Hoffa’s fracture in an adolescent treated with an innovative surgical procedure:A case report

BACKGROUND Hoffa fracture is rare,especially in adolescents,and has a high rate of complications such as avascular necrosis and osteoarthritis;moreover,there are no definitive guidelines for its treatment.This report could provide a new potential treatment for Hoffa fracture.CASE SUMMARY A 16-year-old girl presented to the orthopedic emergency department of No.2 People’s Hospital of Yibin City with persistent pain following a right knee injury sustained during a sprint race.Her knee was swollen and tender,and the range of motion was restricted by the pain.X-ray and computed tomography revealed a Hoffa fracture in the right knee.After consultation,surgical treatment was performed,and the fracture was fixed with three 3.5-mm cannulated cancellous screws;osteochondral plugs that were harvested from the screw insertion site were re-implanted to cover the screw head.The patient’s fracture and osteochondral plug healed 6 mo postoperatively,and she presented a knee range of motion of 0–135 without pain,and was walking without support with a normal gait.CONCLUSION Here,we describe an innovative surgical procedure for Hoffa fracture that could provide a new possibility for the treatment of similar fractures,and further improve their management.

Simultaneous polarization separation and switching for 100-Gbps DP-QPSK signals in backbone networks

We propose a novel scheme of simultaneous polarization separation and switching, based on the orthogonallypolarized four-wave mixing(FWM) effect, for ultra-high-speed polarization multiplexing(Pol-MUX) fiber networks such as 100-Gbps and 400-Gbps backbone networks. We use theoretical and experimental analysis of the vector theory of FWM to successfully achieve polarization separation and all-optical switching by utilizing a 100-Gbps dual polarizationquadrature phase shift keying(DP-QPSK) signal and two orthogonally-polarized pumps. Both of the polarization-separated QPSK signals have clear constellation diagrams, with root mean square(RMS) error vector magnitudes(EVMs) of 14.32%and 14.11% respectively. The wavelengths of idlers can be created at 30 different wavelengths, which are consistent with International Telecommunication Union-Telecommunication(ITU-T) wavelengths, by flexibly changing the wavelength of the pump light. Moreover, the idlers that have distinct wavelengths have power distributed in a range from-10 dBm to-15 dBm, which can support error-free transmission. The power penaltyis 5 d B lower than that of back-to-back(BTB)signal for both the X-and Y-polarization components measured at a bit error ratio(BER) of 3.8×10^(-3). Our experimental results indicate that this scheme has promising applications in future backbone networks.

Device simulation of quasi-two-dimensional perovskite/silicon tandem solar cells towards 30%-efficiency

Perovskite/silicon(Si) tandem solar cells have been recognized as the next-generation photovoltaic technology with efficiency over 30% and low cost. However, the intrinsic instability of traditional three-dimensional(3D) hybrid perovskite seriously hinders the lifetimes of tandem devices. In this work, the quasi-two-dimensional(2D)(BA)_(2)(MA)_(n-1)Pbn I_(3n+1)(n = 1, 2, 3, 4, 5)(where MA denotes methylammonium and BA represents butylammonium), with senior stability and wider bandgap, are first used as an absorber of semitransparent top perovskite solar cells(PSCs) to construct a fourterminal(4T) tandem devices with a bottom Si-heterojunction cell. The device model is established by Silvaco Atlas based on experimental parameters. Simulation results show that in the optimized tandem device, the top cell(n = 4) obtains a power conversion efficiency(PCE) of 17.39% and the Si bottom cell shows a PCE of 11.44%, thus an overall PCE of 28.83%. Furthermore, by introducing a 90-nm lithium fluoride(LiF) anti-reflection layer to reduce the surface reflection loss, the current density(J_(sc)) of the top cell is enhanced from 15.56 m A/cm^(2) to 17.09 m A/cm^(2), the corresponding PCE reaches 19.05%, and the tandem PCE increases to 30.58%. Simultaneously, in the cases of n = 3, 4, and 5, all the tandem PCEs exceed the limiting theoretical efficiency of Si cells. Therefore, the 4T quasi-2D perovskite/Si devices provide a more cost-effective tandem strategy and long-term stability solutions.