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1.
Anal Chem ; 95(35): 13338-13345, 2023 09 05.
Article in English | MEDLINE | ID: mdl-37585740

ABSTRACT

Haematococcus pluvialis is a good source of astaxanthin, which reduces oxidation in the human body, treats inflammation, and slows the growth of breast and skin cancer cells. Since the size of H. pluvialis is often closely related to astaxanthin yield, size-based microalgal separation has far-reaching significance for high-value algae extraction and algal directed evolution. In this work, we report a novel size-tunable elasto-inertial sorting of H. pluvialis in the Ecoflex ultrastretchable microfluidic devices. Ecoflex microfluidic chips can deform and be flexible, bringing flexibility and stretchability to microchannels as well as new possibilities for large-scale modulation of channel geometry. Here, the effects of velocity, channel elongation, and particle size on the elasto-inertial migration of particles are systematically studied. We found that channel elongation has a strong regulating effect on particle focusing. In addition, we verified the continuous regulation of the sorting threshold of microalgal cells by stretching the channel, providing technical support for the extraction and directed evolution of high-yield microalgae.


Subject(s)
Chlorophyceae , Microalgae , Humans , Xanthophylls
2.
Nanoscale ; 15(5): 1981-2002, 2023 Feb 02.
Article in English | MEDLINE | ID: mdl-36515142

ABSTRACT

Supramolecular self-assemblies formed by various non-covalent interactions can produce diverse functional networks on solid surfaces. These networks have recently attracted much interest from both fundamental and application points of view. Unlike covalent organic frameworks (COFs), the properties of the assemblies differ from each other depending on the constituent motifs. These various motifs may find diverse applications such as in crystal engineering, surface modification, and molecular electronics. Significantly, these interactions between/among the molecular tectonics are relatively weak and reversible, which makes them responsive to external stimuli. Moreover, for a liquid-solid-interface environment, the dynamic processes are amenable to in situ observation using scanning tunneling microscopy (STM). In the literature, most review articles focus on supramolecular self-assembly interactions. This review summarizes the recent literature in which stimulation sources, including chemical, physical, and their combined stimuli, cooperatively tailor supramolecular assemblies on surfaces. The appropriate design and synthesis of functional molecules that can be integrated on different surfaces permits the use of nanostructured materials and devices for bottom-up nanotechnology. Finally, we discuss synergic effect on materials science.

3.
Electrophoresis ; 43(20): 1993-2004, 2022 10.
Article in English | MEDLINE | ID: mdl-35766887

ABSTRACT

A numerical model was developed and validated to investigate the fluid-structure interactions between fully developed pipe flow and core-shell-structured microcapsule in a microchannel. Different flow rates and microcapsule shell thicknesses were considered. A sixth-order rotational symmetric distribution of von Mises stress over the microcapsule shell can be observed on the microcapsule with a thinner shell configuration, especially at higher flow rate conditions. It is also observed that when being carried along in a fully developed pipe flow, the microcapsule with a thinner shell tends to accumulate stress at a higher rate compared to that with a thicker shell. In general, for the same microcapsule configuration, higher flow velocity would induce a higher stress level over the microcapsule shell. The deformation gradient was used to capture the microcapsule's deformation in the present study. The effect of Young's modulus on the microcapsule shell on the microcapsule deformation was investigated as well. Our findings will shed light on the understanding of the stability of core-shell-structured microcapsule when subjected to flow-induced shear stress in a microfluidic system, enabling a more exquisite control over the breakup dynamics of drug-loaded microcapsule for biomedical applications.


