A 2-year prospective study of patient-relevant outcomes in patients operated on for knee osteoarthritis with tibial osteotomy

BACKGROUND: Tibial osteotomy is a treatment for younger and/or physically active patients suffering from uni-compartmental knee osteoarthritis. The open wedge osteotomy by the hemicallotasis technique includes the use of external fixation. The use of external fixation has several advantages, as early mobilization and the opportunity for optimal correction. However, the hemicallotasis technique has also been described as a cumbersome procedure for the patient. The aim of this study was to prospectively evaluate patient-relevant outcomes during the first 2 post-operative years. Especially the treatment period, during which external fixation was used, was closely monitored. METHODS: In an uncontrolled study, fifty-eight consecutive patients, 30 men and 28 women (mean age 54 years) were operated on by the hemicallotasis technique were evaluated with the patient-relevant outcome measure Knee injury and Osteoarthritis Outcome Score (KOOS) preoperatively, during the treatment with external fixation, one week after removal of the external fixation, at 6 months, and at one and two years postoperatively. RESULTS: At the 2-year postoperative follow-up, all subscales of the KOOS were improved (p < 0.001), mostly in pain (41–80 on a 0–100 worst to best scale) and knee-related quality of life (21–61 on a 0–100 worst to best scale), compared to the preoperative status. Significant improvements in pain and other symptoms, function of daily life and quality of life were seen already during the treatment period (mean 98 ± 18 days) with the external fixation. More demanding functions such as kneeling, squatting, jumping and running, were improved first after extraction of the external fixation device and the pins. CONCLUSION: Tibial osteotomy by the hemicallotasis technique yields large improvement in self-rated pain, function and quality of life, which persists over two years. Surprisingly, large improvements occurred already during the immediate post-operative period when the external fixation was still used

Influence of adatom interactions on second layer nucleation

We develop a theory for the inclusion of adatom interactions in second layer nucleation occurring in epitaxial growth. The interactions considered are due to ring barriers between pairs of adatoms and binding energies of unstable clusters. The theory is based on a master equation, which describes the time development of microscopic states that are specified by cluster configurations on top of an island. The transition rates are derived by scaling arguments and tested against kinetic Monte-Carlo simulations. As an application we reanalyze experiments to determine the step edge barrier for Ag/Pt(111).Comment: 4 pages, 4 figure

Experiments towards quantum information with trapped Calcium ions

Ground state cooling and coherent manipulation of ions in an rf-(Paul) trap is the prerequisite for quantum information experiments with trapped ions. With resolved sideband cooling on the optical S1/2 - D5/2 quadrupole transition we have cooled one and two 40Ca+ ions to the ground state of vibration with up to 99.9% probability. With a novel cooling scheme utilizing electromagnetically induced transparency on the S1/2 - P1/2 manifold we have achieved simultaneous ground state cooling of two motional sidebands 1.7 MHz apart. Starting from the motional ground state we have demonstrated coherent quantum state manipulation on the S1/2 - D5/2 quadrupole transition at 729 nm. Up to 30 Rabi oscillations within 1.4 ms have been observed in the motional ground state and in the n=1 Fock state. In the linear quadrupole rf-trap with 700 kHz trap frequency along the symmetry axis (2 MHz in radial direction) the minimum ion spacing is more than 5 micron for up to 4 ions. We are able to cool two ions to the ground state in the trap and individually address the ions with laser pulses through a special optical addressing channel.Comment: Proceedings of the ICAP 2000, Firenz

Ground state cooling, quantum state engineering and study of decoherence of ions in Paul traps

We investigate single ions of $^{40}Ca^+$ in Paul traps for quantum information processing. Superpositions of the S$_{1/2}$ electronic ground state and the metastable D$_{5/2}$ state are used to implement a qubit. Laser light on the S$_{1/2} \leftrightarrow$ D$_{5/2}$ transition is used for the manipulation of the ion's quantum state. We apply sideband cooling to the ion and reach the ground state of vibration with up to 99.9% probability. Starting from this Fock state $|n=0>$, we demonstrate coherent quantum state manipulation. A large number of Rabi oscillations and a ms-coherence time is observed. Motional heating is measured to be as low as one vibrational quantum in 190 ms. We also report on ground state cooling of two ions.Comment: 12 pages, 6 figures. submitted to Journal of Modern Optics, Special Issue on Quantum Optics: Kuehtai 200

Random solids and random solidification: What can be learned by exploring systems obeying permanent random constraints?

In many interesting physical settings, such as the vulcanization of rubber, the introduction of permanent random constraints between the constituents of a homogeneous fluid can cause a phase transition to a random solid state. In this random solid state, particles are permanently but randomly localized in space, and a rigidity to shear deformations emerges. Owing to the permanence of the random constraints, this phase transition is an equilibrium transition, which confers on it a simplicity (at least relative to the conventional glass transition) in the sense that it is amenable to established techniques of equilibrium statistical mechanics. In this Paper I shall review recent developments in the theory of random solidification for systems obeying permanent random constraints, with the aim of bringing to the fore the similarities and differences between such systems and those exhibiting the conventional glass transition. I shall also report new results, obtained in collaboration with Weiqun Peng, on equilibrium correlations and susceptibilities that signal the approach of the random solidification transition, discussing the physical interpretation and values of these quantities both at the Gaussian level of approximation and, via a renormalization-group approach, beyond.Comment: Paper presented at the "Unifying Concepts in Glass Physics" workshop, International Centre for Theoretical Physics, Trieste, Italy (September 15-18, 1999

Continuous loading of a non-dissipative atom trap

We study theoretically a scheme in which particles from an incident beam are trapped in a potential well when colliding with particles already present in the well. The balance between the arrival of new particles and the evaporation of particles from the trapped cloud leads to a steady-state that we characterize in terms of particle number and temperature. For a cigar shaped potential, different longitudinal and transverse evaporation thresholds can be chosen. We show that a resonance occur when the transverse evaporation threshold coincides with the energy of the incident particles. It leads to a dramatic increase in phase space density with respect to the incident beam.Comment: 7 pages, 2 figure

Direct observation of the oxygen isotope effect on the in-plane magnetic field penetration depth in optimally doped YBa2_2Cu3_3O7−δ_{7-\delta}

We report the first direct observation of the oxygen-isotope ($^{16}$O/$^{18}$O) effect on the in-plane penetration depth $\lambda_{ab}$ in a nearly optimally doped YBa$_2$Cu$_3$O$_{7-\delta}$ film using the novel low-energy muon-spin rotation technique. Spin polarized low energy muons are implanted in the film at a known depth $z$ beneath the surface and precess in the local magnetic field $B(z)$. This feature allows us to measure directly the profile $B(z)$ of the magnetic field inside the superconducting film in the Meissner state and to make a model independent determination of $\lambda_{ab}$. A substantial isotope shift $\Delta\lambda_{ab}/\lambda_{ab}=2.8(7)$% at 4 K is observed, implying that the in-plane effective supercarrier mass $m_{ab}^\ast$ is oxygen-isotope dependent with $\Delta m_{ab}^\ast/m_{ab}^\ast = 5.5(1.4)$.Comment: 4 pages, 2 figure