Conventional Plate Research Articles

Scalable electrospinning using a desktop, high throughput, self-contained system

Electrospinning is a specialized processing technique for the formation of submicron diameter fibers of polymeric and ceramic materials using an electrostatic field. The process has multiple advantages over other nano- and micro- fiber synthesis methods; however, generally suffers from very low fabrication speeds, making it undesirable for scalability. This work assesses the performance of a needle-less, self-contained, high throughput electrospinning system. It further compares the fiber fabrication rates obtained versus two single needle setups with different collectors: (i) a conventional single needle and flat plate geometry, and (ii) a single needle with a rotating collector geometry. Polyvinylpyrrolidone (PVP) in ethanol was used as the model material. The fabrication rate of the high throughput system “HTES” was measured at about 2.6 g/h and was about 15 times that collected of the flat plate. Comparing it to other systems reported in the literature also proved it to be a viable option for high throughput, lab scale electrospinning.

Application of Ortho-Bridge System after Femoral Bone Transport.

The bone transport technique uses the principle of distraction-osteogenesis and fill bone defects with the aid of an external fixator. In order to evaluate the clinical effect of femoral internal fixation with Ortho-Bridge System after bone transport, 4 patients after femoral bone transport from October 2020 to October 2022 are studied in this paper. Among them, 3 patients ran refracture of femur after removal of the Limb reconstruction system, 1 patient just finish femoral bone transport and request internal fixation. The surgery results show that Ortho-Bridge System can be used in the situation that conventional Locking compression plate and intramedullary nail are not suitable due to anatomical variation after femoral bone transport. Key words: femoral fracture; Ortho-Bridge System; bone transport; postoperative complications of bone transport.

Dielectric metasurface Fresnel zone plates for polarization conversion

Abstract Conventional Fresnel zone plates (FZPs) can only achieve a single focusing function and require the combination with other optical elements to achieve multiple optical functions. This contradicts the development trends for miniaturized, integrated and multifunctional optical devices. However, the emergence of metasurfaces offers new solutions for this problem. In this paper, we design two different types of multifunctional metasurface Fresnel zone plates (MFZPs). One is based on amplitude modulation, and the other is based on phase modulation, both of which can achieve linear polarization conversion and focusing functions. The realization of these functions is based on the ability of silicon diatomic nanopillars to decouple and control the amplitude, phase, and polarization of electromagnetic waves. The designed ultrathin dielectric metasurface effectively combines the functions of conventional half-wave plates and FZPs, thereby reducing the volume of the optical system. The designed MFZPs have enormous potential for application in integrated and compact optical systems.

Advancing stability in inverted polymer solar cells through accelerated xenon curing of the ZnO layer

This study delves into the profound implications of employing an intensive xenon lamp treatment with a rapid curing method completed within 4 min, to fabricate a ZnO layer. Subsequently, we applied a coating of PM6:Y6 as the active layer and utilized MoO3/Ag as the contact electrode, aiming to advance the efficiency of polymer solar cells (PSCs) through entirely room-temperature processes. Our investigation juxtaposes this xenon lamp treatment with the conventional hot plate method for annealing the ZnO layer, conducted at 180 °C for both 20 min and 4 min. Remarkably, our proposed xenon lamp treatment process not only promotes charge transfer but also exhibits enhancements of the lattice oxygen in the Zn-O layer. This innovative methodology of xenon treatment yields a notable increase in power conversion efficiency (PCE), achieving 14.55 %, compared to 13.71 % and 12.44 % for the ZnO layers annealed with a hot plate for 20 min and 4 min, respectively. Moreover, devices subjected to the 4-min xenon lamp treatment maintained 85 % (T85) of their original Power Conversion Efficiency (PCE) after enduring 500 h of one-sun aging measurement. These findings evoke optimism regarding the xenon treatment's potential to streamline the fabrication process, and provide a promising avenue for mitigating interface degradation while enhancing the stability of PSCs.

