Publications by authors named "M Ia Orgel'"

Article Synopsis
  • The biology of osseointegration for intramedullary implants depends on factors like design, press-fit anchoring, and the wear and tear on the prosthesis over time, impacting how well they bond with bone.
  • Proper material and surface engineering are necessary for stimulating bone growth to ensure implants remain stable and effective, while relative movement can increase infection risk.
  • A two-step implantation process for a standard Endo-Fix Stem and a single-step for custom-made implants demonstrate effective osseointegration, particularly critical for patients with severe limb loss due to trauma.
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Background: For patients with transfemoral amputation experiencing issues with their sockets, bone-anchored prosthesis systems are an alternative and sometimes the only way to be mobile and independent. The present cross-sectional study aimed to investigate the gait performance and quality of life of a group of patients treated with bone-anchored systems compared to those of participants treated with a conventional socket-suspended prosthesis.

Methods: A total of 17 participants with a socket-suspended and 20 with a bone-anchored prosthesis were included.

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Background: Photon-counting detector computed tomography (PCD-CT) has the potential to provide superior image quality compared to energy-integrating detector computed tomography (EID-CT). We compared the two systems for elbow imaging in off-center arm positioning, 90° flexion, and cast fixation in a simulated post-trauma setting.

Methods: The institutional review board approved the study protocol.

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Background: Appropriate preoperative skin cleansing is important to control surgical site infections. Both colored and colorless skin disinfectants are available, however certain types of skin preparation, such as octenidine-dihydrochloride with alcohol have a long residual antimicrobial effect but are available only in colorless form. We hypothesized that colorless skin disinfectants lead to more incomplete skin preparation of lower limbs compared to colored agents.

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Background: Transcutaneous osseointegrated prosthesis systems (TOPS) are alternative rehabilitation methods to socket prosthetics, after limb amputation. TOPS compromise a two-step surgery: starting with the implantation of the stem which is then followed by the creation of the transcutaneous stoma through which the exoprosthesis can be connected. Immediately after surgery, this opening is permanently exposed to pathogens.

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