Rotation Changes Research Articles

Association between distal tibial rotation and clinical outcomes of medial open-wedge high tibial osteotomy

BackgroundThe purpose of this study was to evaluate the association between changes in knee joint geometry after medial open-wedge high tibial osteotomy (MOWHTO) and clinical outcomes. MethodsThis was a retrospective study of patients who underwent MOWHTO (101 knees) at our hospital between January 2015 and February 2022 and who were followed up for > 2 years. Radiological and functional outcomes were compared between those who were satisfied with surgery (satisfaction group) and patients who were dissatisfied with surgery (dissatisfaction group). Multiple regression analysis was performed to analyze factors affecting the radiological parameters that significantly differed between the two groups. ResultsThe average follow up period was 38.0 ± 15.4 months. There were no significant differences regarding demographic characteristics and preoperative radiological parameters between the satisfaction and dissatisfaction groups. There was a significant intergroup difference with respect to postoperative distal tibial rotation and change in distal tibial rotation (13.5 ± 4.8° and 9.5 ± 4.3°, respectively; P < 0.001). The difference in tibial rotation before and after surgery was 4.3 ± 2.3° and 1.7 ± 1.8° in the dissatisfaction and satisfaction groups (P < 0.001) Multiple regression analysis showed that the correction angle affected the distal tibial rotation in MOWHTO (R2 = 0.079, ß = 0.165, P = 0.038). ConclusionsIn MOWHTO, an increase in distal tibial rotation was associated with patient dissatisfaction. Because the increase in distal tibial rotation is associated with a large correction angle, excessive distal tibial rotation should be avoided when MOWHTO requires a large correction angle.

Increased kinematic changes in ascending compared with descending biplanar cut in open wedge high tibial osteotomy—a multibody simulation

BackgroundThe ascending or descending extended biplanar tibial cut in open wedge high tibial osteotomy (owHTO) not only changes the lower limb anatomy in the coronal plane but also leads to different three-dimensional (3D) changes in the patellofemoral joint. This study aimed to perform a comprehensive analysis of the dynamic biomechanical changes in the knee joint using a multibody simulation model.MethodsThirteen 3D computer models derived from lower limb computer tomography scans were used for owHTO. Osteotomies with ascending or descending biplanar cut were simulated for each wedge height from 6 to 12 mm (in 1-mm intervals). Multibody simulation was used to analyze differences in patellar shift, patellar tilt, mediolateral patellar rotation, and tibiofemoral rotation during a squat simulation from 5° to 100° knee flexion.ResultsThe main effects of an ascending compared with a descending extended biplanar cut in owHTO were characterized by an increase in lateralization of the patella and rotation, along with reduced tilt. Linear mixed models revealed statistically significant effects of both wedge height and cut variant on knee kinematics at 100° knee flexion, with the influence of the cut variant (ascending/descending) being higher on all analyzed kinematic parameters.ConclusionsSignificant differences in the changes in patellofemoral shift, tilt, rotation, and tibiofemoral rotation were observed when performing owHTO with an ascending versus a descending biplanar cut. Apart from tibiofemoral rotation, the resulting kinematic changes were greater with an ascending cut.

Revision total hip arthroplasty with medial wall defect using bone graft with or without porous metal restrictor

When a severe medial wall defect is present in revision total hip arthroplasty (THA), simple bone grafting (BG) may not be sufficient, and trabecular metal (TM) augmentation is often necessary. We aimed to evaluate whether there were differences in outcomes of revision THA with medial wall defects depending on the use of TM augmentation. Between 2009–2021, 130 patients were classified into two groups: 80 patients undergoing bone grafting (BG group) and 50 patients undergoing both bone grafting and TM augmentation (BG/TM group). We evaluated the postoperative center of rotation (COR) position and changes in vertical and horizontal COR at last follow-up. Additionally, we categorized the fate of the transplanted bone graft into four groups: unchanged, initially changed, resorption-no further intervention, and resorption-revision. The mean horizontal COR changes were −3.50 mm in the BG group and −1.07 mm in the BG/TM group (p = 0.005). In the BG/TM group, a higher proportion of the patients showed unchanged or only initial changes when compared to the BG group (88.0% and 65.0%, respectively). The BG/TM group showed more favorable results regarding horizontal changes in the COR and fate of the bone graft. Therefore, for revision THA in patients with severe medial wall defects, the combined use of bone graft and TM augmentation can be a suitable option.

