Validating the Mechanism Underlying the Slacking of the Gate-Opening Behavior in Flexible Metal-Organic Frameworks Arising from the Application of External Force.

Flexible metal-organic frameworks (MOFs) are innovative adsorbents expected to revolutionize conventional separation systems as they exhibit stepwise adsorption arising from structural transitions, commonly known as "gate opening." However, because MOFs are typically obtained in powder form, they require shaping for industrial applications. In our previous study, we reported that the stepwise uptake observed in the CO2 gate opening of ELM-11 ([Cu(BF4)2(4,4'-bipyridine)2]) became less distinct when molded with polymer binders and found that this slacking phenomenon could be caused by the polymer binder inhibiting the structural change of the ELM-11 particles. In this study, we aimed to fully validate and generalize the mechanism behind the slacking of gate adsorption from both theoretical and experimental perspectives. First, we conducted grand canonical molecular dynamics simulations for a simplified MOF model to directly calculate free energy profiles of the particle to validate the slacking theory without any assumptions. The results confirmed the fundamental assumption made in our previous study that the deformation of the flexible motifs within the MOF particles occurs sequentially, which is a key factor contributing to the slacking phenomenon. The second part of the study focused on the relationship between the volume expansion ratio of MOFs and the degree of slacking. The relationship predicted by the theory was experimentally validated by comparing ELM-11, which exhibits 30% volume expansion, to another MOF with a mutually interpenetrating jungle-gym structure, which exhibits 10% volume expansion. These findings strengthened and generalized the understanding of the mechanism underlying the slacking of gate adsorption induced upon the application of external force, which could guide the fabrication of molded MOFs while maintaining a high adsorption efficiency for various industrial applications.

Structural Specificity of Polymorphic Forms of α-Synuclein Amyloid.

The structural transformation producing amyloids is a phenomenon that sheds new light on the protein folding problem. The analysis of the polymorphic structures of the α-synuclein amyloid available in the PDB database allows analysis of the amyloid-oriented structural transformation itself, but also the protein folding process as such. The polymorphic amyloid structures of α-synuclein analyzed employing the hydrophobicity distribution (fuzzy oil drop model) reveal a differentiation with a dominant distribution consistent with the micelle-like system (hydrophobic core with polar shell). This type of ordering of the hydrophobicity distribution covers the entire spectrum from the example with all three structural units (single chain, proto-fibril, super-fibril) exhibiting micelle-like form, through gradually emerging examples of local disorder, to structures with an extremely different structuring pattern. The water environment directing protein structures towards the generation of ribbon micelle-like structures (concentration of hydrophobic residues in the center of the molecule forming a hydrophobic core with the exposure of polar residues on the surface) also plays a role in the amyloid forms of α-synuclein. The polymorphic forms of α-synuclein reveal local structural differentiation with a common tendency to accept the micelle-like structuralization in certain common fragments of the polypeptide chain of this protein.

Efficient Focusing of Aerosol Particles in the Microchannel under Reverse External Force: A Numerical Simulation Study.

Focusing aerosol particles efficiently is of great significance for high-precision aerosol jet printing and detection of the airborne target. A new method was proposed herein to achieve the efficient focusing of aerosol particles in the microchannel by using a reverse external force. Considering the slip at the interface between the gas and the aerosol particle, a numerical model of the particle movement in the microchannel was established and simulations were conducted on the gas-particle two-phase flow in the microchannel under the effect of the reverse external force. The results showed that a suitable reverse external force in a similar order of magnitude to the Stokes force can dramatically increase the velocity difference between the particle and the gas, which significantly enhances the Saffman lift force exerted on the aerosol particle. Eventually, the aerosol particle can be efficiently focused at the center of the microchannel in a short channel length. In addition, the influence of the channel geometry, the magnitude, and the direction of the external force on the particle focusing was also studied. This work is of great significance for the precise detection of aerosol particles and the design of nozzles for aerosol jet printing.

Directional Transport of Underwater Bubbles on Solid Substrates: Principles and Applications.

