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Keywords = joint center of rotation

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17 pages, 2104 KiB  
Article
Rotational Projection Errors in Coronal Knee Alignment on Weight-Bearing Whole-Leg Radiographs: A 3D CT Reference Across CPAK Morphotypes
by Igor Strahovnik, Andrej Strahovnik and Samo Karel Fokter
Bioengineering 2025, 12(8), 794; https://doi.org/10.3390/bioengineering12080794 - 23 Jul 2025
Viewed by 425
Abstract
Whole-leg radiographs (WLRs) are widely used to assess coronal alignment before total knee arthroplasty (TKA), but may be inaccurate in patients with atypical morphotypes or malrotation. This study evaluated the discrepancy between WLR and 3D computed tomography (CT) scans across coronal plane alignment [...] Read more.
Whole-leg radiographs (WLRs) are widely used to assess coronal alignment before total knee arthroplasty (TKA), but may be inaccurate in patients with atypical morphotypes or malrotation. This study evaluated the discrepancy between WLR and 3D computed tomography (CT) scans across coronal plane alignment of the knee (CPAK) morphotypes and introduced a novel projection index—the femoral notch projection ratio (FNPR). In CPAK III knees, 19% of cases exceeded a clinically relevant threshold (>3° difference), prompting investigation of underlying projection factors. In 187 knees, coronal angles—including the medial distal femoral angle (MDFA°), medial proximal tibial angle (MPTA°), femoral mechanical angle (FMA°), and arithmetic hip–knee–ankle angle (aHKA°)—were measured using WLR and CT. Rotational positioning on WLR was assessed using FNPR and the patellar projection ratio (PPR). CPAK classification was applied. WLR systematically underestimated alignment, with the greatest bias in CPAK III (MDFA° + 1.5° ± 2.0°, p < 0.001). FNPR was significantly higher in CPAK III and VI (+1.9° vs. −0.3°, p < 0.001), indicating a tendency toward internally rotated limb positioning during imaging. The PPR–FNPR mismatch peaked in CPAK III (4.1°, p < 0.001), suggesting patellar-based centering may mask rotational malprojection. Projection artifacts from anterior osteophytes contributed to outlier measurements but were correctable. Valgus morphotypes with oblique joint lines (CPAK III) were especially prone to projection error. FNPR more accurately reflected rotational malposition than PPR in morphotypes prone to patellar subluxation. A 3D method (e.g., CT) or repeated imaging may be considered in CPAK III to improve surgical planning. Full article
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17 pages, 6578 KiB  
Article
Influence of Friction-Stir-Processing Parameters on the Microstructure and Local Mechanical Properties of an Aluminium-6% Magnesium-H18 Alloy
by Samir Mourad Chentouf, Philippe Grandmont, Mohammad Saadati, Nora Amimer and Mohammad Jahazi
Metals 2025, 15(7), 709; https://doi.org/10.3390/met15070709 - 26 Jun 2025
Viewed by 454
Abstract
One major challenge of friction stir processing (FSP) is its sensitivity to parameters like advancing and rotational speeds. This study examined the effect of tool travel speed on the microstructural evolution and mechanical properties of a new-generation Al-6Mg alloy. Optical and electron microscopy, [...] Read more.