Subject(s)
Microfluidics , Capsules , Stress, Mechanical
4.
Small Methods ; 6(6): e2101599, 2022 06.
Article in English | MEDLINE | ID: mdl-35460206

ABSTRACT

Recently, exploring the unique properties of 2D materials has constituted a new wave of research, which lead these materials to enormous applications ranging from optoelectronics to healthcare systems. Due to the profusion of surface terminated functionalities, MXenes have become an emerging class of 2D materials that can be easily integrated with other materials. The versatility of MXenes allows to tune their finest material properties for further device applications. This review initiates with the classification of preparation methods of MXenes, where the authors elaborate on the significance of top-down approaches including the exfoliation of solid layers. Next, the focus is diverted toward the materials analysis of MXenes including their terminations analysis as well as their intriguing electrical and mechanical behaviors through scanning probe microscopy. Finally, critical challenges and perspectives for MXenes analysis and applications are explored and discussed. Therefore, this comprehensive review can encourage researchers, and offer a precise direction to employ MXenes in various applications.


Subject(s)
Microscopy, Scanning Probe
5.
Nanotechnology ; 32(42)2021 Jul 27.
Article in English | MEDLINE | ID: mdl-34243177

ABSTRACT

In this paper, we employ Poisson-Nernst-Planck equations in conjunction with the Navier-Stokes equations and the mean-field theory to investigate the charge transport of double species monovalent ions in double-layered graphene sheets, driven by an external electric field. Unlike most classical models, we develop a simple mechanical model by incorporating the microscopic effects of the physical systems so that the ionic interactions between ions and the host material, and the steric repulsions among ions are considered. Taking Li+-PF6-1monovalent ions as an example, we find that the transport pattern for the present double species ionic systems and that for the pure lithium ions are dramatically different. Due to the mutual attractive ionic forces between ions and their counter-ions, such double species systems turn out to be more stable than that of the single species systems. In addition, the storage patterns of the former systems are richer, which depend heavily on initial ionic states, however less on the strength of applied electric fields and external temperatures when the graphene separation is not too large. The fluid flows, the electric conductivities and the stability of such double species systems are subsequently scrutinized. The current study could form a theoretical basis to help designing high-performance lithium batteries and explaining ion transport in biological channels.

6.
Chinese Pharmacological Bulletin ; (12): 337-342, 2021.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-1014339

ABSTRACT

Aim To study the effect of normal glucose tolerance fecal microbiota transplantation ( FMT) on the gut microbiota in mice with insulin resistance(IR) and its correlation with FGF21 , and to explore the possible mechanisms of gut microbiota affecting IR.Methods After the establishment of IR model with high-fat diet feeding, 30 successful IR model mice were randomly divided into three groups; insulin resistance ( IR ) group, IR + metformin( Met) group, and IR + glucose tolerance normal fecal microbiota transplantation (FMT)group, and blank control(Control) group, with 10 mice in each group.After eight weeks of administration, the body mass and fasting blood glucose of mice at 8th week were recorded, then the number of target bacteria in fecal samples and the mRNA expression levels of FGF21 and its receptors in liver, colon and ileum tissues were detected by Real-time quantitative PCR( RT-qPCR).Results ® Compared with control group, the body mass and fasting blood glucose increased in IR group mice, while the mRNA expression levels of FGF21/p-Klolho/FGFRl/FGFR4 in liver, colon and ileum tissues were down-regulated.The levels of Bacteroules and R.sarlorii were reduced in fecal samples, and the levels of P.distasonis, M.schaedleri and R.gnavus increased.These indices were reverted by Met and FMT treatment.(2) The expression of FGF21 was negatively correlated with FBG, P.distasonis , M.schaedleri and R.gnavus, and positively correlated with Bacteroides and B.sartorii.Conclusions FMT can increase the expression level of FGF21 and regulate gut microbiota, and the two are closely related , which may be one of the important mechanisms of FMT in improving insulin resistance.

7.
Entropy (Basel) ; 22(9)2020 Aug 28.
Article in English | MEDLINE | ID: mdl-33286720

ABSTRACT

In this paper, we propose an adaptive entropy model (AEM), which incorporates the entropy measurement and the adaptability into the conventional Markowitz's mean-variance model (MVM). We evaluate the performance of AEM, based on several portfolio performance indicators using the five-year Shanghai Stock Exchange 50 (SSE50) index constituent stocks data set. Our outcomes show, compared with the traditional portfolio selection model, that AEM tends to make our investments more decentralized and hence helps to neutralize unsystematic risks. Due to the existence of self-adaptation, AEM turns out to be more adaptable to market fluctuations and helps to maintain the balance between the decentralized and concentrated investments in order to meet investors' expectations. Our model applies equally well to portfolio optimizations for other financial markets.

