Cadaveric study and clinical application of turnover fascial flap for lower-limb defects

In the original edition of Prosthetics and Orthotics International, Dr Sidney Fishman identified what he anticipated as foundational educational needs for the emerging field of clinical prosthetics and orthotics. Within the broader construct of the physical sciences, this included mathematics, physics, chemistry, biomechanics, and material sciences. The clinical application of these disciplines to expanding the collective understanding within the field is described, including the biomechanics of able-bodied and prosthetic gait, the material science of socket construction, the physics of suspension and load distribution, and the engineering of prosthetic components to mimic human biomechanics. Additional applications of the physical sciences to upper limb prosthetics and lower limb orthotics are also described. In contemplating the continued growth and maturation of the field in the years to come, mechatronics and statistics are suggested as future areas where clinical proficiency will be required.

Download Full-text

Anatomic course of the medial antebrachial cutaneous nerve: a cadaveric study with proposed clinical application in failed cubital tunnel release

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193413515826 ◽

2013 ◽

Vol 40 (2) ◽

pp. 210-212 ◽

Cited By ~ 7

Author(s):

Scott K. Tanaka ◽

Gary M. Lourie

Keyword(s):

Clinical Application ◽

Cadaveric Study ◽

Cutaneous Nerve ◽

Cubital Tunnel

Download Full-text

Prevalence of Lower Limb Defects in Children in Chosen Kindergartens of the Łódź Agglomeration

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0013.7403 ◽

2019 ◽

Vol 21 (6) ◽

pp. 447-456

Author(s):

Justyna Gołębiowska-Sosnowska ◽

Marek Synder ◽

Piotr Gołębiowski ◽

Klaudia Wojciechowska ◽

Jerzy Niedzielski

Keyword(s):

Early Childhood ◽

School Children ◽

Lower Limb ◽

Body Posture ◽

Knee Joints ◽

Study Group ◽

Valgus Knee ◽

Limb Defects ◽

Entire Study ◽

Visual Method

Background. Posture disorders not treated in early childhood may lead to serious diseases and dysfunctions later. The aim of the study was to assess the incidence of lower limb defects in pre-school children. Material and methods. The study covered 513 children (252 girls and 261 boys) aged 4-6, in chosen kindergartens of the Łódź agglomeration . The child’s body posture was assessed using a visual method based on the Kasperczyk scoring scale in own modification. Results. Foot defects occurred in the examined group with a frequency of 85.58% (439/513): in 4-year-olds: 82.59%, in 5- and 6-year-olds: 87.5%. Foot defects were more common in girls in the entire study group (86.9 vs. 84.29%), in 4-year-olds (87.88 vs. 77.45%) and 6-year-olds (88.89 vs. 86.25%), and in boys in the 5-year-olds group (91.14 vs. 83.95%). Defects of the knee joints, including varus and valgus knee, occurred in the study group with a frequency of 52.83% (271/513): in 4-year-olds: 56.72%, in 5-year-olds: 45.63% and in 6-year-olds: 55.26%. Defects were more frequent in girls in the entire study group (54.37 vs. 51.34) and in 4-year-olds (58.59 vs. 54.90%), and in boys in the 5-year-old group (50.63 vs. 40.74%). In the 6-year-olds group, the defects were statistically significantly more common in girls than boys (63.89 vs. 47.5%, p = 0.0442). Conclusion. A high percentage of lower limb defects rate at more than half of the examined pre-school children population is disturbing and requires effective systemic action.

Download Full-text

A Patient with Unilateral Tibial Aplasia and Accessory Scrotum: A Pure Coincidence or Nonfortuitous Association?

Case Reports in Medicine ◽

10.1155/2010/898636 ◽

2010 ◽

Vol 2010 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Zoran Gucev ◽

Marco Castori ◽

Velibor Tasic ◽

Nada Popjordanova ◽

Arijeta Hasani

Keyword(s):

Family History ◽

Literature Review ◽

Lower Limb ◽

Maternal Diabetes ◽

Limb Defects ◽

Present Patient ◽

Accessory Scrotum ◽

Pregnancy And Delivery ◽

Tibial Aplasia ◽

Uneventful Pregnancy

Tibial aplasia is an uncommon lower limb malformation that can occur isolated or be part of a more complex malformation pattern. We describe a 9-year-old boy born after uneventful pregnancy and delivery. Family history was negative for maternal diabetes and other malformations. The patient presented with left tibial aplasia and homolateral prexial foot polydactyly. He also displayed enamel dysplasia and bifid scotum with cryptorchidism. Literature review failed to identify a significant syndromic association between lower limb defects of the tibial type and the genital anomalies reported here. The combination of tibial aplasia with midline genital malformations further supports the hypothesis that the tibial ray development mirrors the morphogenetic process of the radial structures. Accordingly, the malformation pattern observed in the present patient may be pathogenetically explained by an insult occurring during late blastogenesis.

Download Full-text