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Mancino Fabio,Fontalis Andreas,Magan Ahmed,Plastow Ricci,Haddad Fares S. 대한고관절학회 2024 Hip and Pelvis Vol.36 No.1
Total hip arthroplasty (THA) is a frequently performed procedure; the objective is restoration of native hip biomechanics and achieving functional range of motion (ROM) through precise positioning of the prosthetic components. Advanced threedimensional (3D) imaging and computed tomography (CT)-based navigation are valuable tools in both the preoperative planning and intraoperative execution. The aim of this study is to provide a thorough overview on the applications of CT scans in both the preoperative and intraoperative settings of primary THA. Preoperative planning using CT-based 3D imaging enables greater accuracy in prediction of implant sizes, leading to enhancement of surgical workflow with optimization of implant inventory. Surgeons can perform a more thorough assessment of posterior and anterior acetabular wall coverage, acetabular osteophytes, anatomical landmarks, and thus achieve more functional implant positioning. Intraoperative CT-based navigation can facilitate precise execution of the preoperative plan, to attain optimal positioning of the prosthetic components to avoid impingement. Medial reaming can be minimized preserving native bone stock, which can enable restoration of femoral, acetabular, and combined offsets. In addition, it is associated with greater accuracy in leg length adjustment, a critical factor in patients’ postoperative satisfaction. Despite the higher costs and radiation exposure, which currently limits its widespread adoption, it offers many benefits, and the increasing interest in robotic surgery has facilitated its integration into routine practice. Conducting additional research on ultra-low-dose CT scans and examining the potential for translation of 3D imaging into improved clinical outcomes will be necessary to warrant its expanded application.
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Design of a Telescopic tower for wind energy production with reduced environmental impact
Antonio Pantano,Tullio Tucciarelli,Nicola Montinaro,Antonio Mancino 한국정밀공학회 2020 International Journal of Precision Engineering and Vol.7 No.1
A prototype of a telescopic pole for wind energy production with low environmental impact and its lifting system for a 60–250 kW turbine and a height of 30 m have been designed and manufactured. A telescopic tower, which is raised and lowered by automation or by remote control, allows to differentiate the presence of the generator within the landscape over time. The technology currently available for lifting and lowering wind turbines is made up of telescopic poles of heights of less than 10 meters and with tilting posts of height below 30 m. Without a state of the art to refer to, the telescopic pole and its lifting system have been designed starting from scratch and solving with innovative ideas the various criticalities that have arisen. The design of the telescopic coupling, the design for maintaining the preload and for the rotational decoupling, the optimization the design of the pairs of sleeves by numerical simulations, the design of the pegs and the bushes of the jack-up lifting system have been presented. The prototype was installed in Caltanissetta, Italy, and successfully tested.
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