Rotational Degrees Research Articles

Frictional vibration analysis of train braking system considering wheel-rail attachment and multi-body friction

Train vibration and noise have always been problems that affect the service life of relevant components and passenger comfort. This paper focuses on the vibration of the train braking system and establishes a torsional vibration model of the train braking system considering wheel-rail attachment and multi-body friction, which includes three rotational degrees of freedom of the brake disc, brake block, and wheelset. The periodic vibration and chaotic bifurcation of the braking system under low-speed working conditions are studied by numerical calculation. An optimization strategy is proposed for the chaotic bifurcation behavior, which eliminates the chaotic interval at low speeds through the reasonable matching of particle parameters, so as to ameliorate the brake groan problem of the train.

Anti-galloping analysis of iced quad bundle conductor based on compound damping cables

Based on the strain displacement relationship of spatial curved beam theory, a nonlinear dynamic equation for a hybrid model of iced bundle conductor galloping analysis with three translational degrees of freedom and one rotational degree of freedom was established. The element independence is numerically studied, and the impact of modal truncation on the galloping response is analyzed to verify the accuracy of the model. In addition, the compound damping cable is applied to transmission lines for the first time to prevent galloping, and a corresponding nonlinear vibration control finite element equation for the iced quad bundle conductor with a compound damping cable structure under wind load is developed. The study also examines the influence of various parameters on galloping amplitude. The results show that the hybrid model accurately predicts the galloping response of transmission lines. The compound damping cable can effectively suppress the galloping of the quad bundle conductor, and the vibration reduction effect reaches more than 85%. Increasing the installation height of the compound damping cable improves its damping effect. At the same installation height, when the horizontal installation position is close to the mid-span of the conductor, the damping effect first increases and then decreases, suggesting an optimal installation position exists. Moreover, properly increasing the stiffness of the primary cable and reducing the stiffness of the return spring can improve the vibration reduction effect of the compound damping cable. Additionally, if the damping coefficient and the mass of the primary cable are properly increased, the vibration reduction effect of the compound damping cable will be better.

Algebraic cluster model calculations for shape phase transitions of boson-fermion systems

The Algebraic Cluster Model (ACM) is an interacting boson model that gives the relative motion of the cluster configurations in which all vibrational and rotational degrees of freedom are present from the outset. We schemed a solvable extended transitional Hamiltonian based on affine [Formula: see text] Lie algebra within the framework for two-, three- and four-body algebraic cluster models that explains both regions [Formula: see text], [Formula: see text] and [Formula: see text], respectively. We offer that this method can be used to study [Formula: see text] nucleon structures with [Formula: see text] and [Formula: see text] in specific [Formula: see text] such as structures [Formula: see text], [Formula: see text], [Formula: see text]; [Formula: see text], [Formula: see text], [Formula: see text]; [Formula: see text], [Formula: see text]. Numerical extraction to the energy levels, the expectation value of the boson number operator, and the behavior of the overlap of the ground state wave function within the control parameters of this evaluated Hamiltonian are presented. The effect of the coupling of the odd particle to an even–even boson core is discussed along the shape transition and, in particular, at the critical point.

Virtual range of motion is a safe and acceptable alternative to intra-operative manual range of motion testing in direct anterior robotic total hip arthroplasty

IntroductionIn robotic total hip arthroplasty (THA), virtual range of motion (VROM) modeling allows the surgeon to account for spinopelvic motion and create an impingement-free range of motion that is patient-specific. The primary purpose of this study was to evaluate the risk of dislocation in patients undergoing direct anterior THA using VROM rather than manual ROM trialing. MethodsProspectively collected data was reviewed retrospectively of all consecutive anterior THAs performed by a single fellowship-trained surgeon. No patients were excluded from the study. VROM identified bone and implant impingement, which was recorded in degrees of hip external rotation(ER) at 0° of hip extension (standing), and in degrees of hip internal rotation(IR) at 90° of hip flexion (sitting). No patients had manual ROM trialing performed. Dislocation events were recorded during the first 3 months of follow-up. 362 patients, with a mean age of 67 and mean BMI of 28.8, were included. ResultsThis cohort, including 154 patients (42.5%) with abnormal spinopelvic motion, demonstrated zero dislocations using VROM. The average ER impingement occurred at 60.9° ER (range 20-90°), and 50.8° IR (range 25-90°). Patients with ER impingement <55° had significantly less acetabular anteversion (16.4° ±3.3°, p < 0.001). Compared to the entire cohort, anteversion of the acetabulum was also decreased in the stuck-sitting subgroup (17.4° ±3.3°, p < 0.001) and increased in the stuck standing subgroup (20.5° ±3.6°, p < 0.001). ER impingement was a stronger predictor of acetabular anteversion than spinopelvic motion category (r = 0.458). Patients with ER impingement <45° (6.4%) or IR impingement <35° (6.6%) were “early impingers”. ConclusionIn this cohort of anterior THA patients with a high proportion of abnormal spinopelvic motion, a technique utilizing only VROM produced no dislocations. An impingement-free zone of 45° ER standing and 35° IR sitting is recommended.