One major challenge of friction stir processing (FSP) is its sensitivity to parameters like advancing and rotational speeds. This study examined the effect of tool travel speed on the microstructural evolution and mechanical properties of a new-generation Al-6Mg alloy. Optical and electron microscopy, EBSD, and shear-punch testing (SPT) were used. Two travel speeds, 50 and 120 mm/min, revealed significant differences in microstructure and properties at ambient temperature. EBSD provided misorientation maps and boundary fraction data. Microstructure analysis showed continuous dynamic recrystallization in the nugget zone, with finer grains observed at the higher speed. Microhardness was greater on both sides at 120 mm/min. The TMAZ showed elongated grains at 120 mm/min, while recrystallized grains were more prominent at 50 mm/min. In the HAZ, partial recrystallization occurred at 120 mm/min, whereas extensive recrystallization was observed at 50 mm/min. The SPT results indicated variations in stiffness between advancing and retreating sides, especially 2 mm from the nugget center. At 10 and 20 mm from the center, higher stiffness and strength were recorded at 120 mm/min. This study established correlations between joint stiffness, grain misorientation, and travel speed. Full article
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21 pages, 4395 KiB  
Article
Wavenumber-Domain Joint Estimation of Rotation Parameters and Scene Center Offset for Large-Angle ISAR Cross-Range Scaling
by Bakun Zhu, Weigang Zhu, Hongfeng Pang, Chenxuan Li, Lei Qui, Jinhai Yan, Fanyin Ma and Yijia Liu
Sensors 2025, 25(11), 3444; https://doi.org/10.3390/s25113444 - 30 May 2025
Viewed by 373
Abstract
While the wavenumber-domain approach enables large-angle inverse synthetic aperture radar (ISAR) cross-range scaling, its practical application remains constrained by the target’s non-uniform rotation and scene center offset (SCO). In response to this issue, this paper introduces a novel large-angle ISAR cross-range scaling method [...] Read more.
While the wavenumber-domain approach enables large-angle inverse synthetic aperture radar (ISAR) cross-range scaling, its practical application remains constrained by the target’s non-uniform rotation and scene center offset (SCO). In response to this issue, this paper introduces a novel large-angle ISAR cross-range scaling method through a joint estimation method based on the wavenumber domain. A non-uniform rotational wavenumber-domain signal model with SCO is developed. Utilizing this model and the sensitivity of wavenumber-domain imaging to SCO, a joint estimation algorithm that combines particle swarm optimization (PSO) and image entropy evaluation is proposed, achieving accurate parameter estimation. Leveraging the estimated parameters, the range and cross-range scaling factors in the wavenumber-domain imaging are derived, facilitating ISAR cross-range scaling with higher accuracy than the traditional method. The effectiveness and robustness of the proposed method are validated under various conditions, through scattering point and electromagnetic computing simulation. Full article
(This article belongs to the Section Radar Sensors)
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16 pages, 15439 KiB  
Article
Unveiling Surface Roughness Trends and Mechanical Properties in Friction Stir Welded Similar Alloys Joints Using Adaptive Thresholding and Grayscale Histogram Analysis
by Haider Khazal, Azzeddine Belaziz, Raheem Al-Sabur, Hassanein I. Khalaf and Zerrouki Abdelwahab
J. Manuf. Mater. Process. 2025, 9(5), 159; https://doi.org/10.3390/jmmp9050159 - 14 May 2025
Cited by 1 | Viewed by 804
Abstract
Surface roughness plays a vital role in determining surface integrity and function. Surface irregularities or reduced quality near the surface can contribute to material failure. Surface roughness is considered a crucial factor in estimating the fatigue life of structures welded by FSW. This [...] Read more.
