Intact State Research Articles

Dielectric Hybrid Optimization Model Based on Crack Damage in Semi-Rigid Base Course

To accurately predict the relative permittivity of cement-stabilized base materials, a study on the dielectric mixing model for cracked base materials was conducted. Based on the electromagnetic mixing theory of multiphase composites, a comprehensive dielectric mixing model of cement-stabilized base materials was derived. The volume ratios and relative permittivity values of the specimen constituents in different cracking states of the cement-stabilized base were determined using industrial CT and a Percometer relative permittivity meter, with comprehensive consideration given to the effects of different initial porosities and crack widths on the dielectric properties. Based on the volumetric and dielectric properties of the base material specimens in both intact and cracked states, as well as the error analysis between the predicted and measured values of the relative permittivity constant, the u-optimal solution of the dielectric mixing model for cement-stabilized base material was determined to be 1. Consequently, an optimization dielectric mixing model for semi-rigid base course materials in a cracked state was developed. The optimization model proposed is suitable for predicting the dielectric properties of cement-stabilized base material with crack widths generally greater than 3 mm during the service life of semi-rigid base course in engineering practice.

Correlative light and soft X-ray tomography of in situ mesoscale heterochromatin structure in intact cells.

Heterochromatin organization is critical to many genome-related programs including transcriptional silencing and DNA repair. While super-resolution imaging, electron microscopy, and multiomics methods have provided indirect insights into the heterochromatin organization, a direct measurement of mesoscale heterochromatin ultrastructure is still missing. We use a combination of correlative light microscopy and cryo-soft X-ray tomography (CLXT) to analyze heterochromatin organization in the intact hydrated state of human mammary fibroblast cells. Our analysis reveals that the heterochromatin ultra-structure has a typical mean domain size of approximately 80nm and a mean separation of approximately 120nm between domains. Functional perturbations yield further insights into the molecular density and alterations in the mesoscale organization of the heterochromatin regions. Furthermore, our polymer simulations provide a mechanistic basis for the experimentally observed size and separation distributions of the mesoscale chromatin domains. Collectively, our results provide direct, label-free observation of heterochromatin organization in the intact hydrated state of cells.

Simple model for the fracture of a polymer chain: Single-bond potential of mean force and tension-based rate constants for chain rupture.

A linear chain of N particles connected by Morse bonds with periodic boundaries in a Brownian bath is considered as a model for polymer fracture. The potential of mean force (pomf) with respect to the length of a bond and its energy and entropic components are computed via Langevin Dynamics simulations at various chain elongations λ > 1. A narrow range of λ values is identified over which equilibrium is established between an intact (i) and a fractured (f) state over a pomf barrier. While the barrier and (f) regions of the pomf are well described by a well-known (N - 1)-bond adiabatic approximation, the shape of the (i) region departs from it, exhibiting a bimodal character. A new, 1-bond adiabatic approximation is proposed to explain this. The lower envelope of the two adiabatic approximations provides an excellent description of the pomf. The relationship between (f) states for individual bonds and for the entire chain is elucidated. A new approach, based on analysis of equilibrium tension autocorrelation functions, is developed to extract rate constants for the fracture and reformation of the chain in dependence of λ. Results from it agree with tension relaxation during nonequilibrium simulations initiated at equispaced configurations of the particles. Rate constants for chain fracture conform to a Boltzmann-Arrhenius-Zhurkov dependence on the tension averaged over the intact state of the chain, the activation length being higher than estimated from pomf extrema. These findings constitute a step toward a predictive multiscale simulation scheme for fracture in polymeric materials.

A Numerical Method on Large Roll Motion in Beam Seas Under Intact and Damaged Conditions

The second-generation intact stability criteria, including five stability failure modes, were approved by the International Maritime Organization (IMO) in 2020, and it is an urgent task to develop the numerical method for the significant roll motion under dead conditions. Both intact and damaged stability focus on the large roll motion in beam seas. A unified numerical method is studied to predict the large roll motion in regular and irregular beam seas under intact and damaged conditions. Firstly, a sway–heave–pitch–roll–yaw-coupled equation named 5-DOF and a sway-, roll-, and yaw-coupled motion with the roll-righting arm in still water named 3-DOF are used to predict the large roll motion in regular beam seas under the intact and damaged conditions. Secondly, the method is extended for the large roll motion in irregular beam seas, where the diffraction force in the roll direction and the sway and yaw motion under intact and damaged conditions are calculated by the subharmonic superposition method. Thirdly, the roll-righting arm in the calm water, roll-damping coefficients, and the roll natural roll period, under the intact and damaged conditions, are obtained by software and a free roll decay experiment, respectively. Finally, the numerical results of a patrol boat under intact and damaged conditions are compared to the experimental results. The results show that the sway-, roll-, and yaw-coupled motion with the roll-righting arm in still water named 3-DOF can predict the large roll motion in regular and irregular beam seas under intact and damaged conditions.

