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1.
Biercevicz, Alison M.
A Translational Method to Quantify Anterior Cruciate
Ligament Healing Using Magnetic Resonance Imaging for Research and
Clinical Applications.
Degree: PhD, Biomedical Engineering, 2015, Brown University
URL: https://repository.library.brown.edu/studio/item/bdr:419431/
► The goal of this thesis was to use non-invasive quantifiable MR parameters of volume, signal intensity and T2* relaxation time to predict the biomechanical or…
(more)
▼ The goal of this thesis was to use non-invasive
quantifiable MR parameters of volume, signal intensity and T2*
relaxation time to predict the biomechanical or histological
outcomes of an ACL graft or ACL repair as a surrogate outcome
measure for healing. The main focus of this thesis was on
developing imaging methods for determining these MR parameters and
evaluating how these parameters could be used to assess ligament or
graft healing, in both animal models and in clinical trials. Our
first goal was to design an MR imaging method to predict the
structural properties of a healing ligament or graft in a large
animal model. We found that the linear combination of MR derived
volume and SI, as a surrogate for tissue integrity, predicted ex
vivo structural properties in a healing ACL or graft. As a further
refinement of this approach, it was found partial volumes defined
by equal intervals of T2*, predicted structural properties of a
healing ligament with the benefit of T2* being an inherent tissue
property with potential to be standardized across institutions. In
addition to being predictive of gross biomechanical performance,
T2* was also found to be predictive of histological outcomes that
have been associated with ligament healing on a microscopic level.
A complimentary study determined that these same imaging parameters
were not significantly associated with biomechanical performance of
degenerating ACLs in a human cadaveric population clustered around
50 years of age. Inherent differences with the macro or micro
anatomy of the degenerating ligaments may have lead to the
insignificant findings. Finally, as a translational step, the
combination of volume and SI were found to be predictive of
traditional outcomes, such as, the hop test, for patients that
received ACL reconstruction. The noninvasive MR methods presented
here for predicting the structural properties and histological
outcomes of the graft or ligament will allow researchers to
document healing longitudinally within a specimen in pre-clinical
animal studies. Furthermore, these findings may have implications
as a surrogate outcome measure in clinical studies for documenting
temporal changes within-patients and as a more quantitative method
for guiding rehabilitation.
Advisors/Committee Members: Fleming, Braden (Director), Crisco, Joseph (Reader), Darling, Eric (Reader), Deoni, Sean (Reader), Thornton, Gail (Reader).
Subjects/Keywords: Orthopaedics
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APA ·
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APA (6th Edition):
Biercevicz, A. M. (2015). A Translational Method to Quantify Anterior Cruciate
Ligament Healing Using Magnetic Resonance Imaging for Research and
Clinical Applications. (Doctoral Dissertation). Brown University. Retrieved from https://repository.library.brown.edu/studio/item/bdr:419431/
Chicago Manual of Style (16th Edition):
Biercevicz, Alison M. “A Translational Method to Quantify Anterior Cruciate
Ligament Healing Using Magnetic Resonance Imaging for Research and
Clinical Applications.” 2015. Doctoral Dissertation, Brown University. Accessed April 10, 2021.
https://repository.library.brown.edu/studio/item/bdr:419431/.
MLA Handbook (7th Edition):
Biercevicz, Alison M. “A Translational Method to Quantify Anterior Cruciate
Ligament Healing Using Magnetic Resonance Imaging for Research and
Clinical Applications.” 2015. Web. 10 Apr 2021.
Vancouver:
Biercevicz AM. A Translational Method to Quantify Anterior Cruciate
Ligament Healing Using Magnetic Resonance Imaging for Research and
Clinical Applications. [Internet] [Doctoral dissertation]. Brown University; 2015. [cited 2021 Apr 10].
Available from: https://repository.library.brown.edu/studio/item/bdr:419431/.
Council of Science Editors:
Biercevicz AM. A Translational Method to Quantify Anterior Cruciate
Ligament Healing Using Magnetic Resonance Imaging for Research and
Clinical Applications. [Doctoral Dissertation]. Brown University; 2015. Available from: https://repository.library.brown.edu/studio/item/bdr:419431/

University of Oxford
2.
Hislop, Simon.
The degradation of electrospun polydioxanone patches for rotator cuff repair.
Degree: PhD, 2012, University of Oxford
URL: http://ora.ox.ac.uk/objects/uuid:02cae588-1f87-4213-a1da-17fc2dddd076
;
https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.770316
► INTRODUCTION: Surgical repair of rotator cuff pathology has failure as high as 75% [1]. Biological factors such as stem cells and platelet rich plasma may…
(more)
▼ INTRODUCTION: Surgical repair of rotator cuff pathology has failure as high as 75% [1]. Biological factors such as stem cells and platelet rich plasma may improve the biological environment around the healing tendon [2]. We have investigated the use of a biocompatible and biodegradable electrospun polydioxanone (PDO) scaffold patch to restrain the spread of injected biological factors, and retain them in the desired locality. This study characterizes the degradation of PDO microfibrous patches in vitro. We have used imaging techniques, and high performance liquid chromatography to demonstrate the kinetics of PDO degradation as well as demonstrate the time scale of degradation in an in vitro representation of the physiological environment. METHODS: In-vitro weight loss: Electrospun polydioxanone patches were incubated in phosphate buffered solution (PBS) and weighed at intervals of 1 to 5 days over the course of 13 weeks. Weight loss of PDO samples was calculated as a percentage of the starting dry weight. Imaging: PDO samples were viewed in an Environmental Scanning Electron microscope (ESEM). Comparisons were made between fresh samples of PDO, and those degraded over a period of weeks in (PBS). The dimensions of the imaged fibres were measured and compared in order to characterize how they degraded. Fluorescent microscopy was used to image patches seeded with tendon-derived cells. These patches were incubated in PBS and imaged after 1, 2, and 4 weeks to demonstrate the adhesion of the cells to the electrospun fibres as the PDO degraded. High Performance Liquid Chromatography: HPLC was utilised to attempt to identify the final degradation product of polydioxanone, and to characterise the mechanisms by which it degrades. pH: PDO patches were incubated in PBS for a period of 8 weeks. At incremental time points, the pH of the solution was assessed. The Dynamic arm of the experiment involved replacing the PBS at each time point, in order to replicate the dynamic environment found in vivo. The Static arm maintained the same solution throughout the experiment. RESULTS AND DISCUSSION: The weight loss, pH, and imaging experiments provide evidence that PDO begins to significantly degrade at the 4 week time point. The ESEM images demonstrated the character of the PDO degradation, with degraded samples presenting short blocks of PDO in contrast to the long fibres of the fresh samples (Figure 3). It also provided evidence of the presence of live cells at the 4 week mark. The HPLC experiments also provided insight into the mechanisms of degradation and potential final degradation products. SIGNIFICANCE: The electrospun PDO structure maintains weight and pH well for 4 weeks which is the main window for physiological benefit from biological factors incorporated into the patch. Tenoblast cells maintain adhesion to the patch well, and the hypothesis formed from these results is that they will migrate onto the injury when exposed to physiological recruitment factors.
Subjects/Keywords: Orthopaedics
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Hislop, S. (2012). The degradation of electrospun polydioxanone patches for rotator cuff repair. (Doctoral Dissertation). University of Oxford. Retrieved from http://ora.ox.ac.uk/objects/uuid:02cae588-1f87-4213-a1da-17fc2dddd076 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.770316
Chicago Manual of Style (16th Edition):
Hislop, Simon. “The degradation of electrospun polydioxanone patches for rotator cuff repair.” 2012. Doctoral Dissertation, University of Oxford. Accessed April 10, 2021.
http://ora.ox.ac.uk/objects/uuid:02cae588-1f87-4213-a1da-17fc2dddd076 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.770316.
MLA Handbook (7th Edition):
Hislop, Simon. “The degradation of electrospun polydioxanone patches for rotator cuff repair.” 2012. Web. 10 Apr 2021.
Vancouver:
Hislop S. The degradation of electrospun polydioxanone patches for rotator cuff repair. [Internet] [Doctoral dissertation]. University of Oxford; 2012. [cited 2021 Apr 10].
Available from: http://ora.ox.ac.uk/objects/uuid:02cae588-1f87-4213-a1da-17fc2dddd076 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.770316.
Council of Science Editors:
Hislop S. The degradation of electrospun polydioxanone patches for rotator cuff repair. [Doctoral Dissertation]. University of Oxford; 2012. Available from: http://ora.ox.ac.uk/objects/uuid:02cae588-1f87-4213-a1da-17fc2dddd076 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.770316

University of Oxford
3.
Mohammad, Hasan.
Optimising the outcomes of the Oxford unicompartmental knee replacement.
Degree: PhD, 2020, University of Oxford
URL: http://ora.ox.ac.uk/objects/uuid:ffe80028-1ed0-4602-8f81-0b9d41c33515
;
https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.813614
► The two main surgical options for knee arthritis are total knee replacement (TKR) and unicompartmental knee replacement (UKR). UKR has advantages over TKR but has…
(more)
▼ The two main surgical options for knee arthritis are total knee replacement (TKR) and unicompartmental knee replacement (UKR). UKR has advantages over TKR but has higher revision rates. As a result, UKR only forms 10% of all primary knee replacements. The broad aims of this thesis were to determine; the long term implant survival of the Oxford UKR and to assess current and develop new evidence based strategies to reduce revision rates. A systematic review investigating the long term outcomes of 8,658 Oxford UKRs found the 10 year implant survival was 93% with leading revision causes including aseptic loosening, pain and bearing dislocation. There was a lack of cementless studies. A large prospective cementless Oxford UKR cohort study (n=1000) in Oxford allowed the assessment of long term clinical outcomes using various endpoints; reoperation, revision and revision to TKR. The respective 10 year survivals were 96.6%, 97.5% and 98.9%. A retrospective observational study from the National Joint Registry (NJR) was used to compare the long term outcomes of 14,814 matched cemented and cementless UKRs. The cementless group has significantly reduced revision rates (HR=0.76) given rates of revision for aseptic loosening, pain and lysis decreased. However the revision rate for peri-prosthetic tibial fracture increased. These results were mirrored by a systematic review comparing fixation types for all UKR types (n=10,736). Other retrospective observational studies from the NJR were used to investigate the effect on revision rates of (1) increasing surgeon caseload, (2) Microplasty (new guiding surgical instrumentation) and (3) adding a second femoral peg on revision rates. All three were associated with lower revision rates. A radiostereometric study of polyethylene wear was undertaken to determine why an increased rate of bearing fracture has been observed. The wear rate for the current bearings are 57 μm/year which is substantially higher than in previous studies. Although moulded bearings were found to have less wear than machined, no factors studied including recent changes to the bearing resin or manufacture accounted for the increased wear. An experimental study found that new wider surgical saw blades halved the force required to seat the tibial component whilst maintaining fixation achieved. This should reduce the risk of periprosthetic fractures and is now used clinically. This thesis has characterised the performance of the Oxford UKR and has highlighted strategies to lower UKR revision rates, to levels similar of TKR. If this is achieved the only real disadvantage of UKR compared to TKR will have been addressed.
Subjects/Keywords: Orthopaedics
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Mohammad, H. (2020). Optimising the outcomes of the Oxford unicompartmental knee replacement. (Doctoral Dissertation). University of Oxford. Retrieved from http://ora.ox.ac.uk/objects/uuid:ffe80028-1ed0-4602-8f81-0b9d41c33515 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.813614
Chicago Manual of Style (16th Edition):
Mohammad, Hasan. “Optimising the outcomes of the Oxford unicompartmental knee replacement.” 2020. Doctoral Dissertation, University of Oxford. Accessed April 10, 2021.
http://ora.ox.ac.uk/objects/uuid:ffe80028-1ed0-4602-8f81-0b9d41c33515 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.813614.
MLA Handbook (7th Edition):
Mohammad, Hasan. “Optimising the outcomes of the Oxford unicompartmental knee replacement.” 2020. Web. 10 Apr 2021.
Vancouver:
Mohammad H. Optimising the outcomes of the Oxford unicompartmental knee replacement. [Internet] [Doctoral dissertation]. University of Oxford; 2020. [cited 2021 Apr 10].
Available from: http://ora.ox.ac.uk/objects/uuid:ffe80028-1ed0-4602-8f81-0b9d41c33515 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.813614.
Council of Science Editors:
Mohammad H. Optimising the outcomes of the Oxford unicompartmental knee replacement. [Doctoral Dissertation]. University of Oxford; 2020. Available from: http://ora.ox.ac.uk/objects/uuid:ffe80028-1ed0-4602-8f81-0b9d41c33515 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.813614

University of Helsinki
4.
Barreto, Goncalo.
