there have been a number of developments in screw design and implantation techniques over recent years, including proposal of an alternative trajectory entitled as cortical bone trajectory (cbt). cortical bone trajectory has been investigated in recent medical treatments as an alternative for screw fixation aimed at increasing purchase of pedicle screws in higher density bone. cbt screw inserti...

Identification and classification of common gait deviation patterns in children with cerebral palsy facilitates communication between healthcare providers, provides insight into the natural history of functional ambulation, guides clinical decision making, and clarifies outcomes assessment. Previous classification schemes have been based on experiential and intuitive approaches or systematic an...

BACKGROUND Following anterior cruciate ligament injury and subsequent reconstruction transverse plane tibiofemoral rotation becomes underconstrained and overconstrained, respectively. Conflicting reports exist on how rotations influence loading at the knee. This investigation aimed to determine the mechanical effects of internal and external tibial rotation offsets on knee kinematics and ligame...

Stiffness of the human foot is central to its mechanical function, such as elastic energy storage and propulsion. Its doubly-arched structure, manifested as longitudinal and transverse arches, is thought to underlie the stiff nature. However, previous studies have focused solely on the longitudinal arch, and little is known about whether and how the transverse arch impacts the foot’s stiffness....

The purpose of the current study was to assess kinematic coupling within the foot in individuals across a range of arch heights. Seventeen subjects participated in this study. Weight-bearing lateral radiographs were used to measure the arch height, defined as angle between the 1st metatarsal and the calcaneus. A kinematic model including the 1st metatarsal, lateral forefoot, calcaneus and tibia...

The purpose of this study was to determine the influence of loading direction on the structural response of the human clavicle subjected to three-point bending. A total of 20 clavicles were obtained from 10 unembalmed fresh-frozen postmortem human subjects ranging from 45 to 92 years of age. The right and left clavicles from each subject were randomly divided into two test groups. One group was...