Muscle Compensation Strategies to Maintain Glenohumeral Joint Stability in Rotator Cuff Tears: A Cadaveric Study.

Superior translation of the humeral head is often identified in large and massive rotator cuff (RC) tears. However, the ability of the remaining RC muscles to compensate for the forces causing such superior translation in RC tears remains unclear. The purpose of this study was to investigate the impact of compensatory forces exerted by the remaining RC muscles on humeral head translation using a progressive RC tear model. Eight fresh-frozen cadaveric shoulders (mean donor age, 57 years) were tested using a custom shoulder testing system. In addition to an intact RC model, 3 RC tear models were created: a supraspinatus tear (Tear I); combined supraspinatus and infraspinatus tears (Tear II); and combined tears of the supraspinatus, infraspinatus, and superior one-third of the subscapularis (Tear III). Compensatory conditions were simulated by increasing the loading of the remaining RC muscles in each RC tear model. Humeral head translation was measured at different abduction and neutral rotation angles in each condition with normal and high deltoid muscle loading. Significant superior translation of the humeral head was observed in Tears II and III (but not Tear I), compared with the intact state, under high loading of the deltoid during abduction and during rotation. In Tear II, compensatory conditions involving increased loading of the teres minor and subscapularis muscles effectively reduced superior translation, so that no significant differences were observed compared with the intact state, even under high deltoid muscle loading. However, in Tear III, significant superior translation was still observed, regardless of the compensatory conditions. ompensation by the remaining RC muscles, particularly the teres minor and subscapularis, effectively reduced superior translation of the humeral head in the posterosuperior RC tear model, whereas this compensatory strategy was insufficient if tears also involved the superior one-third of the subscapularis. Patients with posterosuperior RC tears may find conservative treatment focusing on strengthening the remaining RC muscles, especially the subscapularis and teres minor, to be beneficial. Conversely, patients with repairable massive RC tears also involving the subscapularis tendon may benefit from surgical interventions aimed at primarily repairing the subscapularis tendon to restore the transverse force couple. Massive tears deemed not to be repairable should be evaluated for arthroplasty or other procedures.

Potential for 50% Mechanical Strength Decline in Sandstone Reservoirs Due to Salt Precipitation and CO2–Brine Interactions During Carbon Sequestration

AbstractPredictive modeling of CO2 storage sites requires a detailed understanding of physico-chemical processes and scale-up challenges. Dramatic injectivity decline may occur due to salt precipitation pore clogging in high-salinity aquifers during subsurface CO2 injection. This study aims to elucidate the impact of CO2-induced salt crystallization in the porous medium on the geomechanical properties of reservoir sandstones. As the impact of salt precipitation cannot be isolated from the precursor interactions with CO2 and acidified brine, we present a comprehensive review and discuss CO2 chemo-mechanical interactions with sandstones. Laboratory geochemical CO2–brine–rock interactions at elevated pressures and temperatures were conducted on two sandstone sets with contrasting petrophysical qualities. Interaction paths comprised treatment with (a) CO2-acidified brine and (b) supercritical injection until brine dry-out, salt crystallization, and growth. Afterward, the core samples were tested in a triaxial apparatus at varying stresses and temperatures. The elastic moduli of intact, CO2-acidified brine treated, and salt-affected sandstones were juxtaposed to elucidate the geochemical–geomechanical-coupled impacts and identify the extent of crystallization damages. The salt-affected sandstones showed a maximum of 50% reduction in Young’s and shear moduli and twice an increase in Poisson’s ratio compared to intact condition. The deterioration was notably higher for the tighter reservoir sandstones, with higher initial stiffness and lower porosity–permeability. We propose two pore- and grain-scale mechanisms to explain how salt crystallization contributes to stress localization and mechanical damage. The results highlight the potential integrity risk imposed by salt crystallization in (hyper)saline aquifers besides injectivity, signaling mechanical failure exacerbated by pressure buildup.

Conventional one-handed compared to two-handed endoscopic ear surgery using an endoscope holder: a single center study.

