A preoperative simulation of medial open-wedge high tibial osteotomy for predicting postoperative realignment

Three-dimensional preoperative surgical simulation of the medial open-wedge high tibial osteotomy (OWHTO), simplified as the rigid rotation around the hinge axis, has been performed to predict postoperative realignment. However, the practicality of this highly simplified simulation method has not been verified. This study aimed to investigate the validity of realignment simulation simplified as a rotation around a hinge axis compared with a postoperative CT model. A three-dimensional surface model of the tibia and femur was created from preoperative computed tomography (CT) images (preoperative model) of three patients. The simulation of medial OWHTO created sixty computer simulation models in each patient simplified as the rigid rotation of the proximal part of the tibia relative to the distal part from 1° to 20° around three types of hinge axes. The simulation models were compared with the actual postoperative model created from postoperative CT images to assess the reality of the simulation model. The average surface distance between the two models was calculated as an index representing the similarity of the simulation model to the postoperative model. The minimum value of average surface distances between the simulation and postoperative CT models was almost 1 mm in each patient. The rotation angles at which the minimum value of average surface distances was represented were almost identical to the actual correction angles. We found that the posterior tibial tilt and the axial rotation of the proximal tibia of the simulation model well represented those of the postoperative CT model, as well as the valgus correction. Therefore, the realignment simulation of medial OWHTO can generate realistic candidates for postoperative realignment that includes the actual postoperative realignment, suggesting the efficacy of the preoperative simulation method.Konda S., Ishibashi T., Tamaki M., et al. A preoperative simulation of medial open-wedge high tibial osteotomy for predicting postoperative realignment. Frontiers in Bioengineering and Biotechnology 11, 1278912 (2023); https://doi.org/10.3389/fbioe.2023.1278912

Topology conserving gauge action and the overlap-Dirac operator

We apply the topology conserving gauge action proposed by Luescher to the four-dimensional lattice QCD simulation in the quenched approximation. With this gauge action the topological charge is stabilized along the hybrid Monte Carlo updates compared to the standard Wilson gauge action. The quark potential and renormalized coupling constant are in good agreement with the results obtained with the Wilson gauge action. We also investigate the low-lying eigenvalue distribution of the hermitian Wilson-Dirac operator, which is relevant for the construction of the overlap-Dirac operator.Comment: 27pages, 11figures, accepted versio

Finite volume QCD at fixed topological charge

In finite volume the partition function of QCD with a given $\theta$ is a sum of different topological sectors with a weight primarily determined by the topological susceptibility. If a physical observable is evaluated only in a fixed topological sector, the result deviates from the true expectation value by an amount proportional to the inverse space-time volume 1/V. Using the saddle point expansion, we derive formulas to express the correction due to the fixed topological charge in terms of a 1/V expansion. Applying this formula, we propose a class of methods to determine the topological susceptibility in QCD from various correlation functions calculated in a fixed topological sector.Comment: 22pages, references adde