Robust Multimodal Image Matching Based on Radiation Invariant Phase Correlation

Abstract. Due to the influence of nonlinear radiation distortion and geometric deformation, achieving multimodal image matching remains a challenging task. To address these issues, this paper proposes a method called radiation invariant phase correlation (RIPC) to simultaneously estimate the rotation, scale, and displacement changes of multimodal image pairs. Firstly, based on the local structure characteristics of the image itself, we harness the nonlinear invariance of kernel canonical correlation analysis to devise the multimodal local self-correlation (MLSC) descriptor. This descriptor is resilient to nonlinear radiative differences, as well as local rotation and scale variations. Subsequently, we incorporate the log-polar coordinate transformation to capture the overall rotation and scale changes in the image, enabling independent representation of these factors on the Cartesian coordinate system. Finally, drawing upon the continuity of displacement estimation, as well as rotation and scale estimation, we construct a five-dimensional descriptor tailored for phase correlation. Extensive experiments conducted on five open-source datasets demonstrate that our proposed method surpasses state-of-the-art (SOTA) techniques in matching performance. Furthermore, our RIPC method achieves matching accuracy within 2-pixel threshold, which underscores its effectiveness in multimodal remote sensing image matching.

Constraint on the background stress in the source region of the 2016 Kumamoto earthquake sequence based on temporal changes in elastic strain energies and coseismic stress rotation

SUMMARY We investigated the deviatoric stress magnitude of the background stress fields before the 2016 Kumamoto earthquake sequence in Japan based on temporal changes in elastic strain energies caused by the mainshock and coseismic stress rotation. We modelled the six components of background stress fields from stress orientations together with the parameter of effective friction coefficients (μ’ = 0.3, 0.15, 0.1, 0.05 and 0.03) using the 3-D Mohr diagram. We computed the absolute stress fields immediately following the primary events (the largest foreshock and mainshock) of the earthquake sequence by combining coseismic stress change fields with background stress fields. The total amount of elastic strain energy released by the mainshock increased with the effective friction coefficient. Considering the energy balance in which some part of the released energy must be consumed as radiated energy, we understood that the model with μ’ = 0.03 was unrealistic. We also examined the dependence of coseismic stress rotation on the effective friction coefficient. Furthermore, we applied a stress inversion method to moment tensor data of earthquakes to directly estimate coseismic stress rotation. Comparing the theoretical and estimated coseismic stress rotations, we concluded that the models with μ’ = 0.3 and 0.15 were more consistent with the observations than those with μ’ &amp;lt; 0.1. In the reasonable models, the deviatoric stress magnitudes were 37–65 and 39−70 MPa at a depth of 10 km on the northern and southern source faults, respectively.

Pressure-regulated rotational guests in nano-confined spaces suppress heat transport in methane hydrates

Materials with low lattice thermal conductivity are essential for various heat-related applications like thermoelectrics, and usual approaches for achieving this rely on specific crystalline structures. Here, we report a strategy for thermal conductivity reduction and regulation via guest rotational dynamics and their couplings with lattice vibrations. By applying pressure to manipulate rotational states, we find the intensified rotor-lattice couplings of compressed methane hydrate MH-III can trigger strong phonon scatterings and phonon localizations, enabling an almost three-fold suppression of thermal conductivity. Besides, the disorder in methane rotational dynamics results in anharmonic interactions and nonlinear pressure-dependent heat transport. The overall guest rotational dynamics and heat conduction changes can be flexibly regulated by the rotor-lattice coupling strength. We further underscore that this reduction mechanism can be extended to a wide range of systems with different structures. The results demonstrate a potentially universal method for reducing or controlling heat transport by developing a hybrid system with tailored molecular rotors.

A Comparative Study of Columellar Strut and Septal Extension Grafts for Tip Support in Rhinoplasty.

