Search Results (22)

The anatomic characteristics of the graft and tunnel, i.e., the tunnel position, angle, length, and the graft bending angle, influence knee joint stability and postoperative functional recovery. The purpose of this study was to evaluate the tunnel position, length and angle, as well as graft bending angle after ACL reconstruction assisted by a surgical robot. A total of 70 patients were randomized into two groups: the surgical robot group (robot group, n = 35) and the traditional handheld locator group (control group, n = 35). Postoperative computed tomography (CT) was employed to assess the positions and lengths of the tunnels, as well as the tunnel angle and the graft bending angle. Additionally, the posterior wall distance was measured by determining the minimum vertical distance from the long axis of the tunnel to the posterior wall region. There were no significant differences between the two groups in the mean position or length of the femoral and tibial tunnel (p > 0.05). However, the femoral tunnel angle was significantly larger in the robot group compared to the handheld locator group (p = 0.012). The graft bending angle was significantly less acute in the robot group than in the control group (p = 0.008). Additionally, the posterior wall distance was significantly greater in the robot group compared to the control group (p < 0.001). The results suggest that surgical robot-assisted ACL reconstruction enhances safety in the inclination of the tunnel and graft, helping to avoid potential biomechanical issues such as the wiper effect and the bungee effect, which may lead to tunnel widening and surgical failure. Full article

Objectives: This study aimed to compare 24-month radiographic follow-ups of clavicular tunnel widenings (CTWs) and coracoclavicular distances (CCDs) and examine correlations between these measurements in patients following combined coracoclavicular stabilization and acromioclavicular capsule repair in treatment of acute high-grade acromioclavicular joint injury. Methods: This retrospective study reviewed the records of patients with acute Rockwood type V acromioclavicular joint injury who underwent surgery within 3 weeks after their injury. All patients had follow-ups at 3 and 6 months and 1 and 2 years. The CTWs were measured on anteroposterior radiographs between the medial and lateral borders at the superior, middle and inferior levels of the tunnels. On anteroposterior radiographs of both clavicles, the CCDs were measured at the shortest distance between the upper border of the coracoid process and the inferior border of the clavicle and reported as the CCD ratio, which was defined as the ratio of the affected and unaffected clavicles. At the final follow-ups, clinical outcomes were assessed using American Shoulder and Elbow Surgeons (ASES) scores. Results: This study included seventeen men and six women with a mean age of 47.26 ± 10.68 years. At the final follow-ups, the mean ASES score of all patients was 95.28 ± 3.62. We found a significant correlation between the increase in the CTWs and the increase in the CCD ratios (Spearman’s rho correlation coefficient range 0.578–0.647, all p-values < 0.001). Conclusions: We found long-term postoperative widening of the clavicular tunnels, which correlated positively with a gradual postoperative decline in the acromioclavicular joint alignment reductions. Full article

The construction of multiple tunnels across inland rivers has had a significant influence on the improvement of the transportation infrastructure. The technology for constructing tunnels is progressing towards the development of larger cross-sections, longer distances, and the ability to withstand high hydraulic pressure in complex hydrogeological conditions, including high-permeability strata. In order to ensure the face stability of shield tunnels under high hydraulic pressure that crosses a fault fracture zone, it is necessary to study the progressive failure mechanism of shield tunnel faces induced by high hydraulic pressure seepage. This paper employs finite element numerical simulation software to methodically examine the variation in the characteristics of the water seepage field, limiting support force, and face stability failure mode of shield tunnels passing through fault fracture zones with high hydraulic pressure under varying fault fracture width zones. The results show that the formation hydraulic gradient will progressively widen when the tunnel face is located within the undisturbed rock mass and is advanced towards the area of fault fracture. This will raise the likelihood of instability in the shield tunnel and progressively raise the limiting support force on the tunnel face. Moreover, as the tunnel face nears the region of fault fracture within the undisturbed rock mass, the damage range increases gradually. In addition, due to the increase in seepage force, the angle between the failure area and the horizontal plane becomes more and more gentle. On the contrary, as the tunnel’s face moves closer to the undisturbed rock mass from the region of the fault fracture, the damage range gradually decreases, and the dip angle between the damage area and the horizontal plane becomes steeper and steeper due to the decreasing seepage force in the process. The study findings presented in this work are highly significant, both theoretically and practically, for the design and management of safety. Full article

