Quantification of soft tissue artifacts using CT registration and subject-specific multibody modeling.

The potential use of gait analysis for quantitative preoperative planning in total hip arthroplasty (THA) has previously been demonstrated. However, the joint kinematic data measured through this process tend to be unreliable for surgical planning due to distortions caused by soft tissue artifacts (STAs). In this study, we developed a novel motion capture framework by combining computed tomography (CT)-based postural calibration and subject-specific multibody dynamics modeling to prevent the effect of STAs in measuring hip kinematics. Three subjects with femoroacetabular impingement syndrome were recruited, and CT data for each patient were collected by attaching marker clusters near the hip. A subject-specific multibody hip joint model was developed based on reconstructed CT data. Spring-dashpot network calculations were performed to minimize the distance between the anatomical landmark and its corresponding infrared reflective marker. The STAs of the thigh was described as six degrees of freedom viscoelastic bushing elements, and their parameter values were identified via smooth orthogonal decomposition. Least squares optimization was used to modify the pelvic rotations to compensate for the rigid components of STAs. The results showed that CT-assisted motion tracking enabled the successful identification of STA influences in gait and squat positions. Furthermore, STA effects were found to alter maximal pelvis tilt and hip rotations during a squat. Compared to other techniques, such as dual fluoroscopic imaging, the adopted framework does not require additional medical imaging for patients undergoing robot-assisted THA surgery and is thus a practical way of evaluating hip joint kinematics for preoperative surgical planning.

3D Carbon Fiber Skeleton Film Modified with Gradient Cu Nanoparticles as Auxiliary Anode Regulates Dendrite-Free, Bottom-Up Zinc Deposition.

Achieving stable Zn plating/stripping under high current density and large area capacity remains a major challenge for metal Zn anodes. To address this issue, common filter paper is utilized to construct 3D carbon fiber skeleton film modified with gradient Cu nanoparticles (CFF@Cu). The original zincophobic hydrophilic CFF is transformed into gradient zincophilic and reversed gradient hydrophilic composite, due to the gradient distribution of Cu nanoparticles. When CFF@Cu is placed above Zn foil as an auxiliary anode, Zn foil anode exhibits stable, reversible, and dendrite-free Zn plating/stripping for 1200 h at 10 mA cm-2 and 2 mAh cm-2, 2000 h at 2 mA cm-2 and 2 mAh cm-2, 340 h at 10 mA cm-2 and 10 mAh cm-2. Additionally, nucleation barrier of Zn, Zn2+ transport and deposition kinetics are improved. The deposits on the Zn foil anode become homogeneous, dense, and fine. Side reactions and by-products are effectively inhibited. The excellent performance is mainly attributed to the gradient zincophilic field in 3D CFF. A portion of Zn2+ is captured by Cu and deposited within CFF@Cu from bottom to top, which reduces and homogenizes Zn2+ flux on Zn foil, as well as weakens and homogenizes electric field on Zn foil.

Association of radiological severity of hip involvement with clinical characteristics and sagittal spinopelvic balance in patients with ankylosing spondylitis.

