Erratum to: Fluid signal changes around the knee on MRI are associated with increased volumes of subcutaneous fat: a case-control study

Gaunt, Trevor; Carey, Frank; Cahir, John; Toms, Andoni P.

doi:10.1186/s12891-016-1361-8

Cited by 95 publications

(94 citation statements)

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“…Thus, they suggested the plate-bone distance should be less than 30 mm to guarantee a stable external plate fixation in the distal tibial fracture. Liu et al [ 24 ] compared 3 different configurations in fixing distal tibia fracture: medial distal tibial locking compression plates (LCP group), medial distal tibial locking compression plates with 30-mm plate-bone distances (EF-tibia group), and medial distal femur locking compression plates with 30-mm plate-bone distances (EF-femur group). As they reported, the mean compression stiffness in EF-tibia and EF-femur groups was 14.07% and 47.43% of that in LCP group, respectively.…”

Section: Resultsmentioning

confidence: 99%

Locked plating as an external fixator in treating tibial fractures

Luo

Ding

et al. 2017

Medicine

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Objectives:This article is a systematic review of the published literature about the biomechanics, functional outcomes, and complications of a locked plate as an external fixator in treating tibial fractures.Methods:We searched the PubMed, Ovid Medline, Embase, ScienceDirect, and Cochrane Library databases to retrieve the relevant studies. Studies published in English and Chinese which assessed adult patients and more than 4 cases who had sustained any type of fresh tibial fracture treated with the external locking plate, provided that they reported functional outcomes, range of motion (ROM), union or complication rates, and the biomechanical studies of external locked plating are also included.Results:The electronic search strategy revealed 248 studies, and 2 studies were identified as relevant through manual search of references. Finally, 12 studies were included in this systematic review. These consist of 3 pure biomechanical studies, 8 case series, and 1 study including both of biomechanics and case series. Due to the heterogeneity of biomechanical studies, we can only conclude that external locked plate shows inferior structural stiffness than internal locked plate. The clinical studies reported that external locked plating gave a satisfactory ROM of the knee and ankle, functional outcomes, union rate, and low complication rate.Conclusions:We can only conclude that external locked plate shows inferior structural stiffness than internal locked plate because of the heterogeneity of biomechanical studies. The clinical studies showed locked plating as an external fixator in treating tibial fractures can be considered as a safe and successful procedure. However, as yet, there is unconvincing evidence that it is superior to standard techniques with regards to clinical and functional outcomes. More and well-designed studies about this technique should be carried out.

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Section: Resultsmentioning

confidence: 99%

Locked plating as an external fixator in treating tibial fractures

Luo

Ding

et al. 2017

Medicine

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“…Current clinical practice provides little opportunity for monitoring or feedback outside of the clinic. It has been shown that patients with negative experiences of TKR have unmet needs regarding support and managing expectations, 21 yet these results suggest there is a heavy reliance on the patient’s own self-motivation at home, with limited monitoring or feedback from clinicians. Participants also reported using a combination of objective and subjective outcome measures for monitoring, but these measures are only captured at limited time-points and self-reported measures such as adherence are well reported to be unreliable.…”

Section: Discussionmentioning

confidence: 99%

Clinician perceptions of a prototype wearable exercise biofeedback system for orthopaedic rehabilitation: a qualitative exploration

Argent¹,

Slevin

Bevilacqua

et al. 2018

BMJ Open

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ObjectivesThis study explores the opinions of orthopaedic healthcare professionals regarding the opportunities and challenges of using wearable technology in rehabilitation. It continues to assess the perceived impact of an exemplar exercise biofeedback system that incorporates wearable sensing, involving the clinician in the user-centred design process, a valuable step in ensuring ease of implementation, sustained engagement and clinical relevance.DesignThis is a qualitative study consisting of one-to-one semi-structured interviews, including a demonstration of a prototype wearable exercise biofeedback system. Interviews were audio-recorded and transcribed, with thematic analysis conducted of all transcripts.SettingThe study was conducted in the orthopaedic department of an acute private hospital.ParticipantsTen clinicians from a multidisciplinary team of healthcare professionals involved in the orthopaedic rehabilitation pathway participated in the study.ResultsParticipants reported that there is currently a challenge in gathering timely and objective data for the monitoring of patients in orthopaedic rehabilitation. While there are challenges in ensuring reliability and engagement of biofeedback systems, clinicians perceive significant value in the use of wearable biofeedback systems such as the exemplar demonstrated for use following total knee replacement.ConclusionsClinicians see an opportunity for wearable technology to continuously track data in real-time, and feel that feedback provided to users regarding exercise technique and adherence can further support the patient at home, although there are clear design and implementation challenges relating to ensuring technical accuracy and tailoring rehabilitation to the individual. There was perceived value in the prototype system demonstrated to participants which supports the ongoing development of such exercise biofeedback platforms.

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“…One major limitation of this study is the relatively small and single-sex sample (12 schoolboys with a mean age of 12.3 y) recruited in the test. The results may not be applicable to the female population because the prevalence of lower-back pain caused by backpack carriage may be higher in girls than in boys [ 9 ], and changes in carriage posture were shown to be different between girls and boys [ 39 ]. In addition, posture and muscle activation were examined only in the sagittal plane, and the maximum backpack weight was 15% of BW.…”

Section: Discussionmentioning

confidence: 99%

Effects of backpack load and position on body strains in male schoolchildren while walking

Chen

2018

PLoS ONE

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Data regarding the effects of backpack carriage on children’s body strains while walking are limited. This study measured the body posture, muscle activation, and subjective discomfort scores of 12 male schoolchildren (age: 12.3 (range 12.1–13.0) y, height: 151.3 (range 144.2–154.6) cm, weight: 46.6 (range 43.6–49.7) kg) carrying backpacks weighing 5%, 10%, and 15% of their respective body weights (BWs) and walking for 10 min on a treadmill. For each load, three positions along the spinal column (T7, T12, and L3) were examined. Participants carrying a backpack weighing 15% of BW exhibited higher head flexion, trunk flexion, and corresponding muscle activation, and a lower lumbosacral angle compared with those carrying loads of 5% and 10% of BW. The waist received the highest discomfort scores when the backpacks were carried at the L3 position. Conversely, the discomfort rating for the neck and shoulders where the highest when the backpack was at the T7 position; this high backpack position also caused more head flexion than the other two positions. For the musculoskeletal health of children, the findings suggest that carrying a school backpack weighing 15% of BW should be avoided, and carrying at the T12 position may be recommended for schoolboys.

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Erratum to: Fluid signal changes around the knee on MRI are associated with increased volumes of subcutaneous fat: a case-control study

Cited by 95 publications

References 1 publication

Locked plating as an external fixator in treating tibial fractures

Locked plating as an external fixator in treating tibial fractures

Clinician perceptions of a prototype wearable exercise biofeedback system for orthopaedic rehabilitation: a qualitative exploration

Effects of backpack load and position on body strains in male schoolchildren while walking

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