Search results for "medicine.medical_treatment"

The Retrograde Tibial Nail: presentation and biomechanical evaluation of a new concept in the treatment of distal tibia fractures.

2013

Displaced distal tibia fractures require stable fixation while minimizing secondary damage to the soft tissues by the surgical approach and implants. Antegrade intramedullary nailing has become an alternative to plate osteosynthesis for the treatment of distal metaphyseal fractures over the past two decades. While retrograde intramedullary nailing is a standard procedure in other long bone fractures, only few attempts have been made on retrograde nailing of tibial fractures. The main reasons are difficulties of finding an ideal entry portal and the lack of an ideal implant for retrograde insertion. The Retrograde Tibial Nail (RTN) is a prototype intramedullary implant developed by our group…

2020

The biological anakinra appears promising to halt cytokine storm syndrome seen in severe courses of COVID-19. However, immunosuppression with anakinra may facilitate sepsis, necessitating continuous screening for bacterial superinfections.

Compliance and arthralgias in clinical therapy (COMPACT): Assessment of the incidence of arthralgia, therapy costs, and compliance in the first year …

2012

e11040^ Background: Aromatase Inhibitors (AI) are well established as adjuvant endocrine treatment for postmenopausal women with HR+ early breast cancer (EBC). However, clinical trial data show higher frequently of arthralgia with AI than tamoxifen. As arthralgia may be greatly influencing compliance to adjuvant therapy, we designed a prospective trial to collect real world data on the effects of AI-associated arthralgia on patient compliance, patient outcomes and treatment costs of arthralgia. Methods: COMPACT is an open, prospective non-interventional study (NCT00857012) assessing the incidence of arthralgia, therapy costs, and compliance within the first year of adjuvant anastrozole (AN…

Silicate modulates the cross-talk between osteoblasts (SaOS-2) and osteoclasts (RAW 264.7 cells): inhibition of osteoclast growth and differentiation

2012

It has been shown that inorganic monomeric and polymeric silica/silicate, in the presence of the biomineralization cocktail, increases the expression of osteoprotegerin (OPG) in osteogenic SaOS-2 sarcoma cells in vitro. In contrast, silicate does not affect the steady-state gene expression level of the osteoclastogenic ligand receptor activator of NF-κB ligand (RANKL). In turn it can be expected that the concentration ratio of the mediators OPG/RANKL increases in the presence of silicate. In addition, silicate enhances the growth potential of SaOS-2 cells in vitro, while it causes no effect on RAW 264.7 cells within a concentration range of 10-100 µM. Applying a co-cultivation assay system,…

Primary total hip arthroplasty with fourth-generation ceramic bearings: Clinical and survival results with a minimum follow-up of 5 years.

2019

Abstract Objective To evaluate the clinical results and survival of primary hip prosthesis with ceramic delta bearings (C-C) with a minimum follow-up of 5 years. Material and method A total of 205 primary hip arthroplasties performed between 2008 and 2012 were studied. The clinical results, pre-surgical and at 5 years of follow-up were evaluated using the Harris Hip Score (HHS), the Short Form-36 (SF-36), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the visual analogue scale (VAS). The position of the prosthetic components, periprosthetic osteolysis, loosening of the prosthetic components and ruptures of the ceramic components were studied radiologically. …

Osteoprotegerin expression in liver is induced by IL-13 through TGF-β

2020

1.AbstractBackgroundsOsteoprotegerin (OPG) is a profibrotic mediator produced by myofibroblasts under influence of transforming growth factor β (TGFβ). Its expression in experimental models of liver fibrosis correlates well with disease severity and treatment responses. The regulation of OPG in liver tissue is largely unknown and we therefore set out to elucidate which growth factors/interleukins associated with fibrosis induce OPG and through which pathways.MethodsPrecision-cut liver slices of wild type and STAT6-deficient mice and 3T3 fibroblasts were used to investigate the effects of TGFβ, interleukin (IL) 13 (IL13), IL1β, and platelet-derived growth factor BB (PDGF-BB) on expression of…

Redesign of a Reverse Shoulder Prosthesis: Kinematic and Mechanical Study

2014

In this work a commercial reverse shoulder prosthesis has been redesigned to improve performances in terms of range of movements of the implant and stability to dislocation. A kinematic and mechanic study has been performed using a realistic solid model of the prothesised shoulder: in particular, all the components of the prosthesis have been acquired via a 3D laser scanner and inserted in a virtual humerus-glenoid system by reproducing the common surgical procedure. The final model has been used to measure the maximum angles of abduction and rotation of the arm and the shear forces that cause dislocation. Modifications proposed to the commercial prosthesis are: a different orientation of t…

Le Fratture di Rotula

2015

Patellar fractures are relatively uncommon, accounting for approximately 1% of all fractures. Non-operative treatment represents the best choice for undisplaced patellar fractures. However, surgery becomes necessary when fractures are displaced by more than 2 mm, and may include open reduction and internal fixation. Accurate reduction and rigid fixation are required in order to allow early knee mobilization and to obtain a better clinical outcome. Several techniques have been described for patellar fracture fixation, such as tension band wiring, interfragmentary screw fixation, and the combination of screw fixation and cerclage. In this article up-to-date diagnosis, classification and treat…

Effect of preoperative flexion contracture in the knee joint on the accuracy of digital templating before knee replacement surgery

2016

Abstract Introduction Flexion contracture in the knee joint before knee replacement surgery has been implicated as one of the factors that could affect the accuracy of digital templating. Aim The aim of the study was to detect the accuracy of digital templating in predicting the size of knee implants and to detect the effect of preoperative flexion contracture in the knee joint on the accuracy of digital templating. Material and methods The flexion contracture of the knee joint was measured in every patient prior to knee replacement surgery and digital templating of the knee joint was made in mediolateral (ML), anteroposterior (AP) and AP long leg views. The sizes of prosthetic components p…

Reduction and variability of trunk spines in the acanthocephalan Corynosoma cetaceum: the role of physical constraints on attachment

2005

. In this study, we investigated a functional trade-off between trunk attachment and trunk-spine development in the acanthocephalan Corynosoma cetaceum. The worms live attached to the stomach and upper intestine of their cetacean definitive hosts, using the proboscis and spiny foretrunk as the main holdfast; the spiny hindtrunk can also attach by bending ventrally. When the hindtrunk bends, ventral compression generates an anterior fold (AF) and a posterior fold (PF). A morphological analysis based on 7,823 individuals collected from 10 franciscana dolphins, Pontoporia blainvillei, revealed that spines were smaller and more variable in size and occurrence in the folds than on neighboring ar…