8.
Nanoscale ; 12(30): 15970-15992, 2020 Aug 06.
Article in English | MEDLINE | ID: mdl-32761037

ABSTRACT

Currently, sustainable renewable energy sources are urgently required to fulfill the cumulative energy needs of the world's 7.8 billion population, since the conventional coal and fossil fuels will be exhausted soon. Photovoltaic devices are a direct and efficient means to produce a huge amount of energy to meet these energy targets. In particular, hybrid-perovskite-based photovoltaic devices merit special attention not only due to their exceptional efficiency for generating appreciable energy but also their tunable band gaps and the ease of device fabrication. However, the commercialization of such devices suffers from the instability of the compositional materials. The cause of instability is the perovskite's structure and its morphology at the sub-molecular level; thereby revealing and eliminating these instabilities are a striking challenge. To address this issue, scanning tunneling microscopy/spectroscopy (STM/STS) presents a comprehensive method to allow the visualization of the morphology and electronic structure of materials at atomic-level resolution. Here, we review the recent developments of perovskite-based solar cells (PSCs), the STM/STS analysis of photoactive halide/hybrid and oxide materials, and the real-time STM/STS investigation of electronic structures with defects and traps that are believed to mainly affect device performances. The detailed STM/STS analysis can facilitate a better understanding of the properties of materials at the nanoscale. This informative study may hold great promise to advance the development of stable PSCs under atmospheric conditions.

9.
Electrophoresis ; 41(10-11): 891-901, 2020 06.
Article in English | MEDLINE | ID: mdl-31998972

ABSTRACT

Scale-up in droplet microfluidics achieved by increasing the number of devices running in parallel or increasing the droplet makers in the same device can compromise the narrow droplet-size distribution, or requires high fabrication cost, when glass- or polymer-based microdevices are used. This paper reports a novel way using parallelization of needle-based microfluidic systems to form highly monodispersed droplets with enhanced production rates yet in cost-effective way, even when forming higher order emulsions with complex inner structure. Parallelization of multiple needle-based devices could be realized by applying commercially available two-way connecters and 3D-printed four-way connectors. The production rates of droplets could be enhanced around fourfold (over 660 droplets/min) to eightfold (over 1300 droplets/min) by two-way connecters and four-way connectors, respectively, for the production of the same kind of droplets than a single droplet maker (160 droplets/min). Additionally, parallelization of four-needle sets with each needle specification ranging from 34G to 20G allows for simultaneous generation of four groups of PDMS microdroplets with each group having distinct size yet high monodispersity (CV < 3%). Up to six cores can be encapsulated in double emulsion using two parallelly connected devices via tuning the capillary number of middle phase in a range of 1.31 × 10-4 to 4.64 × 10-4 . This study leads to enhanced production yields of droplets and enables the formation of groups of droplets simultaneously to meet extensive needs of biomedical and environmental applications, such as microcapsules with variable dosages for drug delivery or drug screening, or microcapsules with wide range of absorbent loadings for water treatment.


Subject(s)
Microfluidics/instrumentation , Microfluidics/methods , Dimethylpolysiloxanes/chemistry , Emulsions/chemistry , Equipment Design , Needles , Nylons/chemistry , Particle Size
10.
RSC Adv ; 10(16): 9210-9225, 2020 Mar 02.
Article in English | MEDLINE | ID: mdl-35497220

