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1.
Proc Natl Acad Sci U S A ; 121(21): e2402116121, 2024 May 21.
Article in English | MEDLINE | ID: mdl-38739803

ABSTRACT

Pyrite is the most common sulfide mineral in hydrothermal ore-forming systems. The ubiquity and abundance of pyrite, combined with its ability to record and preserve a history of fluid evolution in crustal environments, make it an ideal mineral for studying the genesis of hydrothermal ore deposits, including those that host critical metals. However, with the exception of boiling, few studies have been able to directly link changes in pyrite chemistry to the processes responsible for bonanza-style gold mineralization. Here, we report the results of high-resolution secondary-ion mass spectrometry and electron microprobe analyses conducted on pyrite from the Brucejack epithermal gold deposit, British Columbia. Our δ34S and trace element results reveal that the Brucejack hydrothermal system experienced abrupt fluctuations in fluid chemistry, which preceded and ultimately coincided with the onset of ultra-high-grade mineralization. We argue that these fluctuations, which include the occurrence of extraordinarily negative δ34S values (e.g., -36.1‰) in zones of auriferous, arsenian pyrite, followed by sharp increases of δ34S values in syn-electrum zones of nonarsenian pyrite, were caused by vigorous, fault valve-induced episodic boiling (flashing) and subsequent inundation of the hydrothermal system by seawater. We conclude that the influx of seawater was the essential step to forming bonanza-grade electrum mineralization by triggering, through the addition of cationic flocculants and cooling, the aggregation of colloidal gold suspensions. Moreover, our study demonstrates the efficacy of employing high-resolution, in situ analytical techniques to map out individual ore-forming events in a hydrothermal system.

2.
Sci Adv ; 10(11): eadl4306, 2024 03 15.
Article in English | MEDLINE | ID: mdl-38478621

ABSTRACT

Water in Earth's upper mantle is a minor and yet critically important component that dictates mantle properties such as strength and melting behavior. Minerals with stoichiometric water, such as those of the humite group, are important yet poorly characterized potential reservoirs for volatiles in the upper mantle. Here, we report observation of hydroxyl members of the humite group as inclusions in mantle-derived diamond. Hydroxylchondrodite and hydroxylclinohumite were found coexisting with olivine, magnesiochromite, Mg-bearing calcite, dolomite, quartz, mica, and a djerfisherite-group mineral in a diamond from Brazil. The olivine is highly forsteritic (Mg# 97), with non-mantle-like oxygen isotope composition (δ18O +6.2‰), and is associated with fluid inclusions and hydrous minerals-features that could be inherited from a serpentinite protolith. Our results constitute direct evidence for the presence of deserpentinized peridotitic protoliths in subcratonic mantle keels, placing important constraints on the stability of hydrous phases in the mantle and the origin of diamond-forming fluids.

3.
JASA Express Lett ; 4(3)2024 03 01.
Article in English | MEDLINE | ID: mdl-38441431

ABSTRACT

This paper presents a unified model for combining beamforming and blind source separation (BSS). The validity of the model's assumptions is confirmed by recovering target speech information in noise accurately using Oracle information. Using real static human-robot interaction (HRI) data, the proposed combination of BSS with the minimum-variance distortionless response beamformer provides a greater signal-to-noise ratio (SNR) than previous parallel and cascade systems that combine BSS and beamforming. In the difficult-to-model HRI dynamic environment, the system provides a SNR gain that was 2.8 dB greater than the results obtained with the cascade combination, where the parallel combination is infeasible.


Subject(s)
Robotics , Humans , Signal-To-Noise Ratio , Speech
4.
Sensors (Basel) ; 23(17)2023 Sep 01.
Article in English | MEDLINE | ID: mdl-37688044

ABSTRACT

A respiratory distress estimation technique for telephony previously proposed by the authors is adapted and evaluated in real static and dynamic HRI scenarios. The system is evaluated with a telephone dataset re-recorded using the robotic platform designed and implemented for this study. In addition, the original telephone training data are modified using an environmental model that incorporates natural robot-generated and external noise sources and reverberant effects using room impulse responses (RIRs). The results indicate that the average accuracy and AUC are just 0.4% less than those obtained with matched training/testing conditions with simulated data. Quite surprisingly, there is not much difference in accuracy and AUC between static and dynamic HRI conditions. Moreover, the beamforming methods delay-and-sum and MVDR lead to average improvement in accuracy and AUC equal to 8% and 2%, respectively, when applied to training and testing data. Regarding the complementarity of time-dependent and time-independent features, the combination of both types of classifiers provides the best joint accuracy and AUC score.


