scholarly journals Quantification and Comparison of Talar Exposure Utilizing a Posteromedial Approach and Medial Malleolar Osteotomy

2021 ◽  
Vol 6 (2) ◽  
pp. 247301142110126
Author(s):  
Jeffrey Donahue ◽  
Ademola Shofoluwe ◽  
Kurt Krautmann ◽  
Emilio Grau-Cruz ◽  
Stephen Becher ◽  
...  
Keyword(s):  
Surface Area ◽  
Digital Image ◽  
National Institutes Of Health ◽  
Level Of Evidence ◽  
Posterior Process ◽  
Medial Malleolar Osteotomy ◽  
Fresh Frozen ◽  
Average Quantity ◽  
Operative Fixation ◽  
Imagej Software

Background: Fractures of the talus are a rare but challenging injury. This study sought to quantify the area of osseous exposure afforded by a posteromedial approach to the talus and medial malleolar osteotomy. Methods: Five fresh-frozen cadaveric lower extremities were dissected using a posteromedial approach and medial malleolar osteotomy respectively. Following exposure, the talar surfaces directedly visualized were marked and captured using a calibrated digital image. The digital images were then analyzed using ImageJ software (National Institutes of Health) to calculate the surface area of the exposure. Results: The average square area of talus exposed using the posteromedial approach was 9.70 cm2 (SD = 2.20, range 7.20-12.46). The average quantity of talar exposure expressed as a percentage was 9% (SD = 1.58, range 7.03-10.40). The average square area of talus exposed using a medial malleolar osteotomy was 14.32 cm2 (SD = 2.00, range 11.26-16.66). The average quantity of talar exposure expressed as a percentage was 12.94% (SD = 1.79, range 9.97-14.73). The posteromedial approach provided superior visualization of the posterior talus, whereas the medial malleolar osteotomy offered greater access to the medial body. Conclusion: The posteromedial approach and medial malleolar osteotomy allow for significant exposure of the talus, yielding 9.70 and 14.32 cm2, respectively. Given the differing portions of the talus exposed, surgeons may prefer to use the posteromedial approach for operative fixation of posterior process fractures and elect to use a medial malleolar osteotomy in cases requiring more extensive medial and distal exposure for neck or neck/body fractures. Level of Evidence: Level IV.

scholarly journals Influence of peracetic acid-ethanol sterilisation on the biomechanical properties of human meniscus transplants

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Volker Eras ◽  
Josefine Graffunder ◽  
Norus Ahmed ◽  
Jan C. Brune
Keyword(s):  
Peracetic Acid ◽  
Biomechanical Properties ◽  
Bone Block ◽  
Test Device ◽  
Level Of Evidence ◽  
Load To Failure ◽  
Graft Extrusion ◽  
Fresh Frozen ◽  
Failure Loads ◽  
N Loading

Abstract Purpose Meniscus allograft transplantation (MAT) is a possible treatment for patients suffering with pain after meniscectomy. Here, peracetic acid (PAA) sterilised meniscus transplants were investigated on whether they would provide an adequate alternative to fresh-frozen transplants in their viscoelastic and mechanical properties. Methods In this analysis, 31 menisci donors (26 male and 5 female) were included. The average donor age was 49.87 years, ranging from 32 to 65 years. Menisci of matched pairs of knees underwent chemical sterilisation while counterparts were left fresh-frozen. Stiffness and load to failure were determined via suture retention. Further menisci were analysed while attached to the tibial bone block using a novel test device to mimic physiological load distribution. Meniscus relaxation, stiffness and failure loads were determined. Histology and biphasic properties of the menisci were examined and results were analysed using paired t-tests. Results A novel custom built test device allowed the application of physiological loads for suture retention testing and revealed no significant differences between PAA sterilised (14.85 ± 4.46 N/mm, 50.49 ± 17.01 N) and fresh-frozen (18.26 ± 4.46 N/mm, 59.49 ± 21.07 N) regarding stiffness and failure load, respectively. Furthermore, initial 200 N loading showed significantly higher strain in sterilised menisci (18.87 ± 1.56) compared to fresh frozen (13.81 ± 1.04). Load relaxation experiments demonstrated significantly lower relaxation for sterilised menisci (77.71 ± 1.62) compared to fresh-frozen (89.11 ± 1.00, p-value < 0.0001). Conclusion Peracetic acid sterilised human menisci performed equally to fresh-frozen counterparts in a suture retention test and in physiological failure testing providing an adequate alternative. However, meniscus relaxation, biphasic properties and strain were shown to be significantly different between the groups. A common problem of MAT is graft extrusion or shrinkage, therefore the parameters measured here should be considered and may influence meniscus extrusion after transplantation. Level of evidence n/a (experimental study)

