Treatment options for meniscal tears fall into three broad categories;non-operative,meniscectomy or meniscal repair.Selecting the most appropriate treatment for a given patient involves both patient factors(e.g.,age,c...Treatment options for meniscal tears fall into three broad categories;non-operative,meniscectomy or meniscal repair.Selecting the most appropriate treatment for a given patient involves both patient factors(e.g.,age,co-morbidities and compliance)and tear characteristics(e.g.,location of tear/age/reducibility of tear).There is evidence suggesting that degenerative tears in older patients without mechanical symptoms can be effectively treated non-operatively with a structured physical therapy programme as a first line.Even if these patients later require meniscectomy they will still achieve similar functional outcomes than if they had initially been treated surgically.Partial meniscectomy is suitable for symptomatic tears not amenable to repair,and can still preserve meniscal function especially when the peripheral meniscal rim is intact.Meniscal repair shows 80%success at 2 years and is more suitable in younger patients with reducible tears that are peripheral(e.g.,nearer the capsular attachment)and horizontal or longitudinal in nature.However,careful patient selection and repair technique is required with good compliance to post-operative rehabilitation,which often consists of bracing and non-weight bearing for 4-6 wk.展开更多
Using molten Pb-Sn-Bi alloy, the meniscus shape under high frequency magnetic field of φ100 mm round billet caster was investigated. The effect of some parameters on meniscus shape was studied. The results show that ...Using molten Pb-Sn-Bi alloy, the meniscus shape under high frequency magnetic field of φ100 mm round billet caster was investigated. The effect of some parameters on meniscus shape was studied. The results show that for a mold with 12 segments, the meniscus shape is relatively stable. With increasing power input, the menis- cus height increases with intensification of fluctuation. For the given caster, the reasonable power input is about 70 kW. The coil should be near to the top of mold and/or the initial meniscus should be near to the center of the coil. The lower the frequency, the higher is the meniscus height. With increasing frequency, the free surface is more flattened and meniscus becomes more stable. In practice, the power input should be increased simultaneously with frequency. The optimal frequency is about 20 kHz.展开更多
文摘Treatment options for meniscal tears fall into three broad categories;non-operative,meniscectomy or meniscal repair.Selecting the most appropriate treatment for a given patient involves both patient factors(e.g.,age,co-morbidities and compliance)and tear characteristics(e.g.,location of tear/age/reducibility of tear).There is evidence suggesting that degenerative tears in older patients without mechanical symptoms can be effectively treated non-operatively with a structured physical therapy programme as a first line.Even if these patients later require meniscectomy they will still achieve similar functional outcomes than if they had initially been treated surgically.Partial meniscectomy is suitable for symptomatic tears not amenable to repair,and can still preserve meniscal function especially when the peripheral meniscal rim is intact.Meniscal repair shows 80%success at 2 years and is more suitable in younger patients with reducible tears that are peripheral(e.g.,nearer the capsular attachment)and horizontal or longitudinal in nature.However,careful patient selection and repair technique is required with good compliance to post-operative rehabilitation,which often consists of bracing and non-weight bearing for 4-6 wk.
文摘Using molten Pb-Sn-Bi alloy, the meniscus shape under high frequency magnetic field of φ100 mm round billet caster was investigated. The effect of some parameters on meniscus shape was studied. The results show that for a mold with 12 segments, the meniscus shape is relatively stable. With increasing power input, the menis- cus height increases with intensification of fluctuation. For the given caster, the reasonable power input is about 70 kW. The coil should be near to the top of mold and/or the initial meniscus should be near to the center of the coil. The lower the frequency, the higher is the meniscus height. With increasing frequency, the free surface is more flattened and meniscus becomes more stable. In practice, the power input should be increased simultaneously with frequency. The optimal frequency is about 20 kHz.
