Bar-Am Y, Klement E, Fourman V, Shahar R.
Mechanical evaluation of two loop-fastening methods for stainless steel wire. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY. 2004;17 (4) :241-246.
AbstractThe clinical use of stainless steel wire in veterinary orthopaedics is common, and occurs in diverse situations. One of the most common uses of stainless steel wire is the fabello-tibial suture to stabilize the cranial cruciate deficient knee (10). Numerous reports have appeared in the literature, describing biomechanical aspects of the use of stainless steel wire. The purpose of the study presented herein was to compare the strength and performance of two methods used to fasten loops of stainless steel wire: the traditional twist-knot method and the crimp-clamp method. Both loop-fastening methods were evaluated with two diameters of wire (1.0 mm and 1.2 mm). Both static and dynamic (cyclical) testing procedures were performed. Using a materials testing machine maximum tensile strength (load to failure), loop elongation, mode of loop failure and location of loop failure were recorded. The results of the study demonstrate that loops fastened with the crimp clamp method resulted in higher load to failure than the traditional twist knot method.
Shahar R, Shani Y.
Fracture stabilization with type II external fixator vs. type I external fixator with IM pin - Finite element analysis. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY. 2004;17 (2) :91-96.
AbstractBilateral external fixator frames ore frequently preferred over unilateral frames due to their superior rigidity. The objective of this study was to compare the biomechanical features of bilateral external fixators with those of unilateral external fixators that are combined with an intra-medullary pin. Three-dimensional, solid models were created of several unilateral and bilateral external fixator frames. The callus in the fracture gap was also modeled. Biomechanical analyses of all constructs were performed by the finite element method. This modeling approach allows the determination of stresses, displacements, and strains in the components of the various constructs, and thus the calculation of their relative stiffness. In addition, local shear strain values in the fracture gap, currently thought to be one of the deciding factors in the process of bone healing, can also be determined. The concept of equivalent stiffness modulus, which represents a weighed average stiffness of a construct to various loads, was defined. Using this concept, it was shown that when the intramedullary pin is well seated in the epiphyseal bone, the various unilateral frames have an equivalent stiffness modulus that is similar or even greater than that of bilateral frames with a similar arrangement of transcortical pins.
Milgram J, Slonim E, Kass PH, Shahar R.
A radiographic study of joint angles in standing dogs. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY. 2004;17 (2) :82-90.
AbstractThe purpose of this study was to develop a reliable and repeatable radiographic protocol for the measurement of joint angles in the standing dog, and to use this protocol to determine all standing joint angles for dogs over a wide range of body weights. The radiographic technique and the method of joint angle measurements were found to be highly repeatable, suggesting that the technique is reliable. Most joint angles did not vary between dogs of different weights. In those few instances where significant differences (p<0.05) were found, certain trends were followed and represent differences in conformation. This paper presents a complete description of the angles defining the position of the joints in a standing dog. This information is important for biomechanical studies, for clinical assessment of dogs, and for the design of surgical procedures such as arthrodesis.
Shahar R, Banks-Sills L.
A quasi-static three-dimensional, mathematical, three-body segment model of the canine knee. JOURNAL OF BIOMECHANICS [Internet]. 2004;37 (12) :1849-1859.
Publisher's VersionAbstractA mathematical, three-dimensional, anatomically accurate model of the canine knee was created to determine the forces in the knee ligaments and the kneejoint reaction forces during the stance phase of a slow walk. This quasi-static model considered both the tibio-femoral and patello-femoral articulations. The geometric and morphometric data of the hind limb were obtained from cadaver data. Muscle forces acting on the femur and the hip joint reaction force were determined by numerical optimization. Ligaments were modeled as non-linear-springs. Ligament material properties were obtained from the literature pertaining to the human knee. The model consists of -28 non-linear algebraic equations describing equilibrium of the femur and the patella, and geometric constraints. This system of equations was solved by a non-linear least-squares method. Results are presented for a knee with an intact cranial cruciate ligament (CCL) and for a knee with a ruptured CCL. Forces predicted to occur in the CCL by analysis of the model were found to be very similar to reported results of CCL forces measured in vivo in goats. (C) 2004 Elsevier Ltd. All rights reserved.
a_quasi-static_three-dimensional_mathematical_three-body_segment_model_of_the_canine_knee.pdf Ranen E, Shamir MH, Shahar R, Johnston DE.