One-handedness is a challenge in conventional endoscopic ear surgery (EES). We present results on the first-ever application of the passive endoscope holder 'Endofix exo' (Co. AKTORmed GmbH, Neutraubling, Germany) in EES, which enables two-handed surgery. This two-sided study compares cut-suture time, operating time, postoperative complications, graft take rates, hearing results and quality of life in patients who underwent first stage tympanoplasty due to tympanic membrane perforation with intact ossicular chain conditions. 25 patients received classic EES (EES-, mean age: 28 ± 21 years) and 15 received EES with the passive holder (EES+, mean age: 48 ± 21 years). Mean operating times (EES-: 96 ± 38 (SD) min; EES+: 107 ± 33min), cut-suture times (EES-: 68 ± 30min; EES+: 73 ± 31min), complications, graft take rates and hearing results (preoperative air bone gap (ABG) (PTA4): 15 dB ± SD 8 dB (EES-); 16 dB ± SD 8 dB (EES+); postoperative ABG (PTA4): 11.25dB ± SD 11.3dB (EES-); 14 dB ± SD 10 dB (EES+)) did not differ significantly (p > 0.05) between the two groups. Postoperative hearing results and quality of life tended to improve in both groups (p > 0.05). The passive endoscope holder has been successfully applied during the course of the study. However, modifications of the endoscope holder and further studies are recommended focusing on positioning of grafts and prostheses to obtain conclusive results regarding the superiority of two-handed EES over one-handed conventional EES.

Anterior and coracoid base tunnel location combined with single -or double clavicular tunnel techniques using double-button fixation for coracoclavicular ligament reconstruction both restore horizontal stability. A biomechanical cadaver study

BackgroundThe placement of clavicle tunnels in coracoclavicular ligament reconstruction is well established, but the optimal position of the coracoid tunnel remains unclear. This study aimed to investigate how the coracoid tunnel's position affects horizontal stability during coracoclavicular ligament reconstruction using a double-button technique. MethodsFifteen fresh frozen shoulder cadaver specimens were tested under various conditions: intact coracoclavicular ligaments, disrupted ligaments, and reconstructions with a single coracoid and clavicle tunnel or double clavicle tunnels. The coracoid tunnel was positioned at the coracoid base 1/9, and 1/5 anterior to the base. Specimens underwent displacement-controlled loading, with 2D motion analysis conducted on captured digital images using TEMA motion analysis. FindingsMean displacement for intact coracoclavicular ligaments was 1.61 ± 0.92 mm, and 3.69 ± 1.09 mm for disrupted ligaments. For reconstructed conditions, displacements were as follows: Single-Tunnel Base (1.87 ± 0.64 mm), Single-Tunnel 1/9 (2.54 ± 1.13 mm), Single-Tunnel 1/5 (2.62 ± 1.17 mm), Double-Tunnel Base (1.25 ± 0.73 mm), Double-Tunnel 1/9 (2.03 ± 1.22 mm), and Double-Tunnel 1/5 (1.88 ± 1.20 mm). Differences among intact, reconstructed, and disrupted states were statistically significant (p = 0.01–0.0001), with all reconstruction techniques restoring horizontal displacement near the intact state. InterpretationAt point zero both single coracoid tunnel and single- and double-clavicle tunnel restored horizontal displacement to its intact state. Coracoid tunnel placement anterior to the base of the coracoid did not influence horizontal displacement but single coracoid at the coracoid base and single clavicle tunnel resulted in the most anatomic reconstruction. Single coracoid tunnel at the base and double-clavicle resulted in the most stable reconstruction.

Assessing the consistency and sensitivity of the neural correlates of narrative stimuli using functional near-infrared spectroscopy

Abstract Investigating how the brain responds to rich and complex narratives, such as engaging movies, has helped researchers study higher-order cognition in 'real-world' scenarios. These neural correlates are particularly useful in populations where behavioural evidence of cognition alone is inadequate, such as children and certain patient populations. While this research has been primarily conducted in fMRI and EEG, whether functional near-infrared spectroscopy (fNIRS) can reliably detect these neural correlates at an individual level, which is required for effective use in these populations, has yet to be established. This study replicated widespread inter-subject correlations (ISCs) in the frontal, parietal and temporal cortices in fNIRS in healthy participants when they watched part of the TV episode Bang! You're Dead and listened to an audio clip from the movie Taken. Conversely, these ISCs were primarily restricted to temporal cortices when participants viewed scrambled versions of those clips. To assess whether these results were reliable at the single-participant level, two follow-up analyses were conducted. First, the consistency analysis compared each participant's ISCs against group results that excluded that individual. This approach found that 24/26 participants in Bang! You're Dead and 20/26 participants in Taken were statistically similar to the group. Second, the sensitivity analysis measured whether machine learning algorithms could decode between intact conditions and their scrambled counterparts. This approach yielded balanced accuracy scores of 81% in Bang! You're Dead and 79% in Taken. Overall, the neural correlates of narrative stimuli, as assessed by fNIRS, are reproducible across participants, supporting its broad application to clinical and developmental populations.

