Neck Length Research Articles

Change of joint line convergence angle and other coronal alignments after total hip arthroplasty

BackgroundThe purpose of this study was to determine the unloading effect of total hip arthroplasty (THA) on the ipsilateral knee joint through the joint line convergence angle (JLCA) change and determine the changes in other coronal radiographic parameters after THA, and evaluate the sensitivity of JLCA. Patients and methodsWe retrospectively assessed 70 patients who underwent unilateral THA. Hip parameters such as neck shaft angle (NSA), neck length, and femoral offset and coronal alignment parameters of the lower extremity such as hip–knee–ankle angle (HKA), femur length, mechanical lateral distal femoral angle (mLDFA), JLCA, medial proximal tibial angle (MPTA), lateral distal tibial angle (LDTA), and plafond talus angle (PTA) were measured in the operative and non-operative sides. We compared all hip and coronal alignment parameters between before and 1 year after THA, and the amount of standardized changes (Δ) between all hip and coronal alignment parameters on the operative side, respectively. ResultsAll mean hip and coronal alignment parameters on the operative side changed significantly 1-year after THA; however, those on the non-operative side did not. On the operative side, mean JLCA and PTA changed in the direction of closing the joint lateral space, from 1.81° and 0.47° to 1.22° and 0.11°, respectively (p<0.001 and 0.046, respectively). Mean NSA, HKA, and mLDFA changed in the valgus direction, from 129.39°, 2.62°, and 86.69° to 133.54°, 1.53°, and 85.91°, respectively (p<0.001). Mean femoral offset, neck length, and femur length increased from 36.45mm, 47.83mm, and 429.20mm to 39.85mm, 55.06mm, and 436.33mm, respectively (p<0.001). Mean MPTA and LDTA increased from 85.43° and 87.50° to 86.73° and 90.38, respectively (p<0.001). JLCA was more vulnerable to change than HKA, femur length, mLDFA, MPTA, and PTA (p<0.05). DiscussionJLCA change on the operative side was more sensitive than changes of other coronal alignments after THA. According to the cohort, THA might have an unloading effect on the medial compartment of the knee joint. Level of evidenceIV; retrospective case-control and cohort studies.

Fine mapping and identification of regulatory genes for fruit neck length in bottle gourd (Lagenaria siceraria)

Fine mapping and identification of regulatory genes for fruit neck length in bottle gourd (Lagenaria siceraria)

Understanding the role of head size and neck length in micromotion generation at the taper junction in total hip arthroplasty

Modular hip implants allow intra-operative adjustments for patient-specific customization and targeted replacement of damaged elements without full implant extraction. However, challenges arise from relative micromotions between components, potentially leading to implant failure due to cytotoxic metal debris. In this study magnitude and directions of micromotions at the taper junction were estimated, aiming to understand the effect of variations in head size and neck length. Starting from a reference configuration adhering to the 12/14 taper standard, six additional implant configurations were generated by varying the head size and/or neck length. A musculoskeletal multibody model of a prothesized lower limb was developed to estimate hip contact force and location during a normal walking task. Following the implant assembly, the multibody-derived loads were imposed as boundary conditions in a finite element analysis to compute the taper junction micromotions as the relative slip between the contacting surfaces. Results highlighted the L-size head as the most critical configuration, indicating a 2.81 μm relative slip at the mid-stance phase. The proposed approach enables the investigation of geometric variations in implants under accurate load conditions, providing valuable insights for designing less risky prostheses and informing clinical decision-making processes.

Clinical Performance of the Low Profile Zenith Alpha Abdominal Endovascular Graft: 2 Year Results from the ZEPHYR Registry