INTRODUCTION: This is the first study to analyze the associations between the radiological severity of hip involvement with clinical characteristics and sagittal spinopelvic balance in patients with ankylosing spondylitis (AS). METHOD: We evaluated 182 patients with AS who were referred to outpatient clinics. Patient demographic data and clinical and radiographic parameters were collected. Patients were divided into three groups based on the Bath Ankylosing Spondylitis Radiology Hip Index. Clinical characteristics and spinopelvic parameters acquired by a low-dose biplanar imaging system were evaluated among these groups. RESULTS: Patients with more severe hip involvement were older and had longer disease duration and diagnostic delay, with lower Harris Hip Score (p < 0.001) and 12-item Short Form Health Survey Physical Component Score (p < 0.001) and higher Bath Ankylosing Spondylitis Disease Activity Index (p = 0.030) and Functional Index (p < 0.001). Patients with more severe hip involvement had significantly higher sacroiliac grade (p < 0.001) and higher modified Stoke Ankylosing Spondylitis Spinal Score (p < 0.001). Patients with moderate and severe hip involvement had similar lumbar lordosis and spino-sacral angle, whereas patients with severe hip involvement had lower pelvic tilt, pelvic femoral angle, higher sacral slope, and sagittal vertical axis. CONCLUSIONS: The severity of hip involvement is associated with physical function and is not consistent with the severity of spinal involvement. Severe hip involvement impairs the ability to retrovert the pelvis to accommodate the sagittal deformity, and spinopelvic parameters should be concretely evaluated in preoperative counseling of patients with AS waiting for total hip arthroplasty. Key Points • The severity of hip involvement in patients with AS is associated with physical function. • Severe hip involvement impairs the ability to retrovert the pelvis to accommodate the sagittal deformity.

Confining Co1.11Te2 nanoparticles within mesoporous hollow carbon combination sphere for fast and ultralong sodium storage.

Co1.11Te2 nanoparticles are in-situ uniformly grown within mesoporous hollow carbon combination sphere (MHCCS@Co1.11Te2) using a hard-template and spray drying process, solution impregnation and pyrolysis tellurization. Material characterizations reveal that Co1.11Te2, with a diameter of âˆ¼ 20 nm, is attached to the internal walls of the unit spheres or embedded in the mesopore shells of the unit spheres, presenting a distinctive "ships-in-combination-bottles" nanoencapsulation structure. In sodium-ion half-cells, MHCCS@Co1.11Te2 exhibits excellent cycling stability, achieving reversible capacities of 257 mAh/g at 0.5 A/g after 250 cycles, 235 mAh/g at 1.0 A/g after 300 cycles and 161 mAh/g at 10.0 A/g after 1900 cycles. Electrochemical kinetic analyses and ex-situ characterizations reveal rapid electron/Na+ transport kinetics, prominent surface pseudocapacitive behavior, robust nanocomposite structure, and multi-step conversion reactions of sodium polytellurides. In sodium-ion full-cells, MHCCS@Co1.11Te2 still demonstrates stable cycling performance at 1.0 and 5.0 A/g and excellent rate capability. The superior electrochemical performance is associated with the nanoencapsulation structure based on mesoporous hollow carbon combination spheres, which promotes electron conduction and Na+ transport. The space-confined effect maintains the high electrochemical activity and cycling stability of Co1.11Te2.

A patient-specific algorithm for predicting the standing sagittal pelvic tilt one year after total hip arthroplasty.

Aims: The aim of this study was to evaluate the reliability and validity of a patient-specific algorithm which we developed for predicting changes in sagittal pelvic tilt after total hip arthroplasty (THA). Methods: This retrospective study included 143 patients who underwent 171 THAs between April 2019 and October 2020 and had full-body lateral radiographs preoperatively and at one year postoperatively. We measured the pelvic incidence (PI), the sagittal vertical axis (SVA), pelvic tilt, sacral slope (SS), lumbar lordosis (LL), and thoracic kyphosis to classify patients into types A, B1, B2, B3, and C. The change of pelvic tilt was predicted according to the normal range of SVA (0 mm to 50 mm) for types A, B1, B2, and B3, and based on the absolute value of one-third of the PI-LL mismatch for type C patients. The reliability of the classification of the patients and the prediction of the change of pelvic tilt were assessed using kappa values and intraclass correlation coefficients (ICCs), respectively. Validity was assessed using the overall mean error and mean absolute error (MAE) for the prediction of the change of pelvic tilt. Results: The kappa values were 0.927 (95% confidence interval (CI) 0.861 to 0.992) and 0.945 (95% CI 0.903 to 0.988) for the inter- and intraobserver reliabilities, respectively, and the ICCs ranged from 0.919 to 0.997. The overall mean error and MAE for the prediction of the change of pelvic tilt were -0.3° (SD 3.6°) and 2.8° (SD 2.4°), respectively. The overall absolute change of pelvic tilt was 5.0° (SD 4.1°). Pre- and postoperative values and changes in pelvic tilt, SVA, SS, and LL varied significantly among the five types of patient. Conclusion: We found that the proposed algorithm was reliable and valid for predicting the standing pelvic tilt after THA.