INNATE IMMUNITY IN OSTEOARTHRITIS: THE ROLE OF TOLL-LIKE RECEPTORS AND CARTILAGE DERIVED MEDIATORS IN THE DISEASE PROGRESSION.
Degree: Institute of Clinical Medicine, Faculty of Medicine, Department of Medicine, 2016, University of Helsinki
URL: http://hdl.handle.net/10138/163531
► Osteoarthritis (OA), the most common form of arthritis, is estimated to be in the top 5 leading causes of disability worldwide. Yet OA incidence is…
(more)
▼ Osteoarthritis (OA), the most common form of arthritis, is estimated to be in the top 5 leading causes of disability worldwide. Yet OA incidence is estimated to keep growing partly due to the overall worldwide trend of increased obesity and ageing population. Cartilage erosion, a hallmark of OA, has its onset in the traumatic events caused by incorrect biomechanical loading of the joint and the consequent biological response. Currently we still poorly comprehend the molecular pathophysiology of preclinical and clinical symptomatic OA, which consequently results in no current available therapy to prevent OA progression. We hypothesize that innate immunity and its receptor, in particularly toll-like receptors (TLRs), could be major drivers of OA disease progression and onset. The process could be initiated as a proinflammatory reaction against extracellular matrix (ECM)-derived damage-associated molecular patterns (DAMPs). DAMPs accumulate in avascular articular cartilage as a result of traumatization and degeneration, leading directly at their source to a reactive chondrocyte-mediated and TLR-dependent production of proinflammatory and algogenic secondary mediators, which then cause a secondary synovitis with consequent joint pain. For this propose, we collected cartilage and isolated primary chondrocytes from a total of 27 OA patients. Synovial fluid was obtained from knee meniscectomy, total knee arthroplasty (TKA) due to OA, and rheumatoid arthritis (RA) patients generating a total of 30 patient samples. HEK (human embryonic kidney)-blue TLR4 reporter cell line, primary OA chondrocytes, and cartilage explants were used for functional studies. Our results confirmed that TLR1, TLR2 and TLR9 expression is present in healthy primary chondrocytes isolated from articular cartilage, and derived from chondroprogenitors. During our chondrogenesis differentiation studies initial high expression of TLR1, TLR2 and TLR9 was significantly reduced to baseline levels.
We demonstrated that proinflammatory cytokine tumour necrosis factor alpha (TNF-α) is able to increase the expression of TLR2 in both healthy primary chondrocytes and mesenchymal stem cells (MSC) derived chondrocytes cultured for 21 days. TNF-α stimulation was demonstrated to induce cartilage degradation in de novo ECM matrix from pellet cultures of MSC-derived chondrocytes cultured for 21 days. This implicates TNF-α as an inducer of matrix degradation, with wide implications in the use of MSCs strategies in cartilage repair strategies for OA. Our study also added further evidence of a role for TNF-α in TLR-innate immunity in the OA synovial joint.
TLRs protein expression in cartilage between knee and first carpometacarpal (CMC-I) joints from OA patients was shown to be strikingly different. Our study demonstrated for the first time all TLRs being expressed at protein levels in articular cartilage from knee OA patients. Moreover, we demonstrated that their expression is up-regulated in a cartilage zone-dependent fashion accordingto the histological progression of…
Subjects/Keywords: orthopaedics; orthopaedics
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Barreto, G. (2016). INNATE IMMUNITY IN OSTEOARTHRITIS: THE ROLE OF TOLL-LIKE RECEPTORS AND CARTILAGE DERIVED MEDIATORS IN THE DISEASE PROGRESSION. (Doctoral Dissertation). University of Helsinki. Retrieved from http://hdl.handle.net/10138/163531
Chicago Manual of Style (16th Edition):
Barreto, Goncalo. “INNATE IMMUNITY IN OSTEOARTHRITIS: THE ROLE OF TOLL-LIKE RECEPTORS AND CARTILAGE DERIVED MEDIATORS IN THE DISEASE PROGRESSION.” 2016. Doctoral Dissertation, University of Helsinki. Accessed April 10, 2021.
http://hdl.handle.net/10138/163531.
MLA Handbook (7th Edition):
Barreto, Goncalo. “INNATE IMMUNITY IN OSTEOARTHRITIS: THE ROLE OF TOLL-LIKE RECEPTORS AND CARTILAGE DERIVED MEDIATORS IN THE DISEASE PROGRESSION.” 2016. Web. 10 Apr 2021.
Vancouver:
Barreto G. INNATE IMMUNITY IN OSTEOARTHRITIS: THE ROLE OF TOLL-LIKE RECEPTORS AND CARTILAGE DERIVED MEDIATORS IN THE DISEASE PROGRESSION. [Internet] [Doctoral dissertation]. University of Helsinki; 2016. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/10138/163531.
Council of Science Editors:
Barreto G. INNATE IMMUNITY IN OSTEOARTHRITIS: THE ROLE OF TOLL-LIKE RECEPTORS AND CARTILAGE DERIVED MEDIATORS IN THE DISEASE PROGRESSION. [Doctoral Dissertation]. University of Helsinki; 2016. Available from: http://hdl.handle.net/10138/163531

University of Zambia
5.
Wapabeti, Joseph.
Determination of the Functional Outcomes of Total Hip Replacement,By Using the Harris Hip Score,In Adults Presenting at Hospitals in Lusaka,A Cross Sectional Study
.
Degree: 2017, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4493
► BACKGROUND: Total hip replacement (THR) is one of the most successful orthopaedic procedures performed worldwide (Miller 2008). The number of joint replacements performed in Africa…
(more)
▼ BACKGROUND: Total hip replacement (THR) is one of the most successful orthopaedic procedures performed worldwide (Miller 2008). The number of joint replacements performed in Africa is increasing but outcomes reported in sub-Saharan Africa, excluding South Africa, are sparse (Dossche 2014). Coupled with an anticipated rise in the prevalence of total hip replacements resulting from trauma, infection and the aging population (Elders 2000, Keruly 2001), there has been no corresponding increase in the health facilities offering specialised orthopaedic services. Zambia has not been spared as there is an information gap regarding information on patients that have undergone Total Hip Replacement and their functional outcomes. The aim of this study was to determine the functional outcomes of patients based on the Harris hip score after total hip replacement
MATERIALS AND METHODS: 31 patients were enrolled in the study by using convenient sampling from hospital records. Patients that met the criteria were then invited to join the study. A standardised structured questionnaire was used to obtain the biophysical profile, pre and postoperative co-morbidities. Functional outcome of the patient was then determined by using the HHS and the results obtained tabulated thereafter.
RESULTS: Twenty males and females were enrolled. The minimum age was 19 years, maximum 78 and mean age was 48.8years. Ten patients were found to be hypertensive, 8 HIV positive, 1 Diabetics Mellitus, 5 had Sickle cell trait while the remaining 7 had no pre-existing medical conditions. Pain was the major indication of surgery. Postoperative complications were either wound infection (38.7%) or hip dislocation (3.2%). Twenty three rated the operation a success, 8 said it was a failure. The Harris Hip Score ranged from poor to good.
CONCLUSION: Pain was the main indication for surgery. Functional outcomes using HHS ranged from poor to good. Patients were generally satisfied with the outcome after Total Hip Replacement. No association was found between the HHS and the patients’ biophysical, pre-existing comorbidities, postoperative complications and duration from time from surgery.
Subjects/Keywords: Orthopaedics surgery.;
Orthopaedics.
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Wapabeti, J. (2017). Determination of the Functional Outcomes of Total Hip Replacement,By Using the Harris Hip Score,In Adults Presenting at Hospitals in Lusaka,A Cross Sectional Study
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4493
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Wapabeti, Joseph. “Determination of the Functional Outcomes of Total Hip Replacement,By Using the Harris Hip Score,In Adults Presenting at Hospitals in Lusaka,A Cross Sectional Study
.” 2017. Thesis, University of Zambia. Accessed April 10, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4493.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Wapabeti, Joseph. “Determination of the Functional Outcomes of Total Hip Replacement,By Using the Harris Hip Score,In Adults Presenting at Hospitals in Lusaka,A Cross Sectional Study
.” 2017. Web. 10 Apr 2021.
Vancouver:
Wapabeti J. Determination of the Functional Outcomes of Total Hip Replacement,By Using the Harris Hip Score,In Adults Presenting at Hospitals in Lusaka,A Cross Sectional Study
. [Internet] [Thesis]. University of Zambia; 2017. [cited 2021 Apr 10].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4493.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Wapabeti J. Determination of the Functional Outcomes of Total Hip Replacement,By Using the Harris Hip Score,In Adults Presenting at Hospitals in Lusaka,A Cross Sectional Study
. [Thesis]. University of Zambia; 2017. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4493
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Jönköping University
6.
Kälfors, Seth.
Samvetsstress hos ortopedingenjörer i Sverige.
Degree: Health and Welfare, 2020, Jönköping University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49648
► Background Stress and burnout in healthcare is a globally occurring problem that has been given attention in both media and research literature. Stress derives…
(more)
▼ Background Stress and burnout in healthcare is a globally occurring problem that has been given attention in both media and research literature. Stress derives partly from a high workload and emotional exhaustion, but ethical and moral factors can also cause stress of conscience which in worst case can lead to burnout. Objectives There is a lack of studies regarding prosthetists and orthotists experience of stress. By using the validated survey Stress of Conscience Questionnaire (SCQ) the aim is to find out the level of stress in prosthetists and orthotists in Sweden. Method A web-based survey with the SCQ instrument was sent to prosthetists and orthotists in Sweden and the answers was compiled using SPSS. Results 68 people answered the survey. The situations that caused the highest stress of conscience for prosthetists and orthotists was when there was a lack of time to provide the care the patient needed, when there were incompatible demands in ones work and when ones work was so demanding that they did not have the energy to devote to their family as they wanted to. Conclusion The results are similar to results from studies made on other healthcare professions which implicates that stress of conscience is as likely for prosthetists and orthotists. A better understanding for causes of stress for prosthetists and orthotists could trough further studies contribute to a better healthcare-climate for both caregivers and patients. Keywords: conscience, stress, mental illness, prosthetists, orthotists
Bakgrund Stress och utbrändhet inom sjukvården är ett globalt förekommande problem som fått mycket uppmärksamhet inom både medier och forskningsvärlden. Stressen kommer delvis från en hög arbetsbörda och emotionella påfrestningar, men även etiska och moraliska faktorer kan ge upphov till samvetsstress som i värsta fall kan leda till utbrändhet. Syfte Det finns en brist på studier om ortopedingenjörers upplevelse av stress. Genom att använda den validerade enkäten Stress of Conscience Questionnaire (SCQ) är syftet att ta reda på nivån av stress hos legitimerade ortopedingenjörer i Sverige. Metod En webenkät med instrumentet SCQ skickades ut till ortopedingenjörer i Sverige och svaren sammanställdes med SPSS. Resultat 68 personer svarade på enkäten. De situationer som orsakar högst samvetsstress för ortopedingenjörer var då man inte upplevde tillräcklig tid till att ge god vård, då man utsätts för oförenliga krav i sitt arbete och då ens arbete är så krävande att man inte orkar ägna sig åt sina närmaste. Slutsatser Dessa resultat speglar resultat från studier gjorda på andra sjukvårdsyrken vilket skulle kunna betyda att samvetsstress är lika sannolikt inom…
Subjects/Keywords: Orthopaedics; Ortopedi
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Kälfors, S. (2020). Samvetsstress hos ortopedingenjörer i Sverige. (Thesis). Jönköping University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49648
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kälfors, Seth. “Samvetsstress hos ortopedingenjörer i Sverige.” 2020. Thesis, Jönköping University. Accessed April 10, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49648.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kälfors, Seth. “Samvetsstress hos ortopedingenjörer i Sverige.” 2020. Web. 10 Apr 2021.
Vancouver:
Kälfors S. Samvetsstress hos ortopedingenjörer i Sverige. [Internet] [Thesis]. Jönköping University; 2020. [cited 2021 Apr 10].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49648.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kälfors S. Samvetsstress hos ortopedingenjörer i Sverige. [Thesis]. Jönköping University; 2020. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49648
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
7.
NGWATA, OWEN.
Effect of low back pain on activities of daily living in patients seen at the university teaching hospital, Lusaka,Zambia:a cross sectional study the Oswestry disability index.
Degree: 2016, University of Zimbabwe
URL: http://dspace.unza.zm/handle/123456789/4870
► Background: Low back pain (LBP) is an important cause of disability and work absenteeism. World health organization defines Disability as impairment of activity-limitations, participation restriction.…
(more)
▼ Background: Low back pain (LBP) is an important cause of disability and work absenteeism. World health organization defines Disability as impairment of activity-limitations, participation restriction. The majority of low back pain stems from benign musculoskeletal problems and it is referred to as non-specific low back pain; this type may be due to muscle or other soft tissue sprain or strain. Over 99% of back pain fall within this category. Oswestry Disability Index (ODI) was used to evaluate the quality of life in individuals with low back pain.