The midterm outcomes of the low profile Zenith Alpha Abdominal Endovascular Graft from the ZEnith alPHa for aneurYsm Repair (ZEPHYR) registry are reported. The ZEPHYR registry is a physician initiated, multicentre, non-randomised, core laboratory controlled, prospective registry. Inclusion criteria were patients with a non-ruptured abdominal aortic aneurysm with a maximum diameter ≥ 50 mm or enlargement > 5 mm within 6 months, with a site reported infrarenal neck length of ≥10mm and with the intention to electively implant the Zenith Alpha abdominal endograft. Patients from 14 sites across Germany, Belgium, and the Netherlands were included. The primary endpoint was treatment success, defined as technical success and clinical success. Technical success was defined as successful delivery and deployment of the endograft in the planned position without unintentional coverage of internal iliac or renal arteries, with successful removal of the delivery system. Clinical success was defined as freedom from aneurysm sac expansion > 5 mm, type I or type III endoleaks, aneurysm rupture, stent graft migration > 10 mm, open conversion, and stent graft occlusion. Three hundred and forty-seven patients were included in the ZEPHYR registry. The median clinical follow up was 743 days (interquartile range [IQR] 657, 806) with a median imaging follow up of 725 days (IQR 408, 788). Treatment success at 6 months, 1, and 2 years was 92.5%, 90.4%, and 85.3%, respectively. Freedom from secondary intervention was 94.3%, 93.4%, and 86.9%, respectively. The predominant reason for secondary intervention was limb complications. Freedom from limb occlusion (per patient) at 6 months, 1, and 2 years was 97.2%, 95.8%, and 92.5%, respectively. Univariable and multivariable Cox regression analyses could not identify any independent predictor for limb complications. While treatment success is comparable with other commercially available grafts, the rate of limb complications at 2 years is of concern. The manufacturer's instructions for use should be followed closely. Further studies are necessary to investigate the root cause of the increased rate of limb complications with the Zenith Alpha Abdominal Endovascular Graft.

Spot Spine, a freely available ImageJ plugin for 3D detection and morphological analysis of dendritic spines.

Dendritic spines are tiny protrusions found along the dendrites of neurons, and their number is a measure of the density of synaptic connections. Altered density and morphology is observed in several pathologies, and spine formation as well as morphological changes correlate with learning and memory. The detection of spines in microscopy images and the analysis of their morphology is therefore a prerequisite for many studies. We have developed a new open-source, freely available, plugin for ImageJ/FIJI, called Spot Spine, that allows detection and morphological measurements of spines in three dimensional images. Local maxima are detected in spine heads, and the intensity distribution around the local maximum is computed to perform the segmentation of each spine head. Spine necks are then traced from the spine head to the dendrite. Several parameters can be set to optimize detection and segmentation, and manual correction gives further control over the result of the process. The plugin allows the analysis of images of dendrites obtained with various labeling and imaging methods. Quantitative measurements are retrieved including spine head volume and surface, and neck length. The plugin and instructions for use are available at https://imagej.net/plugins/spot-spine.

Transcription factor CsMYB36 regulates fruit neck length via mediating cell expansion in cucumber.

The fruit neck is an important agronomic trait of cucumber (Cucumis sativus). However, the underlying genes and regulatory mechanisms involved in fruit neck development are poorly understood. We previously identified a cucumber yellow-green peel (ygp) mutant, whose causal gene is MYB DOMAIN PROTEIN 36 (CsMYB36). This study showed that the ygp mutant exhibited a shortened fruit neck and repressed cell expansion in the fruit neck. Further functional analysis showed that CsMYB36 was also a target gene, and its expression was enriched in the fruit neck. Overexpression of CsMYB36 in the ygp mutant rescued shortened fruit necks. Furthermore, transcriptome analysis and reverse transcription quantitative PCR (RT-qPCR) assays revealed that CsMYB36 positively regulates the expression of an expansin-like A3 (CsEXLA3) in the fruit neck, which is essential for cell expansion. Yeast 1-hybrid and dual-luciferase assays revealed that CsMYB36 regulates fruit neck elongation by directly binding to the promoter of CsEXLA3. Collectively, these findings demonstrate that CsMYB36 is an important gene in the regulation of fruit neck length in cucumber plants.

Pre-selection blade size choice for the microsurgical clipping of cerebral artery aneurysms: A numerical study

BackgroundBrain strokes comprise the third leading cause of death worldwide. Microsurgical clipping is recognized as being one of the most effective approaches to the treatment of brain aneurysms. The incomplete closure of the distal-side aneurysm neck is the most common cause of the persistent filling of the dome. Since the diameter of the neck increases when the neck of the aneurysm is squeezed closed by the blades of the clip, the blades should be correspondingly longer. This study provided an assessment of whether the presurgical selection of clips using a 3D planning system is feasible in terms of selecting the most suitable clip for aneurysm occlusion. MethodsThe computational model was created based on computer tomography data obtained from nine brain aneurysms. The closing of the aneurysm was provided in two steps. The first the length of the blades used for closing corresponded to the length of the aneurysm neck as confirmed by the radiological measurements. The second the length of the blades was adjusted according to stage one, so as to determine the minimum required for the closure of all the gaps in the interior space of the aneurysm neck. ResultsNo differences were detected between the radiological measurement of the aneurysm neck size and the measurements obtained from the reconstructed stereolithographic 3D models. It was observed that the size of the aneurysm neck increased following clipping by 40% to 60% of its original size. The larger the aneurysm neck, the greater the deformation of the aneurysm. ConclusionFirstly, the 3D reconstruction of CT/MRI data did not result in any loss of accuracy and the measurement of the neck of the aneurysm was the same for both of the methods employed. The second, and more important, outcome was that the deformation of the neck of the cerebral aneurysm is at least 1.4x greater than its original size. This information is essential in terms of the pre-selection of the size of the clip.