Using novel porous metal pillars for tibial bone defects in primary total knee arthroplasty.

BACKGROUND: The optimal method to treat tibial bone defects during primary total knee arthroplasty (TKA) is still unclear. A novel technique of porous metal pillar augmentation has been applied recently. This study aimed to assess the short-term outcomes of primary TKA with the use of novel porous metal pillars for tibial bone defects. METHODS: A total of 24 cases (22 patients) of primary TKA between January 2019 and December 2020 using porous metal pillars for tibial bone defects were reviewed. Clinical results were evaluated using the Knee Society knee score (KSKS) and function score (KSFS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and range of motion (ROM). Hip-knee-ankle angle (HKAA), femorotibial angle (FTA), and radiolucent lines were assessed radiologically. RESULTS: The median follow-up period was 36.0 months (interquartile range: 31-37 months). The KSKS, KSFS, WOMAC score, and ROM improved significantly at the final follow-up assessment compared with the preoperative evaluation. Both of the HKAA and FTA were corrected after surgery. Only one knee had a nonprogressive radiolucent line at the bone-cement interface. No radiolucent lines were detected around the pillar in any of the cases. There were no cases of prosthesis loosening and revision. CONCLUSIONS: The use of novel porous metal pillars yielded satisfactory clinical outcomes and reliable radiological evidence of fixation in this study with a minimum 2-year follow-up. Porous metal pillar augmentation can be considered as a valuable and easy-to-use method for the management of tibial bone defects in primary TKA.

Bismuth-Antimony Alloy Nanoparticles Embedded in 3D Hierarchical Porous Carbon Skeleton Film for Superior Sodium Storage.

A composite film that features bismuth-antimony alloy nanoparticles uniformly embedded in a 3D hierarchical porous carbon skeleton is synthesized by the polyacrylonitrile-spreading method. The dissolved polystyrene is used as a soft template. The average diameter of the bismuth-antimony alloy nanoparticles is ~34.5 nm. The content of the Bi-Sb alloy has an impact on the electrochemical performance of the composite film. When the content of the bismuth-antimony alloy is 45.27%, the reversible capacity and cycling stability of the composite film are the best. Importantly, the composite film outperforms the bismuth-antimony alloy nanoparticles embedded in dense carbon film and the cube carbon nanobox in terms of specific capacity, cycling stability, and rate capability. The composite film can provide a discharge capacity of 322 mAh g-1 after 500 cycles at 0.5 A g-1, 292 mAh g-1 after 500 cycles at 1 A g-1, and 185 mAh g-1 after 2000 cycles at 10 A g-1. The carbon film prepared by the spreading method presents a unique integrated composite structure that significantly improves the structural stability and electronic conductivity of Bi-Sb alloy nanoparticles. The 3D hierarchical porous carbon skeleton structure further enhances electrolyte accessibility, promotes Na+ transport, increases reaction kinetics, and buffers internal stress.

Nanocapsule of MnS Nanopolyhedron Core@CoS Nanoparticle/Carbon Shell@Pure Carbon Shell as Anode Material for High-Performance Lithium Storage.

