AIM To determine whether tissue identified at the joint line was actually remnant "meniscal" scar tissue or not. METHODS Nine patients undergoing revision knee surgery following informed consent had meniscal...AIM To determine whether tissue identified at the joint line was actually remnant "meniscal" scar tissue or not. METHODS Nine patients undergoing revision knee surgery following informed consent had meniscal scar tissue sent to the histology department for analyses. All revisions were performed where joint line had been raised or lowered at earlier surgery. Although preoperative radiographic evaluations suggested that the joint line had been altered, intraoperatively there was scar tissue at the level of the recreated joint line. This scar tissue has traditionally been described as meniscal scar, and to identify the origins of this tissue, samples were sent for histological analyses. The tissue samples were stored in formalin, and embedded and sectioned before undergoing histochemical staining. All samples underwent macroscopic and microscopic examination by a histopathologist who was blind to the study aims. The specific features that were examined included tissue organisation, surface and central composition, cellular distribution including histiocytes, nuclear ratio and vasculature. Atypical and malignant features, inflammation and degeneration were specifically looked for. A statistical review of the study was performed by a biomedical statistician.RESULTS The histological findings for the nine patients showingthe macroscopic and microscopic findings, and the conclusion are outlined in a Table. The histological analyses were reviewed to determine whether the tissue samples were likely to be meniscal scar tissue. The response was yes(2, 22%), no(6, 67%) and maybe(1,11%) based on the conclusions. The results were "yes"when on macroscopy, firm cream tissue was identified.In these two "yes" samples, microscopic analyses showed organised fibrous tissue with focal degenerative areas with laminated pattern associated with histiocytes peripherally but no inflammation. The "no" samples were assessed macroscopically and microscopically and were deemed to have appearances representing fibrous synovial tissue and features in keeping with degenerate scar tissue or connective tissue. One sample was indeterminate and microscopically contained fibrocollagenous tissue with synovial hyperplasia. It also contained some degenerate hyalinised tissue that may represent cartilage, but the appearances were not specific. CONCLUSION Based on our pilot study, we recommend reliance on a number of markers to identify the joint line as outlined above, and to exercise caution in using the "meniscal"scar.展开更多
Straight-line compliant mechanisms are important building blocks to design a linear-motion stage, which is very useful in precision applications. However, only a few configurations of straight-line compliant mechanism...Straight-line compliant mechanisms are important building blocks to design a linear-motion stage, which is very useful in precision applications. However, only a few configurations of straight-line compliant mechanisms are applicable. To construct more kinds of them, an approach to design large-displacement straight-line flexural mechanisms with rotational flexural joints is proposed, which is based on a viewpoint that the straight-line motion is regarded as a compromise of rigid and compliant parasitic motion of a rotational flexural joint. An analytical design method based on the Taylor series expansion is proposed to quickly obtain an approximate solution. To illustrate and verify the proposed method, two kinds of flexural joints, cross-axis hinge and leaf-type isosceles-trapezoidal flexural（LITF） pivot are used to reconstruct straight-line flexural mechanisms. Their performances are obtained by analytic and FEA method respectively. The comparisons of the results show the accuracy of the approach. Both examples show that the proposed approach can convert a large-deflection flexural joint into approximate straight-line mechanism with a high linearity that is higher than 5 000 within 5 man displacement. This can lead to a new way to design, analyze or optimize straight-line flexure mechanisms.展开更多
The fractal dimension of the fusion line in different dissimilar welded joints is measured with Box Dimension Method.The non scale region of the fusion line with fractal character is calculated. The fusion line in th...The fractal dimension of the fusion line in different dissimilar welded joints is measured with Box Dimension Method.The non scale region of the fusion line with fractal character is calculated. The fusion line in the dissimilar welded joint is proved to be a fractal structure. The change and influence factors of the fractal dimension of the fusion line are studied.展开更多
文摘AIM To determine whether tissue identified at the joint line was actually remnant "meniscal" scar tissue or not. METHODS Nine patients undergoing revision knee surgery following informed consent had meniscal scar tissue sent to the histology department for analyses. All revisions were performed where joint line had been raised or lowered at earlier surgery. Although preoperative radiographic evaluations suggested that the joint line had been altered, intraoperatively there was scar tissue at the level of the recreated joint line. This scar tissue has traditionally been described as meniscal scar, and to identify the origins of this tissue, samples were sent for histological analyses. The tissue samples were stored in formalin, and embedded and sectioned before undergoing histochemical staining. All samples underwent macroscopic and microscopic examination by a histopathologist who was blind to the study aims. The specific features that were examined included tissue organisation, surface and central composition, cellular distribution including histiocytes, nuclear ratio and vasculature. Atypical and malignant features, inflammation and degeneration were specifically looked for. A statistical review of the study was performed by a biomedical statistician.RESULTS The histological findings for the nine patients showingthe macroscopic and microscopic findings, and the conclusion are outlined in a Table. The histological analyses were reviewed to determine whether the tissue samples were likely to be meniscal scar tissue. The response was yes(2, 22%), no(6, 67%) and maybe(1,11%) based on the conclusions. The results were "yes"when on macroscopy, firm cream tissue was identified.In these two "yes" samples, microscopic analyses showed organised fibrous tissue with focal degenerative areas with laminated pattern associated with histiocytes peripherally but no inflammation. The "no" samples were assessed macroscopically and microscopically and were deemed to have appearances representing fibrous synovial tissue and features in keeping with degenerate scar tissue or connective tissue. One sample was indeterminate and microscopically contained fibrocollagenous tissue with synovial hyperplasia. It also contained some degenerate hyalinised tissue that may represent cartilage, but the appearances were not specific. CONCLUSION Based on our pilot study, we recommend reliance on a number of markers to identify the joint line as outlined above, and to exercise caution in using the "meniscal"scar.
基金supported by National Natural Science Foundation of China(Grant No.51275552)Foundation for the Author of National Excellent Doctoral Dissertation of China(Grant No.201234)
文摘Straight-line compliant mechanisms are important building blocks to design a linear-motion stage, which is very useful in precision applications. However, only a few configurations of straight-line compliant mechanisms are applicable. To construct more kinds of them, an approach to design large-displacement straight-line flexural mechanisms with rotational flexural joints is proposed, which is based on a viewpoint that the straight-line motion is regarded as a compromise of rigid and compliant parasitic motion of a rotational flexural joint. An analytical design method based on the Taylor series expansion is proposed to quickly obtain an approximate solution. To illustrate and verify the proposed method, two kinds of flexural joints, cross-axis hinge and leaf-type isosceles-trapezoidal flexural（LITF） pivot are used to reconstruct straight-line flexural mechanisms. Their performances are obtained by analytic and FEA method respectively. The comparisons of the results show the accuracy of the approach. Both examples show that the proposed approach can convert a large-deflection flexural joint into approximate straight-line mechanism with a high linearity that is higher than 5 000 within 5 man displacement. This can lead to a new way to design, analyze or optimize straight-line flexure mechanisms.
文摘The fractal dimension of the fusion line in different dissimilar welded joints is measured with Box Dimension Method.The non scale region of the fusion line with fractal character is calculated. The fusion line in the dissimilar welded joint is proved to be a fractal structure. The change and influence factors of the fractal dimension of the fusion line are studied.
