Reconstruction of the acetabulum in THA using femoral head autografts in developmental dysplasia of the hip

<p>Abstract</p> <p>Background</p> <p>Severe acetabular deficiencies in cases of developmental dysplasia of the hip (DDH) often require complex reconstructive procedures in total hip arthroplasty (THA). The use of autologous femoral head grafts for acetabular reconstruction has been described, but few data is available about clinical results, the rates of non-union or aseptic loosening of acetabular components.</p> <p>Methods</p> <p>In a retrospective approach, 101 patients with 118 THA requiring autologous femoral head grafts to the acetabulum because of DDH were included. Six patients had died, another 6 were lost to follow-up, and 104 hips were available for clinical and radiological evaluation at a mean of 68 ± 15 (13 to 159) months.</p> <p>Results</p> <p>The average Merle d'Aubigné hip score improved from 9 to 16 points. Seven implants had to be revised due to aseptic loosening (6.7%). The revisions were performed 90 ± 34 (56 to 159) months after implantation. The other hips showed a stable position of the sockets without any signs of bony non-union, severe radiolucencies at the implant-graft interface or significant resorption of the graft.</p> <p>Conclusion</p> <p>The use of autologous femoral head grafts with cementless cups in primary THA can achieve promising short- to midterm results in patients with dysplastic hips.</p

Effect of the unpolarized spin state in spin-correlation measurement of two protons produced in the 12C(d,2He) reaction

In this note we discuss the effect of the unpolarized state in the spin-correlation measurement of the $^1S_0$ two-proton state produced in 12C(d,2He) reaction at the KVI, Groningen. We show that in the presence of the unpolarized state the maximal violation of the CHSH-Bell inequality is lower than the classical limit if the purity of the state is less than $\sim \verb+70$. In particular, for the KVI experiment the violation of the CHSH-Bell inequality should be corrected by a factor $\sim\verb+10$ from the pure $^1S_0$ state.Comment: 6 pages, to appear in J. Phys.

Fostering European Collaborations: EUFRAT and work done at the accelerator facilities of JRC-IRMM

The European Commission via the General Directorate RTD in its different Framework Programs supported collaborations of member state institutions dealing with nuclear data. The projects EFNUDAT, ERINDA, CHANDA and EUFRAT all have in common Transnational Access Activities (TAA) to partner institutions. Within the past 10 years the collaborations have grown and in CHANDA now 35 partners are involved of which 16 offer TAA to their facilities. Since June 2014 JRC-IRMM, one of the driving forces behind the TAA, launched its own TAA project EUFRAT to foster collaborations with member states institutions. The calls for proposals are open ended with a deadline twice a year. A Project Advisory Committee discusses the proposals and decides on about approval. Financial support is given to approved proposals for two scientists. So far two calls have been evaluated with a request for access totalling more than 5000 h. Examples of proposals at the accelerator facilities at the JRC-IRMM are presented showing the multitude of possibilities using the nuclear facilities at the JRC-IRMM

Encoded physics knowledge in checking codes for nuclear cross section libraries at Los Alamos

Checking procedures for processed nuclear data at Los Alamos are described. Both continuous energy and multi-group nuclear data are verified by locally developed checking codes which use basic physics knowledge and common-sense rules. A list of nuclear data problems which have been identified with help of these checking codes is also given

TKA following high tibial osteotomy versus primary TKA - a matched pair analysis

<p>Abstract</p> <p>Background</p> <p>High tibial osteotomy (HTO) is a well established technique for the treatment of medial osteoarthritis of the knee with varus malalignment. Results of total knee arthroplasty (TKA) after previous HTO are still discussed controversially. The aim of this study was to elucidate the clinical and radiological results as well as perioperative data of prior HTO on TKA.</p> <p>Methods</p> <p>Forty-one TKA after HTO were compared to 41 primary TKA at minimum of six years follow-up. Patients were matched according to age, gender, follow-up, etiology, and prosthetic design. Surgical data and complications were evaluated. Clinical outcome was assessed using a number of clinical scores and the visual analogue scale (VAS) for pain. X-rays were evaluated by the method of the American Knee Society. The patellar position was measured by the Insall-Salvati ratio.</p> <p>Results</p> <p>There was no significant difference in mean operation time (p = 0.47) and complication rate (p = 0.08). The Knee Score of the KSS (p = 0.0007) and the ROM (p = 0.006 for extension and p = 0.004 for flexion, respectively) were significantly better in the control group. Mid-term results of the VAS, WOMAC, Lequesne, UCLA, Feller's Patellar Score and SF-36 showed no significant difference. Femoral and tibial component alignment were similar in both groups. One tibial component showed suspect radiolucencies in the HTO group. The Insall-Salvati ratio showed three patients with patella alta and one patient with patella baja in the HTO group. At latest follow-up all implants were still in place.</p> <p>Conclusions</p> <p>Evaluating the clinical and radiological outcome, significant differences were only detected for range of motion and the Knee Score of the KSS. The present study suggests that the results of TKA with and without prior HTO are mainly identical. Although patients with a previous HTO had more complications, no statistically significant differences were noted with this group size.</p

Polarization Correlations of 1S0 Proton Pairs as Tests of Bell and Wigner Inequalities

In an experiment designed to overcome the loophole of observer dependent reality and satisfying the counterfactuality condition, we measured polarization correlations of 1S0 proton pairs produced in 12C(d,2He) and 1H(d,He) reactions in one setting. The results of these measurements are used to test the Bell and Wigner inequalties against the predictions of quantum mechanics.Comment: 8 pages, 4 figure