Film cooling performance under plasma aerodynamic actuation and spoiler ribs of an internal cooling channel based on Suzen model

In this paper, a plasma actuator (PA), treated by the Suzen model, is introduced into film cooling, and four rows of rectangular ribs are employed in internal cooling. Combined action and individual action of film cooling and internal cooling are then investigated at four blowing ratios (M = 0.25; 0.5; 0.75; 1.0). Results show that (no PA, no ribs) the coolant is ejected from the film hole in a spiral form under the action of internal crossflow, and its distributions are inclined to crossflow direction. When the plasma actuator is opened (no ribs), the strength and scale of the counter-rotating vortex pairs are weakened, and the motion of coolant is accelerated, the average cooling effectiveness shows an increase of 82.4% (M = 0.25), 98.9% (M = 0.5), 33.4% (M = 0.75) and a decrease of 2.1% (M = 1.0), the spanwise cooling effectiveness is raised by 57.3–143.3% for each streamwise position, the flow coefficient is lowered by 1.8–3.2%. Ribs (no PA) interfere with the coolant flow in the internal channel, reducing the rotation degree and exit momentum of the coolant, and greatly eliminate the uneven distribution of coolant along the spanwise direction, resulting in an enhancement of 50.4–162.8% in the spanwise cooling effectiveness and of 59.2% (M = 0.25) and 79.5% (M = 0.5) in average film cooling effectiveness. The effect of combined action (PA plus ribs) is lower than those effects of individual factors, and wall average film cooling effectiveness with PA and ribs exhibits a 62.4% (M = 0.25) and 49.4% (M = 0.5) higher to PA off a case (no PA, no ribs); however, a local or global heat transfer deterioration appears at M = 0.75 and 1.0.

Synchronization of optically self-assembled nanorotors.

Self-assembly of nanoparticles by means of interparticle optical forces provides a compelling approach toward contact-free organization and manipulation of nanoscale entities. However, exploration of the rotational degrees of freedom in this process has remained limited, primarily because of the predominant focus on spherical nanoparticles, for which individual particle orientation cannot be determined. Here, we show that gold nanorods, which self-assemble in water under the influence of circularly polarized light, exhibit synchronized rotational motion at kilohertz frequencies. The synchronization is caused by strong optical interactions and occurs despite the presence of thermal diffusion. Our findings elucidate the intricate dynamics arising from the transfer of photon spin angular momentum to optically bound matter and hold promise for advancing the emerging field of light-driven nanomachinery.

Wandering principal optical axes in van der Waals triclinic materials

Nature is abundant in material platforms with anisotropic permittivities arising from symmetry reduction that feature a variety of extraordinary optical effects. Principal optical axes are essential characteristics for these effects that define light-matter interaction. Their orientation – an orthogonal Cartesian basis that diagonalizes the permittivity tensor, is often assumed stationary. Here, we show that the low-symmetry triclinic crystalline structure of van der Waals rhenium disulfide and rhenium diselenide is characterized by wandering principal optical axes in the space-wavelength domain with above π/2 degree of rotation for in-plane components. In turn, this leads to wavelength-switchable propagation directions of their waveguide modes. The physical origin of wandering principal optical axes is explained using a multi-exciton phenomenological model and ab initio calculations. We envision that the wandering principal optical axes of the investigated low-symmetry triclinic van der Waals crystals offer a platform for unexplored anisotropic phenomena and nanophotonic applications.