Morphometry of proximal femur in South Indian Population

Background: Proximal femur analysis plays a vital role in orthopedic surgery, implant design, fracture care, and research. Studying this complex bone helps surgeons select the right implants, plan fracture treatment, and understand bone strength. This growing field improves clinical outcomes and enhances scientific knowledge. Our study analyzes the morphometry of proximal femur, particularly the head and neck, to further explore its implications. Aims and Objectives: To study the morphometric measurements of the proximal end of the femur quantitatively in the South Indian population from the dry femora available in the Department of Anatomy, Government Medical College, Kottayam. Materials and Methods: This cross-sectional study was conducted in 101 dry femora available in the Department of Anatomy, Government Medical College, Kottayam. The measurements were taken with digital Vernier calipers and a goniometer. All continuous variables were expressed as mean with standard deviation. Statistical differences between the right and left sides were analyzed with Student’s independent sample t-test (for parametric variables) and Mann–Whitney U test (for non-parametric variables). Results: The mean vertical and anteroposterior diameter of the femoral head, superior and inferior length of the femoral head, the anteroposterior and vertical diameter of the femoral neck, superior and inferior lengths of the femoral neck, neck-shaft angle, and intertrochanteric length were 39.61±3.29 mm, 40.17±3.14 mm, 33.01±3.6 mm, 23.88±4.32 mm, 24.22±3 mm, 29.59±3 mm, 21.75±3.81 mm, 32.03±5.58 mm, 124.11±6.37, 60.31±7.33 mm, respectively. There was a statistically significant difference in the mean of neck anteroposterior diameter and neck-shaft angle between the right and left sides where the left side had the higher value. Conclusion: Notable skeletal metric variations exist amidst different populations. Proximal femoral dimensions can be acquired through either manual means or radiological information. These measurements can be used in designing orthopedic implants for the South Indian population.

Description of five new and four known species of Dorylaimellus Cobb, 1913 with perioral disc (Nematoda: Belondiroidea) from the Western Ghats of India

Five new and four known species of the genus Dorylaimellus Cobb, 1913 are described and illustrated from the Western Ghats of India. Dorylaimellus attenuatus sp. nov. has a 0.73–0.84 mm long body; lip region rounded, offset; odontostyle attenuated with indistinct lumen, odontophore 9–10 µm long; expanded part of pharynx 39–48% of neck length; female genital system amphidelphic and tail long filiform. Dorylaimellus cylindricaudatus sp. nov. has a 1.0–1.15 mm long body; lip region rounded, offset; odontostyle 4 µm long, odontophore 11–12 µm long; expanded part of pharynx 47–56% of neck length; female genital system amphidelphic, and tail elongate-cylindrical with rounded terminus. Dorylaimellus karnatakensis sp. nov. has a 1.2–1.3 mm long body; lip region rounded, offset; odontostyle 5 µm long, odontophore 12–13 µm long; expanded part of pharynx 45–53% of neck length; female genital system amphidelphic; spicules 22 µm long, ventromedian supplements four, and tail elongate-conoid dorsally convex. Dorylaimellus kasplateauensis sp. nov. has a 0.68–0.83 mm long body, lip region with a weak perioral disc; odontostyle 6–7 µm long, odontophore 11–14 µm long; expanded part of pharynx 38–43% of neck length; female genital system amphidelphic, and tail elongate arcuate conoid. Dorylaimellus tropicus sp. nov. has a 0.6–0.7 mm long body; lip region rounded, offset; odontostyle 4–5 µm long, odontophore 8–10 µm long; hemizonid present; expanded part of pharynx 43–52% of neck length; female genital system amphidelphic and tail elongate-filiform, sudden tapering, ending with rounded tip. Dorylaimellus andrassyi, D. discocephalus, D. belondirelloides, D. chakpilus are redescribed based on the specimens collected from several localities of the Western Ghats.