Midterm Results of Fresh-Frozen Osteochondral Allografting for Osteochondral Lesions of the Talus

2020 ◽  
pp. 107110072094986
Author(s):  
Chung-Hua Chu ◽  
Ing-Ho Chen ◽  
Kai-Chiang Yang ◽  
Chen-Chie Wang
Keyword(s):  
Short Form ◽  
Case Series ◽  
Osteochondral Allograft ◽  
Osteochondral Lesions ◽  
Midterm Results ◽  
Level Of Evidence ◽  
Allograft Transplantation ◽  
Fresh Frozen ◽  
The Mean

Background: Osteochondral lesions of the talus (OLT) are relatively common. Following the failure of conservative treatment, many operative options have yielded varied results. In this study, midterm outcomes after fresh-frozen osteochondral allograft transplantation for the treatment of OLT were evaluated. Methods: Twenty-five patients (12 women and 13 men) with a mean age 40.4 (range 18-70) years between 2009 and 2014 were enrolled. Of 25 ankles, 3, 13, 4, and 4 were involved with the talus at Raikin zone 3, 4, 6, and 7 as well as one coexisted with zone 4 and 6 lesion. The mean OLT area was 1.82 cm2 (range, 1.1-3.0). The mean follow-up period was 5.5 years (range, 4-9.3). Outcomes evaluation included the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, visual analog scale score, and 12-item Short Form Health Survey (SF-12). Result: AOFAS ankle-hindfoot score increased from 74 preoperatively to 94 at 2 years postoperatively ( P < .001) and the SF-12 physical health component scores increased from 32 to 46 points ( P < .001). Incorporation was inspected in all patients in the latest follow-up, and graft subsidence and radiolucency were observed in 2 and 7 cases, respectively, whereas graft collapse and revision OLT graft were not observed. Bone sclerosis was found in 6 of 25 patients. Conclusion: With respect to midterm results, fresh, frozen-stored allograft transplantation might be an option in the management of symptomatic OLT. Level of Evidence: Level IV, retrospective case series.

scholarly journals Goose eggshell geometry

2014 ◽  
Vol 60 (No. 3) ◽  
pp. 100-106 ◽  
Author(s):  
Š. NEDOMOVÁ ◽  
J. BUCHAR
Keyword(s):  
Fourier Series ◽  
Edge Detection ◽  
Surface Area ◽  
Digital Image ◽  
Radius Of Curvature ◽  
Egg Volume ◽  
New Approach ◽  
Detection Techniques ◽  
The Common

The paper presents a new approach of the eggshell geometry determination using and analysing the egg digital image and edge detection techniques. The detected points on the eggshell contour were fitted by the Fourier series. The obtained equations describing an egg profile were used to calculate the egg volume, surface area, and radius of curvature with much higher degree of precision in comparison with previously published approaches. The paper shows and quantifies the limitations of the common and frequent procedures.

The Role of Demineralized Allograft Subchondral Bone in the Treatment of Talar Cystic OCD Lesions That Have Failed Microfracture

2014 ◽  
Vol 7 (5) ◽  
pp. 377-386 ◽  
Author(s):  
Stephen A. Brigido ◽  
Nicole M. Protzman ◽  
Melissa M. Galli ◽  
Scott T. Bleazey
Keyword(s):  
Subchondral Bone ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Osteochondral Lesions ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Medial Malleolar Osteotomy ◽  
And Function ◽  
Bone Plug

Cystic talar shoulder defects are particularly challenging osteochondral lesions. A retrospective chart review was performed on 13 adults that previously failed microfracture, presented with medial cystic osteochondral lesions of the talus, and were treated with malleolar osteotomy and subchondral allograft reconstruction. The aim of the study was to evaluate the effect of a medial malleolar osteotomy and allograft subchondral bone plug on pain and function. We hypothesized that following surgery, pain and function would significantly improve. Compared with preoperative measures, pain (first step in the morning, during walking, at the end of the day) and function (descending the stairs, ascending the stairs, and ambulating up to 4 blocks) improved postoperatively at 6 and 12 months ( P ≤ .001). During each activity, pain improved postoperatively from 6 to 12 months ( P ≤ .006). Postoperatively, from 6 to 12 months, the level of disability improved while descending the stairs ( P = .004), and the level of disability experienced while ascending the stairs and ambulating up to 4 blocks was maintained ( P ≥ .02). Multiple regression analyses identified body mass index as a predictor of preoperative function ( R2 = .34, P = .04). No variables were identified as significant predictors of postoperative pain or function. With all osteotomies healing, no graft rejection, and a single deep venous thrombosis, allograft subchondral plugs appear to successfully treat osteochondral lesions of the talus with improvements in pain and function as well as an acceptable complication rate. Level of Evidence: Therapeutic, Level IV: Retrospective Case Series.