An Experimental Study of the Effects of Asymmetric Pitching Motion on the Hydrodynamic Propulsion of a Flapping Fin

Aquatic organisms have evolved exceptional propulsion and even transoceanic migrating capabilities, surpassing artificial vessels significantly in maneuverability and efficiency. Understanding the hydrodynamic mechanisms of aquatic organisms is crucial for developing advanced biomimetic underwater propulsion vehicles. Underwater tetrapods such as sea turtles use fins or flippers for propulsion, which exhibit three rotational degrees of freedom, including flapping, sweeping, and pitching motions. Unlike previous studies that often simplify motion kinematics, this study employs a specially designed experimental device to mimic sea turtle fins’ motion and explore the impact of pitching amplitude, asymmetric pitching kinematics, and pausing time on lift and thrust generation. Force transducers and particle image velocimetry techniques are used to examine the hydrodynamic forces and flow field, respectively. It is found that boosting the fin’s pitching amplitude enhances both its lift and thrust efficiency to a certain extent, with a more pronounced effect on thrust performance. Surprisingly, the asymmetrical nature of the pitching angle’s pausing time within one flapping cycle significantly influences the lift and thrust characteristics during sea turtle swimming; extending the pausing time during the forward and upward flapping process improves lift efficiency; and prolonging the pausing time during the downward flapping process enhances thrust efficiency. Furthermore, the mechanism for high lift and thrust efficiency is revealed by examining the vortices shed from the fin during different motion kinematics. This research contributes to a more comprehensive understanding of the fin’s hydrodynamic characteristic, providing insights that can guide the design of more efficient biomimetic underwater propulsion systems.

Zero Metallicity with Zero CPU Hours: Masses of the First Stars on the Laptop

We develop an analytic model for the mass of the first stars forming in the centers of primordial gas clouds as a function of host halo mass, redshift, and degree of rotation. The model is based on the estimation of key timescales determining the following three processes: the collapse of the gas cloud, the accretion onto the protostellar core, and the radiative feedback of the protostellar core. The final stellar mass is determined by the total mass accreted until the radiative feedback halts the accretion. The analytic estimation, motivated by the result of the full numerical simulations, leads to algebraic expressions allowing an extremely fast execution. Despite its simplicity, the model reproduces the stellar mass scale and its parameter dependencies observed in state-of-the-art cosmological zoom-in simulations. This work clarifies the basic physical principles undergirding such numerical treatments and provides a path to efficiently calibrating numerical predictions against eventual observations of the first stars.

A solid-shell model of hard-magnetic soft materials

Hard-magnetic soft materials (HMSMs) consisting of an elastomer matrix filled with high remnant magnetic particles can exhibit flexible programmability and rapid shape changing under non-contact activation, showing promising potential applications in soft robotics, biomedical devices and flexible electronics. Precise predictions of large deformations of hard-magnetic soft materials would be a key for relevant applications. Here, we develop a magneto-mechanical theoretical framework to model large deformations of magneto-active elastomers by applying solid-shell formulations based on the variational principle. Within the 3D geometric description, the complete Green–Lagrange strain tensors are considered and thus 3D nonlinear material laws can be employed straightforwardly, without presupposing Kirchhoff–Love hypothesis and plane stress constraints. In addition, the solid-shell model avoids introducing rotational degrees of freedom in computation and thus does not require complex finite-rotation update, which also works well for thick shells at large strains. We adopt the enhanced assumed strain (EAS) and assumed natural strain (ANS) methods to overcome locking effects. Several representative examples with various deformed configurations are explored, showing precise predictions of morphological transformations of HMSMs based on our model, in good agreement with experiments. Our model provides a versatile tool to harness large deformations of magneto-elastic structures, and could be used for rational designs of active flexible devices and robots.

Effect of Decentration, Rotation, and Tilt on Objective Optical Quality of Plate Haptic Toric Intraocular Lenses in the Early Postoperative Period.