Objectives: To establish the effect of low back pain on daily living activities among the patients seen at University Teaching Hospital, Orthopedics clinic, Lusaka, Zambia using the Oswestry Disability Index.
Methodology: This was the cross sectional study that was conducted at University Teaching Hospital, Orthopaedic clinic. A total of 167 patients were enrolled both female and male, and evaluated using ODI. Sex, height, weight, age and occupation were used as independent variables. ODI questionnaires were used as an instrument for collecting data.
Results: 37%of the patients were males and 63% females. It was found that among the variables; sex, height, weight, age and occupation, occupation was significant in association with low back pain. It revealed that 75% of patients with severe low back pain were from informal sector of occupation while 18% were from formal sector. Additionally, it was also noted that those with high BMI regardless of gender had more disability due mechanical low back pain as compared to those with low BMI.
Conclusion: The results showed that there is an association between occupation and ODI. 75% of the candidates with mechanical low back pain were in informal sector and 18.8% were in formal. Furthermore, males were more severely affected than females. Additionally, obesity revealed more disability as compared to those patients with normal weight.
Subjects/Keywords: Orthopaedics.; Backache.
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Chicago ·
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APA (6th Edition):
NGWATA, O. (2016). Effect of low back pain on activities of daily living in patients seen at the university teaching hospital, Lusaka,Zambia:a cross sectional study the Oswestry disability index. (Thesis). University of Zimbabwe. Retrieved from http://dspace.unza.zm/handle/123456789/4870
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
NGWATA, OWEN. “Effect of low back pain on activities of daily living in patients seen at the university teaching hospital, Lusaka,Zambia:a cross sectional study the Oswestry disability index.” 2016. Thesis, University of Zimbabwe. Accessed April 10, 2021.
http://dspace.unza.zm/handle/123456789/4870.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
NGWATA, OWEN. “Effect of low back pain on activities of daily living in patients seen at the university teaching hospital, Lusaka,Zambia:a cross sectional study the Oswestry disability index.” 2016. Web. 10 Apr 2021.
Vancouver:
NGWATA O. Effect of low back pain on activities of daily living in patients seen at the university teaching hospital, Lusaka,Zambia:a cross sectional study the Oswestry disability index. [Internet] [Thesis]. University of Zimbabwe; 2016. [cited 2021 Apr 10].
Available from: http://dspace.unza.zm/handle/123456789/4870.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
NGWATA O. Effect of low back pain on activities of daily living in patients seen at the university teaching hospital, Lusaka,Zambia:a cross sectional study the Oswestry disability index. [Thesis]. University of Zimbabwe; 2016. Available from: http://dspace.unza.zm/handle/123456789/4870
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Oxford
8.
Alvand, Abtin.
Improving surgical learning and performance at unicompartmental knee arthroplasty.
Degree: PhD, 2014, University of Oxford
URL: http://ora.ox.ac.uk/objects/uuid:faa3e695-2604-4c98-be88-25d7213c4f22
;
https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.655106
► Surgery is a difficult skill to teach and even more difficult to assess. In the context of orthopaedic surgery, the Oxford unicompartmental knee arthroplasty (OUKA)…
(more)
▼ Surgery is a difficult skill to teach and even more difficult to assess. In the context of orthopaedic surgery, the Oxford unicompartmental knee arthroplasty (OUKA) is a commonly performed and technically challenging procedure with a variable and sometimes unsatisfactory revision rate. Thus there is a need to develop methods for optimising performance in this procedure. This thesis aims to use this procedure to explore ways of improving teaching methods and assessment methods, and the use of novel technologies to impact surgical performance. No validated technical skill assessment system currently exists to evaluate surgical performance during OUKA. A consensus-based framework of expert opinion (Delphi methodology) was therefore used to determine the essential technical steps of OUKA to aid development of a technical skill assessment system. A procedure-specific assessment scale named the Oxford Arthroplasty Technical Skill Score (OATSS) was produced. Two clinical studies were conducted to demonstrate the inter-rater reliability and construct validity of OATSS in the real operating theatre. This is the first time that a procedure-specific assessment scale has been developed and validated for a complex orthopaedic procedure. The Delphi methodology was also used to identify important radiographic parameters that could be used to predict clinical outcome following OUKA. Two cohort studies used post-operative radiographs of "failed" and "poorly functioning" OUKA cases (with matched controls) to identify several radiographic parameters that can predict the increased risk of a poor clinical outcome. A virtual reality (VR) based simulator (called ViTAL) was developed to teach the cognitive skills necessary for performing the OUKA procedure. This software-based learning environment was used in a randomised controlled study to assess its training effectiveness. This demonstrated that, when used alongside existing teaching modalities, ViTAL resulted in better acquisition of cognitive skills in novice trainees. A randomised controlled study was subsequently undertaken using anatomic dry-model bones in a surgical skills laboratory to determine the effect of cognitive skills training using the ViTAL simulator on the ability of orthopaedic trainees to perform the OUKA procedure. The previously validated OATSS assessment scale was used to evaluate surgical performance. Results demonstrated that this type of training not only improved acquisition of cognitive skills, but also resulted in better technical skill performance during OUKA procedures. This demonstrates, for the first time, the effectiveness of a purely cognitive VR-based simulator for improving technical skills during arthroplasty surgery. Patient-specific instrumentation (PSI) is a novel and exciting technological development within orthopaedic surgery. A prospective RCT was performed to compare OUKAs implanted using PSI with those implanted using conventional instrumentation. Intra-operative measurements, together with post-operative radiographic analyses, were…
Subjects/Keywords: 617.5; Orthopaedics
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APA ·
Chicago ·
MLA ·
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Export
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APA (6th Edition):
Alvand, A. (2014). Improving surgical learning and performance at unicompartmental knee arthroplasty. (Doctoral Dissertation). University of Oxford. Retrieved from http://ora.ox.ac.uk/objects/uuid:faa3e695-2604-4c98-be88-25d7213c4f22 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.655106
Chicago Manual of Style (16th Edition):
Alvand, Abtin. “Improving surgical learning and performance at unicompartmental knee arthroplasty.” 2014. Doctoral Dissertation, University of Oxford. Accessed April 10, 2021.
http://ora.ox.ac.uk/objects/uuid:faa3e695-2604-4c98-be88-25d7213c4f22 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.655106.
MLA Handbook (7th Edition):
Alvand, Abtin. “Improving surgical learning and performance at unicompartmental knee arthroplasty.” 2014. Web. 10 Apr 2021.
Vancouver:
Alvand A. Improving surgical learning and performance at unicompartmental knee arthroplasty. [Internet] [Doctoral dissertation]. University of Oxford; 2014. [cited 2021 Apr 10].
Available from: http://ora.ox.ac.uk/objects/uuid:faa3e695-2604-4c98-be88-25d7213c4f22 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.655106.
Council of Science Editors:
Alvand A. Improving surgical learning and performance at unicompartmental knee arthroplasty. [Doctoral Dissertation]. University of Oxford; 2014. Available from: http://ora.ox.ac.uk/objects/uuid:faa3e695-2604-4c98-be88-25d7213c4f22 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.655106

University of Oxford
9.
Zargar Baboldashti, Nasim.
Platelet rich plasma and mechanical loading in regenerative tendon repair.
Degree: PhD, 2011, University of Oxford
URL: http://ora.ox.ac.uk/objects/uuid:f998f9e8-7ca2-43ce-b7fd-204bf5b21279
;
https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.556118
► Tendon injuries and tendinopathy are a growing problem in the aging but physically active population as well as athletes. Tendons have highly ordered matrix and…
(more)
▼ Tendon injuries and tendinopathy are a growing problem in the aging but physically active population as well as athletes. Tendons have highly ordered matrix and undergo complex changes during the remodelling phase of tendon healing. Moreover, anaerobic metabolism and poor vascular network contribute to slow adaptation of tissue to the remodelled matrix which consequently results in slow and compromised healing. Such a destitute and slow healing process necessitates development of new and effective therapies and to combine therapies to obtain possibly synergistic effects. Addressing this clinical requirement, the work presented in this thesis investigates the role of two emerging treatment options, platelet rich plasma (PRP) and mechanical loading, on tendon healing. The effects of PRP, a rich autologous source of growth factors, on tendon cells was studied by modelling important stages of tendon healing in vitro. Key parameters such as cellular migration, chemotaxis, viability and senescence were investigated by means of different culturing and staining techniques together with microscopic analyses. PRP significantly increased migration and chemotaxis in human primary tenocyte culture. Moreover, PRP protected human tenocytes against challenging environments created by known tendon damaging drugs, dexamethasone and ciprofloxacin, as well as the injury relevant condition of hypoxia. Concurrently, an in vitro rat tail tendon injury model and static loading device was developed to assess the effect of static mechanical loading and PRP on the biochemical and biomechanical properties of tendon at the tissue level. This in vitro system was also used to investigate the synergistic effects of PRP and mechanical loading on tendon healing. Both PRP and mechanical loading helped to improve the biomechanical and biochemical properties of damaged tendon in vitro. In conclusion, the positive effects of PRP on key cellular parameters such as cell survival, migration and chemotaxis and also mechanical and biochemical properties of tendon tissue make it an important option for faster and less invasive tendon treatment. Additionally, an in vitro tendon injury model together with the mechanical loading device provide a new tool to investigate the mechanical boundary conditions suitable for treating different types of tendon disorders. The findings from the current study points towards the significant contribution of PRP and mechanical loading to the healing process in tendons and could serve as a promising starting point for developing integrated therapeutic modalities to improve the quality and speed of recovery from tendon injury.
Subjects/Keywords: 616.75; Orthopaedics
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Zargar Baboldashti, N. (2011). Platelet rich plasma and mechanical loading in regenerative tendon repair. (Doctoral Dissertation). University of Oxford. Retrieved from http://ora.ox.ac.uk/objects/uuid:f998f9e8-7ca2-43ce-b7fd-204bf5b21279 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.556118
Chicago Manual of Style (16th Edition):
Zargar Baboldashti, Nasim. “Platelet rich plasma and mechanical loading in regenerative tendon repair.” 2011. Doctoral Dissertation, University of Oxford. Accessed April 10, 2021.
http://ora.ox.ac.uk/objects/uuid:f998f9e8-7ca2-43ce-b7fd-204bf5b21279 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.556118.
MLA Handbook (7th Edition):
Zargar Baboldashti, Nasim. “Platelet rich plasma and mechanical loading in regenerative tendon repair.” 2011. Web. 10 Apr 2021.
Vancouver:
Zargar Baboldashti N. Platelet rich plasma and mechanical loading in regenerative tendon repair. [Internet] [Doctoral dissertation]. University of Oxford; 2011. [cited 2021 Apr 10].
Available from: http://ora.ox.ac.uk/objects/uuid:f998f9e8-7ca2-43ce-b7fd-204bf5b21279 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.556118.
Council of Science Editors:
Zargar Baboldashti N. Platelet rich plasma and mechanical loading in regenerative tendon repair. [Doctoral Dissertation]. University of Oxford; 2011. Available from: http://ora.ox.ac.uk/objects/uuid:f998f9e8-7ca2-43ce-b7fd-204bf5b21279 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.556118

KTH
10.
Linder, Hugo.
Mätning av axelkraft : En studie av en modell och prototyp för mätning av axelkraft vid abduktion.
Degree: Biomedical Engineering and Health Systems, 2018, KTH
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-231325
► Vid rehabilitering är det viktigt att veta om och när muskler vid det skadade området återfår sin styrka. Gällande axelskador finns det idag ingen…
(more)
▼ Vid rehabilitering är det viktigt att veta om och när muskler vid det skadade området återfår sin styrka. Gällande axelskador finns det idag ingen etablerad metod för mätning av muskelstyrka. I de metoder som testats är vissa attribut inte önskvärda och därför vill man på Karolinska universitetssjukhuset, Huddinge ta fram en ny, förbättrad metod. I metoden ska man kunna mäta en patients muskelstyrka och se skillnaden mellan mätningar över en tidsperiod. Av intresse är den maximala muskelstyrkan samt muskelstyrkan vid 45° abduktion och flexion. Projektet går ut på att ta fram en prototyp som kan användas enligt metoden och se om prototypen är lämplig. En testgrupp bestående av både friska och axelskadade personer genomförde tester för prototypens noggrannhet hos vinkelmätning, prototypens användbarhet samt lämplig vinkel för maximal muskelkraft i axeln. Resultatet visade att prototypens noggrannhet var inom det godkända intervallet för metoden. Användbarheten var också godkänd då alla testpersoner kunde använda prototypen inom de begränsningar vi satte. Vi såg ingen övergripande trend där maximal muskelkraft i axeln erhölls vid 45° även om det stämde för vissa individer. För vidare arbete och ökad validitet krävs fler studier med större testgrupper.
