Previously Unrecognized Source of Error in the Change in Maximum Total Point Motion to Determine Continuous Migration of Unstable Tibial Baseplates

Author(s):  
Abigail Niesen ◽  
Maury Hull

Abstract In radiostereometric analysis (RSA), continuous migration denoted as ΔMTPM is the difference between maximum total point motion (MTPM) at 2 years relative to time zero and MTPM at 1 year relative to time zero. Continuous migration has been used to diagnose tibial baseplates as stable versus unstable when compared to a specified stability limit (i.e. value of ΔMTPM). If the same point experiences MTPM at 2 years and at 1 year (usually the case for marker-based RSA), then an implicit assumption is that the migration path between 2 years and 1 year is the same as the path between 1 year and time zero. This paper uses vector analysis to demonstrate a source of error in ΔMTPM not previously recognized and estimates the error magnitude based on the interplay of independent variables which affect the error. The two independent variables which affect the error are the angle between the two migration vectors (i.e., MTPM between time zero and 2 years and MTPM between time zero and 1 year) and the difference in magnitude of the two vectors. The relative error increased in an absolute sense as the angle between the vectors increased and decreased for larger differences in the magnitudes of the two vectors. For magnitude ratios ranging from 1.25 to 2, relative errors ranged from -21% to -3% at 10° and from -78% to -42% at 60°, respectively. Knowledge of these errors highlights a limitation in the use of ΔMTPM not previously recognized.

Author(s):  
Abigail Niesen ◽  
Anna L Garverick ◽  
Maury Hull

Abstract Maximum total point motion (MTPM), the point on a baseplate that migrates the most, has been used to assess the risk of tibial baseplate loosening using radiostereometric analysis (RSA). Two methods for determining MTPM for model-based RSA are to use either 5 points distributed around the perimeter of the baseplate or to use all points on the 3D model. The objectives were to quantify the mean difference in MTPM using 5 points vs. all points, compute the percent error relative to the 6-month stability limit for groups of patients, and to determine the dependency of differences in MTPM on baseplate size and shape. A dataset of 10,000 migration values was generated using the mean and standard deviation of migration in six degrees of freedom at 6 months from an RSA study. The dataset was used to simulate migration of 3D models (two baseplate shapes and two baseplate sizes) and calculate the difference in MTPM using 5 virtual points vs. all points and the percent error (i.e. difference in MTPM/stability limit) relative to the 6-month stability limit. The difference in MTPM was about 0.02 mm, or 4% percent relative to the 6-month stability limit, which is not clinically important. Furthermore, results were not affected by baseplate shape or size. Researchers can decide whether to use 5 points or all points when computing MTPM for model-based RSA. The authors recommend using 5 points to maintain consistency with marker-based RSA.


2020 ◽  
Vol 63 (9) ◽  
pp. 2921-2929
Author(s):  
Alan H. Shikani ◽  
Elamin M. Elamin ◽  
Andrew C. Miller

Purpose Tracheostomy patients face many adversities including loss of phonation and essential airway functions including air filtering, warming, and humidification. Heat and moisture exchangers (HMEs) facilitate humidification and filtering of inspired air. The Shikani HME (S-HME) is a novel turbulent airflow HME that may be used in-line with the Shikani Speaking Valve (SSV), allowing for uniquely preserved phonation during humidification. The aims of this study were to (a) compare the airflow resistance ( R airflow ) and humidification efficiency of the S-HME and the Mallinckrodt Tracheolife II tracheostomy HME (M-HME) when dry (time zero) and wet (after 24 hr) and (b) determine if in-line application of the S-HME with a tracheostomy speaking valve significantly increases R airflow over a tracheostomy speaking valve alone (whether SSV or Passy Muir Valve [PMV]). Method A prospective observational ex vivo study was conducted using a pneumotachometer lung simulation unit to measure airflow ( Q ) amplitude and R airflow , as indicated by a pressure drop ( P Drop ) across the device (S-HME, M-HME, SSV + S-HME, and PMV). Additionally, P Drop was studied for the S-HME and M-HME when dry at time zero (T 0 ) and after 24 hr of moisture testing (T 24 ) at Q of 0.5, 1, and 1.5 L/s. Results R airflow was significantly less for the S-HME than M-HME (T 0 and T 24 ). R airflow of the SSV + S-HME in series did not significant increase R airflow over the SSV or PMV alone. Moisture loss efficiency trended toward greater efficiency for the S-HME; however, the difference was not statistically significant. Conclusions The turbulent flow S-HME provides heat and moisture exchange with similar or greater efficacy than the widely used laminar airflow M-HME, but with significantly lower resistance. The S-HME also allows the innovative advantage of in-line use with the SSV, hence allowing concurrent humidification and phonation during application, without having to manipulate either device.


