Title: Biomechanical response of the knee meniscus to the axial loads Work Title: The quantification of the structural changes in deep layer of the knee meniscus using the standardized axial loading Purpose: Due to the internal structure of the knee joint, the ability to characterize and quantify the dynamic response of the meniscal tissue directly in vivo is highly problematic. The main purpose of this study was to investigate the behavior of the meniscus under loading conditions, using parametric MR imaging. Methods: Subjects with no history of knee pain or meniscal problems were included in the study (mean age 27.8 ± 1.3 years). To obtain values of relaxation times T2* in the meniscus, the vTE sequence was used with 10 echoes ranging from 0.8 to 10.1 ms. This has resulted in minimizing the echo time, which is an advantage when differentiating meniscal tissue from surrounding components. First of all, an unloaded limb was scanned and immediately after, the limb loaded half of the person's weight was measured repeatedly in 4 consecutive scans. A custom - made diamagnetic apparatus was developed to simulate stress conditions on the lower limb in a conventional MR scanner. At each 6:10 min measurement, the knee joint was scanned in 64 sections, each image displaying a 1.3 mm section.The two -...

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This Diploma Thesis is focused on investigation of the voltammetric behavior of the explosive penthrite (pentaerythritol tetranitrate) (PETN) and on searching for optimum conditions for its determination using differential pulse voltammetry (DPV) at a hanging mercury drop electrode (HMDE) (this part of the Diploma Thesis follows the topic investigated in the author's Bachelor Thesis; in this Diploma Thesis, the results of the Bachelor thesis are applied to the determination of PETN in environmental matrices) and at a mercury meniscus modified silver solid amalgam electrode (m-AgSAE) and on investigation of voltammetric behavior in real samples (deionized, drinking, and river water). For investigating the behavior of PETN in aqueous-methanolic media on the m-AgSAE, mixtures of Britton-Robinson buffers (BR-buffers) and methanol in various volume ratios were used. In non-aqueous media, methanolic solutions of tetramethylammonium bromide (TMAB), tetrabutylammonium iodide (TBAI), and tetrabutylammonium chloride (TBAC) were used as supporting electrolytes. Firstly, the influence of pH (in the range of 2 - 13) and methanol content (10 - 90 vol. %) on voltammetric responses of PETN was studied. The best response was obtained at each of those pH values at the volume ratio of BR-buffer - methanol of 1:9 or...

Dans cette thèse, nous étudions comment la présence de parois affecte les ondes de surface. La dissipation associée au mouillage, objet central des premiers chapitres, est abordée expérimentalement. Nous mesurons son évolution avec la taille du ménisque et montrons qu’en mouillage total des non-linéarités apparaissent dès que l’oscillation du ménisque atteint l’épaisseur des couches limites. Dans un deuxième temps, nous quantifions les échanges d’énergie ayant lieu lors de laréflexion d’une onde de surface sur une paroi oscillante, appelés effet Doppler généralisé. Après une mise en évidence expérimentale, une approche théorique les évalue et illustre comment leurs effets cumulatifs peuvent mener à des spectres en compétition avec ceux de la turbulence d’ondes. Finalement, nous traitons les interactions entre paquets d’ondes. En géométrie confinée, nous montrons que des résonances à trois ondes gravitaires sont autorisées. Dépassant la problématique des parois, nous caractérisons les interactions entre ondes gravitaires en milieu infini, puis décrivons les grandes échelles de la turbulence d’ondes capillaire. / In this thesis, we study the impact of solid boudaries on surface waves. We first consider the dissipation caused by dynamical wetting. We experimentally show how the damping of surface waves evolves with the size of the meniscus and demonstrate that in perfect wetting it leads to a nonlinear behavior as soon as the meniscus oscillation amplitude compares to the thickness of the boundary layer. Secondly, we investigate energy exchanges through scales occuring when a surface wave reflects on an oscillating wall, the so-called generalized Doppler effect. We evidence the creation of Doppler-shifted waves, compute their amplitudes and illustrate how the continuous bouncing of surface waves on wavemakers may lead to self-similar spectra competing with the ones of wave turbulence. Finally, we focus on nonlinear interaction between surface waves. We prove that gravity waves can undergo triad resonances in confined geometry. Going beyond the consequencies of solid boundaries, we perform experiments on four-wave interactions in the gravity regime and describe large scales in capillary wave turbulence.

