3066 consecutive Gamma Nails. 12 years experience at a single centre

<p>Abstract</p> <p>Background</p> <p>Fixation of trochanteric hip fractures using the Gamma Nail has been performed since 1988 and is today well established and wide-spread. However, a number of reports have raised serious concerns about the implant's complication rate. The main focus has been the increased risk of a subsequent femoral shaft fracture and some authors have argued against its use despite other obvious advantages, when this implant is employed.</p> <p>Through access to a uniquely large patient data base available, which is available for analysis of trochanteric fractures; we have been able to evaluate the performance of the Gamma Nail over a twelve year period.</p> <p>Methods</p> <p>3066 consecutive patients were treated for trochanteric fractures using Gamma Nails between 1990 and 2002 at the Centre de Traumatologie et de l'Orthopedie (CTO), Strasbourg, France. These patients were retrospectively analysed. Information on epidemiological data, intra- and postoperative complications and patients' outcome was retrieved from patient notes. All available radiographs were assessed by a single reviewer (AJB).</p> <p>Results</p> <p>The results showed a low complication rate with the use of the Gamma Nail. There were 137 (4.5%) intraoperative fracture-related complications. Moreover 189 (6.2%) complications were detected postoperatively and during follow-up. Cut-out of the lag screw from the femoral head was the most frequent mechanical complication (57 patients, 1.85%), whereas a postoperative femoral shaft fracture occurred in 19 patients (0.6%). Other complications, such as infection, delayed healing/non-union, avascular femoral head necrosis and distal locking problems occurred in 113 patients (3.7%).</p> <p>Conclusions</p> <p>The use of the Gamma Nail in trochanteric hip fractures is a safe method with a low complication rate. In particular, a low rate of femoral shaft fractures was reported. The low complication rate reported in this series can probably be explained by strict adherence to a proper surgical technique.</p

Structural integrity assessment via coating tolerant thermography

Abstract This paper describes a new thermal method, Coating Tolerant Forced Diffusion Thermography, specifically designed to inspect large steel bridge structures. Coating Tolerant Thermography separates the effects of structural defects and variations in emissivity. The technique is a derivative of Forced Diffusion Thermography which uses patterned radiation to force heat flow in-plane to specifically target cracks. This paper presents the fundamentals of Coating Tolerant Forced Diffusion Thermography including the mathematical bases for the separation of thermal gradients and emissivity gradients. Also, presented are case studies including the inspection of a bridge girder

AN OPEN SCIENCE APPROACH TO GIS-BASED PALEOENVIRONMENT DATA

Paleoenvironmental studies and according information (data) are abundantly published and available in the scientific record. However, GIS-based paleoenvironmental information and datasets are comparably rare. Here, we present an Open Science approach for creating GIS-based data and maps of paleoenvironments, and Open Access publishing them in a web based Spatial Data Infrastructure (SDI), for access by the archaeology and paleoenvironment communities. We introduce an approach to gather and create GIS datasets from published non-GIS based facts and information (data), such as analogous maps, textual information or figures in scientific publications. These collected and created geo-datasets and maps are then published, including a Digital Object Identifier (DOI) to facilitate scholarly reuse and citation of the data, in a web based Open Access Research Data Management Infrastructure. The geo-datasets are additionally published in an Open Geospatial Consortium (OGC) standards compliant SDI, and available for GIS integration via OGC Open Web Services (OWS)