338 research outputs found
The Paley ulnarization of the carpus with ulnar shortening osteotomy for treatment of radial club hand
No full textRecurrent deformity from centralization and radialization led to the development in 1999 of a new technique by the author called ulnarization. This method is performed through a volar approach in a vascular and physeal sparing fashion. It biomechanically balances the muscle forces on the wrist by dorsally transferring the flexor carpi ulnaris (FCU) from a deforming to a corrective force. The previous problems of a prominent bump from the ulnar head and ulnar deviation instability were solved by acutely shortening the diaphysis and by temporarily fixing the station of the carpus to the ulnar head at the level of the scaphoid. This is the first report of this modified Paley ulnarization method, which the author considers a significant improvement over his original procedure
Paley, William: science and rhetoric in his natural theology
No full textWilliam Paley's Natural Theology is probably the nineteenth century's most well- known design argument. As such an influential book, it is almost expected that twentieth century intellectual historians should at least pay a footnote to it. In midst of all these studies about the impact of Natural Theology upon the nineteenth century, one key fact is forgotten: Natural Theology and its sources were written in the eighteenth century. It is the goal of this thesis to demonstrate that Paley's design argument must be compared to the intellectual climate of that time period. Chapters 1 and 2 outline the rhetorical argument and the tools that Paley used to persuade his polite eighteenth century audience. The majority of scientific sources and examples he used were well-known names and therefore implicitly contributed to the believability of his argument. Accordingly, chapters 3 and 4 investigate why Paley's scientific sources added credibility to Natural Theology. Chapters 5 and 6 examine the actual scientific data that Paley turned into examples for his design argument. Setting the rhetoric aside, what was the actual scientific picture communicated by his examples? In these chapters, we find that even though Paley argues against random change, he does support a morphological telic change—the development of a supplemental part based on a pre-existing, fixed body part. As every chapter of this thesis unfolds, it will become more apparent that Paley was an intellectual heir to the eighteenth century. He wrote in a polite manner and employed a body of standard eighteenth century natural philosophical knowledge. It is this context that must be addressed and seriously considered when studying the nineteenth century intellectual legacy of Natural Theology
Rotationplasty for Severe Congenital Femoral Deficiency
No full textRotationplasty is a reconstructive option for severe congenital femoral deficiency (CFD). The senior author (D.P.) developed five new rotationplasty techniques for use in CFD based on the Paley classification, including the Paley–Brown (fusion femur to pelvis), Paley (fusion femur to femoral head), Paley–Winkelman (insertion tibial condyle to acetabulum), PaleySUPERhip–Van Nes (hip osteotomy with knee fusion) and PaleySling–Van Nes (hip reconstruction with knee fusion revision) rotationplasty techniques. The purpose of this study is to retrospectively evaluate the complications, radiographic outcomes and need for secondary surgery in 19 rotationplasty cases performed by the senior author (D.P.) for severe CFD from 2009 to 2019. Rotationplasty comprised only 2% of the authors treated CFD cases during this period. Average age at surgery was 8.6 years old. Average follow-up was 3.3 years. Sixteen concomitant procedures were performed including temporary arthrodesis, tibial osteotomy and SUPERhip procedure. The most common complication was wound necrosis/dehiscence, which occurred in 52% of the cases related to the circumferential incision and required a total of 31 additional debridements. Additional complications were successfully treated and included sciatic nerve palsy decompressed by abducting the femur, a tibial delayed union that underwent bone grafting, two distal femur failed epiphysiodesis treated by revision with one osteotomy and a thigh compartment syndrome requiring debridement. Indication specific rotationplasty successfully addresses the severe degree of femoral deficiency, deformity, and discrepancy in patients with CFD, despite high rates of wound complications
Generalized Littlewood–Paley characterizations of fractional Sobolev spaces
No full textIn this paper, the authors characterize the Sobolev spaces (Formula presented.) with (Formula presented.) and (Formula presented.) via a generalized Lusin area function and its corresponding Littlewood–Paley (Formula presented.)-function. The range (Formula presented.) is also proved to be nearly sharp in the sense that these new characterizations are not true when (Formula presented.) and (Formula presented.). Moreover, in the endpoint case (Formula presented.), the authors also obtain some weak type estimates. Since these generalized Littlewood–Paley functions are of wide generality, these results provide some new choices for introducing the notions of fractional Sobolev spaces on metric measure spaces. © 2017 World Scientific Publishing CompanyEmbargo Period 12 months金沢大学人間社会研究域学校教育系journal articl
The ilizarov technology revolution: History of the discovery, dissemination, and technology transfer of the ilizarov method
No full text
- …
