Some robotic pool cleaners are specially designed for cleaning smaller pools and others for larger-sized pools. Some robotic cleaners are more powerful and are specifically designed for large or variably shaped inground pools and they can clean vertical areas like steps and walls. Before you set out to purchase your new, bright, and shiny robotic pool cleaner, there are a few things to take into consideration. Many pool cleaners are made with your portability needs in mind and are also lightweight and portable. Some models provide a handy remote control so that you can just sit back and relax by the pool and control the cleaner with just a press of a button. Introducing our range of Accessible Kitchens designed with the needs of less-abled people at the forefront of our minds. To address the challenges related to the osteosynthesis of calcaneus fractures, Newclip Technics has developed the Calcanheal range. The Footmotion range offers several types of stand-alone screws specially designed for the treatment of hallux valgus, from moderate to severe, as well as its complications. Data availability statement Opening wedge proximal medial osteotomies were performed on each of the composite bones in the same way, according to the biplanar technique, by an experienced surgeon.The Hayward SharkVac Robotic Pool Vacuum is a power-packed unit that is created to work in any style of in-ground pool up to 40-feet in length, and it can clean any type of surface, even vinyl.Achievement of appropriate mechanical knee alignment is crucial to ensure optimal clinical outcomes following osteotomy procedures about the knee.The distance from the end of the saw blade to the origin of the PSCG is calculated during preoperative virtual planning to ensure that the desired distance of the cut is achieved without disrupting the integrity of the lateral cortex.Quantitative analysis of included studies assessing the accuracy in total knee arthroplasty.The anticipated increment in bone density owing to implantation for the cases considered was additionally displayed.There was no limitation in range of motion and no brace. The presented case was combined with bone grafting of the tunnels because of two large femoral tunnels of previous ACL reconstructions, but the technique would allow the placement of a tibial tunnel as can be seen on the x‐rays. Under fluoroscopic control on a straight lateral x‐ray (posterior tibial condyles superimposed, joint gap visible) two K‐wires were inserted inferior to the insertion of the patellar tendon aiming at the lower half of the insertion of the posterior cruciate ligament at the dorsal tibia (b, c). In some cases at Centre 2, a bone grafting of the tunnel had already been performed externally, and only the osteotomy was performed. Slope‐decreasing proximal tibial osteotomy has been proposed to address this risk factor, and a few case series have been published on the short and medium‐term results using anterior closing wedge proximal tibial osteotomies (ACW‐PTO), especially in revision ACL surgery 2, 5, 20, 25, 28, 29, 30. The SmartPool SmartKleen-Robotic Pool Cleaner is an affordable option for both small to medium above-ground swimming pools and also smaller in-ground pools. Some of the other smart technological features include an ‘out-of-water’ sensor that protects the motor by preventing the cleaner from operating when out of the water. This pool vacuum has redesigned this cleaning dynamo with smart steering technology and a self-programmable function which means that the SharkVac can sense the size of your pool and design the best cleaning pattern. The Hayward SharkVac Robotic Pool Vacuum is a power-packed unit that is created to work in any style of in-ground pool up to 40-feet in length, and it can clean any type of surface, even vinyl. This means you can just set it and forget while you are away, and when you return your sparklingly clean pool is waiting for you to just dive in and swim. In addition, the displacement (anterior‐posterior AP, lateral‐medial as well as superior‐inferior SI) was measured in two or three different planes to determine the displacement of the glenoid component orientation in three studies 13, 20, 23. Random effects meta‐analyses to determine the pooled mean absolute deviation with 95% confidence interval (CI) from the 3D plan in degree were performed for each studied anatomic region (shoulder, hip, spine and knee). A random effects meta‐analysis was performed to determine the pooled mean absolute deviation between preoperative plan and postoperative result for each anatomic region (shoulder, hip, spine, and knee). That is why a range of cannulated and compressive screws has been specifically designed to reinforce the mechanical strength and compression of this bone hinge when needed. Newclip's full offering of Derotational Osteotomy plate portfolio. Fluoroscopy is positioned such that a true lateral view of the knee can be obtained intraoperatively, defined by the superposition of the femoral condyles. A foot roll is positioned to hold the knee at 90° of flexion, with an additional lateral post proximal to the knee preventing external hip rotation. The postoperative target is defined based on the amount of excessive tibial slope with the aim to correct to 5 to 7° PTS after surgery.21 