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Background: Double crush syndrome refers to a nerve in the proximal region being compressed, affecting its proximal segment. Instances of this syndrome involving ulnar and cubital canals during ulnar neuropathy are rare. Diagnosis solely through clinical examination is challenging. Although electromyography (EMG) and nerve conduction studies (NCS) can confirm neuropathy, they do not incorporate inching tests at the wrist, hindering diagnosis confirmation. We recently encountered eight cases of suspected double compression of ulnar nerve, reporting these cases along with a literature review. Methods: The study included 5 males and 2 females, averaging 45.6 years old. Among them, 4 had trauma history, and preoperative McGowan stages varied. Ulnar neuropathy was confirmed in 7 cases at both cubital and ulnar canal locations. Surgery was performed for 4 cases, while conservative treatment continued for 3 cases. Results: In 4 cases with wrist involvement, 2 showed ulnar nerve compression by a fibrous band, and 1 had nodular hyperplasia. Another case displayed ulnar nerve swelling with muscle covering. Among the 4 surgery cases, 2 improved from preoperative McGowan stage IIB to postoperative stage 0, with significant improvement in subjective satisfaction. The remaining 2 cases improved from stage IIB to IIA, respectively, with moderate improvement in subjective satisfaction. In the 3 cases receiving conservative treatment, satisfaction was significant in 1 case and moderate in 2 cases. Overall, there was improvement in hand function across all 7 cases. Conclusion: Typical outpatient examinations make it difficult to clearly differentiate the two sites, and EMG tests may not confirm diagnosis. Therefore, if a surgeon lacks suspicion of this condition, diagnosis becomes even more challenging. In cases with less than expected postoperative improvement in clinical symptoms of cubital tunnel syndrome, consideration of double crush syndrome is warranted. Additional tests and detailed EMG tests, including inching tests at the wrist, may be necessary. We aim to raise awareness double crush syndrome with ulnar nerve, reporting a total of 7 cases to support this concept. [ABSTRACT FROM AUTHOR]

Purpose: Ischemic time is a key factor in satisfactory functional results after forearm replantation. In this study, we provide a detailed description of our surgical technique, the temporary screw plate fixation technique, which aims to reduce ischemic time. Methods: From June 2007 to June 2017, we performed a retrospective study of 20 patients who underwent forearm replantation. Eighteen cases involved male patients, and their mean age was 46 years. The mechanism of injury was roller injuries in 5 cases, power saw injuries in 3 cases, traffic accident in 7 cases, rope injuries in 2 cases, machinery injuries in 2 cases, and crushing injuries by rebar beam in 1 case. Results: A total of 20 replantation patients survived. According to injury level, there were 3 cases of the proximal type, 11 cases of the middle type, and 6 cases of the distal type. The average time to revascularization was 331 min. The total operation time was, on average, 5.73 h. In the rest of the 18 cases, the temporary screw plate fixation technique was performed, and the average time required for bone shortening and plate fixation was 38.3 min. Conclusions: To reduce ischemic time, we need a plan that progressively reduces time at each stage. Among our tips, temporary screw plate fixation can reduce the initial bone surgical operation to < 40 min, does not have many complications, and can be used as definitive surgery. This method for bone fixation should be considered as a strategy to actively reduce operation time during forearm replantation. Level of evidence: Retrospective study, Level III. [ABSTRACT FROM AUTHOR]

Background: Segmental fractures often result from high-energy or indirect trauma that causes bending or torsional forces with axial loading. We evaluated surgical outcomes of patients with forearm segmental diaphyseal fractures. Methods: We retrospectively analyzed data from patients with forearm segmental fractures for which they underwent surgery at the Pusan National University Trauma Center from March 2013 to March 2022. We also analyzed accompanying injuries, injury severity score (ISS), injury mechanism, occurrence of open fracture, surgical technique, and treatment results. Results: Fifteen patients were identified, one with bilateral segmental diaphyseal forearm bone fracture, for a total of 16 cases. Nine of the patients were male. The overall mean age was 50 years, and the mean follow-up period was 16.2 months. Six cases who underwent surgery using plate osteosynthesis achieved bone union without length deformity at final follow-up. Three of seven patients who underwent intramedullary nailing alone underwent reoperation due to nonunion. Six cases achieved bone union at final follow-up, three of which showed length deformity. Three patients underwent surgery using a hybrid method of IM nailing, plates, and mini cables. One patient who underwent surgery with a plate and one patient who underwent surgery with IM nailing alone showed nonunion and were lost to follow-up. Conclusion: Plate osteosynthesis is considered the gold standard for treatment of adult forearm diaphyseal segmental fractures. In this study, IM nailing was associated with high rates of non-union and length deformity. However, the combination of IM nailing and a plate-cable system may be an acceptable alternative in segmental diaphyseal forearm fracture, achieving a union rate similar to that provided by plate fixation. [ABSTRACT FROM AUTHOR]