Transparent insulation integration in solar thermal collector: Advancing performance for domestic water heating in oceanic climates of Western Europe

Decarbonizing residential hot water demand requires efficient solar collectors. Conventional flat plate collectors are widely available but experience high heat losses in colder climates. This work investigates the performance of a modified flat plate collector that incorporates honeycomb transparent insulation to reduce convective heat loss, offering a cost-effective alternative to energy-efficient evacuated tube collectors. The thermal performance of the modified flat plate collector was obtained using the finite element method in COMSOL Multiphysics, revealing a significant reduction in convective heat loss. The obtained thermal performance was then incorporated into a transient simulation to assess the year-around performance of the modified flat plate collector in a solar domestic hot water system for Irish climate. The transient simulation accounted for variations in the transparent insulation’s transmission with incidence angle which was overlooked in previous studies. Over a year-long simulation, the modified flat plate collector generated a total useful energy of 532.45 kWh m−2, while requiring 1640 kWh of auxiliary energy to meet the hot water demand of a single-family house in Ireland. An economic analysis of solar domestic hot water system revealed that the modified flat plate collector could yield savings of 443.44 € more than the standard flat plate collector and 3281.03 € more than the evacuated tube collector for homeowners. Consequently, the simple payback period for the solar domestic hot water system decreased from 3.72 years with a standard flat plate collector and 8.37 years with an evacuated tube collectors to 3.56 years with a modified flat plate collector. In addition to its economic viability, the modified flat plate collector could result in a CO2 savings of 901.85 kgCO2 per year. The study concludes with a sensitivity analysis to identify the market conditions that maximize the profitability of the modified flat plate collector based solar domestic hot water system.

Experimental Study of the Effect of Porous Media on the Performance of Single-Pass Solar Air Heater

Solar energy is harnessed to heat the air, which is then utilised for warming greenhouses and drying crops. Solar air heaters may readily increase their performance using an absorbent plate design with a front pass of steel wools. This kind of SAH has been investigated and compared to a conventional flat absorbent plate. Steel wool, a cost-effective and permeable substance, possesses excellent heat conductivity, and it can be utilised in ongoing initiatives to enhance convection and thermal efficiency. The analysis in this research is based on data from experiments, focusing on the single-pass SAH technique and considering two scenarios: traditional system and porous system, with air mass flow rates of 0.015 Kg/s and 0.035 Kg/s. The experimental findings show that employing porous materials increases the exhaust temp by 12.28% and 21.32 % form of air 0.015 and 0.035 Kg/s, respectively. Moreover, the solar radiation readings for non-porous and porous medium SAHs were recorded as 905.32-912.92 and 979.04-945.6 W/m2, respectively, at 1:30 p.m. Furthermore, thermal efficiency is between 33.29 % and 64.36 % in the porous scenarios and between 30.12% and 57.36% for non-porous cases. Porous media increases the thermal efficiency by 10 % and mass flow rate by 14 %.

Anatomical Posterior Acetabular Plate Versus Conventional Reconstruction Plates for Acetabular Posterior Wall Fractures: A Comparative Study.