Surface roughness plays a vital role in determining surface integrity and function. Surface irregularities or reduced quality near the surface can contribute to material failure. Surface roughness is considered a crucial factor in estimating the fatigue life of structures welded by FSW. This study attempts to provide a deeper understanding of the nature of the surface formation and roughness of aluminum joints during FSW processes. In order to form more efficient joints, the frictional temperature generated was monitored until reaching 450 °C, where the transverse movement of the tool and the joint welding began. Hardness and tensile tests showed that the formed joints were good, which paved the way for more reliable surface roughness measurements. The surface roughness of the weld joint was measured along the weld line at three symmetrical levels using welding parameters that included a rotational speed of 1250 rpm, a welding speed of 71 mm/min, and a tilt angle of 1.5°. The average hardness in the stir zone was measured at 64 HV, compared to 50 HV in the base material, indicating a strengthening effect induced by the welding process. In terms of tensile strength, the FSW joint exhibited a maximum force of 2.759 kN. Average roughness (Rz), arithmetic center roughness (Ra), and maximum peak-to-valley height (Rt) were measured. The results showed that along the weld line and at all levels, the roughness coefficients (Rz, Ra, and Rt) gradually increased from the beginning of the weld line to its end. The roughness Rz varies from start to finish, ranging between 9.84 μm and 16.87 μm on the RS and 8.77 μm and 13.98 μm on the AS, leveling off slightly toward the end as the heat input stabilizes. The obtained surface roughness and mechanical properties can give an in-depth understanding of the joint surface forming and increase the ability to overcome cracks and defects. Consequently, this approach, using adaptive thresholding image processing coupled with grayscale histogram analysis, yielded significant understanding of the FSW joint’s surface texture. Full article
(This article belongs to the Special Issue Advances in Dissimilar Metal Joining and Welding)
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15 pages, 2493 KiB  
Article
Inertial and Linear Re-Absorption Effects on a Synovial Fluid Flow Through a Lubricated Knee Joint
by Abdul Majeed Siddiqui, Khadija Maqbool, Afifa Ahmed and Amer Bilal Mann
Lubricants 2025, 13(5), 196; https://doi.org/10.3390/lubricants13050196 - 27 Apr 2025
Viewed by 464
Abstract
This study examines the flow dynamics of synovial fluid within a lubricated knee joint during movement, incorporating the effect of inertia and linear re-absorption at the synovial membrane. The fluid behavior is modeled using a couple-stress fluid framework, which accounts for mechanical phenomena [...] Read more.
This study examines the flow dynamics of synovial fluid within a lubricated knee joint during movement, incorporating the effect of inertia and linear re-absorption at the synovial membrane. The fluid behavior is modeled using a couple-stress fluid framework, which accounts for mechanical phenomena and employs a lubricated membrane. synovial membrane plays a crucial role in reducing drag and enhancing joint lubrication for the formation of a uniform lubrication layer over the cartilage surfaces. The mathematical model of synovial fluid flow through the knee joint presents a set of non-linear partial differential equations solved by a recursive approach and inverse method through the software Mathematica 11. The results indicate that synovial fluid flow generates high pressure and shear stress away from the entry point due to the combined effects of inertial forces, linear re-absorption, and micro-rotation within the couple-stress fluid. Axial flow intensifies at the center of the knee joint during activity in the presence of linear re-absorption and molecular rotation, while transverse flow increases away from the center and near to synovium due to its permeability. These findings provide critical insights for biomedical engineers to quantify pressure and stress distributions in synovial fluid to design artificial joints. Full article
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11 pages, 2114 KiB  
Article
Kinematic Analysis of Free Vertical Split with 720° Turn in Elite Chinese Rhythmic Gymnastics
by Tao Liu, Liangsen Wang, Liquan Gao and Yuliang Sun
Sensors 2025, 25(9), 2667; https://doi.org/10.3390/s25092667 - 23 Apr 2025
Viewed by 614
Abstract
This study investigates the kinematic characteristics of the free vertical split with 720° turn (C 807). C 807 is the international designation in rhythmic gymnastics for a free vertical split with a 720° turn. This research holds significant importance in enhancing the technical [...] Read more.