Some authors describe ACW-HTO techniques preserving the tibial tubercle (TT), thus maintaining the integrity of the extensor mechanism. The present technique describes a retro-tibial tubercule ACW-HTO using a patient-specific cutting guide. Technique Video If cracks occurred prior to the final failure of the specimens, they were generally not observable, except in the case of the specimen Activmotion 4 (Fig. 6), where the crack formation was visible. The fracture of the specimens subjected to cyclical tests occurred in the region of the contralateral cortex (Fig. 5), similar to the static tests. Results of the t-test comparing the previous tested implants to the Activmotion implant. Group showed the maximal valgus-malrotation at collapse time of the contralateral cortex (2.8°) and the iBalance group showed the minimal (0.9°). : Dolphin Sigma Review / Advanced Inground Robotic Pool Cleaner Ng et al. reported an improved accuracy for PSI for the coronal alignment of the tibia and the rotational alignment of both tibia and femur. The pooled mean deviation for all planes from the planned alignment was 1.6°, which is higher than previously reported by meta‐analyses. This study further strengthens the value of PSSGs in TSA because all pooled mean values were well below the clinically proposed cut‐off value of 10° for a malpositioned component despite the stricter inclusion criteria compared to previous analyses 23, 27. The implants from the Activ Fuse range are dedicated to bone reconstruction of the ankle in adults, including the fixation of fractures and arthrodeses of the ankle, distal tibia, talus, and calcaneus. The implants in the Activ Fuse range are dedicated to bone reconstruction of the ankle in adults, including fixation of fractures and arthrodeses of the ankle, distal tibia, talus, and calcaneus. Do monocortical distal locking screws impair mechanical properties in opening wedge high tibial osteotomy with bone graft? The implants from the Activmotion S DTO range are dedicated to bone reconstruction of the ankle in adults, including the fixation of fractures and osteotomies of the ankle, distal tibia, and fibula. The purpose of this article is to describe a surgical technique involving a medial closing wedge high tibial osteotomy performed using three-dimensional (3D) PSI and cutting guide to revise residual valgus deformity following failed distal femoral osteotomy. When storing your cleaner, keep it in a dry place to avoid fading or damage to the housing materials. However, some users have reported issues with connectivity and setup, which can impact your overall experience. This app enables you to schedule and monitor cleaning cycles while providing real-time updates on temperature and cleaner status. The movement of the ball bearings inside of the bar creates an auditory feedback response, which allows users to not only feel but also hear their movements. In this latest installment of our Tools of the Trade series, we examine whether, as the manufacturer claims, one simple design change to standard weighted bars can create an entirely different exercise experience. For years, these weighted bars have been standard equipment on gym floors and in group-fitness studios, with little change or variation in design except to add longer or heavier options. As a result, lighter-weight steel bars covered in foam rubber were created to meet this need. The standard Olympic barbell weighs approximately 45 pounds, which can be too heavy for many fitness consumers. Yet based on the available data, this was not the case in any of the above‐mentioned studies. To account for this possibility, studies reporting negative values were screened again by two experienced orthopaedic researchers (Andreas Hecker and Silvan Hess). Furthermore, four of these nine studies report negative mean differences between preoperative plans and postoperative results 11, 15, 45, 47. Likewise, numerous studies evaluated the accuracy of PSSGs in TKA. Specifically, CT scan is obtained to verify the tibial slope, correction parameters for desired alignment, final plate position, and 3D position of the hinge and wedge. Calculating the degree of correction desired begins with identifying a point 62.5% of the width of the tibial plateau.27 A line is drawn from this point to the center of the femoral head and another to the center of the ankle joint. Intraarticular alignment can be assessed using the joint-line convergence angle (JLCA), defined as the angle created from a tangential line between the femoral condyles and tibial plateau. Similarly, a medial proximal tibial angle (MPTA) less than 85° represents a varus deformity, while an angle greater than 90° indicates a valgus deformity (Fig 1C). Achievement of appropriate mechanical knee alignment is crucial to ensure optimal clinical outcomes following osteotomy procedures about the knee. The results of the anterolateral plate and the medial plate were similar and the displacement values were determined lower than those in the medial plate. The strain responses in periprosthetic bone region due to tibial material and over the length of tibial tray keel was investigated under peak axial loads of walking and stair descending/ascending. All-polyethylene (AP) metal-backed (MB) and four posterior tibial slopes (0°, 3°, 5°and 7°) were considered in a subject-specific finite element full tibia bone model. The most common cause of failure of hip and knee replacements is mechanical instability secondary to wear of the articulating components. Intended for bone reconstruction of the ankle joint in adults, including fixation of OWHTO improved the postoperative function score significantly and relieved pain in KOA patients by shifting the mechanical axis from the medial compartment to the healthy lateral compartment to decrease the load and progression of osteoarthritis in the lower extremity. Five NRS studies reported bone non-union 16,25–27,29, and subgroup analysis was conducted by graft type. The studies reported no blinding of participants because of the precise treatment method used for the osteotomy gap in OWTHO. In about 2.5 to 3 hours, it efficiently cleans your pool, including walls and waterline. The Polaris P965iQ Sport Robotic Pool Cleaner is perfect for in-ground pools up to 60 feet. While some report durability issues with the power cord, its ease of use and maintenance make it a solid investment for your pool. This cleaner navigates all surfaces, climbs walls, and scrubs the tile line with ease. For pool owners with in-ground pools up to 40 feet, the Polaris P825 Sport Robotic Pool Cleaner offers an impressive cleaning solution. Therafirm Ease Microfiber Chevron-Patterned Knee Highs The aim of the PSCG is to define the optimal plate position after OW-HTO correction and to feedback this anatomical position to the preosteotomy guide position.This anatomical plate is also available with a space directly on the plate to position a rectangular suture button, either non-metallic or titanium, to assist in ACL reconstruction.These clinical outcomes may provide useful insights for the use of BSM in the osteotomy gap to rival the AU in the future.Lateral hinge fractures have been shown to lead to instability at the osteotomy site, resulting in delayed union, nonunion, or loss of correction requiring revision surgery.28This highlights the importance of using an implant that will avoid fracture of the cortical lateral hinge prior to the beginning of gap healing, which takes approximately 3 to 8 weeks (Marsell & Einhorn, 2011).The simplification to a cylindrical screw underestimates the strength of the screw-bone fixation in FCS-model, however it is excessively overestimated at the tie interface cases. Learn more about the Dolphin Premier pool cleaner by visiting the official site. Although the robotic pool cleaner is designed to clean everything on its own, you’ll be able to send it to a certain location if something needs cleaned up immediately. The Dolphin Premier pool cleaner takes that problem straight out of the equation. This is probably one area where customers have had problems with their Dolphin Quantum pool cleaner. The Dolphin Premier is built by the same company as the Dolphin Quantum pool cleaner, but they look completely different. The bar is well-made and the adjustable weights allow me to customize the intensity. I've been using the Activmotion bar for a while now and it's been a game-changer for my workouts. Overall, I highly recommend the Activmotion bar to anyone looking for an effective and versatile fitness tool. (D) The hamstring tendons are reattached onto the anterior tibia using nonresorbable sutures Once the plate holes coincide with the predrilled holes, we know that the planned corrected is achieved. The locking plate is then applied using the predrilled holes and the 4-mm pins are reinserted. Here, Kwak et al. reported that the deviation of coracoid, spinal and inferior screws in AP direction was 2.5° with a standard deviation (SD) 1.7, 3.5° (SD 2.7) and 2.9° (SD 1.8) and for SI direction of 2.4° (SD 1.9), 2.9° (SD 1.8) and 3.8° (SD 2.5) . Additionally, the deviation in screw orientation in the AP and SI direction was investigated in two different studies. Four studies focused on the investigation of anatomical total shoulder arthroplasty (aTSA) 14, 20, 23, 56, while another three studies focused on the reverse total shoulder prosthesis (rTSA) 33, 36, 55. Eight studies were identified within the category of shoulder surgery 13, 14, 20, 23, 33, 36, 55, 56. Our top pick for the best robotic pool cleaner is the Hayward SharkVac Robotic Pool Vacuum. One of the best ways to effectively clean your pool is with a robotic pool cleaner. Preliminary reduction of the fracture, as well as fixation of the medial malleolus, can be achieved using an osteosynthesis screw. Bending areas facilitate the congruence of the plate to the bone, in particular on the diaphyseal part, which presents great anatomical variability from one patient to another. Activ Ankle is the solution for treating injuries of the medial and lateral malleoli, as well as diaphyseal fractures of the fibula. A robotic pool cleaner can even run when the pool’s circulation system is switched off. Robotic pool cleaners derive their power from electricity via a waterproof power line (a transformer can be connected to a standard power outlet with a power cord that connects the pool cleaner to the transformer). A robotic pool cleaner is self-directed, with cleaning brushes, and its powerful suction can vacuum up any kind of debris directly into its own