientific and Technical Information of China (English)

    赵亮; 杨壮群; 虎小易; 陶洪; 陈曦; 刘秀丽; 刘伟

    2012-01-01

    Objective Try to provide a biomechanical basis for the clinical application of new material via analyzing the stress distribution and the stress shielding effect in different periods when compound fractures of the condylar neck were fixed with different kinds of material. Methods The three-dimensional finite element method was used to analyze the von Mises stress distribution in different periods when the condylar neck compound fractures were fixed with titanium and absorbable miniplates; and then calculated and analyzed stress shielding rates. Results In early stage of fixation, the stress shielding rates provided by two kinds of material were above 95% in the various parts of fracture suture. After the fracture was healed, the stress shielding rates were in the following decreasing order: titanium plate, absorbable plate fixed 1 year, the absorbable plate fixed 3 years. Conclusion There were stress shielding effect during the whole period of fracture healing when mandibular fractures were fixed by titanium miniplate; absorbable plate could provide similar stress shielding effect with titanium plate in early fracture healing stage, and the effect was smaller than that of titanium plate after fracture healing; when focusing on the stress shielding effect, the absorbent material was an ideal internal fixation material.%目的:从生物力学角度分析髁突颈复合型骨折采用不同材料内固定后不同时期骨折局部应力分布状况及应力遮挡作用,试图为新型固定材料的临床应用提供生物力学依据.方法:用三维有限元法分析髁状突颈部复合型骨折采用小型钛板和可吸收板固定后,不同时期骨折局部的yon Mises应力值分布,并且计算比较各时期的应力遮挡率.结果:骨折固定初期,两种材料在各部位的应力遮挡率都在95%以上.骨折愈合后,骨缝各分区的应力遮挡率大小依次为:钛板固定后期>可吸收板固定1年>可吸收板固定3年.结论:下颌

  7. Processless offset printing plates

    Directory of Open Access Journals (Sweden)

    Sanja Mahović Poljaček

    2015-06-01

    Full Text Available With the implementation of platesetters in the offset printing plate making process, imaging of the printing plate became more stable and ensured increase of the printing plate quality. But as the chemical processing of the printing plates still highly influences the plate making process and the graphic reproduction workflow, development of printing plates that do not require chemical processing for offset printing technique has been one of the top interests in graphic technology in the last few years. The main reason for that came from the user experience, where majority of the problems with plate making process could be connected with the chemical processing of the printing plate. Furthermore, increased environmental standards lead to reducing of the chemicals used in the industrial processes. Considering these facts, different types of offset printing plates have been introduced to the market today. This paper presents some of the processless printing plates.

  8. Evaluation of result of minimally invasive plating osteosynthesis (MIPO technique in the treatment of fracture distal tibia: a prospective follow-up study from Chhattisgarh, India.

    Directory of Open Access Journals (Sweden)

    Pravin Kumar Jangde

    2015-09-01

    Full Text Available Background High speed motor vehicle accidents are on the rise over the past few years, a major cause of complex fractures of tibia. The main treatment aim of this type of fractures is reinstatement of the normal alignment and articular congruity. Although different surgical techniques are available, but minimally invasive plating osteosynthesis (MIPO is most popular in minimal articular comminution and damage of soft tissue envelope. MIPO advantages are no periosteal dissections, no disruption of hematoma, stable fixation, early mobilization, less complications and relatively higher rates of union. The main objective of this study was to evaluate the functional and clinical outcomes of distal tibia fracture patients, treated by internal fixation by MIPO technique with locking compression plate (LCP. Methods Twenty patients with closed distal tibia fracture with or without intra articular extension treated with MIPO with LCP were prospectively followed for average duration of 18.45 months (range 5-30 months. Fractures were classified according AO classification into broad types. Results Average duration of injury-surgery interval was 12days. The age incidence was an average of 38.95 yrs. High occurrence of fracture was seen in labourer (65%, maximum cases (50% mode of injury was due to road traffic accidents. 75% of the patients showed radiologic union in 13-16 weeks, full weight bearing was achieved in 13-16 weeks. Overall achievement was 75% excellent, 10% good, 10% fair and 5% with poor result. Conclusion The present study confirmed that MIPO with LCP is an effective and safe treatment method in terms of union time and complications rate for distal tibia fracture.

  9. A case of severe mandibular retrognathism with bilateral condylar deformities treated with Le Fort I osteotomy and two advancement genioplasty procedures

    Science.gov (United States)

    Nakamura, Masahiro; Matsumura, Tatsushi; Yamashiro, Takashi; Iida, Seiji; Kamioka, Hiroshi

    2016-01-01

    We report a case involving a young female patient with severe mandibular retrognathism accompanied by mandibular condylar deformity that was effectively treated with Le Fort I osteotomy and two genioplasty procedures. At 9 years and 9 months of age, she was diagnosed with Angle Class III malocclusion, a skeletal Class II jaw relationship, an anterior crossbite, congenital absence of some teeth, and a left-sided cleft lip and palate. Although the anterior crossbite and narrow maxillary arch were corrected by interceptive orthodontic treatment, severe mandibular hypogrowth resulted in unexpectedly severe mandibular retrognathism after growth completion. Moreover, bilateral condylar deformities were observed, and we suspected progressive condylar resorption (PCR). There was a high risk of further condylar resorption with mandibular advancement surgery; therefore, Le Fort I osteotomy with two genioplasty procedures was performed to achieve counterclockwise rotation of the mandible and avoid ingravescence of the condylar deformities. The total duration of active treatment was 42 months. The maxilla was impacted by 7.0 mm and 5.0 mm in the incisor and molar regions, respectively, while the pogonion was advanced by 18.0 mm. This significantly resolved both skeletal disharmony and malocclusion. Furthermore, the hyoid bone was advanced, the pharyngeal airway space was increased, and the morphology of the mandibular condyle was maintained. At the 30-month follow-up examination, the patient exhibited a satisfactory facial profile. The findings from our case suggest that severe mandibular retrognathism with condylar deformities can be effectively treated without surgical mandibular advancement, thus decreasing the risk of PCR. PMID:27896214

  10. Sonographic evaluation of the ranges of condylar translation and of temporomandibular joint space as well as first comparison with symptomatic joints.

    Science.gov (United States)

    Landes, Constantin A; Sader, Robert

    2007-12-01

    To assess the normal ranges of condylar translation and width of the lateral temporomandibular joint (TMJ) of a healthy population by sonography and permit comparison of findings made in individual patients using this norm. Fifty non-orthodontically treated, asymptomatic volunteers (100 joints) were subdivided by Angle classes (I = 20, II = 15, III = 15) and evaluated. Reliability was assessed in 15 of those volunteers. The validity was checked in 8 more patients with temporomandibular dysfunction (TMD), all class II with disc dislocation diagnosed by means of MRI. Sonographic assessment of condylar translation from centric occlusion to maximum opening and during protrusion and mediotrusion was performed with a probe positioned parallel to the zygomatic arch. Translation during opening was 12.7+/-3.2 mm in class I, 12.9+/-3.3 mm in class II and 10.9+/-3.6 mm in class III. Protrusive translation was 7.4+/-2.5 mm/10.3+/-4.4 mm/6.8+/-2.1mm, respectively; and mediotrusive translation was 7.9+/-2.6 mm/10.8+/-3.4 mm/6.7+/-2.4 mm, respectively. Class II had longer and class III shorter condylar translations. The lateral joint space in occlusion and protrusion was wider in class II than in classes I and III. Symptomatic patients had shorter condylar translations than asymptomatic volunteers. Patients with class II had a more anteroposterior mobility, class III shorter translation. Significant sonographic differences of condylar translation from the norm did not correspond with clinical findings. This demonstrates the higher sensitivity of sonography for the evaluation of individual condylar translation. It is a sensitive tool for assessing joint function.

  11. Condylar axis position, as determined by the occlusion and measured by the CPI instrument, and signs and symptoms of temporomandibular dysfunction.

    Science.gov (United States)

    Crawford, S D

    1999-04-01

    The importance of occlusion as an etiologic factor in signs and symptoms of TMD has been a source of controversy. Very few studies have examined occlusion-dictated condylar position using instrumentation, and none has compared an ideal sample against an untreated control. The purpose of this study was to determine if there is a relationship between condylar axis position as determined by the occlusion and signs and symptoms of TMD, using the condylar position indicator (CPI). A sample of subjects with ideal occlusions, defined as centric relation approximating centric occlusion, was compared with a control sample of untreated subjects. The comparison was based on written patient histories, clinical exams, and CPI measurements. The ideal sample of 30 subjects was selected from a population that had undergone full-mouth reconstruction using gnathologic principles that included centric relation (CR) being coincident with centric occlusion (CO). The control group consisted of 30 untreated subjects from the general population and was matched with the ideal sample with regard to sex. A duplicate written exam was given to the subjects in the ideal sample to assess symptoms prior to treatment. The CR bite registration technique developed by Roth was used. When the pre- and posttreatment examination scores of the ideal sample were compared, an 84% reduction in symptoms was found after treatment. A high correlation (pTMD and CPI values was documented. Since condylar axis position is dictated upon closure of the dentition into maximum intercuspation and since condylar axis position was shown in this study to be strongly correlated with TMD symptomatology, it can be concluded that a statistically significant relationship exists between occlusion-dictated condylar position and symptoms of TMD.

  12. 髁突骨软骨瘤与髁突增生患者的CT表现特点分析%Comparison of CT features in patients with mandibular condylar osteochondroma and unilateral mandibular condylar hyperplasia

    Institute of Scientific and Technical Information of China (English)

    赵泽亮; 沈国芳; 石慧敏; 董敏俊; 王旭东

    2012-01-01

    PURPOSE: To evaluate the CT features in patients with mandibular condylar osteochondroma and unilateral mandibular condylar hyperplasia. METHODS: Eleven patients with mandibular condylar osteochondroma and 8 patients with unilateral mandibular condylar hyperplasia were included in this study. The CT data was evaluated retrospectively. The evaluation indices included the size, extent of the lesions as well as the changes of the soft and hard tissues adjacent to the lesions. RESULTS: CT scanning of 11 patients with mandibular condylar osteochondroma showed continuity of the exostotic bone marrow and cortex with that of the underlying bone and the lesion was pedunculated (3/11) or sessile (8/11). Cartilage-capped osseous projection was observed in all cases. Periphery of the tumour was denser than matrix of the tumour. A thin layer of soft tissue which had various thicknesses encircling the lesion in 11 cases could be delineated by CT scan. Outer calcified layer of the tumour could also be observed on CT scanning. The squamous temporal bone remodeled to accommodate the growing tumour. The tumour was observed on different aspect of the involved condyle. CT scanning of 8 patients with unilateral mandibular condylar hyperplasia exhibited elongation of the affected condylar neck and/or ramus. CT imaging also showed abnormalities in the morphology of the involved condylar head. Periphery of the hyperplasic condyles ossified to varying degrees and the density of intramedullary canal of bone was different. CONCLUSION: CT scanning could provide detailed information of the affected condyle as well as the adjacent soft andhard tissues and be useful imaging basis for distinguishing mandibular cundylar osteochondroma and unilateral mandibular condylar hyperplasia. Supported by Research Fund of Health Bureau of Shanghai Municipality(2009077).%目的:比较下颌骨髁突骨软骨瘤和单侧下颌骨髁突增生的CT表现特点.方法:对2005-2010年上海交通大学医学院

  13. The clinical experience in treatment of condylar surgery%髁状突外科治疗临床分析体会

    Institute of Scientific and Technical Information of China (English)

    宋明; 郑兴(通讯作者)

    2013-01-01

    PURPOSE: Through the process of disease condyloid operation and non operation treatment, to explore the operation indications and treatment method. METHODS: Non operation treatment of 45 cases of condylar fractures can first by intermaxillary, traction, etc. The condylar neck fracture, condylar displacement, and occurs in the condylar disease in 57 cases by operation treatment. Operation mode can be selected before tragus incision or submandibular incision.RESULTS:Condylar fracture occurred in the cap portion and the children, and cure most through the traction method. The condylar displacement, neck fracture and condylar disease, effect of chewing and limitation of mouth opening, by operation method, can improve symptoms and cure.CONCLUSION: Occurred in the condylar fracture zone and joint disease, affect the mouth and chewing function, can improved by the operation method. The district operation was complicated, easy to cause some damage and complications.%目的:通过对髁状突区疾病的手术和非手术治疗,探讨手术指征和处理方法。方法非手术治疗45例对于髁状突骨折可先通过颌间结扎、牵引等方式。对于髁状突颈部骨折,髁状突移位,以及发生在髁状突的疾病57例可通过手术治疗。手术方式可选择耳屏前切口以及颌下切口。结果髁状突发生在帽部骨折以及儿童,大部分通过牵引方法而治愈。对于髁状突移位,颈部骨折以及髁状突疾病,影响咀嚼及张口受限,通过手术方法,能改善症状以及治愈。结论通过对发生在髁状突区骨折以及关节疾病,影响到张口和咀嚼功能,可通过手术方法改善。该区手术操作较复杂,容易引起相应一些损伤并发生并发症。

  14. A comparative study to evaluate the discrepancy in condylar guidance values between two commercially available arcon and non-arcon articulators: A clinical study

    Directory of Open Access Journals (Sweden)

    Mukesh Kumar Goyal

    2011-01-01

    Full Text Available Aim: The purpose of this study was comparative evaluation of sagittal condylar values of arcon and non-arcon articulators with cephalometric readings and to determine the amount of discrepancy in sagittal condylar guidance values between arcon and non-arcon articulators using same protrusive record. Materials and Methods: Twenty subjects in the age group of 19-35 years, free from temporomandibular joint dysfunction, and occlusal disharmony, with healthy dentition participated in the study. Hanau H2 (non-arcon type and Hanau Wide-Vue (arcon type articulators were programmed for sagittal condylar guidance values using the same protrusive record made in polysiloxane bite registration material with edge to edge degree of protrusion. The resultant values for both the articulators on either side were compared with values obtained from tracing of digital lateral cephalogram using Kodak Dental imaging Window software 6.6.3.0-C program. The tabulated data were subjected to statistical analysis, ANOVA (Fishers ′F′ test for group comparison, Tukey′s HSD test for inter-comparison, student′s unpaired ′t′ test for intra-group comparison, and level of significance (P was calculated using the same. Results: The mean sagittal condylar guidance values of the three different groups were found to be very highly significant (P=0.001 and highly significant (P=0.002 on the right and left sides respectively. There was a very highly significant difference (P=0.001 and highly significant difference (P=0.003 between the arcon and non-arcon group on the right and left side respectively. No significant difference was found between the arcon and cephalometric group (P=0.284 right, P=0.853 left and a statistically significant difference was found between the non-arcon and cephalometric group (P=0.049 right, P=0.015 left. On intragroup comparison there was no statistically significant difference in sagittal condylar values on the right and left sides. Conclusion

  15. 掌侧LCP结合Kapandji技术治疗背侧不稳定桡骨远端关节内骨折初步报道%Volar LCP fixation combined with Kapandji technique for dorsal unstable inter-articular distal radial fractures

    Institute of Scientific and Technical Information of China (English)

    邓迎生; 王秋根; 邓洪漪; 张秋林; 纪方; 李伟; 云雄

    2009-01-01

    Objective To explore the method and evaluate the effect of volar LCP fixation combined with Kapandji technique for dorsal unstable inter-articular distal radial fractures.nethods Forty-three patients(male 17 and female 26,aged 42 to 65 years with the mean of 57 years)with dorsal unstable inter-articular distal radial fractures were treated with volar LCP combined with Kapandij techniques.There were 26 cases for fype C1,16 cases for type C2 and 1 case for tvpe C3 according to AO/ASIF classification criteria of fractures.To modify again Sarmiento scale(modified by Stewart first),and the parameters of imageology of the fractures were estimated,while the wrist function through Gartland-Werley functional assessment system.The effects were evaluated through comparing the volar tilt.radial inclination,articular set-off,radial shortening and wrist funetion.Results All the patients were followed up from 16 to 47 months (average 27 months)postoperatively,and the volar tilt increased from -19.3°±11.2° to 8.1°±3.2°,radial inclination increased from -13.6°±4.1° to 18.0°±8.2°,the radial shortening decreased from(6.2±2.8)mm to(0.2±0.2)mm,and articular set-off decreased from(5.5±4.3)mm to(0.1±0.2)mm.Postoperatively,34 patients achieved excellent and 9 good according to the twice modified Sarmiento scale io the radiologieal manifestation and 18 patients displayed excellent and 22 good with 3 fair according to Gartland-Werley functional assessment system.Conclusion Volar LCP fixation comlfined with Kapandji technique is a safe and effective method for treating the unstable distal radial fractures of type C,which can prevent reduction lost,reduce need for hone grafting.provide for early Wrist motion and avoid tendon irritation.%目的 探讨掌侧锁定加压钢板(locking compression plate,LCP)结合Kapandji技术治疗背侧不稳定桡骨远端关节内骨折的方法 及疗效.方法 背侧不稳定桡骨远端关节内骨折患者43例,男17例,女26例;年龄42

  16. Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment

    Directory of Open Access Journals (Sweden)

    G. Farronato

    2014-11-01

    Full Text Available Temporomandibular joint (TMJ involvement is common but usually delayed in patients with juvenile idiopathic arthritis (JIA. We describe the case of a JIA patient with bilateral TMJ involvement, mandibular retrognathia, bone erosion, and severely restricted mouth opening. The use of cone beam computed tomography and a 3D diagnostic protocol in young patients with JIA provides reliable, accurate and precise quantitative data and images of the condylar structures and their dimensional relationships. Analgesics and conventional disease modifying antirheumatic drugs were ineffective, but interdisciplinary treatment with etanercept and a Herbst functional appliance improved functional TMJ movement and bone resorption.

  17. Anterior mandibular displacement and condylar growth. An experimental study in the rat

    Energy Technology Data Exchange (ETDEWEB)

    Tonge, E.A.; Heath, J.K.; Meikle, M.C.

    1982-10-01

    Anterior displacement of the mandible was produced in twenty-eight 1-month-old female rats by two methods: (1) cast-gold splints cemented to the maxillary incisor teeth and (2) a removable stainless steel mesh appliance worn 6 hours each day, during which time the animals were sedated. The controls were littermates without appliances and in the mesh group were also sedated. Animals in the splint group were killed after 24 hours, 1 week, and 1 month; those in the mesh group were killed after 24 hours and after 1 week. the condyles were removed and cultured for 24 hours in medium containing /sup 3/H-thymidine. One condyle from each animal was processed for routine histologic and autoradiographic study. The other was digested in phosphate-buffered saline containing RNA-ase and pronase, and the specific activity of /sup 3/H-thymidine incorporation expressed as dpm/microgramDNA. Anterior mandibular displacement produced by both methods failed to result in a significant increase in the incorporation of /sup 3/H-thymidine into explant DNA. In the 7-day mesh experiment, however, there was a significant increase in the DNA content of the condylar explants from the displacement group, suggesting an increase in the cell population. This finding should be treated with caution because of the small numbers of animals involved, but it indicates an important area for further study. Changes in the distribution of labeled cells within the proliferative zone (PZ) were also observed autoradiographically in the mesh group, but there was little to suggest that mandibular displacement was accompanied by a significant increase in cell division within the PZ. Remodeling changes affecting both the articular tissue and the subchondral bone were a characteristic feature of the 1-month bit plane group.

  18. Standard and limit values of mandibular condylar and incisal movement capacity.

    Science.gov (United States)

    Kordass, B; Bernhardt, O; Ratzmann, A; Hugger, S; Hugger, A

    2014-01-01

    A clinical functional status was obtained and an instrumental analysis of functional movement patterns of the mandible using the ultrasonic Jaw Motion Analyzer (JMA, Zebris; Isny, Germany) was performed on 259 subjects (100 male, 159 female) who were part of an associated project of the representative population-based Study of Health in Pomerania (SHIP 0). Standardized bilateral "arbitrary" skin points based on anatomical skin references were assumed as posterior reference points in the joint area. The recorded movement patterns were evaluated for condylar movement capacity right and left upon mouth opening (COR and COL, in mm), the incisal right-lateral and left-lateral excursion capacity (IR and IL, in mm), the incisal opening capacity (IO, in mm), and the maximum opening angle (OA, in degrees). For the determination of the standard and limit, the following means were determined with standard deviations and 5th and 95th percentiles: COR 14.52 +/- 4.188 (7.70, 21.40); (33.40; 56.10); OA 32.16 +/- 5.954 (21.40; 41.80). The values for men vs women for IR and for OW and in the age group below 40 years vs 40 years and above for IR were statistically significantly different. Interestingly, the interval between the 5th and 95th percentile in the group with a Helkimo clinical dysfunction index of 1 and approximately the same mean value was significantly greater than in the group with Helkimo 0. Based on this standard and limit values or ranges, individually measured values of functional mandibular movement can be compared and differentiated with respect to hypomobility/limitation ( 95th percentile). This serves to indicate the therapeutic direction for functional treatment to improve the jaw's movement capacity in terms of biomechanical optimization. Objective kinematic measurements can be used for additional documentation of the treatment progress during the treatment course.

  19. Effect of posterior condylar offset on clinical results after posterior-stabilized total knee arthroplasty

    Institute of Scientific and Technical Information of China (English)

    Jian-Tao Wang; Yu Zhang; Qing Liu; Qiang He; Dong-Liang Zhang; Ying Zhang; Ji-Xuan Xiao

    2015-01-01

    Purpose:To determine the effect of the posterior condylar offset (PCO) on clinical results after total knee arthroplasty (TKA) using a high-flex posterior-stabilized (PS) fixed-bearing prosthesis.Methods:We prospectively studied the clinical and radiographic materials of 89 consecutive female patients (89 knees),who had undergone primary TKAs for end-stage osteoarthritis.All operations were performed by a single senior surgeon or under his supervision using the same operative technique.Based on the corrected PCO change,we divided all cases into two groups:group A (corrected PCO change ≥0 mm,58 knees) and group B (corrected PCO change <0 mm,31 knees).One-year postoperatively,clinical and radiographic variables from the two groups were compared by independent t-test.The associations between the corrected PCO changes and the improvements of clinical variables in all patients were analyzed by Pearson linear correlation.Results:One-year postoperatively,the Knee Society Scores,the Western Ontario and McMaster Universities Osteoarthritis Index,non-weight-bearing active and passive range of knee flexion,flexion contracture,extensor lag,and their improvements had no statistical differences between the two groups (all p > 0.05).The corrected PCO change was not significantly correlated with the improvement of any clinical variable (all p > 0.05).Group A demonstrated greater flexion than group B during active weight bearing (p < 0.05).Conclusions:Restoration of PCO plays an important role in the optimization of active knee flexion during weight-bearing conditions after posterior-stabilized TKA,while it has no benefit to non-weight-bearing knee flexion or any other clinical result.

