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  • 1
    ISSN: 1433-0431
    Keywords: Schlüsselwörter Adaptierte Druckscheibenprothese (A-DSP) • Bewegungsausmaß• Passform ; Keywords Adapted trust-plate prostheses (A-TPP) • Range of motion • Fitting
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract The purpose of the present study was to increase the free range of motion in conventional trust-plate prosthesis design and to optimize the trust-plate contact as well as the osteointegration area below the trust-plate. For the first part of the study, the two-dimensional geometry of the osteotomy plane was demonstrated in 25 CT-reconstructed femora after performing a virtual cut at a CCD angle of 135 °. In the second part, we constructed a prototype of an anatomic adapted trust-plate prosthesis (A-TPP) with an optimized trust-plate and corpus geometry based on the three-dimensional data of three human cadaveric femurs (age 67–75 years). In the final step, we documented the range of motion with computer-aided movement-mapping and compared the conventional TPP with the A-TPP. The results showed a wide variance in osteotomy geometry in the 12 femurs. With the A-TPP, we were able to obtain a much better fit in the trust plate surface. The movement-mapping showed a much higher range of motion in the A-TPP implant. With the A-TPP, the implant surface area for osteointegration could also be significantly increased.
    Notes: Zusammenfassung Ziel der vorliegenden Untersuchung war es, das zur Verfügung stehende freie Bewegungsspiel der konventionellen Druckscheibenprothese zu vergrößern und gleichzeitig die Auflagefläche der Druckscheibe sowie die distal davon befindliche Osteointegrationsfläche zu optimieren. Zunächst wurden virtuelle Femurhalsosteotomien an 25 CT-rekonstruierten humanen Femura in einem CCD-Winkel von 135 ° durchgeführt. Anschließend erfolgte anhand von CT-Rekonstruktionen humaner Femura (Alter 67–75 Jahre) die Erstellung eines Funktionsmusters einer anatomisch adaptierten Druckscheibenprothese (A-DSP). Zielvorgabe war es hierbei, sowohl die mit dem Femur in Kontakt stehende Oberfläche der Druckscheibe als auch die Verankerungsfläche im Schenkelhalsbereich zu optimieren. In einer 3. Untersuchung wurde in einer Computersimulation das Bewegungsausmaß (Bewegungsmapping) von Hüftgelenken nach Versorgung mit einer konventionellen DSP mit dem nach Implantation einer A-DSP verglichen. Die Analyse der Femurosteotomieflächen zeigte eine ausgesprochen große Varianz, wobei keine konstanten Muster erkennbar waren. Die erstellten Funktionsmuster einer A-DSP zeigten die angestrebte erheblich größere Kongruenz der Druckscheibenkomponente mit der Auflagefläche. Die Analyse des Bewegungsmapping ergab für alle überprüften Konstellationen einen deutlich geringeren Bewegungssauschlag der konventionellen DSP im Vergleich zur A-DSP. Mit der A-DSP konnte weiterhin die zur Verfügung stehende Osteointegrationsfläche deutlich vergrößert werden.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Limnology 1 (2000), S. 3-9 
    ISSN: 1439-863X
    Keywords: Key words Limnology ; Freshwater ecology ; Fresh water ; Microbial ecology ; Lakes ; Streams ; Biomanipulation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract The past development and evolution of limnology as a discipline has demonstrated that experimentally controlled disturbances of parts of aquatic ecosystems are essential for quantitative evaluation of causal mechanisms governing their operation. Correlative analyses and modeling only establish hypotheses, not causality, and allow only therapeutic management applications. Rather than constantly searching for differences, commonality must be sought. Among the large diversity of species, communities, and biogeochemical processes controlling growth and reproduction, commonality emerges at the levels of regulation of metabolism. Five areas of current and future limnological research are discussed in relation to greatest needs and promise to yield insights into material and energy flows in freshwater ecosystems and their effective management: (1) coupled metabolic mutualism in the physiological ecology of microbes (viruses, bacteria, fungi, and protists) and their biogeochemical, especially organic, couplings with the environment; (2) biochemical regulation of collective metabolism, recycling, and bioavailability of nutrients and growth regulators; (3) application of genetic and molecular techniques to addressing biogeochemical, evolutionary, and pollution remediation problems; (4) recognition that the metabolism within lakes and streams is dependent upon and regulated to a major extent by organic matter of the drainage basin and especially by the land-water interface biogeochemistry; and (5) recognition that food-web alterations ("biomanipulation") are short-term, expensive therapeutic tools that may minimize effects of eutrophication but will not solve or control eutrophication.
    Type of Medium: Electronic Resource
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