Subject(s)
Robotics , Humans , Dyspnea , Records
5.
J Clin Psychol ; 79(1): 201-209, 2023 Jan.
Article in English | MEDLINE | ID: mdl-35751901

ABSTRACT

AIMS: This exploratory pilot study (N = 3 sessions, 793 speech units) used task analysis to refine an early model of the attachment task in attachment-based family therapy (ABFT). The attachment task aims to repair long-standing parent-adolescent relational ruptures that inhibit parents from being a resource for adolescents recovering from depression and/or suicidality. METHODS: Video recordings of three attachment task sessions with strong adherence to the model were selected for intensive study. Two sessions were rated as successful (i.e., attachment was repaired) and one as unsuccessful (i.e., attachment repair did not occur). Sessions were then coded using Structural Analysis of Social Behavior (SASB). RESULTS: The current SASB analysis provided empirical support for our previous clinical impression that the task involves three parts: (I) adolescent disclosure of attachment rupture, (II) parent disclosure, and (III) a more mutual conversation. SASB also provided insights into more subtle elements of the model. CONCLUSION: Successful attachment sessions were associated with high parent affiliation and autonomy-both while affirming the adolescent's story and when disclosing their own experience. Unsuccessful task attempts were associated with parental enmeshment and hostile belittling, blaming, and distancing. An enhanced model of ideal parent behaviors during the attachment task is offered, including space for parent disclosure-perhaps even apology-that is both warm and independent, leading to a more mutual parent-adolescent conversation. Clinically, the findings support the importance of the therapist focusing on the process and quality of parent-child interactions to facilitate attachment repair.


Subject(s)
Object Attachment , Parent-Child Relations , Adolescent , Humans , Pilot Projects , Family Therapy , Parents
6.
Opt Express ; 30(20): 36414-36428, 2022 Sep 26.
Article in English | MEDLINE | ID: mdl-36258570

ABSTRACT

We developed an accelerated Genetic Algorithm (GA) system based on the cooperation of a field-programmable gate array (FPGA) and the optimized parameters that enables fast light focusing through scattering media. Starting at the searching space, which influences the convergence of the optimization algorithms, we manipulated the mutation rate that defines the number of mutated pixels on the spatial light modulator to accelerate the GA process. We found that the enhanced decay ratio of the mutation rate leads to a much faster convergence of the GA. A convergence-efficiency function was defined to gauge the tradeoff between the processing time and the enhancement of the focal spot. This function allowed us to adopt the shorter iteration number of the GA that still achieves applicable light focusing. Furthermore, the accelerated GA configuration was programmed in FPGA to boost processing speed at the hardware level. It shows the ability to focus light through scattering media within a few seconds, 150 times faster than the PC-based GA. The processing cycle could be further promoted to a millisecond-level with the advanced FPGA processor chips. This study makes the evolution-based optimization approach adaptable in dynamic scattering media, showing the capability to tackle wavefront shaping in biological material.


Subject(s)
Algorithms , Genetics , Mutation Rate
7.
Trends Hear ; 26: 23312165221117081, 2022.
Article in English | MEDLINE | ID: mdl-35929144

ABSTRACT

Non-traumatic noise exposure has been shown in animal models to impact the processing of envelope cues. However, evidence in human studies has been conflicting, possibly because the measures have not been specifically parameterized based on listeners' exposure profiles. The current study examined young dental-school students, whose exposure to high-frequency non-traumatic dental-drill noise during their course of study is systematic and precisely quantifiable. Twenty-five dental students and twenty-seven non-dental participants were recruited. The listeners were asked to recognize unvoiced sentences that were processed to contain only envelope cues useful for recognition and have been filtered to frequency regions inside or outside the dental noise spectrum. The sentences were presented either in quiet or in one of the noise maskers, including a steady-state noise, a 16-Hz or 32-Hz temporally modulated noise, or a spectrally modulated noise. The dental students showed no difference from the control group in demographic information, audiological screening outcomes, extended high-frequency thresholds, or unvoiced speech in quiet, but consistently performed more poorly for unvoiced speech recognition in modulated noise. The group difference in noise depended on the filtering conditions. The dental group's degraded performances were observed in temporally modulated noise for high-pass filtered condition only and in spectrally modulated noise for low-pass filtered condition only. The current findings provide the most direct evidence to date of a link between non-traumatic noise exposure and supra-threshold envelope processing issues in human listeners despite the normal audiological profiles.