This study investigates the kinematic characteristics of the free vertical split with 720° turn (C 807). C 807 is the international designation in rhythmic gymnastics for a free vertical split with a 720° turn. This research holds significant importance in enhancing the technical proficiency of gymnasts and reducing their risk of injury. Eight national-level female gymnasts (age = 20 ± 3 years) performed the C 807. Kinematic data were collected using a 3D motion capture system. The movement was divided into four phases, and Visual 3D (V6.0, CMotion, Germantown, MD, USA) software was used for data processing and analysis. The joint angles of the upper and lower limbs, as well as the torsion angles of the lower limb joints, were analyzed. Key findings included tibial torsion, knee hyperextension in the support leg, and changes in elbow flexion during each phase. The center of mass (COM) trajectory showed that, during the backward preparatory swing phase, COM height gradually decreased and slightly increased before the initiation phase. In the initiation phase, COM height initially decreased and then increased, while the rotation phase showed fluctuating but stable COM height. The results highlight the importance of joint angle control and COM fluctuations during movement. Training should focus on leg swing speed, lower limb strength, knee stability, and upper limb coordination to enhance balance, improve rotation speed, and prevent injuries. Full article
(This article belongs to the Special Issue Sensors Technology for Sports Biomechanics Applications)
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16 pages, 4218 KiB  
Article
Method for Determining Displacement and Characterizing Spatial Kinematic Misalignment in a Rigid Exoskeleton
by Oliver Ott, Samet Ersoysal, Niklas Kraus and Robert Weidner
Machines 2025, 13(4), 284; https://doi.org/10.3390/machines13040284 - 30 Mar 2025
Viewed by 476
Abstract
With the increasing use of exoskeletons to reduce physical strain in industrial applications, precise adaptation to the user’s anthropometry is crucial for effective force transmission and user acceptance. This paper presents a method that compensates for axial misalignment between the human joint and [...] Read more.
With the increasing use of exoskeletons to reduce physical strain in industrial applications, precise adaptation to the user’s anthropometry is crucial for effective force transmission and user acceptance. This paper presents a method that compensates for axial misalignment between the human joint and the exoskeleton’s axes of rotation to optimize the anthropometric alignment. It further quantifies the resulting displacement, providing instructional recommendations for manual refinement of the exoskeleton’s initial kinematic configuration. The method thereby represents a first step toward a comprehensive investigation of the initial offset’s influence on an anthropometric fit. The mathematical derivation was described using the rigid shoulder exoskeleton “Lucy”. The validation on increasingly complex mock-ups showed an average calculated error of 0.84mm (SD 0.24mm) in 2D and 7.97mm (SD 1.30mm) in 3D, where the errors decreased with smaller initial offsets. A preliminary field study with three participants revealed improved anthropometric alignment but indicated limitations in the exoskeleton’s structural adjustment possibilities, highlighting the need for further modifications. Building on these findings, subsequent studies will involve further investigation of factors such as the migration of the instantaneous center of rotation during motion, soft tissue deformations, and greater population diversity. Full article
(This article belongs to the Special Issue Design and Control of Wearable Mechatronics Devices)
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13 pages, 3020 KiB  
Article
The Influence of the Joint Volume on the Prevention of Impingement and Elbow-at-Side Rotations: Could the 36 mm Sphere with an Inferior Offset of 2 mm Be the New Gold Standard?
by Marion Besnard, Ramy Samargandi, Osamah Abualross and Julien Berhouet
J. Clin. Med. 2025, 14(7), 2324; https://doi.org/10.3390/jcm14072324 - 28 Mar 2025
Viewed by 397
Abstract
Background: Reverse shoulder arthroplasty (RSA) improves shoulder function in cases of glenohumeral osteoarthritis and rotator cuff arthropathy. The design of the glenosphere influences mobility and scapular impingement. This study evaluates the impact of joint volume on the range of motion (RoM) and [...] Read more.