Background: Functional recovery following the surgical fixation of acetabular posterior wall fractures remains a challenge. This study compares outcomes of posterior wall fracture reconstruction using an anatomical posterior acetabular plate (APAP) versus conventional reconstruction plates. Methods: Forty patients with acetabular fractures involving the posterior wall or column underwent surgery, with 20 treated using APAPs (APAP group) and 20 with conventional pelvic reconstruction plates (control group). Baseline patient characteristics, intraoperative blood loss and time, reduction quality, postoperative function, and postoperative complications were compared using appropriate non-parametric statistical tests. A general linear model for repeated measures analysis of variance was employed to analyze trends in functional recovery. Results: No significant differences were observed in baseline characteristics. APAP significantly reduced surgical time by 40 min (186.5 ± 51.0 versus 225.0 ± 47.7, p =0.004) and blood loss (695 ± 393 versus 930 ± 609, p = 0.049) compared to conventional plates. At 3 and 6 months following surgery, the APAP group exhibited higher functional scores (modified Merle d'Aubigné scores 10 ± 1.8 versus 7.8 ± 1.4, p < 0.001; 13.4 ± 2.8 versus 10.1 ± 2.1, p = 0.001), converging with the control group by 12 months (modified Merle d'Aubigné scores 14.2 ± 2.6 versus 12.7 ± 2.6, p = 0.072; OHS 31.6 ± 12.3 versus 30.3 ± 10.1, p = 0.398). Radiologically, the APAP group demonstrated superior outcomes (p = 0.047). Complication and conversion rates to hip arthroplasty did not significantly differ between groups (10% versus 15%, p = 0.633). Conclusions: The use of an APAP in reconstructing the posterior acetabulum significantly reduces surgical time, decreases intraoperative blood loss, and leads to earlier functional recovery compared to conventional reconstruction plates. The APAP provides stable fixation of the posterior wall and ensures the durable maintenance of reduction, ultimately yielding favorable surgical outcomes.

Imaging with an inverse-designed 50 mm-diameter f/1 MWIR flat lens with enhanced field of view and depth of focus.

We utilize inverse design and grayscale optical lithography to create a flat lens with a diameter and focal length of 50 mm, operating in the mid-wavelength infrared (MWIR) band. This lens demonstrates an extended depth of focus (DOF ≥±100μm), a field of view (FOV ≥20°), and an angular resolution of 300μrad. We characterize the lens's performance and use it as the primary optic in a hybrid refractive-diffractive telescope, which increases the angular resolution to 160μrad. Using this telescope, we perform video imaging of aircraft and vehicles. Our experiments were constrained by the higher f-number of the focal plane array. Nonetheless, through rigorous simulations, we demonstrate that the inverse-designed flat lens surpasses the performance of a conventional Fresnel zone plate (FZP) in DOF and in FOV, even under these limitations. The flat lens, weighing approximately 20g, is significantly lighter than its refractive counterparts, confirming the feasibility of high-resolution, lightweight MWIR imaging systems.

Flow and heat transfer characteristics and comprehensive evaluation of asymmetric plate heat exchangers for centralized heat supply

The structure of flow channel on both sides of the conventional plate heat exchanger(CPHE) is symmetrical. CPHEs are struggle to perform efficiently when subjected to asymmetric working conditions in district heating system. In order to improve the performance of plate heat exchangers under asymmetric conditions, asymmetric plate heat exchangers(APHEs) was designed. In this paper, APHEs were parameterized by asymmetric factor a. An evaluation index η for APHE is introduced to quantitatively analyze APHE’s suitability in district heating system. Numerical simulations were performed to investigate the heat transfer characteristics and resistance characteristics of the APHEs with 11 asymmetric factors a. Through using η, APHEs with the best comprehensive performance were found, when the flow ratio is 1.50, 1.75, 2.00, 2.25, 2.50 and 2.75. In flow ratio, APHEs provide the comprehensive performances with an improvements of 28 %, 39 %, 54 %, 65 %, 72 % and 83 % compared with CPHEs. Correlations equation for the average Nu and f on both hot and cold sides of the APHEs were established. There exists a correlation between Nu and f for the APHEs with respect to asymmetry factor a and flow ratio.

PhagoScreener: A novel phagogram platform based on a capillary-wave microbioreactor

