ArticleJournal of orthopaedics2018
Electromagnetic simulation for diagnosing damage to femoral neck vasculature: A feasibility study.
Article in Journal of orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.
- The pandemic is gone but its consequences are here to stay: avascular necrosis following corticosteroids administration for severe COVID-19.Journal of orthopaedic surgery and research · 2024Pooled it
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFemoral neck fractures are common injuries managed by orthopedic surgeons across the world. From pediatrics to geriatrics, disruption of the blood supply to the femoral neck is a well-recognized source of morbidity and mortality, oftentimes resulting in avascular necrosis of the femoral head. This devastating complication occurs in 10-45% of femoral neck fractures. Therefore, it is vital for orthopedic surgeons provide efficient treatment of this injury, in order to optimize the patient's potential outcome and prevent long-term sequelae.
methodsIn this study, the anatomy of the proximal femur, including femoral metaphysis, femoral neck, vasculature, and femoral head, were simulated in COMSOL Finite Element Analysis (FEA) software. Electric fields were generated in a fashion that exploited disruptions within the vasculature of the femoral neck. This study was aimed at developing an alternative imaging modality for narrowing or disrupting the femoral neck's vasculature. The variables used for investigation included: frequency, penetration depth, and magnitude of the electrical energy. These variables, when combined, allowed for enhanced simulated visualization of the vasculature of the femoral neck and theoretically expedited diagnosis of obvious, or occult, femoral neck injury.
resultsSimulated blood vessels were developed in two-dimensions: the phi direction (circular), and z-direction. Two different frequencies, 3 GHz, and 5 GHz were considered, with 100-J energy pulses within blood vessels of 2.54 mm in diameter. The fat surrounding the bone to the outside surface body was simulated at 0.25 inch (0.65 cm). An additional model, with layered fat and skin above the vessels, was simulated at 2000J and successfully able to visualize the femoral neck's blood vessels. Results showed a distinguished E field across the blood boundary of nearly 170 V/M.
conclusionsThe electric field simulation data within the Phi and Z directions promises the feasibility of a subsequent practical model.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.