[Purpose] The purpose of this study was to investigate interface pressure redistribution in healthy volunteers when applying different cushions and anterior wedge heights. [Subjects and Methods] This study included 36 healthy individuals in their 20s. The peak and mean pressures were measured by applying different cushions and anterior wedge heights. The results were analyzed by using a one-way analysis of variance and post-hoc analysis. [Results] The peak and mean pressures were statistically significant based on the cushion types and anterior wedge height. The peak pressure was at its highest and lowest when sitting on a 6-cm anterior wedge and a foam cushion, respectively. The mean pressure was greatest when sitting on a 6-cm anterior wedge of a firm surface and smallest when sitting on a 5 cm foam cushion. [Conclusion] This study shows that the most effective method for pressure redistribution was sitting on a 5 cm foam cushion without an anterior wedge.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5360996 | PMC |
http://dx.doi.org/10.1589/jpts.29.390 | DOI Listing |
Purpose: Anterior tibial closing wedge osteotomy (ATCWO) has been shown to significantly reduce failure rates of revision anterior cruciate ligament (ACL) reconstructions in patients with a posterior tibial slope (PTS) ≥12°. Recent findings suggest a slight but significant reduction of the medial proximal tibial angle (MPTA) resulting in a varus knee where the sagittal osteotomy plane is based on a total of two guide wires defining the osteotomy wedge without respecting the frontal plane. We hypothesize that the placement of a total of four guide wires intraoperatively can reduce the influence on the MPTA.
View Article and Find Full Text PDFClin Biomech (Bristol)
January 2025
Department of Veterans Affairs, Center for Limb Loss and MoBility, Seattle, WA, USA; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA. Electronic address:
Background: Ambulatory individuals with lower limb amputations often face challenges with body support, body propulsion, and balance control. Carrying an infant, toddler, backpack, or other load can exacerbate these challenges and highlights the importance of prescribing the most suitable prosthetic foot. The aim of this study was to examine the influence of five different prosthetic feet on walking performance during various load carriage conditions.
View Article and Find Full Text PDFMedicina (Kaunas)
January 2025
Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Proximal tibiofibular joint detachment (PTFJD) is a fibular untethering procedure during lateral closing-wedge high tibial osteotomy (LCWHTO) for varus knee osteoarthritis. However, the PTFJD procedure is technically demanding, and confirmation of clear joint separation is not straightforward. The aim of this study was to compare the degree of completion and safety of PTFJD versus tibial-sided osteotomy (TSO); this latter procedure is our novel technique for fibular untethering during LCWHTO.
View Article and Find Full Text PDFMedicina (Kaunas)
January 2025
Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul 06591, Republic of Korea.
: Despite its advantages, lateral close-wedge high tibial osteotomy (LCWHTO) requires proximal tibiofibular joint detachment (PTFJD) or fibular shaft osteotomy for gap closing. These fibula untethering procedures are technically demanding and not free from the risk of neurovascular injuries. Our novel fibula untethering technique, tibial-sided osteotomy (TSO) near the proximal tibiofibular joint (PTFJ), aims to reduce technical demands and the risk of injury to the peroneal nerve and popliteal neurovascular structures.
View Article and Find Full Text PDFMedicina (Kaunas)
December 2024
Department of Anesthesiology and Pain Medicine, Konyang University Hospital, Konyang University College of Medicine, Daejeon 35365, Republic of Korea.
: Video-assisted thoracoscopic surgery (VATS) is associated with less postoperative pain than traditional open thoracotomy. However, trocar and chest tube placement may damage the intercostal nerves, causing significant discomfort. An ultrasound-guided serratus anterior plane block (SAPB) is a promising mode of pain management; this reduces the need for opioids and the associated side-effects.
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