Analyzing the effect of undermining on suture forces during simulated skin flap surgeries with a three-dimensional finite element method
Why this work is in the frame
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Bibliographic record
Abstract
Skin flaps are common procedures used by surgeons to cover an excised area during the reconstruction of a defect. It is often a challenging task for a surgeon to come up with the most optimal design for a patient. In this paper, we set up a simulation system based on the finite element method for one of the most common flap types — the rhomboid flap. Instead of using the standard 2D planar patch, we constructed a 3D patch with multiple layers. This allowed us to investigate the impact of different undermining areas and depths. We compared the suture forces for each case and identified vertices with the largest suture force. The shape of the final suture line is also visualized for each case, which is an important clue when deciding on the most optimal skin flap orientation according to medical textbooks. We found that under the optimal undermining setup, the maximum suture force is around 0.7 N for top of the undermined layer and 1.0 N for bottom of the undermined layer. When measuring difference in final suture line shape, the maximum normalized Hausdorff distance is 0.099, which suggests that different undermining region can have significant impact on the shape of the suture line, especially in the tail region. After analyzing the suture force plots, we provided recommendations on the most optimal undermining region for rhomboid flaps. • Designed a pipeline for creating 3D meshes for skin flap surgeries. • Proposed a systematic way of varying undermining regions in a skin flap procedure. • Performed suture force and suture line analysis for various undermining regions. • Created visualizations of skin flap procedures based on patient’s 3D face scan.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it