Figure 1. Radiograph of N.D. preoperatively, demonstrating thumb hypoplasia and an unstable carpometacarpal joint. Figure 2. Schematic of the hand with hypoplastic thumb to be amputated (dashed lines).

Amputation of the thumb invariably causes marked functional impairment of the hand especially, pinch and grasp functions. In rural areas where highly skilled microvascular surgeries are not available, distraction osteogenesis provides an easy and safe alternative of thumb reconstruction. We report a case of crush injury of the right hand in a 37 year old gentleman in which the right thumb was a...

PURPOSE To report long-term outcome when using a bifurcated aortic endograft for treatment of aortoiliac occlusive disease (AIOD) in Trans Atlantic Inter Society Consensus (TASC) classification C and D patients. MATERIALS AND METHODS Between May 2001 and May 2009, 14 patients (11 men, 3 women) with aortoiliac TASC C and D type lesions and a mean age of 59 years ± 10 (range 41-73 years) were t...

OBJECTIVE The management of triphalangism provides the age-old problem of marrying maximal functional benefit with acceptable cosmesis. The objective was to discuss the rare abnormality of bilateral triphalangeal thumb, the surgical existing surgical approaches, and to present a case in a pediatric patient who had a good result with a relatively simple and straightforward method of surgically m...

Macromolecules are characterized by their particular arrangement of H bonds. Many of these interactions involve a single donor and acceptor pair, such as the regular H-bonding pattern between carbonyl oxygens and amide H(+)s four residues apart in α-helices. The H-bonding potential of some acceptors, however, leads to the phenomenon of overcoordination between two donors and one acceptor. Herei...

Observations from the Earth’s geomagnetic tail have established that the current sheet is often bifurcated with two peaks in the current density. These so-called bifurcated current sheets have also been reported in a variety of simulations and often occur in conjunction with significant temperature anisotropy. In this work, a new self-consistent Vlasov equilibrium is developed that permits both...

We consider the two-dimensional infinite Prandtl number convection problem with no-slip boundary conditions. The existence of a bifurcation from the trivial solution to an attractor ΣR was proved by Park [15]. The no-stress case has been examined in [16]. We prove in this paper that the bifurcated attractor ΣR consists of only one cycle of steady state solutions and it is homeomorphic to S. By ...

BACKGROUND We would like to analyze the risk factors of no thumb test among knee alignment tests during total knee arthroplasty surgery. METHODS The 156 cases of total knee arthroplasty by an operator from October 2009 to April 2010 were analyzed according to preoperative indicators including body weight, height, degree of varus deformity, and patella subluxation and surgical indicators such ...

The dermatoglyphs of 13 Japanese (eight males and five females) with duplication of the thumb were studied. The dermal patterns on the thumb were compared with those on the extra digit. A whorl on the thumb was associated with a whorl on the extra digit in two cases, a radial loop in four cases, and an arch in two cases. Where the thumb pattern was a loop the pattern on the extra digit was a lo...