This study aimed to determine the influence of decentration, rotation, and tilt on objective optical quality of plate haptic toric intraocular lenses (tIOLs). The area ratio of modulation transfer function (MTF), strehl ratio of point spread function (PSF), and higher order aberrations (HOAs) for 3 mm and 5 mm pupil diameter (PD) were evaluated at postoperative 1 month. The retroillumination images pictured by OPD-scan III were used to quantify the degree of decentration and rotation, whereas the tIOL tilt was directly obtained by the tilt aberration. Patients were separated into two subgroups based on tIOL misalignment cutoff values. There were 29 eyes (24 patients) in the study. The decentration of more than 0.25 mm did not substantially differ from those less than or equal to 0.25 mm. PSF of 3mm PD and MTF, intraocular HOAs, and trefoil aberration for 3 mm and 5 mm PD significantly deteriorated with a rotation of more than 3 degrees, whereas only intraocular HOAs for 5 mm PD and coma for 3 mm and 5 mm PD were significantly severe with a tilt of more than 0.1 µm and 0.25 µm in corresponding PD. Furthermore, tIOL rotation and tilt were highly correlated with intraocular trefoil aberration and coma, respectively. The decentration of the monofocal bitoric IOLs is more tolerant to optical quality degradation after 1 month of surgery but more sensitive to intraocular trefoil aberration caused by rotation and coma aberration induced by tilt. As far as we know, this is the first study to investigate the relationship between the plate haptic bitoric IOL misalignment and objective optical quality measured by OPD-scan III in the real world, which may provide reference information for IOL selection to improve surgical outcomes.

A clinical 3D pointing test differentiates spatial memory deficits in dementia and bilateral vestibular failure

BackgroundDeficits in spatial memory, orientation, and navigation are often neglected early signs of cognitive impairment or loss of vestibular function. Real-world navigation tests require complex setups. In contrast, simple pointing at targets in a three-dimensional environment is a basic sensorimotor ability which provides an alternative measure of spatial orientation and memory at bedside. The aim of this study was to test the reliability of a previously established 3D-Real-World Pointing Test (3D-RWPT) in patients with cognitive impairment due to different neurodegenerative disorders, bilateral vestibulopathy, or a combination of both compared to healthy participants.MethodsThe 3D-RWPT was performed using a static array of targets in front of the seated participant before and, as a transformation task, after a 90-degree body rotation around the yaw-axis. Three groups of patients were enrolled: (1) chronic bilateral vestibulopathy (BVP) with normal cognition (n = 32), (2) cognitive impairment with normal vestibular function (n = 28), and (3) combined BVP and cognitive impairment (n = 9). The control group consisted of age-matched participants (HP) without cognitive and vestibular deficits (n = 67). Analyses focused on paradigm-specific mean angular deviation of pointing in the azimuth (horizontal) and polar (vertical) spatial planes, of the preferred pointing strategy (egocentric or allocentric), and the resulting shape configuration of the pointing array relative to the stimulus array. Statistical analysis was performed using age-corrected ANCOVA-testing with Bonferroni correction and correlation analysis using Spearman’s rho.ResultsPatients with cognitive impairment employed more egocentric pointing strategies while patients with BVP but normal cognition and HP used more world-based solutions (pBonf 5.78 × 10-3**). Differences in pointing accuracy were only found in the azimuth plane, unveiling unique patterns where patients with cognitive impairment showed decreased accuracy in the transformation tasks of the 3D-RWPT (pBonf < 0.001***) while patients with BVP struggled in the post-rotation tasks (pBonf < 0.001***). Overall azimuth pointing performance was still adequate in some patients with BVP but significantly decreased when combined with a cognitive deficit.ConclusionThe 3D-RWPT provides a simple and fast measure of spatial orientation and memory. Cognitive impairment often led to a shift from world-based allocentric pointing strategy to an egocentric performance with less azimuth accuracy compared to age-matched controls. This supports the view that cognitive deficits hinder the mental buildup of the stimulus pattern represented as a geometrical form. Vestibular hypofunction negatively affected spatial memory and pointing performance in the azimuth plane. The most severe spatial impairments (angular deviation, figure frame configuration) were found in patients with combined cognitive and vestibular deficits.

Rotational stability of monofocal and diffractive multifocal toric intraocular lens with identical design and material: a propensity score based prospective comparative study

PurposeTo compare the rotational stability of a monofocal and a diffractive multifocal toric intraocular lens(IOLs) with identical design and material.MethodsThis prospective study enrolled patients who underwent plate-haptic toric IOL (AT TORBI 709 M and AT LISA 909 M) implantation. Propensity score matching (PSM) was performed to balance baseline factors. Follow-up examinations were conducted at 1 h, 1 day, 3 days, 1 week, 2 weeks, 1 month, and 3 months postoperatively. A linear mixed model of repeated measures was used to investigate the changes in IOL rotation over time. A 2-week timeframe was utilized to assess differences in IOL rotation between the two groups.ResultAfter PSM, a total of 126 eyes were selected from each group for further analysis. Postoperatively, the time course of IOL rotation change in the two groups remained consistent, with the greatest rotation occurring between 1 h and 1 day postoperatively. At the 2-week postoperative mark, the monofocal toric IOL exhibited a higher degree of rotation compared to the multifocal toric IOL (5.40 ± 7.77° vs. 3.53 ± 3.54°, P = 0.015). In lens thickness(LT) ≥ 4.5 mm and white-to-white distance(WTW) ≥ 11.6 mm subgroups, the monofocal toric IOL rotated greater than the multifocal toric IOL (P = 0.026 and P = 0.011, respectively).ConclusionThe diffractive multifocal toric IOL exhibits superior rotational stability compared to the monofocal toric IOL, especially in subgroups LT ≥ 4.5 mm and WTW ≥ 11.6 mm. Moreover, the time course of IOL rotation change is consistent for both, with the maximum rotation occurring between 1 h and 1 day postoperatively.