Background: Even though home deaths have been reported to improve quality of life, satisfy patients and families, and reduce healthcare expenditures, not enough is known about the factors that influence home deaths in Korea. Objectives: This study aimed to examine the factors associated with home deaths among middle-aged and older adults in South Korea. Methods: This secondary data analysis used core interview and exit interview data of the Korean Longitudinal Study of Aging conducted between 2008 and 2018. The deceased included adults over the age of 45 years. The exit data were obtained from interviews with family members or other acquaintances known to the deceased every two years since 2008. Complex-sample logistic regression was conducted using 1,565 middle-aged and older deceased adults. Results: Among 1,565 decedents, the average age at the time of death was 80.67±10.69 in the home death group, and 78.72±9.83 in the non-home death group. The proportion of home-related deaths was 26.4%. Age over 81 years was associated with increased odds of home death, whereas having two or more living children, living in town/small city, paid medical expenses by children/grandchildren and their spouses, expected death, death from disease, and having three or more chronic diseases were associated with decreased odds of home death. An increase in activities of daily living during three months before death was associated with a decrease in home death. Conclusion: The findings could help healthcare professionals develop tailored interventions to help people die at their preferred place of death based on family characteristics and healthcare accessibility. Age, residential area, number of children and children's financial support, and illness-related factors influenced home death by creating differences in access to healthcare resources and support. Policymakers should decrease healthcare disparities and improve health resource allocation and home-based care. [ABSTRACT FROM AUTHOR]

Mothers-in-law in multicultural families tend to experience psychological burden. This study aimed to verify the effects of the cultural adaptation promotion resilience program (CAPRP) on resilience, acculturation stress, depression, and quality of life among mothers-in-law in multi-cultural families. Forty-two participants from multicultural family support centres in the metropolitan city A were assigned to either the intervention group or the control group. The CAPRP was performed for 60 minutes, twice a week for four weeks. The intervention group showed a significant decrease in the acculturation stress (p =.002), and depression (p =.006), while resilience (p <.001) and quality of life (p <.001) significantly increased compared to the control group. The intervention group reported significant improvements in resilience, acculturation stress, depression, and quality of life in comparison with the control group. The results indicated that the CAPRP, developed based on positive cognitive appraisal, was an efficient nursing intervention for mothers-in-law in multicultural families. [ABSTRACT FROM AUTHOR]

Open in new tab Download slide Open in new tab Download slide OBJECTIVES The aims of this study were to evaluate and compare the outcomes after pulmonary valve replacement (PVR) with a mechanical prosthesis (MP) and a bioprosthesis (BP). METHODS From 2004 through 2017, a total of 131 patients, who had already been repaired for tetralogy or Fallot or its variants, underwent their first PVR with an MP or a BP. Outcomes of interests were prosthesis failure (stenosis >3.5 m/s, regurgitation >mild or infective endocarditis) and reintervention. RESULTS The median age at PVR was 19 years. BP and MP were used in 88 (67.2%) and 43 (32.8%) patients, respectively. The median follow-up duration was 7.4 years, and the 10-year survival rate was 96.4%. Risk factors for prosthesis failure were smaller body surface area [hazard ratio (HR) 0.23 per 1 m2, P  =   0.047] and smaller prosthesis size (HR 0.73 per 1 mm, P  =   0.039). Risk factors for prosthesis reintervention were smaller body surface area (HR 0.11 per 1 m2, P  =   0.011) and prosthesis size (HR 0.67 per 1 mm, P  =   0.044). Probability of prosthesis failure and reintervention at 10 years were 24.6% (19.5% in BP vs 34.8% in MP, P  =   0.34) and 7.8% (5.6% in BP vs 11.9% in MP, P  =   0.079), respectively. Anticoagulation-related major thromboembolic events were observed in 4 patients receiving an MP. CONCLUSIONS MP might not be superior to BP in terms of prosthesis failure or reintervention. MP should be carefully considered for highly selected patients in the era of transcatheter PVR. [ABSTRACT FROM AUTHOR]

