PurposeTo compare the “all‐inside technique” for anterior cruciate ligament (ACL) reconstruction using a short, quadrupled semitendinosus tendon (ST4) autograft and suspensory cortical fixation on both the femoral and tibial side vs the “conventional technique” using a semitendinosus/gracilis (ST/G) autograft fixed with a suspensory device on the femoral side and with an interference screw on the tibial side, in terms of clinical and functional outcomes. MethodsA total of 90 patients were enrolled, randomised into two groups, and prospectively followed. Group A comprised 45 patients treated with the all‐inside technique and Group B included 45 patients treated with the conventional ACL technique (55 males, 35 females; mean age 28.7 ± 11.3 years). Patients completed the Lysholm knee score, the International Knee Documentation Committee (IKDC) score, the Knee Injury and Osteoarthritis Score (KOOS), and the Knee Society Score (KSS) preoperatively and at 2 years postoperatively. Anterior tibial translation measurement (KT‐1000 arthrometer) and isokinetic testing of the operative vs non‐operative limb were also conducted and the limb symmetry index (LSI) was determined. ResultsAt 24 months, the Lysholm, IKDC, KOOS, and KSS scores between the two groups were similar (n.s.). Anterior tibial translation between the operative and non‐operative knee was also similar among the two groups (n.s.). Patients of Group A had significantly higher mean LSIs in terms of flexor peak torque (1.0 ± 0.1 vs 0.9 ± 0.1; p < 0.001), time‐to‐peak (0.9 ± 0.1 vs 0.8 ± 0.1; p < 0.001) and total work (0.9 ± 0.1 vs 0.8 ± 0.1; p < 0.001) at 180°/s, and significantly better mean LSI for isometric flexor/extensor ratio at 90° (1.1 ± 0.3 vs 0.8 ± 0.2; p < 0.001). ConclusionThe all‐inside ACL reconstruction with an ST4 autograft and cortical button fixation on both ends is a viable alternative to the conventional technique. It affords preservation of knee flexor strength, which is of advantage, especially when treating athletes with ACL injury. Level of evidenceI.

The principles underlying the art of origami paper folding can be applied to design sophisticated metamaterials with unique mechanical properties. By exploiting the flat crease patterns that determine the dynamic folding and unfolding motion of origami, we are able to design an origami-based metamaterial that can form rarefaction solitary waves. Our analytical, numerical, and experimental results demonstrate that this rarefaction solitary wave overtakes initial compressive strain waves, thereby causing the latter part of the origami structure to feel tension first instead of compression under impact. This counterintuitive dynamic mechanism can be used to create a highly efficient—yet reusable—impact mitigating system without relying on material damping, plasticity, or fracture.

We investigate the nonlinear wave dynamics of origami-based metamaterials composed of Tachi-Miura polyhedron (TMP) unit cells. These cells exhibit strain softening behavior under compression, which can be tuned by modifying their geometrical configurations or initial folded conditions. We assemble these TMP cells into a cluster of origami-based metamaterials, and we theoretically model and numerically analyze their wave transmission mechanism under external impact. Numerical simulations show that origami-based metamaterials can provide a prototypical platform for the formation of nonlinear coherent structures in the form of rarefaction waves, which feature a tensile wavefront upon the application of compression to the system. We also demonstrate the existence of numerically exact traveling rarefaction waves. Origami-based metamaterials can be highly useful for mitigating shock waves, potentially enabling a wide variety of engineering applications.

In this work, we explore systematically various SO(2)-rotation-induced multiple dark–dark (DD) soliton breathing patterns obtained from stationary and spectrally stable multiple dark–bright (DB) and DD waveforms in trapped one-dimensional, two-component atomic Bose–Einstein condensates. The stationary states stemming from the associated linear limits (as the eigenfunctions of the quantum harmonic oscillator problem) are parametrically continued to the nonlinear regimes by varying the respective chemical potentials, i.e. from the low-density linear limits to the high-density Thomas–Fermi (TF) regimes. We perform a Bogolyubov–de Gennes spectral stability analysis to identify stable parametric regimes of these states, finding a wide range of stability intervals in the TF regimes for all of the states considered herein. Upon applying an SO(2)-rotation to stable steady states, one-, two-, three-, four-, and many DD soliton breathing patterns are observed in the numerical simulations. Furthermore, analytic solutions up to three DB solitons in the homogeneous setting, and three-component systems are also investigated.

In this work we employ a recently proposed bifurcation analysis technique, the deflated continuation algorithm, to compute steady-state solitary waveforms in a one-component, two dimensional nonlinear Schrödinger equation with a parabolic trap and repulsive interactions. Despite the fact that this system has been studied extensively, we discover a wide variety of previously unknown branches of solutions. We analyze the stability of the newly discovered branches and discuss the bifurcations that relate them to known solutions both in the near linear (Cartesian, as well as polar) and in the highly nonlinear regimes. While deflated continuation is not guaranteed to compute the full bifurcation diagram, this analysis is a potent demonstration that the algorithm can discover new nonlinear states and provide insights into the energy landscape of complex high-dimensional Hamiltonian dynamical systems.