Editor's Choice – Comparison of Open Surgery and Endovascular Techniques for Juxtarenal and Complex Neck Aortic Aneurysms: The UK COMPlex AneurySm Study (UK-COMPASS) – Peri-operative and Midterm Outcomes

Treatment of juxtarenal and complex neck abdominal aortic aneurysms (AAAs) is now commonly by endovascular rather than open surgical repair (OSR). Published comparisons show poor validity and scientific precision. UK-COMPASS is a comparative cohort study of endovascular treatments vs. OSR for patients with an AAA unsuitable for standard on label endovascular aneurysm repair (EVAR). All procedures for AAA in England (November 2017 to October 2019) were identified, AAA anatomy assessed in a Corelab, peri-operative risk scores determined, and propensity scoring used to identify patients suitable for either endovascular treatment or OSR. Patients were stratified by aneurysm neck length (0 - 4 mm, 5 - 9 mm, or ≥ 10 mm) and operative risk; the highest quartile was considered high risk and the remainder standard risk. Death was the primary outcome measure. Endovascular treatments included fenestrated EVAR (FEVAR) and off label standard EVAR (± adjuncts). Among 8 994 patients, 2 757 had AAAs that were juxtarenal, short neck, or complex neck in morphology. Propensity score stratification and adjustment method comparisons included 1 916 patients. Widespread off label use of standard EVAR devices was noted (35.6% of patients). The adjusted peri-operative mortality rate was 2.9%, lower for EVAR (1.2%; p= .001) and FEVAR (2.2%; p= .001) than OSR (4.5%). In standard risk patients with a 0 - 4 mm neck, the mortality rate was 7.4% following OSR and 2.3% following FEVAR. Differences were smaller for patients with a neck length ≥ 5 mm: 2.1% OSR vs. 1.0% FEVAR. At 3.5 years of follow up, the overall mortality rate was 20.7% in the whole study population, higher following FEVAR (27.6%) and EVAR (25.2%) than after OSR (14.2%). However, in the 0 - 4 mm neck subgroup, overall survival remained equivalent. The aneurysm related mortality rate was equivalent between treatments, but re-intervention was more common after EVAR and FEVAR than OSR. FEVAR proves notably safer than OSR in the peri-operative period for juxtarenal aneurysms (0 - 4 mm neck length), with comparable midterm survival. For patients with short neck (5 - 9 mm) and complex neck (≥10mm) AAAs, overall survival was worse in endovascularly treated patients compared with OSR despite relative peri-operative safety. This warrants further research and a re-appraisal of the current clinical application of endovascular strategies, particularly in patients with poor general survival outlook owing to comorbidity and age.

Morphometric differentiation of three chicken ecotypes of Ethiopia using multivariate analysis.

Twenty-one morphometric traits were measured on 770 extensively managed indigenous chickens in the western zone of Tigray, comprising 412 hens and 358 cocks in three agro-ecologies. The quantitative traits for male and female chicken ecotypes were separately analyzed using multivariate analysis with SAS 2008. Four and seven principal components accounted for about 74.26% and 69.77% of the total variability in morphometric traits for males and females, respectively. Earlobe length, wingspan, skull length, and shank length werethe most important traits for discriminating among female chicken ecotypes, while wingspan, neck length, earlobe length, spur length, body length, and shank length were the most important discriminatory traits among male chicken ecotypes. The discriminant analysis accurately classified 97.3% of female and 100% of male chicken ecotypes. Cluster analysis revealed the genetic heterogeneity of indigenous chicken populations in both sexes. This finding suggests the presence of morphological variations among the indigenous chicken populations in the different agro-ecological zones, classified as distinct indigenous chicken ecotypes (Lowland, Midland, and Highland). Further DNA-based studies are needed to confirm and complement these morphological variations for effective conservation and the development of sustainable genetic improvement strategies for indigenous chicken populations in the region.

Tunable acoustic metamaterial for broadband low-frequency sound absorption by continuous acoustic impedance manipulation

In this paper, a continuously tunable acoustic metamaterial is proposed for broadband low-frequency sound absorption. The metamaterial can be considered as a reconfigurable Helmholtz resonator with an upper perforated panel that can be continuously rotated to adjust the neck length. A theoretical model is developed to study the tunable sound absorption performance of the metamaterial, which demonstrates that it exhibits efficient low-frequency sound absorption ([Formula: see text]) in the frequency range (from 186 Hz to 319 Hz). Furthermore, perfect sound absorption ([Formula: see text]) is achieved at 197 Hz with a deep subwavelength thickness ([Formula: see text]). To validate this model, numerical simulations and experimental measurements are performed, and the physical mechanism of tunable sound absorption is explored. Results show that the acoustic impedance manipulation is realized by rotating the perforated panel to tune the acoustic mass of the Helmholtz resonator, which is the key to the continuous tunability of the proposed metamaterial. Based on the continuous tunability of each metamaterial unit, a tunable broadband sound absorber is designed to achieve a variety of broadband sound absorption performance with a single fabricated structure. This work paves the way for the manual realization of flexible tunability of sound absorbers and helps to achieve tunable absorption of complex noise according to variable acoustic application scenarios.

