Strategies for Improving the Prosthetic Trochlea Design Based on Differences in Trochlea Morphology Between Femoral Components Set in Kinematic and Mechanical Alignment and the Native Knee

2022 ◽  
pp. 64-68
Author(s):  
Maury L. Hull
Keyword(s):  
Mechanical Alignment

Experiments with a Quadrupole Octopole Corrector in a STEM

1977 ◽  
Vol 35 ◽  
pp. 90-91 ◽  
Author(s):  
V. Beck
Keyword(s):  
Lower Order ◽  
Spherical Aberration ◽  
Mechanical Alignment

Recently a number of experiments have been carried out on a STEM which included a multipole corrector for primary spherical aberration. The results of these experiments indicate that the correction of primary spherical aberration with magnetic multipoles is beset with very serious difficulties related to hysteresis.The STEM and corrector have been described previously. In theory, the corrector should cancel primary spherical aberration so that other aberrations limit the resolution. For this instrument, secondary spherical aberration should limit the resolution to 1 A at 50 kV. A thorough study of misalignment aberrations was made. The result of the study indicates that the octopoles must be aligned to 1000 A. Since mechanical alignment cannot be done to this accuracy, trim coils were built into the corrector in order to achieve the required alignment electrically. The trim coils are arranged to excite all the lower order moments of an element.

Tibial Cut Accuracy in Mechanically Aligned Total Knee Arthroplasty Using Extensor Hallucis Longus Tendon to Determine Extramedullary Tibial Guide Position

2021 ◽  
Author(s):  
Pablo Besa ◽  
Rafael Vega ◽  
Gerardo Ledermann ◽  
Claudio Calvo ◽  
Manuela Angulo ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Lower Extremity ◽  
Knee Arthroplasty ◽  
Tibial Component ◽  
Anatomical Landmark ◽  
Mechanical Alignment ◽  
Longus Tendon ◽  
Extensor Hallucis Longus ◽  
Tibial Cut ◽  
Total Knee

AbstractThis study aimed to determine the tibial cut (TC) accuracy using extensor hallucis longus (EHL) tendon as an anatomical landmark to position the total knee arthroplasty (TKA) extramedullary tibial guide (EMTG), and its impact on the TKA mechanical alignment (MA). We retrospectively studied 96 TKA, performed by a single surgeon, using a femoral tailored intramedullary guide technique. Seventeen were prior to the use of the EHL and 79 used the EHL tendon to position the EMTG. We analyzed preoperative and postoperative standing total lower extremity radiographs to determine the tibial component angle (TCA) and the correction in MA, comparing pre-EHL use and post-EHL technique incorporation. Mean TCA was 88.89 degrees and postoperative MA was neutral in 81% of patients. Pre- and postoperative MAs were not correlated. As a conclusion of this study, using the EHL provides a safe and easy way to determine the position of EMTG.

scholarly journals Bone Cement Solidifiliation Influence the Limb Alignment and Gap Balance during TKA

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Dongquan Shi ◽  
Xingquan Xu ◽  
Anyun Guo ◽  
Jin Dai ◽  
Zhihong Xu ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Bone Cement ◽  
Knee Arthroplasty ◽  
Mechanical Axis ◽  
Statistical Significance ◽  
Mechanical Alignment ◽  
Early Loosening ◽  
Flexion Extension ◽  
Before And After ◽  
Total Knee

Introduction. Mechanical alignment deviation after total knee arthroplasty is a major reason for early loosening of the prosthesis. Achieving optimum cement penetration during fixation of the femoral and tibial component is an essential step in performing a successful total knee arthroplasty. Bone cement is used to solidify the bone and prosthesis. Thickness imbalance of bone cement leads to the deviation of mechanical alignment. To estimate the influence of bone cement, a retrospective study was conducted.Materials and Methods. A total of 36 subjects were studied. All the TKA were performed following the standard surgical protocol for navigated surgery by medial approach with general anaesthesia. Prostheses were fixed by bone cement.Results. We compared the mechanical axis, flexion/extension, and gap balance before and after cementation. All the factors were different compared with those before and after cementation. Internal rotation was reached with statistical significance (P=0.03).Conclusion. Bone cement can influence the mechanical axis, flexion/extension, and gap balance. It also can prompt us to make a change when poor knee kinematics were detected before cementation.

Effect of Mechanical Alignment System on Assembly Accuracy

2000 ◽  
Author(s):  
Neville K. S. Lee ◽  
Grace H. Yu ◽  
Y. Zou ◽  
J. Y. Chen ◽  
Ajay Joneja
Keyword(s):  
Alignment Accuracy ◽  
Mechanical Alignment ◽  
Mechanical Assembly ◽  
Surface Waviness ◽  
Form Errors ◽  
Multi Stage ◽  
Assembly Accuracy ◽  
Alignment System ◽  
Simulation Based ◽  
Selection Of

Abstract Mechanical means of positioning are frequently used in mechanical assembly processes. However, very little attention has been paid to the selection of mechanical alignment systems (MAS) for assembly processes. Our analysis shows that if the MAS are not properly selected, the form errors as well surface waviness and roughness of the workpieces to be assembled can badly limit the level of accuracy achievable. A simulation-based methodology is described to study the alignment accuracy for multi-stage processes. Such cases are common, where fabrication operations are done on parts before they are assembled. The study shows that if the workpieces are aligned in the same orientation, using similar or identical MAS for the fabrication processes and assembly processes, then the effect of the form errors as well as surface waviness and roughness of the workpieces can be greatly suppressed.

Mechanical Alignment Using Duplicate Circular Wedges

1999 ◽  
Vol 121 (2) ◽  
pp. 305-309
Author(s):  
J. F. Ca´rdenas-Garci´a ◽  
K. P. Suryanarayan ◽  
W. E. Ingalls
Keyword(s):  
Wedge Angle ◽  
Mechanical Alignment ◽  
Transformation Matrices ◽  
The Asymmetry ◽  
Mechanical Components ◽  
Kinematic Transformation

There is a need for the repeatable, accurate, precise and versatile alignment of mechanical components. A flexible and inexpensive approach to this problem is the use of a duplicate pair of wedged discs. This paper uses kinematic transformation matrices to examine in detail the design of such a wedge pair. The accuracy, precision and versatility of the circular wedges are shown to be functions of wedge angle, the number of positions or increments along the circumference of the circular wedge, and changes in the offset angle, which defines the asymmetry of the discs.

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