A Novel Measurement Using Digital Radiography to Minimize Fluoroscopy in Total Hip Arthroplasty

Preoperative templating for total hip arthroplasty (THA) is fraught with uncertainty. Specifically, the conventional measurement of the lesser trochanter to the center (LTC) of the femoral head used in preoperative planning is easily measured on a template but not measurable intraoperatively. The purpose of this study was to examine the utility of a novel measurement that is reproducible both on templating and in surgery as a more accurate and practical guide. We retrospectively reviewed 201 patients with a history of osteoarthritis who underwent primary THA. For preoperative templating, the distance from the top of the lesser trochanter to the equator (LeTE) of the femoral head was measured on a calibrated digital radiograph with a neutral pelvis. This measurement was used intraoperatively to guide the choice of the trial neck and head. As with any templating technique, the goal was to construct a stable, impingement-free THA with equivalent leg lengths and hip offset. In evaluating this novel templating technique, the primary outcomes measured were the number of trial reductions and the amount of fluoroscopic time, exposures, and radiation required to obtain a balanced THA reconstruction. Using the LeTE measurement, the mean number of trial reductions was 1.21, the mean number of intraoperative fluoroscopy images taken was 2.63, the mean dose of radiation exposure from fluoroscopy was 0.02 mGy, and the mean fluoroscopy time per procedure was 0.6 seconds. In hips templated with the conventional LTC prior to the LeTE, the mean fluoroscopy time was 0.9 seconds. There was a statistically significant difference in fluoroscopy time (p < 0.001). The LeTE is a reproducible measurement that transfers reliably from digital templating to surgery. This novel preoperative templating metric reduces the fluoroscopy time and consequent radiation exposure to the surgical team and may minimize the number of trial reductions.

Large-scale synthesis of colloidal bowl-shaped particles

We describe a general procedure for the large-scale fabrication of bowl-shaped colloidal particles using an emulsion templating technique. Following this method, single polymeric seed particles become located on individual oil...

Polydimethylsiloxane nanocomposite macroporous films prepared via Pickering high internal phase emulsions as effective dielectrics for enhancing the performance of triboelectric nanogenerators

High internal phase emulsion (HIPE) templating technique to fabricate and control porous PDMS-films, to enhance the TENG's performance.

Azine- and Imine-linked Conjugated PolyHIPEs through Schiff-Base Condensation Reaction

A new type of transition metal-free π-conjugated polyHIPEs is obtained by a Schiff-base condensation reaction coupled with a concentrated emulsion-based templating technique. The resulting highly porous azine- or imine-linked poly(arylene)...

Synthesis of GMA/EDMA Uniform Pores Monolith Using Melt blown Polypropylene Nanofibers Templates

Glycidyl methacrylate / ethyl dimethacrylate (GMA/ EDMA) monoliths consisting of pores induced by polypropylene nanofibers (PPNF) were developed. For creating these pores, templating technique was used where the PPNF act as a template. The PPNF were fabricated using a melt blowing technique at various process operations of polymer flowrate, air pressure and die-to-collector distance at ranges of 15 to 30 Hz, 0.15 to 0.3 MPa and 0.20 to 0.6 m respectively designed using a response surface methodology (RSM). Subsequently, a monolith solution was synthesis using the polymerization of GMA and EDMA, with azobisisobutyronitrile (AIBN) as initiator and cyclohexanol as porogen. The PPNF and GMA/ EDMA monoliths were characterized using SEM and melting point instrument. The findings show, PPNF fiber diameter and melting points were in the range of 5 to 14 x 103 nm and 120 to 130 °C respectively. RSM analysis suggests that air pressure and die-to-collector distance could be an important factor for PPNF final diameter. Morphology studies demonstrate that GMA/ EDMA monolith have been successfully acquired mesoporous structure and creating uniform pores by PPNF template produce at 22.5 Hz, 0.22 MPa and 0.40 m. As a conclusion, the PPNF can be proposed as a template to prepare monolith having uniform pores.

High ion adsorption densities of site-selective nitrogen doped carbon sheets prepared from natural lignin

Carbon fibers and sheets were prepared from jet-milled natural chitin and cellulose samples, and from natural lignin sample using ice-templating technique, respectively.