Subject(s)
Speech Perception , Cues , Humans , Noise/adverse effects , Speech
8.
EFORT Open Rev ; 6(7): 531-538, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34377544

ABSTRACT

Computer-assisted orthopaedic surgery (CAOS) is a real-time navigation guidance system that supports surgeons intraoperatively.Its use is reported to increase precision and facilitate less-invasive surgery.Advanced intraoperative imaging helps confirm that the initial aim of surgery has been achieved and allows for immediate adjustment when required.The complex anatomy of the foot and ankle, and the associated wide range of challenging procedures should benefit from the use of CAOS; however, reports on the topic are scarce.This article explores the fields of applications of real-time navigation and CAOS in foot and ankle surgery. Cite this article: EFORT Open Rev 2021;6:531-538. DOI: 10.1302/2058-5241.6.200024.

9.
Nat Commun ; 12(1): 2189, 2021 Apr 13.
Article in English | MEDLINE | ID: mdl-33850122

ABSTRACT

Most known porphyry Cu deposits formed in the Phanerozoic and are exclusively associated with moderately oxidized, sulfur-rich, hydrous arc-related magmas derived from partial melting of the asthenospheric mantle metasomatized by slab-derived fluids. Yet, whether similar metallogenic processes also operated in the Precambrian remains obscure. Here we address the issue by investigating the origin, fO2, and S contents of calc-alkaline plutonic rocks associated with the Haib porphyry Cu deposit in the Paleoproterozoic Richtersveld Magmatic Arc (southern Namibia), an interpreted mature island-arc setting. We show that the ca. 1886-1881 Ma ore-forming magmas, originated from a mantle-dominated source with minor crustal contributions, were relatively oxidized (1‒2 log units above the fayalite-magnetite-quartz redox buffer) and sulfur-rich. These results indicate that moderately oxidized, sulfur-rich arc magma associated with porphyry Cu mineralization already existed in the late Paleoproterozoic, probably as a result of recycling of sulfate-rich seawater or sediments from the subducted oceanic lithosphere at that time.

10.
Sci Rep ; 9(1): 20190, 2019 Dec 27.
Article in English | MEDLINE | ID: mdl-31882582

ABSTRACT

Oxygen fugacity (ƒO2) is an intensive variable implicated in a range of processes that have shaped the Earth system, but there is controversy on the timing and rate of oxidation of the uppermost convecting mantle to its present ƒO2 around the fayalite-magnetite-quartz oxygen buffer. Here, we report Fe3+/ΣFe and ƒO2 for ancient eclogite xenoliths with oceanic crustal protoliths that sampled the coeval ambient convecting mantle. Using new and published data, we demonstrate that in these eclogites, two redox proxies, V/Sc and Fe3+/ΣFe, behave sympathetically, despite different responses of their protoliths to differentiation and post-formation degassing, seawater alteration, devolatilisation and partial melting, testifying to an unexpected robustness of Fe3+/ΣFe. Therefore, these processes, while causing significant scatter, did not completely obliterate the underlying convecting mantle signal. Considering only unmetasomatised samples with non-cumulate and little-differentiated protoliths, V/Sc and Fe3+/ΣFe in two Archaean eclogite suites are significantly lower than those of modern mid-ocean ridge basalts (MORB), while a third suite has ratios similar to modern MORB, indicating redox heterogeneity. Another major finding is the predominantly low though variable estimated ƒO2 of eclogite at mantle depths, which does not permit stabilisation of CO2-dominated fluids or pure carbonatite melts. Conversely, low-ƒO2 eclogite may have caused efficient reduction of CO2 in fluids and melts generated in other portions of ancient subducting slabs, consistent with eclogitic diamond formation ages, the disproportionate frequency of eclogitic diamonds relative to the subordinate abundance of eclogite in the mantle lithosphere and the general absence of carbonate in mantle eclogite. This indicates carbon recycling at least to depths of diamond stability and may have represented a significant pathway for carbon ingassing through time.

