Сontemporary forensic practice requires evaluation of the influence of long bones macroarchitecture on the mechanics of their destruction in case of blunt injuries, which finally might enhance validity and evidence of expert's reports. Therefore objective of the study is obtaining new scientific knowledge concerning macroarchitectural characteristics of the major portions of long bones of the lower limbs, detection of their influence on the regularities of destructive processes of bones in case of blunt injuries. 128 cases with fractures of the lower extremity long bones were examined from forensic-medical practical work, removed from male and female bio mannequins aged from 18 to 65 while conducting forensic expertise. The main morphological parameters (circumference, compact osseous tissue thickness, size and square of the medullar canal) characterizing macroarchitectonics of the femoral, tibial and fibular bones are studied. Their importance and role in occurring fractures of the given bones in forensic practical work are indicated. Different portions of the lower limb long bones possess considerable amount of the structural-functional characteristics. The sizes of the medullar canal (in the form of medullar parameter) and its square influence on the formation of fracture the most considerably among macroarchitectural characteristics.
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Standard microscopic posterior decompression(MD) for lumbar disc herniation has been well established and is a familiar procedure to virtually all spinal neurosurgeons. Traditional surgical treatments are often associated with severe postoperative pain, disability, and dysfunction. This study aimed to describe the microendoscopic discectomy(MED) technique for lumbar disc herniation and report its surgical indications.
View Article and Find Full Text PDFNo Shinkei Geka
January 2025
Department of Neurosurgery, Tominaga Hospital.
This paper examines advancements in minimally invasive posterior decompression techniques for lumbar degenerative diseases. It focuses on the unilateral approach for bilateral decompression and bilateral approach for contralateral decompression, in which the entry side is determined independently of the symptomatic side to achieve a facet joint preservation rate of ≥ 70%, while also emphasizing contralateral foraminal decompression(CFD). These techniques address spinal instability by minimizing facet joint resection, reducing postoperative instability.
View Article and Find Full Text PDFGlobal Spine J
January 2025
Department of Science, Research and Education, BG Klinikum Bergmannstrost Halle, Halle, Germany.
Study Design: Multicenter, prospective observational cohort study.
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J Biomech
January 2025
Radboudumc, Orthopaedic Research Lab, PO Box 9101, 6500 HB Nijmegen, the Netherlands.
Aseptic loosening is the primary cause of revision in cementless total knee arthroplasty (TKA), emphasizing the importance of strong initial stability for long-term implant success. Pre-clinical evaluations are crucial for understanding implant fixation mechanics and improving implant designs. Finite element (FE) analysis models often use linear elastic bone material models, which do not accurately reflect bone's mechanical behavior.
View Article and Find Full Text PDFJ Hand Microsurg
January 2025
Department of Orthopaedic Surgery and Musculoskeletal Trauma, University Hospital of Larissa, Larissa, Greece.
Purpose: Severe injury of multiple anatomical structures of the upper extremity can be caused by an extremely violent mechanism during labor and motor vehicle accidents, gunshots and explosions. The mangled upper extremity consists of trauma of at least 3 of 4 tissue types: connective tissue (skin, subcutaneous tissue, tendons, muscles), vessels, nerves, and bones. The purpose of this study is to evaluate the medium and long-term results of the limb salvage management of those injuries in our department.
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