Part Of Joint Research Articles

Recognition and Scoring Physical Exercises via Temporal and Relative Analysis of Skeleton Nodes Extracted from the Kinect Sensor

Human activity recognition is known as the backbone of the development of interactive systems, such as computer games. This process is usually performed by either vision-based or depth sensors. So far, various solutions have been developed for this purpose; however, all the challenges of this process have not been completely resolved. In this paper, a solution based on pattern recognition has been developed for labeling and scoring physical exercises performed in front of the Kinect sensor. Extracting the features from human skeletal joints and then generating relative descriptors among them is the first step of our method. This has led to quantification of the meaningful relationships between different parts of the skeletal joints during exercise performance. In this method, the discriminating descriptors of each exercise motion are used to identify the adaptive kernels of the Constrained Energy Minimization method as a target detector operator. The results indicated an accuracy of 95.9% in the labeling process of physical exercise motions. Scoring the exercise motions was the second step after the labeling process, in which a geometric method was used to interpolate numerical quantities extracted from descriptor vectors to transform into semantic scores. The results demonstrated the scoring process coincided with the scores derived by the sports coach by a 99.5 grade in the R2 index.

Study on fatigue performance and topology optimization of cast steel bifurcation joint under alternating load

Abstract The numerical simulation analysis of a typical cast steel bifurcation joint under the alternating load was performed to comprehend its mechanical properties. The MSC Fatigue is used to explore and analyze the fatigue behavior of joints, and the control variable approach is used to examine the impact of various geometric parameters on fatigue life. Then, the load spectrum and fatigue life were invertedly calculated and transformed into maximum stress constraints by converting fatigue limitations into stress constraints. Finally, the optimal shape of cast steel bifurcation joint under fatigue limitations was studied using topology optimization methods, intending to solve the lightweight problem while still fulfilling fatigue design requirements. The research results show that the intersection of the main and branch pipes is the fatigue weakest part of the whole joint, and the geometric parameters significantly affect the joint's fatigue performance. The topology optimization shapes of cast steel bifurcated joints are different under vertical and horizontal loads, indicating that different load conditions significantly impact topology optimization shapes. The topology optimization method can reduce the self-weight while maintaining fatigue performance.

A robust low-friction triple network hydrogel based on multiple synergistic enhancement mechanisms

Hydrogels exhibit promising applications, particularly due to their high water content and excellent biocompatibility. Despite notable progress in hydrogel technology, the concurrent enhancement of water content, mechanical strength, and low friction poses substantial challenges to practical utilization. In this study, employing molecular and network design guided based on multiple synergistic enhancement mechanisms, we have developed a robust polyvinyl alcohol (PVA)–polyacrylic acid (PAA)–polyacrylamide (PAAm) three-network (TN) hydrogel exhibiting high water content, enhanced strength, low friction, and fatigue resistance. The hydrogel manifests a water content of 63.7%, compression strength of 6.3 MPa, compression modulus of 2.68 MPa, tensile strength reaching 7.3 MPa, and a tensile modulus of 10.27 MPa. Remarkably, even after one million cycles of dynamic loading, the hydrogel exhibits no signs of fatigue failure, with a minimal strain difference of only 1.15%. Furthermore, it boasts a low sliding coefficient of friction (COF) of 0.043 and excellent biocompatibility. This advancement extends the applications of hydrogels in emerging fields within biomedicine and soft bio-devices, including load-bearing artificial tissues, artificial blood vessels, tissue scaffolds, robust hydrogel coatings for medical devices, and joint parts of soft robots.

Comparison of outcomes after total hip arthroplasty in hip fracture versus elective cases in patients over 60 years of age