Experimental validation of a parenteral permitted daily exposure value for cleaning-induced degradants from recombinant therapeutic proteins with in vitro immunogenicity assays

Multiproduct manufacturing of biotherapeutic proteins generate cleaning-induced protein degradants because of extreme pH and temperature conditions during the cleaning process. Cleaning Acceptance limits are calculated based on the maximum allowable carryover (MAC) assessment of the previously manufactured active pharmaceutical ingredient (API) – or drug product – based on the permitted daily exposure (PDE) of the previously manufactured API into the dose of subsequent product. In this study, we tested a previously determined PDE value for cleaning-induced protein degradants of 650 µg/dose. A bench-scale cleaning method was used to generate cleaning induced degradants from both a half-life extension (HLE) BiTE® molecule and a mAb product. For this investigation degradants of HLE BiTE®-A and mAb-1 were characterized either alone or degradants of HLE BiTE®-A and mAb-1 spiked into mAb-1 at 650 µg. These samples were characterized by endotoxin testing, size exclusion chromatography (SEC), light obscuration by HIAC, and micro-fluidic imaging (MFI). These results suggest that significant degradation of the molecule occurs because of the cleaning procedure, and it is no longer in the intact form or active state. The biological impact was assessed using a cell line assay to assess immune activation, and a human Peripheral Blood Mononuclear Cell (PBMC) assay to assess T cell activation, T cell proliferation, and cytokine release after 20 h and 7 days. Findings from the various in vitro cell-based assays suggest that the presence of 650 µg of carryover of degradants either alone or spiked into the same or a cross-product do not increase immunogenicity risk in cell-based assays – suggesting that the current PDE of 650 µg/dose for cleaning-induced degradant carryover does not have a risk of immunogenicity in patients.

Should individuals with unilateral transtibial amputation carry a load on their intact or prosthetic side?

Carrying side loads often occurs during activities of daily living. As walking is most unstable mediolaterally, side load carriage may further compromise gait biomechanics, especially for transtibial amputees (TTAs). This study investigated the effects of side load carriage on gait kinetics during steady-state walking to determine which side, intact or prosthetic, TTAs should carry a load. Twelve unilateral TTAs wore a passive-elastic foot and carried a side load of 13.6 kg while walking at their self-selected speed. Kinetic metrics, including ground reaction force peaks and impulses, loading and unloading rates, and joint moments and powers, were analyzed. TTAs had smaller propulsive forces on their intact limb during the prosthetic side load condition. During the intact side load condition, they exhibited smaller hip flexor moment in late stance and smaller knee flexor moment at the end of swing on their intact limb. They had higher hip and knee abductor moments on their intact limb and prosthetic limb in early and late stance during the contralateral side load condition. TTAs generated higher hip extensor power at weight acceptance during the ipsilateral side load. Significant interactions were observed in hip extensor power and abductor moment, suggesting strong associations between hip extensor power generation and the ipsilateral side load and between hip abductor moment and the contralateral side load. These mixed results demonstrate some kinetic changes due to side load carriage and suggest that the side TTAs should carry a load depends on the desired effects, primarily on their intact limb.

Comparison of a Novel Posterior Integrated Transfixation Sacroiliac Joint Fusion Approach to the Posterolateral and Lateral Approaches: A Cadaveric Biomechanical and Computational Analysis of the Fixation, Invasiveness, and Fusion Area.

