Cemented total hip replacement in patients under 55 years:Good results in 104 hips followed up for ≥22 years

Background and purpose — About 86,000 total hip replacements (THR) have been registered in patients under 55 years in the National Joint Registry of England and Wales (NJR). The use of uncemented implants has increased, despite their outcomes not having been proven to be significantly better than cemented implants in this registry. We determined the implant survivorship and functional outcomes of cemented THR in patients under 55 years at a minimum follow-up of 22 years. Patients and methods — 104 hips in 100 patients were included in this prospective study. Functional outcome was assessed using the Harris Hip Score and radiographs were assessed for implant failure and “at risk” of failure. Kaplan–Meier survivorship analysis was performed. Results — 89% of hips showed good to excellent results at final follow-up with a mean Harris Hip Score of 88 at a mean follow-up of 25 years. Revision was performed in 3/104 hips. 14 acetabular components and 4 femoral components were “at risk” of failure. The survivorship at minimum 22 years with revision for any reason as the end-point was 97% (95% CI 95–98). Interpretation — Cemented hip replacements perform well in young patients with good long-term functional and radiographic outcomes

Cryogenic Autogenous Pressurization Testing for Robotic Refueling Mission 3

A wick-heater system has been selected for use to pressurize the Source Dewar of the Robotic Refueling Mission Phase 3 on-orbit cryogen transfer experiment payload for the International Space Station. Experimental results of autogenous pressurization of liquid argon and liquid nitrogen using a prototype wick-heater system are presented. The wick-heater generates gas to increase the pressure in the tank while maintaining a low bulk fluid temperature. Pressurization experiments were performed in 2013 to characterize the performance of the wick heater. This paper describes the experimental setup, pressurization results, and analytical model correlations

RRM3 Fluid Management Device

The current development progress of the fluid management device (FMD) for the Robotic Resupply Mission 3 (RRM3) cryogen source Dewar is described. RRM3 is an on-orbit cryogenic transfer experiment payload for the International Space Station. The fluid management device is a key component of the source Dewar to ensure the ullage bubble is located away from the outlet during transfer. The FMD also facilitates demonstration of radio frequency mass gauging within the source Dewar. The preliminary design of the RRM3 FMD is a number of concentric cones of Mylar which maximizes the volume of liquid in contact with the FMD in the source Dewar. This paper describes the design of the fluid management device and progress of hardware developmen

Robotic Refueling Mission-3 An Overview

Robotic Refueling Mission-3 (RRM3) is an external payload on the International Space Station (ISS) to demonstrate the techniques for storing and transferring a cryogenic fuel on orbit. RRM3 was designed and built at the National Aeronautics and Space Administration/Goddard Space Flight Center (NASA/GSFC). Initial testing was performed at GSFC using liquid nitrogen and liquid argon. Final testing and flight fill of methane was performed at the NASA Kennedy Space Center (KSC) to take advantage of KSC's facilities and expertise for handling a combustible cryogen

Long-term results of 32-mm alumina-on-alumina THA for avascular necrosis of the femoral head

BACKGROUND: Ceramic bearings in total hip arthroplasty (THA) have been introduced in clinical practice to minimize the problem of polyethylene particle-induced osteolysis. The aim of the study is to report the results of 68 consecutive alumina-on-alumina THAs done in 61 patients for avascular necrosis (AVN) of the femoral head. MATERIALS AND METHODS: In all implants a press-fit cup was used; it was combined with a 32-mm alumina head and with titanium-alloy stems. The mean age at surgery was 50 years. At an average follow-up of 13 years two hips have been revised, one for periprosthetic infection and one for excessive abduction of the cup. RESULTS: No revision for aseptic loosening is recorded; one anatomical cementless femoral stem had radiological evidence of definite aseptic loosening. No dislocations occurred, and no osteolysis was observed. CONCLUSIONS: The results support the application of alumina-alumina THA for long-lasting replacements