  20. Double-plating of ovine critical sized defects of the tibia: a low morbidity model enabling continuous in vivo monitoring of bone healing

    Directory of Open Access Journals (Sweden)

    Pearce Alexandra

    2011-09-01

    Full Text Available Abstract Background Recent studies using sheep critical sized defect models to test tissue engineered products report high morbidity and complications rates. This study evaluates a large bone defect model in the sheep tibia, stabilized with two, a novel Carbon fibre Poly-ether-ether-ketone (CF-PEEK and a locking compression plate (LCP which could sustain duration for up to 6 month with an acceptable low complication rate. Methods A large bone defect of 3 cm was performed in the mid diaphysis of the right tibia in 33 sheep. The defect was stabilised with the CF - PEEK plate and an LCP. All sheep were supported with slings for 8 weeks after surgery. The study was carried out for 3 months in 6 and for 6 months in 27 animals. Results The surgical procedure could easily be performed in all sheep and continuous in vivo radiographic evaluation of the defect was possible. This long bone critical sized defect model shows with 6.1% a low rate of complications compared with numbers mentioned in the literature. Conclusions This experimental animal model could serve as a standard model in comparative research. A well defined standard model would reduce the number of experimental animals needed in future studies and would therefore add to ethical considerations.

  1. Design of Cylinder Conformal Antenna Arrays Based on LCP Flexible Material%基于LCP柔性材料的柱面共形阵列天线设计

    Institute of Scientific and Technical Information of China (English)

    赵满

    2013-01-01

    采用新型液晶高分子聚合物(LCP)作为基板材料,通过模拟仿真设计了一款工作频率在35GHz的四单元微带共形贴片天线.该共形贴片阵列的增益可以达到13.2dB,3dB波瓣宽度为42.2°,副瓣电平达到-20.6dB.

  2. LCP correlations with improved resolution

    Science.gov (United States)

    Heilborn, Lauren; McIntosh, Alan; Jedele, Andrea; Youngs, Mike; Zarrella, Andrew; Yennello, Sherry

    2016-09-01

    Nuclear Equation of State (EoS) is important to a fundamental understanding of nuclear matter. The density dependence of the asymmetry energy, the least constrained term in the EoS, is critical to describing exotic systems such as neutron-rich heavy-ion collisions and neutron stars. Correlation functions of particles emitted in heavy ion reactions (such a p-p correlations) have been predicted to be sensitive to the asymmetry energy. In order to measure correlation functions with high resolution, the Forward Array Using Silicon Technology (FAUST) at the Cyclotron Institute at Texas A&M University has been recently re-commissioned with position-sensitive silicons as the delta-E detectors. A new method of position calibration for FAUST has been developed to take advantage of the 200um position resolution within each detector. Data has been collected from reactions of 40Ar +70Zn, 40Ar +58Fe and 40Ca +58Ni at 40 MeV/nucleon. The three systems allow correlation functions to be compared for systems with varying (N-Z)/A while holding constant either the total charge or the total mass. Light charged particles have been measured, and preliminary investigation of correlations from this campaign will be shown. Transport simulations will also be compared and presented.

  3. Create Your Plate

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    Full Text Available ... steps to get started: Using your dinner plate, put a line down the middle of the plate. ... vegetables . Now in one of the small sections, put grains and starchy foods. See this list of ...

  4. Create Your Plate

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    Full Text Available ... Your Plate It's simple and effective for both managing diabetes and losing weight. Creating your plate lets ... 2016 Articles from Diabetes Forecast® magazine: wcie-meal-planning, In this section Food Planning Meals Diabetes Meal ...

  5. Create Your Plate

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  6. Food guide plate

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    ... chips or cookies. VEGETABLES: MAKE HALF OF YOUR PLATE FRUITS AND VEGETABLES Vegetables can be raw, fresh, ... as a snack. FRUITS: MAKE HALF OF YOUR PLATE FRUITS AND VEGETABLES Fruits can be fresh, canned, ...

  7. Growth Plate Fractures

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    ... the most widely used by doctors is the Salter-Harris system, described below. Type I Fractures These ... incidence of growth plate fractures peaks in adolescence. Salter-Harris classification of growth plate fractures. AAOS does ...

  8. Create Your Plate

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    Full Text Available ... Planning Meals Diabetes Meal Plans Create Your Plate Gluten Free Diets Meal Planning for Vegetarian Diets Cook ... Create Your Plate Meal Planning for Vegetarian Diets Gluten Free Diets Holiday Meal Planning Cook with Heart- ...

  9. Create Your Plate

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    Full Text Available ... Planning Meals Diabetes Meal Plans Create Your Plate Gluten Free Diets Meal Planning for Vegetarian Diets Cook ... Create Your Plate Meal Planning for Vegetarian Diets Gluten Free Diets Holiday Meal Planning Cook with Heart- ...

  10. Create Your Plate

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    Full Text Available ... Your Plate It's simple and effective for both managing diabetes and losing weight. Creating your plate lets you still choose the foods you want, but changes the portion sizes so you are getting larger ...

  11. Create Your Plate

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    Full Text Available ... Your Plate It's simple and effective for both managing diabetes and losing weight. Creating your plate lets ... Sleeve Custom jerseys for your Tour de Cure team benefits the cause. Ask the Experts: Learn to ...

  12. Plating of proximal fracture of the humerus: a study of 30 cases.

    Science.gov (United States)

    Iacobellis, C; Fountzoulas, K; Aldegheri, R

    2011-07-01

    In recent years, plate osteosynthesis with angular stable implants is frequently used for severely displaced three- and four-part proximal humeral fractures. The aim of this study is to evaluate early results of these fractures treated with insertion of LCP or Philos plates. We present results in 30 cases of proximal humeral fractures, 17 with 3 parts according to Neer and 13 with 4 parts, treated with Locking Compression Plates (LCP, 14 cases) and Philos plates (16) by the deltopectoral approach. Patients were checked with standard X-rays and clinical evaluation, according to the Constant-Murley shoulder score, Individual Constant score and Relative Constant score. Mean follow-up time was 21 months (range 6-42 months). The mean Constant-Murley shoulder scores were Pain 10.6 (3-15), Activities of Daily Living 15.3 (2-20), Range of Motion 26.8 (12-40) and Power 10.3 (3-25) and Total 63 (25-97). The Individual Constant score was 68.6% (27-98%) and the Relative Constant score 85.4% (36-130%). Fractures in 3 parts (of the surgical or anatomic humeral neck and major tubercle) had a mean Constant score of 69.1 (17 cases), but this fell to 55 (13 cases) in those in 4 parts (neck, major and lesser tubercles). Late necrosis of the humeral head occurred in two cases, both with 4-part breaks. We thus believe that 3-part fractures, in which both reduction and stable osteosynthesis are easier, show favourable prognosis and should be clearly distinguished from 4-part ones during assessments. The deltopectoral approach offers good exposure and is especially recommended in 4-part fractures, also because it provides a good view of the lesser tubercle. The osteosynthesis must be stable if early mobilisation of the shoulder and proper recovery of range of motion are to be achieved. As well as reduction and stabilisation of the tubercles, it is also important to restore the neck/shaft angle and stabilise it with oblique screws fitting the plate to avoid varus malposition.

  13. Accelerated plate tectonics.

    Science.gov (United States)

    Anderson, D L

    1975-03-21

    The concept of a stressed elastic lithospheric plate riding on a viscous asthenosphere is used to calculate the recurrence interval of great earthquakes at convergent plate boundaries, the separation of decoupling and lithospheric earthquakes, and the migration pattern of large earthquakes along an arc. It is proposed that plate motions accelerate after great decoupling earthquakes and that most of the observed plate motions occur during short periods of time, separated by periods of relative quiescence.

  14. Evaluation of skeletal and dental age using third molar calcification, condylar height and length of the mandibular body

    Directory of Open Access Journals (Sweden)

    Sunil Gupta Kedarisetty

    2015-01-01

    Full Text Available Aim: To identify the most reliable method for age estimation among three variables, that is, condylar height, length of mandibular body and third molar calcification by Demirjian′s method. Materials and Methods: Orthopantomograms and lateral cephalograms of 60 patients with equal gender ratio were included in the study, among each gender 15 subjects were below 18 years and 15 subjects were above 18 years. Lateral cephalograms were traced, height of condyle and mandibular body are measured manually on the tracing paper, OPG′s were observed on radiographic illuminator and maturity score of third molar calcification was noted according to Demirjian′s method. All the measurements were subjected to statistical analysis. Results: The results obtained are of no significant difference between estimated age and actual age with all three parameters (P > 0.9780 condylar height, P > 0.9515 length of mandibular body, P > 0.8611 third molar calcification. Among these three, length of mandibular body shows least standard error test (i.e. 0.188. Conclusion: Although all three parameters can be used for age estimation, length of mandibular body is more reliable followed by height of condyle and third molar calcification.

  15. Influence of sleep deprivation on expression of MKK4 and c-fos in the mandibular condylar cartilage of rats.

    Science.gov (United States)

    Chen, Jinlong; Wu, Gaoyi; Zhu, Guoxiong; Wang, Peihuan; Chen, Hongyu; Zhao, Huaqiang

    2013-12-01

    The aim of this study was to investigate the changes in expression of mitogen-activated protein kinase kinase 4 (MKK4) and c-fos in the mandibular condylar cartilage of rats that had been subjected to sleep deprivation. One hundred and twenty female Wistar rats were randomly divided into 6 groups with 20 in each: sleep deprivation for 2 days, 4 days, 6 days, and 8 days, large-platform controls, and cage controls. After sleep deprivation by the modified multiple platform method the sleep-deprived rats were killed. The large-platform and cage control rats were killed at the same time as the rats deprived of sleep for 8 days. Haematoxylin and eosin were used to record the morphological changes in cartilage, and immunohistochemistry and real-time quantitative polymerase chain reaction (PCR) were used to detect the expression of MKK4 and c-fos. Pathological alterations were apparent after 6 and 8 days of sleep deprivation. Compared with control groups, the expression of MKK4 in the sleep-deprived groups was lower, while that of c-fos was higher. As the duration of sleep deprivation increased, the expression of MKK4 decreased. These results indicate that the variation in expression of MKK4 and c-fos may be correlated with pathological changes induced by sleep deprivation in mandibular condylar cartilage in rats.

  16. Correlations between posturographic findings and symptoms in subjects with fractures of the condylar head of the mandible.

    Science.gov (United States)

    Faralli, Mario M; Calenti, Claudio C; Ibba, Maria Cristina M; Ricci, Gianpietro G; Frenguelli, Antonio A

    2009-04-01

    Our study examined the posture of 15 patients who had sustained a simple unilateral or bilateral fracture of the condylar head of the mandible as a result of sports or traffic accidents. Following preliminary testing of vestibular function, the patients underwent balance testing: Romberg test with eyes closed (EC), Romberg EC and bite test (ECBT), EC and head retroflexed (ECR). The study parameters were: surface (S) of the statokinesigram, stomatognathic influence index related to S (SSI), and postural oscillations on the frontal plane (X). In keeping with the literature, we felt that the following pattern in static balance suggested a posture destabilised by the stomatognathic system: SSI values of less than 60, reduction of S in the transition from EC to ECR, pathological increase of postural oscillations on the X plane. The study was completed by obtaining a list of new symptoms reported by the patients (altered bite, fullness, tinnitus, pain, loss of balance). The most significant patterns were observed in patients with vestibular dysfunctions and neck pain. It seems that a fracture of the condylar head can affect postural behaviour, although proprioceptive changes alone are not enough to cause true loss of balance and there must be concomitant vestibular dysfunction. The stabilometric pattern is not conditioned by the extent of the trauma or the related treatment. In terms of proprioceptive elements, the presence of muscle pain seems to point to cervical muscle tension as the main culprit in the onset of posttraumatic instability.

  17. Assessing joint space and condylar position in the people with normal function of temporomandibular joint with cone-beam computed tomography

    Directory of Open Access Journals (Sweden)

    Zahra Dalili

    2012-01-01

    Conclusion: The assessment of joint spaces in right and left sides should be done independently. Overall, the measured joint spaces except Sjs are not different in two sexes. The data from this study could be a useful and comparable reference for the clinical assessment of condylar position in patients with normal functional joints.

  18. Microcomputed tomographic analysis of human condyles in unilateral condylar hyperplasia: increased cortical porosity and trabecular bone volume fraction with reduced mineralisation

    NARCIS (Netherlands)

    Karssemakers, L.H.E.; Nolte, J.W.; Tuinzing, D.B.; Langenbach, G.E.J.; Raijmakers, P.G.; Becking, A.G.

    2014-01-01

    Unilateral condylar hyperplasia or hyperactivity is a disorder of growth that affects the mandible, and our aim was to visualise the 3-dimensional bony microstructure of resected mandibular condyles of affected patients. We prospectively studied 17 patients with a clinical presentation of progressiv

  19. Create Your Plate

    Medline Plus

    Full Text Available ... Reset Plate Share Create Your Plate ! Share: Seven Simple Steps to Create Your Plate It's simple and effective for both managing diabetes and losing ... en.html Have Type 2 Diabetes? Our free program will help you live well. More from diabetes. ...

  20. Obliquity along plate boundaries

    Science.gov (United States)

    Philippon, Mélody; Corti, Giacomo

    2016-12-01

    Most of the plate boundaries are activated obliquely with respect to the direction of far field stresses, as roughly only 8% of the plate boundaries total length shows a very low obliquity (ranging from 0 to 10°, sub-orthogonal to the plate displacement). The obliquity along plate boundaries is controlled by (i) lateral rheological variations within the lithosphere and (ii) consistency with the global plate circuit. Indeed, plate tectonics and magmatism drive rheological changes within the lithosphere and consequently influence strain localization. Geodynamical evolution controls large-scale mantle convection and plate formation, consumption, and re-organization, thus triggering plate kinematics variations, and the adjustment and re-orientation of far field stresses. These geological processes may thus result in plate boundaries that are not perpendicular but oblique to the direction of far field stresses. This paper reviews the global patterns of obliquity along plate boundaries. Using GPlate, we provide a statistical analysis of present-day obliquity along plate boundaries. Within this framework, by comparing natural examples and geological models, we discuss deformation patterns and kinematics recorded along oblique plate boundaries.

  1. AO锁定加压接骨板在股骨下份长节段粉碎性骨折中的应用%Application of locking compression plate of AO type for treatment of Long-segmented and comminuted subtrochanteric fracture

    Institute of Scientific and Technical Information of China (English)

    汪金荣; 卢海霖; 杨新文; 刘宾; 赵念东

    2012-01-01

    Objective To probe into the use of locking compression plate( LCP )of AO type to treat long-segmented and comminuted subtrochanteric fracture. Methods 38 patients with long-segmented and comminuted subtrochanteric fractures were fixed internally with locking compression plate of AO type in first stage from Nov 2003 to Oct2009 .Results All patients have been followed up within 9~24 months after operation, all of fractures have healed up in this time, the average healing time is 5.13 months, the embedded appliances have not loosened or ruptured. The rate to meliorate knee joint function : 13 patients were best, 15 patients were better, 8 patients were not bad, 2 patients were bad. The excellence rate was 73.68%. Conclusions LCP of AO type is simple to operate, reliable to fix, less wounded, low complications, wide applic-ability.etc.therefore it is fit for popularizing in wide-range hospitals.%目的 探讨AO新型锁定加压接骨板又称锁定内固定支架(Locking compression plate,LCP)在股骨下份长节段粉碎性骨折中的应用.方法 2003年11月~2009年10月,收治股骨下份长节段粉碎性骨折38例,采用AO新型锁定加压接骨板(LCP)进行内固定一期植骨治疗.结果 所有病例随访9~24个月,骨折均在随访期内愈合,平均愈合时间为5.13个月,无植入物松动、断裂.改良膝关节功能评分:优13例,良15例,可8例,差2例,优良率73.68%.结论AO锁定加压接骨板(LCP)治疗股骨下份长节段粉碎性骨折具有操作简单、固定可靠、愈合率高,并发症少,适应症广等优点,适合推广.

  2. Angular shear plate

    Science.gov (United States)

    Ruda, Mitchell C [Tucson, AZ; Greynolds, Alan W [Tucson, AZ; Stuhlinger, Tilman W [Tucson, AZ

    2009-07-14

    One or more disc-shaped angular shear plates each include a region thereon having a thickness that varies with a nonlinear function. For the case of two such shear plates, they are positioned in a facing relationship and rotated relative to each other. Light passing through the variable thickness regions in the angular plates is refracted. By properly timing the relative rotation of the plates and by the use of an appropriate polynomial function for the thickness of the shear plate, light passing therethrough can be focused at variable positions.

  3. Hyperbaric oxygen protects mandibular condylar chondrocytes from interleukin-1β-induced apoptosis via the PI3K/AKT signaling pathway

    Science.gov (United States)

    Chen, Hang; Wu, Gaoyi; Sun, Qi; Dong, Yabing; Zhao, Huaqiang

    2016-01-01

    Objectives: Mandibular condylar chondrocyte apoptosis is mainly responsible for the development and progression of temporomandibular joint osteoarthritis (TMJ-OA). Interleukin-1β (IL-1β) generally serves an agent that induces chondrocyte apoptosis. Hyperbaric oxygen (HBO) treatment increases proteoglycan synthesis in vivo. We explore the protective effect of HBO on IL-1β-induced mandibular condylar chondrocyte apoptosis in rats and the potential molecular mechanisms. Methods: Chondrocytes were isolated from the TMJ of 3-4-week old Sprague-Dawley rats. The Cell Counting Kit-8 (CCK-8) assay was used to determine cell viability. The phosphorylated phosphoinositide-3 kinase (p-PI3K), phosphorylated AKT (p-Akt), type II collagen (COL2), and aggrecan (AGG) content was detected by immunofluorescence, immunocytochemistry and western blotting. The expression of Pi3k, Akt, Col2 and Agg mRNA was measured using real-time quantitative polymerase chain reaction (RT-qPCR). Results: HBO inhibited the cytotoxicity and apoptosis induced by IL-1β (10 ng/mL) in the mandibular condylar chondrocytes. HBO also decreased the IL-1β activity that decreased p-PI3K and p-AKT levels, and increased COL2 and AGG expression, with the net effect of suppressing extracellular matrix degradation. Conclusions: These data suggest that HBO may protect mandibular condylar chondrocytes against IL-1β-induced apoptosis via the PI3K/AKT signaling pathway, and that it may promote the expression of mandibular condylar chondrocyte extracellular matrix through the PI3K/AKT signaling pathway. PMID:27904712

  4. Hydrostatic Compress Force Enhances the Viability and Decreases the Apoptosis of Condylar Chondrocytes through Integrin-FAK-ERK/PI3K Pathway

    Science.gov (United States)

    Ma, Dandan; Kou, Xiaoxing; Jin, Jing; Xu, Taotao; Wu, Mengjie; Deng, Liquan; Fu, Lusi; Liu, Yi; Wu, Gang; Lu, Haiping

    2016-01-01

    Reduced mechanical stimuli in many pathological cases, such as hemimastication and limited masticatory movements, can significantly affect the metabolic activity of mandibular condylar chondrocytes and the growth of mandibles. However, the molecular mechanisms for these phenomena remain unclear. In this study, we hypothesized that integrin-focal adhesion kinase (FAK)-ERK (extracellular signal–regulated kinase)/PI3K (phosphatidylinositol-3-kinase) signaling pathway mediated the cellular response of condylar chondrocytes to mechanical loading. Primary condylar chondrocytes were exposed to hydrostatic compressive forces (HCFs) of different magnitudes (0, 50, 100, 150, 200, and 250 kPa) for 2 h. We measured the viability, morphology, and apoptosis of the chondrocytes with different treatments as well as the gene, protein expression, and phosphorylation of mechanosensitivity-related molecules, such as integrin α2, integrin α5, integrin β1, FAK, ERK, and PI3K. HCFs could significantly increase the viability and surface area of condylar chondrocytes and decrease their apoptosis in a dose-dependent manner. HCF of 250 kPa resulted in a 1.51 ± 0.02-fold increase of cell viability and reduced the ratio of apoptotic cells from 18.10% ± 0.56% to 7.30% ± 1.43%. HCFs could significantly enhance the mRNA and protein expression of integrin α2, integrin α5, and integrin β1 in a dose-dependent manner, but not ERK1, ERK2, or PI3K. Instead, HCF could significantly increase phosphorylation levels of FAK, ERK1/2, and PI3K in a dose-dependent manner. Cilengitide, the potent integrin inhibitor, could dose-dependently block such effects of HCFs. HCFs enhances the viability and decreases the apoptosis of condylar chondrocytes through the integrin-FAK-ERK/PI3K pathway. PMID:27827993

  5. A clinical study of the variation in horizontal condylar guidance obtained by using three anterior points of reference and two different articulator systems

    Directory of Open Access Journals (Sweden)

    Paranjay Prajapati

    2013-01-01

    Full Text Available Background and Objectives: For mounting the maxillary cast to articulator, minimum three reference points not on single line, decide the plane to which maxillary cast is mounted. Variations exist in condylar guidance when different anterior reference points are used to mount the cast. Type of articulator may have influence on condylar guidance.A clinical study was planned to evaluate the effects of different anterior points of reference and two different articulator systems on condylar guidance. Materials and Methods: Total 15 subjects were selected. Six sets of maxillary casts were obtained. Face bow record was made using orbitale as anterior point of reference and the record was transferred to the Arcon and Non-Arcon articulator. The second and third mounting on Arcon and Non-Arcon articulator were done using Superior and inferior annular groove on incisal pin of articulator. Protrusive interocclusal records were made for all the subjects. Two lateral cephalograms one in maximum intercuspation and the other in protrusion for left and right side were taken. Anatomic condylar guidance of the subject were obtained from radiograph tracing. Arcon and Non-arcon articulator were programmed with Protrusive interocclusal record of the subjects and the condylar guidance was tabulated for right and left side. The procedure was repeated for all three mountings for both the articulators. Results: The orbitale is the best reference point which mounts maxillary cast closer to anatomic position. Inferior annular groove can also be used as anterior point of the reference. The superior annular groove is not recommended anterior point of reference.

  6. An in situ hybridization study of the insulin-like growth factor system in developing condylar cartilage of the fetal mouse mandible

    Directory of Open Access Journals (Sweden)

    S. Shibata

    2012-05-01

    Full Text Available The objective of this study was to investigate the involvement of the insulin-like growth factor (IGF system in the developing mandibular condylar cartilage and temporomandibular joint (TMJ. Fetal mice at embryonic day (E 13.0-18.5 were used for in situ hybridization studies using [35S]-labeled RNA probes for IGF-I, IGF-II, IGF-I receptor (-IR, and IGF binding proteins (-BPs. At E13.0, IGF-I and IGF-II mRNA were expressed in the mesenchyme around the mandibular bone, but IGF-IR mRNA was not expressed within the bone. At E14.0, IGF-I and IGF-II mRNA were expressed in the outer layer of the condylar anlage, and IGF-IR mRNA was first detected within the condylar anlage, suggesting that the presence of IGF-IR mRNA in an IGF-rich environment triggers the initial formation of the condylar cartilage. IGFBP-4 mRNA was expressed in the anlagen of the articular disc and lower joint cavity from E15.0 to 18.5. When the upper joint cavity was formed at E18.5, IGFBP-4 mRNA expression was reduced in the fibrous mesenchymal tissue facing the upper joint cavity. Enhanced IGFBP-2 mRNA expression was first recognized in the anlagen of both the articular disc and lower joint cavity at E16.0 and continued expression in these tissues as well as in the fibrous mesenchymal tissue facing the upper joint cavity was observed at E18.5. IGFBP-5 mRNA was continuously expressed in the outer layer of the perichondrium/fibrous cell layer in the developing mandibular condyle. These findings suggest that the IGF system is involved in the formation of the condylar cartilage as well as in the TMJ.