To concurrently assess and compare the fixation efficacy, invasiveness, and fusion potential of a posterior integrated transfixation cage system to the posterolateral threaded implant and lateral triangular rod systems, in a cadaveric model. Twelve (12) cadaveric sacroiliac joint specimens were utilized and tested within the single-leg stance multidirectional pure moment bending model. Each specimen was tested in the intact, destabilized, treated (using posterior, posterolateral, and lateral systems), and post-fatigue conditions by applying 0 to ± 7.5 Nm of moment in flexion-extension, axial rotation, and lateral bending while measuring the angular range of motion between the sacrum and ilium. Computational models were reconstructed from Computed Tomography (CT) scans and manufacturer surgical technique guides. The models were utilized to quantify the volume of bone removed during implantation and the surface area available for fusion. The posterior integrated transfixation cage system and the lateral triangular rods produced equivalent motion reduction in all motion planes (P > 0.583). The posterolateral cylindrical threaded implant produced less motion reductions than the posterior and lateral implants in flexion-extension (6% ± 3% vs 37% ± 10% and 33% ± 11%, respectively, P <0.05). The posterior system removed 22%-60% less bone volume from the sacrum and ilium (P<0.10), introduced 200%-270% more implant surface to the joint space (P<0.01) and decorticated 75%-375% more joint surface area (P<0.01). The posterior integrated transfixation single-implant cage system is superior to the posterolateral cylindrical threaded single-implant system. Its performance in osteopenic bone is equivalent to the lateral triangular rod system in healthy bone; however, the posterior integrated transfixation cage system requires a single implant, while the lateral triangular rod system requires three. The posterior implant removes the least bone volume and has the most surface area for fusion, providing a significantly better opportunity for robust sacroiliac joint arthrodesis.

Posterior Glenoid Bone Grafting in the Setting of Excessive Glenoid Retroversion Does Not Provide Adequate Stability in a Cadaveric Posterior Instability Model

Background: Excessive glenoid retroversion is a known risk factor for posterior shoulder instability and failure after soft tissue stabilization procedures. Whether excessive glenoid retroversion is a risk factor for failure after posterior glenoid bone grafting is unknown. Purpose: To evaluate the biomechanical effectiveness of posterior iliac crest bone grafting (ICBG) for posterior shoulder instability with increasing glenoid retroversion. Study Design: Controlled laboratory study. Methods: Six fresh-frozen cadaveric shoulders had a posterior glenoid osteotomy allowing the glenoid retroversion to be set at 0°, 10°, and 20°. At these 3 preset angles, 4 conditions were simulated consecutively on the same specimen: (1) intact glenohumeral joint, (2) posterior Bankart lesion, (3) 20% posterior glenoid bone defect, and (4) posterior ICBG. Stability was evaluated in the jerk position (60° of glenohumeral anteflexion, 60° of internal rotation) by measuring (A) posterior humeral head (HH) translation (in mm) and (B) peak translational force (in N) necessary for translation of the HH over 25% of glenoid width. Results: At 0° of retroversion, the ICBG restored posterior HH translation and peak translational force to values comparable with those of the intact condition (P = .649 and P = .979, respectively). At 10° of retroversion, the ICBG restored the peak translational force to a value comparable with that of the intact condition (22.3 vs 24.7 N, respectively; P = .418) but showed a significant difference in posterior HH translation in comparison to the intact condition (4.5 vs 2.0 mm, respectively; P = .026). There was a significant increase in posterior HH translation and significant decrease in peak translational force with the ICBG at 20° of glenoid retroversion compared with the intact condition (posterior HH translation: 7.9 vs 2.0 mm, respectively; P < .006; peak translational force: 15.3 vs 24.7 N, respectively; P = .014). Conclusion: In this cadaveric study, posterior ICBG was able to restore stability to a level comparable to that of the native condition at 0° and to some extent at 10° of retroversion. However, posterior ICBG was not able to provide adequate stability at 20° of glenoid retroversion. Clinical Relevance: Posterior glenoid bone grafting with ICBG should be used with caution when performed in isolation in the setting of posterior instability associated with glenoid bone loss and combined glenoid retroversion of >10°.

Rehabilitation and reinforcement of cracked pavements using crack sealers and composite patches

Cracking is a significant concern for pavements and should be appropriately treated during road, highway, and runway rehabilitation. This study investigates the behavior of asphaltic materials under tensile and shear loading modes in intact, fractured, and repaired conditions. With this aim, several methods and materials are utilized for repairs, such as poring adhesive into the crack (using bitumen, neat epoxy resin, and polymer concrete adhesives) and patching the crack with textile (by glass fiber and epoxy resin or bitumen). These tests were conducted at +10 °C, with a three-point bending loading configuration, the same as the actual loading configuration of pavements. Criteria such as failure load, failure work, and post-failure work, as well as failure patterns, were assessed to assess the effectiveness of repairs. Numerical analysis was also performed, and a constitutive model was presented. The ultimate tensile capacity of the cracked specimen is measured at 63 % lower than the intact condition (778 N). The ultimate tensile load of the bitumen-repaired specimen is higher than that of the cracked specimen, but it is still 11 % lower than that of the intact condition. The ultimate tensile capacity of epoxy resin repaired and polymer concrete repaired specimens are 88 % and 79 % higher than the intact specimen (about 1400 N). The ultimate tensile load of the fabric patch reinforced specimen that used bitumen as the adhesive is 38 % higher than the intact specimen (1075 N), while for the case of using the epoxy resin adhesive, this value is 258 % (2788 N). Observations of tensile failure patterns show that, because bitumen is viscoelastic, failure in bitumen-repaired specimens happens in bitumen necking mode and starts at the repaired crack tip. In other cases, the failure occurred far from the pre-crack plane.

