Malunion after a distal radius fracture is very common and if symptomatic, is treated with a so-called corrective osteotomy. In a traditional distal radius osteotomy, the radius is cut at the fracture site and a wedge is inserted in the osteotomy gap to correct the distal radius pose. The standard procedure uses two orthogonal radiographs to estimate the two inclination angles and the dimensions of the wedge to be inserted into the osteotomy gap. However, optimal correction in 3-Dspace requires restoring three angles and three displacements. This paper introduces a new technique that uses preoperative planning based on 3-D images. Intraoperative 3-D imaging is also used after inserting pins with marker tools in the proximal and distal part of the radius and before the osteotomy. Positioning tools are developed to correct the distal radius pose in six degrees of freedom by navigating the pins. The method is accurate ( d 1.2 mm, ϕ 0.9°, m TRE = 1.7 mm), highly reproducible (SE (d) < 1.0 mm, SE (ϕ) ≤ 1.4°, SE (m) (TRE) = 0.7 mm), and allows intraoperative evaluation of the end result. Small incisions for pin placement and for the osteotomy render the method minimally invasive.

In order to measure active drag during front crawl swimming a system has been designed, built and tested. A tube (23 m long) with grips is fixed under the water surface and the swimmer crawls on this. At one end of the tube, a force transducer is attached to the wall of the swimming pool. It measures the momentary effective propulsive forces of the hands. During the measurements the subjects' legs are fixed together and supported by a buoy. After filtering and digitizing the electrical force signal, the mean propulsive force over one lane at constant speeds (ranging from about 1 to 2 m s-1) was calculated. The regression equation of the force on the speed turned out to be almost quadratic. At a mean speed of 1.55 m s-1 the mean force was 66.3 N. The accuracy of this force measured on one subject at different days was 4.1 N. The observed force, which is equal to the mean drag force, fits remarkably well with passive drag force values as well as with values calculated for propulsive forces during actual swimming reported in the literature. The use of the system does not interfere to any large extent with normal front crawl swimming; this conclusion is based on results of observations of film by skilled swim coaches. It was concluded that the system provides a good method of studying active drag and its relation to anthropometric variables and swimming technique.

A detailed description of a respiratory valve to measure oxygen uptake while swimming is given. The effect on body drag of the addition of this equipment was measured in four subjects swimming over a range of speeds (0.9-1.9 m s-1). The respiratory valve has a low airflow resistance (29 Pa at an airflow of 8 l X s-1) and a small deadspace (30 ml). Total body drag when swimming while wearing the respiratory equipment did not differ significantly from that when swimming without the equipment. It is concluded that this respiratory valve is ideal for making valid and reliable measurements of oxygen uptake during swimming.

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