BackgroundTotal hip arthroplasty (THA) allows for the replacement of impaired parts of the hip joint with artificial ones. This study aimed to compare the differences in preoperative patient profiles, postoperative complications, and clinical outcomes of two patient groups: those who underwent THA for fractures and those who underwent THA electively for diseases such as osteoarthritis (OA) and avascular necrosis (AVN). MethodsWe retrospectively analyzed the data of patients who underwent THA between March 2012 and December 2021. Of 232 patients, 173 patients who met the exclusion and inclusion criteria were included. Patients were divided into two groups (Group 1: 113 patients diagnosed with OA or AVN; Group 2: 60 patients diagnosed with hip fracture). Pre- and postoperative Visual Analogue Scale (VAS), Koval scores, and postoperative modified Harris Hip Score (mHHS) were used to assess clinical outcomes. Demographic data and postoperative complications of the two groups were compared. After surgery, a rehabilitation protocol was initiated. ResultsPatients in Group 2 (fracture) had more preoperative comorbidities than those in Group 1 (elective). Follow-up months are 26.22 ± 19.78 (Group 1), and 27.42 ± 17.02 (Group 2) respectively (P > 0.05). There were no statistical differences in the prevalence of postoperative complications between two groups (P > 0.05). Compared with Group 1(elective), Group 2(fracture) showed lower VAS (P < 0.01) at last follow-up, and no difference in Koval score (P = 0.77) and mHHS (P = 0.96) at last follow-up. ConclusionConsidering the characteristics of the two groups and their perioperative multidisciplinary care, THA for hip fractures can provide good clinical results compared to those with elective THA.

Effect of cold expansion on the fatigue life of multi-hole 7075-T6 aluminum alloy structures under the pre-corrosion condition

The multi-hole structures with cold expansion are extensively utilized in the various joint parts of aircraft. However, the synergistic effect of stress concentration and atmospheric corrosion will cause severe deterioration of structural loading capabilities. Thus, it is crucial to investigate the fatigue life degradation mechanism of these structures under pre-corrosion conditions. In this paper, three-hole specimens with cold expansion (CE) and non-cold expansion (NCE) were used to investigate the effect of cold expansion on the fatigue performance of multi-hole structures of 7075-T6 aluminum alloy under pre-corrosion conditions. The life degradation law and damage mechanism of these two types of specimens under pre-corrosion conditions were analyzed. Furthermore, the cold expansion strengthening factor was proposed through the curve-fitting of the fatigue life attenuation ratio of these two types of specimens. Finally, a competition mechanism for the contribution ratio to the final fracture of the specimens in corrosive environments was proposed based on the SEM morphology analysis of the fatigue fracture of the specimens.

Oblique Dorsiflexion Osteotomy of the Distal Tibia for Fixed Ankle Equinus: Surgical Technique.

There are significant challenges in the treatment of a severe rigid ankle equinus caused by a flat-topped talus, arthrogryposis, burn sequelae, or extensive scarring. Conventional approaches, such as soft tissue releases, often fail due to joint incongruence or compromised soft tissues, thereby necessitating supramalleolar osteotomies. The classic transverse supramalleolar osteotomy (TSO) of the distal tibia can lead to secondary anterior translation of the centre of rotation of the ankle and alters mechanical and anatomical axes. An alternative technique involves an oblique closing wedge osteotomy of the distal tibia, with a fulcrum near the ankle joint. This technical note delineates the planning parameters and procedural steps for the oblique dorsiflexion osteotomy of the distal tibia (ODODT). Using an anterior approach to the distal tibia, the "alpha angle," which determines the size of the closing wedge required for the foot to be plantigrade, is resected with a fulcrum at the most posterior part of the ankle joint, ensuring that the posterior cortex remains intact. The inclination of this resected wedge is planned preoperatively and is referred to as the "beta angle." This aims to equalise the lengths on both sides of the osteotomy. For osteotomy fixation, 2 or 3 cannulated screws in lag mode are employed. Postoperatively, a short cast boot is used for 6 weeks. The ODODT is a salvage solution for severe rigid ankle equinus when first-line foot and ankle procedures are impractical due to tibiotalar incongruence or poor soft tissues. Advantages include minimal translation of the centre of rotation of the ankle, excellent stability when the posterior cortex remains intact, avoidance of large internal fixation devices, and cost-effectiveness, making it suitable for low-resource settings. Olleac R, Farfan F, Acosta L, et al. Oblique Dorsiflexion Osteotomy of the Distal Tibia for Fixed Ankle Equinus: Surgical Technique. Strategies Trauma Limb Reconstr 2024;19(2):104-110.