Arthroscopic Centralization of the Medial Meniscus Reduces Load on a Posterior Root Repair Under Dynamic Varus Loading: A Biomechanical Investigation

Background: In addition to the integrity of the meniscal hoop function, both the anterior and posterior meniscus roots as well as the meniscotibial and meniscofemoral ligaments are crucial in restraining meniscal extrusion. However, the interaction and load sharing between the roots and these peripheral attachments (PAs) are not known. Purposes: To investigate the influence of an insufficiency of the PAs on the forces acting on a posterior medial meniscus root repair (PMMRR) in both neutral and varus alignment and to explore whether meniscal centralization reduces these forces. Study Design: Controlled laboratory study. Methods: In 8 fresh-frozen human cadaveric knees, an arthroscopic transosseous root repair (step 1) was performed after sectioning the posterior root of the medial meniscus. The pull-out suture was connected to a load cell to allow measurement of the forces acting on the root repair. A medial closing-wedge distal femoral osteotomy was performed to change the mechanical axis from neutral to 5° of varus alignment. The meniscus was completely released from its PAs (step 2), followed by transosseous arthroscopic centralization (step 3). Each step was tested in both neutral and varus alignment. The specimens were subjected to nondestructive dynamic varus loading under axial compression of 300 N in 0°, 15°, 30°, 45°, and 60° flexion. The changes in force acting on the PMMRR were statistically analyzed using a mixed linear model. Results: Axial loading in neutral alignment led to an increase of the force of root repair of 3.1 ± 3.1 N (in 0° flexion) to 6.3 ± 4.4 N (in 60° flexion). In varus alignment, forces increased significantly from 30° (3.5 N; 95% CI, 1.1-5.8 N; P = .01) to 60° (7.1 N; 95% CI, 2.7-11.5 N; P = .007) flexion, in comparison with neutral alignment. Cutting of the PAs in neutral alignment led to a significant increase of root repair forces in all flexion angles, from 7.0 N (95% CI, 1.0-13.0 N; P = .02) to 9.1 N (95% CI, 4.1-14.1 N; P = .003), in comparison with the intact state. Varus alignment significantly increased the forces in the cut states from 4.8 N (95% CI, 1.0-8.5 N; P = .02) to 11.1 N (95% CI, 4.2-18.0 N; P = .006) from 30° to 60° flexion, in comparison with the neutral alignment. Arthroscopic centralization led to restoration of the native forces in both neutral and varus alignment, with no significant differences between the centralized and intact states. Conclusion: An insufficiency of the PAs of the medial meniscus, as well as varus alignment, led to increased forces acting on a PMMRR. These forces were reduced via an arthroscopic meniscal centralization. Clinical Relevance: Performing arthroscopic meniscal centralization concomitantly with PMMRR may reduce failure of the repair by reducing the load of the root.

Combined PCL instabilities cannot be identified using posterior stress radiographs in external or internal rotation: A cadaveric study.