Background: Rhinoplasty is one of the most common aesthetic surgical procedures. Columellar strut and septal extension grafts are commonly used for tip support, but their long-term effectiveness and stability remain debated. This study aims to compare the long-term postoperative stability of these two techniques. Methods: A retrospective cohort study of patients underwent primary rhinoplasty using either columellar strut or septal extension grafts between March 2021 and March 2022 was conducted. Nasal tip projection and rotation stability were analyzed through photographic evaluations conducted preoperatively, as well as at 6 and 18 months postoperatively. Additionally, participant's satisfaction and the incidence of postoperative complications were assessed. Results: Both grafting techniques exhibited an initial increase in tip projection, followed by a slight regression at later stages. However, this change was not statistically significant for either group. A distinct difference emerged in tip rotation, as measured by the nasolabial angle. The columellar strut group experienced a notable increase in tip rotation initially, followed by a significant decrease, while the septal extension graft group exhibited minimal and statistically insignificant changes in tip rotation over the same period. Conclusion: Nasal tip rotation was more stable in cases with septal extension grafts compared to those with columellar strut grafts.

Relationship between the course of postoperative pelvic axis rotation and shoulder balance in patients with Lenke types 1 and 2 adolescent idiopathic scoliosis

BackgroundPosteroanterior radiographs of patients with adolescent idiopathic scoliosis (AIS) show bilateral differences in the iliac wings. This is due to pelvic axis rotation (PAR) associated with scoliosis. We often encounter cases wherein the PAR changes with surgery and postoperatively. We investigated the course of preoperative PAR and the relationship between PAR and shoulder balance in patients with Lenke 1,2 AIS. MethodsIn total, 28 patients with Lenke 1,2 AIS undergoing scoliosis correction were included. The PAR and shoulder parameters were measured on posteroanterior radiographs. The correlation between the measured parameters and the extent of changes in each parameter was also examined. ResultsEleven patients (39.3 %) underwent preoperative PAR. Six patients (21.4 %) showed a greater change in PAR from 1 week to 2 years postoperatively. The rotation did not change significantly from preoperatively to immediately postoperatively but changed during the first three months postoperatively. The rotation group had significantly more balanced shoulders at 2 years (P = 0.025). The rotation group had a greater change in shoulder balance in the postoperative course significantly (P < 0.05). The extent of change in pelvic rotation from 1 week to 2 years postoperatively correlated with the extent of change in shoulder balance. ConclusionThe PAR in patients with Lenke 1,2 AIS significantly changed during 3 months postoperatively. Patients with Lenke 1,2 AIS with preoperative PAR can be expected to have postoperative shoulder rebalancing.

Mathematical Evaluation of Deep Learning Architecture with Feature Fusion for Cervical Cancer Detection Classification

Cervical cancer is still one of the main reasons women die around the world, which shows how important it is to have accurate and quick ways to diagnose the disease. This study looks into how to improve the accuracy of finding cervical cancer using a deep learning-based classification system that combines features. In this mixed classic feature extraction methods, like Histogram of Oriented Gradients (HOG) and Scale-Invariant Feature Transform (SIFT), with deep learning architectures, like Graph Convolutional Networks (GCNs) and Capsule Networks. Each of these added its own benefits to the fusion model. Both HOG and SIFT are good at capturing important texture and structure features, even when the image conditions change. GCNs are used to learn relationship data between picture areas. This helps get a better sense of how things fit together in space, which is very important for medical imaging. Capsule Networks, on the other hand, let you understand the subtleties of hierarchical patterns in pictures of cervical cells. They do this by looking at spatial hierarchies and rotational changes that are very important for finding cancer. Our suggested fusion model combines these multi-level features, taking advantage of how the best features of deep learning and standard learning methods work together. Validation on standard cervical cancer image datasets showed that this fusion approach was much more accurate and precise at classifying than individual methods. Quantitative testing showed that the fusion model had higher sensitivity and specificity, which shows that it can reduce the number of fake negatives and positives, which is very important in clinical diagnosis. Our results show that the feature fusion model not only gives us a strong and accurate way to classify cervical cancer, but it also lays the groundwork for more uses in other complicated areas of medical imaging.