ABSTRACT

The highly efficient treatment of azo dye contaminated wastewater from the textile industry is an important but challenging problem. Herein, polydimethylsiloxane (PDMS) microparticles, incorporating multiple-walled carbon nanotubes/titanium dioxide (MWCNTs/TiO2) nanocomposites, were successfully synthesized to treat wastewater containing Rhodamine B (RhB) dyes in a synergetic approach, by combining sorption and photocatalytic degradation. The surfactant wrapping sol-gel method was applied to synthesize MWCNTs/TiO2 nanocomposites with TiO2 nanoparticles evenly distributed on the surface of the MWCNTs. The PDMS microparticles were fabricated with an oil-in-water (O/W) single emulsion template, using needle-based microfluidic devices. MWCNTs/TiO2 nanocomposites (at a weight ratio of 1%, and 2%, respectively) were mixed with the PDMS precursor as the dispersed phase, and an aqueous solution of polyvinyl alcohol (PVA) was used as the continuous phase. Highly monodispersed microparticles, with average diameters of 692.7 µm (Coefficient of Variation, CV = 0.74%) and 678.3 µm (CV = 1.04%), were formed at an applied flow rate of the dispersed and continuous phase of 30 and 200 µL min-1, respectively. The fabricated hybrid microparticles were employed for the treatment of RhB, involving a dark equilibrium for 5 hours and UV irradiation for 3 hours. The experimental conditions of applied PDMS type, mass loading amount, treatment duration, photodegradation kinetics, initial concentration of pollutants and environmental pH values were investigated in this work. The PDMS microparticles with 2 wt% MWCNTs/TiO2 nanocomposites can exhibit a removal efficiency of 85%. Remarkably, an efficiency of 70% can be retained after the microparticles have been recycled and reused for 3 cycles. The PDMS-MWCNTs/TiO2 microparticles possess a superior performance over conventional treatment approaches for dye contaminated wastewater, especially in recyclability and the prevention of secondary pollution. This work provides a feasible and eco-friendly route for developing an efficient and low-cost microfluidic method for treating complicated water environmental systems.

11.
Sci Rep ; 9(1): 12121, 2019 Aug 20.
Article in English | MEDLINE | ID: mdl-31431670

ABSTRACT

Here, water flow inside large radii semi-infinite carbon nanotubes is investigated. Permeable wall taking into account the molecular interactions between water and a nanotube, and the slip boundary condition will be considered. Furthermore, interactions among molecules are approximated by the continuum approximation. Incompressible and Newtonian fluid is assumed, and the Navier-Stokes equations, after certain assumptions, transformations and derivations, can be reduced into two first integral equations. In conjunction with the asymptotic expansion technique, we are able to derive the radial and axial velocities analytically, capturing the effect of the water leakage, where both mild and exceptionally large leakages will be considered. The radial velocity obeys the prescribed boundary condition at the (im)permeable wall. Through the mean of the radial forces, the sufficiently large leakages will enhance the radial velocity at the center of the tube. On the other hand, unlike the classical laminar flow, the axial velocity attains its maximum at the wall due to the coupling effect with the radial forces as water is being pushed into the proximity of the inner wall. In addition, the axial velocity and the flux with the consideration of the suck-in forces, induced by the tubes' entry turn out to be one order higher than that without the suck-in forces. All the aforementioned considerations might partially resolve the mysteriously high water penetration through nanotubes. Axial velocity also drops with the tube's length when the water leakage is permitted and the suck-in forces will ease the decline rate of the axial velocity. The present mathematical framework can be directly employed into the water flow inside other porous nano-materials, where large water leakage is permitted and therefore are of huge practical impact on ultra-filtration and environmental protection.

12.
Sci Rep ; 9(1): 11712, 2019 Aug 12.
Article in English | MEDLINE | ID: mdl-31406199

ABSTRACT

We investigate the formation of thin ionic layers driven by electro-osmotic forces, that are commonly found in micro- and nano-channels. Recently, multi-layers have been reported in the literature. However, the relation between classical Debye layers and multi-layers, which is a practically and fundamentally important question, was previously unexplained. Here, we fill this gap by using a continuum approach to investigate the flow of lithium ions inside double-layered graphene sheets. Fluid flow, charge conductivity and thermal stability will be investigated. We show that the separation and strength of forces between the sheets, the external electric field and thermal effects determine the topology of the ionic layers between the graphene sheets.

