BACKGROUND Developmental dysplasia of the hip(DDH)is a common osteoarticular deformity in pediatric orthopedics.A patient with bilateral DDH was diagnosed and treated using our improved technique"(powerful overtu...BACKGROUND Developmental dysplasia of the hip(DDH)is a common osteoarticular deformity in pediatric orthopedics.A patient with bilateral DDH was diagnosed and treated using our improved technique"(powerful overturning acetabuloplasty)"combined with femoral rotational shortening osteotomy.CASE SUMMARY A 4-year-old girl who was diagnosed with bilateral DDH could not stand normally,and sought surgical treatment to solve the problem of double hip extension and standing.As this child had high dislocation of the hip joint and the acetabular index was high,we changed the traditional acetabuloplasty to"powerful turnover acetabuloplasty"combined with femoral rotation shortening osteotomy.During the short-term postoperative follow-up(1,3,6,9,12,and 15 months),the child had no discomfort in her lower limbs.After the braces and internal fixation plates were removed,formal rehabilitation training was actively carried out.CONCLUSION Our"powerful overturning acetabuloplasty"combined with femoral rotational shortening osteotomy is feasible in the treatment of DDH in children.This technology may be widely used in the clinic.展开更多
Purpose–The purpose of this paper is to provide an effective and simple technique to structural damage identification,particularly to identify a crack in a structure.Artificial neural networks approach is an alternat...Purpose–The purpose of this paper is to provide an effective and simple technique to structural damage identification,particularly to identify a crack in a structure.Artificial neural networks approach is an alternative to identify the extent and location of the damage over the classical methods.Radial basis function(RBF)networks are good at function mapping and generalization ability among the various neural network approaches.RBF neural networks are chosen for the present study of crack identification.Design/methodology/approach–Analyzing the vibration response of a structure is an effective way to monitor its health and even to detect the damage.A novel two-stage improved radial basis function(IRBF)neural network methodology with conventional RBF in the first stage and a reduced search space moving technique in the second stage is proposed to identify the crack in a cantilever beam structure in the frequency domain.Latin hypercube sampling(LHS)technique is used in both stages to sample the frequency modal patterns to train the proposed network.Study is also conducted with and without addition of 5%white noise to the input patterns to simulate the experimental errors.Findings–The results show a significant improvement in identifying the location and magnitude of a crack by the proposed IRBF method,in comparison with conventional RBF method and other classical methods.In case of crack location in a beam,the average identification error over 12 test cases was 0.69 per cent by IRBF network compared to 4.88 per cent by conventional RBF.Similar improvements are reported when compared to hybrid CPN BPN networks.It also requires much less computational effort as compared to other hybrid neural network approaches and classical methods.Originality/value–The proposed novel IRBF crack identification technique is unique in originality and not reported elsewhere.It can identify the crack location and crack depth with very good accuracy,less computational effort and ease of implementation.展开更多
文摘BACKGROUND Developmental dysplasia of the hip(DDH)is a common osteoarticular deformity in pediatric orthopedics.A patient with bilateral DDH was diagnosed and treated using our improved technique"(powerful overturning acetabuloplasty)"combined with femoral rotational shortening osteotomy.CASE SUMMARY A 4-year-old girl who was diagnosed with bilateral DDH could not stand normally,and sought surgical treatment to solve the problem of double hip extension and standing.As this child had high dislocation of the hip joint and the acetabular index was high,we changed the traditional acetabuloplasty to"powerful turnover acetabuloplasty"combined with femoral rotation shortening osteotomy.During the short-term postoperative follow-up(1,3,6,9,12,and 15 months),the child had no discomfort in her lower limbs.After the braces and internal fixation plates were removed,formal rehabilitation training was actively carried out.CONCLUSION Our"powerful overturning acetabuloplasty"combined with femoral rotational shortening osteotomy is feasible in the treatment of DDH in children.This technology may be widely used in the clinic.
文摘Purpose–The purpose of this paper is to provide an effective and simple technique to structural damage identification,particularly to identify a crack in a structure.Artificial neural networks approach is an alternative to identify the extent and location of the damage over the classical methods.Radial basis function(RBF)networks are good at function mapping and generalization ability among the various neural network approaches.RBF neural networks are chosen for the present study of crack identification.Design/methodology/approach–Analyzing the vibration response of a structure is an effective way to monitor its health and even to detect the damage.A novel two-stage improved radial basis function(IRBF)neural network methodology with conventional RBF in the first stage and a reduced search space moving technique in the second stage is proposed to identify the crack in a cantilever beam structure in the frequency domain.Latin hypercube sampling(LHS)technique is used in both stages to sample the frequency modal patterns to train the proposed network.Study is also conducted with and without addition of 5%white noise to the input patterns to simulate the experimental errors.Findings–The results show a significant improvement in identifying the location and magnitude of a crack by the proposed IRBF method,in comparison with conventional RBF method and other classical methods.In case of crack location in a beam,the average identification error over 12 test cases was 0.69 per cent by IRBF network compared to 4.88 per cent by conventional RBF.Similar improvements are reported when compared to hybrid CPN BPN networks.It also requires much less computational effort as compared to other hybrid neural network approaches and classical methods.Originality/value–The proposed novel IRBF crack identification technique is unique in originality and not reported elsewhere.It can identify the crack location and crack depth with very good accuracy,less computational effort and ease of implementation.