Eurotiales is a relatively large order of Ascomycetes, well-known for their ability to produce secondary metabolites with potential beneficial applications. To understand their diversity and distribution, different environmental sources including soil, freshwater, insect, and indoor air were investigated. Eight strains of Eurotiales were isolated and identified based on their morphological characters and a multi-gene phylogenetic analysis of the ITS, BenA, CaM, and RPB2 regions. We identified eight taxa that were previously not reported from Korea: Aspergillus baeticus, A. griseoaurantiacus, A. spinulosporus, Penicillium anthracinoglaciei, P. labradorum, P. nalgiovense, Talaromyces atroroseus, and T. georgiensis. Detailed descriptions, illustrations, and phylogenetic tree for the eight new records species are presented, and information regarding the records is also discussed. [ABSTRACT FROM AUTHOR]

TTF-1 stimulates appetite by regulating the expression of agouti-related peptide (AgRP) and proopiomelanocortin (POMC) genes in the hypothalamus of starving animals. However, the mechanism underlying TTF-1's response to decreased energy levels remains elusive. Here, we provide evidence that the NAD+-dependent deacetylase, sirtuin1 (Sirt1), activates TTF-1 in response to energy deficiency. Energy deficiency leads to a twofold increase in the expression of both Sirt1 and TTF-1, leading to the deacetylation of TTF-1 through the interaction between the two proteins. The activation of Sirt1, induced by energy deficiency or resveratrol treatment, leads to a significant increase in the deacetylation of TTF-1 and promotes its nuclear translocation. Conversely, the inhibition of Sirt1 prevents these Sirt1 effects. Notably, a point mutation in a lysine residue of TTF-1 significantly disrupts its deacetylation and thus nearly completely hinders its ability to regulate AgRP and POMC gene expression. These findings highlight the importance of energy-deficiency-induced deacetylation of TTF-1 in the control of AgRP and POMC gene expression. [ABSTRACT FROM AUTHOR]

Background: Ligularia fischeri is a perennial herb isolated from plants of the Asteraceae family. Ligularia fischeri is distributed throughout Korea, Japan, eastern Siberia, and China. Aims: The aim of this study is to examine the intracellular inhibitory effect of Ligularia fischeri ethanol extract on melanin synthesis and expression of tyrosinase and tyrosinase‐related protein 1 and 2. In addition, we analyzed the mitogen‐activated protein kinase signaling pathway and microphthalmia‐associated transcription factor in alpha‐melanocyte‐stimulating hormone‐stimulated B16F10 melanoma cells. Methods: To assess the inhibition of melanogenesis in alpha‐melanocyte‐stimulating hormone‐stimulated B16F10 melanoma cells, the expression of melanogenesis‐related genes was investigated by quantitative real‐time polymerase chain reaction, while western blotting was performed to determine protein expression levels. Results: We confirmed that the ethanol extract of Ligularia fischeri inhibited melanin synthesis in vitro by decreasing tyrosinase and tyrosinase‐related protein 1 and 2 expression. Furthermore, we revealed that tyrosinase expression was regulated by the suppression of microphthalmia‐associated transcription factor expression and activation of extracellular signal‐regulated kinase phosphorylation. The ethanol extract of Ligularia fischeri inhibited melanogenesis by activating extracellular signal‐regulated kinase phosphorylation and suppressing microphthalmia‐associated transcription factor and tyrosinase expression. Conclusions: Ligularia fischeri ethanol extract may be used as an effective skin whitening agent in functional cosmetics. [ABSTRACT FROM AUTHOR]

Compensation topologies of the inductive power transfer (IPT) converter for electric vehicles (EVs) have been researched in previous works. However, a methodology for designing a compensation topology based on the efficiency of the IPT converter has been barely discussed. This paper proposes an optimal design methodology for compensation parameters to achieve optimal efficiency of the IPT converter with LCC-S. The optimal output voltage is derived using the losses analysis of the IPT converter, and the IPT converter is designed for the optimal output voltage to achieve the optimal efficiency. Furthermore, the battery management (BM) converter on the receiving side is designed based on the output voltage of the IPT converter, the fluctuation range of the coupling coefficient, and the battery charging voltage. The validity of the proposed IPT converter design methodology is verified by designing different compensation parameters and BM converters. The power rating of the three design cases is 3.3 kW with the same magnetic pads satisfying the SAE J2954 WPT 1 class. [ABSTRACT FROM AUTHOR]

