Arthroscopically assisted reconstructions of the anterolateral bundle of the PCL in patients with symptomatic isolated grade II to IV PCL-deficient knees lead to significantly improved functional results at long term if there is no cartilage damage at time of surgery. Nonoperative treatment should not be extended more than 1 year from injury. Graft choice did not significantly influence the functional outcome at long term.
A model for brightness and hue perception of self-luminous stimuli surrounded by a self-luminous achromatic background has been developed based on a series of visual experiments. In the model, only the absolute spectral radiance values of the stimulus and background are used as input. Normalized cone excitations are calculated using the 10°Commission Internationale de l'Éclairage (CIE) 2006 cone fundamentals. A von Kries chromatic adaptation transform applied in the CIE 2006 cone space is adopted, and luminance compression and adaptation due to the self-luminous background are included by using a Michaelis-Menten function. Model parameters are determined by fitting the model to the experimental visual data obtained for brightness, hue, and the amount of color versus neutral. The model is validated with additional experimental data. An absolute brightness scale expressed in "bright" is proposed.
We treated eight patients with lunatomalacia by harvesting a pedicled, vascularised bone segment from the dorsal aspect of the distal radius and grafting it into the lunate. Its effect on carpal collapse and clinical outcome was assessed at a mean follow-up of 29 months (range 13-42). Postoperatively patients had considerably less pain (45% during activity and 74% at rest). Postoperative mean range of movement was 65% (range 43%-76%) (SD: 13) of the unaffected side. Three patients had an excellent result, three had good results, one had a fair result, and one patient was unsatisfied. The mean postoperative disabilities of the arm, shoulder, and hand score was 29.8 (compared with 40.0 preoperatively).
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