Author(s):  
Maonan Wang ◽  
Chun Chang ◽  
Feng Ji

Abstract The voltage-based equalization strategy is widely used in the industry because the voltage (U) of the battery cell is very easy to obtain, but it is difficult to provide an accurate parameter for the battery management system (BMS). This study proposes a new equalization strategy, which is based on the difference between the state of charge (SOC) of any two battery cells in the battery pack, that is, a ΔSOC-based equalization strategy. The new strategy is not only as simple as the voltage-based equalization strategy, but it can also provide an accurate parameter for the BMS. Simply put, using the relationship between the open circuit voltage and the SOC of the battery pack, the proposed strategy can convert the difference between the voltage of the battery cells into ΔSOC, which renders a good performance. Additionally, the required parameters are all from the BMS, and no additional calculation is required, which makes the strategy as simple as the voltage-based balancing strategy. The four experiments show that the relative errors of ΔSOC estimated by the ΔSOC-based equalization strategy are 0.37%, 0.39%, 0.1% and 0.17%, and thereby demonstrate that the ΔSOC-based equalization strategy proposed in this study shows promise in replacing the voltage-based equalization strategy within the industry to obtain better performance.


2018 ◽  
Vol 100-B (2) ◽  
pp. 170-175 ◽  
Author(s):  
K. Lam Tin Cheung ◽  
B. A. Lanting ◽  
R. W. McCalden ◽  
X. Yuan ◽  
S. J. MacDonald ◽  
...  

Aims The aim of this study was to evaluate the long-term inducible displacement of cemented tibial components ten years after total knee arthroplasty (TKA). Patients and Methods A total of 15 patients from a previously reported prospective trial of fixation using radiostereometric analysis (RSA) were examined at a mean of 11 years (10 to 11) postoperatively. Longitudinal supine RSA examinations were acquired at one week, one year, and two years postoperatively and at final follow-up. Weight-bearing RSA examinations were also undertaken with the operated lower limb in neutral and in maximum internal rotation positions. Maximum total point motion (MTPM) was calculated for the longitudinal and inducible displacement examinations (supine versus standing, standing versus internal rotation, and supine versus standing with internal rotation). Results All patients showed some inducible displacement. Two patients with radiolucent lines had greater mean standing-supine MTPM displacement (1.35; sd 0.38) compared with the remaining patients (0.68; sd 0.36). These two patients also had a greater mean longitudinal MTPM at ten years (0.64; sd 0.50) compared with the remaining patients (0.39; sd 0.13 mm). Conclusion Small inducible displacements in well-fixed cemented tibial components were seen ten years postoperatively, of a similar magnitude to that which has been reported for well-fixed components one to two years postoperatively. Greater displacements were found in components with radiolucent lines. Cite this article: Bone Joint J 2018;100-B:170–5.


1869 ◽  
Vol 17 ◽  
pp. 427-429

A single reading of one end of a dipping-needle placed in a dip-circle provided with microscopes for observing is liable to a variety of instrumental errors, which are eliminated by taking the mean of the sixteen readings of the two ends in the eight different positions included in a complete observation. Nevertheless it is found that with the best modern instruments a mean value results from these sixteen observations different for each different needle, and that the difference between the results obtained with two different needles is not the same at all times. The irregularities in the values of the dip observed at Bombay with two needles of excellent character made by Barrow of London, led the author to investigate the effect of a hypothetical irregularity in the shape of the axle of the needle, such that a section of the axle by a plane perpendicular to its axis would be elliptical instead of circular in form. Another source of error, which was brought to the notice of the Royal Society many years ago in a paper published in the Proceedings, is the displacement of the centre of gravity of the needle from the centre of the axle, combined with inequality in the magnetization of the needle when the poles are direct and reversed. Experience has led the author to the conclusion that the usual method of magnetization, by a definite number of passes of the same pair of bar-magnets, communicates magnetism to the needle very unequally when the one end of the needle is made north and when the other end is made north. Consequently it is advisable to investigate the effects of ellipticity of the axle and of displacement of the centre of gravity at the same time, which the author proceeds to do.