Background: Although osteoarthritis (OA) development is epidemiologically multifactorial, a primary underlying mechanism is still under debate. Understanding the pathophysiology of OA remains challenging. Recently, experts have focused on autophagy as a contributor to OA development. Method: To better understand the pathogenesis of OA, we survey the literature on the role of autophagy and the molecular mechanisms of OA development. To identify relevant studies, we used controlled vocabulary and free text keywords to search the MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, Web of Science, and SCOPUS database. Thirty-one studies were included for data extraction and systematic review. Among these studies, twenty-five studies investigated the effects of autophagy in aging and OA chondrocytes, six studies examined the effects of autophagy in normal human chondrocytes, and only one study investigated the effects of mechanical stress-induced autophagy on the development of OA in normal chondrocytes. Results: The studies suggest that autophagy activation prevents OA by exerting cell-protective effects in normal human chondrocytes. However, in aging and osteoarthritis (OA) chondrocytes, the role of autophagy is intricate, as certain studies indicate that stimulating autophagy in these cells can have a cytotoxic effect, while others propose that it may have a protective (cytoprotective) effect against damage or degeneration. Conclusions: Mechanical stress-induced autophagy is also thought to be involved in the development of OA, but further research is required to identify the precise mechanism. Thus, autophagy contributions should be interpreted with caution in aging and the types of OA cartilage. [ABSTRACT FROM AUTHOR]

[Display omitted] • Fabrication of a nitrogen-doped mesoporous carbon (NMC) on the pGF electrode. • NMC changes the structures and physicochemical properties of the pGF electrode. • NMC enables strong B r 2 / B r n + 2 - adsorption within the positive electrode. • NMC realizes a flowless zinc-bromine battery with superior performance and durability. The flowless zinc-bromine battery (FLZBB) is non-flammable as it is based on an aqueous electrolyte and is considered an alternative to redox flow batteries because of its cost-effectiveness using a simple cell platform. However, it faces challenges related to self-discharge caused by the crossover of bromine (Br 2) and polybromide anions (B r n + 2 -) formed at the positive electrode during the charging process. The self-discharge reaction consumes the charging active materials, thereby decreasing battery performance and lifespan. To address the critical issues, this study introduces the development of a revolutionary positive electrode: a nitrogen-doped mesoporous carbon-coated thick graphite felt (NMC/GF). This positive electrode effectively suppresses the crossover of active materials and prevents the self-discharge reaction. The mesopores, strategically embedded with nitrogen sites, serve as a stronghold, capturing and immobilizing bromine and polybromide anions, significantly reducing their undesirable effects. Furthermore, we enhanced the electrochemical performance of the NMC/GF electrode by modifying it to be ultrahydrophilic. Abundant oxygen and nitrogen functional groups were incorporated onto the electrode, resulting in an amplified affinity with the aqueous electrolyte. This modification led to improved bromine redox reaction kinetics. Demonstrating an excellent Coulombic efficiency surpassing 96 % and an energy efficiency of over 76 % at a current density of 20 mA cm−2 with a high-rate areal capacity of 2 mAh cm−2, this novel positive electrode achieves a previously unattained milestone; cyclability unprecedentedly extended to 10,000 cycles. The development of NMC/GF positive electrodes further advances the FLZBB system, and large-area scale-up research of these carbon electrodes makes looking forward to practical uses in energy storage systems. [ABSTRACT FROM AUTHOR]

Variations in the coupling coefficient of loosely coupled transformers and dynamic loads have a significant impact on the overall performance of bidirectional inductive power transfer (BIPT) systems. However, a wide range of load and coupling coefficient variations are common in the actual charging process, which may cause the converter on both sides to operate in a hard switching state, resulting in switching noise, reduced efficiency, and potential safety concerns. In this paper, a triple-phase-shift control (TPSC) strategy is proposed to study the zero-voltage switching (ZVS) operating range and constant-voltage output (CVO) characteristics of the double-side-LCC (DS-LCC) topology. To ensure a CVO over the wide range of coupling coefficient variations, a dual-phase-shift control is introduced for AC voltage matching. Based on this, the third phase-shift angle control between the converters on both sides is introduced to ensure the ZVS realization. Meanwhile, the time-domain model is developed to analyze the rationality of the proposed third phase-shift angle and the ZVS operating range. Finally, the effectiveness of the proposed TPSC strategy is validated through a 1.5 kW experimental prototype with an air gap of 100–150 mm. [ABSTRACT FROM AUTHOR]

