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C Mattheck

Publications and source records attributed to C Mattheck.

23 records · Page 2Linked to original sources

A reflection on the oxygen diffusion of the terminal villus of the human placenta (author's transl).

By using a simple model, transformed to cartesian coordinates, we examined the behavior of the fetal and maternal oxygen partial pressure on the terminal villus of the human placenta during a constant arteriovenous oxygen difference. For this purpose we divided the flow length of the cotyledon in central and a peripheral part. We found that the oxygen exchange takes place at a lower utero-umbilical oxygen pressure gradient it the reduction of the maternal blood flow velocity amounts to 30% of the normal value and if the diffusion distance is doubled. However under these circumstances a sufficient the oxygen supply of the fetal organism. This is the case with the total flow length of a single cotyledon, but some of the terminal villi in the periphery of the cotyledon, could receive at the same time a diminished oxygen supply leading to degenerative cell changes. At a progression of these morphological changes or during labor the oxygen transport can get insufficient.

Chorionic Villi↗

[A mathematical model for the description of oxygen-diffusion in the intervillous space of the human placenta (author's transl)].

The oxygen consumption has a central place in the complicated interaction between diminished oxygen supply and degenerative trophoblastic tissue change. In the present investigation, that serves as a mathematical model, the problem of the diffusion equation for the constant state is discussed and solved. It is shown that the diminishing of length of the radius of the maternal blood compartment has the same meaning as the decrease in the flow velocity. The influence of the mass transfer coefficient h on the oxygen partial pressure and on the oxygen transfer is investigated. The influence of parameter variations on the placental alterations during toxemia is discussed and their clinical importance is obvious. Our theoretical model elusidates the value of an early therapeutical approach in the case of toxemia.

Blood Flow Velocity↗

[Consideration of hemodynamics in the intervillous space of the placenta (author's transl)].

Using Freese's hemodynamic model, we calculated the speed and pressure distribution in the villi-free area of the cotyledon. The Navier-Stokes equation was converted approximately into Reynod factors. The villi-free area was described as circular diffusor. On the basis of our computations, we assume that a predominately laminar flow occurred in the intervillous space; we considered an angular apearature of between 10 and 40 degrees to be physiological. In this area, pressure distribution is homogenous. The model-theoretical considerations presented here substantiate Freese's conception.

Blood Flow Velocity↗

[A new guide and 2 new cruciate ligament anchors for securing prosthetic cruciate ligaments to the femur].

A new drilling device for the correct localization of drilling holes has been developed for the fixation of cruciate ligament prostheses. We describe how the device is employed under surgical operating conditions. Its accuracy in application is demonstrated in a cadaver knee. The device has also been used clinically with success. Two new anchors for the fixation of the ligaments are proposed.

Anterior Cruciate Ligament↗