Influence of Electrostatic Field on Optical Rotation of D-Glucose Solution: Experimental Research for Electric Field-Induced Biological Effect

At present, the effects of environmental electromagnetic irradiation on the metabolism of organisms have attracted extensive attention, but the mechanism is still not clear. D-glucose plays an important role in the metabolism of organisms. In this work, the change in the optical rotation of D-glucose solution under an electrostatic field is measured experimentally, so as to explain the mechanism of the electric field-induced biological effect. The experimental results show that the electrostatic field can alter the optical rotation of D-glucose solution at different temperatures. Under the different strengths of electrostatic field, the specific rotation of D-glucose solution increases at different temperatures; the maximum increase can reach 2.07%, but the effect of temperature and electric field strength on the rotation increment is nonlinear and very complex. Further, it turns out that the proportion of α-D-glucose in solution increases by up to 3.25% under the electrostatic field, while the proportion of β-D-glucose decreases by as much as 1.75%. The experimental study confirms that electrostatic field can change the proportion of two conformation molecules (α and β-D-glucose) in D-glucose solution, which can provide a novel explanation for the mechanism of the electric field-induced biological effect.

Semi-Supervised Subcategory Centroid Alignment-Based Scene Classification for High-Resolution Remote Sensing Images

It is usually hard to obtain adequate annotated data for delivering satisfactory scene classification results. Semi-supervised scene classification approaches can transfer the knowledge learned from previously annotated data to remote sensing images with scarce samples for satisfactory classification results. However, due to the differences between sensors, environments, seasons, and geographical locations, cross-domain remote sensing images exhibit feature distribution deviations. Therefore, semi-supervised scene classification methods may not achieve satisfactory classification accuracy. To address this problem, a novel semi-supervised subcategory centroid alignment (SSCA)-based scene classification approach is proposed. The SSCA framework is made up of two components, namely the rotation-robust convolutional feature extractor (RCFE) and the neighbor-based subcategory centroid alignment (NSCA). The RCFE aims to suppress the impact of rotation changes on remote sensing image representation, while the NSCA aims to decrease the impact of intra-category variety across domains on cross-domain scene classification. The SSCA algorithm and several competitive approaches are validated on two datasets to demonstrate its effectiveness. The results prove that the proposed SSCA approach performs better than most competitive approaches by no less than 2% overall accuracy.

Molecular determinants of neuropeptide-mediated activation mechanisms in tachykinin NK1 and NK2 receptors

Substance P and neurokinin A are closely related neuropeptides belonging to the tachykinin family. Their receptors are neurokinin 1 receptor (NK1R) and neurokinin 2 receptor (NK2R), G protein-coupled receptors that transmit Gs and Gq-mediated downstream signaling. We investigate the importance of sequence differences at the bottom of the receptor orthosteric site for activity and selectivity, focusing on residues that closely interact with the C-terminal methionine of the peptide ligands. We identify a conserved serine (NK1R-S2977.45) and the position of the tryptophan residue within the canonical “toggle switch” motif, CWxP of TM6, neighboring a phenylalanine in NK1R (NK1R-F2646.51) and a tyrosine in NK2R (NK2R-Y2666.51), giving rise to distinct micro-environments for the neuropeptide C-terminals. Mutating these residues results in dramatic activity changes in both NK1R and NK2R due to a close interaction between the ligand and toggle switch. Structural analysis of active and inactive NKR structures suggest only a minor change in sidechain rotation of toggle switch residues upon activation. However, extensive molecular dynamics simulations of receptor:neuropeptide:G protein complexes indicate that a major, concerted motion happens in the toggle switch tryptophan indole group and the sidechains of the micro-switch motif PIF. This rotation establishes a tight hydrogen bond interaction from the tryptophan indole to the conserved serine (NK1R-S2977.45) and a mainchain carbonyl (NK1R-A2947.41) in the kink of TM7. This interaction facilitates communication with the NPxxY micro-switch motif of TM7, resulting in stabilization of the G protein binding region. NK1R-S2977.45 is consequently identified as a central hub for the activation of NKRs.

Change in Talar Axial Rotation and Pain Intensity Following Correction of Progressive Collapsing Foot Deformity.

