RESUMEN
PURPOSE: Following the radial head replacement, the surface mismatches between the implants and the morphological characteristics of the original proximal radius decreased contact areas and increased contact forces which is potential for the long-term articulating cartilage wear. Several studies demonstrated that the individualized prosthesis, created from computed tomographic (CT) images of the contralateral side with the reverse engineering technology, may reduce the mismatch. The aim of this study is to demonstrate the matching precision of the reverse contralateral head between the surface registration in tuberosity-neck (TN) area and in tuberosity-diaphysis (TD) area. MATERIALS AND METHODS: High-resolution CT scan of 11 pairs of the cadaveric arms was performed. Utilizing advanced image processing techniques, three-dimensional (3-D) models of each specimen was generated. The model of the left side was reversed and matched with the model of the right side in the same cadaver by registering in the area of radial neck along with tuberosity (TN) and in the area of radial tuberosity combined with 2 cm of proximal diaphysis (TD). The alteration of the head diameter, dish diameter, articular depth, head thickness, end-plane angle, offset, and head volume were evaluated and analyzed by paired t-test. RESULTS: No statistically significant difference was found in all parameters from both TN and TD registrations ( p < 0.05). CONCLUSION: The surface registration in either TN or TD area can generate the statistically symmetrical 3-D model with the original head. The registration in these areas may possibly be used in creating the individualized radial head prosthesis.
Asunto(s)
Diáfisis/diagnóstico por imagen , Articulación del Codo/cirugía , Prótesis de Codo , Procedimientos de Cirugía Plástica/métodos , Implantación de Prótesis/métodos , Radio (Anatomía)/cirugía , Tomografía Computarizada por Rayos X/métodos , Anciano , Anciano de 80 o más Años , Cadáver , Diáfisis/cirugía , Articulación del Codo/diagnóstico por imagen , Femenino , Humanos , Masculino , Persona de Mediana Edad , Ajuste de Prótesis , Radio (Anatomía)/diagnóstico por imagenRESUMEN
The location of lateral femoral cutaneous nerve (LFCN) in relation to the anterior superior iliac spine (ASIS) and the iliac crest was investigated in 96 embalmed cadaveric specimens. Fifty-six nerves (58.3%) passed medial to the ASIS. Twenty-two nerves (22.9%) passed at the ASIS. Eighteen nerves (18.8%) passed lateral to the ASIS. The LFCN is usually located at 2.1 +/- 0.8 to 3.9 +/- 1.0 cm below the crest in the range of 2-5 cm lateral to the ASIS, respectively. When the anterior iliac crest bone graft harvesting is planned, the anatomical variation in this area should be concerned to reduce the risk of LFCN injury.
Asunto(s)
Nervio Femoral/anatomía & histología , Cadáver , Femenino , Humanos , Ilion , Masculino , Columna VertebralRESUMEN
The freshwater snail family Thiaridae was studied at five different locations: water sources for the Khek River, Thailand. Snail samples were collected by hand using counts per unit of time sampling method between December 2004 and October 2005. The physico-chemical quality of the water changed with the seasons and affected the sampling areas during both the dry season and the flood season. A total of 9,568 snail samples comprised of 14 species were found. These were 284 Tarebia granifera, 24 Melanoides tuberculata, 86 Thiara scabra, 3,295 Paracrostoma pseudosulcospira pseudosulcospira, 736 P. paludiformis paludiformis, 3,266 P. paludiformis dubiosa, 117 P. morrisoni, 304 Brotia (Brotia) binodosa binodosa, 1,250 B. (Brotia) microsculpta, 146 B. (Senckenbergia) wykoffi, 1 B. (Brotia) pagodula, 5 B. (Brotia) binodosa spiralis, 5 B. (Brotia) insolita and 49 B. (Brotia) manningi. The cercariae were investigated using shedding and crushing methods where they were categorized into two types and five species. The first type, Parapleurolophocercous cercariae, were comprised of Haplorchis pumilio Looss, 1899 and Centrocestus formosanus Nishigori, 1924. The second type, Xiphidiocercariae were comprised of Acanthatrium hitaense Koga, 1953, Loxogenoides bicolor Kaw, 1945 and Haematoloechus similis Looss, 1899. The cercarial infection rates in the above 5 species were 0.1% (5:9,568), 0.2% (15:9,568), 0.3% (24:9,568), 0.4% (37:9,568) and 0.1% (5:9,568), respectively. Five species of snails were susceptible to trematode infections. They were T. granifera, M. tuberculata, T. scabra, P. paludiformis paludiformis and B. (Senckenbergia) wykoffi; infections were found in 26.1% (74:284), 33.3% (8:24), 1.2% (1:86), 0.3% (2:736) and 0.7% (1:146), respectively.