During rehabilitation, it is important to know if and when the muscles in the injured area have regained their strength. Regarding shoulder injuries, there is currently no established method of measuring muscle strength. In the methods tested, certain attributes are undesirable. Therefore, Karolinska Universitetssjukhuset, Huddinge is looking into developing a new, improved method. In this method, one should be able to measure a patient's muscle strength and study the difference in measurements over time. The maximum muscle strength and the muscle strength at 45 ° of abduction and flexion is of interest. The project is to produce a prototype that can be used according to the new method and see if the prototype is appropriate. A test group consisting of both healthy and shoulder injured patients performed tests regarding the prototype accuracy of angular measurement, prototype usability and appropriate angle for maximum muscle strength in the shoulder. The result showed that the prototype accuracy was within the approved range of the method. Usability was also approved as all test subjects could use the prototype within the limits we set. We did not see an overall trend in which maximum muscle force in the shoulder were obtained at 45 °. For further work and increased validity, further studies with larger test groups is required
Nej
Subjects/Keywords: Orthopaedics; Ortopedi
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Linder, H. (2018). Mätning av axelkraft : En studie av en modell och prototyp för mätning av axelkraft vid abduktion. (Thesis). KTH. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-231325
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Linder, Hugo. “Mätning av axelkraft : En studie av en modell och prototyp för mätning av axelkraft vid abduktion.” 2018. Thesis, KTH. Accessed April 10, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-231325.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Linder, Hugo. “Mätning av axelkraft : En studie av en modell och prototyp för mätning av axelkraft vid abduktion.” 2018. Web. 10 Apr 2021.
Vancouver:
Linder H. Mätning av axelkraft : En studie av en modell och prototyp för mätning av axelkraft vid abduktion. [Internet] [Thesis]. KTH; 2018. [cited 2021 Apr 10].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-231325.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Linder H. Mätning av axelkraft : En studie av en modell och prototyp för mätning av axelkraft vid abduktion. [Thesis]. KTH; 2018. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-231325
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town
11.
Hobbs, Hayden Ronald.
Physeal Bar resection for partial growth plate arrest.
Degree: Image, Division of Orthopaedic Surgery, 2009, University of Cape Town
URL: http://hdl.handle.net/11427/2843
Subjects/Keywords: Orthopaedics
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Hobbs, H. R. (2009). Physeal Bar resection for partial growth plate arrest. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/2843
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Hobbs, Hayden Ronald. “Physeal Bar resection for partial growth plate arrest.” 2009. Thesis, University of Cape Town. Accessed April 10, 2021.
http://hdl.handle.net/11427/2843.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Hobbs, Hayden Ronald. “Physeal Bar resection for partial growth plate arrest.” 2009. Web. 10 Apr 2021.
Vancouver:
Hobbs HR. Physeal Bar resection for partial growth plate arrest. [Internet] [Thesis]. University of Cape Town; 2009. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/11427/2843.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Hobbs HR. Physeal Bar resection for partial growth plate arrest. [Thesis]. University of Cape Town; 2009. Available from: http://hdl.handle.net/11427/2843
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town
12.
Selvey, David M.
Traumatic posterior fracture-dislocation of the hip joint in adults.
Degree: Image, Health and Rehabilitation Sciences, 2000, University of Cape Town
URL: http://hdl.handle.net/11427/26636
► During the period July 1994 to September 1998 surgery was carried out on seventy-six hips in seventy-five patients that sustained posterior fracture-dislocation of their hip…
(more)
▼ During the period July 1994 to September 1998 surgery was carried out on seventy-six hips in seventy-five patients that sustained posterior fracture-dislocation of their hip joints. During my training I was personally involved in thirteen of these cases and was the primary surgeon in seven cases. Because of my personal interest in these patients Dr Siboto provided me the records of all seventy-five patients for my scrutiny. While he has carried out the surgery on all but the seven cases which I operated on, the literature review, the correlating of the data and all of the interpretation is my own personal work. At surgery prospective records were kept of the degree of comminution of the fracture, the presence of marginal impacting and the presence of fragments in the joint. Fractures were then classified according to Thompson and Epstein (1951). The surgical time was recorded as well as the nature of the associated acetabular floor fracture when it occurred. Anatomical reconstruction was always attempted including elevation of marginal impaction and bone grafting where appropriate. Fragments were only discarded when too small and unattached to permit their inclusion in the reconstruction. All patients had neurological assessment preoperatively and their Sciatic nerves were explored and the state of the nerve recorded at surgery. The process of formulating this dissertation took place over a two-year period from September of 1997 until June of 1999. As a result, the number of patients examined in relationship to a specific
subject is not constant but alters according to the group under scrutiny at that particular point in time. An initial review of sixty cases in September 1997 was carried out and then an additional fifteen patients up until September 1998 were included where relevant. The aim of carrying out this study was to gain a better understanding of this injury so that we could formulate a management protocol for our patients in Groote Schuur Hospital. First of all, I reviewed the literature to discover exactly what has been written about this pathology. In the process I hoped to gain a better understanding of the problem and attempt to define a more concise approach to the injury by consolidating the broad array of articles written on this
subject. Then by reviewing our findings in our large series of patients I aimed to discover whether we were encountering similar problems to the surgeons who had preceded us and whether we had made any new discoveries that might positively contribute to the future management of these patients.
Advisors/Committee Members: Siboto, Gordon M (advisor).
Subjects/Keywords: Orthopaedics
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Selvey, D. M. (2000). Traumatic posterior fracture-dislocation of the hip joint in adults. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/26636
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Selvey, David M. “Traumatic posterior fracture-dislocation of the hip joint in adults.” 2000. Thesis, University of Cape Town. Accessed April 10, 2021.
http://hdl.handle.net/11427/26636.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Selvey, David M. “Traumatic posterior fracture-dislocation of the hip joint in adults.” 2000. Web. 10 Apr 2021.
Vancouver:
Selvey DM. Traumatic posterior fracture-dislocation of the hip joint in adults. [Internet] [Thesis]. University of Cape Town; 2000. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/11427/26636.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Selvey DM. Traumatic posterior fracture-dislocation of the hip joint in adults. [Thesis]. University of Cape Town; 2000. Available from: http://hdl.handle.net/11427/26636
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town
13.
Du Plessis, Jean-Pierre.
Orthopaedic implications of physeal arrest following meningococcal septicaemia.
Degree: Image, Health and Rehabilitation Sciences, 2010, University of Cape Town
URL: http://hdl.handle.net/11427/10387
► Thirteen patients seen at Red Cross Children's and Maitland Cottage hospitals have under gone complex treatment for the significant deformities caused by meningococcal septicaemia. These…
(more)
▼ Thirteen patients seen at Red Cross Children's and Maitland Cottage hospitals have under gone complex treatment for the significant deformities caused by meningococcal septicaemia. These patients underwent 62 surgical procedures between them. These procedures were directed at the treatment of sequelae of growth arrest alone and excluded amputations, contracture releases, skin grafts and flaps. The extent of the surgical problems caused by this disease brought about the realisation that a thorough review of the literature and follow up of these patients was required. This would hopefully be of use in assessing the outcomes of various surgical treatment options employed and in developing guidelines for the future management of physeal arrest in these patients.
Advisors/Committee Members: Hoffman, EB (advisor).
Subjects/Keywords: Orthopaedics
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Du Plessis, J. (2010). Orthopaedic implications of physeal arrest following meningococcal septicaemia. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/10387
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Du Plessis, Jean-Pierre. “Orthopaedic implications of physeal arrest following meningococcal septicaemia.” 2010. Thesis, University of Cape Town. Accessed April 10, 2021.
http://hdl.handle.net/11427/10387.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Du Plessis, Jean-Pierre. “Orthopaedic implications of physeal arrest following meningococcal septicaemia.” 2010. Web. 10 Apr 2021.
Vancouver:
Du Plessis J. Orthopaedic implications of physeal arrest following meningococcal septicaemia. [Internet] [Thesis]. University of Cape Town; 2010. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/11427/10387.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Du Plessis J. Orthopaedic implications of physeal arrest following meningococcal septicaemia. [Thesis]. University of Cape Town; 2010. Available from: http://hdl.handle.net/11427/10387
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town
14.
Magampa, Ramanare.
Surgeon directed transcranial motor evoked potential spinal cord monitoring in spinal deformity surgery: A review of viability, safety and efficacy.
Degree: MMed, Division of Orthopaedic Surgery, 2020, University of Cape Town
URL: http://hdl.handle.net/11427/32793
► Aims Spinal deformity surgery carries the risk of neurological injury. Neurophysiological monitoring allows early identification of intraoperative cord injury facilitating early intervention which has a…
(more)
▼ Aims Spinal deformity surgery carries the risk of neurological injury. Neurophysiological monitoring allows early identification of intraoperative cord injury facilitating early intervention which has a better prognosis. Although multimodal monitoring is the ideal, resource constraints make surgeon directed intra-operative transcranial motor evoked potential (TcMEP) monitoring a useful compromise. Our experience using surgeon directed TcMEP is presented in terms of viability, safety and efficacy. Methods A retrospective review was performed on a single surgeon's prospectively maintained database from 2010 to 2017 where TcMEP monitoring was utilised. The upper limbs were used as the control. A true alert was recorded when there was a 50% or more loss of amplitude of the lower limbs with maintained upper limb signals. Patients with true alerts were identified and their case history analysed. Results Of the 299 cases were reviewed, 279 (93.3%) had acceptable traces throughout and awoke with normal clinical neurological function. No case with normal traces had a post-operative clinical neurological deficit. True alerts occurred in 20 (6.7%) cases. The alert group diagnoses included adolescent idiopathic scoliosis 9 (45%) and congenital scoliosis 6 (30%). The incidence of deterioration based on diagnosis AIS was 9/153 (6%), congenital 6/30 (20%) and TB spine 2/16 (12.5%). Deterioration in congenital is much more common (p=0.02) when compared to AIS. 65% of alerts occurred during rod instrumentation and 15% during decompression of the internal apex in vertebral column resection surgery. 4 (20%) alert cases awoke with clinically detectable neurological compromise Conclusion Surgeon directed TcMEP monitoring has a 100% negative predictive value and allows early identification of physiological cord distress and immediate intervention. In resource constrained environments, surgeon directed TcMEP is a viable and effective method of intra-operative spinal cord monitoring. Clinical relevance • Surgeon directed TcMEP monitoring has a 100% negative predictive value. • In resource constrained environments, surgeon directed TcMEP is viable and effective • Level 3 evidence
Advisors/Committee Members: Dunn, Robert (advisor).
Subjects/Keywords: Orthopaedics
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Export
to Zotero / EndNote / Reference
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APA (6th Edition):
Magampa, R. (2020). Surgeon directed transcranial motor evoked potential spinal cord monitoring in spinal deformity surgery: A review of viability, safety and efficacy. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/32793
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Magampa, Ramanare. “Surgeon directed transcranial motor evoked potential spinal cord monitoring in spinal deformity surgery: A review of viability, safety and efficacy.” 2020. Thesis, University of Cape Town. Accessed April 10, 2021.
http://hdl.handle.net/11427/32793.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Magampa, Ramanare. “Surgeon directed transcranial motor evoked potential spinal cord monitoring in spinal deformity surgery: A review of viability, safety and efficacy.” 2020. Web. 10 Apr 2021.
Vancouver:
Magampa R. Surgeon directed transcranial motor evoked potential spinal cord monitoring in spinal deformity surgery: A review of viability, safety and efficacy. [Internet] [Thesis]. University of Cape Town; 2020. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/11427/32793.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Magampa R. Surgeon directed transcranial motor evoked potential spinal cord monitoring in spinal deformity surgery: A review of viability, safety and efficacy. [Thesis]. University of Cape Town; 2020. Available from: http://hdl.handle.net/11427/32793
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Otago
15.
Walker, Jemimah.
An Investigation of Magnesium Alloys as Orthopaedic Biomaterials
.
Degree: 2013, University of Otago
URL: http://hdl.handle.net/10523/3742
► Magnesium (Mg) and its alloys were initially investigated as resorbable orthopaedic biomaterials more than a century ago. However, their use was abandoned due to rapid…
(more)
▼ Magnesium (Mg) and its alloys were initially investigated as resorbable orthopaedic biomaterials more than a century ago. However, their use was abandoned due to rapid corrosion resulting in mechanical failure and excess hydrogen production. Whilst recent advances in manufacturing processes have led to a renewed interest in the field of Mg based biomaterials, the corrosion behaviour remains the feature that is the most difficult to control and characterise. In particular, the development of these materials is hindered by an inability to use in vitro techniques to accurately predict the behaviour of Mg alloys in an in vivo environment. Furthermore, the biocompatibility of the materials is often underemphasised in favour of the assessment of corrosion behaviour. The purpose of this thesis was therefore two-fold. Firstly, the aim was to develop and optimise a series of both in vitro and in vivo methodologies that would allow the prediction of corrosion rate, and the assessment of the biocompatibility of Mg materials. Secondly, these methods would be used to identify Mg alloys that could be investigated for use as orthopaedic biomaterials.