11.
J Assoc Res Otolaryngol ; 20(4): 305-311, 2019 08.
Article in English | MEDLINE | ID: mdl-31089846

ABSTRACT

This commentary provides an alternate interpretation of the fMRI data that were presented in a communication to the journal Nature Neuroscience (Thompson et al., Nat. Neurosci. 9: 1096-1098, 2006 ). The authors argued that their observations demonstrated that traditional models of binaural hearing which incorporate "internal delays," such as the coincidence-counting mechanism proposed by Jeffress and quantified by Colburn, are invalid, and that a new model for human interaural time delay processing must be developed. We argue that the fMRI data presented do not strongly favor either the refutation or the retention of the traditional models, although they may be useful in constraining the physiological sites of various processing stages. The conclusions of Thompson et al. are based on the locations of maximal activity in the midbrain in response to selected binaural signals. These locations are inconsistent with well-known perceptual attributes of the stimuli under consideration, as is noted by the authors, which suggests that further processing is involved in forming the percept of subjective lateral position.


Subject(s)
Hearing , Magnetic Resonance Imaging , Humans , Mesencephalon
12.
Proc Natl Acad Sci U S A ; 116(16): 7703-7711, 2019 Apr 16.
Article in English | MEDLINE | ID: mdl-30936308

ABSTRACT

Diamond is a wide-bandgap semiconductor possessing exceptional physical and chemical properties with the potential to miniaturize high-power electronics. Whereas boron-doped diamond (BDD) is a well-known p-type semiconductor, fabrication of practical diamond-based electronic devices awaits development of an effective n-type dopant with satisfactory electrical properties. Here we report the synthesis of n-type diamond, containing boron (B) and oxygen (O) complex defects. We obtain high carrier concentration (∼0.778 × 1021 cm-3) several orders of magnitude greater than previously obtained with sulfur or phosphorous, accompanied by high electrical conductivity. In high-pressure high-temperature (HPHT) boron-doped diamond single crystal we formed a boron-rich layer ∼1-1.5 µm thick in the {111} surface containing up to 1.4 atomic % B. We show that under certain HPHT conditions the boron dopants combine with oxygen defects to form B-O complexes that can be tuned by controlling the experimental parameters for diamond crystallization, thus giving rise to n-type conduction. First-principles calculations indicate that B3O and B4O complexes with low formation energies exhibit shallow donor levels, elucidating the mechanism of the n-type semiconducting behavior.

13.
Science ; 364(6438): 383-385, 2019 04 26.
Article in English | MEDLINE | ID: mdl-31023922

ABSTRACT

Neoproterozoic West African diamonds contain sulfide inclusions with mass-independently fractionated (MIF) sulfur isotopes that trace Archean surficial signatures into the mantle. Two episodes of subduction are recorded in these West African sulfide inclusions: thickening of the continental lithosphere through horizontal processes around 3 billion years ago and reworking and diamond growth around 650 million years ago. We find that the sulfur isotope record in worldwide diamond inclusions is consistent with changes in tectonic processes that formed the continental lithosphere in the Archean. Slave craton diamonds that formed 3.5 billion years ago do not contain any MIF sulfur. Younger diamonds from the Kaapvaal, Zimbabwe, and West African cratons do contain MIF sulfur, which suggests craton construction by advective thickening of mantle lithosphere through conventional subduction-style horizontal tectonics.

14.
EFORT Open Rev ; 3(1): 24-29, 2018 Jan.
Article in English | MEDLINE | ID: mdl-29657842

ABSTRACT

Conventional treatment of syndesmosis injuries in rotationally unstable ankle fractures is associated with an unacceptably high rate of malreduction, and this has led to a paradigm shift in the approach to a newer concept of anatomical repair.In the anatomical approach, the principle is to 'directly fix what is broken and repair what is torn'. The approach is effective in reducing the rate of syndesmosis malreduction, increasing the biomechanical strength of syndesmosis fixation and avoiding the need for trans-syndesmotic fixation and its secondary removal.The objective of this review article is to compare the conventional treatment of these injuries (accepted usage, general consent, traditional, generally accepted) with a newer anatomical approach to be considered as a shift in thinking. Cite this article: EFORT Open Rev 2018;3:24-29. DOI: 10.1302/2058-5241.3.170017.

15.
Surg Radiol Anat ; 40(5): 533-535, 2018 May.
Article in English | MEDLINE | ID: mdl-29473094

ABSTRACT

Despite the fact that there are numerous reports on muscular variations in the sole of the foot, routine dissection in a formaldehyde-fixed cadaver revealed an accessory flexor digiti quinti muscle, which to the best of our knowledge is a very unusual variant. This was in the form of a slender, 38 mm long muscular slip, with a proximal and distal tendon extending from the common flexor digitorum longus tendinous plate out to the distal phalanx of the fifth toe. An associated finding was the absence of the musculotendinous portion of the flexor digitorum brevis to the same toe. A developmental explanation for this variation is presented. Clinical implications with regard to this anatomical condition may result in clawing of the fifth toe.