EFFECT OF ECOLOGICAL CONDITIONS ON DESI AND FAYOUMI CHICKEN TRAITS AT DISTRICT KASHMORE, SINDH-PAKISTAN

The present study was undertaken to evaluate the different body organs measurement and multiple phenotypic traits of desi and fayoumi selected chicken breeds under free range and intensive management conditions during, 2021. Host birds were collected from local peoples and hatcheries of district Kashmore and brought through intensive care management system in Animal Husbandry, Department of Zoology, Shah Abdul Latif University Khairpur Mirs. Both chicken male and female populations were reared separately in the same ecology and F1 generation chickens were obtained. The feeding and rearing procedures were followed by NRC and ISA recommended guidelines. The average values of phenotypic traits like neck length of desi and fayoumi males measured in cm (20.4±1.9), (16.5±1.4) body height (43.4±3.2), (33.7±3.2) shank length (12.5±0.82) (8.3±0.72) beak length (3.6±0.21) (2.7±0.16) and wings span (23.7±1.6) (18.3±1.5) in intensive conditions. While as, in the free range conditions the neck length of desi and fayoumi males was recorded in cm (18.7±1.6) (16.4±1.3) body height (38.7±3.2) (34.6±3.1), shank length (10.3±0.97) (9.4±0.94), length of beak (3.3±0.24) (2.7±0.18), and wing span (20.4±1.5) (18.5±1.4), in both chicken breeds. The different phenotype traits of desi and fayoumi chicken breeds viz., the color of eyes, comb, plumage, feather, barbell, mumps, and beak colors percentage were found with variation in intensive and free range conditions. Concludingly, desi chickens were found with larger body parts with dark color variants. The present study suggests, more work should be carried on other characteristics to enhance poultry quality and quantity in future endeavors.

The Ratio Between the Infrarenal and Suprarenal Aortic Diameter Is a Predictor of Durable Proximal Seal After Endovascular Aneurysm Repair.

The aim of this study was to assess whether the ratio of the mean infrarenal neck diameter to the suprarenal aortic diameter is a predictor for a durable proximal seal after endovascular aneurysm repair (EVAR). A total of 439 patients who underwent elective EVAR between 2004 and 2018 in a single vascular referral center met our inclusion criteria. Ratios were calculated by dividing the mean infrarenal neck diameter by 4 different suprarenal aortic diameters. Patients who developed a late type 1A endoleak (n=20) or proximal neck dilatation mandating revision (n=8) were compared with the 411 patients without long-term proximal seal complications. Patients who developed a late type 1A endoleak had more frequently hypertension, a shorter infrarenal neck length, and a larger mean infrarenal neck diameter. The ratio of the mean infrarenal neck diameter to all 4 suprarenal aortic diameters was higher in the late type 1A endoleak group compared with the group without a late type 1A endoleak. Least absolute shrinkage and selection operator (LASSO) logistic regression identified a combination of 6 variables as the best combination to predict a late type 1A endoleak: presence of hypertension, increased mean infrarenal neck diameter, decreased aneurysm neck length, larger ratio of the mean infrarenal neck diameter to the aortic diameter proximal to the superior mesenteric artery (SMA), larger ratio of the mean infrarenal neck diameter to the aortic diameter proximal to the upper renal artery, and increased β-angle. Of these, based on both the univariate area under the curve (AUC) and optimal LASSO model restricted to a single predictor, the ratio of the mean infrarenal neck diameter to the aortic diameter proximal to the SMA (AUC, 0.770; cutoff value, 0.997) was considered the best prognostic variable. The ratio of the mean infrarenal neck diameter to the aortic diameter proximal to the SMA is a good predictor for a late type 1A endoleak. Patients with mean infrarenal neck diameter larger than the diameter proximal to the SMA (ratio >1) are at risk for a late type 1A endoleak. In this single-center, retrospective cohort study, we found that the ratio of the mean infrarenal neck diameter to the aortic diameter proximal to the SMA is a good predictor for a late type 1A endoleak. We conclude that the suprarenal diameter must be taken into account before assessing endovascular aortic aneurysm repair eligibility. Patients with a ratio >1 may not be the best candidates for a durable result after EVAR and may be better off with fenestrated EVAR or open repair.