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A novel cooling mechanism based on evaporation of thin liquid films is presented for thermal management of confined heat sources, such as microprocessor hotspots. The underlying idea involves utilization of thin nanoporous membranes for maintaining microscopically thin liquid films by capillary action, while providing a pathway for the vapor generated due to evaporation at the liquid-vapor interface. The vapor generated by evaporation is continuously removed by using a dry sweeping gas keeping the membrane outlet dry. This thesis presents a detailed theoretical, computational and experimental investigation of the heat and mass transfer mechanisms that result in dissipating heat. Performance analysis of this cooling mechanism demonstrates heat fluxes over 600W/cm2 for sufficiently thin membrane and film thicknesses (~1-5µm) and by using air jet impingement for advection of vapor from the membrane surface. Based on the results from this performance analysis, a monolithic micro-fluidic device is designed and fabricated incorporating micro and nanoscale features. This MEMS/NEMS device serves multiple functionalities of hotspot simulation, temperature sensing, and evaporative cooling. Subsequent experimental investigations using this microfluidic device demonstrate heat fluxes in excess of 600W/cm2 at 90 C using water as the evaporating coolant. In order to further enhance the device performance, a comprehensive theoretical and computational analysis of heat and mass transfer at micro and nanoscales is carried out. Since the coolant is confined using a nanoporous membrane, a detailed study of evaporation inside a nanoscale cylindrical pore is performed. The continuum analysis of water confined within a cylindrical nanopore determines the effect of electrostatic interaction and Van der Waals forces in addition to capillarity on the interfacial transport characteristics during evaporation. The detailed analysis demonstrates that the effective thermal resistance offered by the interface is negligible in comparison to the thermal resistance due to the thin film and vapor advection. In order to determine the factors limiting the performance of the MEMS device on a micro-scale, a device-level detailed computational analysis of heat and mass transfer is carried out, which is supported by experimental investigation. Identifying the contribution of various simultaneously occurring cooling mechanisms at different operating conditions, this analysis proposes utilization of hydrophilic membranes for maintaining very thin liquid films and further enhancement in vapor advection at the membrane outlet to achieve higher heat fluxes.

Ces travaux concernent l’étude expérimentale des textures se développant dans les ménisques de films smectiques de cristaux liquides thermotropes. Ces fluides complexes nous servent de système modèle pour l’étude des couplages élasto-capillaires qui se manifestent dans certaines conditions par des déformations périodiques de l’interface cristal liquide-air. Dans un premier temps, à partir de l’étude détaillée de la topographie de l’interface par une méthode interférométrique, nous caractérisons les différents types de structures, puis, identifions les principaux paramètres impliqués dans le processus d'apparition des défauts dans le ménisque de films libres suspendus. Ces résultats nous servent de base pour discuter des mécanismes physiques qui génèrent les différents types de défauts observés. Nous regardons en particulier, comment la diminution d’épaisseur de couche associée à une transition de phase va induire une instabilité mécanique responsable de l’apparition des ondulations de l’interface. Dans un deuxième temps, afin d’aller plus loin dans la compréhension des mécanismes, nous avons utilisé des films minces de cristaux liquides déposés sur des substrats solides microstructurés par des plots fabriqués par des techniques photolitographiques. Une telle géométrie permet de générer un ménisque autour de chaque plot et surtout de faire varier un plus grand nombre de paramètres comme par exemple l’ancrage sur le substrat via un traitement chimique de surface. L’ensemble de nos résultats apportent un éclairage nouveau sur la caractérisation et la compréhension des déformations spécifiques aux ménisques de fluides complexes. / The present work is an experimental study of the textures that appear in the meniscus of free standing smectic films with thermotropic liquid crystals. These complex fluids serve as model systems to investigate elasto-capillary phenomena which, under certain conditions, manifest themselves through periodic deformations of the liquid crystalair interface. In the first part of the thesis, we focus our attention on meniscus structures whose interfacial topographies are thoroughly characterized thanks to an in-house optical interferometry technique. Our study allows us to identify the main parameters involved in the development of meniscus structures and to discuss the physical mechanisms that are likely to be responsible for their formation. In particular, we show how a phase transition-induced layer shrinkage triggers a mechanical instability leading to interfacial undulations of the smectic free surface. In the second part of the manuscript, we address the case of thin liquid crystal films deposited on solid patterned solid substrates. The latter consist of regular arrays of microposts fabricated through photolithographic techniques. Such a geometry allows a meniscus to be formed around each micropost and makes it possible to examine the influence of other parameters such as the anchoring conditions on the solid substrate. The results gathered so far are able to shed some light on the characterization and the understanding of the specific deformations and textures that appear in the menisci of complex fluids.

