Development of a Step Counting Algorithm Using the Ambulatory Tibia Load Analysis System for Tibia Fracture Patients

Introduction: Ambulation can be used to monitor the healing of lower extremity fractures. However, the ambulatory behavior of tibia fracture patients remains unknown due to an inability to continuously quantify ambulation outside of the clinic. The goal of this study was to design and validate an algorithm to assess ambulation in tibia fracture patients using the ambulatory tibial load analysis system during recovery, outside of the clinic. Methods Data were collected from a cyclic tester, 14 healthy volunteers performing a 2-min walk test on the treadmill, and 10 tibia fracture patients who wore the ambulatory tibial load analysis system during recovery. Results The algorithm accurately detected 2000/2000 steps from simulated ambulatory data. (see full text for full abstract

Volume Analysis of the Proximal Tibial Metaphysis

Purpose The Vitrea 2 imaging software (Vital Images Inc, Minnetonka, MN) was used for the volume analysis of the proximal tibial metaphysis. Materials and Methods Eighteen computed tomography scans of the proximal tibia were processed through the software, and 3-dimensional imaging of the proximal tibia was reconstructed. Results The volume and area of the proximal tibia that were generated resulted in a mean area of 127 cm2 and a mean volume of 77.2 cm2. Conclusion This study supports the use of the proximal tibial metaphysis as a source of low to moderate volume of autologous bone. When compared with the accepted average volume of 25 cm2, the computed results showed that there could be up to 3 times the amount of bone available in the proximal tibial metaphysis. The reported volume of bone harvested from previous studies was based on need and not the total amount available; subsequently, the results showed the possibility of a larger resource of bone, which provides the surgeon with the volumetrical limits of the proximal tibia metaphysis

Quantitative trait loci for bone traits segregating independently of those for growth in an F-2 broiler X layer cross

An F broiler-layer cross was phenotyped for 18 skeletal traits at 6, 7 and 9 weeks of age and genotyped with 120 microsatellite markers. Interval mapping identified 61 suggestive and significant QTL on 16 of the 25 linkage groups for 16 traits. Thirty-six additional QTL were identified when the assumption that QTL were fixed in the grandparent lines was relaxed. QTL with large effects on the lengths of the tarsometatarsus, tibia and femur, and the weights of the tibia and femur were identified on GGA4 between 217 and 249 cM. Six QTL for skeletal traits were identified that did not co-locate with genome wide significant QTL for body weight and two body weight QTL did not coincide with skeletal trait QTL. Significant evidence of imprinting was found in ten of the QTL and QTL x sex interactions were identified for 22 traits. Six alleles from the broiler line for weight- and size-related skeletal QTL were positive. Negative alleles for bone quality traits such as tibial dyschondroplasia, leg bowing and tibia twisting generally originated from the layer line suggesting that the allele inherited from the broiler is more protective than the allele originating from the layer

Sound propagation through bone tissue

Effect of perforation on structure borne sound propagation through rigid porous materials has been investigated. Experimental works has been carried out on rigid porous materials with and without perforations. A low frequency vibration has been applied to excite the material structure by using a force transducer connected a shaker to detect the changes in resulting response. Applied vibration on sample surface causes structure borne sound wave to propagate through the material. The resulting response of this structural borne vibration is detected by using an accelerometer. The results with and without perforation of the sample have been compared. The results show that changing the structure of the material has an effect on the amplitude, shape and arrival time of the transmitted acoustic wave

Intramedullary Nailing of Periarticular Fractures

Plate fixation has historically been the preferred surgical treatment method for periarticular fractures of the lower extremity. This trend has stemmed from difficulties with fracture reduction and concerns of inadequate fixation with intramedullary implants. However, the body of literature on management of periarticular fractures of the lower extremities has expanded in recent years, indicating that intramedullary nailing of distal femur, proximal tibia, and distal tibia fractures may be the preferred method of treatment in some cases. Intramedullary nailing reliably leads to excellent outcomes when performed for appropriate indications and when potential difficulties are recognized and addressed

First contribution to the knowledge of the braconid wasps (Hymenoptera, Braconidae) of Malta

A total of 48 species of braconid wasps (excluding 16 Aphidiidae) are here reported as occurring in the Maltese Islands, of which 38 species are reported for the first time from this territory. The braconid species of Malta belong to 13 subfamilies, of which two are the richest in terms of species diversity: Braconinae with 10 and Microgastrinae with 16 species. One Microgastrinae, Dolichogenidea zerafai sp. n. is described and distinguished from closely related species. The majority of the known species are widely distributed in Europe or in the Palaearctic. The braconid material is deposited in D. Mifsud’s private collection, with a few duplicates in the Hungarian Natural History Museum, Budapest.peer-reviewe