Due to the overuse of antibiotics, the number of multidrug-resistant pathogen bacteria is rising in recent years posing a serious threat to human health. One promising alternative for treatment is the application of phage therapy using highly selective bacteriophages. Because of their selectivity, individual screens called phagograms for each patient are required to select phages from a phage library. Phagograms are mostly performed via bacterial cultivation on double layer agar plates and phage addition causing bacterial lysis. However, these assays are work-intensive and have a low ability for parallelization and automation. Hence, highly parallelizable and automatable microbioreactors in the lowest microliter scale could offer an economic solution increasing the throughput of phagograms. This paper demonstrates the applicability of a novel capillary-wave microbioreactor (cwMBR) to perform phagograms. Due to its small volume of only 7 µL and the open-droplet design, it can be easily automated and parallelized in future. Furthermore, the ability of online biomass measurement makes the cwMBR a perfect phagogram platform in the future. Herein, phagograms with E. coli and different concentrations of the phages MM02 and EASG3 were performed as proof of concept for phagograms in the cwMBR. Thereby, the cwMBR was able to measure differences in lysis kinetics of different phages. Furthermore, the phagograms were compared to those in conventional microtiter plate readers revealing the cwMBR as ideal alternative for phagograms as it combines favorable mixing conditions and a phage repellent hydrophilic glass surface with online biomass measurement in an open-droplet design for future parallelization and automation.

Analysis of the unsaturated hydraulic properties of rocks using multiple laboratory methods

Abstract Proper characterization of the unsaturated hydraulic properties in rocks is significant for predicting fluid flow in soil, hydrogeologic, and petroleum science and engineering problems. In this study, we contributed rigorous analysis of the unsaturated hydraulic properties of three reservoir rock samples (Berea Sandstone, Guelph Dolomite, and Indiana Limestone). An improved version of the standard evaporation method (HYPROP) was developed to cater specifically to rock samples. The improved HYPROP setup enables measurements of local water pressures within rock samples without disturbing the upper portion of the samples. The obtained results were compared with those obtained using the conventional pressure plate method and a state-of-the-art nuclear magnetic resonance (NMR) method. Observed data were analyzed in terms of four different unimodal and bimodal hydraulic functions. The HYPROP data were found to be relatively close to the pressure plate data of two carbonate rocks. The NMR-based data were reasonably consistent with the HYPROP data, with differences likely due in part to the fact that they were obtained using two different 5-cm long plugs taken from the same core. Heterogeneity along the rock cores from which the samples were taken could be a major reason for the observed differences, and hence should be considered in reservoir analyses.

Comparison of Young’s Modulus determination from Ultrasonic Testing and Three-Point Bending Testing

This study investigates the comparison of Young’s modulus value from ultrasonic testing and three-point bending testing. Five specimens from ABS material were created using FDM 3D printer with parameters of 200 μm layer thickness, solid print strength, and cross print pattern. Five specimens from stainless steel 316 were fabricated from conventional plate using waterjet cutting machine. Ultrasonic tests were done on each sample from ABS and stainless steel 316 by following ASTM A578. The three-point bending experiments of ABS and stainless steel 316 specimens were following ASTM D790, and ASTM E290, respectively. Ultrasonic testing and three-point bending testing were done on both materials to find the Young’s Modulus values. The results obtained from both experiments were compared to each other as well as to a standard value. The results show that Young’s modulus values from ultrasonic testing are more comparable to the standard value than that from three-point bending testing. These are due to build orientation of ABS, and grain size of stainless steel 316 which have some effect on Young’s Modulus values.

Assessment of monitoring approaches to control Legionella pneumophila within a complex cooling tower system

Precise and rapid methods are needed to improve monitoring approaches of L. pneumophila (Lp) in cooling towers (CTs) to allow timely operational adjustments and prevent outbreaks. The performance of liquid culture (ASTM D8429-21) and an online qPCR device were first compared to conventional filter plate culture (ISO 11731-2017), qPCR and semi-automated qPCR at three spiked concentrations of Lp (serogroup 1) validated by flow cytometry (total/viable cell count). The most accurate was qPCR, followed by liquid culture, online and semi-automated qPCR, and lastly, by a significant margin, filter plate culture. An industrial CT system was monitored using liquid and direct plate culture by the facility, qPCR and online qPCR. Direct plate and liquid culture results agreed at regulatory sampling point, supporting the use of the faster liquid culture for monitoring culturable Lp. During initial operation, qPCR and online qPCR results were within one log of culture at the primary pump before deviating after first cleaning. Other points revealed high spatial variability of Lp. The secondary pumps and chiller had the most positivity and highest concentrations by both qPCR and liquid culture compared to the basin and infeed tank. Altogether, this suggests that results from monthly compliance sampling at a single location with plate culture are not representative of Lp risks in this CT due to the high temporal and spatial variability. The primary pump, rather than the CT basin, should be designated for sampling, as it is representative of the health risk. An annual multi point survey of the system should be conducted to identify and target Lp hot spots. Generally, a combination of liquid culture for compliance and frequent qPCR for process control provides a more agile and robust monitoring scheme than plate culture alone, enabling early treatment adjustments, due to lower limit of detection (LOD) and turnover time.

