Predicting the Risk of Reoperation in Metopic Synostosis: A Quantitative CT Scan Analysis

Nexus 6P smartphones have been beset by battery drain issues, which have been causing premature shutdown of the phone even when the charge indicator displays a significant remaining runtime. To investigate the premature battery drain issue, two Nexus 6P smartphones (one new and one used) were disassembled and their batteries were evaluated using computerized tomography (CT) scan analysis, electrical performance (capacity, resistance, and impedance) tests, and cycle life capacity fade tests. The “used” smartphone battery delivered only 20% of the rated capacity when tested in a first capacity cycle and then 15% of the rated capacity in a second cycle. The new smartphone battery exceeded the rated capacity when first taken out of the box, but exhibited an accelerated capacity fade under C/2 rate cycling and decreased to 10% of its initial capacity in just 50 cycles. The CT scan results revealed the presence of contaminant materials inside the used battery, raising questions about the quality of the manufacturing process.

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A Novel Elastic Wrap for Syndesmotic Reduction with Post-Operative CT Scan Analysis

Foot & Ankle Orthopaedics ◽

10.1177/2473011419s00374 ◽

2019 ◽

Vol 4 (4) ◽

pp. 2473011419S0037

Author(s):

Daniel R. Schlatterer ◽

Chet Despande ◽

Aaron Morgenstein

Keyword(s):

Clinical Practice ◽

Ct Scan ◽

Screw Fixation ◽

Ct Scans ◽

Anatomic Reduction ◽

Ankle Trauma ◽

Common Clinical Practice ◽

Ct Scan Analysis ◽

Uniform Reduction

Category: Ankle, Trauma Introduction/Purpose: Syndesmosis malreductions occur in up to 50% of patients. Several studies concluded that the position of the reduction tines of the periarticular clamp determines the final fibular position. The purpose of this study was to determine if an elastic wrap would provide a more uniform reduction force resulting in an anatomic syndesmosis reduction. We hypothesized that the force applied to the ankle by an elastic wrap would be relatively low and uniform circumferentially around the ankle medially and laterally. Furthermore we thought the ankle wrap would negate the dependency of clamp tine placement and circumferentialy reduce the syndesmosis perfectly. In this series Syndesmotic injuries were treated with the wrap for reduction, screw fixation and post-operative CT scan verification. Methods: Syndesmosis malreductions occur in up to 50% of patients. Several studies concluded that the position of the reduction tines of the periarticular clamp determines the final fibular position. The purpose of this study was to determine if an elastic wrap would provide a more uniform reduction force resulting in an anatomic syndesmosis reduction. We hypothesized that the force applied to the ankle by an elastic wrap would be relatively low and uniform circumferentially around the ankle medially and laterally. Furthermore we thought the ankle wrap would negate the dependency of clamp tine placement and circumferentialy reduce the syndesmosis perfectly. In this series Syndesmotic injuries were treated with the wrap for reduction, screw fixation and post-operative CT scan verification. Results: In a grossly unstable cadaver ankle model the ankle wrap achieved a perfect reduction every time it was trialed. The pressure film component of this study confirmed a uniform reduction force circumferentially at the ankle under the ankle wrap device of 5-9 pounds per square inch. Post-operative CT scans in 5 cases confirmed anatomic reduction of the syndesmosis in those cases treated surgically with the wrap and screw fixation. Conclusion: Malreduction of the syndesmosis can be avoided by using an elastic wrap instead of the standard peri-articular clamp in common clinical practice today.

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