East African pholcid spiders: an overview, with descriptions of eight new species (Araneae, Pholcidae)

This paper summarizes current knowledge about East African pholcids. East Africa is defined as the area from 12°S to 5°N and from 28° to 42°E, including all of Uganda, Kenya, Burundi, Rwanda, and Tanzania. An annotated list of the 15 genera and 87 species recorded from this area is given, together with distribution maps and an identification key to genera. Most East African species (90%) belong to one of only six genera: Buitinga Huber, 2003 (21 species); Smeringopus Simon, 1890 (18); Pholcus Walckenaer, 1805 (17); Spermophora Hentz, 1841 (12); Leptopholcus Simon, 1893 (5) and Quamtana Huber, 2003 (4). Eight species for which DNA sequence data have been published recently are newly described: Buitinga batwa sp. nov., B. wataita sp. nov., Spermophora mau sp. nov., S. maathaiae sp. nov., S. bukusu sp. nov., S. kirinyaga sp. nov., S. kyambura sp. nov. and Quamtana nyahururu sp. nov. Crossopriza johncloudsleyi Deeleman-Reinhold & van Harten, 2001, previously only known from Yemen, is redescribed based on specimens from Kenya. Additional new records are given for 21 previously described species

Persistent Biomechanical Alterations After ACL Reconstruction Are Associated With Early Cartilage Matrix Changes Detected by Quantitative MR.

BackgroundThe effectiveness of anterior cruciate ligament (ACL) reconstruction in preventing early osteoarthritis is debated. Restoring the original biomechanics may potentially prevent degeneration, but apparent pathomechanisms have yet to be described. Newer quantitative magnetic resonance (qMR) imaging techniques, specifically T1ρ and T2, offer novel, noninvasive methods of visualizing and quantifying early cartilage degeneration.PurposeTo determine the tibiofemoral biomechanical alterations before and after ACL reconstruction using magnetic resonance imaging (MRI) and to evaluate the association between biomechanics and cartilage degeneration using T1ρ and T2.Study designCohort study; Level of evidence, 2.MethodsKnee MRIs of 51 individuals (mean age, 29.5 ± 8.4 years) with unilateral ACL injuries were obtained prior to surgery; 19 control subjects (mean age, 30.7 ± 5.3 years) were also scanned. Follow-up MRIs were obtained at 6 months and 1 year. Tibial position (TP), internal tibial rotation (ITR), and T1ρ and T2 were calculated using an in-house Matlab program. Student t tests, repeated measures, and regression models were used to compare differences between injured and uninjured sides, observe longitudinal changes, and evaluate correlations between TP, ITR, and T1ρ and T2.ResultsTP was significantly more anterior on the injured side at all time points (P < .001). ITR was significantly increased on the injured side prior to surgery (P = .033). At 1 year, a more anterior TP was associated with elevated T1ρ (P = .002) and T2 (P = .026) in the posterolateral tibia and with decreased T2 in the central lateral femur (P = .048); ITR was associated with increased T1ρ in the posteromedial femur (P = .009). ITR at 6 months was associated with increased T1ρ at 1 year in the posteromedial tibia (P = .029).ConclusionPersistent biomechanical alterations after ACL reconstruction are related to significant changes in cartilage T1ρ and T2 at 1 year postreconstruction. Longitudinal correlations between ITR and T1ρ suggest that these alterations may be indicative of future cartilage injury, leading to degeneration and osteoarthritis.Clinical relevanceNewer surgical techniques should be developed to eliminate the persistent anterior tibial translation commonly seen after ACL reconstruction. qMR will be a useful tool to evaluate the ability of these newer techniques to prevent cartilage changes

Relationship between Tibial conformation, cage size and advancement achieved in TTA procedure

Previous studies have suggested that there is a theoretical discrepancy between the cage size and the resultant tibial tuberosity advancement, with the cage size consistently providing less tibial tuberosity advancement than predicted. The purpose of this study was to test and quantify this in clinical cases. The hypothesis was that the advancement of the tibial tuberosity as measured by the widening of the proximal tibia at the tibial tuberosity level after a standard TTA, will be less than the cage sized used, with no particular cage size providing a relative smaller or higher under-advancement, and that the conformation of the proximal tibia will have an influence on the amount of advancement achieved