  7. 大型体育场馆工程项目LCP融资模式研究%Study on the LCP Financial Model in Large-scale Sports Venue Construction Projects

    Institute of Scientific and Technical Information of China (English)

    耿宝权

    2011-01-01

    Large-scale sports venue onstruction projects are usually marked by huge investment requirements, lack of diversified financing channel and heavy reliance on a certain few investment sources, and the disengagement of construnction with operation. The paper designs a life-circle partnership (LCP) financing model to deal with these insufficiencies, which is based on the operator-participated project financing model, aiming at the integration of the decision-making and operation phases of the projects. It is argued that the LCP model not only brings the operating party into the different stages of the life circle of the projects, but can also provide matching risk distribution, profiting sharing, and trust mechanism to guarantee the realization of both public and commercial interests.%大型体育场馆项目往往存在投资额巨大,融资模式单一,且建设和运营相脱节的现象.为了保证项目在全寿命期内的成功,设计了大型体育场馆工程项目的LCP融资模式.LCP模式不但将经营方引人项目的全生命周期,而且还设计了与该模型相匹配的风险分担、利益共享和信任机制,以保证公共利益和商业利益的实现.

  8. Ankylosis of the temporomandibular joint and mandibular growth disturbance caused by neglected condylar fracture in childhood

    Directory of Open Access Journals (Sweden)

    Endrajana Endrajana

    2010-06-01

    Full Text Available Background: Fractures of the mandibular condyle may lead to complications such as disturbance of occlusal function, internal derangement of the joint, ankylosis and mandibular growth disturbance. When treating young patients with the history of mandible trauma, ankylosis of the temporomandibular joint and mandibular growth disturbance are two most important complications of condyle fracture that should be considered. Purpose: This case report attempts to emphasize the long term complication of neglected condylar fracture in children i.e. ankylosis of the temporomandibular joint and subsequently lead to mandibular growth disturbance. Case: A case of right temporo-mandibular joint ankylosis and mandibular growth disturbance in a 28 years old male patient is presented. He had a history of trauma to the mandible after a traffic accident when he was 8 years old. Since then, he experienced difficulty in mouth opening which eventually developed into severe trismus. Case management: The case was treated surgically with gap and interpositional arthroplasty using Mersilen mesh™. Conclusion: Mandibular fractures involving temporomandibular joint in young children should be examined thoroughly and treated adequately in order to prevent ankylosis of the TMJ and the subsequent mandibular growth disturbance.Latar belakang: Fraktur pada kondilus mandibula dapat menyebabkan beberapa komplikasi berupa: gangguan oklusi, internal derangement sendi, ankilosis serta gangguan pertumbuhan mandibula. Pada perawatan penderita usia muda dengan riwayat trauma pada mandibula, perlu diwaspadai dua macam komplikasi akibat fraktur pada kondilus, yaitu ankilosis sendi temporo mandibula dan adanya gangguan pertumbuhan mandibula. Tujuan: Laporan kasus ini bertujuan untuk menekankan bahwa fraktur kondilus pada anak-anak yang tidak mendapatkan perawatan yang semestinya akan mengakibatkan komplikasi jangka panjang berupa ankilosis sendi temporomandibula yang diikuti dengan

  9. 美容切口经腮腺入路复位固定髁颈骨折的临床应用%Transparotid approach for surgical treatment of condylar neck fractures and condylar base fractures with modified incision

    Institute of Scientific and Technical Information of China (English)

    赵坚; 张望群; 李金源

    2012-01-01

    Objective To discuss the modified transparotid approach and efficiency of surgical treatment for condylar neck fractures. Methods A clinical study was conducted on 29 patients with 30 fractures of the condylar neck. Results 3 months after operation all patients had good fracture healing and concealed scar with few minor complications.The occlusal relationship and degree and type of mouth opening improved significantly over those before operation.4 cases (13.3%) had temporary facial palsy;3 cases (10.0%) had a slight degree of transient postoperative early molars contact on the injured side,Both of the those recovered after symptomatic treatment. Conclusion The method of modified transparotid approach for open reduction and internal fixation of condylar neck fractures provides better visual field, accurate reduction and stable sixation.short operation time and concealed scar.%目的:探讨穿腮腺入路行髁颈骨折坚固内固定的改良美容切口及治疗效果.方法:对29例(30侧)髁颈骨折患者选用改良切口经腮腺入路行切开复位内固定术.结果:术后3个月复查骨折复位良好,张口度和咬合关系恢复正常,面部瘢痕隐蔽,并发症少.部分患者术后出现暂时性面神经损伤(4例侧,13.3%)、单侧后牙开(牙合)(3例侧,10.0%),经对症治疗后均恢复正常.结论:改良美容切口经腮腺直接入路行髁颈骨折切开复位内固定术,操作直观、复位固定可靠,手术时间短,美观性强.

  10. Outcomes of pin and plaster versus locking plate in distal radius intraarticular fractures.

    Science.gov (United States)

    Bahari-Kashani, Mahmoud; Taraz-Jamshidy, Mohammad Hosein; Rahimi, Hassan; Ashraf, Hami; Mirkazemy, Masoud; Fatehi, Amirreza; Asadian, Mariam; Rezazade, Jafar

    2013-01-01

    Distal radius fractures are among the most prevalent fractures predictive of probable occurrence of other osteoporotic fractures. They are treated via a variety of methods, but the best treatment has not been defined yet. This study was performed to compare the results of open reduction and internal fixation with locking plates versus the pin and plaster method. In this prospective study, 114 patients aged 40 to 60 years with Fernandez type III fracture referring to Imam-Reza and Mehr hospitals of Mashhad from 2009 to 2011, were selected randomly; after obtaining informed consent, they were treated with pin and plaster fixation (n = 57) or internal fixation with the volar locking plate (n = 57). They were compared at the one year follow up. Demographic features and standard radiographic indices were recorded and MAYO, DASH and SF - 36 tests were performed. Data was analyzed by SPSS software version 13, with descriptive indices, Mann-Whitney and Chi-square tests. SF-36 test demonstrated a better general health (P plaster group. Also, in the LCP group mean MAYO score (P plaster group. Mean DASH score was not different between the groups (P = 0.218). The rate of acceptable results of radiographic indices (P plaster method. In treatment of intra-articular distal radius fractures in middle-aged patients internal fixation with locking plates may be prefered to pin and plaster as the treatment of choice.

  11. 曲面体层X线、CT和MRI在髁突骨折诊断中的应用比较%The value of paronamic radiograph, CT and MRI for the diagnosis of condylar fracture

    Institute of Scientific and Technical Information of China (English)

    黄国伟; 郑吉驷; 张善勇; 杨驰

    2014-01-01

    Objective To retrospectively analyze the advantages and disadvantages of radiographic methods commonly used for diagnostic of condylar fractures.Methods From Jan 2002 to Nov 2013,290 patients (405 condylars) in the temporomandibular joint (TMJ) division of Ninth People's Hospital Shanghai Jiao Tong University School of Medicine were diagnosed as condylar fractures.Panoramic films and CT were taken in all patients to check and count the amount of condylar fractures,including intracapsular condyle fracture (type A,B,C and M),condylar neck fracture and subcondylar fracture.MRI was also taken in 119 patients with 174 condylar fractures to check the position of TMJ disc.The data were analyzed and compared among the three examinations in the diagnosis of the condylar fractures.Results Panoramic films showed 79.8% (323/405) condylar fractures.Among condylar fractures,intracapsular condylar fractures,condylar neck fractures and subcondylar fractures accounted for 48.9%(198/405),20.3%(82/405) and 10.6%(43/405)respectively.CT showed 64.0% (259/405) intracapsular condylar fractures,24.0% (97/405) condylar neck fractures and 12.1%(49/405) subcondylar fractures.Among intracapsular condylar fractures,Type A fracture was the most common type of ICF,which accounted for 48.7%(126/259),followed by Type B fracture,which accounted for 30.9%(80/259) and Type M fracture,12.4%(32/259).Type C fracture was the least type which accounted for 8.1% (21/259).According to the diagnostic criteria of CT,there were 10 condylar neck fractures misdiagnosed with intracapsular condylar fractures.MRI showed 94.9% (129/136) TMJ disc displacement in intracapsular condylar fractures,53.6% (15/28) in condylar neck fractures and 60.0% (6/10) in subcondylar fractures.Among intracapsular condylar fractures,there were 95.3%(61/64) TMJ disc displacement in type A,95.2%(40/42) in type B,89.0%(8/9) in type C,and 95.2%(20/21) in type M.There was significant difference of TMJ

  12. [Effect of different mechanical loading on the expression of Notch signaling pathways in growing rabbits' condylar cartilage].

    Science.gov (United States)

    Yan, F; Feng, J Y; Mou, T C; Liu, C Y; Sun, Z; Shi, C J

    2017-03-09

    Objective: To investigate the effect of different mechanical loading on the expression of Notch-1, Notch-3, Jagged-1 and Delta-like-1 in growing rabbits' condylar cartilage. Methods: Sixty-four ten-days-old rabbits were randomly divided into experimental and control groups. The rabbits in the experimental groups were fed on a powder diet, while the control groups were fed on a solid diet. The animals were sacrificed after 2, 4, 6 and 8 weeks. Notch-1, Notch-3, Jagged-1 and Delta-like-1 gene and protein expressions were examined by HE, immunohistochemistry, Western blotting and quantitative real-time PCR. Results: At 2, 4, 6, 8 weeks, the anterior part of condylar cartilage in solid diet groups ([318.1±4.3], [342.4±2.6], [364.2±3.2], [380.7±6.0] mm, respectively) were thicker than those in powder diet groups ([275.4±2.6], [301.1±2.0], [322.3±3.3], [366.5±8.4] mm, respectively) (P0.05). From 2 to 6 weeks, the posterior part of cartilage in solid diet groups ([444.1±1.5], [451.1±0.3], [476.4±5.7] mm, respectively) was thinner than those in power diet groups ([470.4±2.7], [494.3±2.9], [512.3±5.7] mm, respectively) (Pdiet group than in power diet group (Pzone. The expressions of Notch-1, Notch-3, and Delta-like-1 protein were increased from 2 to 6 weeks, and decreased at 8 weeks. In solid diet groups, the protein expressions of Notch-1 (at 2, 4, 6, 8 weeks), Notch-3 (at 2, 4, 6 weeks), Jagged-1 (at 2, 4, 6 weeks) and Delta-like-1 (at 4, 6, 8 weeks) were greater than in power diet groups (P<0.05). Conclusions: Low masticatory loading may delay or inhibit the development of condylar cartilage and its growing factors such as Notch-1, Notch-3, Jagged-1 and Delta-like-1. Appropriate masticatory loading plays an important role in normal development of the condyle.

  13. Condylar resorption:etiology manifestations and modern restorative treatment%髁突吸收:病因表现及现代修复治疗对策

    Institute of Scientific and Technical Information of China (English)

    李振兴; 陈传俊

    2014-01-01

    BACKGROUND:Due to complex etiology, manifestations, symptoms, development and outcomes, there is no article about the detailed introduction of condylar resorption in China. OBJECTIVE:To analyze the etiology, pathogenesis, clinical manifestations, diagnosis and treatment of condylar resorption, thereby providing a theoretical basis for clinical treatment of condylar resorption. METHODS:An online computer-based retrieval of PubMed database and CNKI database between January 1990 and January 2014 was performed by the first author. The keywords were “temporomandibular joint, condylar resorption, pathogenesis, diagnosis, treatment” in English and Chinese, respectively. Finaly 38 literatures on the etiology, clinical presentation, diagnosis and treatment of condylar resorption were included. RESULTS AND CONCLUSION: Condylar resorption was subdivided into secondary condylar resorption and primary condylar resorption. Secondary condylar resorption has clear risk factors, including condylar fractures, orthognathic surgery, connective tissue or autoimmune diseases and rheumatoid arthritis. Primary condylar resorption may be associated with lowered serum estradiol concentration. Condylar resorption can be diagnosed by imaging studies combined with clinical manifestations and disease history. Condylar resorption treatment measures mainly include medications, splint treatment, occlusal reconstruction, orthognathic surgery, rib-cartilage transplantation and total joint replacement surgery, in conjunction with orthodontic treatment. Currently, its complex etiology and pathogenesis has not been fuly elucidated, and we need to conduct further studies.%背景:颞下颌关节髁突吸收由于其病因复杂,不同病因所引发的髁突吸收的表现、症状、发展和转归各不相同,目前国内尚无全面详细介绍髁突吸收的文章。目的:分析髁突吸收的病因及发病机制、临床表现和诊治现状,为髁突吸收的临床修复治疗及

  14. Influence of hooks and a lag screw on internal fixation plates for lateral malleolar fracture: a biomechanical and ergonomic study.

    Science.gov (United States)

    Sakai, Rina; Uchino, Masataka; Yoneo, Terumasa; Ohtaki, Yasuaki; Minehara, Hiroaki; Matsuura, Terumasa; Gomi, Tsutomu; Ujihira, Masanobu

    2017-02-23

    For internal fixation of AO classification Type B lateral malleolar fracture, insertion of lag screws into the fracture plane and fixation with a one-third tubular plate as a neutralization plate are the standard treatment procedures. The one-third tubular plate is processed to a hook shape and hung on the distal end of the fibula. In this study, to compare the function of the hook and lag screws of a one-third tubular plate and LCP for osteosynthesis of lateral malleolar fracture, mechanical indices of internal fixation were compared among the one-third tubular plates with lag screws with and without the hook and a locking compression plate. As mechanical tests, a compression test was performed in which compression in the bone axis direction produced by supporting the body weight was simulated, and a torsion test was performed in which external rotation of the bone axis caused by plantar flexion of the ankle joint was simulated. Muscle strength during walking and the force and torque acting on the ankle and knee joints were determined using inverse dynamic analysis. Finite element analysis was performed to analyze the function of hooks and lag screws. The joint reaction force determined by inverse dynamic analysis was adopted as the loading condition of finite element analysis. A stiffness equivalent to that of healthy bone could be achieved by all three internal fixations. It was clarified that the presence of the hook does not make a difference in stiffness. Displacement of the one-third tubular plate was small regardless of the presence or absence of the hook compared with those of locking compression plates. The presence of the hook did not make any difference in stiffness, suggesting that active preparation of the hook is unnecessary. We also clarified that lag screws inhibit displacement.

  15. Generalized Fibonacci zone plates

    CERN Document Server

    Ke, Jie; Zhu, Jianqiang

    2015-01-01

    We propose a family of zone plates which are produced by the generalized Fibonacci sequences and their axial focusing properties are analyzed in detail. Compared with traditional Fresnel zone plates, the generalized Fibonacci zone plates present two axial foci with equal intensity. Besides, we propose an approach to adjust the axial locations of the two foci by means of different optical path difference, and further give the deterministic ratio of the two focal distances which attributes to their own generalized Fibonacci sequences. The generalized Fibonacci zone plates may allow for new applications in micro and nanophotonics.

  16. Evaluation of protein undernourishment on the condylar process of the Wistar rat mandible correlation with insulin receptor expression

    Directory of Open Access Journals (Sweden)

    Marcelo Arthur CAVALLI

    2015-04-01

    Full Text Available The mandible condylar process cartilage (CP of Wistar rats is a secondary cartilage and acts as a mandibular growth site. This phenomenon depends on adequate proteins intake and hormone actions, including insulin. Objectives The present study evaluated the morphological aspects and the expression of the insulin receptor (IR in the cartilage of the condylar process (CP of rats subjected to protein undernourishment. Material and Methods The nourished group received a 20% casein diet, while the undernourished group (U received a 5% casein diet. The re-nourished groups, R and RR, were used to assess the effects of re-nutrition during puberty and adulthood, respectively. CPs were processed and stained with picro-sirius red, safranin-O and azocarmine. Scanning electron microscopy and immunohistochemistry were also performed. Results The area of the CP cartilage and the number of cells in the chondroblastic layer decreased in the U group, as did the thickness of the CP layer in the joint and hypertrophic layer. Renourishment during the pubertal stage, but not during the adult phase, restored these parameters. The cell number was restored when re-nutrition occurred in the pubertal stage, but not in the adult phase. The extracellular matrix also decreased in the U group, but was restored by re-nutrition during the pubertal stage and further increased in the adult phase. IR expression was observed in all CPs, being higher in the chondroblastic and hypertrophic cartilage layers. The lowest expression was found in the U and RR groups. Conclusions Protein malnutrition altered the cellularity, the area, and the fibrous cartilage complex, as well as the expression of the IRs.

  17. Blue Willow Story Plates

    Science.gov (United States)

    Fontes, Kris

    2009-01-01

    In the December 1997 issue of "SchoolArts" is a lesson titled "Blue Willow Story Plates" by Susan Striker. In this article, the author shares how she used this lesson with her middle-school students many times over the years. Here, she describes a Blue Willow plate painting project that her students made.

  18. Create Your Plate

    Medline Plus

    Full Text Available ... In Memory In Honor Become a Member En Español Type 1 Type 2 About Us Online Community ... Page Text Size: A A A Listen En Español Create Your Plate Create Your Plate is a ...

  19. Create Your Plate

    Medline Plus

    Full Text Available ... Diabetes Meal Plans Create Your Plate Gluten Free Diets Meal Planning for Vegetarian Diets Cook with Heart-Healthy Foods Holiday Meal Planning ... Planning Meals Diabetes Meal Plans and a Healthy Diet Create Your Plate Meal Planning for Vegetarian Diets ...

  20. Validation of a novel imaging approach using multi-slice CT and cone-beam CT to follow-up on condylar remodeling after bimaxillary surgery.

    Science.gov (United States)

    Nicolielo, Laura Ferreira Pinheiro; Van Dessel, Jeroen; Shaheen, Eman; Letelier, Carolina; Codari, Marina; Politis, Constantinus; Lambrichts, Ivo; Jacobs, Reinhilde

    2017-07-14

    The main goal of this study was to introduce a novel three-dimensional procedure to objectively quantify both inner and outer condylar remodelling on preoperative multi-slice computed tomography (MSCT) and postoperative cone-beam computed tomography (CBCT) images. Second, the reliability and accuracy of this condylar volume quantification method was assessed. The mandibles of 20 patients (11 female and 9 male) who underwent bimaxillary surgery were semi-automatically extracted from MSCT/CBCT scans and rendered in 3D. The resulting condyles were spatially matched by using an anatomical landmark-based registration procedure. A standardized sphere was created around each condyle, and the condylar bone volume within this selected region of interest was automatically calculated. To investigate the reproducibility of the method, inter- and intra-observer reliability was calculated for assessments made by two experienced radiologists twice five months apart in a set of ten randomly selected patients. To test the accuracy of the bone segmentation, the inner and outer bone structures of one dry mandible, scanned according to the clinical set-up, were compared with the gold standard, micro-CT. Thirty-eight condyles showed a significant (P0.6) intra- and inter-observer reliability was observed for both MSCT and CBCT. Moreover, the bone segmentation accuracy was less than one voxel (0.4 mm) for MSCT (0.3 mm±0.2 mm) and CBCT (0.4 mm±0.3 mm), thus indicating the clinical potential of this method for objective follow-up in pathological condylar resorption.International Journal of Oral Science advance online publication, 14 July 2017; doi:10.1038/ijos.2017.22.

  1. Comparative analysis of sagittal condylar guidance by protrusive interocclusal records with panoramic and lateral cephalogram radiographs in dentulous population: A clinico-radiographic study

    Directory of Open Access Journals (Sweden)

    Girish Galagali

    2016-01-01

    Conclusion: This study highlighted on the correlation between protrusive interocclusal records and the lateral cephalogram radiograph tracings which were more positively related than the panoramic radiograph. The values of lateral cephalogram radiograph tracings are closer as separate radiographs for left and right side were taken, causing the amount and quality of image distortion less. Lateral cephalogram radiograph may be taken as an important tool to rely on for recording the Sagittal condylar guidance angle.

  2. Orthognathic surgery in the treatment of condylar osteochondroma%髁突骨软骨瘤的正颌外科治疗

    Institute of Scientific and Technical Information of China (English)

    马晓辉; 王昊; 张熙恩

    2014-01-01

    目的:探讨正颌外科技术在髁突骨软骨瘤治疗中的应用效果。方法利用正颌外科方法治疗12例髁突骨软骨瘤患者,进行LeFortⅠ型截骨术修正上颌骨,采用口内入路患侧升支垂直截骨术切除病变髁突,健侧行升支矢状切开术及颏成形术矫正咬合及偏斜。结果12例患者术后面型均得到矫正,随访2年以上无1例复发。结论利用正颌外科技术治疗髁突骨软骨瘤,可以避免常规口外切口面部留有的瘢痕,并在切除肿瘤的同时矫正了面型。%Objective To evaluate the effect of orthognathic surgery in the treatment of condylar osteochondroma. Methods A total of 12 cases of condylar osteochondroma were treated with Le Fort Ⅰ osteotomy, intraoral vertical ramus osteotomy, sagittal split ramus osteotomy and genioplasty. Results No recurrence of condylar osteochondroma was observed in all 12 cases two years after the treatments. Facial asymmetry was obviously corrected. Conclusion The orthognathic surgery me-thods are advantageous in improving facial figure without scar development in the treatment of condylar osteochondroma.

  3. A serial study on the development of the temporomandibular joint in the fetal mouse--in particular on the fibrous component in the condylar cartilage.