A new and simple method for patellar height measurement: Fibula-condyle-patella angle.

This study aims to evaluate the inter-observer reliability of fibula-condyle-patella angle measurements and to compare it with other measurement techniques. Between January 01, 2023 and January 31, 2023, a total of 108 patients (20 males, 88 females; mean age: 47.5±12.0 years; range, 18 to 72 years) who underwent X-rays using the fibula-condyle-patella angle, Insall-Salvati, Caton-Deschamps, Blackburne-Pell, and plateau-patella angle (PPA) methods were retrospectively analyzed. Knee lateral radiographs taken in at least 30 degrees of flexion and appropriate rotation were scanned. All measurements were made by two orthopedic surgeons who were blinded to measurement methods. Right knee patellar height measurements were conducted in 56 patients, while left knee patellar heights were assessed in 52 patients. The highest inter-observer concordance was found in the fibula-condyle-patella angle. The second highest concordance was found in the Insall-Salvati. The highest concordance correlation was found with PPA in the measurements of both researchers. The fibula-condyle-patella angle is a reliable technique with a good inter-observer reliability for measuring patellar height. We believe that this study will inspire future research to establish comprehensive reference values for clinical applications.

Assessing the significance of nonlinear rotational behavior in high damping rubber bearings for seismic performance of base‐isolated RC frame building

AbstractUtilizing high‐damping rubber bearings (HDRBs) for seismic isolation significantly enhances building seismic performance. However, previous studies have often neglected the nonlinear rotational behavior of these bearings when assessing base‐isolated systems using HDRBs. This study introduces two numerical models of the HDRBs, each comprising six springs. The first model, referred to as the BIL model, assumes linear behavior for the rotational degrees of freedom of the bearings. The second model, referred to as the BINL model, accounts for the nonlinear rotational behavior. The parameters of the bearing shear springs and the rotational springs of the two models are calibrated using experimental data. In order to investigate the influence of nonlinear rotational behavior of HDRBs on the seismic performance of base‐isolated buildings, nonlinear time history analysis is conducted on a six‐story base‐isolated RC frame building. Comparative analysis between the BIL model and the BINL model covers bearing behavior, superstructure response, and energy dissipation distribution. Results indicate a significant influence of considering nonlinear rotational behavior on column bending moments. These findings provide crucial insights for enhancing seismic design strategies for base‐isolated buildings.

Study on the use of 3D printed guides in the individualized reconstruction of the anterior cruciate ligament

ObjectiveEvaluation of the accuracy and effectiveness of 3D printed guides to assist femoral tunnel preparation in individualised reconstruction of the anterior cruciate ligament.MethodsSixty patients who attended the Affiliated Hospital of Binzhou Medical College for autologous hamstring single bundle reconstruction of the anterior cruciate ligament from October 2018 to October 2020 were selected and randomly divided into two groups, including 31 cases in the 3D printing group (14 males and 17 females, mean age 41.94 ± 10.15 years) and 29 cases in the control group (13 males and 16 females, mean age 37.76 ± 10.34 years). Patients in both groups were assessed for intraoperative femoral tunnel accuracy, the number of intraoperative positioning and the time taken to prepare the femoral tunnel, the length of the anteromedial approach incision, the pre-planned bone tunnel length and intraoperative bone tunnel length in the 3D printed group, IKDC score and Lysholm score preoperatively and at 3, 6 and 12 months postoperatively, the Lachman、pivot-shift test preoperatively and at 6 months postoperatively, gait analysis to assess internal and external rotation in flexion of the knee at 12 months postoperatively and postoperative complications in both groups.ResultsThere was no statistical difference in functional knee scores and anteromedial approach incision length between the 3D printed and control groups (p > 0.05), while there was a statistical difference in the accuracy of tunnel positioning, the time taken to prepare the femoral bone tunnel and the degree of external rotation of the knee in flexion between the two groups (p < 0.05). There was no statistical difference between the preoperative planning of the bone tunnel length and the intraoperative bone tunnel length (p > 0.05). Complications: One case in the 3D printing group developed intermuscular vein thrombosis in the affected lower limb after surgery, which disappeared after treatment, while three cases in the control group developed intermuscular vein thrombosis in the affected lower limb. No complications such as bone tunnel rupture, deep vein thrombosis in the lower limb and infection occurred in either group.Conclusion3D printed guides assisted with individualized ACL reconstruction may improve the accuracy of femoral tunnel positioning, which is safe and effective, while reducing the operative time and the number of intraoperative positioning, without increasing the length of incision, and may obtain higher functional scores and rotational stability of the knee joint, which is in line with the concept of individualized ACL reconstruction.