Made available in DSpace on 2016-06-02T20:19:03Z (GMT). No. of bitstreams: 1 DissPFACN.pdf: 513373 bytes, checksum: e626d1bf009f8adbc96ccd8431d6b582 (MD5) Previous issue date: 2006-02-28 / Universidade Federal de Sao Carlos / Objective. To evaluate the influence of sulfated glycosaminoglycan (GAG) concentration in synovial fluid from individuals with chondral injuries, either isolated or associated with anterior cruciate ligament injury or meniscal injury, and check for an association between time since injury and the degree of chondral injury. Material and Method. Twenty-nine adult subjects (25 men and 4 women, mean age 38.3 ± 10.9 years) were selected. Samples obtained from all subjects were quantified to determine the GAG concentration using dimethylmethylene blue dye. The degree of chondral damage was macroscopically evaluated by arthroscopy and rated according to the International Cartilage Repair Society (ICRS) classification. Results. Significant differences were found concerning the GAG concentration in the control group compared with the other groups (p<0.05). No significant differences were found between the studied groups concerning time since injury and degree of chondral damage according to the ICRS. A strong correlation was found between GAG concentration and time since injury in the chondral injury group (r= -1). Conclusion. Damage to articular structures seems to be the determining factor in the change of synovial fluid GAG concentration, being higher in isolated chondral injury. When associated with anterior cruciate ligament rupture and/or meniscal injury, it will promote a tendency to fall, and is not related to sex, age, time since injury and degree of chondral injury in all groups studied. / Objetivo: Avaliar a influência da lesão condral na concentração de glicosaminoglicanas sulfatadas no líquido sinovial de indivíduos portadores de lesões condrais isoladas ou associadas com lesões do ligamento cruzado anterior e dos meniscos, bem como uma associação com o tempo da lesão e o grau de osteoartrite. Desenho do estudo: Foram avaliados 29 indivíduos adultos de ambos os sexos. Os sujeitos foram divididos em cinco grupos: grupo controle; grupo com lesão condral; grupo com lesão condral associada à lesão meniscal; grupo com lesão condral associada à lesão do ligamento cruzado anterior e grupo com lesão condral associado às lesões meniscal e do ligamento cruzado anterior. Métodos: As amostras foram quantificadas em relação à concentração de glicosaminoglicanas pelo método espectrofotométrico, utilizando o corante azul de dimetilmetileno. O grau de osteoartrite foi avaliado macroscopicamente, por artroscopia e graduado segundo classificação da Internacional Cartilage Repair Society, 2000, variando entre grau 0 e 4. Resultados: Encontramos diferenças significativas quando comparamos a concentração de glicosaminoglicanas do grupo controle em relação aos outros grupos (P<0,05), houve também correlação entre concentração de glicosaminoglicanas sulfatadas e o tempo pós lesão no grupo com lesão condral, (r= -1). Não houve diferenças significativas entre os grupos estudados quanto ao grau de osteoartrite e tempo após a lesão. Conclusão: A lesão condral isolada apresenta maior concentração de glicosaminoglicanas, entretanto a presença de lesão do ligamento cruzado anterior e meniscos influenciam uma tendência à queda desta concentração no líquido sinovial e sem apresentar relação com o tempo de lesão e o grau de osteoartrite entre os grupos estudados.

L'objectif de ce travail était de rendre compte d'une revue complète de la littérature comparant les différentes méthodes et techniques de mesure de la pente tibiale par la radiographie conventionnelle, le scanner et l'IRM pour aider les chirurgiens orthopédistes à établir une méthode de mesure standardisée et fiable. Le travail inclut aussi deux études rétrospectives mesurant la pente tibiale en utilisant des modalités différentes. Il a été rapporté que la pente tibiale postérieure (PTS) a une influence sur la cinématique du genou notamment le ligament croisé antérieur (LCA). Une meilleure compréhension de la signification de la PTS pourrait améliorer le développement du dépistage des lésions du LCA, et les programmes de prévention, et pourrait servir de base pour des programmes de réadaptation individuels adaptés après la reconstruction du LCA. De plus, dans plusieurs interventions orthopédiques telle que l'ostéotomie tibiale haute, la pente tibiale peut modifier la mécanique du genou. Dès lors, une mesure préopératoire exacte de la pente tibiale postérieure est obligatoire. Plusieurs méthodes sont utilisées sur des radiographies conventionnelles, des scanners et l’IRM, mais jusqu'à présent il n'y a aucune méthode standard validée. La première partie de ce travail consiste en une introduction générale des structures anatomiques d'intérêt impliquées dans cette étude, à savoir l'articulation du genou, les ligaments croisés antérieurs, les ménisques et le tibia. Cette partie d'introduction inclut une description de l'anatomie brute, de la structure microscopique, de la fonction et quelques considérations cliniques. La deuxième partie du travail est consacrée à une revue systématique des modalités et techniques disponibles dans la littérature. Les informations quant aux méthodes de mesure de la pente tibiale chez des sujets normaux et avec LCA-lésé ont été extraites de toutes les études incluses de manière systématique, et ont été classifiées selon la technique de mesure et les modalités