The talus is more internally rotated within the ankle mortise in progressive collapsing foot deformity (PCFD) patients. However, no studies have investigated the change in talar axial rotation (AR) in PCFD postoperatively. The primary aim was to investigate the change in talar AR following PCFD reconstruction. Secondary aims were to determine whether talar AR changes were associated with other radiographic measurements or specific procedures, and whether postoperative talar AR was associated with 2-year patient-reported outcome scores. Twenty-seven patients older than 18 years who underwent flexible PCFD reconstruction with preoperative and at least 5-month postoperative weightbearing computed tomographic (WBCT) scans and radiographs and had preoperative and at least 2-year postoperative PROMIS scores were included. Patients with talonavicular fusions were excluded. Talar AR was the angle between the transmalleolar axis and talar axis on WBCT scans, with smaller angles representing more internal rotation as described by Kim et al. Hindfoot moment arm, Meary angle, fibulocalcaneal and talocalcaneal distance, subtalar middle facet uncoverage, and talonavicular angle were measured on radiographs. Postoperative talar AR was 49.7 degrees (IQR, 45.9, 57.3), which was more externally rotated than preoperative AR by a median of 8.3 degrees (IQR, 2.2, 15.7) (P > .001). The change in talar AR was not associated with changes in any radiographic parameter. Increasing external talar AR was associated with an increase in postoperative PROMIS pain intensity (rs = 0.38, 95% CI 0.00, 0.67). Lateral column lengthening and subtalar fusion procedures were not associated with changes in talar AR (P > .10). PCFD reconstruction results in external rotation of the talus within the ankle mortise. Kim et al found that control patients had approximately 40 to 60 degrees of talar AR, which is similar to this study's corrected position of the talus. However, increasing talar external rotation resulted in worse postoperative PROMIS pain intensity, suggesting the possibility of overcorrecting the internal AR deformity.

New Mesozoic APWP for Adria aided by data from the Transdanubian Range Unit – Tectonic interpretation in the Europe – Africa geodynamic system

Mesozoic paleomagnetic data from the Transdanubian Range Unit (TRU) of the Pannonian Basin has been revised and updated to enable its paleogeographic evolution within SE Europe to be evaluated. After a 30° declination correction, the TRU data are fully consistent with those for Adria which has an almost identical stratigraphic history. This enabled a revised Apparent Polar Wander Path (APWP) to be constructed for the combined data. Comparing this with the corresponding African and European APWP shows that Adria separated from Europe around 190 Ma, then moved independently southwards between 170–120 Ma (a 30° clockwise rotation changing to counter-clockwise around 155–145 Ma). After 155 Ma, there was a northward movement that brought Adria close to the stable European margin by 115 Ma. This latter may have been with or independently of Africa. After 100 Ma, Africa and Adria moved in coordination until the end of the Cretaceous. This sequence of events correlated well with geologically established tectonic events. These include the major extensional phases in the Alpine Tethys during the southward shift and large clockwise rotation (170–155/145 Ma). This was followed by ophiolite obduction in the Neotethys (West and East Vardar) around 155–145 Ma as a result of the dramatic reversal in the displacement of Adria. Finally, around 115 Ma, the TRU was emplaced over Austroalpine units as a thick nappe associated with the general uplift in the Adriatic realm.

Research on the efficiency analysis method of 9AT transmission planetary gear system based on power loss

As the core element of power transmission in Automatic Transmission (AT), the planetary gear system has advantages in the gear ratio range, load carrying capacity and transmission efficiency, and its transmission efficiency analysis is an important link in the design of automatic transmission.This paper proposes a method to analyze the transmission efficiency of planetary gear system of 9AT transmission considering power losses. Firstly, based on the hypergraph theory to establish the power transmission roadmap of each gear of the transmission (9AT) and the triangular hypergraph of the four-row planetary gear system, as well as the power flow model of the four-row planetary gear system without considering the power losses, and then the rotational speed, torque, and power change of each gear of the gear system are analyzed through the power spectrum. Secondly, a power flow model considering power losses and circulating power was established to analyze the influence law of different operating parameters (speed, torque, viscosity, gear meshing friction coefficient), and structural parameters (characteristic coefficients of each planetary row) on the transmission efficiency of the system. Finally, the equivalent planetary gear system transmission efficiency experimental bench considering losses is established to measure the transmission efficiency of the two-row planetary gear system at different speeds and torques, and the results of the experimental tests have the same trend with the theoretical calculations, which provides an analytical method to improve the transmission efficiency of the planetary gear system of the 9AT transmission.