Selective aneurysmal sac neck-targeted embolization during endovascular repair of abdominal aortic aneurysm with hostile neck anatomy.

To evaluate the efficacy and safety of selective aneurysmal sac neck-targeted embolization in endovascular aneurysm repair (EVAR) in patients with a hostile neck anatomy (HNA). Between October 2020 and June 2022, patients with an abdominal aortic aneurysm (AAA) and HNA who underwent EVAR with a low-profile stent graft and a selective aneurysmal sac neck-targeted embolization technique were analysed. An HNA was defined by the presence of any of the following parameters: infrarenal neck angulation > 60°; neck length < 15mm; conical neck; circumferential calcification ≥ 50%; or thrombus ≥ 50%. Before occluding the entire aneurysm during the procedure, a buddy wire was loaded prophylactically into the sac through the contralateral limb side. If a type Ia endoleak (ELIa) occurred and persisted despite adjunctive treatment such as balloon moulding or cuff extension, this preloaded wire could be utilized to enable a catheter to reach the space between the stent graft and sac neck to perform coil embolization. In the absence of ELIa, the wire was simply retracted. The primary outcome of this study was freedom from sac expansion and endoleak-related reintervention during the follow-up period; secondary outcomes included technical success and intraoperative and in-hospital postoperative complications. Among the 28 patients with a hostile neck morphology, 11 (39.5%) who presented with ELIa underwent intraprocedural treatment involving sac neck-targeted detachable coil embolization. Seventeen individuals (60.7%) of the total patient population did not undergo coiling. All patients in the coiling group underwent balloon moulding, and 2 patients additionally underwent cuff extension. In the noncoiling group, 14 individuals underwent balloon moulding as a treatment for ELIa, while 3 patients did not exhibit ELIa during the procedure. The coiling group showed longer operating durations (81.27 ± 11.61 vs. 70.71 ± 7.17min, P < 0.01) and greater contrast utilization than the noncoiling group (177.45 ± 52.41 vs. 108.24 ± 17.49ml, P < 0.01). In the entire cohort, the technical success rate was 100%, and there were no procedure-related complications. At a mean follow-up of 18.6 ± 5.2months (range 12-31), there were no cases of sac expansion (19 cases of sac regression, 67.86%; 9 cases of stability, 32.14%) or endoleak-related reintervention. Selective aneurysmal sac neck-targeted embolization for the treatment of ELIa in AAA patients with an HNA undergoing EVAR is safe and may prevent type Ia endoleak and related sac expansion after EVAR.

Stress Shielding around Press-Fit Radial Head Arthroplasty: Proposal for a New Classification System Based on the Analysis of 97 Patients with a Mid-Term Follow-Up and a Review of the Literature

Stress shielding (SS) around press-fit radial head arthroplasty (RHA) was recently reported as a cause of a new type of proximal radial neck resorption (PRNR). Very few studies have analyzed this phenomenon. No comprehensive classification is currently available. We thus decided to clinically and radiographically analyze 97 patients who underwent a press-fit RHA and who were followed up for a mean period of 72 months (range: 2–14 years). PRNR in the four quadrants of the radial neck was assessed. We designed a novel SS classification based on (1) the degree of resorption of the length of the radial neck and (2) the number of neck quadrants involved on the axial plane. The mean PRNR (mPRNR) was calculated as the mean resorption in the four quadrants. mPRNR was classified as mild (&lt;3 mm), moderate (3 to 6 mm), and severe (&gt;6 mm). Eighty-four percent of the patients presented PRNR. mPRNR was mild in 33% of the patients, moderate in 54%, and severe in 13%. In total, 6% of the patients with mild mPRNR displayed resorption in one quadrant, 18% displayed resorption in two quadrants, 4% displayed resorption in three quadrants, and 72% displayed resorption in four quadrants. All four quadrants were always involved in moderate or severe mPRNR, with no significant differences being detected between quadrants (p = 0.568). mPRNR has no apparent effect on the clinical results, complications, or RHA survival in the medium term. However, longer-term studies are needed to determine the effects of varying degrees of PRNR on implant failure.

