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Avaliação da estabilidade articular do joelho na reconstrução anatômica do ligamento cruzado anterior nas posições central e anteromedial em cadáveres: estudo randomizado / Evaluation of knee stability in central and anteromedial anatomic anterior cruciate ligament reconstruction in cadaver: a randomized studyTiago Lazzaretti Fernandes 28 September 2016 (has links)
INTRODUÇÃO: A localização ideal dos túneis do enxerto para a reconstrução do ligamento cruzado anterior (LCA) está na área da impressão original do ligamento. Entretanto, há pacientes que mesmo após a reconstrução anatômica do LCA se queixam de falseio. O objetivo do presente estudo foi comparar a estabilidade do joelho com túneis em duas posições diferentes da área de impressão original do LCA. MÉTODOS: Trinta reconstruções anatômicas do LCA foram realizadas em 15 joelhos de cadáver, com preservação do quadril até o tornozelo. Não foram criadas lesões para intensificar a instabilidade do joelho. O protocolo possuía quatro grupos: (1) LCA intacto, (2) deficiência completa e isolada do LCA, (3) reconstrução do LCA na posição anteromedial (AM REC) e (4) central (C REC) da impressão original do ligamento (ordem randômica). A estabilidade do joelho foi testada pelo teste de Lachman (68 N) e pelo teste do \"pivot shift\" mecanizado (CPM de 0° a 55° + valgo e rotação interna de 20 Nm) e avaliada por sistema óptico de navegação e tomografia 3D. A descrição da cinemática do joelho com 6 graus de liberdade foi realizada por sistema de coordenadas com eixo no centro geométrico dos côndilos. Estatística: rotação interna (°) e translação anterior (mm) foram avaliados nos testes do \"pivot shift\" e Lachman com 2 e 1- way RM ANOVA, respectivamente (alfa < 0,05). RESULTADOS: O grupo C REC em comparação com o grupo AM REC apresentou menor rotação interna nos testes do \"pivot shift\" (0,6° ± 0,3° vs. 1,8° ± 0,3°, respectivamente, P < 0,05) e de Lachman (2,9° ± 0,4° vs. 3,9° ± 0,4°, respectivamente, P < 0,05) e não apresentou diferença com relação à translação anterior nos mesmos testes do \"pivot shift\" (4,7 mm ± 0,4 mm vs. 4,5 mm ± 0,4 mm, respectivamente, P > 0,05) e de Lachman (1,2 mm ± 0,2 mm vs. 1,1 mm ± 0,2 mm, respectivamente, P > 0,05). Os grupos C REC e AM REC não mostraram diferença quando comparados ao grupo LCA intacto no teste de Lachman para translação anterior (2,1 mm ± 0,5 mm) e rotação interna (3,0° ± 0,5°) (para ambos, P > 0,05) e mostraram diferença no teste do \"pivot shift\" (6,4 mm ± 0,4 mm e 5,6° ± 0,3°, respectivamente, P < 0.05). DISCUSSÃO: Este foi o primeiro estudo a demonstrar alterações da cinemática do joelho em cadáveres com todo o membro preservado e sem lesões associadas para aumentar a instabilidade do joelho, na sequência completa dos experimentos (LCA intacto, lesionado e após as reconstruções anatômicas) com o aparelho de \"pivot shift\" mecanizado. CONCLUSÃO: A reconstrução anatômica do LCA na posição central permitiu uma maior restrição da rotação interna do joelho, em comparação à reconstrução anatômica anteromedial, quando submetida aos testes do \"pivot shift\" mecanizado e de Lachman. Tanto a AM REC quanto a C REC permitiram restabelecer a translação anterior do joelho próximo àquela função do LCA original / INTRODUCTION: The optimal femoral and tibial tunnel locations for grafting in anterior cruciate ligament (ACL) reconstruction are within the original ACL footprint. However, even with anatomic reconstructions, some patients still report giving way. This study aimed to compare knee stability in two different anatomic footprint ACL reconstruction positions. METHODS: Thirty anatomic ACL reconstructions were performed in 15 cadaveric hip-totoe specimens. No associated lesions were created to intensify knee instability. The protocol was conducted in four groups: (1) intact ACL, (2) complete-isolated ACL deficiency, (3) anatomic femoral and tibial anteromedial ACL reconstruction (AM REC); and (4) anatomic femoral and tibial central ACL reconstruction (Central REC). The reconstructions were randomly assigned. The Lachman test (68 N) and mechanized pivot-shift test (CPM from 0° to 55° + valgus and internal torque of 20 Nm) were recorded with optical tracking system and 3D tomography. The 6 degrees of freedom knee kinematics was described with geometric condyle axis based coordinate system. Statistics: internal rotation (°) and anterior displacement (mm) were analyzed in both tests with two- and one-way RM