There are many techniques for the treatment of chronic scapholunate dissociation. The three-ligament tenodesis (3LT) is used most widely, but reconstruction of the dorsal ligament alone may not provide sufficient stability. The Mark–Henry technique (MHT) compensates for the insufficient stability of 3LT by additional reconstruction of the volar ligament, but the procedure is complex. The SwiveLock technique (SWT), a recently introduced method, provides stability by using autologous tendons with synthetic tapes, but lacks long-term clinical results. To perform biomechanical comparisons of different reconstructive techniques for scapholunate dissociation using a controlled laboratory cadaveric model. Eleven fresh-frozen upper-extremity cadaveric specimens were prepared. The scapholunate distance, scaphoid rotation, and lunate rotation of the specimens were measured during continuous flexion–extension and ulnar–radial deviation movements. The data were collected using a wrist simulator with a linear guide rail system (tendon load/motion-controlled system) and a motion capture system. Results were compared in five conditions: (1) intact, (2) scapholunate dissociation, (3) SWT, (4) 3LT, and (5) MHT. Paired t-test was employed to compare the biomechanical characteristics of intact wrists to those of scapholunate dissociated wrists, and to those of wrists after each of the three reconstruction methods. SWT and MHT were effective solutions for reducing the widening in scapholunate distance. According to the radioscaphoid angle, all three reconstruction techniques were effective in addressing the flexion deformity of the scaphoid. According to the radiolunate angle, only SWT was effective in addressing the extension deformity of the lunate. In terms of scapholunate angle, only the results after SWT did not differ from those of the intact wrist. The SWT technique most effectively improved distraction intensity and rotational strength for the treatment of scapholunate dissociation. Taking into account the technical complexity of 3LT and MHT, SWT may be a more efficient technique to reduce operating time and minimize complications due to multiple incisions, transosseous tunnels, and complicated shuttling. Full article

The interaction of excitons with localized surface plasmons in hybrid nanostructures containing semiconductor quantum dots and metal nanoparticles, under specific conditions, may generate products with collective optical properties that have an abundance of potential applications in the area of nanotechnology. In the present study, we explore the behavior of the linear absorption and dispersion properties of the double-semiconductor quantum dot molecule in the presence of a spherical metal nanoparticle. We find that a transparency window arises in the absorption spectrum, the width of which decreases with the decrease in the electron tunnelling rate. In the low-electron-tunnelling regime, slow light is generated, an effect closely associated with tunneling-induced transparency. The enhancement of the tunneling rate induces a broadening in the transparency window, occurring due to the Autler–Townes splitting. The investigation of the impact of the distance between the quantum dot and the metal nanoparticle on the slowdown factor and the width of the transparency window shows that, by transposing the metal nanoparticle closer to the double-semiconductor quantum dot molecule, the transparency window widens. Full article

Backgrounds and objectives: A prevalent concern in anterior cruciate ligament (ACL) reconstruction is postoperative tunnel widening. We hypothesized that employing a curved dilator system (CDS) for femoral tunnel creation can reduce this widening after ACL reconstruction compared to the use of a conventional rigid reamer. Materials and Methods: A retrospective study was conducted involving 56 patients who underwent primary ACL reconstruction between January 2012 and July 2013. The patients were categorized into two groups: the reamer group (n = 28) and CDS group (n = 28). All participants were followed up for a minimum of 2 years. Clinical assessment included the Lachman test and pivot-shift test, and the Lysholm score and subjective International Knee Documentation Committee scores. Radiographic evaluation covered the tunnel widening rate, represented as the ratio of the tunnel diameter 2 years after surgery to the tunnel diameter immediately after surgery, and the ratio (A/B) of femoral tunnel (A) to tibial tunnel (B) diameters at respective time points. Results: No significant disparities were found between the two groups in terms of clinical outcomes. However, the reamer group exhibited a greater femoral tunnel widening rate compared to the CDS group (reamer group vs. CDS group: 142.7 ± 22.0% vs. 128.0 ± 19.0% on the anteroposterior (AP) radiograph and 140.8 ± 14.2% vs. 122.9 ± 13.4% on the lateral radiograph; all p < 0.05). Two years post-operation, the A/B ratio rose in the reamer group (0.96 ± 0.05→1.00 ± 0.05 on the AP radiograph and 0.94 ± 0.03→1.00 ± 0.0.04 on the lateral radiograph; all p < 0.05), while it decreased in the CDS group (0.99 ± 0.02→0.96 ± 0.05 on the AP radiograph and 0.97 ± 0.03→0.93 ± 0.06 on the lateral radiograph; all p < 0.05). Conclusion: The use of CDS for femoral tunnel creation in primary ACL reconstruction provides a potential advantage by limiting tunnel widening compared to the conventional rigid-reamer approach. Full article