Shot mechanical analysis according to shooting performance in youth basketball players

In basketball, shooting stands out as a vital technique directly affecting the game results. Identifying shooting mechanics early in a basketball player's career can significantly develop shooting performance in subsequent years. This study aimed to explore shooting percentages based on angular positions of joint parts in the shooting techniques of youth basketball players. Fifteen male participants (average age: 14.1±0.7 years, height: 180.7±7.9 cm, body weight: 65.4±10.0 kg, sports experience: 4.7±0.4 years) voluntarily participated in the study. They were divided into high shooting rate (n: 7) and low shooting rate (n: 8) groups. Both groups attempted 60 shots from the free throw line (20 shots), right forward position (20 shots), and left forward position (20 shots). Joint angle values during the initial and final shooting phases were compared between groups using Independent t-tests. Significant differences were found between groups in the shoulder part during the beginning phase and the wrist part during the final shooting phase (p

A Covalent Organic Nanoribbon: Preparation, Single‐Crystal Structure with Chinese Luban Lock Configuration, and Photocatalytic Behavior

AbstractThe multiple mortise‐and‐tenon joint parts are the core factors to provide the structural stability and diversity of Chinese Luban locks; however, constructing such structures is very challenging. Herein, single crystals of a covalent organic nanoribbon (named CityU‐27) are prepared through the assembly of hexahydroxytriphenylene (HHTP), 4,4′‐vinylenedipyridine (BYE), and phenylboronic acid (BA) together through dative boron←nitrogen (B←N) bonds. The single‐crystal X‐ray diffraction analysis indicates that CityU‐27 has a covalent organic nanoribbon structure, where each nanoribbon forms multiple and tight π–π interactions with four neighboring others to generate a Luban lock‐like configuration. CityU‐27 has been demonstrated to be an efficient photocatalyst in a one‐pot tandem reaction of hydrogen evolution reaction (HER) and semi‐hydrogenation reaction of alkynes in series to produce olefins without any additional photosensitizers and co‐catalysts (metal‐free).

Detection of Piston Ring Deficiency in The Assembly of Automotive Ball Joint and Tie Rod End Parts

In today's intensely competitive environment, businesses strive to optimize production efficiency to reduce costs, increase profitability, and ensure customer satisfaction. This focus on efficiency and quality enables businesses to operate more effectively, gain a competitive advantage in the market, and move towards sustainable growth. This study uses image processing techniques to detect missing segments in the assembly of ball joints automatically. In the automotive industry, performing quality control of critical components before assembly and detecting and classifying the defective ones is essential. Many quality control methods can be applied with existing technologies. This paper proposes an automatic real-time control based on image processing techniques to detect ball joint missing segments, a common defect in the automotive industry. In the company, operators perform defect detection by visual inspection. In this system, production continues in cases where the operator cannot detect the defect. This system aims to detect the errors made by the operator during the assembly operations and provide instant feedback. The developed system uses OpenCV library algorithms that are highly accurate in detecting defects in manual assembly processes so that missing components are removed from the production chain, and production quality is significantly improved. Accuracy is over 94% when identifying missing segments, about 30% better than traditional methods. In tests, 1200 ball joints were run through the system, resulting in 1150 defects being correctly identified and removed from the production line. Accuracy is high thanks to the application of various image processing techniques such as grayscale conversion, edge detection, and shape recognition. This also provides real-time feedback to the operator so the system can reduce detection and response time from 15 seconds to 5 seconds. This increases production speed and reduces the error rate in manual assembly processes by 20%. This paper also highlights the potential of image processing technology in manufacturing. It will contribute to improved quality control mechanisms to increase the reliability and efficiency of production lines in the automotive industry.

Numerical and mechanical research on withdrawal capacity of parallel-to-grain connection part of mortise and loose tenon joint for wooden furniture

Numerical and mechanical research on withdrawal capacity of parallel-to-grain connection part of mortise and loose tenon joint for wooden furniture

Endoprosthetic replacement with preservation of the epiphysis for proximal tibial reconstruction after osteosarcoma resection in children: a case report

