ABSTRACT
Axial carpal dislocations and fracture-dislocations are rare injuries involving derangement of the carpal arches. Several surgical approaches have been reported as a means of treatment, including the use of closed or open reduction and internal fixation. However, to our knowledge, surgical treatment using arthroscopy has not been reported so far. Here we present the case of a 54-year-old man who experienced peritrapezium axial carpal dislocation while reversing his car. Minimally invasive surgery using arthroscopy was performed because of severe swelling of the hand. Reduction under arthroscopic assistance using midcarpal portals was performed based on the relationship between the trapezium and trapezoid, and fixed wires were inserted. Wires were removed at six weeks postoperatively, and range-of-motion exercises of the wrist joint were started. At one-year postoperative follow-up, the patient was asymptomatic, with no difficulties while performing daily activities and work. Computer tomography images revealed an anatomical carpal arch without traumatic arthrosis. Arthroscopy-assisted surgery enabled us to anatomically reduce fracture-dislocation of the trapezium and assess the injury path.
ABSTRACT
Silicon nanocrystals (SiNCs) featuring size-dependent novel optical and electrical properties have been widely employed for various functional devices. We have demonstrated SiNC-based hybrid photovoltaics (SiNC-HPVs) and proposed several approaches for performance promotion. Recently, owing to the superiorities such as low power operation, high portability, and designability, organic photovoltaics (OPVs) have been extensively studied for their potential indoor applications as power sources. SiNCs exhibit strong light absorption below 450 nm, which is capable of sufficient photocurrent generation under UV irradiation. Therefore, SiNC-HPVs are expected to be preferably used for energy harvesting systems in indoor applications because an indoor light source consists of a shorter wavelength component below 500 nm than solar light. We successfully demonstrated SiNC-HPVs with a PCE as high as 9.7%, corresponding to the output power density of 34.0 µW cm-2 under standard indoor light irradiation (1000 lx). In addition, we have found that SiNC defects working as electron traps influence the electrical properties of SiNCs substantially, a thermal annealing process was conducted towards the suppression of defects and the improvement of the SiNC-HPVs performance.
ABSTRACT
Volarly displaced distal radius fractures (VD-DRFs) with small thin volar marginal fragments (VMFs) are challenging to treat with conventional volar locking plates (VLPs) alone. Several alternative surgical options have been reported to treat these fractures, including wire-loop fixation, spring-wire fixation, hook plates, headless compression screws, and tension-band wiring, but the optimal method is yet to be determined. We have devised a surgical treatment for these fractures, entitled the "loop-wiring method" in which VMFs are anatomically reduced and 2 0.043-inch K-wires are drilled through the volar tip of the fragment and introduced into the dorsal cortex. Two bone tunnels are then made with a 0.039-inch K-wire, before a 0.028-inch soft wire is passed from the volar to the dorsal side and tightened over the dorsal cortex. After a fracture at the volar rim, even if properly reduced, compression stress is continuously generated on the volar cortical side of the fracture site and tension is generated on the articular side, which leads to VMF displacement, articular surface widening, and carpal subluxation. The loop-wiring technique applies compressive pressure securely to the articular side of the fracture site as well as to the whole fracture site and may be advantageous in terms of secure fixation of small thin volar marginal fragments, stability of the carpus, and bone healing.