MnS has been explored as an anode material for lithium-ion batteries due to its high theoretical capacity, but low electronic conductivity and severe volume change induce low reversible capacity and poor cycling performance. In this work, the nanocapsule consisting of MnS nanopolyhedrons confined in independent, closed and conductive hollow polyhedral nanospheres is prepared by embedding MnCO3 nanopolyhedrons into ZIF-67, followed by coating of RF resin and gaseous sulfurization/carbonization. Benefiting from the unique nanocapsule structure, especially inner CoS/C shell and outer pure C shell, the MnS@CoS/C@C composite as anode material presents excellent cycling performance (674 mAh g-1 at 1 A g-1 after 300 cycles; 481 mAh g-1 at 5 A g-1 after 300 cycles) and superior rate capability (1133.3 and 650.6 mAh g-1 at 0.1 and 4 A g-1), compared to the control materials (MnS and MnS@CoS/C) and other MnS composites. Kinetics measurements further reveal a high proportion of the capacitive effect and low reaction impedance of MnS@CoS/C@C. SEM and TEM observation on the cycled electrode confirms superior structural stability of MnS@CoS/C@C during long-term cycles. Excellent lithium storage performance and the convenient synthesis strategy demonstrates that the MnS@CoS/C@C nanocapsule is a promising high-performance anode material.

Assessing component orientation of total hip arthroplasty using the low-dose bi-planar radiographs.

BACKGROUND: Three-dimensional computed tomography (3D CT) reconstruction is the reference standard for measuring component orientation. However, functional cup orientation in standing position is preferable compared with supine position. The low-dose bi-planar radiographs can be used to analyze standing cup component orientation. We aimed to assess the validity and reliability of the component orientation using the low-dose bi-planar radiographs compared with the 3D CT reconstruction, and explore the differences between the functional cup orientation in standing radiographs and supine CT scans. METHODS: A retrospective study, including 44 patients (50 hips) with total hip arthroplasty (THA), was conducted. CT scans were taken 1 week after surgery and the low-dose bi-planar radiographs were taken in the follow-up 6 weeks later. Component orientation measurement was performed using the anterior pelvic plane and the radiographic coronal plane as reference, respectively. RESULTS: The study showed no significant difference in cup anteversion (p = 0.160), cup inclination (p = 0.486), and stem anteversion (p = 0.219) measured by the low-dose bi-planar radiographs and 3D reconstruction. The differences calculated by the Bland-Altman analysis ranged from - 0.4° to 0.6° for the three measured angles. However, the mean absolute error was 4.76 ± 1.07° for functional anteversion (p = 0.035) and 4.02 ± 1.08° for functional inclination (p = 0.030) measured by the bi-planar radiographs and supine CT scans. CONCLUSIONS: The low-dose bi-planar radiographs are the same reliable and accurate as 3D CT reconstruction to assess post-THA patients' component orientation, while providing more valuable functional component orientation than supine CT scans.

[Midterm follow-up outcomes of total hip arthroplasty in treatment for patients with juvenile-onset ankylosing spondylitis].

Objective: To assess the midterm follow-up outcomes of total hip arthroplasty (THA) for the treatment of patients with juvenile-onset ankylosing spondylitis (JAS). Methods: The clinical data of 81 patients (127 hips) with JAS (age≤16 years, JAS group) and 267 patients (391 hips) with adult onset ankylosing spondylitis (AAS) (age>16 years, AAS group) between January 2004 and March 2018 were retrospectively analysed. The baseline demographics, clinical, radiographic, and laboratory parameters were collected. Before operation and at last follow-up, the overall disease activity [Bath ankylosing spondylitis disease activity index (BASDAI)] and function status [Bath ankylosing spondylitis functional index (BASFI)], hip subjective score [Harris hip score (HHS)] and objective score [12-item short form health survey (SF-12), including physical component score (PCS) and mental component score (MCS)], and patient satisfaction for THA were reviewed. The major orthopedic complications, including periprosthetic infection, dislocation, periprosthetic fractures, and poor incision healing, were also recorded during the follow-up period. Results: The comparison of preoperative baseline parameters showed that the body mass, body mass index, age of onset, age of surgery, disease duration, and the proportion of combined smoking history in the JAS group were significantly lower than those in the AAS group ( P<0.05), the proportion of bilateral surgeries, proportion of uveitis, proportion of combined family history, C-reactive protein, albumin, and preoperative BASFI were significantly higher than those in the AAS group ( P<0.05). Both groups were followed up. The follow-up time in the JAS group was 29-199 months, with an average of 113 months; in the AAS group was 35-199 months, with an average of 98 months. Incisions in both groups healed by first intention. During the follow-up period, there were 1 case of periprosthetic fracture, 1 case of dislocation, and 1 case of ceramic fragmentation in the JAS group, 1 case of periprosthetic infection and 6 cases of periprosthetic fracture in the AAS group. There was no significant difference in the incidence of complications between the two groups ( P>0.05). At last follow-up, the BASDAI, BASFI, SF-12 MCS, SF-12 PCS, and HHS score of the two groups were significantly improved when compared with those before operation ( P<0.05); but there was no significan difference in the difference of the above parameters before and after operation and the patient satisfaction between the two groups ( P>0.05). Conclusion: The midterm follow-up outcomes of THA for the treatment of JAS patients were reliable. A low age at disease onset did not exert a significant negative effect on THA reconstruction for the treatment of ankylosing spondylitis.