Subject(s)
Muscle, Skeletal/anatomy & histology , Tendons/anatomy & histology , Toes/anatomy & histology , Aged , Anatomic Variation , Cadaver , Dissection , Humans , Male
16.
Hear Res ; 360: 92-106, 2018 03.
Article in English | MEDLINE | ID: mdl-29208336

ABSTRACT

Auditory research has a rich history of combining experimental evidence with computational simulations of auditory processing in order to deepen our theoretical understanding of how sound is processed in the ears and in the brain. Despite significant progress in the amount of detail and breadth covered by auditory models, for many components of the auditory pathway there are still different model approaches that are often not equivalent but rather in conflict with each other. Similarly, some experimental studies yield conflicting results which has led to controversies. This can be best resolved by a systematic comparison of multiple experimental data sets and model approaches. Binaural processing is a prominent example of how the development of quantitative theories can advance our understanding of the phenomena, but there remain several unresolved questions for which competing model approaches exist. This article discusses a number of current unresolved or disputed issues in binaural modelling, as well as some of the significant challenges in comparing binaural models with each other and with the experimental data. We introduce an auditory model framework, which we believe can become a useful infrastructure for resolving some of the current controversies. It operates models over the same paradigms that are used experimentally. The core of the proposed framework is an interface that connects three components irrespective of their underlying programming language: The experiment software, an auditory pathway model, and task-dependent decision stages called artificial observers that provide the same output format as the test subject.


Subject(s)
Auditory Pathways/physiology , Auditory Perception , Hearing , Models, Psychological , Acoustic Stimulation , Auditory Pathways/cytology , Cues , Humans , Psychoacoustics , Sound Localization , Speech Intelligibility , Speech Perception , Time Factors
17.
J Orthop Trauma ; 31(4): e127-e129, 2017 Apr.
Article in English | MEDLINE | ID: mdl-28323767

ABSTRACT

OBJECTIVE: Our objective is to review the anatomy and exposure of the posterior column and posterior tibial malleolus (the posterior tibial plafond) by defining the access corridors through 3 different approaches-posteromedial, posterolateral, and modified posteromedial. METHODS: Cadaveric dissection with percentage of posterior tibial malleolus exposed, and strain gauge measurements to evaluate traction on the neurovascular bundle. RESULTS: The 3 different approaches are applicable for exposure of different portions of the distal posterior tibial malleolus. Strain gauge measurements reveal the least traction on the flap containing the neurovascular bundle with the modified posteromedial approach (7.0 N) compared with the posteromedial (21.5 N) and posterolateral (16.8 N) approaches. Exposure of the posterior tibial malleolus was greater with the modified posteromedial approach (91%) compared with the other 2 approaches (posteromedial = 64%, posterolateral = 40%). CONCLUSIONS: Depending on the location of the principal fracture fragments, particularly in high energy ankle and pilon fractures, each of the posterior approaches has its indication, with the modified posteromedial approach revealing more of the posterior anatomy than the other 2 approaches. The latter approach places the least traction on the flap containing the neurovascular bundle.


Subject(s)
Ankle Fractures/surgery , Ankle Joint/surgery , Dissection/methods , Tarsal Bones/surgery , Tibia/surgery , Tibial Fractures/surgery , Cadaver , Humans
18.
Foot Ankle Surg ; 23(1): e8-e11, 2017 Mar.
Article in English | MEDLINE | ID: mdl-28159053

ABSTRACT

BACKGROUND: Failed hallux valgus surgery may result in residual or recurrent hallux valgus, and as well transfer metatarsalgia. The present technical tip concerns the combination of fusion of the first metatarsophalangeal (MTP) joint and lengthening of the first metatarsal (MT) through a scarf osteotomy. MATERIALS AND METHODS: Six patients underwent the presented technique, all for the indication of failed hallux valgus surgery with shortening of the first MT and degenerative changes in the 1st MTP joint. RESULTS: Follow-up at six months revealed all patients had complete healing of the osteotomy and arthrodesis sites. They were all asymptomatic and fully active, completely satisfied with the outcome. CONCLUSIONS: Combined fusion of the first MTP joint and lengthening of the first MT through a scarf osteotomy results in an excellent outcome in patients with failed hallux valgus surgery with shortening of the first MT and degenerative changes in the 1st MTP joint.


