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Biomedical subjects

A Biewener

Publications and source records attributed to A Biewener.

24 records · Page 2Linked to original sources

In vivo muscle force and elastic energy storage during steady-speed hopping of tammar wallabies (Macropus eugenii)

In order to evaluate the role of elastic energy recovery in the hopping of macropodids, in vivo measurements of muscle­tendon forces using buckle force transducers attached to the tendons of the gastrocnemius (G), plantaris (PL) and flexor digitorum longus (FDL) of tammar wallabies were made as the animals hopped on a treadmill at speeds ranging from 2.1 to 6.3 m s-1. These muscles and tendons constitute the main structures that are most important in energy storage and recovery. Electromyographic recordings from the lateral gastrocnemius and plantaris muscles, together with high-speed films (200 frames s-1) and video (60 fields s-1), were also used to correlate muscle activation and kinematic patterns of limb movement with force development. On the basis of in situ calibrations of the buckle transducers, we found that muscle forces and elastic energy storage increased with increased hopping speed in all three muscle­tendon units. Elastic energy recovery reached a maximum of 25 % of metabolic energy expenditure at 6.3 m s-1 and is probably greater than this at higher speeds. Force sharing among the three muscles was consistently maintained over this range of speeds in terms of recruitment. Although forces and stresses were generally comparable within the gastrocnemius and plantaris muscles, maximal tendon stresses were considerably greater in the gastrocnemius, because of its smaller cross-sectional area (peak muscle stress: 227 versus 262 kPa; peak tendon stress: 36 versus 32 MPa, G versus PL). As a result, energy storage was greatest in the gastrocnemius tendon despite its much shorter length, which limits its volume and, hence, energy storage capacity, compared with PL and FDL tendons. Forces and stresses (17 MPa maximum) developed within the FDL tendon were consistently much lower than those for the other two tendons. Peak stresses in these three tendons indicated safety factors of 3.0 for G, 3.3 for PL and 6.0 for FDL. The lower stresses developed within the tendons of the plantaris and, especially, the flexor digitorum longus may indicate the need to maintain sufficient stiffness for phalangeal control of foot placement, at the expense of reduced strain energy recovery.

Journal Article↗

[Functional treatment of acute rupture of the Achilles tendon. An experimental biomechanical study].

In 84 adult rabbits the biomechanical properties of healing Achilles tendon rupture were examined 2, 4, 8 and 12 weeks (21 each group) after the injury. For the first time a mop-end-tear was performed. The following treatment modalities were applied (7 rabbits in each subgroup): (a) operative functional treatment (resorbable suture; Kleinert techniques); (b) operative functional treatment (fibrin glue); (c) primary functional treatment (conservative). The functional after treatment in all groups was performed with a specially developed orthesis, which was taped to the limb. For biomechanical testing a newly developed fixation technique (cryo-clamp) was applied, which guaranteed secure intratendineal rupture. After 2 weeks the fibrin glue-treated tendon ruptures showed the best results with regard to stiffness, tensile stress and max. rupture force. These results and a higher tensile stress of the sutured tendons were significantly different from those in the conservatively treated groups. After 4 weeks the stiffness in the fibrin group and the energy and rupture force in the suture group were significantly higher than in the group treated conservatively. The 8-week results revealed comparable biomechanical properties. The only significant difference was a higher energy in the fibrin glue group than in the conservative treatment group. The experiment revealed no significant biomechanical differences after 3 months. Compared with the results recorded for plaster immobilization in the literature, the functional treatment resulted in a significantly faster course of healing.

Achilles Tendon↗

[Biomechanical studies of human Achilles tendon rupture].

The biomechanical properties of human Achilles tendon are described with a computer-controlled material-testing machine. With an optimized fixation device for the muscle-tendon-calcaneus system the rupture was intratendineal. The tendons were compared for different rupture speed (1000 mm/min vs 100 mm/min), sex and age ( < 35 years vs > 35 years). The tendons ruptured at 1000 mm/min had better results in terms of maximum rupture force, stiffness and tensile stress, while the results for elongation and energy were less good. None of these differences were statistically significant. Significant differences were found between the sexes: male tendons had higher maximum rupture force and stiffness and a larger cross-sectional area. In the younger tendons significantly higher tensile rupture stress and lower stiffness were found.

Achilles Tendon↗

External skin excision in the sebaceous nose and supratip deformity.

Some sebaceous noses cannot be properly reduced in size because of redundant skin. After standard rhinoplasty some noses develop a supratip deformity that recurs even after subcutaneous removal of the scar tissue. These noses can be corrected only by wedge-shaped skin excision. Most patients much prefer a pleasantly shaped nose, even at the cost of a midline scar on the nose. Most surgeons are hesitant to add scars to the face. However, the vast experience with wounds following accidents, tumor excisions, or corrections of malformations has shown that generally scar formation on the nose is inconspicuous. Nineteen patients were treated successfully by skin excision at the time of primary rhinoplasty or by a second operation.

Adult↗

[Functional postoperative treatment of internally fixed ankle fractures with a flexible arthrodesis boot (Variostabil)].

AIM: Postoperative treatment following osteosynthesis of ankle fractures in a flexible arthrodesis boot (Variostabil) aims at fast restoration of the function of the injured extremity while allowing early full weight bearing. This treatment regimen was validated in a clinical and experimental study. METHODS: (1) In the clinical study part, 56 patients with internally fixed ankle fractures received after treatment with the arthrodesis boot for 6 weeks. (2) In the experimental study part, the intravascular pressure was recorded in a foot vein of 8 healthy volunteers during knee bends. RESULTS: (1) No implant failure or secondary dislocation was seen due to the after treatment. All patients rated subjective comfort and mobility as excellent. 90.5 % had a good to excellent functional result with the Philips Score. (2) Wearing the arthrodesis boot effected significantly faster venous outflow (25.8 +/- 15.2 vs. 11.3 +/- 6.0 mmHg/sec, p < 0.05) and higher pressure amplitude (53.6 +/- 12.0 vs. 26.5 +/- 9.6 mmHg) during knee bends, compared to a below-the-knee plaster cast. CONCLUSIONS: The flexible arthrodesis boot offers safe protection of ankle fractures combined with superior functional performance (undisturbed gait, training of the ankle joint, high patient comfort and mobility, accelerated venous outflow) as compared to cast immobilization.

Adolescent↗