The aim of the present study was to describe the application of 3D printed templates for intraoperative navigation and simulation of periacetabular osteotomies (PAOs) in a cadaveric model.Five cadaveric specimens (10 sides) underwent thin-slice computed tomographic scans of the ala of ilium downwards to the proximal end of femoral shaft. Bernese PAO was performed. Using Mimics v10.1 software (Materialise, Leuven, Belgium), 3D computed tomographic reconstructions were created and the 4 standard PAO bone cuts—ischial, pubic, anterior, and posterior aspects of the ilium—as well as rotation of the dislocated acetabular bone blocks were simulated for each specimen. Using these data, custom 3D printed bone-drilling templates of the pelvis were manufactured, to guide surgical placement of the PAO bone cuts. An angle fix wedge was designed and printed, to help accurately achieve the predetermined rotation angle of the acetabular bone block. Each specimen underwent a conventional PAO. Preoperative, postsimulation, and postoperative lateral center-edge angles, acetabular indices, extrusion indices, and femoral head coverage were measured and compared; P and t values were calculated for above-mentioned measurements while comparing preoperative and postoperative data, and also in postsimulation and postoperative data comparison.All 10 PAO osteotomies were successfully completed using the 3D printed bone-drilling template and angle fix wedge. No osteotomy entered the hip joint and a single posterior column fracture was observed. Comparison of preoperative and postoperative measurements of the 10 sides showed statistically significant changes, whereas no statistically significant differences between postsimulation and postoperative values were noted, demonstrating the accuracy and utility of the 3D printed templates.The application of patient-specific 3D printed bone-drilling and rotation templates in PAO is feasible and may facilitate improved clinical outcomes, through the use of precise presurgical planning and reduced surgical complications with the precisely guided bone drilling.
Contacts used in finite element (FE) models were considered as the best simulation for interactions in the temporomandibular joint (TMJ). However, the precision of simulations should be validated through experiments. Three-dimensional (3D) printing models with the high geometric and loading similarities of the individuals were used in the validation. This study aimed to validate the FE models of the TMJ using 3D printing models. Five asymptomatic subjects were recruited in this study. 3D models of mandible, disc, and maxilla were reconstructed according to cone-beam CT (CBCT) image data. PLA was chosen for 3D printing models from bottom to top. Five pressure forces corresponding to the central occlusion were applied to the 3D printing models. Ten strain rosettes were distributed on the mandible to record the horizontal and vertical strains. Contact was used in the FE models with the same geometries, material properties, loadings, and boundary conditions as 3D printing models to simulate the interaction of the disc-condyle, disc-temporal bone, and upper-lower dentition. The differences of the simulated and experimental results for each sample were less than 5% (maximum 4.92%) under all five loadings. In conclusion, it was accurate to use contact to simulate the interactions in TMJs and upper-lower dentition.
We studied and successfully built a digital navigation template for creating fibular channels to anatomically reconstruct the lateral ankle ligament. By using the template, fibular channels could be built, and lateral ligaments could be anatomically reconstructed individually, easily and safely, which largely facilitates the treatment of CAI.
Dearomatization
reactions have recently emerged as a powerful tool
for the rapid buildup of molecular complexity. Here, an unparalleled
thermal dearomatization [4+2] cycloaddition reaction between benzene
derivatives and a 2H-phosphindole tungsten complex
was reported. The unique reactivity of the in situ-generated 2H-phosphindole complex toward benzene
was revealed by density functional theory calculations. We thus provide
new insights into the dearomatization of nonactivated arenes and pave
the way for the manipulation of the dearomatization for further applications.
Accurate and timely prediction of crop yield based on remote sensing data is important for food security. However, crop growth is a complex process, which makes it quite difficult to achieve better performance. To address this problem, a novel 3D convolutional neural multi-kernel network (3DMKGP) is proposed to capture hierarchical features for predicting crop yield. First, a full 3D convolutional neural network (3D CNN) is constructed to maximally explore deep spatial-spectral features from multispectral images. Then, a multi-kernel learning (MKL) approach is proposed for fusion of intra-image deep spatialspectral features and inter-sample spatial consistency features. Specifically, we assign a group of nonlinear kernels for each feature in the MKL framework, which provides a robust way to fit features extracted from different domains. Finally, the probability distribution of prediction results is obtained by a kernel based-method. We evaluate the performance of the proposed method on China wheat yield prediction and offer detailed and systematic analyses of the performance of the proposed method. In addition, our method is compared with several competing methods. Experimental results demonstrate that the proposed method has certain advantages and can provide better prediction performance than the competitive methods.
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