Three-dimensional analysis of functional femoral antetorsion and the position of the greater trochanter in high-grade patellofemoral dysplastic knees

BACKGROUND The relationship between functional femoral antetorsion, the greater trochanter (GT) position and anatomical antetorsion has been demonstrated in patients with a primary hip pathology. However, the functional antetorsion and GT position have not been analyzed in patellofemoral dysplastic knees. The aim of this study was to develop a three-dimensional (3D) measurement to quantify the functional femoral antetorsion and position of the GT and to analyze these measurements in a cohort of high-grade patellofemoral dysplastic knees. METHOD A 3D measurement was developed to analyze functional antetorsion and the axial position of the GT and assessed in 100 cadaveric femora. For validity and repeatability testing, inter- and intra-observer reliability were determined using intraclass correlation coefficients (ICCs). These measurements were then evaluated in a cohort of 19 high-grade patellofemoral dysplastic knees (Dejour type C, D). The relationship between anatomical antetorsion, functional antetorsion and GT position were reported. RESULTS Inter- and intra-reader reliability for 3D functional antetorsion and axial position of the GT demonstrated a minimum ICC of 0.96 (P < 0.001). Anatomical and functional antetorsion demonstrated a highly linear relationship (R$^{2}$ = 0.878; P < 0.001) in high-grade patellofemoral dysplastic knees. The mean difference between anatomical and functional antetorsion decreased with increasing anatomical antetorsion (R$^{2}$ = 0.25; P = 0.031, indicating a more anterior position of the GT relative to the femoral neck axis. CONCLUSION In high-grade patellofemoral dysplastic knees, the GT is located more anteriorly, relative to the femoral neck axis, with increasing anatomical antetorsion and correction osteotomy may result in an excessively anterior position of the GT

A cascade of magnetic field induced spin transitions in LaCoO3

We present magnetization and magnetostriction studies of the insulating perovskite LaCoO3 in magnetic fields approaching 100 T. In marked contrast with expectations from single-ion models, the data reveal two distinct first-order spin transitions and well-defined magnetization plateaux. The magnetization at the higher plateau is only about half the saturation value expected for spin-1 Co3+ ions. These findings strongly suggest collective behavior induced by strong interactions between different electronic -- and therefore spin -- configurations of Co3+ ions. We propose a model of these interactions that predicts crystalline spin textures and a cascade of four magnetic phase transitions at high fields, of which the first two account for the experimental data.Comment: 5 pages + supplementary materials, 5 figure

Witnesses of coherence and dimension from multiphoton indistinguishability tests

Quantum coherence marks a deviation from classical physics, and has been studied as a resource for metrology and quantum computation. Finding reliable and effective methods for assessing its presence is then highly desirable. Coherence witnesses rely on measuring observables whose outcomes can guarantee that a state is not diagonal in a known reference basis. Here, we experimentally measure a type of coherence witness that uses pairwise state comparisons to identify superpositions in a basis-independent way. Our experiment uses a single interferometric setup to simultaneously measure the three pairwise overlaps among three single-photon states via Hong-Ou-Mandel tests. Aside from coherence witnesses, we show the measurements also serve as a Hilbert-space dimension witness. Our results attest to the effectiveness of pooling many two-state comparison tests to ascertain various relational properties of a set of quantum states

Excessive femoral torsion is not associated with patellofemoral pain or instability if TKA is functionally aligned and the patella denervated

PURPOSE Recent data suggest that individual morphologic factors should be respected to restore preoperative patellofemoral alignment and thus reduce the likelihood of anterior knee pain. The goal of this study was to investigate the effect of excessive femoral torsion (FT) on clinical outcome of TKA. METHODS Patients who underwent TKA and complete preoperative radiographic evaluation including a long-leg radiograph and CT scan were included. 51 patients showed increased FT of > 20° and were matched for age/sex to 51 controls (FT < 20°). Thirteen patients were lost to follow-up. Thirty-eight matched pairs were compared after a 2 year follow-up clinically (Kujala and patellofemoral score for TKA) and radiographically (FT, frontal leg axis, TT-TG, patellar thickness, patellar tilt, and lateral displacement of patella). Functional alignment of TKA was performed (hybrid-technique). All patellae were denervated but no patella was resurfaced. RESULTS There was no significant difference between clinical scores two years after surgery between patients with normal and excessive FT (n.s.). Kujala score was 64.3 ± 16.7 versus 64.8 ± 14.4 (n.s.), and patellofemoral score for TKA was 74.3 ± 21 versus 78.5 ± 20.7 (n.s.) for increased FT group and control group, respectively. There was no correlation between preoperative FT and clinical scores. Other radiographic parameters were similar between both groups. No correlations between clinical outcomes and preoperative/postoperative frontal leg axis or total leg axis correction were found (n.s.). CONCLUSION If the leg axis deformity is corrected to a roughly neutral alignment during cemented TKA, including patellar denervation, then excessive FT was not associated with patellofemoral pain or instability. LEVEL OF EVIDENCE Prospective comparative study, level II