2016 ◽  
Vol 867 ◽  
pp. 152-156
Author(s):  
Xiao Liang Chen ◽  
Quan Hu Yang ◽  
Jian Ping Ding

The deformation and internal forces of beams on tensionless foundation materials were studied. The reaction force between the beam the foundation was fitted as a cubic polynomial about the deflection based on the experimental data, and the corresponding control equations of beams were derived by the finite difference method. Results show there are significant differences between tensionless and tensional foundation materials for the deformation and internal forces of beams. The difference is varying with the length of beams. Both the relative errors of the maximum of deflection and slope can be over 20%, and the relative errors of the maximum of shearing force and bending moment are smaller comparatively, so the tensionless effect of foundation materials can not be neglected for the stiffness verification and the strength verification of beams.


1982 ◽  
Vol 104 (3) ◽  
pp. 146-152 ◽  
Author(s):  
K. Rajeshwar ◽  
P. Singh ◽  
J. DuBow

Mixtures of aluminum chloride (AlCl3) with triethylammonium chloride (Et3NHCl), 1,6-ethyl lutidinium bromide (EtluBr), tert-butyl pyridinium bromide (BPBr), and dialkyl imidazolium chloride (R2ImCl), in certain molar ratios yielded ionic liquids at room temperature which were studied with respect to their applicability as electrolytes in photoelectrochemical (PEC) cells. Background voltammograms were obtained for these electrolytes on carbon and n-GaAs electrodes. The anodic stability limit was found to be enhanced on n-GaAs relative to carbon in all cases. The cathodic decomposition potential of the electrolyte showed a smaller positive shift on n-GaAs with the exception of the 3:1 AlCl3-BPBr electrolyte. The difference in electrolyte stability behavior on carbon and n-GaAs is interpreted in terms of carrier density effects. Cyclic voltammograms were compared on carbon in the various electrolytes for a model redox system comprising the ferrocene/ferricenium couple. The separation of the cathodic and anodic waves in all the cases was consistent with a quasi-reversible redox behavior—the most sluggish electron transfer being observed in the case of the 3:1 AlCl3-BpBr electrolyte. These results are compared with those obtained previously on the AlCl3-butyl pyridinium chloride (BPC) system. Capacitance-voltage measurements were made on n-GaAs electrodes in contact with the various electrolytes. Flatband-potentials (Vfb) were deduced from these data using Mott-Schottky plots. The relative positions of the n-GaAs band-edges and the redox levels were mapped on a common potential scale utilizing these data. The ferrocene/ferricenium redox level was placed negative of the conduction band-edge in n-GaAs in all the cases. The implications of this result for PEC applications and the role of specific ion adsorption of electrolyte species on the electrostatic aspects of the n-GaAs/molten salt electrolyte interface are discussed with the aid of energy band diagrams.