The manipulation of underwater bubbles on substrates has received extensive research interest from both the scientific community and industry, including the chemical industry, machinery, biology, medicine, and other fields. Recent advances in "smart" substrates have enabled the bubbles to be transported on demand. Herein, the progress in the directional transport of underwater bubbles on various types of substrates is summarized, including planes, wires, and cones. The transport mechanism can be classified as buoyancy-driven, Laplace-pressure-difference-driven, and external-force-driven according to the driven force of the bubble. Moreover, the wide applications of directional bubble transport are reported, ranging from gas collection, microbubble reaction, bubble detection and classification, bubble switch, and bubble microrobots. Lastly, the advantages and challenges of various directional bubble transportation methods are discussed, and the current challenges and future prospects in this field are also discussed. This Review outlines the fundamental mechanisms of underwater bubble transportation on solid substrates and helps to understand the methods of optimizing bubble transportation performances.

Forced Mineral Carbonation of MgO Nanoparticles Synthesized by Aerosol Methods at Room Temperature.

Magnesium oxide (MgO) has been investigated as a wet mineral carbonation adsorbent due to its relatively low adsorption and regeneration temperatures. The carbon dioxide (CO2) capture efficiency can be enhanced by applying external force on the MgO slurry during wet carbonation. In this study, two aerosol-processed MgO nanoparticles were tested with a commercial MgO one to investigate the external force effect on the wet carbonation performance at room temperature. The MgO nano-adsorbents were carbonated and sampled every 2 h up to 12 h through forced and non-forced wet carbonations. Hydrated magnesium carbonates (nesquehonite, artinite and hydromagnesite) were formed with magnesite through both wet carbonations. The analyzed results for the time-dependent chemical compositions and physical shapes of the carbonation products consistently showed the enhancement of wet carbonation by the external force, which was at least 4 h faster than the non-forced carbonation. In addition, the CO2 adsorption was enhanced by the forced carbonation, resulting in a higher amount of CO2 being adsorbed by MgO nanoparticles than the non-forced carbonation, unless the carbonation processes were completed. The adsorbed amount of CO2 was between the maximum theoretical amounts of CO2 adsorbed by nesquehonite and hydromagnesite.

External fields in conceptual density functional theory.

The necessity of the recent incorporation of new external variables in the context of conceptual DFT (CDFT) is discussed based on the ever-increasing portfolio of experimental reaction conditions in the endeavor of experimentalists to synthesize new molecules with unprecedented properties. Electric and magnetic fields (ε and B), mechanical forces (F), and confinement are proposed as valuable new variables, extending conventional CDFT and its associated response functions. A finite field approach is used to calculate the evolution of both global and local descriptors in a selected series of atomic and molecular applications, and from it derive new response function involving, with one exception, the first derivative to the field considered. The electric field results, displaying, for example, a case of a field-induced enantioselectivity in the Fukui function, may be instrumental in the recent upsurge of chemistry in oriented external electric fields. The study of atomic electronegativity and hardness in magnetic fields displays a piecewise behavior, associated to configurational jumps upon increasing field strength and reveals an overall compression of their ranges for stronger fields, which may be guiding upon investigating chemistry in extremely high fields like in white dwarfs. The evolution of the electronegativity and hardness of diatomics under mechanical force can elegantly be traced back to differences in their equilibrium distance in the neutral, cationic, and anionic state. The well-known reduction of the polarizability under confinement can be seen as a fore-runner of the increasing hardness of atoms under pressure, presently under investigation. Periodicity showing up in a spontaneous way in the variety of properties is a leitmotiv in this study, as well as the interconnections/analogies between the different response functions.

Model Analysis of Robotic Soft Arms including External Force Effects.

