Kombinierte dorsale und palmare Plattenosteosynthese bei distalen intraartikulären Radiusfrakturen

Zusammenfassung: Hintergrund: Behandlungsziel bei komplexen distalen intraartikulären Radiusfrakturen ist die anatomische Gelenkrekonstruktion. In seltenen Fällen kann dies nur mit einer kombinierten, dorsalen und palmaren Abstützung erreicht werden, trotz der zunehmenden Erfahrung mit winkelstabilen palmaren Implantaten. Diese retrospektive Qualitätskontrollstudie untersucht das funktionelle, radiologische und subjektive Outcome der mit dieser Technik operierten Patienten. Patienten und Methoden : An der Klinik für Unfallchirurgie des Universitätsspital Zürich wurden zwischen März 1999 und Januar 2003 von 360 Patienten mit instabiler distaler Radiusfraktur 30 Patienten mit komplexer C2-/C3-Fraktur über einen kombinierten dorsopalmaren Zugang mit einer 3,5-mm-T-Platte und dorsal mit zwei 1/4-Rohr-Platten behandelt und in die Studie eingeschlossen (9 Frauen, 21Männer, Mittelwert des Alters 52). Nachkontrolliert werden konnten 25 der 30 Patienten im Mittel 29 Monate nach Unfall. Ergebnisse: Die angestrebte anatomische Rekonstruktion gelang nicht bei allen Patienten: 56% zeigten leichte, 28% schwere Zeichen der Arthrose. Die Flexion erreichte 66%, die Extension 75% der gesunden Seite, Pronation und Supination sogar 98 bzw. 91%. Die Kraft beim Faustschluss betrug 75% der kontralateralen Seite. Zehn Patienten (40%) entwickelten im Verlauf ein komplexes regionales Schmerzsyndrom (CRPS). Die Rückkehr zur Arbeit war nach 120 Tagen möglich. Schlussfolgerung: Die dorsopalmare Plattenosteosynthese komplexer, distaler intraartikulärer Radiusfrakturen erlaubt eine Gelenkrekonstruktion mit gutem subjektivem, funktionellem und radiologischem Resultat, dies trotz des durch den beidseitigen Zugang verursachten zusätzlichen Weichteilschaden. Das hohe CRPS-Risiko, aber auch der lange Arbeitsausfall müssen bei der Patientenaufklärung berücksichtigt werde

a comparison of morphological and petrological methods

In planetary sciences, the emplacement of lava flows is commonly modelled using a single rheological parameter (apparent viscosity or apparent yield strength) calculated from morphological dimensions using Jeffreysʼ and Hulmeʼs equations. The rheological parameter is then typically further interpreted in terms of the nature and chemical composition of the lava (e.g., mafic or felsic). Without the possibility of direct sampling of the erupted material, the validity of this approach has remained largely untested. In modern volcanology, the complex rheological behaviour of lavas is measured and modelled as a function of chemical composition of the liquid phase, fractions of crystals and bubbles, temperature and strain rate. Here, we test the planetary approach using a terrestrial basaltic lava flow from the Western Volcanic Zone in Iceland. The geometric parameters required to employ Jeffreysʼ and Hulmeʼs equations are accurately estimated from high-resolution HRSC-AX Digital Elevation Models. Samples collected along the lava flow are used to constrain a detailed model of the transient rheology as a function of cooling, crystallisation, and compositional evolution of the residual melt during emplacement. We observe that the viscosity derived from the morphology corresponds to the value estimated when significant crystallisation inhibits viscous deformation, causing the flow to halt. As a consequence, the inferred viscosity is highly dependent on the details of the crystallisation sequence and crystal shapes, and as such, is neither uniquely nor simply related to the bulk chemical composition of the erupted material. This conclusion, drawn for a mafic lava flow where crystallisation is the primary process responsible for the increase of the viscosity during emplacement, should apply to most of martian, lunar, or mercurian volcanic landforms, which are dominated by basaltic compositions. However, it may not apply to felsic lavas where vitrification resulting from degassing and cooling may ultimately cause lava flows to halt

