A modified Lax-Wendroff correction for wave propagation in media described by Zener elements

A modified Lax-Wendroff correction for wave propagation in attenuating and dispersive media described by Zener elements is presented. As opposed to the full correction, this new technique is explicit and offers large computational savings. The technique may be applied to a wide variety of hyperbolic problems. Here, the concept is illustrated for wave propagation in visco-acoustic medi

Correcting an acoustic wavefield for elastic effects

Finite-difference simulations are an important tool for studying elastic and acoustic wave propagation, but remain computationally challenging for elastic waves in three dimensions. Computations for acoustic waves are significantly simpler as they require less memory and operations per grid cell, and more significantly can be performed with coarser grids, both in space and time. In this paper, we present a procedure for correcting acoustic simulations for some of the effects of elasticity, at a cost considerably less than full elastic simulations. Two models are considered: the full elastic model and an equivalent acoustic model with the same P velocity and density. In this paper, although the basic theory is presented for anisotropic elasticity, the specific examples are for an isotropic model. The simulations are performed using the finite-difference method, but the basic method could be applied to other numerical techniques. A simulation in the acoustic model is performed and treated as an approximate solution of the wave propagation in the elastic model. As the acoustic solution is known, the error to the elastic wave equations can be calculated. If extra sources equal to this error were introduced into the elastic model, then the acoustic solution would be an exact solution of the elastic wave equations. Instead, the negative of these sources is introduced into a second acoustic simulation that is used to correct the first acoustic simulation. The corrected acoustic simulation contains some of the effects of elasticity without the full cost of an elastic simulation. It does not contain any shear waves, but amplitudes of reflected P waves are approximately corrected. We expect the corrected acoustic solution to be useful in regions of space and time around a P-wave source, but to deteriorate in some regions, for example, wider angles, and later in time, or after propagation through many interfaces. In this paper, we outline the theory of the correction method, and present results for simulations in a 2-D model with a plane interface. Reflections from a plane interface are simple enough that an analytic analysis is possible, and for plane waves, we give the correction to the acoustic reflection and transmission coefficients. Finally, finite-difference calculations for plane waves are used to confirm the analytic results. Results for wave propagation in more complicated, realistic models will be presented elsewher

Statistical analysis of arthroplasty data: II. Guidelines

It is envisaged that guidelines for statistical analysis and presentation of results will improve the quality and value of research. The Nordic Arthroplasty Register Association (NARA) has therefore developed guidelines for the statistical analysis of arthroplasty register data. The guidelines are divided into two parts, one with an introduction and a discussion of the background to the guidelines (Ranstam et al. 2011a, see pages x-y in this issue), and this one with a more technical statistical discussion on how specific problems can be handled. This second part contains (1) recommendations for the interpretation of methods used to calculate survival, (2) recommendations on howto deal with bilateral observations, and (3) a discussion of problems and pitfalls associated with analysis of factors that influence survival or comparisons between outcomes extracted from different hospitals

In vitro influence of stem surface finish and mantle conformity on pressure generation in cemented hip arthroplasty

Background and purpose Under physiological loads, debonded cemented femoral stems have been shown to move within their cement mantle and generate a fluid pump that may facilitate peri-prosthetic osteolysis by pressurizing fluid and circulating wear debris. The long-term physiological loading of rough and polished tapered stems in vitro has shown differences in performance, with greater interface pressures generated by the rough stems. In this study we investigated the individual effects of stem surface finish, degree of mantle wear, and mode of loading on the stem pump mechanism

The benefits of collaboration: the Nordic Arthroplasty Register Association

The Nordic Arthroplasty Register Association (NARA) was established in 2007 by arthroplasty register representatives from Sweden, Norway and Denmark with the overall aim to improve the quality of research and thereby enhance the possibility for quality improvement with arthroplasty surgery. Finland joined the NARA collaboration in 2010.NARA minimal hip, knee and shoulder datasets were created with variables that all countries can deliver. They are dynamic datasets, currently with 25 variables for hip arthroplasty, 20 for knee arthroplasty and 20 for shoulder arthroplasty.NARA has published statistical guidelines for the analysis of arthroplasty register data. The association is continuously working on the improvement of statistical methods and the application of new ones.There are 31 published peer-reviewed papers based on the NARA databases and 20 ongoing projects in different phases. Several NARA publications have significantly affected clinical practice. For example, metal-on-metal total hip arthroplasty and resurfacing arthroplasty have been abandoned due to increased revision risk based on i.a. NARA reports. Further, the use of uncemented total hip arthroplasty in elderly patients has decreased significantly, especially in Finland, based on the NARA data.The NARA collaboration has been successful because the countries were able to agree on a common dataset and variable definitions. The collaboration was also successful because the group was able to initiate a number of research projects and provide answers to clinically relevant questions. A number of specific goals, set up in 2007, have been achieved and new one has emerged in the process

Analysis of Oxford medial unicompartmental knee replacement using the minimally invasive technique in patients aged 60 and above: an independent prospective series

We present the outcome of an independent prospective series of phase-3 Oxford medial mobile-bearing unicompartmental knee replacement surgery. Eight surgeons performed the 154 procedures in a community-based hospital between 1998 and 2003 for patients aged 60 and above. Seventeen knees were revised; in 14 cases a total knee replacement was performed, in 3 cases a component of the unicompartmental knee prosthesis was revised, resulting in a survival rate of 89% during these 2–7 years follow-up interval. This study shows that mobile-bearing unicompartmental knee replacement using a minimally invasive technique is a demanding procedure. The study emphasises the importance of routine in surgical management and strict adherence to indications and operation technique used to reduce outcome failure

Inadequate timing of prophylactic antibiotics in orthopedic surgery. We can do better

Background and purpose There are rising concerns about the frequency of infection after arthroplasty surgery. Prophylactic antibiotics are an important part of the preventive measures. As their effect is related to the timing of administration, it is important to follow how the routines with preoperative prophylactic antibiotics are working