The initial portion of this study focussed on the development of an in vitro immersion method that could be used to cautiously predict the in vivo corrosion rates of Mg alloys. The in vitro protocol involved the use of three different solutions with varying degrees of physiological relevance, the results from which were compared to the corrosion occurring in an in vivo subcutaneous environment. The solution providing the most comparable corrosion rates was identified and subsequently utilised to select four slowly corroding Mg alloys for further investigation.
Preliminary analysis of the biocompatibility of these four alloys was carried out using an in vitro cell culture technique. The results of this investigation indicated that the use of a closed cell culture environment is likely to reduce cellular viability due to the increased pH and osmolality associated with rapid Mg corrosion. Accordingly, it was concluded that whilst cell culture techniques can provide results indicative of the degree of biocompatibility, they must be used in conjunction with the results of in vivo investigations for a comprehensive understanding of the true biocompatibility of Mg based materials. Consequently, an in vivo soft tissue study was undertaken involving the implantation of the four Mg alloys in both intermuscular and intramuscular locations in Lewis rats. This investigation indicated minimal hydrogen production associated with the Mg alloys, and biocompatibility equivalent to that seen with the implantation of a biomedical Ti alloy (Ti-6Al-4V).
The results from both the in vitro and in vivo studies identified Mg-1Zn and Mg-0.4Ca as the alloys exhibiting optimal characteristics for further investigation as orthopaedic implant materials. An intraosseous study was carried out involving the implantation of these alloys into the shaft and epiphyseal region of the ovine tibia. The results indicated…
Advisors/Committee Members: Dias, George J (advisor).
Subjects/Keywords: magnesium;
biomaterials;
orthopaedics
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Walker, J. (2013). An Investigation of Magnesium Alloys as Orthopaedic Biomaterials
. (Doctoral Dissertation). University of Otago. Retrieved from http://hdl.handle.net/10523/3742
Chicago Manual of Style (16th Edition):
Walker, Jemimah. “An Investigation of Magnesium Alloys as Orthopaedic Biomaterials
.” 2013. Doctoral Dissertation, University of Otago. Accessed April 10, 2021.
http://hdl.handle.net/10523/3742.
MLA Handbook (7th Edition):
Walker, Jemimah. “An Investigation of Magnesium Alloys as Orthopaedic Biomaterials
.” 2013. Web. 10 Apr 2021.
Vancouver:
Walker J. An Investigation of Magnesium Alloys as Orthopaedic Biomaterials
. [Internet] [Doctoral dissertation]. University of Otago; 2013. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/10523/3742.
Council of Science Editors:
Walker J. An Investigation of Magnesium Alloys as Orthopaedic Biomaterials
. [Doctoral Dissertation]. University of Otago; 2013. Available from: http://hdl.handle.net/10523/3742

Boston University
16.
Parker, Benjamin.
Characterization of fracture healing in myocardin-related transcription factor-A deficient mice.
Degree: MS, Medical Sciences, 2018, Boston University
URL: http://hdl.handle.net/2144/31277
► INTRODUCTION: A recent area of interest has become adipose tissue of the bone marrow. Unlike fat found elsewhere in the body, it is able to…
(more)
▼ INTRODUCTION: A recent area of interest has become adipose tissue of the bone marrow. Unlike fat found elsewhere in the body, it is able to respond to its microenvironment by expanding, contracting, and even releasing hormones of its own. The marrow adipose tissue (MAT) increases with age and even within anorexic patients. Changes in MAT may be directly linked to bone tissue, since both adipocytes and osteoblasts share a common progenitor cell population. This is supported by recent results showing that the constitutive deletion of the MRTF-A (Myocardin related transcription factor A) gene not only led to leaner mice leaner but also had a bone phenotype. The bones were shorter and had decreased bone mass; the female mice were more susceptible to osteopenia. It is unclear as to how this bone phenotype will respond to fracture repair, a coordinated process that is dependent upon differentiation toward the osteoblast lineage. Therefore, both male and female MRTF-A knockout (KO) and wild type (WT) mice were examined in a fracture study.
METHODS: Male and female mice (KO and WT) aged 8-16 weeks were fractured using a closed, stabilized fracture model. Tissues were harvested as post-operative day 14, 21, and 37. Radiographic films and histological assessment were completed at each time point to visualize the progression of fracture repair. Gene expression studies using RT-qPCR were all done at time points 14 and 37. Results were compared between genotype and sex.
RESULTS: Fracture calluses between WT and KO male and female mice appeared nearly identical via X-ray, suggesting that MRTF-A did not affect fracture repair. Only at the later time points did the histology show females had increased MAT regardless of genotype. Immunofluorescence with perilipin further confirmed this. Adipogenic, chondrogenic, and osteogenic markers also yielded differences in relative mRNA expression between the sexes.
CONCLUSIONS: The MRTF-A KO mice did not show delayed or altered fracture repair compared to the WT mice. However, the data suggest difference in MAT deposition between male and female mice. Further work is necessary to fully understand this sex difference.
Advisors/Committee Members: Gerstenfeld, Louis (advisor), Bragdon, Beth (advisor).
Subjects/Keywords: Medicine; Fractures; Orthopaedics
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Parker, B. (2018). Characterization of fracture healing in myocardin-related transcription factor-A deficient mice. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/31277
Chicago Manual of Style (16th Edition):
Parker, Benjamin. “Characterization of fracture healing in myocardin-related transcription factor-A deficient mice.” 2018. Masters Thesis, Boston University. Accessed April 10, 2021.
http://hdl.handle.net/2144/31277.
MLA Handbook (7th Edition):
Parker, Benjamin. “Characterization of fracture healing in myocardin-related transcription factor-A deficient mice.” 2018. Web. 10 Apr 2021.
Vancouver:
Parker B. Characterization of fracture healing in myocardin-related transcription factor-A deficient mice. [Internet] [Masters thesis]. Boston University; 2018. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/2144/31277.
Council of Science Editors:
Parker B. Characterization of fracture healing in myocardin-related transcription factor-A deficient mice. [Masters Thesis]. Boston University; 2018. Available from: http://hdl.handle.net/2144/31277

Queens University
17.
Flynn, Thomas.
A Musculoskeletal Model of the Lower Limbs and its Application to Clinical Paediatric Orthopaedics
.
Degree: Rehabilitation Science, 2012, Queens University
URL: http://hdl.handle.net/1974/7531
► Articular cartilage accrual occurs predominantly during childhood and adolescence, with the magnitude, direction, and pattern of internal joint loads directing the cartilage growth. If any…
(more)
▼ Articular cartilage accrual occurs predominantly during childhood and adolescence, with the magnitude, direction, and pattern of internal joint loads directing the cartilage growth. If any of these factors of the joint loading are abnormal, it can predispose these children to degenerative knee joint disease as an adult. To provide an estimate of the internal joint loads, a paediatric-focused, static optimization-based lower limb model was developed, compared to recorded sEMG, and analyzed for sensitivity to changes in ground reaction force and muscle attachment site.
The model was found to provide consistent predictions of joint contact force predictions ranging from 0.01 to 0.35xBW with standard error of 8% to 17%, with the exception of left knee medial-lateral shear at 108%. Muscle force predictions related well to sEMG, with the standard error ranging from 14% to 36%, except for gastrocnemius lateral at 104%. The model was sensitive to variations in the ground reaction force vector, with a maximum deviation of 0.11 xBW determined as a result of a ±5% variation in GRF.
The model was found to be sensitive to clinically relevant deviations in muscle attachment site. Maximum knee anterior shear was significantly changed (p < 0.05) with a 1cm posterior quadriceps insertion deviation, maximum lateral shear with a posterior semimembranosus deviation, and maximum medial shear with a posterior or medial quadriceps deviation. No deviations caused statistically significant changes in compression. Statistically significant change in joint contact force could not be predicted based on changes in muscle moment arm, but could be indirectly predicted by the predicted muscle forces.
The model’s uniform convergence and sensitivity to variations in input indicate that the model is sufficiently reliable and robust. This sensitivity suggests that the model is capable of adapting to altered loading conditions and musculoskeletal geometry, either due to deformity or corrective procedure. The model was therefore deemed to be a strong platform for developing clinically specific models for analyzing internal knee loads in a diverse paediatric population.
Subjects/Keywords: Modeling
;
Orthopaedics
;
Paediatrics
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Flynn, T. (2012). A Musculoskeletal Model of the Lower Limbs and its Application to Clinical Paediatric Orthopaedics
. (Thesis). Queens University. Retrieved from http://hdl.handle.net/1974/7531
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Flynn, Thomas. “A Musculoskeletal Model of the Lower Limbs and its Application to Clinical Paediatric Orthopaedics
.” 2012. Thesis, Queens University. Accessed April 10, 2021.
http://hdl.handle.net/1974/7531.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Flynn, Thomas. “A Musculoskeletal Model of the Lower Limbs and its Application to Clinical Paediatric Orthopaedics
.” 2012. Web. 10 Apr 2021.
Vancouver:
Flynn T. A Musculoskeletal Model of the Lower Limbs and its Application to Clinical Paediatric Orthopaedics
. [Internet] [Thesis]. Queens University; 2012. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/1974/7531.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Flynn T. A Musculoskeletal Model of the Lower Limbs and its Application to Clinical Paediatric Orthopaedics
. [Thesis]. Queens University; 2012. Available from: http://hdl.handle.net/1974/7531
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Colorado State University
18.
Fischenich, Kristine Marie.
Development of a novel block copolymer hydrogel for meniscal replacement.
Degree: PhD, Bioengineering, 2018, Colorado State University
URL: http://hdl.handle.net/10217/189299
► Menisci are C-shaped fibrocartilaginous tissues responsible for distributing tibial-femoral contact pressure and are crucial for maintaining healthy joints and preventing osteoarthritis. Meniscal damage can be…
(more)
▼ Menisci are C-shaped fibrocartilaginous tissues responsible for distributing tibial-femoral contact pressure and are crucial for maintaining healthy joints and preventing osteoarthritis. Meniscal damage can be caused by age-related degradation, obesity, overuse from athletic activities, and trauma. Due to their primarily avascular nature, once damaged there is limited healing capacity and surgical intervention is often required. Limited technologies exist to replace damaged menisci, and standard treatment is to leave asymptomatic damage alone or perform partial meniscectomies, however, these treatment options lead to increased risk of OA. Attempts at tissue engineered meniscal scaffolds, and replacements have had mixed results due to design limitations and inability to recapitulate native tissue's material properties, shape, and pressure distribution. This project strives to create an artificial meniscus from a polystyrene-polyethylene oxide diblock copolymer. It is hypothesized that this hydrogel can be tuned to have material properties similar to those of the native meniscus. Furthermore, it is hypothesized this hydrogel can be molded into a 3D meniscal construct, implanted into the joint, and have similar pressure distribution properties as the native meniscus. Thus, the aims of this project are: 1) Mechanical comparison of a polystyrene-polyethylene oxide diblock copolymer TPE hydrogel to native meniscal tissue. 2) Develop a 3D meniscal construct which can be implanted into an ovine model and assess load distribution properties including contact area, mean pressure, and max pressure in both the medial and lateral hemijoints. If the goals of this project are met, there would exist a 3D TPE hydrogel construct that mimics the mechanical and functional properties of the native human meniscus. This meniscal replacement could provide a revolutionary addition to the field of osteoarthritis and meniscal injury.
Advisors/Committee Members: Haut Donahue, Tammy (advisor), Bailey, Travis (advisor), Easley, Jeremiah (committee member), Palmer, Ross (committee member), Goodrich, Laurie (committee member).
Subjects/Keywords: orthopaedics; meniscus; replacement
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
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APA (6th Edition):
Fischenich, K. M. (2018). Development of a novel block copolymer hydrogel for meniscal replacement. (Doctoral Dissertation). Colorado State University. Retrieved from http://hdl.handle.net/10217/189299
Chicago Manual of Style (16th Edition):
Fischenich, Kristine Marie. “Development of a novel block copolymer hydrogel for meniscal replacement.” 2018. Doctoral Dissertation, Colorado State University. Accessed April 10, 2021.
http://hdl.handle.net/10217/189299.
MLA Handbook (7th Edition):
Fischenich, Kristine Marie. “Development of a novel block copolymer hydrogel for meniscal replacement.” 2018. Web. 10 Apr 2021.
Vancouver:
Fischenich KM. Development of a novel block copolymer hydrogel for meniscal replacement. [Internet] [Doctoral dissertation]. Colorado State University; 2018. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/10217/189299.