Background: Reverse shoulder arthroplasty (RSA) improves shoulder function in cases of glenohumeral osteoarthritis and rotator cuff arthropathy. The design of the glenosphere influences mobility and scapular impingement. This study evaluates the impact of joint volume on the range of motion (RoM) and identifies design modifications to enhance mobility while reducing the impingement risk. Methods: Thirty-four cadaveric shoulders were implanted with the Aequalis Reversed II® prosthesis in seven configurations: four with 36 mm spheres (centered, 2 mm eccentric, and lateralized by 5 mm and 7 mm) and three with 42 mm spheres (centered, and lateralized by 7 mm and 10 mm). The joint volumes (inferior, anteroinferior, and posteroinferior) were measured via 3D CT scans. The RoM in adduction and elbow-at-side rotations (IR1 and ER1) was recorded. A statistical analysis identified threshold joint volumes correlating with improved mobility. Results: Larger joint volumes correlated with enhanced mobility. The 42 mm spheres demonstrated better adduction and ER1 compared to those of the 36 mm spheres (p < 0.0001). An inferior volume > 5000 mm3 and anteroinferior/posteroinferior volumes >2500 mm3 were thresholds for significant mobility improvement. Lateralization (≥7 mm) or inferior eccentricity (2 mm) improved the mobility with the 36 mm spheres, with the 36 + 2 configuration offering a practical balance for smaller patients. Conclusions: Increased joint volume enhances mobility, particularly in adduction and elbow-at-side rotations. A sphere with a 2 mm inferior offset or a 42 sphere with 7 mm lateralization optimizes the RoM while minimizing impingement risks. Patient-specific considerations, including anatomy and soft tissue tension, remain essential for optimal prosthesis selection. Full article
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21 pages, 22532 KiB  
Article
Influence of Rotational Speed on the Microstructure and Mechanical Properties of Refill Friction Stir Spot Welded Pure Copper
by Xiaole Ge, I. N. Kolupaev, Di Jiang, Weiwei Song and Hongfeng Wang
Crystals 2025, 15(3), 268; https://doi.org/10.3390/cryst15030268 - 13 Mar 2025
Viewed by 605
Abstract
Refill friction stir spot welding (RFSSW) is an effective technique for achieving high-quality joints in metallic materials, with rotational speed being a critical parameter influencing joint quality. Current research on RFSSW has primarily focused on low-melting-point materials such as aluminum alloys, while limited [...] Read more.
Refill friction stir spot welding (RFSSW) is an effective technique for achieving high-quality joints in metallic materials, with rotational speed being a critical parameter influencing joint quality. Current research on RFSSW has primarily focused on low-melting-point materials such as aluminum alloys, while limited attention has been given to pure copper, a material characterized by its high-melting-point and high-thermal-conductivity. This study aims to investigate the effects of rotational speed on the microstructure and mechanical properties of RFSSW joints in pure copper. To achieve this goal, welding experiments were conducted at five rotational speeds. The welding defects, microstructure, and hook morphology of the welded joints were analyzed, while the variations in axial force and torque during welding were studied. The influence of rotational speed on the microhardness and tensile-shear failure load of the welded joints was explored, and the fracture modes of the welded joints at different rotational speeds were discussed. The results indicated that the primary welding defects were incomplete refill and surface unevenness. Higher rotational speeds resulted in coarser microstructures in the stir zones. As the rotational speed increased, the hook height progressively rose, the peak axial force showed an increasing trend, and the peak torque continuously decreased. The high microhardness points in the welded joints were predominantly located at the top of the sleeve stir zone (S-Zone), while the low microhardness points were observed at the center of the pin stir zone (P-Zone) and in the heat-affected zone (HAZ). The tensile-shear failure load of the welded joints initially increased and then decreased on the whole with the rising rotational speed, peaking at 5229 N at a rotational speed of 1200 rpm. At lower rotational speeds, the fracture type of the welded joints was characterized as plug fracture. Within the rotational speed range of 1200 rpm to 1600 rpm, the fracture type transitioned to upper sheet fracture. The initial fractures under different rotational speeds exhibited ductile fracture. This study contributes to advancing the understanding of RFSSW characteristics in high-melting-point and high-thermal-conductivity materials. Full article
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20 pages, 12818 KiB  
Article
Modal Vibration Suppression for Magnetically Levitated Rotor Considering Significant Gyroscopic Effects and Interface Contact
by Kun Zeng, Yang Zhou, Yuanping Xu and Jin Zhou
Actuators 2025, 14(2), 76; https://doi.org/10.3390/act14020076 - 6 Feb 2025
Cited by 1 | Viewed by 811
Abstract
Featured with optimal power consumption, active magnetic bearings (AMBs) have been extensively integrated into turbomachinery applications. For turbomachinery components, including the rotor and impeller, their connection is generally based on bolted joints, which would easily induce excessive interface contact. As a result, the [...] Read more.