BackgroundLimb salvage surgery is an important method for treating malignant tumors of the bone involving the adjacent parts of the major joints in children. This technique allows for preservation of limb function, especially in the lower limb. However, the reconstruction of the proximal end of the tibia after removing the tumor mass with a rational scale to preserve the total knee joint and reduce limb length discrepancy presents a challenge.Case presentationWe present a case of osteosarcoma of the proximal tibia. After being treated with an extended tumor resection, the proximal tibia of the child was restructured using endoprosthetic replacement with epiphyseal preservation. This procedure preserves the entire articular surface and growth plate of the knee joint of the affected limb and provides a feasible alternative protocol for retaining the function and growth potential of the affected limb. The patient remained disease-free and normal limb motor function was observed during the 3.5 year follow-up since the initial surgery.ConclusionsPreservation of the epiphysis enabled our patient to perform better limb function after limb-saving surgery as a result of his undamaged knee joint and minimized limb-length discrepancy. We believe that endoprosthetic replacement with preservation of the epiphysis can provide the best strategy for reconstruction after resection of focal malignant tumors in long bones without epiphytic involvement.

A Covalent Organic Nanoribbon: Preparation, Single-Crystal Structure with Chinese Luban Lock Configuration, and Photocatalytic Behavior.

The multiple mortise-and-tenon joint parts are the core factors to provide the structural stability and diversity of Chinese Luban locks; however, constructing such structures is very challenging. Herein, single crystals of a covalent organic nanoribbon (named CityU-27) are prepared through the assembly of hexahydroxytriphenylene (HHTP), 4,4'-vinylenedipyridine (BYE), and phenylboronic acid (BA) together through dative boron←nitrogen (B←N) bonds. The single-crystal X-ray diffraction analysis indicates that CityU-27 has a covalent organic nanoribbon structure, where each nanoribbon forms multiple and tight π-π interactions with four neighboring others to generate a Luban lock-like configuration. CityU-27 has been demonstrated to be an efficient photocatalyst in a one-pot tandem reaction of hydrogen evolution reaction (HER) and semi-hydrogenation reaction of alkynes in series to produce olefins without any additional photosensitizers and co-catalysts (metal-free).

Study on the Tribological Properties of DIN 16MnCr5 Steel after Duplex Gas-Nitriding and Pack Boriding.

DIN 16MnCr5 is commonly used in mechanical engineering contact applications such as gears, joint parts, shafts, gear wheels, camshafts, bolts, pins, and cardan joints, among others. This study examined the microstructural and mechanical properties and tribological behavior of different surface treatments applied to DIN 16MnCr5 steel. The samples were hardened at 870 °C for 15 min and then quenched in water. The surface conditions evaluated were as follows: quenched and tempered DIN 16MnCr5 steel samples without surface treatments (control group), quenched and tempered DIN 16MnCr5 steel samples with gas-nitriding at 560 °C for 6 h, quenched and tempered DIN 16MnCr5 steel samples with pack boriding at 950 °C for 4 h, and quenched and tempered DIN 16MnCr5 steel samples with duplex gas-nitriding and pack boriding. Microstructure characterization was carried out using metallographic techniques, optical microscopy, scanning electron microscopy with energy-dispersive spectroscopy, and X-ray diffraction. The mechanical properties were assessed through microhardness and elastic modulus tests using nanoindentation. The tribological behavior was evaluated using pin-on-disc tests following the ASTM G99-17 standard procedure under dry sliding conditions. The results indicated that the surface treated with duplex gas-nitriding and pack boriding exhibited the highest wear resistance and a reduced coefficient of friction due to improved mechanical properties, leading to increased hardness and elastic modulus.

Division of the iliac vessels in the anterior intrapelvic approach to acetabular fracture

IntroductionThe modified Stoppa approach is gradually becoming the gold standard in pelvic ring and acetabulum surgery. One of the potential intraoperative complications is vascular injury. The aim of this study was to identify the level of division of common iliac vessels with respect to a bone landmark, their inter-individual variability and their correlation with morphological criteria. Material and methodsThis was a single-center continuous retrospective study of patients who had preoperative CT angiography for pelvic fracture between February 2017 and May 2018. The level of arterial and venous division and the angle of vein division were measured bilaterally for each patient from the most antero-inferior part of the sacroiliac joint on multiplanar reconstruction and standardized analysis. Relationships with morphological data (age, gender, BMI, height), anterior column fracture and deep venous thrombosis were analyzed. ResultsThe right arterial division level was 50±16mm (−2.35; 96) from the landmark and the left arterial division level 44±14mm (0; 80). The right venous division level was 30±12mm (−9; 75) and the left venous division level 30±13mm (−5; 66). The right venous bifurcation angle was 65±18° (22; 119) and the left venous bifurcation angle 68±17° (18; 117). The arterial division level was significantly higher on the right side (p=0.007). There were no significant correlations with morphological data. ConclusionThe great inter-individual variability of iliac vessels should prompt analysis of their morphology on routine imaging when planning pelvic surgery using the modified Stoppa approach, in order to anticipate the risk of bleeding. Level of evidenceIV; cases series.

