Since its introduction by Ilizarov, the distraction osteogenesis technique has been used to treat trauma-related conditions, infections, bone tumors, and congenital diseases, either as methods of bone transport or elongation. One of the major dilemmas for the orthopedic surgeon who performs osteogenic distraction is establishing a reproducible method of assessing the progression of the osteogenesis, enabling the early detection of regenerate failures, in order to effectively interfere during treatment, and to determine the appropriate time to remove the external fixator. Several quantitative monitoring methods to evaluate the structural recovery and biomechanical properties of the bone regenerate at different stages, as well as the bone healing process, are under study.
View Article and Find Full Text PDFJ Am Acad Orthop Surg Glob Res Rev
August 2023
Introduction: Bone defects may be managed with bone transport or acute shortening and lengthening using circular external fixation devices. We performed a multicenter retrospective cohort study to compare the outcomes between the Ilizarov frames and hexapod frames for the management of bone defects.
Methods: Patients treated for bone defects using either Ilizarov or hexapod frames were included for analysis in two specialist institutions.
Integr Environ Assess Manag
January 2022
The Madeira River Navigation and Improvement Project provides a unique opportunity to incorporate nature-based solutions (NbS) into the built environment to promote sustainable communities and water resources infrastructure. The Madeira River has no major physical interventions (river training structures, navigation locks and dams, etc.) to improve navigation, and so is one of the world's last remaining undeveloped megarivers that exhibits natural morphological processes.
View Article and Find Full Text PDFBackground: High-energy tibial plateau fractures are challenges in treatment with controversy over operative stabilisation, especially for fractures with metaphyseal-diaphyseal dissociation. Treatment with percutaneous or minimally invasive direct reduction techniques, usually associated with circular external fixation, has generated interest although there is no consensus regarding the type of external fixation to be used.
Aim: This study aims to compare the two hybrid circular external fixation mountings used to treat the high-energy tibial plateau fractures.
Arq Gastroenterol
November 2017
Background: The diagnosis of corrosion cancer should be suspected in patients with corrosive ingestion if after a latent period of negligible symptoms there is development of dysphagia, or poor response to dilatation, or if respiratory symptoms develop in an otherwise stable patient of esophageal stenosis. Narrow Band Imaging detects superficial squamous cell carcinoma more frequently than white-light imaging, and has significantly higher sensitivity and accuracy compared with white-light.
Objective: To determinate the clinical applicability of Narrow Band Imaging versus Lugol´s solution chromendoscopy for detection of early esophageal cancer in patients with caustic/corrosive agent stenosis.
The definition of neglected clubfoot (NC) includes a variable range of complex deformities of the foot that are refractory to conventional treatments or are treated inappropriately. Several etiologies may be related to this. The Ilizarov method has become established as a tool for treating these deformities.
View Article and Find Full Text PDFThis work describes the synthesis, hydration and durability behavior of β-Ca(2)SiO(4) doped with chromium. β-Ca(2)SiO(4) is a component of commercial cement. Rice hull is an agricultural residue containing about 10% of silica as inorganic constituent.
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