utilisées. L'axe le plus utilisé était l'axe tibial anatomique proximal (PTAA), et la méthode Midpoint est la plus fréquemment utilisée pour calculer le PTAA. Les valeurs les plus grandes de la pente tibiale médiale (MTS) et de la pente tibiale latérale (LTS) ont été obtenues en utilisant l'axe du cortex tibial antérieur, tandis que les valeurs les plus faibles ont été obtenues avec l'axe tibial diaphysaire. En comparaison directe, la plus grande valeur de la MTS pour le genou pathologique a été trouvée par les études radiologiques, tandis que les études IRM ont présenté les plus petites valeurs. Par conséquent, pour la LTS, les valeurs IRM étaient plus petites que celles des études par CT. La troisième partie du travail était une étude de cas-contrôle, en utilisant l'IRM; les LTS, MTS et pentes des ménisque interne et externe (LMS, MMS) ont été comparés chez 100 patients avec un LCA-déchiré isolé et chez un groupe témoin de 100 patients avec une douleur patello-fémorale et un LCA intact. La découverte la plus importante de cette étude consiste en ce que les pentes tibiales augmentées, aussi bien osseuse que méniscales, sont des facteurs de risque pour la blessure du LCA. Comme le ménisque a tendance à corriger la pente observée vers l'horizontale, la perte du ménisque postérieur peut potentialiser cet effet en augmentant la pente fonctionnelle. La quatrième partie du travail visait à évaluer les effets des caractéristiques des patients, du délai entre la blessure et l’intervention (TFI) et de la pente tibiale postérieure sur les formes de lésions des ménisques. Chez les 362 patients ayant un LCA-déchiré, le site de la lésion méniscale le plus commun était la corne postérieure (PH) du ménisque médial (MM), suivi par la lésion impliquant le MM entier. L'âge du patient, le BMI (Body Mass Index) et le TFI ont été significativement associés à l'incidence de la lésion du MM... [etc] / The aim of this work was to report a comprehensive literature review comparing the different methods and techniques of measurement of the posterior tibial slope (PTS) among the conventional radiograph, computed tomography (CT), and magnetic resonance imaging (MRI) in order to help the orthopedic surgeons to establish a standard and reliable measurement method. The work also includes two retrospective studies measuring the tibial slope using different modalities. It has been reported that the PTS has an influence on the kinematics of the knee notably the anterior cruciate ligament (ACL). A better understanding of the significance of the PTS could improve the development of ACL injury screening and prevention programmes, and might serve as a basis for individual adapted rehabilitation programmes after ACL reconstruction. Additionally, in several orthopedic interventions such as high tibial osteotomy, the tibial slope can result in altered knee mechanics. Therefore, an exact preoperative measurement of the posterior tibial slope is mandatory. Several methods are used on conventional radiographs, CT and MRI, but until now there is no standard validated method. The first part of this work was a general introduction about the anatomical structures of interest involved in this study, namely the knee joint, the anterior cruciate ligaments, the menisci, and the tibia, this introduction part included the gross anatomy, the microscopic structure, function, and some clinical considerations. The second part of the work is dedicated to a systematic review of the available modalities and techniques in the literature. Information regarding methods of measurement of the tibial slope in normal and ACL-injury subjects was extracted from all the studies in a systematic fashion and classified according to the measurement technique and used modalities. The most common used axis was the proximal tibial anatomical axis (PTAA), and the midpoint method is the most frequently used method for calculating the PTAA. By direct comparison, the greatest value of the medial tibial slope (MTS) for the pathological knee was achieved by the radiological studies, while the MRI studies presented the smallest values. Consequently, for the pathological lateral tibial slope (LTS), the MRI values were smaller than that of the CT studies. The greatest values of the MTS and LTS were obtained by the anterior tibial cortex axis, while the minimum values were achieved by the tibial diaphyseal axis.This third part of the work was a case-control study, by using MRI, the bony slopes as well as the lateral and medial meniscal slopes (LMS, MMS) were compared in 100 patients with isolated ACL injury and a control group of 100 patients with patello-femoral pain and an intact ACL. The most important finding of this study is that the increased tibial slopes, both bony and meniscal, are risk factors for ACL injury. As the meniscus tends to correct the observed slope towards the horizontal, loss of the posterior meniscus may potentiate this effect by increasing the functional slope. The fourth part of the work is aimed to evaluate the effects of the patient characteristics, time from injury (TFI), and PTS on meniscal tear patterns. In the 362 ACL-injured analyzed patients; the most common tear location was the posterior horn (PH) of the medial meniscus (MM), followed by tear involving the whole MM. Patient age, BMI, and TFI were significantly associated with the incidence of MM tear. An increase in the tibial slope, especially of the lateral plateau, seems to increase the risk of tear of the lateral meniscus (LM), and of both menisci