Because robotic soft arms have a high power-to-weight ratio, low cost, and ease of manufacturability, increasing numbers of researchers have begun to focus on their characteristics in recent years. However, many urgent problems remain to be resolved. For example, soft arms are made of hyperelastic material, making it difficult to obtain accurate model predictions of the soft arm shape. This paper proposes a new modeling method for soft arms, combining the constant curvature model with Euler-Bernoulli beam theory. By combining these two modeling methods, we can quickly solve for the soft arm deformation under the action of an external force. This paper also presents an experimental platform based on a cable-driven soft arm to verify the validity of the proposed model. We carried out model verification experiments to test for different external effects. Experimental results show that the maximum error of our proposed soft arm deformation model is between 2.86% and 8.75%, demonstrating its effectiveness.

Identification of Time-Varying External Force Using Group Sparse Regularization and Redundant Dictionary.

How to accurately identify unknown time-varying external force from measured structural responses is an important engineering problem, which is critical for assessing the safety condition of the structure. In the context of a few available accelerometers, this paper proposes a novel time-varying external force identification method using group sparse regularization based on the prior knowledge in the redundant dictionary. Firstly, the relationship between time-varying external force and acceleration responses is established, and a redundant dictionary is designed to create a sparse expression of external force. Then, the relevance of atoms in the redundant dictionary is revealed, and this prior knowledge is used to determine the group structures of atoms. As a result, a force identification governing equation is formulated, and the group sparse regularization is reasonably introduced to ensure the accuracy of the identified results. The contribution of this paper is that the group structures of atoms are reasonably determined based on prior knowledge, and the complexity in the process for identifying external force from measured acceleration responses is reduced. Finally, the effectiveness of the proposed method is demonstrated by numerical simulations and an experimental structure. The illustrated results show that, compared with the force identification method based on the standard l1-norm regularization, the proposed method can further improve the identified accuracy of unknown external force and greatly enhance the computational efficiency for the force identification problem.

FBG-Based Estimation of External Forces Along Flexible Instrument Bodies.

A variety of medical treatment and diagnostic procedures rely on flexible instruments such as catheters and endoscopes to navigate through tortuous and soft anatomies like the vasculature. Knowledge of the interaction forces between these flexible instruments and patient anatomy is extremely valuable. This can aid interventionalists in having improved awareness and decision-making abilities, efficient navigation, and increased procedural safety. In many applications, force interactions are inherently distributed. While knowledge of their locations and magnitudes is highly important, retrieving this information from instruments with conventional dimensions is far from trivial. Robust and reliable methods have not yet been found for this purpose. In this work, we present two new approaches to estimate the location, magnitude, and number of external point and distributed forces applied to flexible and elastic instrument bodies. Both methods employ the knowledge of the instrument's curvature profile. The former is based on piecewise polynomial-based curvature segmentation, whereas the latter on model-based parameter estimation. The proposed methods make use of Cosserat rod theory to model the instrument and provide force estimates at rates over 30 Hz. Experiments on a Nitinol rod embedded with a multi-core fiber, inscribed with fiber Bragg gratings, illustrate the feasibility of the proposed methods with mean force error reaching 7.3% of the maximum applied force, for the point load case. Furthermore, simulations of a rod subjected to two distributed loads with varying magnitudes and locations show a mean force estimation error of 1.6% of the maximum applied force.

Slacking of Gate Adsorption Behavior on Metal-Organic Frameworks under an External Force.

As flexible metal-organic frameworks (MOFs) and their gate adsorption behaviors are increasingly expected to be used in gas storage and separation systems, evaluating their performance by considering their usage patterns in actual processes is becoming increasingly important. Herein, we show that the shaping of the elastic layer-structured MOF-11 (ELM-11; [Cu(BF4)2(4,4'-bipyridine)2]) into pellet forms using polymer binders smears its stepwise uptake associated with the CO2 gate adsorption. This is a critical problem because the superior adsorption properties of flexible MOFs are highly dependent on the sharpness of the step. Free energy analysis by molecular simulations revealed that the slacking of the gate adsorption is natural from a thermodynamic point of view. In other words, the external force exerted by the polymer binders, which prevents the expansion of MOF particles upon the gate opening, changes the free energy landscape of the system. This causes the flexible motifs within the MOF particles to undergo a structural transition at slightly different pressures from each other. The force profile dependence of the slacking phenomenon on both adsorption and desorption isotherms was also investigated. It was revealed that controlling the force profile applied to MOF particles is important to mold MOF pellets that satisfy the robustness and sharpness of the gate adsorption. Finally, we examined the coating of pellets to verify the relationship between the force profile and the degree of slacking and discussed possible strategies to improve the sharpness of the gate adsorption on MOF pellets considering the revealed mechanism.