Spinal–pelvic parameters are utilized in orthopedics for assessing patients' curvature and body alignment in diagnosing, treating, and planning surgeries for spinal and pelvic disorders. Segmenting and autodetecting the whole spine from lateral radiographs is challenging. Recent efforts have employed deep learning techniques to automate the segmentation and analysis of whole-spine lateral radiographs. This study aims to develop an artificial intelligence (AI)-based deep learning approach for the automated segmentation, alignment, and measurement of spinal–pelvic parameters through whole-spine lateral radiographs. We conducted the study on 932 annotated images from various spinal pathologies. Using a deep learning (DL) model, anatomical landmarks of the cervical, thoracic, lumbar vertebrae, sacrum, and femoral head were automatically distinguished. The algorithm was designed to measure 13 radiographic alignment and spinal–pelvic parameters from the whole-spine lateral radiographs. Training data comprised 748 digital radiographic (DR) X-ray images, while 90 X-ray images were used for validation. Another set of 90 X-ray images served as the test set. Inter-rater reliability between orthopedic spine specialists, orthopedic residents, and the DL model was evaluated using the intraclass correlation coefficient (ICC). The segmentation accuracy for anatomical landmarks was within an acceptable range (median error: 1.7–4.1 mm). The inter-rater reliability between the proposed DL model and individual experts was fair to good for measurements of spinal curvature characteristics (all ICC values > 0.62). The developed DL model in this study demonstrated good levels of inter-rater reliability for predicting anatomical landmark positions and measuring radiographic alignment and spinal–pelvic parameters. Automated segmentation and analysis of whole-spine lateral radiographs using deep learning offers a promising tool to enhance accuracy and efficiency in orthopedic diagnostics and treatments. [ABSTRACT FROM AUTHOR]

This study used the finite element method(FEM) to investigate how pressure on the lumbar spine changes during dynamic movements in different postures: standing, erect sitting on a chair, slumped sitting on a chair, and sitting on the floor. Three load modes (flexion, lateral bending, and axial rotation) were applied to the FEM, simulating movements of the lumbar spine. Results showed no significant difference in pressure distribution on the annulus fiber and nucleus pulposus, representing intradiscal pressure, as well as on the cortical bone during movements between standing and erect sitting postures. However, both slumped sitting on a chair and sitting on the floor postures significantly increased pressure on the nucleus pulposus, annulus fibrosus, and cortical bone in all three movements when compared to standing or erect sitting on a chair. Notably, sitting on the floor resulted in even higher pressure on the nucleus pulposus and annulus fibers compared to slumped sitting on a chair. The decreased lumbar lordosis while sitting on the floor led to the highest increase in pressure on the annulus fiber and nucleus pulposus in the lumbar spine. In conclusion, maintaining an erect sitting position with increased lumbar lordosis during seated activities can effectively reduce intradiscal pressure and cortical bone stress associated with degenerative disc diseases and spinal deformities. [ABSTRACT FROM AUTHOR]

Based on the unipolar-duty-cycle (UDC) modulation technique, this article presents a hybrid control strategy for a series–series compensated inductive power transfer (IPT) system. By adjusting the duty cycle and the operating frequency, zero-voltage switching (ZVS) and constant-current output (CCO) can be achieved with varying coupling coefficients and load. Furthermore, as the proposed strategy enables the IPT system to lower the frequency of operation, it provides higher efficiency in the overall output power range than the conventional variable-frequency control methods. The basic principle of the UDC control strategy and its characteristics are introduced, and the system performance under UDC is analyzed and compared with the performance achieved by conventional control methods. Based on this, the UDC closed-loop control scheme, which combines PI control and hysteresis control, is proposed for the dynamic tracking of the ZVS and the CCO under a wide range of coupling coefficients and load. To validate the practicability of the proposed control strategy, a 500-W experimental prototype is configured. The simulation and experimental results indicate that the proposed scheme can stably and accurately track the ZVS and the CCO under varying parameter conditions, and it significantly improves the system efficiency. Especially, the system efficiency is improved by approximately 1.75% under light-load conditions as compared with that of the conventional control method. In addition, since the proposed method employs only one control loop, the cost and complexity of the IPT system are reduced. [ABSTRACT FROM AUTHOR]