Vascularity evaluation of the equine tarsocrural and proximal intertarsal joint septum, and comparative analysis of two arthroscopic transection techniques.

To evaluate vascularity of the synovial membrane covered septum (SMS) separating the tarsocrural (TC) and proximal intertarsal (PIT) joints (Part 1) and compare two methods of transection, electrosurgical or Ferris Smith rongeur (FS rongeur) (Part 2). Experimental study. Part 1, 10 SMS (n = 5 horses). Part 2, six horses (n = 12 tarsi). In part 1, SMS harvested postmortem were each divided into eight regions of interest (ROIs), processed for histology, and immunostained with anti-α-actin antibody for blood vessel identification. Vascular density was calculated for each ROI. Data was compared within and between horses. In part 2, six horses underwent TC arthroscopy. Each limb was randomly assigned to undergo either electrosurgical or FS rongeur SMS transection. SMS transection and total operative time were recorded. Intraoperative hemorrhage was scored. Data was compared between both techniques. Significant interindividual variations in SMS vascular density were detected (p = .02), but there were no differences among ROIs. No differences in the transection time were detected between electrosurgery (4.83 ± 0.54 min) and FS rongeur (4.33 ± 0.67 min). No differences were found in intraoperative hemorrhage scores between techniques. Vascularity within the SMS varies among horses but not within its regions. Electrosurgical or FS rongeur transection of the medial SMS during tarsocrural arthroscopy is a rapid technique and improves surgical access to the dorsal compartment of the PIT.

Analytical solutions for joints in an infinite Euler-Bernoulli beam on a viscoelastic foundation subjected to time-lag loads

This paper investigates the analytical method for the infinite beam with joint parts resting on a foundation under time-lag loads. The ground is simulated as a viscoelastic foundation. The existence of joint parts in beams is explained by introducing virtual forces expressed through the Dirac delta function. Integral transformation simplifies the dynamic governing equations for standard beam sections and joint parts into an algebraic equation. The convolution theorem converts the solutions into the time domain. The analytical solutions for dynamic analysis of standard beam sections and joint parts are obtained conveniently in the frequency domain. The proposed analytical method is verified by comparing it with the traditional methods and also validated by numerical examples with time-lag loads. Parametric discussions study the effects on the dynamic response of joint parts and standard beam sections, such as the amplitude and frequency of time-lag loads and coefficient of bending stiffness reduction of joint parts. The parametric analyses emphasize the dramatic effect of critical parameters on the discontinuous deformation of beams. The damage caused by critical values of some factors is emphasized. The severe effects of discontinuous deformation induced by dynamic loads in the safety of beam structures are revealed in this paper. The differences in dynamic responses between the beam and joint part must be monitored to ensure the safety of whole beam structures.

Downregulation of SOX9 expression in developing entheses adjacent to intramembranous bone.

Entheses are classified into three types: fibrocartilaginous, fibrous, and periosteal insertions. However, the mechanism behind the development of fibrous entheses and periosteal insertions remains unclear. Since both entheses are part of the temporomandibular joint (TMJ), this study analyzes the TMJ entheses. Here, we show that SOX9 expression is negatively regulated during TMJ enthesis development, unlike fibrocartilage entheses which are modularly formed by SCX and SOX9 positive progenitors. The TMJ entheses was adjacent to the intramembranous bone rather than cartilage. SOX9 expression was diminished during TMJ enthesis development. To clarify the functional role of Sox9 in the development of TMJ entheses, we examined these structures in TMJ using Wnt1Cre;Sox9flox/+ reporter mice. Wnt1Cre;Sox9flox/+ mice showed enthesial deformation at the TMJ. Next, we also observed a diminished SOX9 expression area at the enthesis in contact with the clavicle's membranous bone portion, similar to the TMJ entheses. Together, these findings reveal that the timing of SOX9 expression varies with the ossification development mode.