Machine learning (ML), one of the AI techniques, has been used in geotechnical engineering for over three decades, resulting in more than 600 peer-reviewed papers. However, AI applications in geotechnical engineering are significantly lagging compared with other fields. One of the reasons for the lagging is that hyperparameters used in many AI techniques need physical meaning in geotechnical applications. This paper focuses on widening the applications of ML in predicting tunneling-induced short- and long-term ground settlement and optimizing ML architectures considering their interpretability and ability to provide physically consistent results. Informed by the underlying physics knowledge, tunneling-induced ground settlement is divided into long-term and short-term settlements since different mechanisms and influencing parameters contribute to these two deformation types. Based on the above considerations, this paper introduces a physics-informed ensemble machine learning (PIML) framework to strengthen the connection between ML techniques and physics theories, followed by identifying/utilizing different sets of parameters for effectively predicting short- and long-term tunneling-induced settlements, respectively. Together with in situ observations and experimental lab results, parameters obtained from physics equations are set as inputs for the ML models. Results show that the proposed PIML framework effectively predicts tunneling-induced ground movements, with a predicting accuracy above 0.8. Additionally, parametric studies of variable significance and comparisons among different ML designs reveal that in situ observed dynamic parameters, for instance tunnel face and monitoring points (DTM), gap parameter, and tunnel depth, are essential in predicting tunneling-induced short-term settlement, while predicting long-term settlements largely depends on features, such as tunnel depth, volume compressibility, and excess pore pressure, derived from physics theories. Full article

The incremental step pulse programming slope (ISPP) with random variation was investigated by measuring numerous three−dimensional (3D) NAND flash memory cells with a vertical nanowire channel. We stored multiple bits in a cell with the ISPP scheme and read each cell pulse by pulse. The excessive tunneling from the channel to the storage layer determines the program efficiency overshoot. Then, a broadening of the threshold voltage distribution was observed due to the abnormal program cells. To analyze the randomly varying abnormal program behavior itself, we distinguished between the read variation and over−programming in measurements. Using a 3D Monte−Carlo simulation, which is a probabilistic approach to solve randomness, we clarified the physical origins of over−programming that strongly influence the abnormal program cells in program step voltage, and randomly distributed the trap site in the nitride of a nanoscale 3D NAND string. These causes have concurrent effects, but we divided and analyzed them quantitatively. Our results reveal the origins of the variation and the overshoot in the ISPP, widening the threshold voltage distribution with traps randomly located at the nanoscale. The findings can enhance understanding of random over−programming and help mitigate the most problematic programming obstacles for multiple−bit techniques. Full article

Channelrhodopsins have been utilized in gene therapy to restore vision in patients with retinitis pigmentosa and their channel kinetics are an important factor to consider in such applications. We investigated the channel kinetics of ComV1 variants with different amino acid residues at the 172nd position. Patch clamp methods were used to record the photocurrents induced by stimuli from diodes in HEK293 cells transfected with plasmid vectors. The channel kinetics (τon and τoff) were considerably altered by the replacement of the 172nd amino acid and was dependent on the amino acid characteristics. The size of amino acids at this position correlated with τon and decay, whereas the solubility correlated with τon and τoff. Molecular dynamic simulation indicated that the ion tunnel constructed by H172, E121, and R306 widened due to H172A variant, whereas the interaction between A172 and the surrounding amino acids weakened compared with H172. The bottleneck radius of the ion gate constructed with the 172nd amino acid affected the photocurrent and channel kinetics. The 172nd amino acid in ComV1 is a key residue for determining channel kinetics as its properties alter the radius of the ion gate. Our findings can be used to improve the channel kinetics of channelrhodopsins. Full article