13.
Langmuir ; 35(24): 8031-8037, 2019 Jun 18.
Article in English | MEDLINE | ID: mdl-31120252

ABSTRACT

Using trimesic acid (TMA) as a model system by means of scanning tunneling microscope (STM) equipped with a temperature controller, here, we report a temperature-assisted method to cooperatively control electric-field-induced supramolecular phase transitions at the liquid/solid interface. Octanoic acid is used as a solvent due to its good solubility for TMA and its less complicated pattern formed under negative STM bias (e.g., only chicken-wire polymorphs existing). At positive substrate bias, STM revealed that TMA assembly based on temperature modulations underwent phase transitions from a porous (22 °C) to a flower (45 °C) and further to a zigzag (68 °C) structure. The transitions are ascribed to the partial deprotonation of the carboxyl groups of TMA. Both the temperature and electrical polarity of the substrate are crucial, i.e., the transitions only take place at positive substrate bias and elevated temperatures. Molecular mechanics simulations were carried out to calculate the temperature and electric field dependence of the adsorption enthalpy and free energy of the chicken-wire assembly of TMA on the two layers of graphene surface. The calculated decrease in adsorption enthalpy with the increase of temperature and electric field values that causes the TMA chicken-wire assembly to be less stable is proposed to promote the occurrence of the phase transition observed by STM. This study paves the way toward program-controlled supramolecular phase switching via the synergic effect of electrical and thermal stimuli.

14.
J Phys Condens Matter ; 31(26): 265901, 2019 07 03.
Article in English | MEDLINE | ID: mdl-30917355

ABSTRACT

Lysozyme is an enzyme often used as an antibacterial agent in food industries and biochemical and pharmaceutical laboratories. Immobilisation of lysozyme by encapsulating in a nanotube has received much interest as it can enhance stability of the enzyme in ambient condition. Experimentally, various types of nanotubes have been proposed as a host for lysozyme. Here, we mathematically model the immobilisation process and the interaction between lysozyme and various types of nanotubes in order to compare the effectiveness of different nanotube materials. In this paper, we consider boron nitride, carbon, silicon, silicon carbide and titania nanotubes. For each type of nanotubes, we determine the critical radius that will maximise the interaction between the lysozyme molecule and the nanotube. Our results suggest that titania nanotube stands out as the most promising candidate for lysozyme storage and delivery. The model presented here can be extended to further investigate the interaction between different types of nanotube materials and protein structures for the development of effective molecular storage.


Subject(s)
Enzymes, Immobilized/chemistry , Enzymes, Immobilized/metabolism , Muramidase/chemistry , Muramidase/metabolism , Nanotubes/chemistry , Models, Molecular , Protein Conformation , Thermodynamics , Titanium/chemistry
15.
Micromachines (Basel) ; 9(2)2018 Jan 31.
Article in English | MEDLINE | ID: mdl-30393333

ABSTRACT

Breakup of droplets at bi-layer bifurcating junction in polydimethylsiloxane (PDMS) microchannel has been investigated by experiments and numerical simulation. The pressure drop in bi-layer bifurcating channel was investigated and compared with single-layer bifurcating channel. Daughter droplet size variation generated in bi-layer bifurcating microchannel was analyzed. The correlation was proposed to predict the transition between breakup and non-breakup conditions of droplets in bi-layer bifurcating channel using a phase diagram. In the non-breakup regime, droplets exiting port can be switched via tuning flow resistance by controlling radius of curvature, and or channel height ratio. Compared with single-layer bifurcating junction, 3-D cutting in diagonal direction from bi-layer bifurcating junction induces asymmetric fission to form daughter droplets with distinct sizes while each size has good monodispersity. Lower pressure drop is required in the new microsystem. The understanding of the droplet fission in the novel microstructure will enable more versatile control over the emulsion formation, fission and sorting. The model system can be developed to investigate the encapsulation and release kinetics of emulsion templated particles such as drug encapsulated microcapsules as they flow through complex porous media structures, such as blood capillaries or the porous tissue structures, which feature with bifurcating junctions.