Brain oscillatory activity as a biomarker of motor recovery in chronic stroke

In the present work, we investigated the relationship of oscillatory sensorimotor brain activity to motor recovery. The neurophysiological data of 30 chronic stroke patients with severe upper‐limb paralysis are the basis of the observational study presented here. These patients underwent an intervention including movement training based on combined brain–machine interfaces and physiotherapy of several weeks recorded in a double‐blinded randomized clinical trial. We analyzed the alpha oscillations over the motor cortex of 22 of these patients employing multilevel linear predictive modeling. We identified a significant correlation between the evolution of the alpha desynchronization during rehabilitative intervention and clinical improvement. Moreover, we observed that the initial alpha desynchronization conditions its modulation during intervention: Patients showing a strong alpha desynchronization at the beginning of the training improved if they increased their alpha desynchronization. Patients showing a small alpha desynchronization at initial training stages improved if they decreased it further on both hemispheres. In all patients, a progressive shift of desynchronization toward the ipsilesional hemisphere correlates significantly with clinical improvement regardless of lesion location. The results indicate that initial alpha desynchronization might be key for stratification of patients undergoing BMI interventions and that its interhemispheric balance plays an important role in motor recovery.Bundesministerium für Bildung und Forschung, Grant/Award Numbers: 13GW0053, 16SV7754; Deutsche Forschungsgemeinschaft; Deutscher Akademischer Austauschdienst, Grant/Award Number: 9156335

Interaction imaging with amplitude-dependence force spectroscopy

Knowledge of surface forces is the key to understanding a large number of processes in fields ranging from physics to material science and biology. The most common method to study surfaces is dynamic atomic force microscopy (AFM). Dynamic AFM has been enormously successful in imaging surface topography, even to atomic resolution, but the force between the AFM tip and the surface remains unknown during imaging. Here, we present a new approach that combines high accuracy force measurements and high resolution scanning. The method, called amplitude-dependence force spectroscopy (ADFS) is based on the amplitude-dependence of the cantilever's response near resonance and allows for separate determination of both conservative and dissipative tip-surface interactions. We use ADFS to quantitatively study and map the nano-mechanical interaction between the AFM tip and heterogeneous polymer surfaces. ADFS is compatible with commercial atomic force microscopes and we anticipate its wide-spread use in taking AFM toward quantitative microscopy

Sustainable Management of Water Resources

The Dawn spacecraft arrived at dwarf planet Ceres in spring 2015 and imaged its surface from four successively lower polar orbits at ground sampling dimensions between ∼1.3 km/px and ∼35 m/px. To understand the geological history of Ceres a mapping campaign was initiated to produce a set of 15 quadrangle-based geological maps using the highest-resolution Framing Camera imagery. Here we present the geological map of the Ac-10 Rongo Quadrangle, which is located at the equator encompassing the region from 22°N to 22°S and 288° to 360°E. The total relief within the quadrangle is 11.1 km with altitudes ranging from about −7.3 km to +3.8 km. We identified nine geological units based on surface morphology and surface textural characteristics. The dominant and most widespread unit is the cratered terrain (crt) representing ancient reworked crustal material. Its consistent formation age across the quadrangle is 1.8 Ga. Two edifices (unit th), Ahuna Mons and an unnamed tholus within Begbalel Crater, are interpreted to be of (cryo)volcanic origin. The southwest portion of the quadrangle is dominated by ejecta material (Ye) emplaced during the formation of the 260-km diameter Yalode impact basin at about 580 Ma. Rayed crater ejecta material (cr) is dominant in the eastern part of the quadrangle but also occurs in isolated patches up to a distance of 455 km from the 34 km diameter source crater Haulani. The remaining five geological units also represent impact crater materials: degraded rim (crdeg), bright crater (cb), hummocky floor (cfh), talus (ta), and crater (c) materials. Widespread Yalode and Haulani ejecta materials can potentially be utilised as stratigraphic markers. Therefore, it is essential to consistently map their full areal extent and to date their formations using impact crater statistics

Latest Developments from the S-DALINAC*

The S-DALINAC is a 130 MeV superconducting recirculating electron accelerator serving several nuclear and radiation physics experiments as well as driving an infrared free-electron laser. A system of normal conducting rf resonators for noninvasive beam position and current measurement was established. For the measurement of gamma-radiation inside the accelerator cave a system of Compton diodes has been developed and tested. Detailed investigations of the transverse phasespace were carried out with a tomographical reconstruction method of optical transition radiation spots. The method can be applied also to non-Gaussian phasespace distributions. The results are in good accordance with simulations. To improve the quality factor of the superconducting 3 GHz cavities, an external 2K testcryostat was commissioned. The influence of electro-chemical polishing and magnetic shielding is currently under investigation. A digital rf-feedback-system for the accelerator cavities is being developed in order to improve the energy spread of the beam of the S-DALINAC. * Supported by the BMBF under contract no. 06 DA 820, the DFG under contract no. Ri 242/12-1 and -2 and the DFG Graduiertenkolleg 'Physik und Technik von Beschleunigern