A probabilistic modelling scheme for analysis of long-term failure of cemented femoral joint replacements

Reliable prediction of long-term medical device performance using computer simulation requires consideration of variability in surgical procedure, as well as patient-specific factors. However, even deterministic simulation of long-term failure processes for such devices is time and resource consuming so that including variability can lead to excessive time to achieve useful predictions. This study investigates the use of an accelerated probabilistic framework for predicting the likely performance envelope of a device and applies it to femoral prosthesis loosening in cemented hip arthroplasty.
A creep and fatigue damage failure model for bone cement, in conjunction with an interfacial fatigue model for the implant–cement interface, was used to simulate loosening of a prosthesis within a cement mantle. A deterministic set of trial simulations was used to account for variability of a set of surgical and patient factors, and a response surface method was used to perform and accelerate a Monte Carlo simulation to achieve an estimate of the likely range of prosthesis loosening. The proposed framework was used to conceptually investigate the influence of prosthesis selection and surgical placement on prosthesis migration.
Results demonstrate that the response surface method is capable of dramatically reducing the time to achieve convergence in mean and variance of predicted response variables. A critical requirement for realistic predictions is the size and quality of the initial training dataset used to generate the response surface and further work is required to determine the recommendations for a minimum number of initial trials. Results of this conceptual application predicted that loosening was sensitive to the implant size and femoral width. Furthermore, different rankings of implant performance were predicted when only individual simulations (e.g. an average condition) were used to rank implants, compared with when stochastic simulations were used. In conclusion, the proposed framework provides a viable approach to predicting realistic ranges of loosening behaviour for orthopaedic implants in reduced timeframes compared with conventional Monte Carlo simulations.

Joint complex diversity coding and channel coding over space, time and frequency

This study provides a general diversity analysis for joint complex diversity coding (CDC) and channel coding-based space-time-frequency codeing is provided. The mapping designs from channel coding to CDC are crucial for efficient exploitation of the diversity potential. This study provides and proves a sufficient condition of full diversity construction with joint three-dimensional CDC and channel coding, bit-interleaved coded complex diversity coding and symbol-interleaved coded complex diversity coding. Both non-iterative and iterative detections of joint channel code and CDC transmission are investigated. The proposed minimum mean-square error-based iterative soft decoding achieves the performance of the soft sphere decoding with reduced complexity.

A robotic apparatus that dictates torque fields around joints without affecting inherent joint dynamics

This manuscript describes how motor behaviour researchers who are not at the same time expert roboticists may implement an experimental apparatus, which has the ability to dictate torque fields around a single joint on one limb or single joints on multiple limbs without otherwise interfering with the inherent dynamics of those joints. Such an apparatus expands the exploratory potential of the researcher wherever experimental distinction of factors may necessitate independent control of torque fields around multiple limbs, or the shaping of torque fields of a given joint independently of its plane of motion, or its directional phase within that plane. The apparatus utilizes torque motors. The challenge with torque motors is that they impose added inertia on limbs and thus attenuate joint dynamics. We eliminated this attenuation by establishing an accurate mathematical model of the robotic device using the Box-Jenkins method, and cancelling out its dynamics by employing the inverse of the model as a compensating controller. A direct measure of the remnant inertial torque as experienced by the hand during a 50 s period of wrist oscillations that increased gradually in frequency from 1.0 to 3.8 Hz confirmed that the removal of the inertial effect of the motor was effectively complete.

Examining the uncertainties in a 'tuned and stacked' peatland water table reconstruction

Tuning and stacking approaches have been used to compile non-annually resolved peatland palaeo-water table records in several studies. This approach has been proposed as a potential way forward to overcome the chronological problems that beset the correlation of records and may help in the upscaling of palaeoclimate records for climate model-data comparisons. This paper investigates the uncertainties in this approach using a published water table compilation from Northern Ireland. Firstly, three plausible combinations of chronological match points are used to assess the variability of the reconstructions. It is apparent that even with markedly different match point combinations, the compilations are highly similar, especially when a 100-year running mean line is used for interpretation. Secondly, sample-specific reconstruction errors are scaled in relation to the standardised water table units and illustrated on the compiled reconstruction. Thirdly, the total chronological errors for each reconstruction are calculated using Bayesian age-modelling software. Although tuning and stacking approaches may be suitable for compiling peat-based palaeoclimate records, it is important that the reconstruction and chronological errors are acknowledged and clearly illustrated in future studies. The tuning of peat-based proxy climate records is based on a potentially flawed assumption that events are synchronous between sites. © 2011 Elsevier Ltd and INQUA.