scholarly journals Three-dimensional models increase the interobserver agreement for the treatment of proximal humerus fractures

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Luiz Fernando Cocco ◽  
André Yui Aihara ◽  
Carlos Franciozi ◽  
Fernando Baldy dos Reis ◽  
Marcus Vinicius Malheiro Luzo
2020 ◽  
Author(s):  
Xuedong Zhang ◽  
YueChao Dou ◽  
Xuefei Wang ◽  
Jianxiong Ma ◽  
Bin Lu ◽  
...  

Abstract Background. We investigated the therapeutic effects associated with the combined use of lateral and posterior plates for treating complex proximal humerus fractures. Methods. We used in vitro biomechanical experiments and computer three-dimensional finite element analyses to investigate the biomechanical properties of combined lateral and posterior plates when treating proximal humerus fractures. Eighteen left SAWBONE (Pacific Research Labs) humerus bones were randomly divided among three groups. We established a medial column defect model for surgical neck fractures in each bone specimen and achieved fixation using a proximal humerus locking plate. Each of the three groups used a different fixation method. Group A used a Proximal Humerus Internal Locking System (PHILOS) plate support only. Group B used the PHILOS plate with a posterior locking plate (but without medial column support screws). Group C used the PHILOS plate with both the posterior locking plate and medial column support screws. We subjected three sets of specimens to axial compression, torsion, shear compression, model failure, fatigue testing, and micro-strain analyses. Results and conclusions. In vitro biomechanical analysis and three-dimensional finite element analyses showed that the PHILOS plate, in combination with the posterior locking plate and medial column support screws (Group C), had significantly enhanced biomechanical properties when compared with traditional single plate supports.


1975 ◽  
Vol 39 (8) ◽  
pp. 544-546
Author(s):  
HL Wakkerman ◽  
GS The ◽  
AJ Spanauf

2020 ◽  
Vol 17 (4) ◽  
pp. 342-351
Author(s):  
Sergio A. Durán-Pérez ◽  
José G. Rendón-Maldonado ◽  
Lucio de Jesús Hernandez-Diaz ◽  
Annete I. Apodaca-Medina ◽  
Maribel Jiménez-Edeza ◽  
...  

Background: The protozoan Giardia duodenalis, which causes giardiasis, is an intestinal parasite that commonly affects humans, mainly pre-school children. Although there are asymptomatic cases, the main clinical features are chronic and acute diarrhea, nausea, abdominal pain, and malabsorption syndrome. Little is currently known about the virulence of the parasite, but some cases of chronic gastrointestinal alterations post-infection have been reported even when the infection was asymptomatic, suggesting that the cathepsin L proteases of the parasite may be involved in the damage at the level of the gastrointestinal mucosa. Objective: The aim of this study was the in silico identification and characterization of extracellular cathepsin L proteases in the proteome of G. duodenalis. Methods: The NP_001903 sequence of cathepsin L protease from Homo sapienswas searched against the Giardia duodenalisproteome. The subcellular localization of Giardia duodenaliscathepsin L proteases was performed in the DeepLoc-1.0 server. The construction of a phylogenetic tree of the extracellular proteins was carried out using the Molecular Evolutionary Genetics Analysis software (MEGA X). The Robetta server was used for the construction of the three-dimensional models. The search for possible inhibitors of the extracellular cathepsin L proteases of Giardia duodenaliswas performed by entering the three-dimensional structures in the FINDSITEcomb drug discovery tool. Results: Based on the amino acid sequence of cathepsin L from Homo sapiens, 8 protein sequences were identified that have in their modular structure the Pept_C1A domain characteristic of cathepsins and two of these proteins (XP_001704423 and XP_001704424) are located extracellularly. Threedimensional models were designed for both extracellular proteins and several inhibitory ligands with a score greater than 0.9 were identified. In vitrostudies are required to corroborate if these two extracellular proteins play a role in the virulence of Giardia duodenalisand to discover ligands that may be useful as therapeutic targets that interfere in the mechanism of pathogenesis generated by the parasite. Conclusion: In silicoanalysis identified two proteins in the Giardia duodenalisprotein repertoire whose characteristics allowed them to be classified as cathepsin L proteases, which may be secreted into the extracellular medium to act as virulence factors. Three-dimensional models of both proteins allowed the identification of inhibitory ligands with a high score. The results suggest that administration of those compounds might be used to block the endopeptidase activity of the extracellular cathepsin L proteases, interfering with the mechanisms of pathogenesis of the protozoan parasite Giardia duodenalis.


2017 ◽  
Vol 26 (10) ◽  
pp. e333
Author(s):  
Bradley S. Schoch ◽  
William R. Aibinder ◽  
Jordan D. Walters ◽  
John W. Sperling ◽  
Thomas (Quin) Throckmorton ◽  
...  

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