Tensile mechanical analysis of anisotropy and velocity dependence of the spinal cord white matter: a biomechanical study.

In spinal cord injuries, external forces from various directions occur at various velocities. Therefore, it is important to physically evaluate whether the spinal cord is susceptible to damage and an increase in internal stress for external forces. We hypothesized that the spinal cord has mechanical features that vary under stress depending on the direction and velocity of injury. However, it is difficult to perform experiment because the spinal cord is very soft. There are no reports on the effects of multiple external forces. In this study, we used bovine spinal cord white matter to test and analyze the anisotropy and velocity dependence of the spinal cord. Tensile-vertical, tensile-parallel, shear-vertical, and shear-parallel tests were performed on the white matter in the fibrous direction (cranial to caudal). Strain rate in the experiment was 0.1, 1, 10, and 100/s. We calculated the Young's modulus of the spinal cord. Results of the tensile and shear tests revealed that stress tended to increase when external forces were applied parallel to the direction of axon fibers, such as in tensile-vertical and shear-vertical tests. However, external forces those tear against the fibrous direction and vertically, such as in tensile-parallel and shear-parallel tests, were less likely to increase stress even with increased velocity. We found that the spinal cord was prone to external forces, especially in the direction of the fibers, and to be under increased stress levels when the velocity of external forces increased. From these results, we confirmed that the spinal cord has velocity dependence and anisotropy. The Institutional Animal Care and Use Committee of Yamaguchi University waived the requirement for ethical approval.

Perception of impact is affected by stimulus intensity.

Perception of external loads may be a central topic to understand adjustments to the mechanical demands during movement. Nevertheless, the association between the perceived and the real load received is still controversial. This study aimed to correlate vertical ground reaction force (vGRF) to the perception of impact in different regimens of stimulus application. Ten physically active men performed drop jumps from four different heights (0.20, 0.40, 0.60 and 0.80 m). A force plate measured the vGRF, while perception of impact was evaluated through Borg's Ratings of Perceived Exertion. Higher values of maximum vGRF (Fy_max) and impulse of the first 50 ms (I_50), and reduced time to reach Fy_max indicate increased external forces as drop jump height raised. Perception of impact increased gradually with increasing jump height for I_50. Fy_max and I_50 showed moderate to strong correlations to perceived load for 70% and 90% of participants, respectively. Higher and different intensity of stimulus facilitated the perception of impact, presenting moderate to strong correlations to kinetic parameters related to external load during landing from drop jump. Perception of higher impacts could be used as a surrogate to monitor 'real' impacts and possibly also for managing impact-related injury risk.

The Structure of Amyloid Versus the Structure of Globular Proteins.

The issue of changing the structure of globular proteins into an amyloid form is in the focus of researchers' attention. Numerous experimental studies are carried out, and mathematical models to define the essence of amyloid transformation are sought. The present work focuses on the issue of the hydrophobic core structure in amyloids. The form of ordering the hydrophobic core in globular proteins is described by a 3D Gaussian distribution analog to the distribution of hydrophobicity in a spherical micelle. Amyloid fibril is a ribbon-like micelle made up of numerous individual chains, each representing a flat structure. The distribution of hydrophobicity within a single chain included in the fibril describes the 2D Gaussian distribution. Such a description expresses the location of polar residues on a circle with a center with a high level of hydrophobicity. The presence of this type of order in the amyloid forms available in Preotin Data Bank (PDB) (both in proto- and superfibrils) is demonstrated in the present work. In this system, it can be assumed that the amyloid transformation is a chain transition from 3D Gauss ordering to 2D Gauss ordering. This means changing the globular structure to a ribbon-like structure. This observation can provide a simple mathematical model for simulating the amyloid transformation of proteins.