Council of Science Editors:
Fischenich KM. Development of a novel block copolymer hydrogel for meniscal replacement. [Doctoral Dissertation]. Colorado State University; 2018. Available from: http://hdl.handle.net/10217/189299

University of Helsinki
19.
Både, Katarina.
Potilaskohtaisesti suunnitellut erikoisproteesit anatomisissa ja toiminnallisissa poikkeustilanteissa : Retrospektiivinen tutkimus.
Degree: Medicinska fakulteten, 2017, University of Helsinki
URL: http://hdl.handle.net/10138/184227
► Tässä tutkimuksessa tutkittiin retrospektiivisesti Sairaala Ortonissa, Kymenlaakson keskussairaalassa ja Peijaksen sairaalassa vuosien 2004-2014 välisenä aikana leikattujen 13 potilaan ja 15 yksilöllisesti suunnitellun erikoisproteesien onnistumista anatomisesti…
(more)
▼ Tässä tutkimuksessa tutkittiin retrospektiivisesti Sairaala Ortonissa, Kymenlaakson keskussairaalassa ja Peijaksen sairaalassa vuosien 2004-2014 välisenä aikana leikattujen 13 potilaan ja 15 yksilöllisesti suunnitellun erikoisproteesien onnistumista anatomisesti ja toiminnallisesti poikkeavissa tilanteissa. Potilastapauksien taustalla olevia polven sairauksia olivat muun muassa post-polio-syndrooma, akondroplasia ja osteogenesis imperfecta. Tässä tutkimuksessa leikkausta ennen otetuista röntgenkuvista määritettiin nivelrikon aste Kellgren & Lawrence –asteikolla ja laskettiin mekaaninen akseli. Elämänlaatua ja toimintakykyä arvioitiin tähän tutkimukseen protetisaation jälkeen WOMAC-, OKS- ja KSS-kyselyiden avulla. Neljällä potilaalla käytettiin yksilöllisesti suunniteltuja erikoisproteeseja, jotka sallivat yliojennuksen; viidellä potilaalla käytettiin anatomisiin poikkeustilanteisiin sopiviksi muokattuja proteeseja ja neljällä potilaalla käytettiin muilla tavoin yksilöllisesti suunniteltuja proteeseja. Vain viidellä potilaalla oli ennen leikkausta täytetty KSS-kysely, heillä KSS-tulos parani keskimäärin kliinisessä KSS:ssa 35 pistettä ja toiminnallisessa KSS:ssa 9 pistettä. Potilastapaukset olivat niin yksilöllisiä, että tarkoituksen mukaista tilastollista parametrien vertailua ei pystytty muodostamaan. Tutkimuksen perusteella voidaan sanoa, että yksilöllisesti suunnitellut erikoisproteesit parantavat elämänlaatua ja toimintakykyä, mutta lisää tutkimusta tarvitaan aiheesta luotettavan tutkimusnäytön saavuttamiseksi.
Subjects/Keywords: Orthopaedics; Ortopedia; Ortopedi
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
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APA (6th Edition):
Både, K. (2017). Potilaskohtaisesti suunnitellut erikoisproteesit anatomisissa ja toiminnallisissa poikkeustilanteissa : Retrospektiivinen tutkimus. (Masters Thesis). University of Helsinki. Retrieved from http://hdl.handle.net/10138/184227
Chicago Manual of Style (16th Edition):
Både, Katarina. “Potilaskohtaisesti suunnitellut erikoisproteesit anatomisissa ja toiminnallisissa poikkeustilanteissa : Retrospektiivinen tutkimus.” 2017. Masters Thesis, University of Helsinki. Accessed April 10, 2021.
http://hdl.handle.net/10138/184227.
MLA Handbook (7th Edition):
Både, Katarina. “Potilaskohtaisesti suunnitellut erikoisproteesit anatomisissa ja toiminnallisissa poikkeustilanteissa : Retrospektiivinen tutkimus.” 2017. Web. 10 Apr 2021.
Vancouver:
Både K. Potilaskohtaisesti suunnitellut erikoisproteesit anatomisissa ja toiminnallisissa poikkeustilanteissa : Retrospektiivinen tutkimus. [Internet] [Masters thesis]. University of Helsinki; 2017. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/10138/184227.
Council of Science Editors:
Både K. Potilaskohtaisesti suunnitellut erikoisproteesit anatomisissa ja toiminnallisissa poikkeustilanteissa : Retrospektiivinen tutkimus. [Masters Thesis]. University of Helsinki; 2017. Available from: http://hdl.handle.net/10138/184227
20.
Agarwal, Rajesh.
Treatment of tibial shaft fractures in adults by
intramedullary; -.
Degree: Medicine, 1993, Bundelkhand University
URL: http://shodhganga.inflibnet.ac.in/handle/10603/15626
None
Bibliography p 363-373, Appendix p
374-398
Advisors/Committee Members: Dabral, P K.
Subjects/Keywords: Medicine; Orthopaedics
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Agarwal, R. (1993). Treatment of tibial shaft fractures in adults by
intramedullary; -. (Thesis). Bundelkhand University. Retrieved from http://shodhganga.inflibnet.ac.in/handle/10603/15626
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Agarwal, Rajesh. “Treatment of tibial shaft fractures in adults by
intramedullary; -.” 1993. Thesis, Bundelkhand University. Accessed April 10, 2021.
http://shodhganga.inflibnet.ac.in/handle/10603/15626.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Agarwal, Rajesh. “Treatment of tibial shaft fractures in adults by
intramedullary; -.” 1993. Web. 10 Apr 2021.
Vancouver:
Agarwal R. Treatment of tibial shaft fractures in adults by
intramedullary; -. [Internet] [Thesis]. Bundelkhand University; 1993. [cited 2021 Apr 10].
Available from: http://shodhganga.inflibnet.ac.in/handle/10603/15626.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Agarwal R. Treatment of tibial shaft fractures in adults by
intramedullary; -. [Thesis]. Bundelkhand University; 1993. Available from: http://shodhganga.inflibnet.ac.in/handle/10603/15626
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
21.
Harvinder Kumar.
To evaluate the result of bipolar arthroplasty in
transcervical fracture neck femur in elderly patients; -.
Degree: Medicine, 2001, Bundelkhand University
URL: http://shodhganga.inflibnet.ac.in/handle/10603/15311
None
Bibliography p.67-81
Advisors/Committee Members: Darbar, P K.
Subjects/Keywords: Medicine; Orthopaedics
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Kumar, H. (2001). To evaluate the result of bipolar arthroplasty in
transcervical fracture neck femur in elderly patients; -. (Thesis). Bundelkhand University. Retrieved from http://shodhganga.inflibnet.ac.in/handle/10603/15311
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kumar, Harvinder. “To evaluate the result of bipolar arthroplasty in
transcervical fracture neck femur in elderly patients; -.” 2001. Thesis, Bundelkhand University. Accessed April 10, 2021.
http://shodhganga.inflibnet.ac.in/handle/10603/15311.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kumar, Harvinder. “To evaluate the result of bipolar arthroplasty in
transcervical fracture neck femur in elderly patients; -.” 2001. Web. 10 Apr 2021.
Vancouver:
Kumar H. To evaluate the result of bipolar arthroplasty in
transcervical fracture neck femur in elderly patients; -. [Internet] [Thesis]. Bundelkhand University; 2001. [cited 2021 Apr 10].
Available from: http://shodhganga.inflibnet.ac.in/handle/10603/15311.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kumar H. To evaluate the result of bipolar arthroplasty in
transcervical fracture neck femur in elderly patients; -. [Thesis]. Bundelkhand University; 2001. Available from: http://shodhganga.inflibnet.ac.in/handle/10603/15311
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Oxford
22.
George, Grammatopoulos.
Pseudotumours following hip resurfacing : minimising the clinical impact.
Degree: PhD, 2012, University of Oxford
URL: http://ora.ox.ac.uk/objects/uuid:04320e17-2cbc-40b1-b3a8-7b121daa8ecd
;
http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.572513
► Metal-on-metal hip resurfacing arthroplasty (MoMHRA) is an alternative treatment option to total hip arthroplasty (THA), especially in the young and active. Despite the early successful…
(more)
▼ Metal-on-metal hip resurfacing arthroplasty (MoMHRA) is an alternative treatment option to total hip arthroplasty (THA), especially in the young and active. Despite the early successful results, reports of adverse soft-tissue reactions around the MoMHRA have caused increased concern. These reactions have been termed pseudotumours and have been shown to be associated with increased wear. However, their incidence and aetiology is not known. The broad aims of this thesis were to 1) determine the clinical impact of pseudotumour; and 2) identify ways of reducing the risk of pseudotumour. The clinical impact was determined by examining the incidence and prevalence of pseudotumours needing revision and the subsequent outcome following revision. At the Nuffield Orthopaedic Centre, the 10-year survival of the BHR, commonest MoMHRA used, was 87.1% (95%CI: 83.0% to 91.2%) and the 10-year incidence of revisions due to pseudotumour was 7.5% (95%CI: 4.3% to 10.7%). In a prevalence study of two tertiary referral centres, pseudotumour was identified as the most common revision indication. An outcome based, case-control study characterised outcome following revision due to pseudotumour as inferior to that following revision for any other failure mode, and inferior to the outcome of matched primary THAs. The inferior outcome was associated with the extensive tissue damage at revision. Risk factors contributing to development of pseudotumour were found to be both patient and surgeon related. Patient factors significantly increasing risk included female gender and small component size. Case control studies demonstrated two surgical factors that were associated with significantly increased risk; cup malorientation and a reduction in head neck ratio (HNR) at operation particularly in females. Furthermore, evidence based recommendations were provided on optimum cup orientation and screening practice. Surgeons should aim for a radiographic cup inclination/anteversion zone of 45°/20° ± 10°. Patients with mal-positioned cups, those with high HNR prior to surgery, and those that had significant HNR reduction with the MoMHRA should be considered at increased risk of developing a pseudotumour. An ex vivo study demonstrated that the majority of pseudotumours occur due to high prosthesis wear, and result from an exaggerated innate response with an accompanying variable immune response. However a small but significant number of pseudotumours (20%) were observed with low wear and a prominent immune response. Furthermore, the cups oriented within the optimum zone were associated with less wear. Hence, subsequent in vivo research focused on providing evidence-based guidance on how to achieve the target cup orientation and factors to consider in minimising the scatter in cup orientation observed following hip arthroplasty. This great scatter was mostly due to two factors: 1) the variability between surgeons at orientating a component at implantation and 2) the difference in the pelvic position between implantation and radiographic assessment. The…
Subjects/Keywords: 617.581059; Orthopaedics; hip arthroplasty
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Manager
APA (6th Edition):
George, G. (2012). Pseudotumours following hip resurfacing : minimising the clinical impact. (Doctoral Dissertation). University of Oxford. Retrieved from http://ora.ox.ac.uk/objects/uuid:04320e17-2cbc-40b1-b3a8-7b121daa8ecd ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.572513
Chicago Manual of Style (16th Edition):
George, Grammatopoulos. “Pseudotumours following hip resurfacing : minimising the clinical impact.” 2012. Doctoral Dissertation, University of Oxford. Accessed April 10, 2021.
http://ora.ox.ac.uk/objects/uuid:04320e17-2cbc-40b1-b3a8-7b121daa8ecd ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.572513.
MLA Handbook (7th Edition):
George, Grammatopoulos. “Pseudotumours following hip resurfacing : minimising the clinical impact.” 2012. Web. 10 Apr 2021.
Vancouver:
George G. Pseudotumours following hip resurfacing : minimising the clinical impact. [Internet] [Doctoral dissertation]. University of Oxford; 2012. [cited 2021 Apr 10].
Available from: http://ora.ox.ac.uk/objects/uuid:04320e17-2cbc-40b1-b3a8-7b121daa8ecd ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.572513.
Council of Science Editors:
George G. Pseudotumours following hip resurfacing : minimising the clinical impact. [Doctoral Dissertation]. University of Oxford; 2012. Available from: http://ora.ox.ac.uk/objects/uuid:04320e17-2cbc-40b1-b3a8-7b121daa8ecd ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.572513

University of Oxford
23.
Monk, Andrew Paul.
The patellofemoral joint : form and function.