Feedback mechanisms controlling Antarctic glacial-cycle dynamics simulated with a coupled ice sheet–solid Earth model

Abstract. The dynamics of the ice sheets on glacial timescales are highly controlled by interactions with the solid Earth, i.e., the glacial isostatic adjustment (GIA). Particularly at marine ice sheets, competing feedback mechanisms govern the migration of the ice sheet's grounding line (GL) and hence the ice sheet stability. For this study, we developed a coupling scheme and performed a suite of coupled ice sheet–solid Earth simulations over the last two glacial cycles. To represent ice sheet dynamics we apply the Parallel Ice Sheet Model (PISM), and to represent the solid Earth response we apply the 3D VIscoelastic Lithosphere and MAntle model (VILMA), which, in addition to load deformation and rotation changes, considers the gravitationally consistent redistribution of water (the sea-level equation). We decided on an offline coupling between the two model components. By convergence of trajectories of the Antarctic Ice Sheet deglaciation we determine optimal coupling time step and spatial resolution of the GIA model and compare patterns of inferred relative sea-level change since the Last Glacial Maximum with the results from previous studies. With our coupling setup we evaluate the relevance of feedback mechanisms for the glaciation and deglaciation phases in Antarctica considering different 3D Earth structures resulting in a range of load-response timescales. For rather long timescales, in a glacial climate associated with the far-field sea-level low stand, we find GL advance up to the edge of the continental shelf mainly in West Antarctica, dominated by a self-amplifying GIA feedback, which we call the “forebulge feedback”. For the much shorter timescale of deglaciation, dominated by the marine ice sheet instability, our simulations suggest that the stabilizing sea-level feedback can significantly slow down GL retreat in the Ross sector, which is dominated by a very weak Earth structure (i.e., low mantle viscosity and thin lithosphere). This delaying effect prevents a Holocene GL retreat beyond its present-day position, which is discussed in the scientific community and supported by observational evidence at the Siple Coast and by previous model simulations. The applied coupled framework, PISM–VILMA, allows for defining restart states to run multiple sensitivity simulations from. It can be easily implemented in Earth system models (ESMs) and provides the tools to gain a better understanding of ice sheet stability on glacial timescales as well as in a warmer future climate.

A Novel Method and System Implementation for Precise Estimation of Single-Axis Rotational Angles.

Accurately estimating single-axis rotational angle changes is crucial in many high-tech domains. However, traditional angle measurement techniques are often constrained by sensor limitations and environmental interferences, resulting in significant deficiencies in precision and stability. Moreover, current methodologies typically rely on fixed-axis rotation models, leading to substantial discrepancies between measured and actual angles due to axis misalignment. To address these issues, this paper proposes an innovative method for single-axis rotational angle estimation. It introduces a calibration technique for installation errors between inertial measurement units and the overall measurement system, effectively translating dynamic rotational inertial outputs to system enclosure outputs. Subsequently, the method employs triaxial accelerometers combined with zero-velocity detection technology to estimate the rotation axis position. Finally, it delves into analyzing the relationship between quaternion and axis-angle, aimed at reducing noise interference for precise rotational angle estimation. Based on this proposed methodology, a Low-Cost, a High Accuracy Measurement System (HAMS) integrating sensor fusion was designed and implemented. Experimental results demonstrate static measurement errors below ±0.15° and dynamic measurement errors below ±0.5° within a ±180° range.

Directional Deep Brain Stimulation Lead Rotation in the Early Postoperative Period

BACKGROUND AND OBJECTIVES: Directional deep brain stimulation (DBS) enables treatment optimization by current steering using segmented leads. Identification of the lead's rotational orientation is critical to guide programming decisions. Orientation is often assessed during or immediately after implant, but the degree of lead rotation in the following weeks is not well appreciated. Our objective was to measure the degree of DBS lead rotational orientation changes within the first few weeks after surgery. METHODS: We retrospectively reviewed the clinical records of patients who were implanted with segmented DBS leads at our institution. All included patients had at least 1 immediate postoperative computed tomography (CT) (CT1) and another CT at least 1 week later (CT2). We assessed lead rotational orientation angles on CT1 and CT2 and calculated the degrees of rotation change between the scans. We also assessed for any effect of the time interval between scans by calculating the correlation between CT1-CT2 latency and degrees of lead rotation. RESULTS: We assessed a total of 75 DBS lead orientations for 38 patients. The average change in lead orientation between CT1 and CT2 was 8.6° (median = 2.9°, range = 0.11-168.2°). Only 8 percent of patients (3/38) were found to have a significant change in orientation (&gt;30°); however, when it occurred, it occurred bilaterally. There was no correlation between CT1-CT2 latency and lead rotation (r(74) = 0.04, P = .73). CONCLUSION: Our study finds that changes in lead orientation occurring over the first few weeks after surgery are rare. Thus, for most patients, the immediate postoperative CT is adequate for determining the orientation angles for clinical programming. However, if programming is found to be difficult, a repeat CT scan could be beneficial for a minority of patients.