This study aims to identify potential factors for both femoral and tibial tunnel widening (TW) and to investigate the effect of TW on postoperative outcomes after anterior cruciate ligament (ACL) reconstruction with a tibialis anterior allograft. A total 75 patients (75 knees) who underwent ACL reconstruction with tibialis anterior allografts were investigated between February 2015 and October 2017. TW was calculated as the difference in tunnel widths between the immediate and 2-year postoperative measurements. The risk factors for TW, including demographic data, concomitant meniscal injury, hip–knee–ankle angle, tibial slope, femoral and tibial tunnel position (quadrant method), and length of both tunnels, were investigated. The patients were divided twice into two groups depending on whether the femoral or tibial TW was over or less than 3 mm. Pre- and 2-year follow-up outcomes, including the Lysholm score, International Knee Documentation Committee (IKDC) subjective score, and side-to-side difference (STSD) of anterior translation on stress radiographs, were compared between TW ≥ 3 mm and TW < 3 mm. The femoral tunnel position depth (shallow femoral tunnel position) was significantly correlated with femoral TW (adjusted R² = 0.134). The femoral TW ≥ 3 mm group showed greater STSD of anterior translation than the femoral TW < 3 mm group. The shallow position of the femoral tunnel was correlated with the femoral TW after ACL reconstruction using a tibialis anterior allograft. A femoral TW ≥ 3 mm showed inferior postoperative knee anterior stability. Full article

An anterior cruciate ligament (ACL) reconstruction is a common treatment for patients with ACL rupture that aims to regain pre-injury knee stability and kinematics. During the ACL reconstruction, one method to fix the graft is the use of an interference screw (IS). The IS should provide initial stability and secure the graft during the healing period. In recent years, magnesium has emerged as an alternative material to permanent metal and polymer ISs. In addition, differences in designs, such as the shape of the IS, can influence the fixation performance of the IS. Therefore, in this biomechanical experiment, two different screw designs with two ligament materials were compared in an insertion and a pull-out test at a rate of 1 mm/s. The screw designs were a conventional polymer screw and a magnesium screw. Porcine tendon and nylon rope were used as ligament materials. All tests were performed in polyurethane foam blocks with 15 PCF density (Synbone AG, Switzerland). As a result, both screw designs required an insertion torque of less than 3 Nm. There was a significant difference between the porcine and nylon rope in pull-out tests for each screw design. The magnesium screw had the highest pull-out force at 412.14 ± 50.00 N for porcine tendon and 707.38 ± 21.81 N for nylon rope. There were no significant differences in tunnel widening (narrow–wide ratio) between each ligament material. The magnesium screw showed the lowest narrow–wide tunnel ratio, implying a better ability to compress the graft to the tunnel. In conclusion, a more optimized magnesium IS design resulted in better graft fixation and an improved ACL reconstruction outcome. Full article

Mechanical methods of tunnel excavation are widely used because of their high excavation output, and the selection of appropriate technology depends on ground composition and project-related features. Compared with tunnel boring machines (TBMs) and roadheaders, mechanical pre-cutting machines are used in tunnel widening and have proven to be reliable in tunnel capacity expansion. Compared to other machines, the excavation characteristics of pre-cutting machines are not systematically analyzed because of their rare use. In this study, the excavation characteristics of a pre-cutting machine are analyzed in a laboratory based on linear cutting tests performed on four rock specimens with different uniaxial compressive strengths. During testing, changes in tool forces, cutting volume, and specific energy are determined while maintaining different penetration depths, spacings, and rock strengths. The variations in these variables are selected accordingly. The results showed high similarity with the case of TBMs and roadheaders. However, in the excavation by the pre-cutting machine, the ratios of the peak-to-mean cutting forces and cutting-to-normal forces reached a maximum value at a specific s/p (spacing and penetration ratio), which is related to the optimal cutting conditions. This study can provide useful information for the operation and design of pre-cutting machines. Full article