Dental practitioners’ knowledge, management practices, and attitudes toward collaboration in the treatment of temporomandibular joint disorders: a mixed-methods study

BackgroundTemporomandibular joint disorders (TMDs) are a variety of conditions that affect different parts of the temporomandibular joints (TMJ) and can cause orofacial pain and functional impairment. This study aims to investigate dental practitioners’ knowledge and management of Temporomandibular Joint Disorders (TMDs), particularly their knowledge of the role physical therapy plays in TMD treatment.MethodsA mixed-methods approach was adopted to provide a comprehensive view of current knowledge, management practices, and attitudes toward collaboration among dental practitioners in treating TMD. Data were collected from a convenience sample of 335 dentists in Karachi using a detailed questionnaire to assess their knowledge of the role of physical therapy in the treatment of TMD. Twenty dentists were chosen for face-to-face, in-depth interviews to explore their experiences and challenges in managing TMDs based on their responses to the administered questionnaire.ResultsThe cumulative quantitative and qualitative findings of the study revealed a landscape marked by individualized approaches to referral practices and significant gaps in interdisciplinary collaboration. Most practitioners holding a bachelor’s degree predominantly used medication (65.2%) and cause-specific treatment (65.3%) for TMD treatment. Thematic analysis of clinical efficacy and practitioner challenges in managing TMD revealed significant issues faced by dental professionals.ConclusionsThe study successfully validated a questionnaire to understand dental practitioners’ knowledge regarding physical therapy in TMD treatment. The study identified significant gaps in knowledge and a lack of collaboration between dentists and physiotherapists. The limited referral practices highlighted in the study, along with insights from dentist interviews, emphasize the need for improved interdisciplinary approaches to managing TMDs within dental practice.

On the influence of local deformation on structural dynamic models of bolted lap joints

The acoustic and structural dynamic behavior of technical products—often referred to as Noise, Vibration, and Harshness (NVH)—is an important criterion in customers’ purchasing decisions. Therefore, NVH optimization is a crucial goal of the development process. NVH is influenced by dynamic excitations, caused by time-varying forces e.g. in gears or electric machines, as well as the transfer path of sound from the location of excitation to a receiver such as a driver’s ear and the sound perception. The behavior of the transfer path is determined by amplification or isolation of structure-borne and airborne sound between the location of the excitation and the location of the receiver. As a result, eigenfrequencies and damping in the transfer path form crucial structural dynamic properties.Within jointed structures, friction between the surfaces of lap joints are the most dominant influencing factor on the transfer path’s damping. In order to increase the efficiency of NVH optimization in the development process, methods of virtual product development have become an established tool. Especially finite element method (FEM) and elastic multi-body simulation (eMBS) have allowed to numerically evaluate the structural dynamic behavior of technical products before manufacturing physical prototypes. While numerous methods for modeling jointed structures exist in FEM and eMBS environments, the choice of suitable eMBS models of joints remains challenging today. This is because the frictional behavior between the jointed partners in higher frequencies is largely influenced by the deformation of the joint surface. However, the deformation of the jointed parts is simplified in eMBS models compared to quasi-continuous FEM models. Accordingly, the choice of a suitable spatial discretization of eMBS joint models is a key factor in the model quality of eMBS models. Thus, this work proposes a modeling guideline for eMBS models of jointed structures based on the deformation of the structure using the criterion of rigidness. The method is demonstrated on an eMBS model of the academic Brake Reuß beam, which consists of two beam elements jointed with three screws in an overlap lap joint. Good agreement between eMBS simulation and measurement with an error of 1 dB is achieved using the proposed modeling method.

Effects of early debridement and conservative eschar removal followed by wound coverage with acellular dermal matrix in the treatment of children with deep burns

Effects of early debridement and conservative eschar removal followed by wound coverage with acellular dermal matrix in the treatment of children with deep burns