scholarly journals Quantitative Anatomic Analysis of the Medial Ulnar Collateral Ligament Complex of the Elbow

2018 ◽  
Vol 6 (3) ◽  
pp. 232596711876275 ◽  
Author(s):  
Christopher L. Camp ◽  
Hamidreza Jahandar ◽  
Alec M. Sinatro ◽  
Carl W. Imhauser ◽  
David W. Altchek ◽  
...  
Keyword(s):  
Surface Area ◽  
Ulnar Collateral Ligament ◽  
Surgical Reconstruction ◽  
Collateral Ligament ◽  
3 Dimensional ◽  
Visual Center ◽  
Bony Landmarks ◽  
Fresh Frozen ◽  
Detailed Assessment ◽  
The Mean

Background: A more detailed assessment of the anatomy of the entire medial ulnar collateral ligament complex (MUCLC) is desired as the rate of medial elbow reconstruction surgery continues to rise. Purpose: To quantify the anatomy of the MUCLC, including the anterior bundle (AB), posterior bundle (PB), and transverse ligament (TL). Study Design: Descriptive laboratory study. Methods: Ten unpaired, fresh-frozen cadaveric elbows underwent 3-dimensional (3D) digitization and computed tomography with 3D reconstruction. Ligament footprint areas and geometries, distances to key bony landmarks, and isometry were determined. A surgeon digitized the visual center of each footprint, and this location was compared with the geometric centroid calculated from the outline of the digitized footprint. Results: The mean surface area of the AB was 324.2 mm2, with an origin footprint of 32.3 mm2 and an elongated insertional footprint of 187.6 mm2 (length, 29.7 mm). The mean area of the PB was 116.6 mm2 (origin, 25.9 mm2; insertion, 15.8 mm2), and the mean surface area of the TL was 134.5 mm2 (origin, 21.2 mm2; insertion, 16.7 mm2). The geometric centroids of all footprints could be predicted within 0.8 to 1.3 mm, with the exception of the AB insertion centroid, which was 7.6 mm distal to the perceived center at the apex of the sublime tubercle. While the PB remained relatively isometric from 0° to 90° of flexion ( P = .606), the AB lengthened by 2.2 mm ( P < .001). Conclusion: Contrary to several historical reports, the insertional footprint of the AB was larger, elongated, and tapered. The TL demonstrated a previously unrecognized expansive soft tissue insertion directly onto the AB, and additional analysis of the biomechanical contribution of this structure is needed. Clinical Relevance: These findings may serve as a foundation for future study of the MUCLC and help refine current surgical reconstruction techniques.

A Clinical Comparison of Linear- and Surface Area–Based Methods of Measuring Glenoid Bone Loss

2018 ◽  
Vol 46 (10) ◽  
pp. 2472-2477 ◽  
Author(s):  
Neil K. Bakshi ◽  
George A. Cibulas ◽  
Jon K. Sekiya ◽  
Asheesh Bedi
Keyword(s):  
Bone Loss ◽  
Surface Area ◽  
Shoulder Instability ◽  
Linear Measurement ◽  
Glenoid Bone Loss ◽  
Area Measurement ◽  
Anterior Shoulder Instability ◽  
3D Ct ◽  
Ct Reconstruction ◽  
Level Of Evidence