    Science.gov (United States)

    Kagawa, M

    1990-06-01

    The development of the temporomandibular joint of 400 fetal mice at stages ranging from the 13th to the 20th day after insemination was investigated under the light, scanning (SEM) and transmission electron (TEM) microscopes. The differentiation and development of a cartilaginous tissue were observed at the supero-posterior end of the mandible at the 13 days after insemination. This tissue grew backward, upward and lateralward continuously and maintained a constant articulation with the squamosal part of the temporal bone. Seventeen days after insemination, cell layers in the condylar process and articular disc were arranged regularly. An supero- and inferno-directional cellular differentiation initiated from the subfibrous (SF) layer toward the articular spaces and cartilaginous layer was observed. The perichondrial ossification had taken place with the invasion of capillaries and the differentiation of osteoblasts in the SF layer, and was followed with a hypertrophic degeneration and endochondral ossification in the condylar process. Such a bi-directional growth of collagen and elastic fibers starting from the SF layer was also observed. Observation under SEM and TEM on the autoclaved condylar process revealed a complicated network consisted of main elastic fibers running in the sagittal direction. These fibers as well as the proteoglycan which contributes to the resilient property of the condylar cartilage and the ability to endure tensile or compressive stress from surrounding tissues during the growth and development of the mandibular condyle. The developing cartilaginous tissue was stimulated with the pressure from the masticatory muscles to initiate an active differentiation of the fibrous layer, which was invaded by the blood capillary system closely related with the subsequent endochondral ossification. These results elucidate that the development of the temporomandibular joint has closely kept relations with the functional influences from surrounding

  4. Evaluation of Condylar Position after Orthognathic Surgery for Treatment of Class II Vertical Maxillary Excess and Mandibular Deficiency by Using Cone-Beam Computed Tomography

    Directory of Open Access Journals (Sweden)

    Reza Tabrizi

    2016-12-01

    Full Text Available Statement of the Problem: In orthognathic surgeries, proper condylar position is one of the most important factors in postoperative stability. Knowing the condylar movement after orthognathic surgery can help preventing postoperative instabilities. Purpose: The aim of this study was to evaluate the condylar positional changes after Le Fort I maxillary superior repositioning along with mandibular advancement by using cone beam computed tomography (CBCT. Materials and Method: This cross-sectional study was conducted on 22 subjects who had class II skeletal malocclusion along with vertical maxillary excess. Subjects underwent maxillary superior repositioning (Le Fort I osteotomy along with mandibular advancement. The CBCT images were taken a couple of days before the surgery (T0, and one month (T1 and 9 months (T2 after the surgery. The condyles positions were determined from the most superior point of the condyle to three distances including the deepest point of the glenoid fossa, the most anterior-inferior point of the articular eminence, and the most superior point of the external auditory meatus in the sagittal plane. Results: The mean mandibular advancement was 4.33±2.1 mm and the mean maxillary superior repositioning was 4.66±0.3 mm. The condyles displaced inferiorly, anteriorly, and laterally between T0 and T1. They were repositioned approximately in the initial position in T2. No correlation was observed between the mandibular and maxillary movement and the condylar positions. Conclusion: The condyles displaced in the inferior-anterior-lateral position one month after the bilateral sagittal split osteotomy for mandibular advancement in combination with the maxillary Le Fort I superior repositioning. It seems that the condyles adapted approximately in their initial position nine months after the surgeries. Keywords ● Mandible ● Condyle ● CBCT ● Sagittal Osteotomy ● Vertical Maxillary Excess

  5. Evaluation of Condylar Position after Orthognathic Surgery for Treatment of Class II Vertical Maxillary Excess and Mandibular Deficiency by Using Cone-Beam Computed Tomography

    Science.gov (United States)

    Tabrizi, Reza; Shahidi, Shoaleh; Bahramnejad, Emad; Arabion, Hamidreza

    2016-01-01

    Statement of the Problem: In orthognathic surgeries, proper condylar position is one of the most important factors in postoperative stability. Knowing the condylar movement after orthognathic surgery can help preventing postoperative instabilities. Purpose: The aim of this study was to evaluate the condylar positional changes after Le Fort I maxillary superior repositioning along with mandibular advancement by using cone beam computed tomography (CBCT). Materials and Method: This cross-sectional study was conducted on 22 subjects who had class II skeletal malocclusion along with vertical maxillary excess. Subjects underwent maxillary superior repositioning (Le Fort I osteotomy) along with mandibular advancement. The CBCT images were taken a couple of days before the surgery (T0), and one month (T1) and 9 months (T2) after the surgery. The condyles positions were determined from the most superior point of the condyle to three distances including the deepest point of the glenoid fossa, the most anterior-inferior point of the articular eminence, and the most superior point of the external auditory meatus in the sagittal plane. Results: The mean mandibular advancement was 4.33±2.1 mm and the mean maxillary superior repositioning was 4.66±0.3 mm. The condyles displaced inferiorly, anteriorly, and laterally between T0 and T1. They were repositioned approximately in the initial position in T2. No correlation was observed between the mandibular and maxillary movement and the condylar positions. Conclusion: The condyles displaced in the inferior-anterior-lateral position one month after the bilateral sagittal split osteotomy for mandibular advancement in combination with the maxillary Le Fort I superior repositioning. It seems that the condyles adapted approximately in their initial position nine months after the surgeries. PMID:27942547

  6. An in situ hybridization and histochemical study of development and postnatal changes of mouse mandibular angular cartilage compared with condylar cartilage.

    Science.gov (United States)

    Shibata, Shunichi; Fujimori, Tatsuya; Yamashita, Yasuo

    2006-03-01

    To investigate the origin and postnatal changes of mouse mandibular angular cartilage, in situ hybridization for cartilaginous marker proteins, histochemistry for alkaline phosphatase (ALP) and tartrate-resistant acid phosphatase (TRAP), and bromodeoxyuridine (BrDU) analyses were performed. Chondrocytes of the mandibular angular cartilage were derived from ALP-positive progenitor cells and first detected at embryonic day (E) 15.5. Newly formed chondrocytes rapidly differentiated into hypertrophic chondrocytes and hypertrophic cell zone rapidly extended in subsequent a few days. During this period, bone sialoprotein mRNA was more widely expressed than osteopontin mRNA in cartilage. Endochondral bone formation started at E 17.5 with the resorption of the bone collar by osteoclasts. These characteristics were consistent with those of the condylar cartilage, although developmental process was 0.5-1.5 day delayed relative to the condylar cartilage. During the postnatal period, contrast to the condylar cartilage, the angular cartilage constantly decreased in volume with advancing age. Reduction of proliferating activity estimated by BrDU incorporation accounts for this phenomenon. We demonstrate new structural features of the mandibular angular cartilage that may contribute to a coming research for the secondary cartilage.

  7. Effect of Nonviral Plasmid Delivered Basic Fibroblast Growth Factor and Low Intensity Pulsed Ultrasound on Mandibular Condylar Growth: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Harmanpreet Kaur

    2014-01-01

    Full Text Available Objective. Basic fibroblast growth factor (bFGF is an important regulator of tissue growth. Previous studies have shown that low intensity pulsed ultrasound (LIPUS stimulates bone growth. The objective of this study was to evaluate the possible synergetic effect of LIPUS and local injection of nonviral bFGF plasmid DNA (pDNA on mandibular growth in rats. Design. Groups were control, blank pDNA, bFGF pDNA, LIPUS, and bFGF pDNA + LIPUS. Treatments were performed for 28 days. Significant increase was observed in mandibular height and condylar length in LIPUS groups. MicroCT analysis showed significant increase in bone volume fraction in bFGF pDNA + LIPUS group. Histomorphometric analysis showed increased cell count and condylar proliferative and hypertrophic layers widths in bFGF pDNA group. Results. Current study showed increased mandibular condylar growth in either bFGF pDNA or LIPUS groups compared to the combined group that showed only increased bone volume fraction. Conclusion. It appears that there is an additive effect of bFGF + LIPUS on the mandibular growth.

  8. Propulsive appliance stimulates the synthesis of insulin-like growth factors I and II in the mandibular condylar cartilage of young rats.

    Science.gov (United States)

    Hajjar, Denise; Santos, Marinilce F; Kimura, Edna Teruko

    2003-09-01

    Functional orthopedic appliances correct dental malocclusion partially by exerting indirect mechanical stimulus on the condylar cartilage, modulating growth and the adaptation of orofacial structures. However, the exact nature of the biological responses to this therapy is not well understood. Insulin-like growth factors I and II (IGF-I and IGF-II) are important local factors during growth and differentiation of several tissues, including cartilage. The aim of this study was to verify the mRNA and protein expression of IGF-I and IGF-II in the condylar cartilage of young male Wistar rats that used a mandibular propulsive appliance for 3, 5, 7, 9, 11, 13 or 15 days. For this purpose, sagittal sections of decalcified and paraffin-embedded condyles were submitted to immunohistochemistry and in situ hybridization. IGF-I and IGF-II expression increased with developmental age in the control and treated rats. After 9 days of treatment the positivity for both peptides in the animals that wore the propulsive appliance increased even more, expressively different from the age-matched controls. The expression patterns of both IGFs were similar, although IGF-I labelling was stronger. Furthermore, the enhanced expression of both peptides was in parallel with the proliferating cell nuclear antigen (PCNA) positivity, a proliferation cell marker. The modulation of IGF-I and IGF-II expression in the condylar cartilage in response to the propulsive appliance suggests that both peptides are involved in the mandibular adaptation during this therapy.

  9. Efecto de la época de plantación en la dinámica de la emergencia de caña semilla de alta calidad (termotratada y micropropagada de las variedades CP 65-357 y LCP 85-384 Effect of planting date on emergence dynamics of high quality CP 65-357 and LCP 85-384 seed cane (hot-water treated and micropropagated

    Directory of Open Access Journals (Sweden)

    Patricia A. Digonzelli

    2005-12-01

    Full Text Available Se evalúa el efecto de la época de plantación en la dinámica de la emergencia de caña semilla de alta calidad (micropropagada y termotratada de las variedades CP 65-357 y LCP 85-384, en condiciones de disponibilidad hídrica adecuada. La caña semilla micropropagada y termotratada (50ºC, 2 hs se plantó, con una densidad de 15 yemas/m, en tres épocas contrastantes: otoño, invierno y primavera. El material empleado estaba libre de escaldadura de la hoja (Xanthomonas albilineans y achaparramiento (Leifsonia xyli subsp. xyli. La época de plantación afectó todas las variables de la dinámica de la emergencia en las dos variedades y en ambos orígenes de la semilla. El origen afectó significativamente el inicio y la duración de la emergencia (t e y t50, pero no tuvo efecto en el porcentaje final ni en la tasa media de emergencia. La emergencia (% fue mayor en la plantación de octubre, que en las de mayo y agosto (59%, 35% y 45%, respectivamente. El te y el t50 fueron mayores en mayo que en agosto y octubre. La semilla micropropagada presentó, en general, valores de t e y t50 menores que la termotratada. La época de plantación fue el principal factor que afectó la dinámica de la emergencia de caña semilla de alta calidad de CP 65-357 y LCP 85-384. La variedad y el origen de la semilla afectaron significativamente, aunque en menor magnitud que la época de plantación, el inicio y la duración de la fase de emergencia.Planting date influence on emergence dynamics of high quality CP 65-357 and LCP 85-384 seed cane (hot-water treated and micropropagated, without humidity constraints, was evaluated. Material used was free from leaf scald disease (Xanthomonas albilineans and ratoon stunting disease (Leifsonia xyli subsp. xyli. Seed cane, micropropagated and hot-water treated (50ºC, 2 hours, was planted with a 15 buds/m density in three contrasting dates: autumn, winter and spring. The material was irrigated during the trial. Planting

  10. Pixelated neutron image plates

    Science.gov (United States)

    Schlapp, M.; Conrad, H.; von Seggern, H.

    2004-09-01

    Neutron image plates (NIPs) have found widespread application as neutron detectors for single-crystal and powder diffraction, small-angle scattering and tomography. After neutron exposure, the image plate can be read out by scanning with a laser. Commercially available NIPs consist of a powder mixture of BaFBr : Eu2+ and Gd2O3 dispersed in a polymer matrix and supported by a flexible polymer sheet. Since BaFBr : Eu2+ is an excellent x-ray storage phosphor, these NIPs are particularly sensitive to ggr-radiation, which is always present as a background radiation in neutron experiments. In this work we present results on NIPs consisting of KCl : Eu2+ and LiF that were fabricated into ceramic image plates in which the alkali halides act as a self-supporting matrix without the necessity for using a polymeric binder. An advantage of this type of NIP is the significantly reduced ggr-sensitivity. However, the much lower neutron absorption cross section of LiF compared with Gd2O3 demands a thicker image plate for obtaining comparable neutron absorption. The greater thickness of the NIP inevitably leads to a loss in spatial resolution of the image plate. However, this reduction in resolution can be restricted by a novel image plate concept in which a ceramic structure with square cells (referred to as a 'honeycomb') is embedded in the NIP, resulting in a pixelated image plate. In such a NIP the read-out light is confined to the particular illuminated pixel, decoupling the spatial resolution from the optical properties of the image plate material and morphology. In this work, a comparison of experimentally determined and simulated spatial resolutions of pixelated and unstructured image plates for a fixed read-out laser intensity is presented, as well as simulations of the properties of these NIPs at higher laser powers.

  11. Plate removal following orthognathic surgery.

    Science.gov (United States)

    Little, Mhairi; Langford, Richard Julian; Bhanji, Adam; Farr, David

    2015-11-01

    The objectives of this study are to determine the removal rates of orthognathic plates used during orthognathic surgery at James Cook University Hospital and describe the reasons for plate removal. 202 consecutive orthognathic cases were identified between July 2004 and July 2012. Demographics and procedure details were collected for these patients. Patients from this group who returned to theatre for plate removal between July 2004 and November 2012 were identified and their notes were analysed for data including reason for plate removal, age, smoking status, sex and time to plate removal. 3.2% of plates were removed with proportionally more plates removed from the mandible than the maxilla. 10.4% of patients required removal of one or more plate. Most plates were removed within the first post-operative year. The commonest reasons for plate removal were plate exposure and infection. The plate removal rates in our study are comparable to those seen in the literature.

  12. Anisotropic elastic plates

    CERN Document Server

    Hwu, Chyanbin

    2010-01-01

    As structural elements, anisotropic elastic plates find wide applications in modern technology. The plates here are considered to be subjected to not only in plane load but also transverse load. In other words, both plane and plate bending problems as well as the stretching-bending coupling problems are all explained in this book. In addition to the introduction of the theory of anisotropic elasticity, several important subjects have are discussed in this book such as interfaces, cracks, holes, inclusions, contact problems, piezoelectric materials, thermoelastic problems and boundary element a

  13. Plating in Top Agar

    OpenAIRE

    sprotocols

    2014-01-01

    1. Warm plates to room temperature before use. Cold plates causes the top agar to solidify irregularly. DO not warm plates to 37° as the top agar will take forever to solidify. - Prepare top agar as the appropriate liquid medium with 0.7% agar. Keeping 100 mL bottles is convenient. For phages, use λ top agar, which is less rich and yields bigger plaques. - Melt top agar in the microwave completely. Allow the agar to boil after liquification; incompletely melted agar looks liquid, but is...

  14. Locking internal fixator with minimally invasive plate osteosynthesis for the proximal and distal tibial fractures

    Institute of Scientific and Technical Information of China (English)

    TONG Da-ke; JI Fang; CAI Xiao-bing

    2011-01-01

    Objective: To investigate the efficacy of the locking internal fixator (LIF), which includes the locking compression plate (LCP) and the less invasive stable system (LISS), in the proximal and distal tibial fractures. Methods: We did a retrospective study on a total of 98 patients with either proximal or distal tibial fractures from January 2003 to January 2007, who had received the operation with LIF by the minimally invasive plate osteosynthesis (MIPO) technique. The data consisted of 43 proximal tibial fractures (type AO41C3) and 55 distal tibial fractures (type AO43C3). Results: No complications were observed in all patients after operation. The mean healing time was 8.4 months (range 5-14 months). Only two cases of delayed union occurred at postoperative 10 months. No infections were reported after the definitive surgery even in the cases of open fractures. All patients reached a full range of motion at postoperative 6 to 9 months and regained the normal functions of knee and ankle joints. Conclusion: Using LIF in MIPO technique is a reliable approach towards the proximal and distal tibial fractures that are not suitable for intramedullary nailing.

  15. Efectos de la calidad de la caña semilla en los componentes del rendimiento cultural de las variedades CP65-357 y LCP85-384 (Saccharum spp. según diferentes edades de corte (Parte I Effects of seedcane quality on yielding components of varieties CP65-357 and LCP85-384 (Saccharum spp. in different crops (Part I

    Directory of Open Access Journals (Sweden)

    María I. Cuenya

    2007-06-01

    Full Text Available Las principales variedades de caña de azúcar cultivadas en Tucumán mostraron, hasta hace pocos años, una elevada infección con achaparramiento de la caña soca, enfermedad sistémica causada por Leifsonia xyli subsp. xyli, ampliamente reconocida por su efecto detrimental sobre el rendimiento cultural. Esta situación fue consecuencia de que los productores cañeros utilizaban caña semilla proveniente de lotes comerciales en lugar de caña semilla de semilleros saneados. El objetivo del presente trabajo fue evaluar el efecto de la calidad de la semilla en los componentes del rendimiento cultural en LCP85-384 y CP65-357, dos variedades ampliamente difundidas en Tucumán. Para cada variedad se evaluaron dos alternativas con respecto a la calidad de la semilla: Semilla de Alta Calidad (SAC proveniente de micropropagación in vitro y Semilla Comercial (SC proveniente de un cañaveral comercial. Se implantó un ensayo de acuerdo a un diseño en bloques completos al azar con seis repeticiones. En caña planta, soca 1 y soca 2 se evaluaron: número de tallos/parcela, peso, altura y diámetro del tallo y rendimiento de caña/ha. Se efectuaron análisis de la varianza y pruebas de comparación de medias (DLS de Fisher. En ambas variedades los componentes del rendimiento cultural más afectados por la calidad de la semilla utilizada fueron el peso y la altura de tallos a través de edades de corte. Para CP65-357 y LCP85-384 los tratamientos con SAC produjeron, en promedio, tallos más altos y más pesados en comparación con los tratamientos obtenidos a partir de SC. El diámetro de tallos no se afectó por la calidad de la semilla. Se detectaron importantes disminuciones en el rendimiento cultural (t caña/ha por la utilización de SC (10-25% en CP65-357 y 19-25% en LCP85-384 a través de las edades de corte. Estos resultados sustentan la utilización generalizada de semilleros saneados, sistema puesto en marcha por la EEAOC a partir del año 2000

  16. Create Your Plate

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    Full Text Available ... blood glucose levels and lose weight. With this method, you fill your plate with more non-starchy ... but changes the portion sizes so you are getting larger portions of non-starchy vegetables and a ...

  17. Create Your Plate

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    Full Text Available ... blood glucose levels and lose weight. With this method, you fill your plate with more non-starchy ... 4/Box) Taking the guesswork out of portion control has never been easier. It can be a ...

  18. Tectonic Plate Movement.

    Science.gov (United States)

    Landalf, Helen

    1998-01-01

    Presents an activity that employs movement to enable students to understand concepts related to plate tectonics. Argues that movement brings topics to life in a concrete way and helps children retain knowledge. (DDR)

  19. MyPlate

    Science.gov (United States)

    ... our stage of life, situations, preferences, access to food, culture, traditions, and the personal decisions we make over time. All your food and beverage choices count. MyPlate offers ideas and ...

  20. Create Your Plate

    Medline Plus

    Full Text Available ... blood glucose levels and lose weight. With this method, you fill your plate with more non-starchy ... you have an easy portion control solution that works. Last Reviewed: October 8, 2015 Last Edited: September ...

  1. Designing Assemblies Of Plates

    Science.gov (United States)

    Williams, F. W.; Kennedy, D.; Butler, R.; Aston, G.; Anderson, M. S.

    1992-01-01

    VICONOPT calculates vibrations and instabilities of assemblies of prismatic plates. Designed for efficient, accurate analysis of buckling and vibration, and for optimum design of panels of composite materials. Written in FORTRAN 77.

  2. Create Your Plate

    Medline Plus

    Full Text Available ... Your Plate Gluten Free Diets Meal Planning for Vegetarian Diets Cook with Heart-Healthy Foods Holiday Meal Planning What Can I Eat? Making Healthy Food Choices Diabetes Superfoods Non-starchy Vegetables Grains and Starchy Vegetables ...

  3. Create Your Plate

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    Full Text Available ... Recipes Association Cookbook Recipes Planning Meals Diabetes Meal Plans Create Your Plate Gluten Free Diets Meal Planning ... serving of dairy or both as your meal plan allows. Choose healthy fats in small amounts. For ...

  4. Create Your Plate

    Medline Plus

    Full Text Available ... 1 Diabetes Get Started Safely Get And Stay Fit Types of Activity Weight Loss Assess Your Lifestyle ... manage portion control wherever you are. Now, our best-selling, sectioned to-go plate with easy-sealing ...

  5. Create Your Plate

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    Full Text Available ... Plate is a simple and effective way to manage your blood glucose levels and lose weight. With ... been easier. It can be a challenge to manage portion control wherever you are. Now, our best- ...

  6. Tectonic Plate Movement.

    Science.gov (United States)

    Landalf, Helen

    1998-01-01

    Presents an activity that employs movement to enable students to understand concepts related to plate tectonics. Argues that movement brings topics to life in a concrete way and helps children retain knowledge. (DDR)

  7. Create Your Plate

    Medline Plus

    Full Text Available ... Carbohydrates Carbohydrate Counting Make Your Carbs Count Glycemic ... to manage portion control wherever you are. Now, our best-selling, sectioned to-go plate with easy-sealing ...

  8. Origami - Folded Plate Structures

    OpenAIRE

    Buri, Hans Ulrich

    2010-01-01

    This research investigates new methods of designing folded plate structures that can be built with cross-laminated timber panels. Folded plate structures are attractive to both architects and engineers for their structural, spatial, and plastic qualities. Thin surfaces can be stiffened by a series of folds, and thus not only cover space, but also act as load bearing elements. The variation of light and shadow along the folded faces emphasizes the plas...

  9. Fractal multifiber microchannel plates

    Science.gov (United States)

    Cook, Lee M.; Feller, W. B.; Kenter, Almus T.; Chappell, Jon H.

    1992-01-01

    The construction and performance of microchannel plates (MCPs) made using fractal tiling mehtods are reviewed. MCPs with 40 mm active areas having near-perfect channel ordering were produced. These plates demonstrated electrical performance characteristics equivalent to conventionally constructed MCPs. These apparently are the first MCPs which have a sufficiently high degree of order to permit single channel addressability. Potential applications for these devices and the prospects for further development are discussed.

  10. Combined autologous chondrocyte implantation (ACI with supra-condylar femoral varus osteotomy, following lateral growth-plate damage in an adolescent knee: 8-year follow-up

    Directory of Open Access Journals (Sweden)

    Vijayan Sridhar

    2011-03-01

    Full Text Available Abstract We report the 8-year clinical and radiographic outcome of an adolescent patient with a large osteochondral defect of the lateral femoral condyle, and ipsilateral genu valgum secondary to an epiphyseal injury, managed with autologous chondrocyte implantation (ACI and supracondylar re-alignment femoral osteotomy. Long-term clinical success was achieved using this method, illustrating the effective use of re-alignment osteotomy in correcting mal-alignment of the knee, protecting the ACI graft site and providing the optimum environment for cartilage repair and regeneration. This is the first report of the combined use of ACI and femoral osteotomy for such a case.

  11. Vibration and Buckling of Web Plate of the Plate Girder

    OpenAIRE

    高橋, 和雄; 呉, 明強; 中澤, 聡志; 筑紫, 宏之

    1998-01-01

    The vibration and buckling of the web of the plate girder are studied in this paper. The small deflection theory of the thin plate is used. The finite strip method is employed to solve vibration and buckling of the plate girder. Natural frequenies of buckling properties are shown for various plate girder bridges.

  12. Bending and stretching of plates

    CERN Document Server

    Mansfield, E H; Hemp, W S

    1964-01-01

    The Bending and Stretching of Plates deals with elastic plate theory, particularly on small- and large-deflexion theory. Small-deflexion theory concerns derivation of basic equations, rectangular plates, plates of various shapes, plates whose boundaries are amenable to conformal transformation, plates with variable rigidity, and approximate methods. Large-deflexion theory includes general equations and some exact solutions, approximate methods in large-deflexion theory, asymptotic large-deflexion theories for very thin plates. Asymptotic theories covers membrane theory, tension field theory, a

  13. Clinical Value of 99Tcm-MDP SPECT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia

    Directory of Open Access Journals (Sweden)

    Bing Wen

    2014-01-01

    Full Text Available Purpose. To investigate the clinical value of 99Tcm-MDP SPECT for the diagnosis of unilateral condylar hyperplasia (UCH. Methods. One hundred forty-nine patients who underwent mandibular 99Tcm-MDP SPECT between January 2009 and December 2012 were studied, including 105 cases that were clinically suspected of UCH and 44 comparable cases without UCH as a control group. Results. Increased bone activity was observed in the affected condyles for all UCH patients. In the UCH group, the relative percentage uptake on the affected side was 59% (SD±4.3%, significantly higher than the 41% (SD±4.1% uptake on the contralateral side (P<0.001. Similarly, the condyle/skull ratio was significantly higher for the affected side (1.66±0.63 than for the contralateral side (1.34±0.34, P<0.01. No significant difference was found in the control group between the left and right condyles. Values for the sensitivity (95%, specificity (61%, positive (84.4% and negative (84.6% predictive values, and accuracy (84.5% for 99Tcm-MDP SPECT in the diagnosis of UCH were calculated. However, for the hyperplastic condyle, no correlation was observed between the thickness of each cartilage layer and the relative uptake in the SPECT image. Conclusion. 99Tcm-MDP SPECT is accurate for diagnosing UCH and can provide a reference for treatment options.

