How common is extra-articular knee deformity? How to achieve a ''safe zone'' alignment total knee arthroplasty in patients with extra-articular deformity.

The need for total knee arthroplasty is increasing considerably and one of the goals is to achieve post-surgical coronal alignment. Robotic surgical assistance achieves a functional alignment, which is a hip-knee-ankle angle of 0°. However, it is not possible to provide robotic assisted surgery to all our patients so we must include the full-length hip-to-ankle AP weight-bearing radiograph in preoperative planning to obtain a "safe zone" alignment, which is a post-surgical hip-knee-ankle Angle of 0 ± 3°. How can we achieve a "safe zone" alignment total knee arthroplasty in patients with extra-articular deformity?

La necesidad de artroplastia total de rodilla está aumentando considerablemente y uno de los objetivos es lograr la alineación coronal postquirúrgica. La asistencia quirúrgica robótica consigue una alineación funcional, que es un ángulo cadera-rodilla-tobillo de 0°. Sin embargo, no es posible ofrecer cirugía asistida por robot a todos nuestros pacientes, por lo que debemos incluir la radiografía AP de soporte de peso de cadera a tobillo de cuerpo entero en la planificación preoperatoria para obtener una alineación de "zona segura", que es un ángulo postquirúrgico cadera-rodilla-tobillo de 0 ± 3°. ¿Cómo podemos conseguir una artroplastia total de rodilla con alineación de "zona segura" en pacientes con deformidad extraarticular?

A high birefringence liquid crystal for lenses with large aperture.

This work presents the application of an experimental nematic liquid crystal (LC) mixture (1929) in a large aperture lens. The LC material is composed of terphenyl and biphenyl derivatives compounds with an isothiocyanate terminal group and fluorinated lateral substituents. The substitution with a strongly polar isothiocyanate group and an aromatic rigid core provides [Formula: see text]-electron coupling, providing high birefringence ([Formula: see text] at 636 nm and 23 °C) and low viscosity ([Formula: see text] = 17.03 mPa s). In addition, it also shows high values of birefringence at near infrared (0.318 at 1550 nm). The synthesis process is simple when comparing materials with high melting temperatures. The excellent properties of this LC mixture are demonstrated in a large aperture LC-tunable lens based on a transmission electrode structure. Thanks to the particular characteristics of this mixture, the optical power is high. The high birefringence makes this LC of specific interest for lenses and optical phase modulators and devices, both in the visible and infrared regions.

Aspherical liquid crystal lenses based on a variable transmission electrode.

In this work, a technique to generate aspherical liquid crystal lenses with positive and negative optical power is experimentally demonstrated. The main enabling element is a micro-metric electrode with variable spatial size. This produces a decreasing resistance towards the lens centre that generates the desired voltage/phase profiles. Then, the voltage is homogeneously distributed across the active area of the lens by micro-metric concentric electrodes. As it is demonstrated, the phase shift can be controlled with voltages from 0 to 4.5 VRMS. As a result, parabolic profiles are obtained both for negative and positive optical powers. Furthermore, this approach avoids some disadvantages of previous techniques; parabolic profiles can be obtained with only one lithographic step and one or two voltage sources. Other complex aspherical profiles could be fabricated using the same technique, such as elliptical or hyperbolic ones.

Analogue of electromagnetically induced transparency in square slotted silicon metasurfaces supporting bound states in the continuum.

In this work, a silicon metasurface designed to support electromagnetically induced transparency (EIT) based on quasi-bound states in the continuum (qBIC) is proposed and theoretically demonstrated in the near-infrared spectrum. The metasurface consists of a periodic array of square slot rings etched in a silicon layer. The interruption of the slot rings by a silicon bridge breaks the symmetry of the structure producing qBIC stemming from symmetry-protected states, as rigorously demonstrated by a group theory analysis. One of the qBIC is found to behave as a resonance-trapped mode in the perturbed metasurface, which obtains very high quality factor values at certain dimensions of the silicon bridge. Thanks to the interaction of the sharp qBIC resonances with a broadband bright background mode, sharp high-transmittance peaks are observed within a low-transmittance spectral window, thus producing a photonic analogue of EIT. Moreover, the resonator possesses a simple bulk geometry with channels that facilitate the use in biosensing. The sensitivity of the resonant qBIC on the refractive index of the surrounding material is calculated in the context of refractometric sensing. The sharp EIT-effect of the proposed metasurface, along with the associated strong energy confinement may find direct use in emerging applications based on strong light-matter interactions, such as non-linear devices, lasing, biological sensors, optical trapping, and optical communications.

Strongly resonant silicon slot metasurfaces with symmetry-protected bound states in the continuum.

In this work, a novel all-dielectric metasurface made of arrayed circular slots etched in a silicon layer is proposed and theoretically investigated. The structure is designed to support both Mie-type multipolar resonances and symmetry-protected bound states in the continuum (BIC). Specifically, the metasurface consists of interrupted circular slots, following the paradigm of complementary split-ring resonators. This configuration allows both silicon-on-glass and free-standing metasurfaces and the arc length of the split-rings provides an extra tuning parameter. The nature of both BIC and non-BIC resonances supported by the metasurface is investigated by employing the Cartesian multipole decomposition technique. Thanks to the non-radiating nature of the quasi-BIC resonance, extremely high Q-factor responses are calculated, both by fitting the simulated transmittance spectra to an extended Fano model and by an eigenfrequency analysis. Furthermore, the effect of optical losses in silicon on quenching the achievable Q-factor values is discussed. The metasurface features a simple bulk geometry and sub-wavelength dimensions. This novel device, its high Q-factors, and strong energy confinement open new avenues of research on light-matter interactions in view of new applications in non-linear devices, biological sensors, and optical communications.

Multifunctional light beam control device by stimuli-responsive liquid crystal micro-grating structures.

There is an increasing need to control light phase with tailored precision via simple means in both fundamental science and industry. One of the best candidates to achieve this goal are electro-optical materials. In this work, a novel technique to modulate the spatial phase profile of a propagating light beam by means of liquid crystals (LC), electro-optically addressed by indium-tin oxide (ITO) grating microstructures, is proposed and experimentally demonstrated. A planar LC cell is assembled between two perpendicularly placed ITO gratings based on microstructured electrodes. By properly selecting only four voltage sources, we modulate the LC-induced phase profile such that non-diffractive Bessel beams, laser stretching, beam steering, and 2D tunable diffraction gratings are generated. In such a way, the proposed LC-tunable component performs as an all-in-one device with unprecedented characteristics and multiple functionalities. The operation voltages are very low and the aperture is large. Moreover, the device operates with a very simple voltage control scheme and it is lightweight and compact. Apart from the demonstrated functionalities, the proposed technique could open further venues of research in optical phase spatial modulation formats based on electro-optical materials.

Positive-negative tunable liquid crystal lenses based on a microstructured transmission line.

In this work, a novel technique to create positive-negative tunable liquid crystal lenses is proposed and experimentally demonstrated. This structure is based on two main elements, a transmission line acting as a voltage divider and concentric electrodes that distribute the voltage homogeneously across the active area. This proposal avoids all disadvantages of previous techniques, involving much simpler fabrication process (a single lithographic step) and voltage control (one or two sources). In addition, low voltage signals are required. Lenses with switchable positive and negative focal lengths and a simple, low voltage control are demonstrated. Moreover, by using this technique other optical devices could be engineered, e.g. axicons, Powell lenses, cylindrical lenses, Fresnel lenses, beam steerers, optical vortex generators, etc. For this reason, the proposed technique could open new venues of research in optical phase modulation based on liquid crystal materials.