Hydrophilic Mechano-Bactericidal Nanopillars Require External Forces to Rapidly Kill Bacteria.

Nanopillars have been shown to mechanically damage bacteria, suggesting a promising strategy for future antibacterial surfaces. However, the mechanisms underlying this phenomena remain unclear, which ultimately limits translational potential toward real-world applications. Using real-time and end-point analysis techniques, we demonstrate that in contrast to initial expectations, bacteria on multiple hydrophilic "mechano-bactericidal" surfaces remained viable unless exposed to a moving air-liquid interface, which caused considerable cell death. Reasoning that normal forces arising from surface tension may underlie this mechano-bactericidal activity, we developed computational and experimental models to estimate, manipulate, and recreate the impact of these forces. Our experiments together demonstrate that a critical level of external force acting on cells attached to nanopillar surfaces can rapidly deform and rupture bacteria. These studies provide fundamental physical insight into how nanopillar surfaces can serve as effective antibacterial materials and suggest use-conditions under which such nanotechnology approaches may provide practical value.

External Volume Expansion Adjusted Adipose Stem Cell by Shifting the Ratio of Fibronectin to Laminin.

External volume expansion (EVE) is an effective method of adipose tissue regeneration. However, it remains unclear how EVE induces adipose tissue regeneration. In this study, we developed EVE devices to generate expanded prefabricated adipose tissue (EPAT) in rats and investigated cell proliferation, adipogenesis, and the expression of extracellular matrix (ECM) proteins during the 12 weeks suction. In addition, EPAT-generated decellularized adipose tissue (DAT) was used to assess the role of ECM proteins in cell proliferation and differentiation. Matrix deposition was significantly increased after EVE suction, with fibronectin and laminin showing the most dramatic changes. Fibronectin expression peaked during weeks 1-4, when Ki67 cells in EPAT peaked. Laminin expression peaked during weeks 8-12, when peroxisome proliferator-activated receptor-γ expression also peaked. In vitro, adipose-derived stem cells (ASCs) displayed a higher proliferation rate in week 1 DAT, when fibronectin expression was highest, whereas ASC adipogenesis was significantly higher on week 12 DAT, when laminin expression was abundant. These results showed that EVE device enhanced ECM deposition, which is closely related to cell proliferation and differentiation. Impact Statement Large soft tissue defects caused by cancer, trauma, or deformity remain a major challenge for reconstructive surgery. External volume expansion (EVE) successfully induces adipose tissue regeneration and shows great therapeutic potential in correction for soft tissue defect. This study showed that EVE enhanced the secretion of extracellular matrix (ECM) proteins and regulated ASC proliferation and differentiation through shifting matrix synthesis from fibronectin to laminin. These findings revealed the relation between ECM modulation and ASC behavior, indicating that EVE can induce adipose regeneration by regulating matrix synthesis.

Relationship between a linear black signal area of STIR image in MRI of osteoporotic thoracolumbar fracture and the size of external force / 中国组织工程研究