  14. Osseous alterations in the condylar head after unilateral surgical directional change in rabbit mandibular condyles: preliminary study.

    Science.gov (United States)

    Yang, Hoon Joo; Hwang, Soon Jung

    2014-12-01

    The purpose of this study was to investigate bony changes in the mandibular condyle when the surface not normally subjected to masticatory forces was subjected to functional loading using a unilateral surgical experiment. Fifteen male New Zealand white rabbits, divided into two groups, were used. Oblique vertical body osteotomies of the mandible and counterclockwise rotation (CCWR) of the proximal segment (PS) [six with 1 mm (group I), six with 3 mm (group II)] were performed on the right side. Osseous changes of condyles were analyzed using micro-computed tomography and histological evaluation four weeks postoperatively. The comparison was performed between condyles on the right and left sides. Since the left condyle (control) might be affected by the operation on the right side, the results were also compared with the healthy control (group III, n = 3, 6 condyles). CCWR of the PS led to osteoporotic changes of the condyle including significantly reduced bone volume and bone mineral density (p condylar cartilage and reduced density of cartilaginous cells were observed. However, these changes were not affected by the amount of CCWR of the PS.

  15. Clinical Value of 99Tcm-MDP SPECT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia

    Science.gov (United States)

    Wen, Bing; Shen, Ying; Wang, Chang-Yin

    2014-01-01

    Purpose. To investigate the clinical value of 99Tcm-MDP SPECT for the diagnosis of unilateral condylar hyperplasia (UCH). Methods. One hundred forty-nine patients who underwent mandibular 99Tcm-MDP SPECT between January 2009 and December 2012 were studied, including 105 cases that were clinically suspected of UCH and 44 comparable cases without UCH as a control group. Results. Increased bone activity was observed in the affected condyles for all UCH patients. In the UCH group, the relative percentage uptake on the affected side was 59% (SD ± 4.3%), significantly higher than the 41% (SD ± 4.1%) uptake on the contralateral side (P<0.001). Similarly, the condyle/skull ratio was significantly higher for the affected side (1.66 ± 0.63) than for the contralateral side (1.34 ± 0.34, P < 0.01. No significant difference was found in the control group between the left and right condyles. Values for the sensitivity (95%), specificity (61%), positive (84.4%) and negative (84.6%) predictive values, and accuracy (84.5%) for 99Tcm-MDP SPECT in the diagnosis of UCH were calculated. However, for the hyperplastic condyle, no correlation was observed between the thickness of each cartilage layer and the relative uptake in the SPECT image. Conclusion. 99Tcm-MDP SPECT is accurate for diagnosing UCH and can provide a reference for treatment options. PMID:24901015

  16. 人体膝关节股骨后髁角度的MRI测量%Femoral posterior condylar angle of human knee joint:magnetic resonance imaging measurement

    Institute of Scientific and Technical Information of China (English)

    许红生; 赵志江; 孟位明; 张磊; 张小伟

    2014-01-01

    BACKGROUND:The good rotational alignment of femoral prosthesis was very important in total knee arthroplasty. The research has shown that the posterior condylar angle was important to determine the alignment. The posterior condylar angle is the angle between the posterior condylar axis and the femoral epicondylar axis. MRI can clearly show the condylar cartilage, the projections of lateral epicondyle and the medial epicondyle depression, thus ensuring accuracy of measurement data. OBJECTIVE:To measure the posterior condylar angle of knee joint in the northern part of Baoding City in China, and to provide image evidence for identifying the rotational alignment of femoral prosthesis during total knee arthroplasty. METHODS:The knee was extended on a neutral position when MRI machine was applied to scan knee joint. The scanning plane was perpendicular to the mechanical axis of the knee. The best T1 axial plane of the knee was chosen, and two observers analyzed images independently. Existence rate of femoral medial epicondyle was observed using Bravo viewer 6.0 imaging software. The posterior condylar angle between posterior condylar axis and the femoral condyle axis was measured. RESULTS AND CONCLUSION:The posterior condylar angle was (2.73±1.28)° in males and (2.35±1.37)° in females on average, which did not show significant difference. The results showed that the MRI had great superiority in measuring the posterior condylar angle. The variability of the epicondylar axis was smal in total knee arthroplasty. Posterior condylar angle can be referenced to position femoral prosthesis and to avoid the complications after knee replacement.%背景:全膝关节置换过程中股骨假体旋转力线良好非常重要,研究显示后髁角度是确定力线的重要依据,后髁角度为股骨后髁轴与股骨手术髁上轴之间角度,MRI测量可清晰显示后髁软骨、外上髁突起及内上髁凹陷,从而保证测量数据的准确。目的:测量

  17. Anterior cervical plating

    Directory of Open Access Journals (Sweden)

    Gonugunta V

    2005-01-01

    Full Text Available Although anterior cervical instrumentation was initially used in cervical trauma, because of obvious benefits, indications for its use have been expanded over time to degenerative cases as well as tumor and infection of the cervical spine. Along with a threefold increase in incidence of cervical fusion surgery, implant designs have evolved over the last three decades. Observation of graft subsidence and phenomenon of stress shielding led to the development of the new generation dynamic anterior cervical plating systems. Anterior cervical plating does not conclusively improve clinical outcome of the patients, but certainly enhances the efficacy of autograft and allograft fusion and lessens the rate of pseudoarthrosis and kyphosis after multilevel discectomy and fusions. A review of biomechanics, surgical technique, indications, complications and results of various anterior cervical plating systems is presented here to enable clinicians to select the appropriate construct design.

  18. License plate detection algorithm

    Science.gov (United States)

    Broitman, Michael; Klopovsky, Yuri; Silinskis, Normunds

    2013-12-01

    A novel algorithm for vehicle license plates localization is proposed. The algorithm is based on pixel intensity transition gradient analysis. Near to 2500 natural-scene gray-level vehicle images of different backgrounds and ambient illumination was tested. The best set of algorithm's parameters produces detection rate up to 0.94. Taking into account abnormal camera location during our tests and therefore geometrical distortion and troubles from trees this result could be considered as passable. Correlation between source data, such as license Plate dimensions and texture, cameras location and others, and parameters of algorithm were also defined.

  19. Casimir force between metal plate and dielectric plate

    Institute of Scientific and Technical Information of China (English)

    刘中柱; 邵成刚; 罗俊

    1999-01-01

    The Casimir effect between metal plate and dielectric plate is discussed with 1+1-dimensional potential model without using cut-off method. Calculation shows that the Casimir force between metal plate and dielectric plate is determined not only by the potential V0, the dielectric thickness and the distance α between the metal plate and dielectric plate, but also by the dimension of the vessel. When α is far less than the dimension of the vessel, the Casimir force Fc∝α(-1); conversely Fc∝α-2. This result is significant for Casimir force experiment.

  20. Nuclear reactor alignment plate configuration

    Energy Technology Data Exchange (ETDEWEB)

    Altman, David A; Forsyth, David R; Smith, Richard E; Singleton, Norman R

    2014-01-28

    An alignment plate that is attached to a core barrel of a pressurized water reactor and fits within slots within a top plate of a lower core shroud and upper core plate to maintain lateral alignment of the reactor internals. The alignment plate is connected to the core barrel through two vertically-spaced dowel pins that extend from the outside surface of the core barrel through a reinforcement pad and into corresponding holes in the alignment plate. Additionally, threaded fasteners are inserted around the perimeter of the reinforcement pad and into the alignment plate to further secure the alignment plate to the core barrel. A fillet weld also is deposited around the perimeter of the reinforcement pad. To accomodate thermal growth between the alignment plate and the core barrel, a gap is left above, below and at both sides of one of the dowel pins in the alignment plate holes through with the dowel pins pass.

  1. Create Your Plate

    Medline Plus

    Full Text Available ... 1 Type 2 About Us Online Community Meal Planning Sign In Search: Search More Sites Search ≡ Are ... Fitness Home Food MyFoodAdvisor Recipes Association Cookbook Recipes Planning Meals Diabetes Meal Plans Create Your Plate Gluten ...

  2. Create Your Plate

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    Full Text Available ... Create Your Plate is a simple and effective way to manage your blood glucose levels and lose weight. With ... year of delicious meals to help prevent and manage diabetes. Healthy Recipes: ... to your day with this guide. Ways to Give: Wear Your Cause on Your Sleeve - ...

  3. The Plate Tectonics Project

    Science.gov (United States)

    Hein, Annamae J.

    2011-01-01

    The Plate Tectonics Project is a multiday, inquiry-based unit that facilitates students as self-motivated learners. Reliable Web sites are offered to assist with lessons, and a summative rubric is used to facilitate the holistic nature of the project. After each topic (parts of the Earth, continental drift, etc.) is covered, the students will…

  4. Create Your Plate

    Medline Plus

    Full Text Available ... tax-deductible gift today can fund critical diabetes research and support vital diabetes education services that improve the ... way to manage your blood glucose levels and lose weight. With this method, you fill your plate with more non-starchy ...

  5. Create Your Plate

    Medline Plus

    Full Text Available ... 1 Type 2 About Us Online Community Meal Planning Sign In Search: Search More Sites Search ≡ Are ... Fitness Home Food MyFoodAdvisor Recipes Association Cookbook Recipes Planning Meals Diabetes Meal Plans Create Your Plate Gluten ...

  6. Create Your Plate

    Medline Plus

    Full Text Available ... tax-deductible gift today can fund critical diabetes research and support vital diabetes education services that improve the ... way to manage your blood glucose levels and lose weight. With this method, you fill your plate with more non-starchy ...

  7. Create Your Plate

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    Full Text Available ... unsweetened tea or coffee. Featured Product Precise Portions® Go Healthy Travel Pack (4/Box) Taking the guesswork ... you are. Now, our best-selling, sectioned to-go plate with easy-sealing lid is offered in ...

  8. Create Your Plate

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    Full Text Available ... manage portion control wherever you are. Now, our best-selling, sectioned to-go plate with easy-sealing lid is offered in a 4-pack. Whether ... Research & Practice We Are Research Leaders We Support Your Doctor ...

  9. INL HIP Plate Fabrication

    Energy Technology Data Exchange (ETDEWEB)

    B. H. Park; C. R. Clark; J. F. Jue

    2010-02-01

    This document outlines the process used to bond monolithic fuel plates by Hot Isostatic Pressing (HIP). This method was developed at Idaho National Laboratory (INL) for the Reduced Enrichment for Research and Test Reactors (RERTR) program. These foils have been used in a number of irradiation experiments in support of the United States Global Threat Reduction Initiative (GTRI) program.

  10. The Plate Tectonics Project

    Science.gov (United States)

    Hein, Annamae J.

    2011-01-01

    The Plate Tectonics Project is a multiday, inquiry-based unit that facilitates students as self-motivated learners. Reliable Web sites are offered to assist with lessons, and a summative rubric is used to facilitate the holistic nature of the project. After each topic (parts of the Earth, continental drift, etc.) is covered, the students will…

  11. Create Your Plate

    Medline Plus

    Full Text Available ... Planning Meals > Create Your Plate Share: Print Page Text Size: A A A Listen En Español Create ... somewhere in between, you have an easy portion control solution that works. Last Reviewed: October 8, 2015 Last Edited: ... Cost of Diabetes Advocate Toolkit Call to Congress Research & ...

  12. Evaluating condylar head morphology as it relates to the skeletal vertical facial dimension: A three-dimensional semi-automated landmark study

    Directory of Open Access Journals (Sweden)

    Curtis Contro

    2016-01-01

    Full Text Available Introduction: Condylar growth direction and rotation affect the occlusion, especially in the vertical dimension. The first objective of this study was to evaluate the reliability of a novel three-dimensional semi-automated landmark computer software on mapping the head of the mandibular condyle using cone-beam computed tomography (CBCT. The second objective was to evaluate qualitatively how condylar morphology differs three-dimensionally according to skeletal vertical pattern and mandibular morphology in healthy adults using CBCT. Materials and Methods: A total of 242 (169 females and 73 males participants were eligible for the study. Participants were selected at random from the 242 to create three groups of 10 participants based on their MP-SN° and assigned to a brachyfacial group, dolichofacial group, and mesofacial group. The thirty participants were also divided by mandibular symphyseal morphology according to the chin angle (Id-Pg-MP°. Each subject′s condyles were landmarked using Stratovan′s Checkpoint software. A Procrustes analysis was then used to generate an average condylar shape for each of the six groups from which to evaluate shape differences. Results: Checkpoint proved to be a reliable method of placing landmarks on the condyle with a low coefficient of variation of 1.81% (standard deviation/mean. Qualitative analysis of the Procrustes averages revealed brachyfacial average showed a moderate anterior lean from the sagittal, anterior convexity from the axial, and medial lean from the coronal views. The dolichofacial average showed a mild anterior lean from the sagittal, anterior concavity from the axial, and a symmetrical half-dome shape from the coronal. The obtuse chin angle group average displayed morphology similar to the brachyfacial average, whereas the acute chin angle group average displayed morphology similar to the dolichofacial average. Conclusions: Checkpoint is reliable software to landmark the

  13. Evaluation of three-dimensional position change of the condylar head after orthognathic surgery using computer-aided design/computer-aided manufacturing-made condyle positioning jig.

    Science.gov (United States)

    Kim, Hyung-Mo; Baek, Seung-Hak; Kim, Tae-Yun; Choi, Jin-Young

    2014-11-01

    This study was performed to evaluate the efficacy of computer-aided design/computer-aided manufacturing (CAM/CAD)-made condyle positioning jig in orthognathic surgery. The sample consisted of 40 mandibular condyles of 20 patients with class III malocclusion who underwent bilateral sagittal split ramus osteotomy with semirigid fixation (6 men and 14 women; mean age, 25 y; mean amount of mandibular setback, 5.8 mm). Exclusion criteria were patients who needed surgical correction of the frontal ramal inclination and had signs and symptoms of the temporomandibular disorder before surgery. Three-dimensional computed tomograms were taken 1 month before the surgery (T1) and 1 day after the surgery (T2). The condylar position was evaluated at the T1 and T2 stages on the axial, frontal, and sagittal aspects in the three-dimensional coordinates. The linear change of the posterior border of the proximal segment of the ramus between T1 and T2 was also evaluated in 30 condyles (15 patients), with the exception of 10 condyles of 5 patients who received mandibular angle reduction surgery. There was no significant difference in the condylar position in the frontal and sagittal aspects (P > 0.05). Although there was a significant difference in the condylar position in the axial aspect (P < 0.01), the amount of difference was less than 1 mm and 1 degree; it can be considered clinically nonsignificant. In the linear change of the posterior border of the proximal segment of the ramus, the mean change was 1.4 mm and 60% of the samples showed a minimal change of less than 1 mm. The results of this study suggest that CAD/CAM-made condyle positioning jig is easy to install and reliable to use in orthognathic surgery.

  14. MRI differentiates femoral condylar ossification evolution from osteochondritis dissecans. A new sign

    Energy Technology Data Exchange (ETDEWEB)

    Jans, Lennart B.O.; Huysse, Wouter C.; Verstraete, Koenraad L. [Ghent University Hospital, Department of Radiology and Medical Imaging, Ghent (Belgium); Jaremko, Jacob L.; Ditchfield, Michael [University of Melbourne Royal Children' s Hospital, Department of Medical Imaging, Melbourne, Vic (Australia)

    2011-06-15

    To determine if MRI (magnetic resonance imaging) of the femoral condyles in children can differentiate variations in ossification from osteochondritis dissecans (OCD). MRI studies of the knee of 315 patients demonstrated ossification defects of the femoral condyles involving the subchondral bone plate. MRI features categorized the defects as ossification variability (N = 150) or OCD (N = 165). Both groups were compared for age, residual physeal cartilage, site, configuration, 'lesion angle' and associated findings. (a) Ossification variability did not occur in girls >10 year. and boys >13 year., OCD did not occur in children younger than 8 year. (b) Ossification variability was not seen in patients with 10% or less residual physeal cartilage, OCD was rare in patients with 30% or greater residual physeal cartilage. (c) Ossification variability was located in the posterior third of the femoral condyle, OCD occurred most commonly in the middle third. (d) Intracondylar extension was seen in OCD and not in ossification variability. (e) Perilesional oedema was very common with OCD and absent with ossification variability. (f) Lesion angle <105 was a feature of ossification variability. MRI may help differentiate variations in ossification of the femoral condyles from OCD. (orig.)

  15. 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

  16. A comparison of MRI, radiographic and clinical findings of the position of the TMJ articular disc following open treatment of condylar neck fractures.

    Science.gov (United States)

    Schneider, Alexander; Zahnert, Diana; Klengel, Steffen; Loukota, Richard; Eckelt, Uwe

    2007-10-01

    We examined the position and function of the articular disc after open treatment of condylar fractures by comparing magnetic resonance images (MRI) and radiographs with clinical data. MRI and radiographs were taken after treatment of 28 patients with 33 fractures of the mandibular condyles. In all cases, the disc was located in the fossa after open reduction and internal fixation (ORIF). The MRI, radiographic and clinical findings did not correlate, and damage to the temporomandibular joint (TMJ) could be seen more clearly on MRI than on clinical or radiographic examination. Damage to soft tissues seen on MRI after treatment was more pronounced in dislocated than in displaced fractures.

  17. 下颌骨髁状突骨折56例疗效分析%Retrospective study of treatments for 56 condylar fractures

    Institute of Scientific and Technical Information of China (English)

    曲昌锋; 郭哲; 陆平; 周晓南; 汪崇

    2012-01-01

    [ Objective] To investigate the treatments and curative effects for different types of condylar fractures. [ Methods] There were 56 condylar fractures presented with expectant treatments, condylar removal, arthroplasty, rigid fixation and evaluated the clinical effects. [Results] The curative effects were satisfactory but some patients suffered with complications such as injury of facial nerve, limitation of mouth opening, ankylosis of temporo - mandibular joint and absorption of condyle. [ Conclusion ] Miniplate rigid fixation based on anatomical reduction is an effective procedure in treating condylar neck and subcondylar fractures. Post - mandibular approach could significantly reduce the probability of facial nerve injury. Ankylosis of temporo - mandibular joint could happen if the serious dislocation of articular disc and comminuted fractures of condyle head.%[目的]探讨不同类型髁状突骨折的治疗方法和临床效果.[方法]回顾性分析大连市中心医院56例髁状突骨折病例,分别采用保守治疗及髁状突摘除、关节成形和小型钛板坚固内固定,并评价其临床效果.[结果]随访47例,所有病例均一期愈合,无感染,无涎瘘.但部分病例出现面神经损伤(5例)、张口受限(3例)、颞下颌关节强直(1例)、髁状突吸收(2例)等并发症.[结论]切开复位及小型钛板坚固内固定是治疗髁颈和髁颈下骨折的有效方法,但应保留翼外肌附着.经颌后区入路可明显降低面神经损伤的几率.囊内粉碎性骨折和髁状突骨折伴关节盘明显移位如处理不当易发生颞下颌关节强直.

  18. Radiographic study on the anterior portion of the neck of the condylar process. Aged-related developmental changes based on Hellman's dental stage

    Energy Technology Data Exchange (ETDEWEB)

    Inoue, Hiroshi; Yamato, Rieko; Tada, Miwako [Meikai Univ., Sakado, Saitama (Japan). School of Dentistry] [and others

    2003-02-01

    The condylar process is directly and indirectly influenced by the masticatory muscles and the temporomandibular joint, which functions to regulate jaw movement. Age-related changes in the condylar process were found in both external and internal structures. Observation of X-ray profiles afforded identification of areas of interest in the anterior portion of the neck of condylar process. This portion anatomically includes the pterygoid fovea; moreover, the process serves as a terminal for the lateral pterygoid muscle. Rather than directly analyzing bone structure, we made distinct measurements in regions of interest by X-ray image analysis. Subsequently, changes in occlusion during each developmental stage were evaluated. In addition, bone mineral density measurements were performed. Greater growth was recognized in the long axis of the condylar process in comparison to the short axis. The long axis indicated a 2.7-fold increase in ODL (length along the major axis) from the IA period to the VA period; additionally, the total absolute length increased by 3.1-fold. The short axis demonstrated a 2.3-fold increase in ODS (length along the minor axis) from the IA period to the VA period; furthermore, the total average length revealed a 1.9-fold increase. Bone mineral density was highest in the anterior portion (region of interest) and was higher in the posterior portion (cortical bone); than in the middle portion (central bone). Among these 3 areas, density differences became larger as the developmental stage of occlusion progressed. Detailed measurements in the region of interest demonstrated significant increases from the IIC period to the IIIA (B) period, and distinct peak times of increases were observed in bone mineral density: the center bone structure, as well as the posterior cortical bone, showed significant increases between the IIIC period and the IVA period. The anterior border displayed to constant increase with an exception for the period between stages

  19. Biomechanical Analysis Of The Proximal Femoral Locking Compression Plate: Do Quality Of Reduction And Screw Orientation Influence Construct Stability?

    Science.gov (United States)

    Zderic, Ivan; Oh, Jong-Keon; Stoffel, Karl; Sommer, Christoph; Helfen, Tobias; Camino, Gaston; Richards, R Geoff; Nork, Sean E; Gueorguiev, Boyko

    2017-08-22

    To investigate biomechanically in a human cadaveric model the failure modes of the Proximal Femoral Locking Compression Plate (PF-LCP) and explore the underlying mechanism. Twenty-four fresh-frozen paired human cadaveric femora with simulated unstable intertrochanteric fractures (AO/OTA 31-A3.3) were assigned to four groups with six specimens each for plating with PF-LCP. The groups differed in the quality of fracture reduction and plating fashion of the first and second proximal screws as follows: 1) anatomical reduction with on-axis screw placement; 2) anatomical reduction with off-axis screw placement; 3) malreduction with on-axis screw placement; 4) malreduction with off-axis screw placement. The specimens were tested until failure using a protocol with combined axial and torsional loading. Mechanical failure was defined as abrupt change in machine load-displacement data. Clinical failure was defined as 5° varus tilting of the femoral head as captured with optical motion tracking. Initial axial stiffness (N/mm) in groups 1 to 4 was 213.6±65.0, 209.5±134.0, 128.3±16.6 and 106.3±47.4, respectively. Numbers of cycles to clinical and mechanical failure were 16642±10468 and 8695±1462 in group 1, 14076±3032 and 7449±5663 in group 2, 8800±8584 and 4497±2336 in group 3 and 9709±3894 and 5279±4119 in group 4. Significantly higher stiffness as well as numbers of cycles to both clinical and mechanical failure were detected in group 1 in comparison to group 3, P≤0.044. Generally, malreduction led to significantly earlier construct failure. The observed failures were cut-out of the proximal screws in the femoral head, followed by either screw bending, screw loosening or screw fracture. Proper placement of the proximal screws in anatomically reduced fractures led to significantly higher construct stability. Our data also indicates that once the screws are placed off-axis (>5 degrees), the benefit of an anatomic reduction is lost.