Development of a Polymersome Blood Ammonia Assay Coupled with a Portable Near-Infrared Fluorometer.

Ammonia is a key biomarker in inborn and acquired liver disease. As clinical point-of-care blood ammonia assays are lacking, we developed a polymersome formulation for point-of-care blood ammonia sensing combined with a portable fluorometer. A pH-sensitive near-infrared (NIR) fluorescent dye was identified, which showed a strong fluorescence increase at acidic pH values. Building on reports on ammonia-selective PS-b-PEG polymersomes, these polymersomes were loaded with the NIR dye. These NIR fluorescent polymersomes sensed ammonia in a clinically relevant range in ammonia-spiked fresh whole blood with high linearity (R 2 = 0.9948) after 5 min using a conventional tabletop plate reader. Subsequently, the assay was tested with a portable fluorometer. An ammonia-dependent fluorescence increase was detected in ammonia-spiked fresh mouse blood after 5 min using the portable fluorometer. The NIR dye-loaded PS-b-PEG polymersomes rapidly sensed ammonia with high linearity in whole blood. This assay was successfully combined with a portable fluorometer and only required 3 μL of blood. These findings motivate a further development and clinical translation of this point-of-care blood ammonia assay.

Experimental and numerical studies on moisture adsorption/desorption characteristics across the circular fin tube desiccant coated heat exchanger

To improve the energy transfer abilities, enhance the quality of air, and curtail the growth of microorganisms, the desiccant coated heat exchangers are a capable substitute compared to conventional heat exchangers due to their capability of decoupling the sensible and latent loads and utilizing low-grade thermal energy. The concept of desiccant coated heat exchangers (DCHE) can be employed in various heat exchange/transport systems like heat pumps, atmospheric water harvesters, adsorption chillers, and air conditioners. Thus, in this research work, a circular fin tube desiccant coated heat exchanger (DCCHE) has been proposed and designed and a dynamic numerical model is established for simulating the combined heat and mass transport occurring across the adsorption/desorption process of a DCCHE employing finite element approach. The moisture and temperature distribution and flow of fluid are considered in the transient numerical model covering several domains such as water flow, air flow, and the coated desiccant. The desiccant material utilized in the current analysis is silica gel. The validation study showed good agreement, and the maximum error between the experimental result and simulated model for the humidity ratio of air and temperature of outlet air were observed to be ± 8 % and ± 7 %, respectively. A parametric analysis is carried out to assess the effect of varying the different input parameters on DCCHE’s performance. The field emission scanning electron microscopy results concluded that a uniform coating is formed on the circular fin surface. The experimental examination on the sorption kinetics of the silica gel showed that the moisture uptake capability was 0.34 g/g. Moreover, the proposed circular fin tube desiccant coated heat exchanger has been compared with the conventional plate type fin tube DCHE to assess its performance in terms of thermal coefficient of performance and specific dehumidification energy.

Tailor-Made Design of Three-Dimensional Batteries Using a Simple, Accurate Geometry Optimization Scheme.