BACKGROUND: With the aging of the society, the number of patients with osteoporotic vertebral fracture is increasing, mainly manifesting compression fracture of thoracolumbar body, which seriously affects the daily life of the elderly. Therefore, to study the relationship between the degree of external force and the performance of osteoporotic thoracolumbar body fracture on MRI STIR is to provide a better basis for clinical diagnosis and treatment. OBJECTIVE: To explore the relationship between the size of external force and a linear black signal area of STIR image in MRI of thoracic and lumbar osteoporosis vertebral compression fractures. METHODS: The hospitalized patients, who were diagnosed as thoracic and lumbar osteoporosis vertebral compression fractures, were retrospectively analyzed from September 2013 to September 2016 at the Department of Spine Surgery of The First Affiliated Hospital of Guangxi University of Chinese Medicine. All cases in the three groups were diagnosed as osteoporosis by quantitative CT (bone mineral density ≤80 mg/cm3). All patients signed the informed consent. This study was approved by the Hospital Ethics Committee. The patients were divided into three groups according to the different trauma history: Non-obvious external force group (without apparent cause or external force), low energy group (sprains, bent down to lift heavy objects, and carrying heavy items), high energy group (flat road down hips touchdown, falls, and bruise). Gender, age, fracture site (thoracic lumbar segment and non-thoracic lumbar segment), the number of the vertebrae and the position where would they occur with a linear black signal area of STIR image in MRI were analyzed in each group. Age was analyzed by analysis of variance. Gender, fracture site and the number of the vertebrae and the position were analyzed by Pearson chi-square test. RESULTS AND CONCLUSION: (1) All the 782 cases were included in the three groups. There were 334 in the non-obvious external force group, which a linear black signal area of STIR image in MRI existed in 114 cases. There were 186 cases in low energy group, which a linear black signal area of STIR image in MRI existed in 124 cases. There were 262 cases in high energy group, which a linear black signal area of STIR image in MRI existed in 87 cases. (2) The age, gender, fracture site and the number of the vertebrae and the position in three groups were not statistically significantly different among the three groups (P > 0.05). (3) There were significant differences in a linear black signal area of STIR image in MRI among the three groups (P 0.017). (4) The occurrence rate of linear black signal area of STIR image in MRI was 66.7% and higher than other groups (43.1% and 33.2%). (5) In the history of trauma, low energy in external force has more opportunity to cause a linear black signal area of STIR image in MRI than non-obvious external force and high energy; and they often occur in thoracic and lumbar osteoporosis vertebrae.

Muscular Pre-activation Can Boost the Maximal Explosive Eccentric Adaptive Force.

The improvement of power is an objective in training of athletes. In order to detect effective methods of exercise, basic research is required regarding the mechanisms of muscular activity. The purpose of this study is to investigate whether or not a muscular pre-activation prior to an external impulse-like force impact has an effect on the maximal explosive eccentric Adaptive Force (xpAFeccmax). This power capability combines different probable power enhancing mechanisms. To measure the xpAFeccmax an innovative pneumatic device was used. During measuring, the subject tries to hold an isometric position as long as possible. In the moment in which the subjects' maximal isometric holding strength is exceeded, it merges into eccentric muscle action. This process is very close to motions in sports, where an adaptation of the neuromuscular system is required, e.g., force impacts caused by uneven surfaces during skiing. For investigating the effect of pre-activation on the xpAFeccmax of the quadriceps femoris muscle, n = 20 subjects had to pass three different pre-activation levels in a randomized order (level 1: 0.4 bar, level 2: 0.8 bar, level 3: 1.2 bar). After adjusting the standardized pre-pressure by pushing against the interface, an impulse-like load impacted on the distal tibia of the subject. During this, the xpAFeccmax was detected. The maximal voluntary isometric contraction (MVIC) was also measured. The torque values of the xpAFeccmax were compared with regard to the pre-activation levels. The results show a significant positive relation between the pre-activation of the quadriceps femoris muscle and the xpAFeccmax (male: p = 0.000, η2= 0.683; female: p = 0.000, η2= 0.907). The average percentage increase of torque amounted +28.15 ± 25.4% between MVIC and xpAFeccmax with pre-pressure level 1, +12.09 ± 7.9% for the xpAFeccmax comparing pre-pressure levels 1 vs. 2 and +2.98 ± 4.2% comparing levels 2 and 3. A higher but not maximal muscular activation prior to a fast impacting eccentric load seems to produce an immediate increase of force outcome. Different possible physiological explanatory approaches and the use as a potential training method are discussed.

Application of External Force Regulates the Migration and Differentiation of Adipose-Derived Stem/Progenitor Cells by Altering Tissue Stiffness.