Featured with optimal power consumption, active magnetic bearings (AMBs) have been extensively integrated into turbomachinery applications. For turbomachinery components, including the rotor and impeller, their connection is generally based on bolted joints, which would easily induce excessive interface contact. As a result, the pre-tightening torque can induce modal vibrations in the rotor upon levitation. Although a notch filter can be adopted to suppress the vibrations, it should be noted that the current reported notch filters are based on fixed center frequency, making it challenging to enable high effectiveness over a broad range of rotor speeds, particularly in cases where the gyroscopic effect is significant. Herein, a modal vibration suppression based on a varying-frequency notch filter is proposed, considering gyroscopic effect and interface contact. First, the rotor–AMB system was developed, taking into consideration the bolted-joint interface contact. This modeled the effect of the interface contact as a time-varying force in the positive feedback. Secondly, the relationship between vibration frequency and rotational speed was obtained, based on simulations. Lastly, a test rig was configured to validate the performance of the frequency-varying notch filter. The experimental data confirm that the filter is capable of attenuating the modal vibrations resulting from interface contact across all operational speeds. Full article
(This article belongs to the Special Issue Advanced Theory and Application of Magnetic Actuators—2nd Edition)
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12 pages, 2215 KiB  
Article
Kinematic Characteristics of the Non-Throwing Arm During the Completion Phase of the Glide Shot Put in Elite Female Athletes: A Case Study
by Jie Jiao, Tianzhi Yang, Yue Ma, Houjie Wang, Jing Chen, Hongqi Xu and Guang Yang
Appl. Sci. 2025, 15(3), 1397; https://doi.org/10.3390/app15031397 - 29 Jan 2025
Cited by 1 | Viewed by 1220
Abstract
Background: This study analyzes the biomechanical contributions of the non-throwing arm during the completion phase of the glide shot put technique, focusing on its roles in performance optimization. Methods: Data from a Chinese elite female shot-putter were collected during a national championship, with [...] Read more.
Background: This study analyzes the biomechanical contributions of the non-throwing arm during the completion phase of the glide shot put technique, focusing on its roles in performance optimization. Methods: Data from a Chinese elite female shot-putter were collected during a national championship, with three-dimensional kinematic analyses and Spearman correlation to assess joint displacement, velocity, and angular changes. Results: Distal joints of the non-throwing arm exhibited greater displacement but lower peak velocity than proximal joints. Angular changes showed a flexion trend in the elbow and shoulder, with brief extension phases in the elbow. During the completion phase, the shoulder velocity of the non-throwing arm positively correlated with shot put velocity (rs = 0.72, p < 0.05) but negatively correlated with the velocity of the elbow (rs = −0.46, p < 0.05), wrist (rs = −0.41, p < 0.05), and center of mass (rs = −0.66, p < 0.05). The elbow velocity positively correlated with shot put velocity (rs = 0.56, p < 0.05) but negatively correlated with velocities of the shoulder (rs = −0.59, p < 0.05), wrist (rs = −0.79, p < 0.05), and center of mass (rs = −0.91, p < 0.05). Wrist velocity exhibited similar correlations. Conclusions: These findings underscore the active role of the non-throwing arm in enhancing shot put performance by influencing the center of mass movement, rotational mechanics, and energy transfer, providing actionable guidance for elite training optimization. Full article
(This article belongs to the Special Issue Advances in Performance Analysis and Technology in Sports)
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16 pages, 2280 KiB  
Article
Identifying the Primary Kinetic Factors Influencing the Anterior–Posterior Center of Mass Displacement in Barbell Squats: A Factor Regression Analysis
by Diwei Chen, Dong Sun, Fengping Li, Dongxu Wang, Zhanyi Zhou, Zixiang Gao and Yaodong Gu
Sensors 2025, 25(2), 572; https://doi.org/10.3390/s25020572 - 20 Jan 2025
Cited by 1 | Viewed by 1627
Abstract
Background: Barbell squats are commonly used in strength training, but the anterior–posterior displacement of the Center of Mass (COM) may impair joint stability and increase injury risk. This study investigates the key factors influencing COM displacement during different squat modes.; Methods: This study [...] Read more.
