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Alignment Techniques in Total Knee Arthroplasty:Where do We Stand Today?
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作者 Hemanta Dhungana Subhash Jangid Meghal Goyal 《Chinese Medical Sciences Journal》 CAS CSCD 2024年第3期224-233,共10页
Achieving optimal alignment in total knee arthroplasty(TKA) is a critical factor in ensuring optimal outcomes and long-term implant survival. Traditionally, mechanical alignment has been favored to achieve neutral pos... Achieving optimal alignment in total knee arthroplasty(TKA) is a critical factor in ensuring optimal outcomes and long-term implant survival. Traditionally, mechanical alignment has been favored to achieve neutral postoperative joint alignment. However, contemporary approaches, such as kinematic alignments and hybrid techniques including adjusted mechanical, restricted kinematic, inverse kinematic, and functional alignments, are gaining attention for their ability to restore native joint kinematics and anatomical alignment, potentially leading to enhanced functional outcomes and greater patient satisfaction. The ongoing debate on optimal alignment strategies considers the following factors: long-term implant durability, functional improvement, and resolution of individual anatomical variations. Furthermore, advancements of computer-navigated and robotic-assisted surgery have augmented the precision in implant positioning and objective measurements of soft tissue balance. Despite ongoing debates on balancing implant longevity and functional outcomes, there is an increasing advocacy for personalized alignment strategies that are tailored to individual anatomical variations. This review evaluates the spectrum of various alignment techniques in TKA, including mechanical alignment, patient-specific kinematic approaches, and emerging hybrid methods. Each technique is scrutinized based on its fundamental principles, procedural techniques, inherent advantages, and potential limitations, while identifying significant clinical gaps that underscore the need for further investigation. 展开更多
关键词 total knee arthroplasty hybrid alignment functional alignment kinematic alignment alignment axes anatomical alignment mechanical alignment
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Flexoelectric-Induced Voltage Shift in Hybrid Aligned Nematic Liquid Crystal Cell 被引量:1
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作者 邢红玉 叶文江 +1 位作者 张志东 宣丽 《Communications in Theoretical Physics》 SCIE CAS CSCD 2011年第11期939-942,共4页
Flexoelectric-induced voltage shift in a weak anchoring hybrid aligned nematic fiquid crystai cell is investigated theoretically. Based on the elastic theory of liquid crystal and the variation method, the equations f... Flexoelectric-induced voltage shift in a weak anchoring hybrid aligned nematic fiquid crystai cell is investigated theoretically. Based on the elastic theory of liquid crystal and the variation method, the equations for the bulk and the boundary of the cell are derived. By computer simulation, the dependence of the shift voltage on the sum of the ttexoelectric coefficients and the anchoring energy strength is obtained. As a result, a novel method to determine the sum of the flexoelectric coefficients by measuring the shift voltage is put forward. 展开更多
关键词 flexoelectric voltage shift hybrid aligned nematic shift voltage variation method
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Determining the sum of flexoelectric coefficients in nematic liquid crystals by the capacitance method 被引量:3
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作者 叶文江 邢红玉 +3 位作者 崔文静 周璇 孙玉宝 张志东 《Chinese Physics B》 SCIE EI CAS CSCD 2014年第11期414-421,共8页
A detailed theoretical analysis of determining the sum of flexoelectric coefficients in nematic liquid crystals using the capacitance method is given. In the strong anchoring parallel aligned nematic (PAN) and hybri... A detailed theoretical analysis of determining the sum of flexoelectric coefficients in nematic liquid crystals using the capacitance method is given. In the strong anchoring parallel aligned nematic (PAN) and hybrid aligned nematic (HAN) cells, the dependences of the capacitance on the sum of flexoelectric coefficients and the applied voltage are obtained by numerical simulations, and the distributions of the director and the electric potential for different applied voltages and flexoelectric coefficients are also given. Based on this theoretical analysis, we propose an experimental design for measuring the capacitance of a liquid crystal cell using the improved precision LCR meter E4980A (Agilent). Through comparing the experimental data with the simulated results, the sum of flexoeletric coefficients can be determined. 展开更多
关键词 FLEXOELECTRICITY CAPACITANCE parallel aligned nematic and hybrid aligned nematic liquid crystals
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Influences of surface and flexoelectric polarization on the effective anchoring energy in nematic liquid crystal
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作者 关荣华 叶文江 邢红玉 《Chinese Physics B》 SCIE EI CAS CSCD 2015年第10期349-358,共10页
The physical effects on surface and flexoelectric polarization in a weak anchoring nematic liquid crystal cell are investigated systematically. We derive the analytic expressions of two effective anchoring energies fo... The physical effects on surface and flexoelectric polarization in a weak anchoring nematic liquid crystal cell are investigated systematically. We derive the analytic expressions of two effective anchoring energies for lower and upper substrates respectively as well as their effective anchoring strengths and corresponding tilt angles of effective easy direction.All of these quantities are relevant to the magnitudes of both two polarizations and the applied voltage U. Based on these expressions, the variations of effective anchoring strength and the tilt angle with the applied voltage are calculated for the fixed values of two polarizations. For an original weak anchoring hybrid aligned nematic cell, it may be equivalent to a planar cell for a small value of U and has a threshold voltage. The variation of reduced threshold voltage with reduced surface polarization strength is also calculated. The role of surface polarization is important without the adsorptive ions considered. 展开更多
关键词 surface and flexoelectric polarization effective anchoring energy easy direction hybrid aligned nematic threshold voltage
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