scholarly journals A Feasibility Study for Usefulness of Preoperative Simulation of Medial Open-wedge High Tibial Osteotomy for Predicting Postoperative Realignment

Author(s):  
Shoji Konda ◽  
Teruya Ishibashi ◽  
Masashi Tamaki ◽  
Kazuomi Sugamoto ◽  
Tetsuya Tomita

Abstract Three-dimensional preoperative surgical realignment simulation of medial open-wedge high tibial osteotomy (OWHTO), in which simplified as the rigid rotation around the hinge axis, has been performed to predict the postoperative change and to develop a patient specific instrument for accurate osteotomy. However, the realistic practicality of this extremely simplified simulation method has not been verified. The purpose of this study was to investigate the usefulness of realignment simulation, in which medial OWHTO is simplified as a rotation around a hinge axis, in comparison with a postoperative CT model. Three-dimensional surface model of the tibia and femur was created from preoperative computed-tomography (CT) images (preoperative model) of three patients. Sixty computer simulation models of the medial OWHTO in each patient were created by realignment simulation, in which medial OWHTO is simplified as the rigid rotation of proximal part of tibia relative to the distal part from 1 degree to 20 degrees around three type of hinge axes. The simulation models were compared with the actual postoperative model created from postoperative CT images to assess the reality of the simulation model. After the distal parts of the tibia between each simulation model and postoperative CT model were aligned by a surface registration, average surface distance between two models was calculated as an index representing the similarity of the simulation model to the postoperative model. The minimum average surface distance between the simulation and postoperative CT models were almost 1mm in each patient. The rotation angles at which the minimum average surface distance was represented were almost identical to the actual correction angles. Overlaying the simulation and the postoperative CT models, we found that the posterior tibial tilt and the axial rotation of the proximal tibia of the simulation model well represented that of the postoperative CT model as well as the valgus correction. Therefore, the realignment simulation of medial OWHTO simplified as the rigid rotation around the hinge axis can generate the realistic candidates of postoperative realignment that includes the actual postoperative realignment, suggesting the usefulness for the preoperative simulation method.

The Knee ◽  
2017 ◽  
Vol 24 (2) ◽  
pp. 362-371 ◽  
Author(s):  
Byung Hoon Lee ◽  
Chul Won Ha ◽  
Sang Won Moon ◽  
Minho Chang ◽  
Hun Yeong Kim ◽  
...  

2020 ◽  
Vol 10 (12) ◽  
pp. 4079 ◽  
Author(s):  
Manouchehr Mohammadi ◽  
Roope Eskola ◽  
Aki Mikkola

Real-time simulation models based on multibody system dynamics can replicate reality with high accuracy. As real-time models typically describe machines that interact with a complicated environment, it is important to have an accurate environment model in which the simulation model operates. Photogrammetry provides a set of tools that can be used to create a three-dimensional environment from planar images. A created environment and a multibody-based simulation model can be combined in a Unity environment. This paper introduces a procedure to generate an accurate spatial working environment based on an existing real environment. As a numerical example, a detailed environment model is created from a University campus area.


Author(s):  
Susumu Yamashita ◽  
Kazuyuki Tokushima ◽  
Masaki Kurata ◽  
Kazuyuki Takase ◽  
Hiroyuki Yoshida

In order to precisely investigate molten core relocation behavior in the Fukushima Daiichi nuclear power station, we have developed the detailed and phenomenological numerical simulation code named JUPITER for predicting the molten core behavior including solidification and relocation based on the three-dimensional multiphase thermal-hydraulic simulation models. At the moment, multicomponent analysis method which can be treated any number of component as a fluid or solid body, Zr-water reaction model and simple radiation heat transfer model were implemented and showed that multicomponent melt flow and its solidification were confirmed in the simplified core structure system. However, the validation of the JUPITER using high temperature molten material has not been performed yet. In this paper, in order to evaluate the validity of the JUPITER, especially, for high temperature melt relocation experiment, we compared between numerical and experimental results for that system. As a result, qualitatively reasonable result was obtained. And also we performed melt relocation simulation on actual core structures designed by three dimensional CAD (Computer-Aided Design) and then we estimated phenomena which might be actually occurred in SAs.


2016 ◽  
Vol 28 (6) ◽  
pp. 794-804 ◽  
Author(s):  
Aijun Zhang ◽  
Xinxin Li ◽  
Pibo Ma ◽  
Ying Xiong ◽  
Gaoming Jiang

Purpose Realistic geometric description is essential for simulating physical properties of warp-knitted velvet fabrics, which are widely used for home-textiles and garments. The purpose of this paper is to provide an approach to the description of patterned piles and propose a customized simulation model to realize highly real-time simulation of warp-knitted velvet fabrics in three dimensions. Design/methodology/approach Based on knitting technology and structure features, a mathematical model to qualify forming possibility of piles is conducted by assessing underlaps of pattern bars and pile ground bars. When the pile areas and ground areas are classified, a three-dimensional (3D) space coordinate is built, of which the z-axis is divided into equal spaces to form certain multi-layer textured slices. Color and transparency of piles on each textured slice can be computed and generated by mapping to 3D geometrical grid layers with particular mapping relationship. Moreover, piles’ deflection and spatial collision are also taken into account to make sure high uniformity with real fabrics. Findings According to the models built, a simulator special for warp-knitted patterned velvet fabrics is programed via Visual C++ and the models are proven practical and easily implemented by comparing simulated effect of one sample with real fabric. Research limitations/implications Because of present limited research, 3D simulation of patterned velvet fabrics knitted on double-needle bar Raschel machine as well as 3D shadow effect will be studied in the further research. Practical implications The paper includes implications for designing patterned velvet products and shows convenience to instantly see finished effect without sampling on machine. Originality/value This paper fulfills a featured simulation method for warp-knitted patterned velvet fabrics in 3D dimensions for the first time.


2020 ◽  
Vol 28 (3) ◽  
pp. 230949902095917
Author(s):  
Gu-Hee Jung ◽  
Kyung-Ho Lee ◽  
Lih Wang

Purpose: The objective of this study was to improve the three-dimensional (3D) understanding of optimal lateral cortical hinge in medial open-wedge high tibial osteotomy (MOWHTO) via a computational cadaveric simulation of actual size. Methods: The computed tomography data of 117 adult cadavers were imported into Mimics® software to design 3D models of tibia and fibula. To simulate the MOWTHO, a virtual cutting plane was developed inside the safe zone based on established landmarks. After splitting and distracting through the cutting plane, the 10-mm cylinder (Ø 30 mm; height 10 mm) was placed vertically to be occupied properly in the nonosteotomized lateral cortex. The cross points between the round cylinder and cutting plane represented the anterior and posterior hinge points, which were used to validate the 3D position and direction of cortical hinge. Results: A 10-mm cylinder did not violate the proximal tibiofibular joint (PTFJ) and the protruding segment of the condylar area was less than 2 mm in 115 models. The connecting line between anterior and posterior hinge points was an average of 12.1° (range 0–24.1°, SD 4.64) to the lateral side. In the nonoverlapping anteroposterior projection between proximal fibula and tibia, the posterior hinge point was laid over the PTFJ as close as possible. Based on free 360° rotation and magnification without any tilt, no posterior cortical disruption of PTFJ was observed while securing a minimum width of 10 mm. Conclusion: If the posterior hinge point was placed immediately above the PTFJ without involvement, the nonosteotomized portion carried sufficient width greater than 10 mm, despite lateral rotation at an average hinge direction of 12.1°.


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