Background: Barbell squats are commonly used in strength training, but the anterior–posterior displacement of the Center of Mass (COM) may impair joint stability and increase injury risk. This study investigates the key factors influencing COM displacement during different squat modes.; Methods: This study recruited 15 male strength training enthusiasts, who performed 60% of their one-repetition maximum (1RM) in the Front Barbell Squat (FBS), High Bar Back Squat (HBBS), and Low Bar Back Squat (LBBS). Joint moments at both the hip, knee, and ankle were collected using a motion capture system and force plates, and a factor regression analysis was conducted using SPSS.; Results: In the FBS, primary factors influencing COM displacement included right knee adduction–abduction (38.59%), knee flexion–extension (31.08%), and hip internal–external rotation (29.83%). In the HBBS, they were right ankle internal–external rotation (19.13%), hip flexion–extension (−19.07%), and left knee flexion–extension (19.05%). In the LBBS, the key factors were left knee adduction–abduction (27.82%), right ankle internal–external rotation (27.59%), and left ankle internal–external rotation (26.12%).; Conclusion: The study identifies key factors affecting COM displacement across squat modes, with knee flexion–extension being dominant in the FBS and hip moments more significant in the HBBS and LBBS. These findings have implications for optimizing squat training and injury prevention strategies. Full article
(This article belongs to the Special Issue Sensor Techniques and Methods for Sports Science)
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12 pages, 2406 KiB  
Article
Impact of Patient-Specific Hip Joint Geometry on the Morphology of Acetabular Fractures
by Amadeo Touet, Yannick Schmiedt, Jessica Köller, Christian Prangenberg, Davide Cucchi, Kristian Welle, Christoph Endler and Sebastian Scheidt
J. Clin. Med. 2024, 13(23), 7332; https://doi.org/10.3390/jcm13237332 - 2 Dec 2024
Viewed by 745
Abstract
Background: Acetabular fractures continue to pose a major challenge in clinical practice, not least because of the growing geriatric population. While the influence of the force vectors on fracture formation is well established, the impact of anatomical factors on fracture morphology remains [...] Read more.
Background: Acetabular fractures continue to pose a major challenge in clinical practice, not least because of the growing geriatric population. While the influence of the force vectors on fracture formation is well established, the impact of anatomical factors on fracture morphology remains poorly understood. The aim of this study was to investigate patient-specific hip joint geometry, identify structural risk factors and correlate these with the resulting fracture patterns. Methods: This retrospective cohort analysis included 226 patients (Mdn age = 58 yrs.) with acetabular fracture categorized by Judet/Letournel and the AO/OTA classification. Computed tomography (CT) datasets of the injured and contralateral sides were analyzed using multiplanar reconstruction. Parameters included modified center-edge (CE) angle (Wiberg), rotation angles (Ullmann and Anda), acetabular sector angle (Anda), true caput-collum-diaphyseal (CCD) angle, femoral head diameter and volume, as well as femoral neck length, circumference, and diameter. In addition, intrarater reliability within a subcohort was assessed for the metric measurements and inter-rater analysis for the classification of the entire sample. Results: The primary analysis showed direct effects of femoral head diameter, femoral neck length and femoral head size on the fracture type according to AO/OTA (type A/B/C), whereby this effect was particularly seen between type A and type C fractures (p = 0.001). Ordinal regression identified femoral head diameter as the only significant predictor (p = 0.02), with a 25% increased likelihood of complex fractures per unit of change. Low-energy trauma doubled the risk of severe fractures. Specific findings include a higher acetabular anteversion in anterior column fractures. Age correlated positively with the cause of injury and fracture type. The inter-rater reliability for fracture classification was excellent, as was the intrarater reliability of the measurements. Conclusions: This study suggests that anatomical factors, particularly proximal femoral geometry, have an impact on acetabular fracture morphology—in addition to factors such as trauma type and patient demographics. Full article