Posterior stress radiography is recommended to identify isolated or combined posterior cruciate ligament (PCL) deficiencies. The posterior drawer in internal (IR) or external rotation (ER) helps to differentiate between these combined instabilities. The purpose of this study was to evaluate posterior stress radiography (PSR) in isolated and combined PCL deficiency with IR and ER compared to PSR in neutral rotation (NR) for diagnosing combined PCL instabilities. Six paired fresh-frozen human cadaveric legs (n = 12) were mounted in a Telos device for PSR. The tibia was rotated using an attached foot apparatus capable of rotating the foot 30° internally and externally. A posterior tibial load of 15 kp (147.1 N) was applied to the tibial tubercle at 90° knee flexion, and a lateral radiograph was obtained. This was repeated with the foot in 30° IR and ER. The PCL, posterolateral complex (PLC), and posteromedial complex (PMC) were sectioned in six knees, while the PMC was sectioned before the PLC in the other six knees. Posterior tibial displacement (PTD) was measured radiographically. Statistical analysis was performed using a two-way ANOVA and a mixed model with Bonferroni correction, and the significance was set at p < 0.05. Furthermore, intra- and interobserver reliability was determined. Cutting the PCL significantly increased the radiographic PTD by 9.8 ± 1.8 mm (side-to-side difference compared to the intact state of the knee, n = 12; p < 0.001). This further increased to 12.2 ± 2.3 mm (n = 6; p < 0.01) with an additional PLC deficiency and to 15.4 ± 3.4 mm (n = 6; p < 0.05) with an additional PMC deficiency. A combined PLC and PMC deficiency resulted in an increase of the PTD to 15.9 ± 4.5 mm (n = 12; p < 0.01). In the PCL/PLC deficient state, ER did not demonstrate a higher PTD, compared to the NR and IR posterior drawer. In the PCL/PMC deficient state in IR, PTD was 1.6 ± 0.7 mm (p < 0.01) higher compared to NR and 3.2 ± 1.9 mm (p < 0.05) higher compared to ER. We showed excellent intra- and interobserver reliability (0.987-0.997). Combined PCL instabilities resulted in a significant increase in posterior tibial displacement in posterior stress radiographs. However, PSR in IR or ER was unable to differentiate between these combined instabilities. Based on our data, additional stress radiographs in rotation are unlikely to provide any diagnostic benefit in the clinical setting. There is no level of evidence as this study was an experimental laboratory study.

Refined analysis of a supporting column assembly in a traditional Tibetan timber building and its limiting tilt angle before collapse

Traditional Tibetan architecture is an important part of the Chinese architecture. Many of the Tibetan structures are suffering from different types of damages after hundreds of years of service. The structural arrangement, types of damage and failure modes of these timber structures have been investigated on site. Tilting of structural members is found to be the most common type of damage. This paper studies the limiting inclination angle of a single-column supporting assembly of these structures before its collapse for proactive maintenance and restoration. A method to estimate the limiting tilt angle of the column is proposed based on the relationship between the lateral force, F, at the column head and the tilt angle, θ, of the column. Simplified analytical models of this column assembly in a traditional Tibetan timber building under in-plane and out-of-plane loadings respectively are proposed. The behavior of the constituting column foot joint, column-Queti joint and Queti-beam joint are analyzed in detail to obtain the global deformation and M-θ relationship of the column assembly under different loads. The F-θ relationship of the column assembly from the intact state to collapse is then obtained. A verified finite element model of the column assembly is adopted as reference to validate the performances of the proposed models throughout the loading process. Comparison of the F-θ curves obtained from the analytical models and the simulated results demonstrates the validity and accuracy of the proposed models. They may be adopted for a quick analysis of practical structures to estimate their limit states for health monitoring, maintenance and strengthening of structures.

Damming of streams due to the construction of a highway in the Amazon rainforest favors individual trophic specialization in the fish (Bryconops giacopinii).

In Amazonian streams, damming caused by road construction changes the system's hydrological dynamics and biological communities. We tested whether the degree of specialization in fish (Bryconops giacopinii) individuals is higher in pristine stream environments with intact ecological conditions than in streams dammed due to the construction of a highway in the Amazon rainforest. To achieve this, stomach content data and stable isotopes (δ13C and δ15N) in tissues with varying isotopic incorporation rates (liver, muscle, and caudal fin) were used to assess the variation in consumption of different prey over time. The indices within-individual component (WIC)/total niche width (TNW) and individual specialization were employed to compare the degree of individual specialization between pristine and dammed streams. The condition factor and stomach repletion of sampled individuals were used to infer the intensity of intraspecific competition in the investigated streams. The species B. giacopinii, typically considered a trophic generalist, has been shown to be, in fact, a heterogeneous collection of specialist and generalist individuals. Contrary to our expectations, a higher degree of individual specialization was detected in streams dammed by the highway. In dammed streams, where intraspecific competition was more intense, individuals with narrower niches exhibited poorer body conditions than those with broader niches. This suggests that individuals adopting more restricted diets may have lower fitness, indicating that individual specialization may not necessarily be beneficial for individuals. Our results support the notion that intraspecific competition is an important mechanism underlying individual specialization in natural populations. Our results suggest that environmental characteristics (e.g., resource breadth and predictability) and competition for food resources interact in complex ways to determine the degree of individual specialization in natural populations.