16.
J Orthop Surg (Hong Kong) ; 26(2): 2309499018770932, 2018.
Article in English | MEDLINE | ID: mdl-29716414

ABSTRACT

PURPOSE: To evaluate the influence of different arm postures from the physiological standing position using force plate analysis of the gravity line. METHODS: Forty healthy volunteered university students were enrolled. Each subject assumed different standing positions including standing with arms resting on the side (control), with fist over the clavicle (clavicular position), with active shoulder flexion in 30°, 60° and 90° with elbows extended (active flexion A), with hand rest on a bar with a static support (passive flexion P), and with hand rest on a bar with a drip stand (passive flexion D). The offset of the gravity line from the heel was measured by force plate analysis. The offset of the gravity line in different arm positions was compared with the control using paired t-test. RESULTS: The mean anterior offset of the gravity line in control position is 39.80% of the foot length. All testing positions showed anterior shift of the gravity line compared with the control position from 0.51% to 7.50%. There were statistically significant changes of the gravity line from the control position in all ( p < 0.05), except in the clavicular position ( p = 0.249). CONCLUSION: All testing positions cause anterior shifting of the center of gravity from the physiological standing position. Clavicular position is the best comparable posture to the physiological standing position in taking a lateral radiograph. We recommend using the clavicular position as the standard testing position in the assessment of the sagittal profile.


Subject(s)
Arm , Patient Positioning , Postural Balance , Radiography , Standing Position , Adult , Biomechanical Phenomena , Clavicle , Female , Humans , Male , Young Adult
17.
Proc Math Phys Eng Sci ; 472(2192): 20160289, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27616926

ABSTRACT

In this paper, we demonstrate the usage of the Nernst-Planck equation in conjunction with mean-field theory to investigate particle-laden flow inside nanomaterials. Most theoretical studies in molecular encapsulation at the nanoscale do not take into account any macroscopic flow fields that are crucial in squeezing molecules into nanostructures. Here, a multi-scale idea is used to address this issue. The macroscopic transport of gas is described by the Nernst-Planck equation, whereas molecular interactions between gases and between the gas and the host material are described using a combination of molecular dynamics simulation and mean-field theory. In particular, we investigate flow-driven hydrogen storage inside doubly layered graphene sheets and graphene-oxide frameworks (GOFs). At room temperature and with slow velocity fields, we find that a single molecular layer is formed almost instantaneously on the inner surface of the graphene sheets, while molecular ligands between GOFs induce multi-layers. For higher velocities, multi-layers are also formed between graphene. For even larger velocities, the cavity of graphene is filled entirely with hydrogen, whereas for GOFs there exist two voids inside each periodic unit. The flow-driven hydrogen storage inside GOFs with various ligand densities is also investigated.

18.
Article in English | MEDLINE | ID: mdl-29264264

ABSTRACT

BACKGROUND/OBJECTIVE: Cold water immersion (CWI) and active recovery treatment (ACT) are commonly used recovery treatments for athletes between exercise bouts, but they are sometimes limited by space and availability of equipment in training and competition venues. Therefore, the purpose of this study was to determine whether cold compression therapy (CCT) would provide the same effect as CWI and ACT as an alternative option in a hot environment. METHODS: Eight elite male junior cyclists (age, 15.5 ± 1.2 years; height, 167.7 ± 3.3 cm; body mass, 57.3 ± 3.5 kg; peak oxygen uptake, 64.7 ± 4.3 mL/kg/min) completed a maximal cycling test to determine their peak power output (PPO) and oxygen uptake. Then they completed three tests using randomised recovery protocol of CWI, CCT and ACT for 15 minutes. Each test consisted of two 35-minute exercise bouts, with 5 minutes of warm-up, 15 minutes of cycling at 75% PPO and 15 minutes maximal trial. The two exercise bouts were separated by 60 minutes (5 minutes cool-down, 10 minutes preparation for recovery treatment, 15 minutes recovery treatment, and 30 minutes passive recovery). RESULTS: There was no significant difference between average power output, blood lactate, rating of perceived exertion, and heart rate for two time-trial bouts for all recovery treatments. A significant decrease in core temperature was noted prior to the start of the second exercise bout for CWI. CONCLUSION: CCT, CWI and ACT are all useful recovery treatments between exercise bouts.

