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Category: Lesser Toes Introduction/Purpose: The plantar plate is a fibrocartilaginous structure that plays a fundamental role in the sagittal stability of the metatarsophalangeal joint (MTPJ). Traumatic and degenerative lesions affecting the plantar plate have the potential to cause instability, swelling, pain and deformity. Extensive plantar plate tears (grade IV) still challenge surgeons as primary repair is impossible, demanding a reconstructive procedure which, unfortunately, can be associated with high morbidity such as stiffness, persistence of discomfort, vascular compromise to the digit and amputation. The purpose of this work is to describe a new technique that uses a synthetic tape and one absorbable screw to achieve the MTPJ stabilization in plantar plate grade IV tears. We believe that this procedure can achieve better results than other techniques described in the literature. Methods: Two bone tunnels are made at the base of the proximal phalanx. Both medial and lateral tunnels are directed in a light oblique fashion from a distal-dorsal entry point to a proximal, justarticular plantar exit. Two new oblique dorsal-plantar bone tunnels - medial and lateral - are made at the distal metaphyseal metatarsal area. A #2 FiberTape is passed through the bone tunnels guided by a Nitinol wire, creating a mesh for the plantar stabilization of the MTPJ. Then both Fiber Tapes limbs are driven, with the help of a nitinol loop, through the plantar orifices of corresponding sides of the metatarsal bone tunnels, exiting in its dorsal aspect. One of the limbs of the tape is passed from dorsal to plantar trough the other metatarsal orifice. Both limbs are tensioned, and the toe should be kept at neutral sagittal position (flexion-extension). Fixation is made with a Biotenodesis screw. Results: Only a few patients were submitted to this technique. At one year follow up, none of them presented with complaints or complications. Conclusion: The surgical technique described in this article can change the way physicians treat plantar complex plantar plate tears when there is no viable biologic tissue to repair. A lesser complication rate it's also expected. Nonetheless comparative, and biomechanical studies are still needed to confirm our hypothesis.

This study aimed to generate a GIS-based flashflood hazard susceptibility map using the geographical information system (GIS) and frequency ratio (FR) techniques in one of the geographically isolated and disadvantaged areas (GIDAs) of the country, which is the barangay Bukang Liwayway of Kibawe, Bukidnon. There are 160 sample points conducted for flashflood inventory to calculate FR and the flashflood prediction weights values needed to generate the flashflood susceptibility map. The elevation, slope, aspect, curvature, topographic wetness index, drainage density, LULC, normalized difference vegetation index, and rainfall are the nine controlling factors that are selected. Results show that the areas exposed to flashflood with low, medium, and high-risk levels of susceptibility consist of 89.8, 4.4, and 5.7% of the total land, respectively, with 25 households exposed to high risk. The study determined the possible site for the evacuation center based on the spatial analysis resulting in the overlaying of different thematic map layers based on flashflood susceptibility factors. The study emphasizes the integration of the findings in the localized comprehensive land-use plan to realize the challenge of building a sustainable and hazard-resilient human community in Bukang Liwayway.

Leaning on the derived results conducted by Central Mindanao University Phil-LiDAR 2.B.11 Image Processing Component, the paper attempts to provides the application of the Light Detection and Ranging (LiDAR) derived products in arriving quality Landcover classification considering the theoretical approach of data analysis principles to minimize the common problems in image classification. These are misclassification of objects and the non-distinguishable interpretation of pixelated features that results to confusion of class objects due to their closely-related spectral resemblance, unbalance saturation of RGB information is a challenged at the same time. Only low density LiDAR point cloud data is exploited in the research denotes as 2 pts/m² of accuracy which bring forth essential derived information such as textures and matrices (number of returns, intensity textures, nDSM, etc.) in the intention of pursuing the conditions for selection characteristic. A novel approach that takes gain of the idea of object-based image analysis and the principle of allometric relation of two or more observables which are aggregated for each acquisition of datasets for establishing a proportionality function for data-partioning. In separating two or more data sets in distinct regions in a feature space of distributions, non-trivial computations for fitting distribution were employed to formulate the ideal hyperplane. Achieving the distribution computations, allometric relations were evaluated and match with the necessary rotation, scaling and transformation techniques to find applicable border conditions. Thus, a customized hybrid feature was developed and embedded in every object class feature to be used as classifier with employed hierarchical clustering strategy for cross-examining and filtering features. This features are boost using machine learning algorithms as trainable sets of information for a more competent feature detection. The product classification in this investigation was compared to a classification based on conventional object-oriented approach promoting straight-forward functionalities of the software eCognition. A compelling rise of efficiency in the overall accuracy (74.4% to 93.4%) and kappa index of agreement (70.5% to 91.7%) is noticeable based on the initial process. Nevertheless, having low-dense LiDAR dataset could be enough in generating exponential increase of performance in accuracy.

Category: Arthroscopy; Ankle; Sports Introduction/Purpose: High ankle sprains or syndesmotic lesions can occur after an external rotation force in a dorsiflexed foot. These lesions may present isolated or combined with medial collateral ligaments lesions or fractures. Unstable lesions should be operatively treated since syndesmotic instability can cause pain, disability, chondral lesions and arthritis. A recent biomechanical cadaveric study suggested that syndesmosis suture button fixation with suture tape augmentation can restore stability to a pre injury level, while suture button alone was insufficient to restore stability and screw fixation was associated with overtightening of the syndesmosis. The purpose of this work is to describe a new minimally invasive arthroscopic technique that uses a synthetic tape to augment suture button fixation of syndesmotic instability. Methods: After arthroscopic debridement of the syndesmosis, one bone tunnel is made with a 4.0mm drill at the anterolateral distal tibia rim and at the anterior distal fibula just above the anterior talofibular ligament origin. A 4,75mm swivelock armed with a fibertape (Arthrex©) is introduced at the distal fibula hole. After obtaining adequate syndesmotic reduction with the help of a reduction clamp, suture button fixation was made through a mini lateral access. The fibertape was then appropriately tensioned and inserted at the distal tibia hole with another 4,75mm swivelock. Adequate reduction was observed with the Mercedes-Benz sign and stability was confirmed arthroscopically. Results: Only a few patients were submitted to this technique. At short follow up, none of them presented with complications or complaints Conclusion: We believe that unstable syndesmotic treatment using the suture button fixation and anterior inferior tibiofibular arthroscopic augmentation with suture-tape described in this work can restore syndesmotic stability to pre injury levels with low morbidity and lesser complication rates compared to other techniques. Nonetheless, comparative clinical studies are still needed to confirm our hypothesis.