ANOVA (alfa < 0,05). RESULTS: The Central REC group compared to the AM REC group showed a smaller degree of internal rotation in the pivot-shift (0,6° ± 0,3° vs. 1,8° ± 0,3°, respectively, P < 0,05) and Lachman (2,9° ± 0,4° vs. 3,9° ± 0,4°, respectively, P < 0,05) tests and no difference in anterior translation in either the pivot-shift (4,7 mm ± 0,4 mm vs. 4,5 mm ± 0,4 mm, respectively, P > 0,05) or Lachman (1,2 mm ± 0,2 mm vs. 1,1 mm ± 0,2 mm, respectively, P > 0,05) test. Central REC and AM REC groups showed no differences compared to intact ACL group in Lachman test for anterior translation (2,1 mm ± 0,5 mm) and internal rotation (3,0° ± 0,5°) (for both, P > 0,05) but did show significant differences in the pivot-shift test (6,4 mm ± 0,4 mm and 5,6° ± 0,3°, respectively, P < 0.05). DISCUSSION: This was the first study to demonstrate knee kinematic changes in a hip-to-toe cadaver model without associated lesions to amplify knee instability with a mechanized pivot shift in the complete sequence of intact, ACL-deficient and anatomic reconstructions. CONCLUSION: Central anatomic ACL reconstruction permitted greater restriction of internal rotation than did anteromedial anatomic ACL reconstruction based on mechanized pivot shift and Lachman tests. Either AM REC and C REC restored anterior translation close to original ACL function
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Design, Analysis and Development of Sensor Coil for Fiber Optics GyroscopeKumar, Pradeep January 2011 (has links) (PDF)
Interferometer Fiber Optic Gyroscope (IFOG) has established as critical sensor for advance navigation systems. Sensor coil is known to be heart of IFOG. The bias drift and scale factor performance of IFOG depend on the sensor coil. The environmental perturbations like vibration, shock, temperature and magnetic field can affect the measured phase difference between the counter propagating beams, thereby introducing a bias error resulting in degradation of IFOG performance. In general these factors are both time varying and unevenly distributed throughout the coil producing a net undesirable phase shift due to variations in the optical light path, which is undistinguishable from the rotation induced signal. The development of sensor coil for high performance includes selection of optical fiber, spool material, coil winding technique and potting adhesive.
In the thesis, the effects of various perturbations like temperature, vibration and magnetic field on the sensor coil are analysed, which degrades the gyro performance. The effect of temperature and vibration can be reduced by proper selection of spool material, winding method and by applying adhesive during the winding of sensor coil. The effect of magnetic field can be reduced by using the high birefringence polarization maintaining fiber with shorter beat length, shielding the sensor coil and reducing the number of twist during the winding.
Design and fabrication of the sensor coil is done for control grade & navigation grade FOG with fiber length of 100 m and 1000 m respectively with the polarization maintaining fiber of two different manufacturer Fiber Core, UK and Nufern, USA selected based upon the beat length and Numerical Aperture so that sensor coil has minimum effect of magnetic field and the bending of fiber. Presently the spool material used is Aluminium alloy (HE15) for the ease of fabrication and easily availability of material. The Quadrupolar winding is done to reduce the thermal gradient effects. The indigenously developed special adhesive is applied layer by layer to reduce the environmental effects. In order to study the lifetime of sensor coil accelerated aging test (85°C, RH 85 %) for 30 days is also carried out.
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Elektronický snímač letových parametrů. / Flight statements electronic sensor.Harant, Josef January 2009 (has links)
This diploma thesis deals with theoretical analysis, design and practical solution of flight statements electronic sensor. This device is primarily intended for measuring telemetry data during aerobatic flights. Theoretical part contains fundamentals of GPS and inertial navigation systems. Design of the device is divided into three parts - design of block structure, construction and software for the measuring device. The final realization is made with respect to minimal system requirements and to possible future extensibility for wider usage spectrum.
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