  20. Improved Visualization and Assessment of Condylar Position in the Glenoid Fossa for Different Occlusions: A CBCT Study.

    Science.gov (United States)

    Kaur, Amandeep; Natt, Amanpreet S; Mehra, Simranjeet K; Maheshwari, Karan; Singh, Gagandeep; Kaur, Amanjot

    2016-08-01

    The position of the condyle in the glenoid fossa plays an important role in the stability of occlusion after orthodontic treatment. Cone beam computed tomography (CBCT) provides an optimal imaging of the osseous components of the temporomandibular joint (TMJ) and give a full size truly three-dimensional (3D) description in real anatomical size. The present study aimed to visualize and compare the position of condyle in the glenoid fossa for different occlusions by using CBCT Materials and methods: Cone beam computed tomographic images of 45 subjects, aged 18 to 42 years, were evaluated. Subjects were equally divided into three groups according to the A point, nasion, B point (ANB) angle. In the sagittal plane, condyle is positioned nonconcen-trically; positioned anteriosuperiorly in class I and III occlusions and lies posteriosuperiorly in class II occlusion. In the frontal plane, condyle is positioned centrally (mediolaterally) in all the three types of occlusions. In the axial plane, the parameters showed significant difference between the different occlusions. No statistical significant distinction could be made in the position of the condyle when comparing the right and left joints. The position of condyle in glenoid fossa influences sagittal, transverse, and vertical relationships of the jaws which eventually contribute to development of various malocclusions. Nonconcentricity is the feature of the condyle in the sagittal plane in different malocclusions. An important consideration in orthodontic treatment is the recognition of the importance that the dentition should be in harmony with the related musculoskeletal structures. Therefore, the condylar position is an important concern in maintaining or restoring temporomandibular harmony with the dentition and the position of the condyle in the glenoid fossa plays an important role in the stability of occlusion after orthodontic treatment.

  1. Effect of direct and indirect face-bow transfer on the horizontal condylar guidance values: A pilot study

    Directory of Open Access Journals (Sweden)

    Aditi Mishra

    2014-01-01

    Full Text Available Aims and Objectives: This study aimed to evaluate the effect of direct and indirect face-bow transfer on the horizontal condylar guidance (HCG values obtained on the semi-adjustable articulator. Materials and Methods: A total of 15 subjects of age 20-30 years, of either sex were selected. Two sets of maxillary and mandibular casts were obtained. A single arbitrary face-bow record was used for mounting the maxillary casts by direct and indirect transfer for each subject. The mandibular casts were mounted using maximum intercuspation record. Protrusive records were made in Alu wax and used to program the directly and indirectly transferred casts. HCG values obtained from cephalometric records were taken as control. The data was subjected to ANOVA and Bonferroni post hoc test. Results: Mean values of HCG obtained in direct face-bow transfer were 24.93°, indirect transfer −27.66°, and cephalometric analysis −32.73°. One-way ANOVA test indicated that there was a significant difference between all the groups (P < 0.05. Tukey′s test with Bonferroni′s correction (P < 0.01 was significant for direct and indirect transfer (P = 0.008, and direct transfer and cephalometric readings (P = 0.0046. A nonsignificant difference was found between indirect transfer and cephalometric readings (P = 0.047. Conclusion : There is a statistically significant difference in HCG values obtained from direct and indirect face-bow transfer records. Lateral cephalograms gave higher mean HCG values than those obtained from protrusive records. Mean HCG values obtained from indirect face-bow transfers are significantly more than those obtained from direct transfers and are also closer to the values obtained from the lateral cephalograms.

  2. Fraturas do côndilo mandibular: classificação e tratamento Mandibular condylar fractures: classification and treatment

    Directory of Open Access Journals (Sweden)

    Luiz C. Manganello

    2002-10-01

    Full Text Available As fraturas do côndilo mandibular, dentre as fraturas faciais, são as que apresentam o maior número de controvérsias quanto ao seu tratamento e maior dificuldade de diagnóstico. A escolha de um tratamento - cirúrgico, bloqueio maxilo-mandibular, fisioterapia elástica ou associação -, está diretamente ligado ao tipo de fratura, à idade do paciente e ao grau de alteração funcional em decorrência da fratura. Os exames por imagens são importantes para o diagnóstico e classificação da fratura, no entanto, os achados clínicos são mais relevantes na indicação de um tratamento cirúrgico ou conservador. Este trabalho tem como objetivo apresentar uma classificação das fraturas do côndilo relacionada com o seu tratamento e relatar dois casos clínicos, sendo um tratado de forma cirúrgica e o outro conservadoramente, discutindo as vantagens e desvantagens do tratamento cirúrgico, bem como as indicações e contra-indicações.Condylar fractures are considered one of the most controversial fractures in face regarding treatment and diagnostic difficulty. Choosing the best treatment, such as surgery, inter maxillary fixation, physiotherapy or their association is directly related to fractures type, patient age and functional impairment degree. Clinical findings are relevant for proper diagnostic but image is fundamental for a precise treatment indication. We present a novel classification based on the condyle deviation and also propose a treatment for each type of fracture regarding age and clinical symptoms. We illustrate this paper with a description of two cases, one submitted to surgical and other to clinical treatment.

  3. Psychological stress alters the ultrastructure and increases IL-1β and TNF-α in mandibular condylar cartilage

    Energy Technology Data Exchange (ETDEWEB)

    Lv, Xin; Li, Qiang; Wu, Shun; Sun, Jing; Zhang, Min; Chen, Yong-Jin [Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi' an, Shaanxi (China)

    2012-06-22

    Psychological factors can be correlated with temporomandibular disorders (TMDs), but the mechanisms are unknown. In the present study, we examined the microstructural changes and expression of proinflammatory cytokines in mandibular condylar cartilage of the temporomandibular joint (TMJ) in a psychological stress animal model. Male Sprague-Dawley rats (8 weeks old, 210 ± 10 g) were randomly divided into 3 groups: psychological stress (PS, N = 48), foot shock (FS, N = 24), and control (N = 48). After inducing psychological stress using a communication box with the FS rats for 1, 3, or 5 weeks, PS rats were sacrificed and compared to their matched control littermates, which received no stress and were killed at the same times as the PS rats. Body and adrenal gland weight were measured and corticosterone and adrenocorticotropic hormone levels were determined by radioimmunoassay. After hematoxylin-eosin staining for histological observation, the ultrastructure of the TMJ was examined by scanning electron microscopy. Transcription and protein levels of interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α) were evaluated by ELISA and semi-quantitative RT-PCR. The PS group showed a significantly higher adrenal gland weight after 3 weeks of stress and higher hormone levels at weeks 1, 3, and 5. Histopathological changes and thinning cartilage were apparent at weeks 3 and 5. In the PS group, TNF-α increased at 1, 3, and 5 weeks and IL-1β increased significantly after 1 and 3 weeks of stress, and then decreased to normal levels by 5 weeks. Psychological stress increased plasma hormone levels and RT-PCR indicated increased IL-1β and TNF-α expression in the TMJ in a time-dependent manner. These results suggest that cytokine up-regulation was accompanied by stress-induced cartilage degeneration in the mandibular condyle. The proinflammatory cytokines play a potential role in initiating the cartilage destruction that eventually leads to the TMDs.

  4. The imbalance of masticatory muscle activity affects the asymmetric growth of condylar cartilage and subchondral bone in rats.

    Science.gov (United States)

    Miyazaki, Mutsumi; Yonemitsu, Ikuo; Takei, Maki; Kure-Hattori, Ikuko; Ono, Takashi

    2016-03-01

    To examine the effects of imbalance of masticatory muscle activity of the rat mandible on the condylar cartilage and subchondral bone during the growth period. Forty 5-week-old male Wistar rats were randomly divided into experimental (n=20) and control (n=20) groups. In the experimental group, the left masseter muscles were resected. The rats were sacrificed at 7 or 9 weeks of age in both groups. Microcomputed tomography was used to determine the three-dimensional morphology and cancellous bone structure. For histological and histochemical examination, 5-μm-thick serial frontal sections of the condyle were stained with toluidine blue and immunostained with asporin and TGF-β1 to evaluate the promotion and inhibition of chondrogenesis. In the experimental group, microcomputed tomography analysis showed asymmetric growth; the resected side condyles showed degenerative changes. Histological analysis showed that the total cartilage in the central region of the resected side was significantly thinner than in the non-resected side in the experimental group, as well as in the control group. Compared with the control group, the expression of asporin was significantly higher in the resected side, and significantly lower in the non-resected side. In contrast, the expression of TGF-β1-immunopositive cells in the non-resected side was significantly higher than in the resected side and the control group. These findings imply that lateral imbalance of masseter muscle activity lead to inhibition of chondrogenesis and induce asymmetric formation of the condyle during the growth period. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. Psychological stress alters the ultrastructure and increases IL-1β and TNF-α in mandibular condylar cartilage

    Directory of Open Access Journals (Sweden)

    Xin Lv

    2012-10-01

    Full Text Available Psychological factors can be correlated with temporomandibular disorders (TMDs, but the mechanisms are unknown. In the present study, we examined the microstructural changes and expression of proinflammatory cytokines in mandibular condylar cartilage of the temporomandibular joint (TMJ in a psychological stress animal model. Male Sprague-Dawley rats (8 weeks old, 210 ± 10 g were randomly divided into 3 groups: psychological stress (PS, N = 48, foot shock (FS, N = 24, and control (N = 48. After inducing psychological stress using a communication box with the FS rats for 1, 3, or 5 weeks, PS rats were sacrificed and compared to their matched control littermates, which received no stress and were killed at the same times as the PS rats. Body and adrenal gland weight were measured and corticosterone and adrenocorticotropic hormone levels were determined by radioimmunoassay. After hematoxylin-eosin staining for histological observation, the ultrastructure of the TMJ was examined by scanning electron microscopy. Transcription and protein levels of interleukin-1β (IL-1β and tumor necrosis factor-α (TNF-α were evaluated by ELISA and semi-quantitative RT-PCR. The PS group showed a significantly higher adrenal gland weight after 3 weeks of stress and higher hormone levels at weeks 1, 3, and 5. Histopathological changes and thinning cartilage were apparent at weeks 3 and 5. In the PS group, TNF-α increased at 1, 3, and 5 weeks and IL-1β increased significantly after 1 and 3 weeks of stress, and then decreased to normal levels by 5 weeks. Psychological stress increased plasma hormone levels and RT-PCR indicated increased IL-1β and TNF-α expression in the TMJ in a time-dependent manner. These results suggest that cytokine up-regulation was accompanied by stress-induced cartilage degeneration in the mandibular condyle. The proinflammatory cytokines play a potential role in initiating the cartilage destruction that eventually leads to the TMDs.

  6. MyPlate Food Guide

    Science.gov (United States)

    ... Choosing the Right Sport for You Shyness MyPlate Food Guide KidsHealth > For Teens > MyPlate Food Guide Print ... other sugary drinks. Avoid oversized portions. continue Five Food Groups Different food groups meet different nutrition needs. ...

  7. What Are Growth Plate Injuries?

    Science.gov (United States)

    ... plate injuries are:  Falling down  Competitive sports (like football)  Recreational activities. Other reasons for growth plate injuries are:  Child abuse  Injury from extreme cold (for ...

  8. Efectos de la calidad sanitaria de la caña semilla en los componentes del rendimiento cultural de las variedades CP 65-357 y LCP 85-384 (Saccharum spp., según diferentes edades de corte (Parte 2 Effects of seedcane quality on yielding components of CP 65-357 and LCP 85-384 (Saccharum spp. varieties at different crop ages (Part 2

    Directory of Open Access Journals (Sweden)

    María B. García

    2011-12-01

    Full Text Available Tradicionalmente, la mayoría de los productores de caña de azúcar de Tucumán utilizó en sus plantaciones, caña semilla proveniente de lotes comerciales con elevada infección de RSD (del inglés "ratoon stunting disease". Esta enfermedad sistémica, causada por Leifsonia xyli subsp. xyli, es ampliamente reconocida por su efecto detrimental sobre el rendimiento cultural. Desde hace pocos años, la disponibilidad de caña semilla saneada hizo viable la incorporación de cambios fundamentales en las prácticas culturales, que posibilitan aumentar la productividad de los cañaverales tucumanos. El objetivo del presente trabajo fue cuantificar el efecto de la calidad sanitaria de la caña semilla sobre el rendimiento cultural y sus componentes en dos variedades comerciales, LCP 85-384 y CP 65-357, a través de seis edades de corte. Este trabajo complementa la información obtenida para las tres primeras edades de corte, ya publicada. Se evaluaron dos calidades de caña semilla: semilla de alta calidad (SAC, saneada por cultivo de meristemas y multiplicada por propagación in vitro, y semilla comercial (SC infectada con RSD. Los tratamientos se implantaron en un diseño en bloques completos al azar con seis repeticiones. En cada edad se evaluaron: número de tallos/ parcela y peso, altura y diámetro de los tallos. Mediante el análisis de la varianza y pruebas de comparación de medias (DMS de Fisher, se determinó que la calidad sanitaria de la semilla afecta los componentes del rendimiento cultural. Se verificaron diferencias a favor de la semilla SAC para peso y altura de los tallos y, en menor medida, para número de tallos. El diámetro de los tallos no resultó afectado por la calidad de la semilla. Para cada edad, se registraron importantes disminuciones en la producción de caña/ha en los tratamientos provenientes de SC respecto a los originados de SAC. Considerando la producción acumulada en las seis cosechas (planta a soca 5, los

  9. Controlling Laminate Plate Elastic Behavior

    OpenAIRE

    Mareš, T.

    2004-01-01

    This paper aims to express the relation of a measure of laminate plate stiffness with respect to the fiber orientation of its plies. The inverse of the scalar product of the lateral displacement of the central plane and lateral loading of the plate is the measure of laminate plate stiffness. In the case of a simply supported rectangular laminate plate this measure of stiffness is maximized, and the optimum orientation of its plies is searched.

  10. Microchannel plate streak camera

    Science.gov (United States)

    Wang, Ching L.

    1989-01-01

    An improved streak camera in which a microchannel plate electron multiplier is used in place of or in combination with the photocathode used in prior streak cameras. The improved streak camera is far more sensitive to photons (UV to gamma-rays) than the conventional x-ray streak camera which uses a photocathode. The improved streak camera offers gamma-ray detection with high temporal resolution. It also offers low-energy x-ray detection without attenuation inside the cathode. Using the microchannel plate in the improved camera has resulted in a time resolution of about 150 ps, and has provided a sensitivity sufficient for 1000 KeV x-rays.

  11. Electronic Equipment Cold Plates

    Science.gov (United States)

    1976-04-01

    equations for such a flow regiae. For laainar flow and Moderate teaperature differwwe« between the well «nd coolant, a aodifled Sieder -Tate...con- figuration. The heat-transfer coefficients, therefore, were determined by using both the Sieder -Tate and McAdams equations and the coaputed...values used In the analytical predictions. As with th* previous cold Plates, the Sieder -Tate equation gave too low of values for the heat- transfer

  12. Elastic plate spallation

    Science.gov (United States)

    Oline, L.; Medaglia, J.

    1972-01-01

    The dynamic finite element method was used to investigate elastic stress waves in a plate. Strain displacement and stress strain relations are discussed along with the stiffness and mass matrix. The results of studying point load, and distributed load over small, intermediate, and large radii are reported. The derivation of finite element matrices, and the derivation of lumped and consistent matrices for one dimensional problems with Laplace transfer solutions are included. The computer program JMMSPALL is also included.

  13. Plate Tearing by a Cone

    DEFF Research Database (Denmark)

    Simonsen, Bo Cerup

    1997-01-01

    The present paper is concerned with steady-state plate tearing by a cone. This is a scenario where a cone is forced through a ductile metal plate with a constant lateral tip penetration in a motion in the plane of the plate. The considered process could be an idealisaton of the damage, which...

  14. Plate Tearing by a Cone

    DEFF Research Database (Denmark)

    Simonsen, Bo Cerup

    1998-01-01

    The present paper is concerned with steady-state plate tearing by a cone. This is a scenario where a cone is forced through a ductile metal plate with a constant lateral tip penetration in a motion in the plane of the plate. The considered process could be an idealisation of the damage, which...

  15. Comparative study on the osseous changes of the TMJ and mandibular asymmetry after conservative or operative treatment in condylar fracture patients

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Su Kyoung; Kim, Kyung A; Kwon, Ki Jeong; Koh, Kwang Joon [Chonbuk National University College of Medicine, Chonju (Korea, Republic of)

    2003-12-15

    To compare the effects of the conservative treatment and operative treatment by observation of osseous changes of the TMJ and mandibular asymmetry in condylar fracture patients. 33 condylar fracture patients (17 with conservative and 16 with operative treatment) were included in this study. After a minimum of 6 months after the surgical procedure, patients were given a follow up examination of the osseous changes using a transcranial view. Differences in the osseous changes of both groups were compared and the asymmetry indices were calculated on a postero-anterior skull view. The TMJ of the operative treatment group showed more significant osseous changes than the conservative treatment group. The affected TMJ showed more significant osseous changes than the unaffected TMJ in the both groups. The unaffected TMJ of the conservative group and the affected TMJ of the operative group showed significant osseous changes. The mandibular asymmetry indices in the conservative and operative group were 5.12 and 7.30 respectively at the time of treatment, and 2.39 and 3.41 respectively at the follow-up. But the mandibular asymmetry between the both groups showed no statistical differences. The TMJ of the operative group showed more significant osseous changes than the conservative group, but the mandibular asymmetry between the both groups showed no statistical differences.

  16. Plate tectonics conserves angular momentum

    Directory of Open Access Journals (Sweden)

    C. Bowin

    2009-03-01

    Full Text Available A new combined understanding of plate tectonics, Earth internal structure, and the role of impulse in deformation of the Earth's crust is presented. Plate accelerations and decelerations have been revealed by iterative filtering of the quaternion history for the Euler poles that define absolute plate motion history for the past 68 million years, and provide an unprecedented precision for plate angular rotation variations with time at 2-million year intervals. Stage poles represent the angular rotation of a plate's motion between adjacent Euler poles, and from which the maximum velocity vector for a plate can be determined. The consistent maximum velocity variations, in turn, yield consistent estimates of plate accelerations and decelerations. The fact that the Pacific plate was shown to accelerate and decelerate, implied that conservation of plate tectonic angular momentum must be globally conserved, and that is confirmed by the results shown here (total angular momentum ~1.4 E+27 kgm2s−1. Accordingly, if a plate decelerates, other plates must increase their angular momentums to compensate. In addition, the azimuth of the maximum velocity vectors yields clues as to why the "bend" in the Emperor-Hawaiian seamount trend occurred near 46 Myr. This report summarizes processing results for 12 of the 14 major tectonic plates of the Earth (except for the Juan de Fuca and Philippine plates. Plate accelerations support the contention that plate tectonics is a product of torques that most likely are sustained by the sinking of positive density anomalies due to phase changes in subducted gabbroic lithosphere at depth in the upper lower mantle (above 1200 km depth. The tectonic plates are pulled along by the sinking of these positive mass anomalies, rather than moving at near constant velocity on the crests of convection cells driven by rising heat. These results imply that spreading centers are primarily passive reactive

  17. Vehicle License Plate Recognition Syst

    Directory of Open Access Journals (Sweden)

    Meenakshi,R. B. Dubey

    2012-12-01

    Full Text Available The vehicle license plate recognition system has greater efficiency for vehicle monitoring in automatic zone access control. This Plate recognition system will avoid special tags, since all vehicles possess a unique registration number plate. A number of techniques have been used for car plate characters recognition. This system uses neural network character recognition and pattern matching of characters as two character recognition techniques. In this approach multilayer feed-forward back-propagation algorithm is used. The performance of the proposed algorithm has been tested on several car plates and provides very satisfactory results.

  18. Using plate mapping to examine portion size and plate composition for large and small divided plates.

    Science.gov (United States)

    Sharp, David E; Sobal, Jeffery; Wansink, Brian

    2014-12-01

    Does the size of a plate influence the serving of all items equally, or does it influence the serving of some foods - such as meat versus vegetables - differently? To examine this question, we used the new method of plate mapping, where people drew a meal on a paper plate to examine sensitivity to small versus large three-compartment divided plates in portion size and meal composition in a sample of 109 university students. The total drawn meal area was 37% bigger on large plates than small plates, which showed that the portion of plate coverage did not differ by plate size. Men and women drew bigger vegetable portions and men drew bigger meat portions on large plates when compared to small plates. These results suggest that men and women are differentially sensitive to plate size for overall meal size and for meal composition. Implications for decreasing portion size and improving meal balance are that plate size may influence portion size and change the proportions of foods served.

  19. Disk displacement, eccentric condylar position, osteoarthrosis - misnomers for variations of normality? Results and interpretations from an MRI study in two age cohorts.

