Introduction: Femoral and tibial morphology posted as anatomical risk factors for ACL injuries. Samora et.al found out that a decreased BIA was associated with ACL rupture. Alentorn-Geli et al. found that the angle be...Introduction: Femoral and tibial morphology posted as anatomical risk factors for ACL injuries. Samora et.al found out that a decreased BIA was associated with ACL rupture. Alentorn-Geli et al. found that the angle between the Blumensaat line and the anterior tibial slope (BATS angle) was significantly greater in men with ACL injury. However, other authors were not able to reproduce the similar findings. Our study aimed to determine the Blumensaat inclination angle (BIA) and angle between Blumensaat line and tibial slope (BATS) in patients with or without anterior cruciate ligament injury. We also explored the factors influence them. Method: We elavuated 142 MRI knee done in Hospital Sultan Ismail from January 2017 to November 2020. Study group was patient with ACL injuries, with or without meniscus and cartilage injuries. Control group was patient with no ACL injuries. 57 patients with history of fracture around the knee joint, multiligamentous injuries, inflammatory arthritis and tumour were excluded from the study. We recorded their age, gender, BIA, and BATS angle. BIA and BATS angle were measured in sagittal plane MRI as described by Koji Iswasaki et al. and Alentorn-Geli et al. Result: 54 patients were in study group and 31 years in control group. The mean age for study group was 32.7 (8.95) year old, and for control group was 42.5 (14.54). The mean BIA for study group was 36.20 (4.542) degree, and control group was 37.25 (4.941). The mean BATS for study group was 36.33 (5.78) degree, and control group was 25.26 (6.047) degree. BIA and BATS angle did not differ in both groups, age and gender. Conclusion: Our study did not show BIA and BATS angle as an anatomical risk factor for ACL injuries. Age and gender did not affect these angles.展开更多
The stability study of the ongoing and recurring Amalpata landslide in Baglung in Nepal’s Gandaki Province is presented in this research. The impacted slope is around 200 meters high, with two terraces that have diff...The stability study of the ongoing and recurring Amalpata landslide in Baglung in Nepal’s Gandaki Province is presented in this research. The impacted slope is around 200 meters high, with two terraces that have different slope inclinations. The lower bench, located above the basement, consistently fails and sets others up for failure. The fluctuating water level of the slope, which travels down the slope masses, exacerbates the slide problem. The majority of these rocks are Amalpata landslide area experiences several structural disruptions. The area’s stability must be evaluated in order to prevent and control more harm from occurring to the nearby agricultural land and people living along the slope. The slopes’ failures increase the damages of house existing in nearby area and the erosion of the slope. Two modeling techniques the finite element approach and the limit equilibrium method were used to simulate the slope. The findings show that, in every case, the terrace above the basement is where the majority of the stress is concentrated, with a safety factor of near unity. Using probabilistic slope stability analysis, the failure probability was predicted to be between 98.90% and 100%.展开更多
Background: Sagittal plane placement of the tibial component in total knee replacement (TKR) has important implications for maximizing the range of flexion motion, allowing collateral ligaments to function more normal...Background: Sagittal plane placement of the tibial component in total knee replacement (TKR) has important implications for maximizing the range of flexion motion, allowing collateral ligaments to function more normally, as well as providing ideal compressive loading on the tibial bone-prosthesis interface. This study attempts to quantify the normal posterior tibial slope (PTS) angle pre-operatively and post-operatively in osteoarthritic patients after using a conventional extramedullary tibial resection guide to assess its effectiveness. Methods: Forty-nine primary cementless total knee replacements in 34 osteoarthritic patients were measured radiographically pre-operatively and one year post-operatively to determine the PTS and its effect on range of motion. Lateral X-rays, using the anterior cortical line of the tibia, were employed for all measurements. Results: Pre-operative PTS measured 11.83˚ (range 5˚ - 18˚), while post-operative PTS of implanted tibial components measured 11.30o (range 4˚ - 18˚). The pre-operative range of motion of 112˚ (range 30˚ to 135˚) was improved to 119˚ (range 90˚ to 135˚) post-operatively after 1 year. Conclusions: Anterior tibial shaft referencing using a conventional extramedullary tibial resection guide provides an easy and convenient method for reproducing the anatomical PTS during TKR. This methodology provided improvement in average range of motion from 112˚ pre-operatively to 119˚ post-operatively at one year.展开更多