Right Ventricular Longitudinal Shortening is not Associated with Left Ventricular Rotational Mechanics in Healthy Adults - Insights from the Three-dimensional Speckle-tracking Echocardiographic MAGYAR-Healthy Study.

The left ventricle (LV) not only contracts, but its rotational mechanics have a significant role in systolic ejection, whereas the right ventricle (RV) is substantially different in shape and function, and its contractility is not accompanied by rotational features. Simple M-mode echocardiography-based tricuspid annular plane systolic excursion (TAPSE) reflects RV longitudinal contraction or shortening. The aim of the present study was to examine the relationship between the parameters characterizing the rotational mechanics of the LV as assessed by three-dimensional speckle-tracking echocardiography (3DSTE) and the TAPSE. The effects of different degrees of these parameters on each other were also examined. The present retrospective analysis evaluated the results of 80 healthy adult individuals with an average age of 28.1 6.3 years (33 males) with LV rotational mechanics being directed normally. All cases have undergone complete two-dimensional Doppler echocardiography with the measurement of TAPSE and 3DSTE. None of the LV volumes and rotational parameters showed any differences in healthy cases with TAPSE 18-21 mm vs. TAPSE 22 mm. Similarly, right atrial (RA) volumetric parameters did not differ either. TAPSE showed no associations with the degree of basal LV rotation. RA volumes were slightly increased with higher basal LV rotation. Similar to basal LV rotation, TAPSE did not change with the degree of apical LV rotation and a tendentious increase of RA volumes could be demonstrated with increasing apical LV rotation. No correlation could be demonstrated between apical and basal LV rotations and TAPSE. 3DSTE-derived LV rotational parameters and TAPSE are not associated suggesting that LV twist is independent of RV longitudinal shortening in healthy circumstances.

An improved methodology to restrict the range of motion of mechanical joints

Joints with rotational degrees of freedom, for instance, revolute, spherical, or universal joints, are commonly utilized in real-world scenarios. In the multibody systems methodology, mechanical joints usually are formulated as classical kinematic constraints such that there is no restriction of the range of motion (RoM) of the joint. Thus, the formulation must include additional restrictions to prevent the joints from performing unacceptable movements and to avoid unrealistic configurations of the connected bodies. Therefore, the aim of this work is to propose a methodology to restrict the RoM of mechanical joints. Joint resistance moments are applied to the bodies connected by the joint to mimic the dissipative behavior of the materials constituent of joints and to prevent unacceptable configurations of those bodies. The proposed methodology aims to extend and improve a previously published study, specifically in the definition of the RoM limits, calculation of the penalty moments, and establishment of their direction of application. Enhanced methods to deal with the detection of unacceptable joint configurations, namely the elliptical and polynomial approaches, are proposed. A parametrization procedure is described to correctly calculate the direction of the penalty moments to apply to the connected bodies. The methodology is investigated in the dynamic modeling and simulation of one demonstrative example of application, namely a simple pendulum. A parametric analysis is performed to assess the influence of the methodology parameters in the response of the model. The methodology allows the correct restriction of the RoM of joints, while preserving the mechanical energy of the system.

Correction of rotational deformities in long bones using guided growth: a scoping review.