Partial esophagectomy with single layer closure for treatment of esophageal sarcomas in 6 dogs. VETERINARY SURGERY [Internet]. 2004;33 (4) :428-434.
Publisher's VersionAbstractObjective-To report partial esophagectomy (PE) as a treatment for esophageal sarcoma in dogs.
Study Design-Retrospective study (2000-2002).
Animals-Six dogs with caudal thoracic esophageal tumors.
Methods-Medical records of 6 dogs that had surgical removal of esophageal tumors were reviewed. Signalment, medical history, physical examination results, complete blood count, surgical procedure, tumor classification, postoperative treatment, and complications were retrieved.
Results-Esophageal masses were approached by thoracotomy and esophagotomy on the side opposite the mass, removed with I cm margins by full thickness excision, and the defects closed with a single layer of interrupted sutures. All dogs recovered rapidly without major complications. Tumors were fibrosarcoma (3 dogs), undifferentiated sarcoma (1), and osteosarcoma (2). Five dogs were administered doxorubicin chemotherapy after surgery. Good quality of life was observed postoperatively in 5 dogs until deterioration necessitated euthanasia; survival ranged from 2-16 months. The remaining dog was alive, 20 months after surgery.
Conclusions-Partial esophagectomy and closure using I suture layer, was an effective, simple, and safe technique for removal of sarcomas of the distal thoracic esophagus.
Clinical Relevance Removal of esophageal masses by partial esophagectomy can be used reliably as a method of esophageal surgery. (C) Copyright 2004 by The American College of Veterinary Surgeons.
partial_esophagectomy_with_single_layer_closure_for_treatment_of_esophageal_sarcomas_in_6_dogs.pdf Shani J, Johnston DE, Shahar R.
Stabilization of traumatic coxofemoral luxation with an extra-capsular suture from the greater trochanter to the origin of the rectus femoris. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY. 2004;17 (1) :12-16.
AbstractA wide variety of surgical techniques to stabilize the coxo-femoral joint have been described in the veterinary literature. In this paper twenty small animals (19 dogs and 1 cat) were treated successfully with open reduction and an extra-capsular suture taken between the greater trochanter of the femur and the origin of the rectus femoris muscle. The technique is simple, quick and safe, and avoids many of the potential complications associated with other methods.
Milgram J, Shahar R, Levin-Harrus T, Kass P.
The effect of short, high intensity magnetic field pulses on the healing of skin wounds in rats. BIOELECTROMAGNETICS [Internet]. 2004;25 (4) :271-277.
Publisher's VersionAbstractThe object of this study was to examine the effect of high intensity, short duration pulsed electromagnetic fields (PEMF) on the healing of full thickness skin wounds in rats. Full thickness skin wounds were surgically created in two groups of Sprague-Dawley male rats. The rats were randomly divided into two groups, each containing 20 rats. Animals in the treatment group received treatments with the PEMF device on day 0, 3, 7, 9, 12, 14, 17, and 22, while the rats in the control group were subjected to the same procedure, but with the PEMF device not activated. Photographs of the surgically created wounds were obtained on day 0, 3, 7, 9, 12, 14, 17, and 22. Wound contraction (WC), wound epithelialization (WE), non-healed wound, and contraction-epithelialization (CE) ratio were calculated for each wound. No significant difference was found between the two groups for the parameters of WC, WE, non-healed wound, and CE ratio. A significant group x time interaction was found for WE and CE ratio. This type of PEMF did not have a significantly beneficial effect on wound healing. Wounds in the PEMF treated group were relatively less contracted and showed a compensatory increase in epithelialization in the early stages of wound repair. (C) 2004 Wiley-Liss, Inc.
the_effect_of_short_high_intensity_magnetic_field_pulses_on_the_healing_of_skin_wounds_in_rats.pdf