文摘Introduction: Femoral and tibial morphology posted as anatomical risk factors for ACL injuries. Samora et.al found out that a decreased BIA was associated with ACL rupture. Alentorn-Geli et al. found that the angle between the Blumensaat line and the anterior tibial slope (BATS angle) was significantly greater in men with ACL injury. However, other authors were not able to reproduce the similar findings. Our study aimed to determine the Blumensaat inclination angle (BIA) and angle between Blumensaat line and tibial slope (BATS) in patients with or without anterior cruciate ligament injury. We also explored the factors influence them. Method: We elavuated 142 MRI knee done in Hospital Sultan Ismail from January 2017 to November 2020. Study group was patient with ACL injuries, with or without meniscus and cartilage injuries. Control group was patient with no ACL injuries. 57 patients with history of fracture around the knee joint, multiligamentous injuries, inflammatory arthritis and tumour were excluded from the study. We recorded their age, gender, BIA, and BATS angle. BIA and BATS angle were measured in sagittal plane MRI as described by Koji Iswasaki et al. and Alentorn-Geli et al. Result: 54 patients were in study group and 31 years in control group. The mean age for study group was 32.7 (8.95) year old, and for control group was 42.5 (14.54). The mean BIA for study group was 36.20 (4.542) degree, and control group was 37.25 (4.941). The mean BATS for study group was 36.33 (5.78) degree, and control group was 25.26 (6.047) degree. BIA and BATS angle did not differ in both groups, age and gender. Conclusion: Our study did not show BIA and BATS angle as an anatomical risk factor for ACL injuries. Age and gender did not affect these angles.
文摘The stability study of the ongoing and recurring Amalpata landslide in Baglung in Nepal’s Gandaki Province is presented in this research. The impacted slope is around 200 meters high, with two terraces that have different slope inclinations. The lower bench, located above the basement, consistently fails and sets others up for failure. The fluctuating water level of the slope, which travels down the slope masses, exacerbates the slide problem. The majority of these rocks are Amalpata landslide area experiences several structural disruptions. The area’s stability must be evaluated in order to prevent and control more harm from occurring to the nearby agricultural land and people living along the slope. The slopes’ failures increase the damages of house existing in nearby area and the erosion of the slope. Two modeling techniques the finite element approach and the limit equilibrium method were used to simulate the slope. The findings show that, in every case, the terrace above the basement is where the majority of the stress is concentrated, with a safety factor of near unity. Using probabilistic slope stability analysis, the failure probability was predicted to be between 98.90% and 100%.
文摘Background: Sagittal plane placement of the tibial component in total knee replacement (TKR) has important implications for maximizing the range of flexion motion, allowing collateral ligaments to function more normally, as well as providing ideal compressive loading on the tibial bone-prosthesis interface. This study attempts to quantify the normal posterior tibial slope (PTS) angle pre-operatively and post-operatively in osteoarthritic patients after using a conventional extramedullary tibial resection guide to assess its effectiveness. Methods: Forty-nine primary cementless total knee replacements in 34 osteoarthritic patients were measured radiographically pre-operatively and one year post-operatively to determine the PTS and its effect on range of motion. Lateral X-rays, using the anterior cortical line of the tibia, were employed for all measurements. Results: Pre-operative PTS measured 11.83˚ (range 5˚ - 18˚), while post-operative PTS of implanted tibial components measured 11.30o (range 4˚ - 18˚). The pre-operative range of motion of 112˚ (range 30˚ to 135˚) was improved to 119˚ (range 90˚ to 135˚) post-operatively after 1 year. Conclusions: Anterior tibial shaft referencing using a conventional extramedullary tibial resection guide provides an easy and convenient method for reproducing the anatomical PTS during TKR. This methodology provided improvement in average range of motion from 112˚ pre-operatively to 119˚ post-operatively at one year.