Large soft-tissue defects are challenging to reconstruct surgically. Expansion of soft tissue using an external volume expansion (EVE) device is a noninvasive method to improve such reconstruction; however, the underlying mechanism is unclear. In this study, we created fat flaps in Sprague-Dawley rats, applied an external force of 3 or 6 kPa using an EVE device, and investigated the migration and differentiation of adipose-derived stem/progenitor cells (ASCs). In addition, we performed finite element analysis to explore the stiffness of adipose tissue. An external force of 3 kPa promoted the migration and adipogenic differentiation of ASCs. By comparison, an external force of 6 kPa had a larger effect on migration of ASCs, but a smaller effect on adipogenic differentiation of ASCs. External force affected adipose tissue stiffness. In conclusion, external force generated by an EVE device increases the stiffness of adipose tissue, which influences the migration and differentiation of ASCs. The size of the external force can be altered according to the tissue stiffness required at particular time points to promote long-term adipose tissue regeneration. Impact Statement Stem cell therapy in clinic mostly requires the addition of exogenous stem cells, therefore the safety and controllability is always defective. In this study, the external force of external volume expansion regulates adipose-derived stem/progenitor cells (ASCs) migration and differentiation through tissue stiffness. Using tissue engineering without exogenous ASCs can promote long-term adipose tissue regeneration. The findings of this study provide theoretical support for clinical tissue engineering applications and improvements in stem cell therapy.

The aqueous environment as an active participant in the protein folding process.

Existing computational models applied in the protein structure prediction process do not sufficiently account for the presence of the aqueous solvent. The solvent is usually represented by a predetermined number of H2O molecules in the bounding box which contains the target chain. The fuzzy oil drop (FOD) model, presented in this paper, follows an alternative approach, with the solvent assuming the form of a continuous external hydrophobic force field, with a Gaussian distribution. The effect of this force field is to guide hydrophobic residues towards the center of the protein body, while promoting exposure of hydrophilic residues on its surface. This work focuses on the following sample proteins: Engrailed homeodomain (RCSB: 1enh), Chicken villin subdomain hp-35, n68h (RCSB: 1yrf), Chicken villin subdomain hp-35, k65(nle), n68h, k70(nle) (RCSB: 2f4k), Thermostable subdomain from chicken villin headpiece (RCSB: 1vii), de novo designed single chain three-helix bundle (a3d) (RCSB: 2a3d), albumin-binding domain (RCSB: 1prb) and lambda repressor-operator complex (RCSB: 1lmb).

Comparison of Mechanical Axis and Dynamic Range Assessed with Weight Bearing Radiographs and Navigation System in Closed Wedge High Tibial Osteotomy.

Purpose: To compare navigation and weight bearing radiographic measurements of mechanical axis (MA) before and after closed wedge high tibial osteotomy (HTO) and to evaluate post-osteotomy changes in MA assessed during application of external varus or valgus force. Materials and Methods: Data from 30 consecutive patients (30 knees) who underwent computer-assisted closed-wedge HTO were prospectively analyzed. Pre- and postoperative weight bearing radiographic evaluation of MA was performed. Under navigation guidance, pre- and post-osteotomy MA values were measured in an unloaded position. Any change in the post-osteotomy MA in response to external varus or valgus force, which was named as dynamic range, was evaluated with the navigation system. The navigation and weight bearing radiographic measurements were compared. Results: Although there was a positive correlation between navigation and radiographic measurements, the reliability of navigation measurements of coronal alignment was reduced after osteotomy and wedge closing. The mean post-osteotomy MA value measured with the navigation was 3.5°±0.8° valgus in an unloaded position. It was 1.3°±0.8° valgus under varus force and 5.8°±1.1° valgus under valgus force. The average dynamic range was >±2°. Conclusions: Potential differences between the postoperative MAs assessed by weight bearing radiographs and the navigation system in unloaded position should be considered during computer-assisted closed wedge HTO. Care should be taken to keep the dynamic range within the permissible range of alignment goal in HTO.