Evaluation of associations between outflow morphology and rupture risk of abdominal aortic aneurysms

PurposeThis study aimed to evaluate the association between the outflow morphology and abdominal aortic aneurysm (AAA) rupture risk, to find risk factors for future prediction models. Materials and methodsWe retrospectively analyzed 46 patients with ruptured AAAs and 46 patients with stable AAAs using a 1:1 match for sex, age, and maximum aneurysm diameter. The chi-square test, paired t-test, and Wilcoxon signed-rank test were used to compare variables. Logistic regression was performed to evaluate variables potentially associated with AAA rupture. Receiver operating characteristic curve analysis and the area under the curve (AUC) were used to assess the regression models. ResultsRuptured AAAs had a shorter proximal aortic neck (median (interquartile range, IQR): 24.0 (9.4–34.2) mm vs. 33.3 (20.0–52.8) mm, p = 0.004), higher tortuosity (median(IQR): 1.35 (1.23–1.49) vs. 1.29 (1.23–1.39), p = 0.036), and smaller minimum luminal area of the right common iliac artery (CIA) (median (IQR): 86.7 (69.9–126.4) mm2 vs. 118.9 (86.3–164.1)mm2, p = 0.001) and left CIA (median(IQR): 92.2 (67.3,125.1) mm2 vs. 110.7 (80.12, 161.1) mm2, p = 0.010) than stable AAA did. Multiple regression analysis demonstrated significant associations of the minimum luminal area of the bilateral CIAs (odds ratio [OR] = 0.996, 95 % confidence interval [CI] 0.991–0.999, p = 0.037), neck length (OR = 0.969, 95 % CI 0.941–0.993, p = 0.017), and aneurysm tortuosity (OR = 1.031, 95 % CI 1.003–1.063, p = 0.038) with ruptured AAAs. The AUC of this regression model was 0.762 (95 % CI 0.664–0.860, p < 0.001). ConclusionsThe smaller minimum luminal area of the CIA is associated with an increased risk of rupture. This study highlights the potential of utilizing outflow parameters as novel and additional tools in risk assessment. It also provides a compelling rationale to further intensify research in this area.

Association of Relative Skeletal Immaturity of the Triradiate Cartilage with Increased Proximal Femoral Deformity in Prophylactic Fixation for Slipped Capital Femoral Epiphysis: A Radiographic Study.

The purpose of this study was to describe proximal femoral deformity after contralateral hip prophylactic fixation of slipped capital femoral epiphysis (SCFE) in patients and the association of relative skeletal immaturity with this deformity. A retrospective review of patients presenting with a SCFE was conducted from 2009 to 2015. Inclusion criteria were (1) radiographic evidence of a unilateral SCFE treated with in situ fixation, (2) contralateral prophylactic fixation of an unslipped hip, and (3) at least 3 years of follow-up. Measurements were made on radiographs and included greater trochanter height relative to the center of the femoral head, femoral head-neck offset, and femoral neck length. Skeletal maturity was evaluated by assessing the status of the proximal femoral physis and triradiate cartilage (TRC) of the hip, in addition to the length of time to closure of these physes. Values were compared from initial presentation to final follow-up. Statistical analysis included descriptive statistics and linear regression. Twenty-seven patients were included. Bivariable linear regression demonstrated that an increased relative trochanteric overgrowth was associated with TRC width (β = 3.048, R = 0.585, P = 0.001) and an open TRC (β = -11.400, R = 0.227, P = 0.012). Time to proximal femoral physis closure (β = 1.963, R = 0.444, P = 0.020) and TRC closure (β = 1.983, R = 0.486, P = 0.010) were predictive of increased deformity. In addition, multivariable elimination linear regression demonstrated that TRC width (β = 3.048, R = 0.585, P = 0.001) was predictive of an increased relative trochanteric overgrowth. Patients with an open TRC and increased TRC width are associated with increased relative trochanteric overgrowth when undergoing prophylactic fixation for a unilateral SCFE. Increased caution should be exercised when considering contralateral hip prophylactic fixation in skeletally immature patients presenting with a unilateral SCFE. Level IV, case series.

Morphological Variations and Path Coefficient Analysis of Zoometric Traits of Local Chickens in Tolon District of Northern Ghana