(This article belongs to the Special Issue Updates in Emergency Trauma Management)
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22 pages, 2799 KiB  
Article
3D Surgical Planning for Customized Devices in Orthopaedics: Applications in Massive Hip Reconstructions of Oncological Patients
by Yazan Haidar, Claudio Belvedere, Benedetta Spazzoli, Davide Maria Donati and Alberto Leardini
Appl. Sci. 2024, 14(23), 11054; https://doi.org/10.3390/app142311054 - 27 Nov 2024
Viewed by 1224
Abstract
This study investigates the morphological impact of using three-dimensional (3D) printed custom implants in surgical hip reconstruction compared to the conventional bone graft and standard size implant methods. An amount of 16 patients at the Rizzoli Orthopaedic Institute who underwent hip reconstruction surgery [...] Read more.
This study investigates the morphological impact of using three-dimensional (3D) printed custom implants in surgical hip reconstruction compared to the conventional bone graft and standard size implant methods. An amount of 16 patients at the Rizzoli Orthopaedic Institute who underwent hip reconstruction surgery for tumors involving the P2 pelvis region were selected using stratified sampling. Half of them were randomly selected to receive 3D-printed implants, and the other half were selected to receive standard implants with bone grafts. Six months post-surgery, computed tomography (CT) scans were used to identify the hip joint center of rotation and to measure greater the trochanter offset and acetabular inclination angle. These CT scans were also used to construct a 3D model of the pelvis for 3D measurements. The results show no significant differences in accuracy, using Student’s t-test and Mann–Whitney U-test (p-value > 0.05), between the two methods for reconstructing the hip joint center of rotation or greater trochanter offset. However, 3D-printed implants showed statistically significant greater precision, using Student’s t-test (p-value < 0.05), in reconstructing the acetabular inclination angle compared to the conventional bone graft and standard-sized off-the-shelf implants. This superior precision reduces the risk of impingement of the femur implant neck with the acetabulum implant cup, which directly relates to improved implant survivorship. These findings support the continued exploration of 3D printing technology for personalized orthopedic solutions. Full article
(This article belongs to the Section Applied Biosciences and Bioengineering)
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22 pages, 12681 KiB  
Article
Seismic Behavior of Precast Prestressed Concrete Frame with Hinge-Relocated Mortise–Tenon Connections
by Hanxi Zhao and Noriyuki Takahashi
Buildings 2024, 14(9), 3007; https://doi.org/10.3390/buildings14093007 - 22 Sep 2024
Cited by 2 | Viewed by 1517
Abstract
To satisfy the easy-construction demands of precast concrete (PCa) frames after an earthquake, a PCa frame with mortise–tenon (MT) connections is proposed in this paper. MT connections are secured solely through the binding force of unbonded prestressed tendons without grouting for easy construction. [...] Read more.
To satisfy the easy-construction demands of precast concrete (PCa) frames after an earthquake, a PCa frame with mortise–tenon (MT) connections is proposed in this paper. MT connections are secured solely through the binding force of unbonded prestressed tendons without grouting for easy construction. The design and construction of the joint are detailed. During an earthquake, the hinge system of the connection allows for slight rotational movements. Finite element analysis was employed to assess the joint’s hysteresis behavior, revealing a three-stage earthquake response mechanism: closing, hinge relocation, and self-centering. Based on the hysteresis performance of the beam and column in the precast prestressed concrete (PCaPC) frame, a seismic response model for PCaPC buildings was established. Full article
(This article belongs to the Section Building Structures)
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