Degree: PhD, 2011, University of Oxford
URL: http://ora.ox.ac.uk/objects/uuid:96ce09f2-a72c-46ed-94fd-ed10213959fd
;
http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.580895
► The patellofemoral joint (PFJ) is a common source of problems in Orthopaedics and is the source of poorly defined pain and poor function in both…
(more)
▼ The patellofemoral joint (PFJ) is a common source of problems in Orthopaedics and is the source of poorly defined pain and poor function in both normal and replaced knees. Before problems of the PFJ can be fully comprehended a better understanding of the basic form and function of the PFJ is required. The aim of this thesis therefore is to investigate the shape and kinematics of the PFJ and their inter-relations in both normal and replaced knees. The first part of this thesis was concerned with the shape (or form) of the PFJ. Species from the human ancestry over the previous 400 million years were assembled and measurements taken from three dimensional, CT reconstructions, allowing the descriptions of evolutionary changes in the shape, and orientation of the patellofemoral joint in relation to the tibiofemoral compartments. The study chronicled the dramatic changes that occurred in relation to the adoption of the erect bipedal hominin stance which has resulted in varied anatomy at the PFJ, predisposing it to a wide range of pathologies. The articular surface geometry of normal human patellofemoral joints (bone and cartilage) were compared with those of total knee replacements, and patellofemoral joint replacements. Mapping of the trajectory of the apex of the trochlea groove revealed significant differences between native and replaced knees, with the trajectory being orientated laterally in normal knees and either centrally or medially in replaced knees. The second part of this work was concerned with the kinematics (or function) of the PFJ. With current technology it is impossible to measure coronal plane PFJ kinematics with any accuracy in both native and replaced knees. A novel method was developed combining Motion Analysis and UltraSound (MAUS). Validation experiments were undertaken that demonstrated acceptable error (1.8 mm). The MAUS technique was used to show statistically significant differences between the coronal plane kinematics of the patella in normal and replaced knees. In particular in some arthroplasty patients, the patella tracked in the opposite direction to that in normal subjects. The abnormal kinematics were a manifestation of non-anatomical joint replacements. This demonstrates that form and function are closely related. The interaction between form and function in the knee was further investigated using patients with anterior knee pain. Assessment was made of the relationship between patellar subluxation and multiple bony, cartilaginous and soft-tissue factors potentially predisposing to subluxation. The percentage of engagement of the patella in the trochlear groove in knee extension showed the strongest relationship with subluxation, with subjects less than 30% engaged tending to subluxate. This suggests that the most important factor in preventing subluxation is patellar engagement. A clinical study is now required to assess the effect of surgery aimed at improving engagement. The detailed insights into the variability of form and function in the PFJ obtained throughout this thesis will…
Subjects/Keywords: 616.7; Orthopaedics; Knee; Patellofemoral Joint
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Monk, A. P. (2011). The patellofemoral joint : form and function. (Doctoral Dissertation). University of Oxford. Retrieved from http://ora.ox.ac.uk/objects/uuid:96ce09f2-a72c-46ed-94fd-ed10213959fd ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.580895
Chicago Manual of Style (16th Edition):
Monk, Andrew Paul. “The patellofemoral joint : form and function.” 2011. Doctoral Dissertation, University of Oxford. Accessed April 10, 2021.
http://ora.ox.ac.uk/objects/uuid:96ce09f2-a72c-46ed-94fd-ed10213959fd ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.580895.
MLA Handbook (7th Edition):
Monk, Andrew Paul. “The patellofemoral joint : form and function.” 2011. Web. 10 Apr 2021.
Vancouver:
Monk AP. The patellofemoral joint : form and function. [Internet] [Doctoral dissertation]. University of Oxford; 2011. [cited 2021 Apr 10].
Available from: http://ora.ox.ac.uk/objects/uuid:96ce09f2-a72c-46ed-94fd-ed10213959fd ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.580895.
Council of Science Editors:
Monk AP. The patellofemoral joint : form and function. [Doctoral Dissertation]. University of Oxford; 2011. Available from: http://ora.ox.ac.uk/objects/uuid:96ce09f2-a72c-46ed-94fd-ed10213959fd ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.580895

University of Limerick
24.
Collins, Aileen.
Practising in the acute orthopaedic setting, a qualitative study investigating the perspectives of occupational therapists in Ireland.
Degree: 2016, University of Limerick
URL: http://hdl.handle.net/10344/5747
► Purpose: To explore the perspectives of occupational therapist’s practising in the acute orthopaedic setting in Ireland. Method: Five occupational therapists working in the acute orthopaedic…
(more)
▼ Purpose: To explore the perspectives of occupational therapist’s practising in the acute orthopaedic setting in Ireland.
Method: Five occupational therapists working in the acute orthopaedic setting were interviewed using a semi-structured, open-ended interview protocol. Data were analysed using thematic analysis informed by a qualitative research methodology.
Results: Fives themes emerged following data analysis: Core beliefs of occupational therapy, role definition in the acute orthopaedic setting, enhancing practice through effective communication and supportive multidisciplinary relationships, perceptions of occupational therapists- motivations and frustrations and the growth and development of occupational therapy. Participants shared their personal experiences of practising in the acute orthopaedic setting, provided examples of how they envisage their role within the setting, discussed the prerequisite for effective communication and supportive relationships with colleagues. Finally, they described the changes they perceived as being necessary for the development of occupational therapy to occur.
Conclusion: The complexities of practising in the acute orthopaedic setting were explored. Inadequate opportunities to engage in continuous professional development, insufficient funding and limited staffing and resources were highlighted as areas that inhibited the growth and development of the profession. The impact of inadequate service provision is discussed with recommendations for future research. It is suggested that the findings from the current research can be used to contribute to a greater understanding of the role of occupational therapy within the acute orthopaedic environment. Additionally, it is hoped the study will empower emerging therapists to explore innovative ways of describing the valuable contribution of occupational therapy, within an increasingly competitive health service.
Subjects/Keywords: acute Setting; orthopaedics; occupational therapy
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Collins, A. (2016). Practising in the acute orthopaedic setting, a qualitative study investigating the perspectives of occupational therapists in Ireland. (Thesis). University of Limerick. Retrieved from http://hdl.handle.net/10344/5747
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Collins, Aileen. “Practising in the acute orthopaedic setting, a qualitative study investigating the perspectives of occupational therapists in Ireland.” 2016. Thesis, University of Limerick. Accessed April 10, 2021.
http://hdl.handle.net/10344/5747.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Collins, Aileen. “Practising in the acute orthopaedic setting, a qualitative study investigating the perspectives of occupational therapists in Ireland.” 2016. Web. 10 Apr 2021.
Vancouver:
Collins A. Practising in the acute orthopaedic setting, a qualitative study investigating the perspectives of occupational therapists in Ireland. [Internet] [Thesis]. University of Limerick; 2016. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/10344/5747.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Collins A. Practising in the acute orthopaedic setting, a qualitative study investigating the perspectives of occupational therapists in Ireland. [Thesis]. University of Limerick; 2016. Available from: http://hdl.handle.net/10344/5747
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Jönköping University
25.
Jardenius, Daniel.
Fotens plantara tryck med hellånga variserande och valgiserande inläggskilar.
Degree: Dep. of Rehabilitation, 2008, Jönköping University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-6591
► <h2>Abstract</h2> Introduction Wedged shoe insoles are used as a treatment for different problems in order to change the ground reaction force. They can secondary cause…
(more)
▼ <h2>Abstract</h2>
Introduction
Wedged shoe insoles are used as a treatment for different problems in order to change the ground reaction force. They can secondary cause different loading patterns under the foot compared to normal. No previous study has, to the author’s knowledge, clinically evaluated the plantar foot pressure with different full-length wedges in normal persons.
Purpose
The purpose was to evaluate the plantar pressure with different degrees of full-length wedges in normal persons.
Method
Twenty persons with normal feet have participated in this single blind study. Wedges were produced clinically in four different shapes, 3° valgus, 0° flat, 3° varus och 6° varus. The test persons were told to walk with the wedges in their comfortable pace in a randomized order. The plantar pressure was measured in the medial and lateral heel as well as in the first and fifth metatarsal head.
Results
The results show significant increased mean pressure for varus wedges compared to flat as well as valgus wedges, in the area of the medial heel and first metatarsal joint. Also, valgus wedges show significant increased mean pressure compared to flat condition in area of the medial heel. There is no correlation between wedge height and mean pressure for any of the wedge conditions.
Conclusion
Treatment with wedges leads secondary to increased mean pressure for varus wedges compared to flat as well as valgus wedges, in medial heel and first metatarsal joint. Furthermore, valgus wedges show increased mean pressure compared to flat condition in medial heel. Patients sensitive to high plantar pressures in these areas should be treated with caution. Further studies are recommended.
Subjects/Keywords: Orthopaedics; Ortopedi
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
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APA (6th Edition):
Jardenius, D. (2008). Fotens plantara tryck med hellånga variserande och valgiserande inläggskilar. (Thesis). Jönköping University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-6591
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Jardenius, Daniel. “Fotens plantara tryck med hellånga variserande och valgiserande inläggskilar.” 2008. Thesis, Jönköping University. Accessed April 10, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-6591.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Jardenius, Daniel. “Fotens plantara tryck med hellånga variserande och valgiserande inläggskilar.” 2008. Web. 10 Apr 2021.
Vancouver:
Jardenius D. Fotens plantara tryck med hellånga variserande och valgiserande inläggskilar. [Internet] [Thesis]. Jönköping University; 2008. [cited 2021 Apr 10].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-6591.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Jardenius D. Fotens plantara tryck med hellånga variserande och valgiserande inläggskilar. [Thesis]. Jönköping University; 2008. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-6591
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Toronto
26.
Hawke, Christopher.
Can the QuickDASH Score at the Time of Initial Assessment Predict Recommendation for Surgery in Patients with Shoulder Pain.
Degree: 2019, University of Toronto
URL: http://hdl.handle.net/1807/100592
► The causes and consequences of shoulder pain are diverse, resulting in inappropriate referral for surgical assessment and long surgical wait times. This work assessed whether…
(more)
▼ The causes and consequences of shoulder pain are diverse, resulting in inappropriate referral for surgical assessment and long surgical wait times. This work assessed whether the QuickDASH questionnaire could predict surgeons’ recommendation for surgery at consultation, and thus inform patient triage.
Data were collected from an historical cohort of shoulder pain patients referred to an upper extremity surgical clinic. Guided by the Andersen model of healthcare utilization, the predictive validity of the QuickDASH score was assessed alone and in combination with additional predisposing, enabling and need variables.
In 507 patients, surgeon recommendation could not be predicted by QuickDASH score alone, but QuickDASH scores significantly predicted the likelihood of receiving a recommendation for surgery after controlling for age, sex, symptom duration and pathology on imaging (OR 1.02, 1.004-1.03). This work shows the QuickDASH score in combination with additional patient factors may be useful to aid patient triage. Additional research is warranted.
M.H.Sc.
2020-05-20 00:00:00
Advisors/Committee Members: Hawker, Gillian, Dalla Lana School of Public Health.
Subjects/Keywords: Orthopaedics; QuickDASH; Shoulder; 0766
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Hawke, C. (2019). Can the QuickDASH Score at the Time of Initial Assessment Predict Recommendation for Surgery in Patients with Shoulder Pain. (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/100592
Chicago Manual of Style (16th Edition):
Hawke, Christopher. “Can the QuickDASH Score at the Time of Initial Assessment Predict Recommendation for Surgery in Patients with Shoulder Pain.” 2019. Masters Thesis, University of Toronto. Accessed April 10, 2021.
http://hdl.handle.net/1807/100592.
MLA Handbook (7th Edition):
Hawke, Christopher. “Can the QuickDASH Score at the Time of Initial Assessment Predict Recommendation for Surgery in Patients with Shoulder Pain.” 2019. Web. 10 Apr 2021.
Vancouver:
Hawke C. Can the QuickDASH Score at the Time of Initial Assessment Predict Recommendation for Surgery in Patients with Shoulder Pain. [Internet] [Masters thesis]. University of Toronto; 2019. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/1807/100592.
Council of Science Editors:
Hawke C. Can the QuickDASH Score at the Time of Initial Assessment Predict Recommendation for Surgery in Patients with Shoulder Pain. [Masters Thesis]. University of Toronto; 2019. Available from: http://hdl.handle.net/1807/100592

University of New Mexico
27.
Brantley, Justin.
A Biomechanical Analysis of One-Third Tubular Plates for the Treatment of Benign Lesions in the Distal Femur.