The knowledge of morphometric measurements is paramount in domestic chicken production and marketing practices hence this research was undertaken to determine the morphological characteristics of domestic chicken in the Tolon District of Ghana. Birds reared under the traditional scavenging system, were randomly selected in four (Nyankpala, Tolon, Woribogu and Dondo) communities. Live body weight (BW) and thirteen morphometric traits namely, body length (BDL), chest circumference (CC), thigh circumference (TC), drumstick length (DL), shank length (SL), wing length (WGL), neck length (NL), head width (HDW), hip width (HPW), comb length (CL), head length (HDL), wattle length (WAL) and beak length (BKL) were measured. The data was subjected to general linear model, correlation and path coefficient analyses. The results revealed that, domestic chickens were generally smaller in sizes. The average values recorded were 0.99kg, 18.98cm, 20.60cm, 7.78cm, 11.78cm, 8.05cm, 16.17cm, 12.15cm, 2.34cm, 7.57cm, 3.39cm, 2.28cm, 1.70cm and 2.60cm for BW, BDL, CC, TC, DL, SL, WGL, NL, HDW, HPW, CL, HDL, WAL and BKL respectively. Location of birds significantly (P&lt; 0.05) affected morphometric traits (BDL, CC, TC, SL, WGL, NL, HDW, CL, HPW, and WAL) of birds. Similarly, sex of birds had significant (P&lt;0.05) effects on BDL, DL, SL, WGL, NL, HDW, CL, HDL, WAL and BKL whereas age had no significant (P&gt;0.05) influence on any morphometric traits. The presence of crest affected (P&lt;0.05) the variations in DL, SL, WAL and BKL. Also, presence of spur affected the variations (P&lt;0.05) in BW, DL, NL, CL, HDL, WAL and BKL whiles comb type had no significant (P&gt;0.05) effects on any morphometric trait. Correlation coefficients were generally low, with the highest (0.513) recorded between TC and CC. The highest direct path coefficient was obtained from CC (0.237), followed by BDL (0.156) and WAL (0.153). The findings of this work will be useful in characterization studies and breeding program for local domestic chickens.

ANALYSIS OF MORPHOLOGICAL TRAITS IN BALOCHI SHEEP BREED OF BALOCHISTAN

Balochi sheep is a popular breed of Balochistan used for meat and fleece production. This breed faces an elevated susceptibility to the annihilation of its distinctive traits due to uncontrolled and indiscriminate breeding practices. The process of phenotypic classification plays a crucial role in facilitating the sustainable utilization, conservation, and enhancement of a particular breed. The current study was conducted to evaluate the morphological attributes for conservation, rearing and breed improvement of the Balochi sheep in Balochistan. Five districts were selected for data collection included Quetta, Sibi, Mastung, Kalat, and Khuzdar. Five flocks were selected from each district, consisting of more than 250 animals. Most of the sheep population had a semi-pendulous ear direction (89.5%). In terms of ear colour, 73.5% of the sheep displayed a white tendency, while 26.5% had black. In male Balochi sheep, several typical morphological characteristics were observed, included wool fiber diameter averaging 37.47±0.06µm, body weight at 39.76±0.87 kg, height 35.20±0.13 inches, chest size of 50.16±0.74 cm, belly circumference of 55.48±0.62 cm, neck length at 7.84±0.46 cm, neck girth of 17.89±0.07 cm, testicle length 8.94±0.43 cm, and testicle diameter of 4.014±0.14 cm. Similarly, in female average values for wool fiber diameter were 37.47±0.06 µm, body weight was 34.02±0.27 kg, height 34.03±0.11 inches, chest size was 47.27±0.49 cm, belly circumference was 51.36±0.49 cm, neck length was 7.84±0.22 cm, neck girth was 17.89±0.03 cm, udder height was 7.86±0.20 cm, udder circumference was 11.83±0.3 cm, teat length was 2.99±0.00 cm, and teat diameter was 1.03±0.01 cm. The coat colour patterns of the overall phenotypes exhibited a mainly uneven distribution, with white coat colour patterns being most prevalent (95%), followed by black and brown patches. The facial head colour exhibited a predominant white pigmentation (85%) with the remaining 15% displaying a partly black shade. The distribution of nose shape among the sheep was 62% minor roman and 38% medium roman. Whereas 89.5% of sheep had an almond-shaped eye structure accompanied by black eyelashes, the remaining 10.5% displayed a brown eye colour. Our study found that 89.5% of Balochi sheep had semi-pendulous ears, 7% had pendulous ears, and 3.5% had ears that were erected upward. Moreover, coat color commonly observed predominantly white, often displaying a combination of white with black and brown patches, which was observed in around 90% of the sheep. Notably, male had horns with curved 56% and 44% straight, while females were hornless. Additionally, 86% of the sheep had legs that were predominantly white with black spots, and the neck color was mostly white, recorded in 90.5%, although some animals showed black spots on their necks. Finally, the belly color was mainly white in 90% animals, with 10% displaying black or brown spots on their bellies. The findings of the present study can be used to improve the management practices for the production and conservation of Balochi sheep breed.