In the rapidly evolving Internet of Things (IoT) society, the demand for microbatteries with high areal energy density is surging. As a promising strategy to enhance areal energy density, three-dimensional (3D) batteries have attracted attention. The feature of 3D batteries is the decoupling of the electrode thickness from the ion-transport distance through the modification of the spatial arrangement of the positive and negative electrodes beyond the conventional parallel plates configuration. This allows for the accommodation of a larger amount of active materials without increasing internal resistance. However, identifying the optimal 3D geometry is a complex task, as it depends on printable materials, the resolution of the fabrication equipment, as well as battery usage, which constitutes a multiobjective optimization problem. To overcome this challenge, we propose a novel approach to determine the optimal 3D microbattery geometry. Our innovative method involves a 3D battery optimization system, which integrates an automatic geometry generator with a quick and accurate performance simulator. This approach allows, for the first time, the discovery of material- and discharge-current-dependent optimal geometries. We successfully apply this optimization scheme to two standard electrode pairs (LiFePO4/Li4Ti5O12 and LiNi0.5Mn0.3Co0.2O2/graphite), demonstrating a significant increase in energy density (30%-40% greater than the current state-of-the-art geometry), particularly under high current conditions. These findings underscore the importance of tailor-made batteries for diverse IoT applications and showcase the potential of our approach in realizing such designs.

Digital technology revolutionizing mandibular fracture treatment: a comparative analysis of patient-specific plates and conventional titanium plates.

The treatment of fractures prioritizes the restoration of functionality through the realignment of fractured segments. Conventional methods, such as titanium plates, have been employed for this purpose; however, certain limitations have been observed, leading to the development of patient-specific plates. Furthermore, recent advancements in digital technology in dentistry enable the creation of virtual models and simulations of surgical procedures. The aim was to assess the clinical effectiveness of patient-specific plates utilizing digital technology in treating mandibular fractures compared to conventional titanium plates. Twenty patients diagnosed with mandibular fractures were included and randomly assigned to either the study or control groups. The surgical procedure comprised reduction and internal fixation utilizing patient-specific plates generated through virtual surgery planning with digital models for the study group, while the control group underwent the same procedure with conventional titanium plates. Assessment criteria included the presence of malunion, infection, sensory disturbance, subjective occlusal disturbance and occlusal force in functional maximum intercuspation (MICP). Statistical analysis involved using the Chi-square test and one-way repeated measures analysis of variance. All parameters showed no statistically significant differences between the study and control groups, except for the enhancement in occlusal force in functional MICP, where a statistically significant difference was observed (p = 0.000). Using patient-specific plates using digital technology has demonstrated clinical effectiveness in treating mandibular fractures, offering advantages of time efficiency and benefits for less experienced surgeons. Patient-specific plates combined with digital technology can be clinically effective in mandibular fracture treatment.

Comparison between CFR-PEEK and titanium plate for proximal humeral fracture: A meta-analysis.

The aim of the present meta-analysis was to compare the efficacy and safety of the carbon fiber-reinforced polyetheretherketone (CFR-PEEK) and titanium plate for the treatment of proximal humeral fractures (PHFs) from clinical comparative trials. A comprehensive search of English databases was carried out, such as PubMed, Web of Science, ScienceDirect, Springer and Cochrane Library databases. The RevMan version 5.1 software was applied for statistical analysis, and the mean difference (MD) and risk difference (RD) as the combined variables, and "95%" as the confidence interval (CIs). One randomized-controlled trial and five retrospective controlled studies including 282 PHFs were considered eligible and finally included. Meta-analysis demonstrated that there were significant differences in Constant score (CS) (MD=9.23; 95% CI: 5.02, 13.44; p<0.0001), anterior elevation (MD=18.83; 95% CI: 6.27, 31.38; p=0.003), lateral elevation (MD=18.42; 95% CI: 3.64, 33.19; p=0.01) and adduction (MD=3.53; 95% CI: 0.22, 6.84; p=0.04). No significant differences were observed regarding Constant score compared to the contralateral shoulder, Oxford Shoulder Score, internal rotation, external rotation, screw perforation and cutout, varus/valgus malalignment, humeral head collapse/necrosis, implant removal, and revision surgery between the two groups. Compared to titanium plate, CFR-PEEK plate showed better Constant score, anterior elevation, lateral elevation and adduction in treating PHFs. The complications are comparable to those achieved with conventional titanium plates.