Degree: Biomedical Engineering, 2015, University of New Mexico
URL: http://hdl.handle.net/1928/25732
► The purpose of this study was to evaluate the use of one-third tubular plates for the treatment of benign defects in the medial distal metaphysis…
(more)
▼ The purpose of this study was to evaluate the use of one-third tubular plates for the treatment of benign defects in the medial distal metaphysis of the femur. Benign cysts are a common occurrence in long bones, and are of concern in load-bearing bones, such as the tibia and femur. These space-occupying growths are removed by curettage of the affected region. Numerous post-curettage management options have been described in the literature, which generally include filling the defect with either synthetic or biological materials. Unfortunately, complications, such as infectious disease transmission, thermal injury, and a robust inflammatory have all been reported in the literature. In response to these concerns, a number of studies reported successful healing of benign cortical defects in long bones with no augmentation after curettage, however, the lack of structural support results in an increased risk of fracture through the defect site. Therefore, it is advantageous to investigate a treatment option that adds structural support to the defect site and permits the use of osteoconductive and osteoinductive materials within the bone cavity. The purpose of this thesis was threefold: First, a quasi-static experimental comparison of intact and cortical defect specimens was conducted to determine the structural consequences incurred by the introduction of a 15 mm cortical defect under isolated axial and torsional loads. Second, an experimental combined axial/torsional fatigue analysis was employed to further analyze the behavior of the defect specimens, and to determine the structural stiffness regained by the addition of a one-third tubular plate. Third, a numerical approach was used to consider the structural consequences of varying sized defects under isolated and combined quasi-static axial and torsional loading, and to further analyze the results of adding the plate to the defect specimens. This study revealed that a one-third tubular plate might be a clinically viable option for structural support of small cortical defects in the distal femur. Furthermore, the loss in stiffness by the defect is exacerbated under combined axial/torsional loading. This is a more physiologically relevant loading mode and may provide more clinically useful results.
Subjects/Keywords: biomechanics; femur; benign; tumor; orthopaedics
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Brantley, J. (2015). A Biomechanical Analysis of One-Third Tubular Plates for the Treatment of Benign Lesions in the Distal Femur. (Masters Thesis). University of New Mexico. Retrieved from http://hdl.handle.net/1928/25732
Chicago Manual of Style (16th Edition):
Brantley, Justin. “A Biomechanical Analysis of One-Third Tubular Plates for the Treatment of Benign Lesions in the Distal Femur.” 2015. Masters Thesis, University of New Mexico. Accessed April 10, 2021.
http://hdl.handle.net/1928/25732.
MLA Handbook (7th Edition):
Brantley, Justin. “A Biomechanical Analysis of One-Third Tubular Plates for the Treatment of Benign Lesions in the Distal Femur.” 2015. Web. 10 Apr 2021.
Vancouver:
Brantley J. A Biomechanical Analysis of One-Third Tubular Plates for the Treatment of Benign Lesions in the Distal Femur. [Internet] [Masters thesis]. University of New Mexico; 2015. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/1928/25732.
Council of Science Editors:
Brantley J. A Biomechanical Analysis of One-Third Tubular Plates for the Treatment of Benign Lesions in the Distal Femur. [Masters Thesis]. University of New Mexico; 2015. Available from: http://hdl.handle.net/1928/25732

University of Melbourne
28.
Babazadeh, Sina.
Balancing the knee: factors affecting outcomes after primary total knee replacement.
Degree: 2012, University of Melbourne
URL: http://hdl.handle.net/11343/37949
► Arthritis currently affects 15% of the Australian population and is the leading cause of pain and disability in the elderly. Knee joint arthroplasty is a…
(more)
▼ Arthritis currently affects 15% of the Australian population and is the leading cause of pain and disability in the elderly. Knee joint arthroplasty is a successful way of providing patients with relief from debilitating end-stage arthritic knee pain. Unfortunately 5% of knee replacements will require revision surgery, which is technically and financially demanding with often inferior functional outcomes. Half of all knee revisions can be attributed to a preventable cause such as knee balancing. A balanced knee is defined as having a full range of motion, rectangular, even joint space, symmetrical soft-tissue tension and correct leg alignment.
This thesis investigated the role of knee balance in primary knee arthroplasty. It helped establish and improve methods of measuring balance, identified ways to improve balance and investigated the effects of knee balancing on the patient’s functional outcome and quality of life.
Chapter 2: The Accuracy of Measured Range of Motion of the Arthritic Knee - Chapter two assessed the validity of retrospective data and helped identify the most appropriate research strategy for the remainder of the thesis. The range of motion of forty-eight patients was assessed using a goniometer and compared to that entered in the patient notes by the examiner during a routine clinical examination, without the examiner being aware. The range of motion of a further twenty patients was subsequently assessed and compared to the findings of the same clinical examiners but this time with the examiner being aware. Accuracy of measurements improved significantly when the examiner was aware. Routinely measured range of motion was found to be inaccurate, implying inaccuracy of retrospective data.
Chapter 3: Assessing Alignment - Chapter three compared alignment as measured by long-leg radiographs (LLRs) and computer tomography (CT) to intra-operative navigation measurements in 40 patients undergoing a primary total knee replacement. This study attempted to identify the most accurate way of measuring alignment. Inter-modality correlation proved to be higher when comparing LLRs and CT (>0.893), than when comparing either of these modalities with computer navigation (>0.643 and >0.671 respectively). Further investigation using reformatted computer tomography supported these findings. Given its availability and reduced radiation dose when compared to CT, LLRs should remain the mainstay of measuring the mechanical alignment of the lower limb.
Chapter 4: The Joint-Line in Primary Knee Arthroplasty - Chapter four assessed the role of computer-assisted surgery in maintaining the level of the joint-line using a randomized controlled trial comparing computer-assisted to conventional primary total knee arthroplasty. No significant difference was found between computer-assisted and conventional surgery in terms of maintaining the…
Subjects/Keywords: surgery; orthopaedics; knee; arthroplasty
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Babazadeh, S. (2012). Balancing the knee: factors affecting outcomes after primary total knee replacement. (Doctoral Dissertation). University of Melbourne. Retrieved from http://hdl.handle.net/11343/37949
Chicago Manual of Style (16th Edition):
Babazadeh, Sina. “Balancing the knee: factors affecting outcomes after primary total knee replacement.” 2012. Doctoral Dissertation, University of Melbourne. Accessed April 10, 2021.
http://hdl.handle.net/11343/37949.
MLA Handbook (7th Edition):
Babazadeh, Sina. “Balancing the knee: factors affecting outcomes after primary total knee replacement.” 2012. Web. 10 Apr 2021.
Vancouver:
Babazadeh S. Balancing the knee: factors affecting outcomes after primary total knee replacement. [Internet] [Doctoral dissertation]. University of Melbourne; 2012. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/11343/37949.
Council of Science Editors:
Babazadeh S. Balancing the knee: factors affecting outcomes after primary total knee replacement. [Doctoral Dissertation]. University of Melbourne; 2012. Available from: http://hdl.handle.net/11343/37949

University of Sydney
29.
Cheng, Tegan Laura.
Injectable High Viscosity Liquid Carriers for Bone Tissue Engineering
.
Degree: 2016, University of Sydney
URL: http://hdl.handle.net/2123/15247
► The clinical management of critical sized defects and traumatic bone injuries continues to challenge the orthopaedic field. The gold standard of treatment uses autologous bone…
(more)
▼ The clinical management of critical sized defects and traumatic bone injuries continues to challenge the orthopaedic field. The gold standard of treatment uses autologous bone grafting to promote repair. While effective in many cases, donor site morbidity is a common complication. The field of bone tissue engineering aims to develop viable alternatives to autologous bone graft. The bone graft substitute INFUSE® (bone morphogenetic protein-2 [BMP-2] in acellular collagen sponge) is currently in clinical use, however we and others have hypothesized that the collagen delivery system is suboptimal. This thesis aims to develop high viscosity sugar-based carriers as alternative delivery systems for BMP-2. Initial studies utilise sucrose acetate isobutyrate (SAIB), already in clinical trials for drug delivery. Rodent implantation and fracture models were used to compare SAIB for BMP-2 delivery as well as other adjunctive agents. SAIB/BMP-2 was also trialled in a pig model of hip osteonecrosis. Novel sugar-based carriers were developed using polycondensation and esterification and tested for biocompatibility and in vivo BMP-2 delivery. These studies represent an innovative approach to bone tissue engineering with multiple clinical applications.
Subjects/Keywords: Bone;
Orthopaedics;
Fracture;
Tissue Engineering
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Cheng, T. L. (2016). Injectable High Viscosity Liquid Carriers for Bone Tissue Engineering
. (Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/15247
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Cheng, Tegan Laura. “Injectable High Viscosity Liquid Carriers for Bone Tissue Engineering
.” 2016. Thesis, University of Sydney. Accessed April 10, 2021.
http://hdl.handle.net/2123/15247.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Cheng, Tegan Laura. “Injectable High Viscosity Liquid Carriers for Bone Tissue Engineering
.” 2016. Web. 10 Apr 2021.
Vancouver:
Cheng TL. Injectable High Viscosity Liquid Carriers for Bone Tissue Engineering
. [Internet] [Thesis]. University of Sydney; 2016. [cited 2021 Apr 10].
Available from: http://hdl.handle.net/2123/15247.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Cheng TL. Injectable High Viscosity Liquid Carriers for Bone Tissue Engineering
. [Thesis]. University of Sydney; 2016. Available from: http://hdl.handle.net/2123/15247
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of New South Wales
30.
Arora, Manit.
Burnout and job satisfaction in orthopaedics.
Degree: Clinical School - St George Hospital, 2014, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/53958
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12669/SOURCE02?view=true
► Abstract â Burnout among Australian orthopaedic trainees and the factors associated with itAim: To study burnout prevalence and associated factors among Australian orthopaedic trainees.Method: We…
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▼ Abstract â Burnout among Australian orthopaedic trainees and the factors associated with itAim: To study burnout prevalence and associated factors among Australian orthopaedic trainees.Method: We conducted a nationwide cross-sectional observational study using a 32-question survey consisting of a self-developed item set of 10 questions and a 22-question validated instrument (Maslach Burnout Inventory â Human Services Survey) to assess burnout. The survey was emailed to 236 orthopaedic registrar members of the Australian Orthopaedic Association. Results: 51 trainees completed the survey, yielding a response rate of 22%. Burnout prevalence among orthopaedic trainees was high (52%) despite high career satisfaction (89%). 55% of trainees were dissatisfied with their work-life balance. Burned out trainees were more likely to be dissatisfied with their choice of
orthopaedics as a career (p=0.004) and with their work-balance (p=0.021) compared with their non-burned out counterparts. Females were more likely to be burned out than males and non-married trainees more than married trainees, although these associations were not significant. There was no observed trend for burnout with relation to seniority in the training program. Discussion: Burnout prevalence among Australian orthopaedic trainees is high despite high career satisfaction. There may be a role for active interventions aimed at combating burnout and improving work-life balance among orthopaedic trainees. Abstract â Job satisfaction among Australian orthopaedic surgeons and the factors associated with itIntroduction: High job satisfaction has positive outcomes for patients, health institutions and surgeons. There has been no research into job satisfaction primarily among Australian orthopaedic surgeons and its associated factors. The aim of this study was to assess job satisfaction and associated factors among Australian orthopaedic surgeons. Method: We conducted a nationwide survey using a 24-item questionnaire consisting of a self-developed item set of 14 questions and a 10-question modified version of Warr-Cook-Wall Job Satisfaction instrument to assess job satisfaction. The survey was emailed to 1393 orthopaedic surgeon members of the Australian Orthopaedic Association. Results: 217 surgeons completed the survey, yielding a response rate of 16%. 88% of responders were either very satisfied or moderately satisfied with their jobs. 20% of responders were dissatisfied with their hours of work and a further 15% of responders were dissatisfied with the level of recognition they get for good work. Surgeons with higher job satisfaction were less likely to feel that workload severely compromised their personal/family life (p<0.001), had better perceived self-health (p=0.04), and were less likely to have considered leaving orthopaedic surgery in the last year (p<0.001).Discussion: Australian orthopaedic surgeons are highly satisfied with their jobs. There may be a role for active interventions aimed at improving hours of work and work-life balance.
Advisors/Committee Members: Harris, Ian, Clinical School - South Western Sydney, Faculty of Medicine, UNSW, Diwan, Ashish, Clinical School - St George Hospital, Faculty of Medicine, UNSW.
Subjects/Keywords: Orthopaedics; Burnout; Job satisfaction
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APA (6th Edition):
Arora, M. (2014). Burnout and job satisfaction in orthopaedics. (Masters Thesis). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/53958 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12669/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Arora, Manit. “Burnout and job satisfaction in orthopaedics.” 2014. Masters Thesis, University of New South Wales. Accessed April 10, 2021.
http://handle.unsw.edu.au/1959.4/53958 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12669/SOURCE02?view=true.
MLA Handbook (7th Edition):
Arora, Manit. “Burnout and job satisfaction in orthopaedics.” 2014. Web. 10 Apr 2021.
Vancouver:
Arora M. Burnout and job satisfaction in orthopaedics. [Internet] [Masters thesis]. University of New South Wales; 2014. [cited 2021 Apr 10].
Available from: http://handle.unsw.edu.au/1959.4/53958 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12669/SOURCE02?view=true.
Council of Science Editors:
Arora M. Burnout and job satisfaction in orthopaedics. [Masters Thesis]. University of New South Wales; 2014. Available from: http://handle.unsw.edu.au/1959.4/53958 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12669/SOURCE02?view=true
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