Background: The purpose of this study was to determine whether linear-based measurement significantly overestimates glenoid bone loss in comparison with surface area–based measurement in patients with recurrent anterior shoulder instability and glenoid bone loss. Hypothesis: Linear-based measurement will significantly overestimate glenoid bone loss in comparison with surface area–based measurement in patients with anterior shoulder instability and glenoid bone loss. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: Thirty patients with anterior shoulder instability underwent preoperative bilateral shoulder computed tomography (CT) scans. Three-dimensional CT (3D-CT) reconstruction with humeral head subtraction was performed to obtain an en face view of the 3D-CT glenoid. Glenoid bone loss was measured with the surface area and linear methods of measurement. Statistical analysis was performed with a paired 2-tailed t test. Results: Twenty-eight patients (5 female and 23 male; mean age, 25.1 years; age range, 15-58 years) were included in the study; 17 patients underwent a glenoid augmentation procedure, and 11 underwent arthroscopic Bankart repair. The mean percentage glenoid bone loss calculated with the surface area and linear methods was 12.8% ± 8.0% and 17.5% ± 9.7% ( P < .0001), respectively. For the 17 patients who underwent glenoid augmentation, mean percentage bone loss with the surface area and linear methods was 16.6% ± 7.9% and 23.0% ± 8.0% ( P < .0001), respectively. Conclusion: Linear measurement of glenoid bone loss significantly overestimates bone loss compared with surface area measurement in patients with anterior glenoid bony defects. These results indicate that these different methods cannot be used interchangeably and cannot be used with the same critical thresholds for glenoid bone loss.

Treatment of Postoperative Lower Extremity Wounds Using Human Fibroblast–Derived Dermis

2014 ◽  
Vol 7 (2) ◽  
pp. 102-107 ◽  
Author(s):  
Russell M. Carlson ◽  
Nicholas C. Smith ◽  
Katherine Dux ◽  
Rodney M. Stuck
Keyword(s):  
Lower Extremity ◽  
Surface Area ◽  
Retrospective Review ◽  
Diabetic Foot ◽  
Human Fibroblast ◽  
Case Series ◽  
Skin Substitute ◽  
Surgical Wound ◽  
Level Of Evidence ◽  
Surgical Wound Dehiscence

Human fibroblast–derived dermis skin substitute is a well-studied treatment for diabetic foot ulcers; however, no case series currently exist for its use in healing postoperative wounds of the lower extremity. A retrospective analysis was conducted on 32 lower extremity postoperative wounds treated weekly with human fibroblast–derived dermis skin substitute. Postoperative wounds were defined as a wound resulting from an open partial foot amputation, surgical wound dehiscence, or nonhealing surgical wound of the lower extremity. Wound surface area was calculated at 4 and 12 weeks or until wound closure if prior to 12 weeks. Postoperative wounds treated with weekly applications showed mean improvement in surface area reduction of 63.6% at 4 weeks and 96.1% at 12 weeks. More than 56% of all wounds healed prior to the 12-week endpoint. Additionally, only one adverse event was noted in this group. This retrospective review supports the use of human fibroblast–derived dermis skin substitute in the treatment of postoperative lower extremity wounds. This advanced wound care therapy aids in decreased total healing time and increased rate of healing for not only diabetic foot wounds but also postoperative wounds of the lower extremity, as demonstrated by this retrospective review. Level of Evidence: Therapeutic, Level IV: Case series, retrospective

scholarly journals Estimation and analysis of particles from seeds of maximiliana maripa (aubl.) drude (arecaceae)

2020 ◽  
Vol 13 (10) ◽  
pp. 28
Author(s):  
C. B. M. Farias ◽  
A. Arrolho ◽  
M. C. M. Silva ◽  
R. R. Cruz ◽  
L. P. N. Ramos ◽  
...  
Keyword(s):  
Image Analysis ◽  
Digital Image ◽  
Evaluation Method ◽  
High Dispersion ◽  
Seed Length ◽  
Automatic Mode ◽  
Low Correlation ◽  
Imagej Software ◽  
Maximiliana Maripa ◽  
Digital Caliper

The present work aims to estimate the length and width of the seeds, through the analysis of digital images and to validate the methodology through statistical data. To estimate the length and width of seeds via image analysis, 50 M.maripa seeds were used. The seeds were arranged in a decreasing way from 1 to 25 diagonally, on a matte black fabric, on a phenotyping platform, with a Sony Hd Avchd progressive digital Gps camera, coupled at a height of 50 cm. The images were captured by the camera in automatic mode, without flash, automatic ISO speed, in an RGB system and with a size above 2Mb. Soon after the seeds passed the traditional evaluation method with the aid of a digital caliper, measured in terms of length and width. The images were analyzed with the ImageJ software. Statistical analyzes were performed with the aid of the Sigmaplot program. The results of the length and width of the seeds of Inajá seen by the caliper and digital image via camera, were very distant, showing high dispersion and low correlation r = 0.4037 and R² = 0.1629 for length and r = 0.2985 and R² = 0.0891, showing that the Compared data had little similarity. The error between both the methodology was considered low: 3,81063 and 3,769 for the variables of seed length and width. The method of analysis by digital image and caliper for estimating the length and width of Maximiliana maripa seeds showed a low correlation between the two methodologies. The use of image analysis to estimate the length and width of M. maripa seeds is not indicated.