A Novel Compact GNSS Antenna with Plasma Frequency Selective Surface

In this study, a plasma frequency selective surface (PFSS) was designed with an array of ordinary fluorescent lamps backed by a conducting plate. The proposed PFSS structure was used as a reflector with the spiral two arms Archimedean type Global Navigation Satellite System (GNSS) antenna to reduce the overall size of the antenna system. Characteristics and the performance of the proposed system were presented by using the results of simulations and experiments in the GNSS band. The optimum distance between antenna and PFSS was found to be around 35 mm to achieve a maximum gain in the simulation which is a lower profile than antenna with conventional conductive plate (66 mm at the GNSS center frequency). Experimental results show that the antenna system has mean values of around 6.7 dBiC gain, 1.27 dB axial ratio and less than -10 dB return loss in the range of 1.14 and 1.61 GHz. All these results show that the proposed novel antenna system is suitable for the reception of the GNSS signals with the advantage of its low profile design.

Superior accuracy in knee double level osteotomy using a novel hybrid fixation technique compared to conventional double plating.

This study aimed to compare two different double-level knee osteotomy (DLO) fixation techniques. The primary outcome reported the radiological coronal plane correction and its accuracy. The secondary outcomes reported the correction outliers, the clinical outcomes, the 5-year postoperative satisfaction and the complications. A retrospective review of a single surgeon osteotomy database identified 52 cases of DLO between 2011 and 2019, of which 24 cases met the inclusion criteria. Patients were categorised into two groups: the nail-plate (NP) group fixed with a magnetic extendable intramedullary tibial nail and femoral conventional plate, and the double-plate (DP) group fixed with conventional plates (tibia and femur). Radiographic parameters were recorded, including the mechanical femorotibial angle (mFTA), medial proximal tibial angle (MPTA), mechanical lateral distal femoral angle (mLDFA), joint line convergence angle (JLCA) and weight-bearing line ratio (Mikulicz %). Surgical accuracy was calculated as the difference between the achieved and the planned correction. Outliers were defined as those with a greater than 10% difference from the planned correction. Simple knee value scores and visual analogue scale for pain were recorded preoperatively and postoperatively at 2 and 5 years. Five-year patient satisfaction was recorded. A total of 24 patients were included: the NP group (n = 12) and the DP group (n = 12). Significant coronal plane corrections were achieved in the NP group for the mean mFTA (preoperative 167.9° ± 3.4° to postoperative 182.1° ± 1.4°), the mean MPTA (preoperative 83.5° ± 2.9° to postoperative 91.3° ± 2.8°) and the mean mLDFA (preoperative 89.8° ± 3.4° to postoperative 85.9° ± 4.4°). Similarly, significant coronal plane corrections were achieved in the DP group for the mean mFTA (preoperative 168.6° ± 4.4° to postoperative 182.2° ± 2°), the mean MPTA (preoperative 84.2° ± 2° to postoperative 88.3° ± 4.1°) and the mean mLDFA (preoperative 90.7° ± 2.9° to postoperative 83.9° ± 1.7°) (all p < 0.05). The mean correction accuracy was higher for the NP versus DP group at 3.4 ± 3.4% versus 7.1 ± 3.9% (intergroup p < 0.05). There were no outliers in the NP group versus two outliers (overcorrected) (16.7%) in the DP group. Significant clinical improvement was reported in both groups at 2 and 5 years postoperatively (all p < 0.05). Superior correction accuracy and no outliers were achieved in hybrid fixation double-level knee osteotomy compared to the conventional double-plating technique. The magnetic extendable nail offers the advantage of fine-tuning the correction postoperatively and could be a potential research template for future designs of postoperative correction implants. Level III, retrospective cohort study.