Constructing zigzag-like hollow mesoporous nanospheres MoO2/C with superior lithium storage performance.

Hollow mesoporous nanospheres MoO2/C are successfully constructed through metal chelating reaction between molybdenum acetylacetone and glycerol as well as the Kirkendall effect induced by diammonium hydrogen phosphate. MoO2nanoparticles coupled by amorphous carbon are assembled to unique zigzag-like hollow mesoporous nanosphere with large specific surface area of 147.7 m2g-1and main pore size of 8.7 nm. The content of carbon is 9.1%. As anode material for lithium-ion batteries, the composite shows high specific capacity and excellent cycling performance. At 0.2 A g-1, average discharge capacity stabilizes at 1092 mAh g-1. At 1 A g-1after 700 cycles, the discharge capacity still reaches 512 mAh g-1. Impressively, the composite preserves intact after 700 cycles. Even at 5 A g-1, the discharge capacity can reach 321 mAh g-1, exhibiting superior rate capability. Various kinetics analyses demonstrate that in electrochemical reaction, the proportion of the surface capacitive effect is higher, and the composite has relatively high diffusion coefficient of Li ions and fast faradic reaction kinetics. Excellent lithium storge performance is attributed to the synergistic effect of zigzag-like hollow mesoporous nanosphere and amorphous carbon, which improves reaction kinetics, structure stability and electronic conductivity of MoO2. The present work provides a new useful structure design strategy for advanced energy storage application of MoO2.

Octahedral Shaped PbTiO3-TiO2 Nanocomposites for High-Efficiency Photocatalytic Hydrogen Production.

In this work, octahedral shaped PbTiO3-TiO2 nanocomposites have been synthesized by a facile hydrothermal method, where perovskite ferroelectric PbTiO3 nanooctahedra were employed as substrate. The microstructures of the composites were investigated systemically by using XRD, SEM, TEM and UV-Vis spectroscopy. It was revealed that anantase TiO2 nanocrystals with a size of about 5 nm are dispersed on the surface of the {111} facets of the nanooctahedron crystals. Photocatalytic hydrogen production of the nanocomposites has been evaluated in a methanol alcohol-water solution under UV light enhanced irradiation. The H2 evolution rate of the nanocomposites increased with an increased loading of TiO2 on the nanooctahedra. The highest H2 evolution rate was 630.51 µmol/h with the highest concentration of TiO2 prepared with 2 mL tetrabutyl titanate, which was about 36 times higher than that of the octahedron substrate. The enhanced photocatalytic reactivity of the nanocomposites is possibly ascribed to the UV light absorption of the nanooctahedral substrates, efficient separation of photo-generated carriers via the interface and the reaction on the surface of the TiO2 nanocrystals.