30 research outputs found
An Immediate Weight Bearing Protocol versus Stress Radiography to Determine Ankle Stability in Patients with Isolated SER Distal Fibula Fractures
Phase clustering in complex networks of delay-coupled oscillatos
We study the clusterization of phase oscillators coupled with delay in complex networks. For the case of difussive oscillators, we formulate the equations relating the topology of the network and the phases and frequencies of the oscillators (functional response). We solve them exactly in directed networks for the case of perfect synchronization. We also compare the reliability of the solution of the linear system for non-linear couplings. Taking advantage of the form of the solution, we propose a frequency adaptation rule to achieve perfect synchronization. We also propose a mean-field theory for uncorrelated random networks that proves to be pretty accurate to predict phase synchronization in real topologies, as for example the C.elegans or the Autonomous Systems connectivity.Peer reviewe
Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures
Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo
Standards of external fixation in prolonged applications to allow safe conversion to definitive extremity surgery: the Aachen algorithm for acute ex fix conversion
Early fixation strategies for high energy pelvic ring injuries - the Zurich algorithm
In isolated high energy pelvic ring injuries, early surgical and nonsurgical fixation belongs to the rescue tools required for rapid recovery. With the increasing use of pelvic binders on scene, these patients frequently arrive in a better condition at the level I trauma centre than without any measures of immobilisation. We describe our surgical tools to achieve rapid fixation within the first hours after arrival, taking into account if additional injuries or special stations are relevant