    Science.gov (United States)

    Türp, Jens C; Schlenker, Anna; Schröder, Johannes; Essig, Marco; Schmitter, Marc

    2016-11-17

    Clinical decision-making and prognostic statements in individuals with manifest or suspected temporomandibular disorders (TMDs) may involve assessment of (a) the position of articular disc relative to the mandibular condyle, (b) the location of the condyle relative to the temporal joint surfaces, and (c) the depth of the glenoid fossa of the temporomandibular joints (TMJs). The aim of this study was twofold: (1) Determination of the prevalence of these variables in two representative population-based birth cohorts. (2) Reinterpretation of the clinical significance of the findings. From existing magnetic resonance imaging (MRI) scans of the TMJs that had been taken in 2005 and 2006 from 72 subjects born between 1930 and 1932 and between 1950 and 1952, respectively, the condylar position at closed jaw was calculated as percentage displacement of the condyle from absolute centricity. By using the criteria introduced by Orsini et al. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:489-97, 1998), a textbook-like disc position at closed jaw was distinguished from an anterior location. TMJ morphology of the temporal joint surfaces was assessed at open jaw by measuring the depth of the glenoid fossa, using the method proposed by Muto et al. (J Oral Maxillofac Surg 52:1269-72, 1994). Frequency distributions were recorded for the condylar and disc positions at closed jaw. Student's t-test with independent samples was used as test of significance to detect differences of condylar positions between the age cohorts (1930 vs. 1950) and the sexes. The significance levels were set at 5%. First, the results from the measurement of the age cohorts were compared without differentiation of sexes, i.e., age cohort 1930-1932 versus age cohort 1950-1952. Subsequently, the age cohorts were compared by sex, i.e., men in cohort 1930-1932 versus men in cohort 1950-1952, and women in cohort 1930-1932 women men in cohort 1950-1952. In both cohorts, condylar position was characterized by

  20. Clinical retrospective analysis on 127 cases of condylar fractures%127例髁状突骨折临床病例回顾性分析

    Institute of Scientific and Technical Information of China (English)

    后军; 薛浩伟; 杨文宇; 胡玉坤; 孙明; 张令达

    2013-01-01

    目的 探讨髁状突骨折的发病特点及治疗方案的选择.方法 收集127例髁状突骨折患者的病案资料,从发病人群的年龄结构、性别差异、致伤因素、骨折部位及类型、是否合并伤、治疗方法 与时机、并发症及后遗症等方面进行回顾性分析.结果 髁状突骨折好发于20~39岁人群,发病率男性高于女性,主要致伤因素为交通事故(55.90%),骨折线多位于髁突中上部,尤其是颈部(57.48%),且多合并下颌骨其他部位骨折(74.01%).儿童选择保守治疗、成人选择手术治疗效果较理想.127例中5例患者分别在伤后1~5年发生关节强直.结论 髁状突骨折好发于青壮年男性,交通事故为主要致伤因素,髁突颈部是好发部位,儿童宜选用保守治疗,成人可手术干预,适宜的治疗可减少关节强直等严重并发症.%Objective To explore the characteristics and treatment options of condylar fractures. Methods 127 cases of condylar fractures from 2001 to 2012 in the First Affiliated Hospital of Anhui Medical University were collected, then we retrospectivly analyzed the cases on the age structure, gender difference, injury-factors, fracture sites and types, concomitant injuries, treatment methods and time, complications and sequelaes. Results Condylar fracture occurred mainly in male more than famale, especially those who were 20 ~ 39 years old. Traffic accident was the main injury factor ( 55. 90% ). The fracture lines mostly located in the upper part of the condylar,especially in the neck( 57. 48% ), with fractures of other parts ( 74. 01% ), mainly the other parts of the mandible. The conservative treatment was advised for children, but the surgical treatment was suitable for adults. Among the 127 patients, five suffered the onset of joint ankylosis respectively in 1 ~ 5 years. Conclusion Condylar fracture happens especially on 20 ~ 39 years old male, and the main injury factor is traffic accident. Condyle neck is the

  1. 个体化数字导航模板引导儿童髋部锁定加压接骨板置入的应用%Locking compression pediatric hip plate placement assisted by individualized navigation templates for pediatric hip diseases

    Institute of Scientific and Technical Information of China (English)

    郑朋飞; 徐鹏; 陈杰; 楼跃; 王黎明; 姚庆强; 唐凯

    2016-01-01

    目的 探讨利用计算机辅助设计和3D打印技术制作的个体化手术导航模板实现儿童髋部锁定加压接骨板(locking compression pediatric hip plate,LCP-PHP)精确置入的可行性.方法 2012年1月至2014年12月需使用LCP-PHP治疗的8例患儿,4例股骨颈骨折,4例发育性髋关节脱位.依据CT数据使用3D打印机打印个体化股骨近端模型,计算机辅助模拟骨折复位和LCP-PHP经颈螺钉置入过程,通过软件设计并打印出与股骨近端匹配的经颈螺钉置入导航模板,术前3D模型模拟手术验证可行后,术中在导航模板辅助下置人导针及LCP-PHP.结果 3D打印的个体化手术导航模板术中与股骨近端骨性标志均匹配良好,能够辅助2~3枚螺钉精确置入股骨颈,螺钉置入后经术中X线检查与术前设计基本一致.LCP-PHP置入的手术时间平均约为27.5 min,术中使用X线透视平均6.0次,较9例同期传统手术组显著降低(P<0.05),术后伤口均一期愈合.术后X线片示股骨颈骨折复位良好,股骨近端内翻截骨角度合适,髋关节对股骨头的包容较好.应用导航模板辅助置入的LCP-PHP的进钉点、进钉方向、螺钉长度均与术前设计方案基本一致,螺钉未损伤骺板.术后随访6~12个月,股骨颈骨折处及股骨近端截骨处均愈合、无1例发生股骨头坏死、髋内翻或再脱位.按ratliff评价标准评价髋关节术后功能情况优4例,良4例.结论 3D打印个体化手术导航模板可以辅助LCP-PHP的精确置入,达到预期手术效果,减少医源性股骨颈骨骺及血供损伤,而且可以节省手术时间,减少术中出血,减少患儿及手术操作人员的射线暴露,值得推广应用.%Objective To explore the feasibility and accuracy of a navigation template for placing screws in locking compression pediatric hip plate (LCP-PHP) based on digital design and three-dimensional (3D) printing technology.Methods From January 2012 to December 2014,the

  2. Temperature field of steel plate cooling process after plate rolling

    Directory of Open Access Journals (Sweden)

    Huijun Feng, Lingen Chen, Fengrui Sun

    2015-01-01

    Full Text Available Based on numerical calculation with Matlab, the study on cooling process after plate rolling is carried out, and the temperature field distribution of the plate varying with the time is obtained. The effects of the plate thickness, final rolling temperature, cooling water temperature, average flow rate of the cooling water, carbon content of the plate and cooling method on the plate surface and central temperatures as well as final cooling temperature are discussed. For the same cooling time, the plate surface and central temperatures as well as their temperature difference increase; with the decrease in rolling temperature and the increase in average flow rate of the cooling water, the plate surface and central temperatures decrease. Compared with the single water cooling process, the temperature difference between the plate centre and surface based on intermittent cooling is lower. In this case, the temperature uniformity of the plate is better, and the corresponding thermal stress is lower. The fitting equation of the final cooling temperature with respect to plate thickness, final rolling temperature, cooling water temperature and average flow rate of the cooling water is obtained.

  3. Real Plates and Dubious Microplates

    Science.gov (United States)

    Kogan, M. G.; Steblov, G. M.

    2008-12-01

    From the onset of plate tectonics, the existence of most of the plates was never put in doubt, although the boundaries of some plates, like Africa, were later revised. There are however, two microplates in northeast Asia, the Amurian and Okhotsk, whose existence and the sense of rotation was revised several times. The rms value of plate-residual GPS velocities is 0.5-0.9 mm/a for sets of stations representing the motion of the following plates: Antarctic, Australian, Eurasian, North American, Nubian, Pacific, and South American. This value can be regarded as an upper bound on deviation of real plates from infinite stiffness. The rms value of plate-residual GPS velocities is 1.2-1.8 mm/a for the Indian, Nazca, and Somalian plates. Higher rms values for India and Nazca are attributed to the noisier data. The higher rms value for Somalia appears to arise from the distributed deformation to the east of the East African Rift; whether this statement is true can only be decided from observations of denser network in the future. From the analysis of plate-residual GPS velocities, the Canadian Arctic and northeastern Siberia belong to the North American plate. The detailed GPS survey on Sakhalin Island shows that the Sea of Okhotsk region also belongs to the North American plate while the region to the west of it belongs to the Eurasian plate. These results provide a constraint on the geometry of the North American plate and put in doubt the existence of smaller plates in northeast Asia.

  4. Plate Full of Color

    Centers for Disease Control (CDC) Podcasts

    2008-08-04

    The Eagle Books are a series of four books that are brought to life by wise animal characters - Mr. Eagle, Miss Rabbit, and Coyote - who engage Rain That Dances and his young friends in the joy of physical activity, eating healthy foods, and learning from their elders about health and diabetes prevention. Plate Full of Color teaches the value of eating a variety of colorful and healthy foods.  Created: 8/4/2008 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 8/5/2008.

  5. Dynamics of Tectonic Plates

    CERN Document Server

    Pechersky, E; Sadowski, G; Yambartsev, A

    2014-01-01

    We suggest a model that describes a mutual dynamic of tectonic plates. The dynamic is a sort of stick-slip one which is modeled by a Markov random process. The process defines a microlevel of the dynamic. A macrolevel is obtained by a scaling limit which leads to a system of integro-differential equations which determines a kind of mean field systems. Conditions when Gutenberg-Richter empirical law are presented on the mean field level. These conditions are rather universal and do not depend on features of resistant forces.

  6. Dynamics of Tectonic Plates

    OpenAIRE

    2014-01-01

    We suggest a model that describes a mutual dynamic of tectonic plates. The dynamic is a sort of stick-slip one which is modeled by a Markov random process. The process defines a microlevel of the dynamic. A macrolevel is obtained by a scaling limit which leads to a system of integro-differential equations which determines a kind of mean field systems. Conditions when Gutenberg-Richter empirical law are presented on the mean field level. These conditions are rather universal and do not depend ...

  7. Aquaporin-1 and aquaporin-3 expressions in the temporomandibular joint condylar cartilage after an experimentally induced osteoarthritis

    Institute of Scientific and Technical Information of China (English)

    MENG Juan-hong; MA Xu-chen; LI Zhi-min; WU Deng-cheng

    2007-01-01

    Background Over 70% of the total tissue weight in the cartilage matrix consists of water,and the early-stage osteoarthritic cartilage is characterized by swelling.Water transport in the cartilage matrix and across the membranes of chondrocytes may be important in normal and pathological conditions of cartilage.The purpose of this study was to identify aquaporin-1 (AQP1) and aquaporin-3 (AQP3) expressions in the mandibular condylar cartilage after experimentally induced osteoarthritis(OA)in rats.Methods An experimental temporomandibular joint OA was induced by partial discectomy in rats.The pathological characteristics of the normal,early-stage,and late-stage osteoarthritic TMJ cartilages were verified by histological techniques.The AQP1 and AQP3 gene expressions in the normal and osteoarthritic cartilages were measured using quantitative real-time reverse-transcription PCR analysis.The cartilage sections were incubated in primary polyclonal antibodies to AQP3;immunofluorescent microscopy was used to examine the AQP3 expression shown by its protein level.Results The mRNA expression levels of AQP1 and AQP3,analyzed using quantitative PCR,revealed that AQP3 mRNA was highly up-regulated in the OA cartilage,which was considered significant.There was no notable difference in the expression of AQP1 mRNA between OA and normal controls.With the progressing of the OA,the localization of the AQP3 protein was quite different from that of the normal cartilage.Cormpared to the normal cartilage,the expressions of AQP3 protein were observed mainly in the proliferative zone and the upper mid-zone chondrocytes at the early-stage of OA,and were observed to appear frequently throughout the mid-and deep zone during the late-stage of OA.Conclusions The high expression of AQP3 mRNA in the OA cartilage and the different localization of the AQP3 protein suggest that it may play a particular role in OA pathogenesis.Further study of AQP3 function may provide new insight into the

  8. CMS Resistive plate Champers

    CERN Document Server

    Zainab, Karam

    2013-01-01

    There are many types of gas detectors which are used in CERN in LHC project, There is a main parts for the gas detectors which must be in all gas detectors types like Multiwire proportional chambers, such as the micromesh gaseous structure chamber (the MicroMegas), Gas-electron multiplier (GEM) detector, Resistive Plate Champers... Compact Muon Solenoid (CMS) experiment detecting muons which are powerful tool for recognizing signatures of interesting physics processes. The CMS detector uses: drift tube (DT), cathode strip chamber (CSC) and resistive plate chamber (RPC). Building RPC’s was my project in summer student program (hardware). RPC’s have advantages which are triggering detector and Excellent time resolution which reinforce the measurement of the correct beam crossing time. RPC’s Organized in stations :  RPC barrel (RB) there are 4 stations, namely RB1, RB2, RB3, and RB4  While in the RPC endcap (RE) the 3 stations are RE1, RE2, and RE3. In the endcaps a new starion will be added and this...

  9. Clinical study of surgical treatment in condylar fractures.%髁状突骨折手术治疗的临床研究

    Institute of Scientific and Technical Information of China (English)

    邓书海; 钟凡; 关崧华; 赵继刚; 郭毅

    2011-01-01

    目的:探讨髁状突骨折手术方式和疗效.方法:45 例髁状突骨折患者,年龄 16~65 岁,全部采用下颌后切口,切口长约 4 cm,在腮腺筋膜鞘表面潜行剥离皮瓣,在耳屏至耳垂之间前方,上下方向切开腮腺筋膜,以开窗的方式向深层钝性剥离腮腺,牵开面神经,从咬肌后方切开骨膜,髁状突断端和翼外肌解剖复位,以钛板固定;冲洗关节腔,严密缝合骨膜及切开的关节囊,囊内注射透明质酸钠 2.0 mL;术后进行早期功能锻炼.结果:45 例患者经过 6 个月~4 年的随访观察,骨折全部愈合,面型对称,开口度达到 3.0~3.7 cm,张口型均正常;咬合关系完全满意 42 例,基本满意 3例;咀嚼功能完全满意 41 例,基本满意 4 例;术后出现感染 1 例,经过切开引流、抗炎后治愈;出现面神经功能异常患者 2 例,2 个月后完全恢复;出现关节弹响不适症状患者 1 例,治疗后好转.结论:成人髁突骨折,应首选开放手术治疗;下颌后入路手术方式是治疗髁状突骨折较好的方法.%Objective:To ivstigate the efficacy and modality of surgical treatment in condyar fractures.Method:45 patients (the ages between 16 to 65)with condyar fractures were included in this study.We all used the Behind mandibular incision which were 4cra long.Slit the skin, subcutaneous tissue, and then peeled the skin flap by sneaking on the surface of the parotid fascia sheath.Use the retractor to touch the flap, then slit the Parotid fascia sheath.Infront the place between the tragus to ear lobe.Use the fenestration to blunt dissection parotid in deep.Draw the facial nerve,pefiosteal incision behind the masseter muscle, reduction the condyle stump and wing muscles anatomicaly., and fixed with titanium plate.Finally,flushing joint cavity,suture periosteum and joint capsule incision tightly, Intracystic injection 2.0mi hyaluronic acid.We would give the patients functional exercise in early postoperative.Result:After 6

  10. Localised Plate Motion on Venus

    Science.gov (United States)

    Ghail, R. C.

    1996-03-01

    The volcanic and tectonic features observed in Dali Vinculum, Parga Vinculum and Imdr Regio are concentrated at long, narrow, curvilinear zones, with relatively minor volcanism and tectonism between these zones. These zones, whilst more diffuse than terrestrial plate boundaries, nevertheless define the margins of tectonic plates. In contrast to Earth, however, it appears that venusian plates are neither created nor destroyed by lateral motion. Rather, plates are thinned and intruded at vincula plate boundaries, vertically accreted by small-scale intra-plate (planitia) volcanism and perhaps destroyed by delamination of thickened crust in tesserae and montane regions such as Thetis Regio and Ishtar Terra. The diversity in age both between and within these three areas together with the evidence for infrequent, small scale resurfacing in the planitiae are difficult to reconcile with a non-uniformitarian geological process.

  11. Tectonics of the Easter plate

    Science.gov (United States)

    Engeln, J. F.; Stein, S.

    1984-01-01

    A new model for the Easter plate is presented in which rift propagation has resulted in the formation of a rigid plate between the propagating and dying ridges. The distribution of earthquakes, eleven new focal mechanisms, and existing bathymetric and magnetic data are used to describe the tectonics of this area. Both the Easter-Nazca and Easter-Pacific Euler poles are sufficiently close to the Easter plate to cause rapid changes in rates and directions of motion along the boundaries. The east and west boundaries are propagating and dying ridges; the southwest boundary is a slow-spreading ridge and the northern boundary is a complex zone of convergent and transform motion. The Easter plate may reflect the tectonics of rift propagation on a large scale, where rigid plate tectonics requires boundary reorientation. Simple schematic models to illustrate the general features and processes which occur at plates resulting from large-scale rift propagation are used.

  12. Tectonics of the Easter plate

    Science.gov (United States)

    Engeln, J. F.; Stein, S.

    1984-01-01

    A new model for the Easter plate is presented in which rift propagation has resulted in the formation of a rigid plate between the propagating and dying ridges. The distribution of earthquakes, eleven new focal mechanisms, and existing bathymetric and magnetic data are used to describe the tectonics of this area. Both the Easter-Nazca and Easter-Pacific Euler poles are sufficiently close to the Easter plate to cause rapid changes in rates and directions of motion along the boundaries. The east and west boundaries are propagating and dying ridges; the southwest boundary is a slow-spreading ridge and the northern boundary is a complex zone of convergent and transform motion. The Easter plate may reflect the tectonics of rift propagation on a large scale, where rigid plate tectonics requires boundary reorientation. Simple schematic models to illustrate the general features and processes which occur at plates resulting from large-scale rift propagation are used.

  13. 锁定加压钢板在治疗桡骨远端不稳定骨折中的应用%Locking Compression Plate Fixation for Intraarticular and Unstable Distal Radial Fractures

    Institute of Scientific and Technical Information of China (English)

    张珂; 刘其明; 赵庆华; 李峰; 王予治; 孙羽

    2012-01-01

      目的:探讨锁定加压钢板(locking compression plate,LCP)治疗不稳定型桡骨远端骨折(distal radial fractures,DRF)的效果.方法:分析自2006年1月~2012年5月我院采用锁定加压钢板治疗桡骨远端不稳定骨折20例患者临床资料,其中男12例,女8例;年龄18~66岁,平均年龄44.6岁.按AO桡尺骨远端骨折分型,B2、3型(部分关节面骨折,掌背侧骨块)6例;Cl型(完全关节内骨折,干骺端骨折)7例;C2型(完全关节内骨折,干骺端粉碎骨折)5例;C3型2例.部分患者初期手法复位固定治疗失败.掌侧入路切开复位,LCP内固定治疗.结果:术后门诊随访2~36个月.桡骨远端骨折均完全愈合,按改良的Mcbirde评分和纽约骨科医院腕关节功能评估标准,优良率为85℅(17/20).结论:对桡骨远端不稳定性骨折,掌侧LCP是一种安全有效的治疗方法.%  Objective:To investigate the locking compression plate (locking compression plate,LCP) the effect of the treatment of unstable distal radial fracture (distal radial fractures,DRF). Methods: Analysis from January 2006 to May 2012 using locking compression plate for treatment of distal radius unstable fracture of the clinical data of 20 patients,including 12 males and 8 females; age 18-66 years,mean age 44.6 years old. Radius and ulna in remote according to the AO fracture classification,B2,3 (partial articular fractures,palm dorsal bone) six cases: Cl (complete articular fractures of the metaphyseal fracture) 7 cases; C2,type (full intra-articular fracture,metaphyseal comminuted fracture) 5 cases; C3 type 2 patients. Fixed treatment failure in some patients early manipulative reduction. Volar open reduction and internal fixation in the LCP.Results: Folowed-up from 2 to 36 months,Distal radius fractures are completely healed,the improved Mcbirde score and the New York Orthopaedic Hospital,wrist function evaluation criteria, excellent rate of 85 ℅ (17/20). Conclusion:Volar LCP

  14. Aluminum Manganese Molten Salt Plating

    Science.gov (United States)

    2006-06-01

    Dry fixture thoroughly with the air gun. Be especially careful to dry water out of crevices. Note: water is a contaminant to the plating process...easily destroyed if blown with the air. Be especially careful to dry water out of crevices. Note: water is a contaminant to the plating process and...especially careful to dry water out of crevices. 13. Carefully remove part from fixture. If residual plating solution is present at attachments points

  15. Glass-bead peen plating

    Science.gov (United States)

    Graves, J. R.

    1974-01-01

    Peen plating of aluminum, copper, and nickel powders was investigated. Only aluminum was plated successfully within the range of peen plating conditions studied. Optimum plating conditions for aluminum were found to be: (1) bead/powder mixture containing 25 to 35% powder by weight, (2) peening intensity of 0.007A as measured by Almen strip, and (3) glass impact bead diameter of at least 297 microns (0.0117 inches) for depositing-100 mesh aluminum powder. No extensive cleaning or substrate preparation is required beyond removing loose dirt or heavy oil.

  16. Intermittent plate tectonics?

    Science.gov (United States)

    Silver, Paul G; Behn, Mark D

    2008-01-04

    Although it is commonly assumed that subduction has operated continuously on Earth without interruption, subduction zones are routinely terminated by ocean closure and supercontinent assembly. Under certain circumstances, this could lead to a dramatic loss of subduction, globally. Closure of a Pacific-type basin, for example, would eliminate most subduction, unless this loss were compensated for by comparable subduction initiation elsewhere. Given the evidence for Pacific-type closure in Earth's past, the absence of a direct mechanism for termination/initiation compensation, and recent data supporting a minimum in subduction flux in the Mesoproterozoic, we hypothesize that dramatic reductions or temporary cessations of subduction have occurred in Earth's history. Such deviations in the continuity of plate tectonics have important consequences for Earth's thermal and continental evolution.

  17. VISAS AND GREEN PLATES

    CERN Multimedia

    2000-01-01

    From 3 April 2000, all questions relating to visa requests for Switzerland, France, or Russia for a member of the personnel must be addressed to Ms. Agnita Querrou (telephone 72838, office 5-2-019, e-mail Agnita.Querrou@cern.ch).The Users' Office continues to deal with requests for letters of invitation and questions concerning visas for users in EP Division.Questions relating to removals, requests for green plates, to privileges of members of the personnel and to the importation of vehicles are still dealt with by Ms Zuzana Miller (telephone 79257, office 33-1-017, e-mail Zuzana.Muller@cern.ch) and Ms Joëlle Belleman (telephone 73962, office 33-1-019, e-mail Joelle.Belleman@cern.ch).

  18. Plate tectonics, damage and inheritance.

    Science.gov (United States)

    Bercovici, David; Ricard, Yanick

    2014-04-24

    The initiation of plate tectonics on Earth is a critical event in our planet's history. The time lag between the first proto-subduction (about 4 billion years ago) and global tectonics (approximately 3 billion years ago) suggests that plates and plate boundaries became widespread over a period of 1 billion years. The reason for this time lag is unknown but fundamental to understanding the origin of plate tectonics. Here we suggest that when sufficient lithospheric damage (which promotes shear localization and long-lived weak zones) combines with transient mantle flow and migrating proto-subduction, it leads to the accumulation of weak plate boundaries and eventually to fully formed tectonic plates driven by subduction alone. We simulate this process using a grain evolution and damage mechanism with a composite rheology (which is compatible with field and laboratory observations of polycrystalline rocks), coupled to an idealized model of pressure-driven lithospheric flow in which a low-pressure zone is equivalent to the suction of convective downwellings. In the simplest case, for Earth-like conditions, a few successive rotations of the driving pressure field yield relic damaged weak zones that are inherited by the lithospheric flow to form a nearly perfect plate, with passive spreading and strike-slip margins that persist and localize further, even though flow is driven only by subduction. But for hotter surface conditions, such as those on Venus, accumulation and inheritance of damage is negligible; hence only subduction zones survive and plate tectonics does not spread, which corresponds to observations. After plates have developed, continued changes in driving forces, combined with inherited damage and weak zones, promote increased tectonic complexity, such as oblique subduction, strike-slip boundaries that are subparallel to plate motion, and spalling of minor plates.

  19. Long term outcomes of surgical treatment of distal femoral fractures in post-polio patients with locking compression plates%锁定加压钢板治疗小儿麻痹症后遗症患者股骨远端骨折远期疗效

    Institute of Scientific and Technical Information of China (English)

    熊进; 王渭君; 施鸿飞; 陈东阳; 陈一心; 王骏飞; 王守丰; 邱勇

    2012-01-01

    目的 分析使用锁定加压钢板(LCP)治疗小儿麻痹症(简称儿麻)后遗症患者股骨远端骨折的远期疗效.方法 采用LCP治疗9例儿麻后遗症患者股骨远端骨折(股骨远端骨折5例,髁上骨折2例,髁间骨折2例).分别于术后6周、3个月、6个月、1年及2年时进行规律随访.结果 手术时间1.0~3.0 h,术中出血量50~300 ml.术后住院时间 5~7 d.9例均获完整随访,骨折在术后3~7个月骨性愈合.末次随访时患肢功能均达到受伤前水平.无感染等并发症发生.结论 采用LCP治疗儿麻后遗症患者股骨远端骨折可以减少骨折端暴露,对局部血供、骨膜的破坏小,对疏松骨质具有较好的把持力,降低并发症发生,可获得良好的远期疗效.%Objectives To review the long term outcomes of distal femoral fracture in patients survived from polio by locking compression plates ( LCP ). Methods LCP were used in treating the distal femur fractures of nine polio patients , including five fractures on distal femurs, two supracondylar fractures and two intercondylar fractures. Patients were followed regularly at 6 weeks, i2 weeks, 6 months, one and two years post-operation. Results The duration of operation was i. 0 ~ 3. 0 h while blood loss was 50 ~ 300 ml. Patients were discharged from hospital at 5 ~ 7 days after operation. Bony unions were observed from three to seven months after operation. Patients showed good range of motion of the knee on affected side as that before fracture. Complications including infection were not observed in these patients. Conclusions LCP can provide stable fixation and good long term outcomes for distal femoral fractures in patients survived from polio with less harm on blood supply and periosteum on fracture sites, and less incidence of complication.