The objective of this scoping review was to describe the extent and type of evidence of using guided growth to correct rotational deformities of long bones in children. This scoping review was conducted in accordance with the JBI methodology for scoping reviews. All published and unpublished studies investigating surgical methods using guided growth to perform gradual rotation of long bones were included. Fourteen studies were included: one review, three clinical studies, and ten preclinical studies. In the three clinical studies, three different surgical methods were used on 21 children. Some degree of rotation was achieved in all but two children. Adverse effects reported included limb length discrepancy (LLD), knee stiffness and rebound of rotation after removal of tethers. Of the ten preclinical studies, two were ex vivo and eight were in vivo. Rotation was achieved in all preclinical studies. Adverse effects reported included implant extrusions, LLD, articular deformities, joint stiffness and rebound of rotation after removal of tethers. Two of the studies reported on histological changes. All studies conclude that guided growth is a potential treatment for rotational deformities of long bones. There is great variation in animal models and surgical methods used and in reported adverse effects. More research is needed to shed light on the best surgical guided growth method, its effectiveness as well as the involved risks and complications. Based on current evidence the procedure is still to be considered experimental. 4.

The Effect of Concavity Restoration on Glenohumeral Stability in a Glenoid Bone Loss Model: Comparing the Distal Tibial Allograft Reconstruction and the Latarjet Procedure

Objectives: Glenoid bone loss occurs in more than 80% of patients with recurrent glenohumeral instability. The Latarjet procedure has become the gold standard for restoration of bone loss despite a high (15-30%) complication rate.1–3 Distal tibial allograft (DTA) reconstruction has recently gained interest due to its ability to restore width and concavity to the glenoid while providing a cartilage surface.4 The purpose of this study is to evaluate the restoration of glenohumeral anterior stability and glenoid concavity after DTA reconstruction when compared to the Latarjet procedure in a glenoid bone loss model. Methods: Five human cadaveric specimens (mean age: 62.2, range 57-69; 80% male) underwent preoperative computed tomography (CT) scans to assess native glenoid concavity as determined by the glenoid depth and bony shoulder stability ratio (BSSR). Stability testing was performed using a cadaveric shoulder simulator that allows 6 DoF at the glenohumeral joint. The specimens were placed with the scapula at 30° upward rotation and humerus at 60° glenohumeral abduction with a constant compressive force created by loading the supraspinatus, infraspinatus, teres minor, and subscapularis muscles (2lbs, 3lbs, 1lb and 4lbs respectively). A Kuka robot applied a 40N anterior force through the pectoralis tendon with the humerus in neutral as well as 60 degrees of external rotation. A motion capture system recorded humeral head translations for each condition. To create the Latarjet and DTA conditions, the coracoid was first harvested and the thickness was measured. A distal tibial allograft was then contoured to an identical size. A glenoid defect was created to match the thickness of the graft since both Latarjet and DTA aimed for a 100% glenoid restoration.. The following conditions were tested: 1. intact, 2. Bankart lesion, 3. bone loss model with DTA reconstruction, 4. Latarjet procedure without the conjoint tendon loaded, and 5. Latarjet with conjoint tendon loading (‘sling effect’). All specimens underwent post-testing CT scan to measure the BSSR of the DTA and Latarjet reconstructions. A repeated measures ANOVA was performed to determine if there was a significant difference in maximum anterior translation or BSSR between the distal tibial allograft reconstruction and Latarjet procedure (with or without the sling effect). Results: The mean preoperative glenoid depth measured 2.61±1.03mm with a BSSR of 0.40±0.16. However, postoperative measurements showed that BSSR for the DTA was greater than the Latarjet (0.46±0.11 vs 0.35±0.5). The maximum anterior translation was significantly lower after the DTA reconstruction than the Latarjet procedure without the sling effect (5.5mm vs 9.6mm, p = 0.044). However, there was no difference in anterior translation between the DTA reconstruction and Latarjet procedure with the sling effect applied (5.5mm vs 4.7mm, p = 0.36). The DTA reconstructed the glenoid with a significantly greater concavity than the Latarjet procedure (BSSR: 0.46 vs 0.35, p = 0.036). Conclusions: When addressing bone loss in glenohumeral instability, additional factors besides the restoration of glenoid width contribute to stability. The concave reconstruction produced by the distal tibial allograft decreases anterior translation compared to the flat reconstruction produced by the Latarjet, but there is no difference in translation between the DTA and Latarjet procedure when the sling effect is applied. The DTA reconstruction provides an alternative to the Latarjet procedure with equivalent biomechanical properties and less morbidity or change to the native shoulder structure.