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- Ahrengart, L, et al.
(författare)
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A randomized study of the compression hip screw and gamma nail in 426 fractures
- 2002
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Ingår i: Clinical Orthopaedics and Related Research. - 0009-921X. ; :401, s. 209-222
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Tidskriftsartikel (refereegranskat)abstract
- A prospective, randomized study comparing the compression hip screw with the Gamma nail in the treatment of 426 intertrochanteric fractures is reported. The median patient age was 80 years, and 71 % were women The compression hip screw operation took less time except in Evans Type 5 fractures. Blood loss generally was less in the compression hip screw group except in patients with Type 5 fractures. The most frequent surgical problem for patients in the Gamma group was problems with distal locking. Cephalic position of the femoral head screw and cut-out were seen more often in the Gamma nail group. The Gamma nail more frequently preserved the fracture position obtained perioperatively. Whether there was distal locking of the Gamma nail in unstable fractures did not seem to affect the healing rate. Additional fissures or fractures in the proximal femur occurred during five Gamma nail operations and two compression hip screw operations. Postoperative walking ability did not differ between the groups. At 6 months 88% of the fractures were healed. In less comminuted fractures, the compression hip screw method is the preferred method of treatment whereas the Gamma nail is an alternative treatment for more comminuted Evans Type 5 fractures.
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- Facsko, G., et al.
(författare)
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One year in the Earth's magnetosphere : A global MHD simulation and spacecraft measurements
- 2016
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Ingår i: Space Weather. - 1542-7390. ; 14:5, s. 351-367
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Tidskriftsartikel (refereegranskat)abstract
- The response of the Earth's magnetosphere to changing solar wind conditions is studied with a 3-D Magnetohydrodynamic (MHD) model. One full year (155 Cluster orbits) of the Earth's magnetosphere is simulated using Grand Unified Magnetosphere Ionosphere Coupling simulation (GUMICS-4) magnetohydrodynamic code. Real solar wind measurements are given to the code as input to create the longest lasting global magnetohydrodynamics simulation to date. The applicability of the results of the simulation depends critically on the input parameters used in the model. Therefore, the validity and the variance of the OMNIWeb data are first investigated thoroughly using Cluster measurement close to the bow shock. The OMNIWeb and the Cluster data were found to correlate very well before the bow shock. The solar wind magnetic field and plasma parameters are not changed significantly from the L-1 Lagrange point to the foreshock; therefore, the OMNIWeb data are appropriate input to the GUMICS-4. The Cluster SC3 footprints are determined by magnetic field mapping from the simulation results and the Tsyganenko (T96) model in order to compare two methods. The determined footprints are in rather good agreement with the T96. However, it was found that the footprints agree better in the Northern Hemisphere than the Southern one during quiet conditions. If the B-y is not zero, the agreement of the GUMICS-4 and T96 footprint is worse in longitude in the Southern Hemisphere. Overall, the study implies that a 3-D MHD model can increase our insight of the response of the magnetosphere to solar wind conditions.
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