The writer first refers to a series of experiments made under the direction of Professor Bache, for the determination of the difference of longitude between New York, Philadelphia and Washington, by means of the magnetic telegraph. By this series of experiments he considers it established that, by means of Morse’s telegraph, two clocks distant from each other 200 miles, can be compared together with the same precision as if they were placed side by side; and that the difference of longitude of two places can be determined with the same precision as the relative error of the clocks. These results were so satisfactory that Professor Bache determined to pro­secute them more extensively, and during the past summer comparisons have been made between New York and Cambridge observatory near Boston. The plan of operation this season was more matured than during the former. The comparisons were all made between a solar chronometer at Cambridge and a sidereal clock at New York. At ten o’clock in the evening, the two observatories having been put in telegraphic communication, when the seconds hand of the solar chronometer came round to 60 s , a signal was given at Cambridge, by pressing the key of the telegraph-register; at the same instant a click was heard at New York, and the time was recorded according to the sidereal clock. At the end of 10 s a second signal was given, which was also recorded at New York; at the end of another 10 s a third signal was given, and so on for sixty seconds. The Cambridge astronomer then commenced beating seconds by striking the key of the telegraph-register in coincidence with the beats of his chronometer. The New York astronomer compared the signals received with the beats of his clock, and waited for a coincidence. When the beats were sensibly synchronous the time was recorded, and the astronomer waited six minutes for another coincidence of beats. The Cambridge astronomer continued beating seconds for fifteen minutes , during which time the New York observer was sure of two coincidences, and might obtain three. When these were concluded, the New York astronomer in the same manner gave signals for one minute at intervals of 10 s , and then beat seconds for fifteen minutes, during which time the Cambridge astronomer obtained four or five coincidences upon his chronometer. This mode of comparison was practised every night, and it is considered that the uncertainty in the comparison of the time-pieces cannot exceed two or three hundredths of a second on any night; and in a series of comparisons the error may be regarded as entirely eliminated. Another mode of comparison which was practised is that of telegraphing star transits. A list of stars which culminate near our zenith at intervals of five or six minutes was prepared, and the observers, both at New York and Cambridge, were furnished with a copy. They then proceeded as follows: Cambridge selected two stars from the list, which we wall call A and B, and struck the key of his register at the instant when the star A passed each of the seven wires of his transit. These signals were heard at New York, and the times recorded. Cambridge then observed the transit of star B in the ordinary manner without telegraphing. New York then observed the transit of star A on his meridian in the usual manner; and struck his key at the instant the star B passed each of the seven wires of his transit, which signals were heard and recorded at Cambridge. The difference of longitude between New York and Cambridge is nearly twelve minutes, affording ample time for all these observations. Thus New York obtained upon his own clock the times of transit of star A over the meridians of Cambridge and New York; and Cambridge obtained upon his chronometer the times of transit of star B over the same meridians. The difference of these times gives the difference of longitude independent of the right ascension of the stars. Both observers then reversed the axis of their transit instruments; Cambridge selected a second pair of stars from the list, and the same series of observations was repeated as with the first pair. The error of collimation was thus eliminated, and by confining the observations to stars within about five degrees of the zenith, the influence of azimuthal error was avoided. The level being read at every reversal, the correction for it was applied by computation. In this manner it is hoped to eliminate every possible source of error, except that which arises from the personal habits of the observers. In order to eliminate this error, a travelling observer worked for a time at Cambridge and compared with the Cambridge astronomer; then came to New York and compared with the New York astronomer; then returned to Cambridge again, and so on as often as was thought necessary. Finally, at the conclusion of the campaign all the observers were to meet at Cambridge and make a general comparison of their modes of observation.


Author(s):  
Stefan Sesselmann ◽  
Yutong Hong ◽  
Frank Schlemmer ◽  
Kurt Wiendieck ◽  
Stephan Söder ◽  
...  

AbstractIn a previous radiostereometric analysis (RSA) of the Lubinus SP II (Link, Hamburg, Germany), which is one of the most often used cemented hip stems worldwide, our research group detected a very small but statistically significant distal migration of -0.03±0.17 mm 2 years after surgery compared to the postoperative radiograph. Maximum subsidence occurred between 6 and 12 months. The implant appeared to have stabilized after 2 years. The mean value of maximum total point motion (MTPM) was 0.99±0.69 mm, which was detected 2 years after surgery. The purpose of this study was to analyze the migration pattern and to verify the predictive value of short-term RSA of the Lubinus SP II stem after 10 years. After a follow-up of 5 and 10 years, 38 and 27 out of 100 patients remained available for further assessment, respectively. No statistically significant implant translation or rotation was found along or about the axes of the global coordinate system 5 and 10 years after surgery with respect to the postoperative radiograph. Furthermore, the MTPM was stable in both follow-up periods. The results suggest that the Lubinus SP II hip stem is still stable 10 years after surgery, supporting that determining prognosis by short-term RSA follow-up of 2 years could be an appropriate tool for appraisal of implant behavior 10 years after surgery.


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