Subject(s)
Arthrodesis/methods , Bone Lengthening/methods , Hallux Valgus/surgery , Metatarsal Bones/surgery , Metatarsalgia/surgery , Metatarsophalangeal Joint/surgery , Hallux Valgus/complications , Humans , Metatarsalgia/etiology , Osteotomy
19.
Prosthet Orthot Int ; 41(3): 258-265, 2017 Jun.
Article in English | MEDLINE | ID: mdl-27881551

ABSTRACT

BACKGROUND: The International Committee of the Red Cross supports a worldwide program of prosthetic fitting and rehabilitation. In this context, a prosthetic foot was developed and widely distributed in least developed countries. STUDY DESIGN: Prospective, randomized, double-blind, controlled study. OBJECTIVE: To compare patient satisfaction and energy expenditure during ambulation between a low-cost prosthetic foot designed with a polypropylene keel (CR-Equipements™ solid ankle cushion heel, International Committee of the Red Cross) to a well-recognized solid ankle cushion heel foot with a wooden keel (solid ankle cushion heel foot, Otto Bock). METHODS: A total of 15 participants with unilateral transtibial amputation were evaluated using the two prosthetic feet in a randomized prospective double-blind crossover study. Main outcomes were patient satisfaction questionnaires (Satisfaction with Prosthesis Questionnaire and prosthetic foot satisfaction) and energy expenditure (oxygen consumption-mL/kg/min, oxygen cost-mL/kg/m, and heart rate-bpm). RESULTS: There were no significant differences between the two prosthetic feet for satisfaction and energy expenditure. CONCLUSION: The low-cost solid ankle cushion heel foot with polypropylene keel provides comparable satisfaction and similar energy expenditure as the solid ankle cushion heel foot with wooden keel. Clinical relevance The results of this study support the application and widespread use of the CR-Equipements™ solid ankle cushion heel foot. From a cost-effectiveness standpoint, patients are well satisfied and exhibit similar outcomes at a substantially lower cost.


Subject(s)
Ankle/physiopathology , Artificial Limbs , Energy Metabolism/physiology , Gait/physiology , Heel/physiopathology , Weight-Bearing/physiology , Adult , Aged , Amputation, Surgical/rehabilitation , Cross-Over Studies , Double-Blind Method , Female , Humans , Male , Middle Aged , Patient Satisfaction , Polypropylenes , Prospective Studies , Prosthesis Design , Prosthesis Fitting
20.
Injury ; 47(12): 2694-2699, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27810152

ABSTRACT

INTRODUCTION: Syndesmotic disruption may be difficult to reduce and fix, and malreduction is associated with inferior outcomes. Intraoperative computed tomography (CT) can provide accurate assessment of syndesmotic reduction. We hypothesized that three-dimensional (3-D) computer-assisted orthopaedic surgery (CAOS) with navigation of syndesmotic reduction could avoid malreduction. Our goal was to assess feasibility and accuracy of such a technic in a cadaveric study. METHOD: Eleven through-the-knee cadaveric specimens were used. Ankle CT as control was obtained prior to intervention. The syndesmosis was destabilized by sectioning the tibiofibular ligaments, producing a malreduction temporarily fixed with a Kirschner wire (K-wire). With reference base fixed to the tibia an acquisition scan was made. A K-wire was fixed to the fibula. The K-wire holding the syndesmosis malreduced was removed. The fibula was reduced within the syndesmosis under 3-D CAOS using a navigated K-wire. Once optimal position was obtained by referencing control images, the syndesmosis was fixed with a 3.5mm screw. A CT scan was performed to assess quality of reduction. RESULTS: Position of the fibula in control and post-reduction CT scans showed a mean anterior-posterior displacement of 0.74 (±0.62)mm. The medial-lateral position measured a mean displacement of 0.68 (±0.76)mm. Rotation of the fibula revealed a mean difference of 0.99° (± 0.73). CONCLUSION: In this cadaveric study, CAOS with navigation allowed for very accurate syndesmosis reduction. This appears to be a promising technique to be confirmed by clinical study.


Subject(s)
Ankle Injuries/surgery , Fracture Fixation, Internal , Surgery, Computer-Assisted , Tomography, X-Ray Computed , Ankle Injuries/diagnostic imaging , Ankle Injuries/pathology , Biomechanical Phenomena , Cadaver , Feasibility Studies , Female , Fibula , Humans , Imaging, Three-Dimensional , Joint Instability , Male , Reproducibility of Results , Tibia
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