Evaluation of Tibiofemoral Contact Mechanics After a Novel Hybrid Procedure for Femoral Osteochondral Defect Repairs With a Subchondral Implant and Dermal Matrix.

There is a lack of procedures that adequately address the subchondral bone structure and function for reconstructing osteochondral defects in the femoral condyles. To biomechanically evaluate the tibiofemoral joint contact characteristics before and after reconstruction of femoral condylar osteochondral defects using a novel hybrid reconstructive procedure, which was hypothesized to restore the contact characteristics to the intact condition. Controlled laboratory study. Tibiofemoral contact areas, contact forces, and mean contact pressures were measured in 8 cadaveric knees (mean age 52 ± 11 years; 6 women, 2 men) using a custom testing system and pressure mapping sensors. Five conditions were tested for each condyle: intact, 8-mm defect, 8-mm repair, 10-mm defect, and 10-mm repair. Medial femoral condylar defects were evaluated at 30° of knee flexion and lateral condylar defects were evaluated at 60° of knee flexion, with compressive loads of 50, 100, and 150 N. The defects were reconstructed with a titanium fenestrated threaded implant countersunk in the subchondral bone and an acellular dermal matrix allograft. Repeated-measures analysis of variance with Bonferroni correction for multiple comparisons was used to compare the results between the 5 testing conditions at each load. Medial condylar defects significantly increased mean contact pressure on the lateral side (P < .042), which was restored to the intact levels with repair. The lateral condylar defect decreased the mean contact pressure laterally while increasing the mean pressure medially. The lateral and medial mean contact pressures were restored to intact levels with the 8-mm lateral condylar defect repair. The medial mean contact pressure was restored to intact levels with the 10-mm lateral condylar defect repair. The lateral mean contact pressure decreased compared with the intact state with the lateral condylar 10-mm defect repair. Tibiofemoral joint contact pressure was restored to the intact condition after reconstruction of osteochondral defects with dermal allograft matrix and subchondral implants for the repair of both 8- and 10-mm lateral condylar defects as well as 8-mm medial condylar defects but not completely for 10-mm medial condylar defects. The novel hybrid procedure for osteochondral defect repair restored tibiofemoral joint contact characteristics to normal in a cadaveric model.

The Fibular Collateral Ligament Is a More Important Restraint to Varus Laxity Compared to the Anterolateral Complex in the Anterior Cruciate Ligament–Deficient Knee in a Cadaveric Biomechanical Study

PurposeThe purpose of this study was to compare the influence of the fibular collateral ligament (FCL) and the anterolateral complex (ALC) on varus knee laxity in paired anterior cruciate ligament (ACL)-deficient cadaveric knees using varus stress radiographs. MethodsVarus laxity in nine paired (N=18, mean age 73.8 years) human cadaveric knees was assessed using varus stress radiographs with a 12 Nm varus stress applied at 20° of knee flexion. All knees underwent testing in the intact state and following ACL sectioning. One knee of each pair was randomly assigned to undergo FCL sectioning and the contralateral knee was assigned to undergo ALC sectioning (anterolateral ligament [ALL] followed by the Kaplan fibers). ResultsBoth FCL sectioning and ALC (ALL and the Kaplan fibers) sectioning resulted in increased lateral compartment gapping compared to the intact state, 2.44 mm and 1.13 mm, respectively. ALL sectioning with intact Kaplan fibers did not result in increased lateral compartment gapping. Paired knee comparison revealed a significantly greater influence of the FCL than the ALC in restraining lateral compartment gapping under an applied varus stress (p=0.0003). ConclusionsSectioning the FCL resulted in significantly greater lateral compartment gapping under a varus stress than combined sectioning of the ALL and Kaplan fibers in an ACL deficient knee, although both scenarios resulted in significantly increased gapping compared to the intact state. Sectioning of the ALL with intact Kaplan fibers did not result in increased lateral compartment gapping. Clinical RelevanceThe FCL is the most important structure in restraining varus laxity in the ACL deficient knee and the ALC is of secondary importance in restraining varus laxity. In ACL deficient patients with a high-grade pivot shift, mild varus laxity on clinical examination, and an intact FCL on MRI, injury to the anterolateral complex should be considered and may be evaluated with varus stress radiographs. This study validates prior biomechanical studies of FCL deficiency and demonstrates that approximately 1 mm increase in lateral compartment gapping on varus stress radiographs may occur secondary to ALC injury and clinicians should be aware of this when considering treatment for ACL deficient patients with high-grade anterolateral laxity.