Simple Summary: Leptocorisa (Hemiptera: Alydidae) species, which are pests to rice cultivation, have changed their habitats owing to climate change, suggesting the precautionary evaluation of the distribution of these pests. In this study, we targeted three major pests in Leptocorisa species (L. chinensis, L. acuta, and L. oratoria) and evaluated their potential distributions. Most of the recorded regions of the Leptocorisa species are consistent with the result of potential distributions predicted, and the model predicted that climate change would expand their habitats mostly under the effect of minimum temperature and precipitation varied by seasons. The potential distributions of three species were expected to cover major rice cultivation areas regardless of climate change, suggesting a necessity for establishing a sustainable control strategy for the pests. We targeted three major Leptocorisa species (L. chinensis, L. acuta, and L. oratoria) and evaluated their potential distributions using MaxEnt. The results showed that most Asian countries and northern Australia would be suitable for at least one of these pest species, and climate change will expand their habitat northward. All of the developed models were evaluated to be excellent with AUC, TSS, and OR10%. Most of the recorded regions of the Leptocorisa species are consistent with the result of potential distributions predicted in this study. The results confirmed that the minimum temperature of the coldest month mainly influences the three Leptocorisa species distributions. The potential distributions of the three species cover major rice cultivation areas regardless of climate change, suggesting that it would be necessary to establish a sustainable control strategy for the pests. [ABSTRACT FROM AUTHOR]

This study aims to investigate the difference in physiological loading on the spine in three different motions (flexion–extension, lateral bending, and axial rotation) between osteoporotic and normal spines, using finite element modelling. A three-dimensional finite element (FE) model centered on the lumbar spine was constructed. We applied two different material properties of osteoporotic and normal spines. For the FE analysis, three loading conditions (flexion–extension, lateral bending, and axial rotation) were applied. The von Mises stress was higher on the nucleus pulposus at all vertebral levels in all movements, in the osteoporosis group than in the normal group. On the annulus fibrosus, the von Mises stress increased at the level of L3–L4, L4–L5, and L5–S in the flexion–extension group and at L4–L5 and L5–S levels in the lateral bending group. The values of two motions, flexion–extension and lateral bending, increased in the L4 and L5 cortical bones. In axial rotation, the von Mises stress increased at the level of L5 of cortical bone. Additionally, the von Mises stress increased in the lower endplate of L5–S and L4–L5 in all movements, especially lateral bending. Even in the group with no increase, there was a part that received increased von Mises stress locally for each element in the three-dimensional reconstructed view of the pressure distribution in color. The von Mises stress on the lumbar region in the three loading conditions, was greater in most components of osteoporotic vertebrae than in normal vertebrae and the value was highest in the nucleus pulposus. Considering the increase in the measured von Mises stress and the local increase in the pressure distribution, we believe that these results can contribute to explaining discogenic pain and degeneration. [ABSTRACT FROM AUTHOR]

Background: The axial headless compression screw (AHCS) technique is a widely used method for distal interphalangeal joint (DIPJ) and thumb IPJ arthrodesis. However, it might not be suitable for cases over 10° flexion of fusion angle and extremely small-sized phalanx. Here, the authors describe the nonaxial multiple small screws (NMSS) technique, compare the mechanical strength of the NMSS technique with the AHCS technique, and suggest clinical outcomes of the NMSS technique.Methods: DIPJ and thumb IPJ arthrodesis models were simulated in the 4th generation composite bone hand. Fixation with three 1.5 mm cortical screws (NMSS) or one HCS (AHCS) was performed in each pair of the phalanx. The bending stiffness and load to failure were tested in 10 pairs of each specimen, and the torsional stiffness and torque to failure were tested in seven pairs of each specimen. Moreover, 15 consecutive clinical DIPJ and thumb IPJ arthrodesis cases were reviewed retrospectively.Results: The NMSS specimens showed significantly higher bending load to failure, torsional stiffness, and torque to failure than the AHCS specimens. All 15 arthrodesis cases were united without severe complications. The mean fusion angle was 16.3° for the nine cases of the flexed target position.Conclusions: The NMSS technique showed biomechanical stability comparable to that of the AHCS technique in DIPJ and thumb IPJ arthrodesis. Thus, the NMSS technique could be used as a feasible option in DIPJ and thumb IPJ arthrodesis, especially when a small finger is indicated and a significant flexion angle is required. [ABSTRACT FROM AUTHOR]

Distal interphalangeal joint arthrodesis with nonaxial multiple small screws: a biomechanical analysis with axial headless compression screw and clinical result of 15 consecutive cases. The online version of the original article can be found at https://doi.org/10.1186/s12891-022-05473-9. [Extracted from the article]