Preoperative rotator cuff fatty infiltration and muscle atrophy do not negatively influence outcomes following anatomic total shoulder arthroplasty

BackgroundAnatomic total shoulder arthroplasty (TSA) is an effective surgical option for the treatment of primary glenohumeral osteoarthritis (GHOA) with an intact rotator cuff. While an intact rotator cuff is essential to the success of TSA, little is known about how preoperative rotator cuff muscle quality may impact clinical outcomes. In this study, we sought to determine the effects of rotator cuff fatty infiltration (FI) and muscle atrophy (MA) on clinical outcomes following TSA. MethodsA retrospective review of a prospectively maintained, single-surgeon registry was used to identify patients undergoing TSA for GHOA between April 2015 and March 2020. Patients were included if they had preoperative magnetic resonance imaging available, an intact rotator cuff, and complete preoperative and minimum 2-year postoperative patient-reported outcome measures (PROMs) and active range of motion (ROM) measurements. Preoperative MA and FI of the rotator cuff were assessed on magnetic resonance imaging by measuring muscle cross-sectional area and using the Goutallier classification system, respectively. Pearson’s correlation was used to determine any relationship between MA and clinical outcomes. Univariate analysis was used to compare clinical outcomes of patients with moderate-to-severe FI to those with minimal-to-mild FI. ResultsThere were 163 shoulders from 154 patients with a mean age of 62.5 (standard deviation = 7.4) and a mean follow-up of 2.9 years (standard deviation 1.2) that met inclusion criteria. Rotator cuff muscle area was not correlated with any preoperative or postoperative ROM or PROMs (P > .05). However, the ratio of infraspinatus and teres minor (posterior cuff) to subscapularis muscle area was minimally negatively correlated with change in Single Assessment Numerical Evaluation (r = −0.171, P = .029) and change in internal rotation (r = −0.207, P = .008), although the clinical relevance is unclear. No significant differences in preoperative ROM or PROMs were found between patients with minimal-to-mild and moderate-to-severe FI (P > .05). ConclusionPreoperative rotator cuff muscle volume and FI do not impact clinical outcomes following TSA in patients with GHOA and intact rotator cuffs. TSA remains a viable surgical treatment for individuals with GHOA and an intact rotator cuff, provided the MA and FI are not so severe that a patient may be indicated for another type of treatment.

Production And Improvement Productivity Of An Oil Well By Water Restraining And Penetration Using PLT

As any operation that delays water to reach and enter the production wells. Water production is one of the major technical, environmental, and economic problems associated with oil and gas production. Water production not only limits the productive life of the oil and gas wells but also causes several problems including corrosion of tubular, fines migration, and hydrostatic loading. The conventional water shutoff method has been applied in Sharara field for the wellbore isolation by cement plug in the watered out zone, fortunately it was successful. In this project as PLT calculation was done by using water hold-up sensor as following: shut – in the well and run PLT Log was correlated for depth matching of well X 1 to 5250 ft end of last perforation, then full-bore Spinner passes were consistent and repeated and did not show any cross flow between perforations The Changes in spinner rotation at few intervals is corresponding to change in caliper readings. Flowing the well Full-bore Spinner passes were consistent and repeated, Passes also indicated the inflow zones, was consistent and repeated and illustrated the fluid distribution in the wellbore, show that the main hydrocarbon bubble entry at the wellbore filled with water. Final result showing that for A-06 well first and last perforation (4810 ft – 4840 ft) &amp; (4852 ft 4916 ft) producing water with (5.17) % &amp; (87.72) % WC