scholarly journals COMPARISON OF EYELID ANGLE MEASURED USING MANUAL AND DIGITAL IMAGE ANALYSIS METHOD

2021 ◽  
Author(s):  
Shravya N ◽  
Swetha Ravichandran ◽  
Rinu Thomas
Keyword(s):  
Image Analysis ◽  
Digital Image ◽  
Digital Image Analysis ◽  
Palpebral Fissure ◽  
Analysis Method ◽  
Image Analysis Method ◽  
Interpupillary Distance ◽  
Significant Difference ◽  
The Mean ◽  
Imagej Software

Aim: To compare the eyelid angle measured by using a manual method (Using protractor) and digital image analysis method (Using ImageJ software) at different distances of eye gaze. Methodology: This prospective cross-sectional study was conducted in the preclinical lab at Manipal College of Health Professions. Subjects with no eyelid abnormalities were included in the study and they were asked to fixate at different distances a) at 3 metre (Distance gaze) b) at 70 cm (Intermediategaze) and c) at 40 cm(Near gaze). Using a protractor, the eyelid angle measurements were repeated at various distances which comprised the manual measurement. In the image analysis method, images were captured during distance, intermediate and near gaze using smartphone placed on theside of the face. These images were then analysed using ImageJ software for determining eyelid angle using image analysis method. Palpebral fissure height, Palpebral fissure width, Interpupillary distance, Intercanthal width, Binocular width, Height of open upper lid were some additional anthropometry measurements that were done using meter scale and PD ruler. Results: The mean age of the participants was 20±0.5 years. Anthropometry measurements of the eyelid and Palpebral fissure were done using meter scaleand PD ruler. The mean and standard deviation of the measured parametersare as follows Interpupillary distance: 60.95±2.37 mm, Endo Inter canthal distance: 32.20±2.39 mm, Exo Inter cantal distance: 95.50±3.80 mm, Palpebralfissure height_OD: 12.11±1.32 mm, Palpebral fissure height_OS:12.16±1.46mm, PFW_OD: 32.00±1.10 mm, PFW_OS: 32.11±1.24 mm, Height of upper eyelids_OD: 10.26±1.66 mm and Height of upper eyelids_OS:10.42±1.83 mm. In the right eye, there was no statistically significant difference (p&gt;0.05) between manual protractor method and digital image analysismethod at distance but there was a statistically significant difference (p&lt;0.05)between manual protractor method and digital image analysis method atIntermediate and near. In left eye, there was statistically significant difference(p&lt;0.05) between manual protractor method and digital image analysis method at all three distances. Conclusion: There is a significant difference in eyelid angle measured using manual protractor method and digital image analysis method. The measurement of eyelid angle serves as a critical reference point during cosmetic and reconstructive surgical interventions of the eyelid and accurate measurements are essential for preoperative assessment, surgical planning and postoperative evaluation. Hence more studies on the validation of the anthropometry measurements and eyelid angle using digital image analysis areessential to use digital image analysis in routine eye care practice.

scholarly journals Digital Image Processing based Surface Area Calculation

2020 ◽  
Vol 10 (1) ◽  
pp. 186-190
Keyword(s):  
Image Processing ◽  
Surface Area ◽  
Digital Image Processing ◽  
Digital Image ◽  
Reference Object ◽  
Nondestructive Measurement ◽  
Actual Surface ◽  
Regular Shape ◽  
Object Based ◽  
Calculation System

The objective of current work is nondestructive measurement of surface area of regular or irregular shape just from image. Surface area calculation is mathematical part which needs to remember number of formulas and all for regular shape. It becomes more tedious if the shape whose area is to be calculated is irregular. In some cases such as mountain or lake measurement of dimension is also cumbersome task. To find the solution for such cases in today’s world of automation, the proposed work describes reference object based area calculation system which is based on different techniques of digital image processing. In this we have to click an image of object (whose area is to be calculated) along with one reference object with known surface area. Then the proposed system will perform image enhancement and segmentation operation and finally calculate the surface area of any 2-D surface. It is observed that the values obtained are having with good correlation with actual surface area values.

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