  20. Arthroscopic disc fixation to the condylar head. Use of resorbable pins for internal derangement of the temporomandibular joint (stage II-IV). Preliminary report of 34 joints.

    Science.gov (United States)

    Goizueta-Adame, Carlos C; Pastor-Zuazaga, Daniel; Orts Bañón, Juan E

    2014-06-01

    The study describes the arthoscopic use of resorbable pins for the internal derangement of the temporomandibular joint with McCain's technique. Clinical and image features are reported retrospectively. Twenty-seven consecutive patients (34 joints) were included. Symptomatic internal derangement and anterior-medial disc displacement with or without reduction in magnetic resonance images (MRI) were diagnosed in all cases. Two resorbable pins (SmartNail) were placed in each joint employing arthroscopic surgery with a third portal for disc recapture and fixation to condylar head. Clinical data 24 months after surgery are reported (movements, pain score, clicking, laterodeviation, occlusal changes). In eight joints a MRI control was required between 1 and 2 years after surgery. Visual analogue scale values (0-100) decreased from 70.8 to 11.9 (p < 0.001) in the first control (week) and kept down after 24 months of follow-up (VAS: 4.8). Movements began to recover in 3 months and mouth opening increased from 34 mm to 43.2 mm 1 year after surgery (p < 0.001). Clicking, laterodeviation and contralateral excursions improvement were statistically significant (p < 0.001). MRI showed disc fixation to condyle head in closed and opened mouth. Disc fixation to condylar head with resorbable pins is a safe and satisfactory procedure. Pain becomes drastically reduced and mandibular function recovers normal parameters in patients with internal derangement. Copyright © 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  1. Casimir Effect for Dielectric Plates

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    We generalize Kupisewska method to the three-dimensional system and another derivation of the Casimir effect between two dielectric plates is presented based on the explicit quantization of the electromagnetic field in the presence of dielectrics, where the physical meaning of "evanescent mode" is discussed. The Lifshitz's formula is rederived perfect metallic plates will the evanescent modes become unimportant.

  2. Micro-channel plate detector

    Science.gov (United States)

    Elam, Jeffrey W.; Lee, Seon W.; Wang, Hsien -Hau; Pellin, Michael J.; Byrum, Karen; Frisch, Henry J.

    2015-09-22

    A method and system for providing a micro-channel plate detector. An anodized aluminum oxide membrane is provided and includes a plurality of nanopores which have an Al coating and a thin layer of an emissive oxide material responsive to incident radiation, thereby providing a plurality of radiation sensitive channels for the micro-channel plate detector.

  3. Gold plating on spectacle frames.

    Science.gov (United States)

    Kenny, I; Mitchell, J W; Walsh, G

    1997-05-01

    An investigation was carried out into the thickness and standard of application of the plating and lacquer coatings applied to three metal spectacle frames. All conform to BS 6625 (1991) for plating thickness, but there was considerable variation in regularity and porosity.

  4. Plate shell structures of glass

    DEFF Research Database (Denmark)

    Bagger, Anne

    . This modelling technique is used to model a plate shell structure with a span of 11.5 meters in the FE software \\textsc{Abaqus}. The structure is analyzed with six different connection details with varying stiffness characteristics, to investigate the influence of these characteristics on the structural effects...... University, a script has been developed for an automated generation of a given plate shell geometry and a corresponding finite element (FE) model. A suitable FE modelling technique is proposed, suggesting a relatively simple method of modelling the connection detail's stiffness characteristics....... Based on these investigations, and FE analysis of other plate shell models, the structural behaviour is described. Possible methods of estimating the stresses in a given plate shell structure are proposed. The non-linear behaviour of a plate shell structure is investigated for varying parameters...

  5. The moving plate capacitor paradox

    Science.gov (United States)

    Davis, B. R.; Abbott, D.; Parrondo, J. M. R.

    2000-03-01

    For the first time we describe an apparent paradox concerning a moving plate capacitor driven by thermal noise from a resistor. A demon restores the plates of the capacitor to their original position, only when the voltage across the capacitor is small—hence only small forces are present for the demon to work against. The demon has to work harder than this to avoid the situation of perpetual motion, but the question is how? We explore the concept of a moving plate capacitor, driven by noise, a step further by examining the case where the restoring force on the capacitor plates is provided by a simple spring, rather than some unknown demon. We display simulation results with interesting behavior, particularly where the capacitor plates collide with each other.

  6. SAMI Automated Plug Plate Configuration

    CERN Document Server

    Lorente, Nuria P F; Goodwin, Michael

    2012-01-01

    The Sydney-AAO Multi-object Integral field spectrograph (SAMI) is a prototype wide-field system at the Anglo-Australian Telescope (AAT) which uses a plug-plate to mount its 13 x 61-core imaging fibre bundles (hexabundles) in the optical path at the telescope's prime focus. In this paper we describe the process of determining the positions of the plug-plate holes, where plates contain three or more stacked observation configurations. The process, which up until now has involved several separate processes and has required significant manual configuration and checking, is now being automated to increase efficiency and reduce error. This is carried out by means of a thin Java controller layer which drives the configuration cycle. This layer controls the user interface and the C++ algorithm layer where the plate configuration and optimisation is carried out. Additionally, through the Aladin display package, it provides visualisation and facilitates user verification of the resulting plates.

  7. Some LCP Decompositions of Multistage Interconnection Networks

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Some useful layered cross product decompositons are derived both for general bit permutation networks and for(2n-1)-stage multistage interconnection networks. Several issues in related works are clarified and the rearrangeability of some interesting networks are considered. In particular, the rearrangeability of one class of networks is formulated as a new type of combinatorial design problmes.

  8. Thin plate neotectonic models of the Australian plate

    Science.gov (United States)

    Burbidge, D. R.

    2004-10-01

    Thin plate finite element models of the neotectonic deformation of the Australian plate have been calculated in order to estimate the stress and strain rate within the plate, specifically concentrating on the Australian continent. The model includes plate-bounding faults, an anelastic brittle-ductile layered rheology and the option of laterally varying elevation and heat flow. The results of the models are compared to (1) the velocity of geodetic benchmarks on the Australian plate, (2) the spreading rate of the mid-oceanic ridges along the Australian plate's margins, (3) the direction of the maximum horizontal principal stress, (4) the stress regime within the plate, and (5) the crustal thickness estimated from the depth to the base of Mohorovicic discontinuity's transition zone. A variety of models are tested with a wide range of input parameters. The model with the smallest misfit with observations predicts that the strain rate for most of the Australian continent is approximately 10-17 s-1. This model has a slightly lower strain rate in the central Australia and is higher off the northern coast of Australia than for the rest of the continent. Strain rates of this magnitude would be difficult to observe from geodetic or geologic data for most parts of Australia but would be enough to generate much of the seismicity that has been observed over the last century.

  9. Underwater electrical discharge in plate to plate configuration

    Science.gov (United States)

    Stelmashuk, Vitaliy

    2016-09-01

    Two main configurations of high voltage electrodes submersed in water have been used for an electrical discharge generation: pin to pin and pin to plate. An electrical breakdown between plate electrodes is generally difficult to reproduce, because there is a uniform and weak electric field. One major advantage of using plate electrodes is their greater ``wear hardness'' to high-energy discharges. The plate electrodes can withstand extremely high energy deposition at which the pin electrode is quickly destroyed. The electrical discharge between plate electrodes can be initiated by creating an inhomogeneity in the electrical field. Two methods of discharge initiation between plate electrodes are proposed for this aim: 1) focusing of a shock wave in the interelectrode region; 2) a bubble injection into the electrode gap. The shock wave creates favourable conditions for the electrical breakdown between the two plate electrodes: it causes that numerous microbubbles of dissolved air start to grow and serve as locations for streamer initiation. In the second method the gas bubble is injected from the one of the electrodes, which has a gas inlet hole on the lateral face for this purpose. A ``volcano'' like morphology of positive streamers are observed in the experiments with weak electric field. The authors are grateful to MEYS grant INGO LG 15013.

  10. Highly curved microchannel plates

    Science.gov (United States)

    Siegmund, O. H. W.; Cully, S.; Warren, J.; Gaines, G. A.; Priedhorsky, W.; Bloch, J.

    1990-01-01

    Several spherically curved microchannel plate (MCP) stack configurations were studied as part of an ongoing astrophysical detector development program, and as part of the development of the ALEXIS satellite payload. MCP pairs with surface radii of curvature as small as 7 cm, and diameters up to 46 mm have been evaluated. The experiments show that the gain (greater than 1.5 x 10 exp 7) and background characteristics (about 0.5 events/sq cm per sec) of highly curved MCP stacks are in general equivalent to the performance achieved with flat MCP stacks of similar configuration. However, gain variations across the curved MCP's due to variations in the channel length to diameter ratio are observed. The overall pulse height distribution of a highly curved surface MCP stack (greater than 50 percent FWHM) is thus broader than its flat counterpart (less than 30 percent). Preconditioning of curved MCP stacks gives comparable results to flat MCP stacks, but it also decreases the overall gain variations. Flat fields of curved MCP stacks have the same general characteristics as flat MCP stacks.

  11. Indonesian Landforms and Plate Tectonics

    Directory of Open Access Journals (Sweden)

    Herman Th. Verstappen

    2014-06-01

    Full Text Available DOI: 10.17014/ijog.v5i3.103The horizontal configuration and vertical dimension of the landforms occurring in the tectonically unstable parts of Indonesia were resulted in the first place from plate tectonics. Most of them date from the Quaternary and endogenous forces are ongoing. Three major plates – the northward moving Indo-Australian Plate, the south-eastward moving SE-Asian Plate and the westward moving Pacific Plate - meet at a plate triple-junction situated in the south of New Guinea’s Bird’s Head. The narrow North-Moluccan plate is interposed between the Asia and Pacific. It tapers out northward in the Philippine Mobile Belt and is gradually disappearing. The greatest relief amplitudes occur near the plate boundaries: deep ocean trenches are associated with subduction zones and mountain ranges with collision belts. The landforms of the more stable areas of the plates date back to a more remote past and, where emerged, have a more subdued relief that is in the first place related to the resistance of the rocks to humid tropical weathering Rising mountain ranges and emerging island arcs are subjected to rapid humid-tropical river erosions and mass movements. The erosion products accumulate in adjacent sedimentary basins where their increasing weight causes subsidence by gravity and isostatic compensations. Living and raised coral reefs, volcanoes, and fault scarps are important geomorphic indicators of active plate tectonics. Compartmental faults may strongly affect island arcs stretching perpendicular to the plate movement. This is the case on Java. Transcurrent faults and related pull-apart basins are a leading factor where plates meet at an angle, such as on Sumatra. The most complicated situation exists near the triple-junction and in the Moluccas. Modern research methods, such as GPS measurements of plate movements and absolute dating of volcanic outbursts and raised coral reefs are important tools. The mega-landforms resulting

  12. Indonesian Landforms and Plate Tectonics

    Directory of Open Access Journals (Sweden)

    Herman Th. Verstappen

    2014-06-01

    Full Text Available DOI: 10.17014/ijog.v5i3.103The horizontal configuration and vertical dimension of the landforms occurring in the tectonically unstable parts of Indonesia were resulted in the first place from plate tectonics. Most of them date from the Quaternary and endogenous forces are ongoing. Three major plates – the northward moving Indo-Australian Plate, the south-eastward moving SE-Asian Plate and the westward moving Pacific Plate - meet at a plate triple-junction situated in the south of New Guinea’s Bird’s Head. The narrow North-Moluccan plate is interposed between the Asia and Pacific. It tapers out northward in the Philippine Mobile Belt and is gradually disappearing. The greatest relief amplitudes occur near the plate boundaries: deep ocean trenches are associated with subduction zones and mountain ranges with collision belts. The landforms of the more stable areas of the plates date back to a more remote past and, where emerged, have a more subdued relief that is in the first place related to the resistance of the rocks to humid tropical weathering Rising mountain ranges and emerging island arcs are subjected to rapid humid-tropical river erosions and mass movements. The erosion products accumulate in adjacent sedimentary basins where their increasing weight causes subsidence by gravity and isostatic compensations. Living and raised coral reefs, volcanoes, and fault scarps are important geomorphic indicators of active plate tectonics. Compartmental faults may strongly affect island arcs stretching perpendicular to the plate movement. This is the case on Java. Transcurrent faults and related pull-apart basins are a leading factor where plates meet at an angle, such as on Sumatra. The most complicated situation exists near the triple-junction and in the Moluccas. Modern research methods, such as GPS measurements of plate movements and absolute dating of volcanic outbursts and raised coral reefs are important tools. The mega-landforms resulting

  13. SD大鼠髁状突颈部骨折对大鼠髁状突软骨细胞增殖与凋亡的影响%Effect of Unilateral Condylar Neck Fracture on the Proliferation and Apoptosis of Condylar Cartilage Cells in SD Rats

    Institute of Scientific and Technical Information of China (English)

    夏英杰; 陈建中

    2012-01-01

    Objective To investigate the effect of unilateral condylar neck fracture on the proliferation and apoptosis of condylar cartilage cells in SD rats. Methods Eighteen 4 weeks old rats were randomly divided into two groups: experimental group (unilateral condylar neck fracture) , and control group (no operation) . The rats were killed at 1, 3, 5 weeks after surgery, condylar cartilages were obtained in the operating side, non- operating side of rats in experimental group and control group. Immunohistochemical staining was used to qualitively examine the PCNA positive cell, TUNEL was chosen to detect the apoptotic cell. Results There was significant difference in PCNA positive cell number between operating side and non- operating side in experimental group at different time (P <0.01) . There was significant difference in PCNA positive cell number between operating side and non- operating side in control group at 3 and 5 weeks after surgery. There was significant difference in apoptotic cell number between operating side and non- operating side at 1 and 3 weeks after surgery. There was significant difference in apoptotic cell number between operating side and non- operating side in control group at 1 and 5 weeks after surgery. Conclusion The unbalanced stress caused by unilateral condylar neck fracture breaks the balance of cell proliferation and apoptosis, and affects the development of mandible and oralsurface.%目的 研究发育期SD大鼠髁状突颈部骨折对下颌髁状突软骨细胞增殖和凋亡活性的影响.方法 18只4周龄SD大鼠,分为髁状突骨折组及空白对照组,分别于术后1周、3周、5周时脱颈处死,取骨折组手术侧、非手术侧及空白对照组髁状突软骨,分别采用免疫组织化学染色和TUNEL染色,观察髁状突软骨细胞中增殖细胞核抗原(PCNA)阳性细胞数和凋亡细胞数.结果 在各时间点,手术侧、非手术侧的PCNA阳性细胞数存在统计学差异(P<0.01).术后3、5周,空白

  14. 下颌不对称后退术后两侧髁突位置变化的比较%Comparison of the Condylar Positional Changes between the Two Sides after Asymmetric Andibular Setback

    Institute of Scientific and Technical Information of China (English)

    王颖; 曲卫国; 丰鑫; 屈振宇

    2013-01-01

    目的:应用锥形束CT(cone-beam computed tomography,CBCT)比较双侧下颌支矢状劈开(SSRO)不对称后退下颌骨(asymmetric mandibular setback,AMS)术后两侧髁突位置的变化.方法:16例下颌偏突颌畸形患者,采用双侧下颌升支矢状劈开截骨术(BSSRO)后退下颌骨,小钛板坚固内固定(rigid internal fixation,RIF),分别于术前(T0)和术后1周(T1)做CBCT检查,利用InVivo dental软件测量双侧髁突的位置及角度变化,采用SPSS Statistics 17.0软件对数据进行统计分析.结果:术前除冠状位髁突头长轴的角度外,两侧髁突各观测指标均无统计学差异,术后1周两侧冠状位髁突颈的角度、轴位两侧髁突头的角度变化、冠状位后退距离小的一侧髁突颈的角度变化、矢状位后退距离大的一侧髁突前后向位置变化有统计学意义,两侧的改变程度仅轴位内外向变化和矢状位前后向变化具有统计学意义.结论:小钛板坚固内固定的SSRO不对称后退下颌骨可能会对两侧髁突产生不同的影响.%Objective:To compare the positional changes of the condylar between greater setback side(GSS) and lesser setback side (LSS) after asymmetric mandibular setback (AMS) using cone beam computed tomography (CBCT).Methods:16 skeletal class Ⅲ malocclusion patients with mandibular prognathism and facial asymmetry,who underwent bilateral sagittal split ramus osteotomy(BSSRO) with miniplate rigid internal fixation,were as sessed by CBCT before surgery(T0) and 1 week after surgery(T1).Results:At T0 stage,all the variables,except for coronal condylar head long axis angle(CHA),showed significant difference.At T1 stage,the coronal condylar neck long axis angle (CNA) showed significantly different between the two sides.The axial condylar head long axis angle(AHA) in both GSS and LSS,the CNA in the lesser setback side and the anteroposterior condylar position (AP) in GSS on the sagittal view showed statistically different from that at T0

  15. 髁突颈部骨折对下颌骨生长发育的影响%Effect of condylar neck fractures on growth and development of mandible.

    Institute of Scientific and Technical Information of China (English)

    朱房勇; 兰柳萍; 胡瑜; 李松

    2009-01-01

    Condylar neck is one of the most predilection sites of mandibular fractures. The treatment target of fractures is not only limited to the healing of fractures, but more to the change and mechanism in growth and development of mandible after fractures. This article reviewed the study of the effect of condylar neck fractures on the development of mandible.%髁突颈部是下颌骨骨折的好发部位之一.对于髁突颈部骨折的治疗目标不仅局限于骨折的愈合,而更多地考虑到在骨折发生后下颌骨的生长发育.本文就髁突颈部骨折对下颌骨生长发育影响的研究进展做一综述.

  16. The concept of locking plates.

    Science.gov (United States)

    Cronier, P; Pietu, G; Dujardin, C; Bigorre, N; Ducellier, F; Gerard, R

    2010-05-01

    After a short historical review of locking bone plates since their inception more than a century ago to the success of the concept less than 15 years ago with today's plates, the authors present the main locking mechanisms in use. In the two broad categories - plates with fixed angulation and those with variable angulation - the screw head is locked in the plate with a locknut by screwing in a threaded chamber on the plate or by screwing through an adapted ring. The authors then provide a concrete explanation, based on simple mechanical models, of the fundamental differences between conventional bone plates and locking plates and why a locking screw system presents greater resistance at disassembly, detailing the role played by the position and number of screws. The advantages of epiphyseal fixation are then discussed, including in cases of mediocre-quality bone. For teaching purposes, the authors also present assembly with an apple fixed with five locking screws withstanding a 47-kg axial load with no resulting disassembly. The principles of plate placement are detailed for both the epiphysis and diaphysis, including the number and position of screws and respect of the soft tissues, with the greatest success assured by the minimally invasive and even percutaneous techniques. The authors then present the advantages of locking plates in fixation of periprosthetic fractures where conventional osteosynthesis often encounters limited success. Based on simplified theoretical cases, the economic impact in France of this type of implant is discussed, showing that on average it accounts for less than 10% of the overall cost of this pathology to society. Finally, the possible problems of material ablation are discussed as well as the means to remediate these problems.

  17. Partially light-controlled imager based on liquid crystal plate and image intensifier for aurora and airglow measurement.

    Science.gov (United States)

    Tang, Yuanhe; Cao, Xiangang; Liu, Hanchen; Shepherd, G G; Liu, Shulin; Gao, Haiyang; Yang, Xusan; Wu, Yong; Wang, Shuiwei

    2012-04-20

    In order to obtain information both of aurora and airglow in one image by the same detector, a PLCI based on liquid crystal plate LCP and super second-generation image intensifier SSGII is proposed in this research. The detection thresholds of the CCD for aurora and airglow are calculated. For the detectable illumination range of 10(4)-10(-2) lx, the corresponding electron count is 1.57×10(5) - 0.2 for every pixel of CCD. The structure and work principle of the PLCI are described. An LC is introduced in the front of CCD to decrease the intensities of aurora in overexposure areas by means of controlling transmittances pixel by pixel, while an image intensifier is set between the LC and CCD to increase the intensity of the weak airglow. The modulation transfer function MTF of this system is calculated as 0.391 at a Nyquist frequency of 15 lp/mm. The curve of transmittance with regard to gray level for the LC is obtained by calibration experiment. Based on the design principle, the prototype is made and used to take photos of objects under strong light greater than 2×10(5) lx. The clear details of [symbols: see text] presented in the image indicate that the PLCI can greatly improve the imaging quality. The theoretical calculations and experiment results prove that this device can extend the dynamic range and it provides a more effective method for upper atmospheric wind measurement.

  18. Optical Near-Field Plates

    Science.gov (United States)

    2015-04-08

    color filtering and spectral imaging ,” Nat. Comm. 1, 59 (2010). 3. H.-F. Shi and L. J. Guo, “Design of Plasmonic Near Field Plate at Opitical...AFRL-OSR-VA-TR-2015-0085 OPTICAL NEAR-FILED PLATES Roberto Merlin UNIVERSITY OF MICHIGAN Final Report 04/08/2015 DISTRIBUTION A: Distribution...03-2015 Final 09/01/2009-12/31/2014 Optical Near-Field Plates FA9550-09-1-0636 erlin, Roberto, D. The University of Michigan Ann Arbor, MI 48109

  19. Plate shell structures of glass

    DEFF Research Database (Denmark)

    Bagger, Anne

    to their curved shape. A plate shell structure maintains a high stiffness-to-weight ratio, while facilitating the use of plane structural elements. The study focuses on using laminated glass panes for the load bearing facets. Various methods of generating a plate shell geometry are suggested. Together with Ghent......, such as facet size, imperfections, and connection characteristics. The critical load is compared to that of a similar, but smoothly curved, shell structure. Based on the investigations throughout the study, a set of guidelines for the structural design of plate shells of glass is proposed....

  20. Comparative endurance testing of the Biomet Matthews Nail and the Dynamic Compression Screw, in simulated condylar and supracondylar femoral fractures

    OpenAIRE

    Davies Benjamin M; Davidson Jerome A; O'Connor-Read Laurence M; Matthews Michael G; Smirthwaite Paul

    2008-01-01

    Abstract Background The dynamic compression screw is a plate and screws implant used to treat fractures of the distal femur. The Biomet Matthews Nail is a new retrograde intramedullary nail designed as an alternative surgical option to treat these fractures. The objective of this study was to assess the comparative endurance of both devices. Method The dynamic compression screw (DCS) and Biomet Matthews Nail (BMN) were implanted into composite femurs, which were subsequently cyclically loaded...