19.
Med Eng Phys ; 34(6): 791-4, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22472526

ABSTRACT

This study presents the design of a mechanical jig for evaluating the ankle joint torque on both cadaver and human ankles. Previous study showed that ankle sprain motion was a combination of plantarflexion and inversion. The device allows measurement of ankle supination and pronation torque with one simple axis in a single step motion. More importantly, the ankle orientation allows rotation starting from an anatomical position. Six cadaveric specimens and six human subjects were tested with simulated and voluntary rotation respectively. The presented mechanical jig makes possible the determination of supination torque for studying ankle sprain injury and the estimation of pronation torque for examining peroneal muscle response.


Subject(s)
Ankle/physiology , Pronation , Supination , Torque , Adult , Biomechanical Phenomena , Humans , Male , Rotation
20.
Article in English | MEDLINE | ID: mdl-22185429

ABSTRACT

INTRODUCTION: With evolutions in surgical techniques, minimally invasive surgical (MIS) repair with Achillon applicator has been introduced. However, there is still a lack of literature to investigate into the clinical merits of MIS over open surgery. This study aims to investigate the correlation between clinical outcome, gait analysis and biomechanical properties comparing both surgical methods. MATERIALS AND METHODS: A single centre retrospective review on all the consecutive operated patients between January 2004 and December 2008 was performed. Twenty-six patients (19 male and 7 female; age 40.4 ± 9.2 years) had experienced a complete Achilles tendon rupture with operative repair. Nineteen of the patients, 10 MIS versus 9 open repairs (13 men with a mean age of 40.54 ± 10.43 (range 23-62 yrs) and 6 women with a mean age of 45.33 ± 7.71 (range 35-57 yrs) were further invited to attend a thorough clinical assessment using Holz's scale and biomechanical evaluation at a mean of 25.3 months after operation. This study utilized the Cybex II isokinetic dynamometer to assess the isokinetic peak force of plantar-flexion and dorsiflexion of both ankles. The patients were also invited to return to our Gait Laboratory for analysis. The eight-infrared camera motion capture system (VICON, UK) was utilized for the acquisition of kinematic variables. Their anthropometric data was measured according to the Davis and coworkers' standard. RESULTS: The mean operative time and length of hospital stay were shorter in the MIS group. The operative time was 54.55 ± 15.15 minutes versus 68.80 ± 18.23 minutes of the MIS group and Open group respectively (p = 0.045), whereas length of stay was 3.36 ± 1.21 days versus 6.40 ± 3.70 days respectively (p = 0.039). There is statistically significant decrease (p = 0.005) in incision length in MIS group than the open surgery group, 3.23 ± 1.10 cm versus 9.64 ± 2.55 cm respectively. Both groups attained similar Holz's scores, 11.70 ± 0.95 versus 12.0 ± 1.50 respectively (p = 0.262). The mean percentage stance time of the injured leg for MIS patient was 58.44% while the mean percentage stance time of the injured leg for patients with open repair was 56.57%. T-test has shown there were no significance differences between the results of the two groups of patients. The loss of peak torque and total work done with respect to the injured side were similar between the MIS and open group. DISCUSSION AND CONCLUSION: MIS using Achillon method can achieve smaller incisions, shorter operative time and hospital stay. There is no statistical significance difference in clinical outcome, the stance time to strike time ratio and biomechanical properties on the leg receiving Achilles tendon repair using MIS method and open surgery.

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