In this work, the numerical simulation of a SiGe heterojunction bipolar transistor (HBT) for DC and AC performance operating at cryogenic temperature with a hydrodynamic carrier transport model is analyzed. A new modified temperature-dependent Si_1−xGe_x energy bandgap model was used. Using a simplified 2D TCAD design structure, the device characteristics on 55 nm SiGe HBT technology and the mobility model are calibrated with experimental data. Base current reversal due to induced impact-ionization at the collector-base junction is analyzed, where the estimated collector-emitter breakdown voltage with the base open (BV_CEO) is 1.48 V at 300 K. This reveals good voltage handling ability. At cryogenic temperatures, dopant incomplete ionization in the lightly doped collector region shows a 28% decrease in ionized dopant concentration at 50 K; this affects the base-collector depletion capacitance. The emitter electron barrier tunneling leakage on collector current is studied using a non-local e-barrier tunneling model at different temperatures that shows an improvement in peak DC gain at lower temperatures. Using the small-signal ac analysis, the cut-off frequency and the maximum oscillation frequency are extracted for high-frequency application, and the base widening effect is discussed. A comparison of this work with measured data on 90 nm SiGe HBT is also discussed in brief, which shows improvements in the simulated structure. Full article

The support theory of the excavation disturbance zone (EDZ) cannot provide an accurate physical explanation or theoretical description of the time-dependent properties required for the development of an EDZ. Therefore, the primary factors that cause the formation of an EDZ should be determined to further improve the support theory of the EDZ and grasp the principle underlying the control of the long-term stability of rock masses. Considering the headrace tunnel and nuclear waste repository as the research background, this study aimed to understand the deformation damage evolution process of the surrounding rock after tunnel excavation under different working conditions using the self-developed realistic failure process analysis (RFPA^2D) code. The simulation revealed the following. First, an EDZ is formed, although the deformation damage to the surrounding rock is relatively small under the action of environmental factors. Second, under the action of stress in the abovementioned case, the deformation speed, damage degree, and scope of the surrounding rock significantly increase, accelerating the formation and development of the EDZ. Therefore, the boundary of the EDZ expands significantly. Third, when environmental factors are blocked, the range of the EDZ is small due to the small deformation damage to the surrounding rock. Thus, the main factors responsible for the formation of the EDZ are environmental factors, whereas stress is only an auxiliary factor. A numerical simulation method that considers environmental factors can more accurately reproduce the formation of an EDZ. Therefore, a study of the internal mechanism of the EDZ phenomenon can provide a more in-depth understanding of the essential characteristics of an EDZ at the macro level. Furthermore, it can provide a scientific basis and method for the construction and support designs of underground excavation projects and widen the possibilities for further improving the support theory of the EDZ. Full article

Background: Although the use of adjustable-loop suspensory fixation has increased in recent years, the influence of the shortcomings of suspensory fixation, such as the bungee-cord or windshield-wiper effects, on tunnel widening remains to be clarified. Hypothesis/Purpose: The purpose of this study was to compare adjustable-loop femoral cortical suspensory fixation and interference screw fixation in terms of tunnel widening and clinical outcomes after anterior cruciate ligament reconstruction (ACLR). We hypothesized that tunnel widening in the adjustable-loop femoral cortical suspensory fixation (AL) group would be comparable to that in the interference screw fixation (IF) group. Methods: This study evaluated patients who underwent primary ACLR at our institution between March 2015 and June 2019. The femoral and tibial tunnel diameters were measured using plain radiographs in the immediate postoperative period and 2 years after ACLR. Tunnel widening and clinical outcomes (Lysholm score, 2000 International Knee Documentation Committee subjective score, and Tegner activity level) were compared between the two groups. Results: There were 48 patients (mean age, 29.8 ± 12.0 years) in the AL group and 44 patients (mean age, 26.0 ± 9.5 years) in the IF group. Tunnel widening was significantly greater in the AL group than that in the IF group at the tibia anteroposterior (AP) middle (2.03 mm vs. 1.32 mm, p = 0.017), tibia AP distal (1.52 mm vs. 0.84 mm, p = 0.012), tibia lateral proximal (1.85 mm vs. 1.00 mm, p = 0.001), tibia lateral middle (2.36 mm vs. 1.03 mm, p < 0.001), and tibia lateral distal (2.34 mm vs. 0.85 mm, p < 0.001) levels. There were no significant differences between the two groups with respect to femoral tunnel widening and clinical outcomes. Conclusions: Tibial tunnel widening was significantly greater in the AL group than in the IF group at 2 years after primary ACLR. However, the clinical outcomes in the two groups were comparable at 2 years. Full article