filter. The ball bearings inside the bar comprise approximately 30% of the weight of each AMB. The AMB can be used like a traditional weighted bar, but the shifting mass allows for unique variations for both rotation and dynamic strength-training exercises. “In addition, I find that my job as an instructor is easier because the movement of the weights rolling in the bar creates automatic feedback, which lets participants know whether they’re using correct or incorrect form.” There was one case with haematoma and superficial wound‐healing problems after 5 weeks with progression to a deep wound infection and revision surgery (plate exchange) at 11 weeks after the index surgery. Routine follow‐up was performed after 6 weeks and was available in 166 cases (97.7%). To determine the peri‐ and post‐operative complication rate and obtain data on bone healing in ACW‐PTO with an infratuberositary approach. The same testing procedure that has already been previously defined, used and published, was used to investigate the static and dynamic strength of the prepared bone-implant constructs. Design of such devices should be accomplished based on physiological constraints, and loading of the femur, simulating in vivo conditions to prevent bone refracture and implant failure after surgical operation.Although the robotic pool cleaner can be quite heavy, it has a caddy cart that provides easy storage.Press the bar into your thigh and your thigh into the bar as you lift your hips.The osteotomy is then progressively opened using osteotomy wedges, with care taken to avoid a lateral hinge fracture (Fig 3).You might not want to leave your robotic cleaner in the pool 24/7 to help extend its life, but it’s a nice option to have when you’re out of town.Some authors describe ACW-HTO techniques preserving the tibial tubercle (TT), thus maintaining the integrity of the extensor mechanism.Radiologic evaluation of a left knee in a lateral x‐ray using proximal anatomical axis according to Dejour and Bonnin for evaluation of the PTS. A study to quantify how using the AMB compares to using a standard, weighted bar found that as the weight shifts within the AMB, users experience up to ______ more muscle activation. In 2014, the company contracted with the University of Michigan’s Human Movement and Innovation Lab to conduct a study to quantify how using the AMB compares to using a standard, weighted bar. CT, computed tomography; MCL, medial collateral ligament; PSCG, patient-specific cutting guide. An ascending biplane cut is then performed using “free-hand” technique to isolate the tibial tuberosity from the rest of the proximal tibia. The final fixation of the osteotomy is achieved with a low-profile locking plate and a femoral head allograft wedge. After exposure with an oblique incision over the posteromedial tibia, the hamstring tendons are released for later re-attachment and the medial collateral ligament is released slightly. Retro-tibial tubercule anterior closing wedge-high tibial osteotomy using a patient-specific cutting guide surgical technique for a 31-year-old male patient with second anterior cruciate ligament rerupture and posterior tibial slope exceeding 12°. Stress at the bone-implant interfaces were measured and compared to the native knee. The specimens fixed with the combination of plates with the four-holed reversed L-shaped and with two-holed rectangular shaped; or with six-holed anatomical T-plates, showed significantly better stability than those of others. Four-part fracture fragment model of the distal tibia was reconstructed using CAD software. The finite element analysis illustrated the appropriateness of this new device for proximal defects of the tibia, but the implant should be used hesitantly in fractures or defects extending into the diaphyseal region of the bone. If you have a larger pool, the P965iQ and 9650iQ Sport models provide excellent cleaning efficiency. The Polaris VRX iQ+ offers smart features, while the P825 Sport is great for pools up to 40 feet. We would like to acknowledge Mdm Heng Chee Hoon from School of Mechanical & Aerospace Engineering, Nanyang Technological University, Singapore, for her guidance towards our mechanical testing protocol implementation. Hence, the effect of material is found to have greater impact on the regions assessed than the posterior tibial slopes considered. The results may lead to an accurate estimation of the implants mechanical behavior in design stage, and be used in fatigue based analyses. Design of such devices should be accomplished based on physiological constraints, and loading of the femur, simulating in vivo conditions to prevent bone refracture and implant failure after surgical operation. The valgus-malrotation will alter the localisation of the mechanical axis and the primary performed correction. This resulted from the difference in magnitude, and the opposite directions of the lateral and the medial displacement. In the present study, valgus-malrotation relative to the shaft was observed in the frontal plane of the tibia head. With advanced technology and tailored features, these cleaners transform your pool into a crystal-clear oasis. In the world of pool cleaning, choosing the right Polaris robotic cleaner is like selecting the perfect brush for a painter—each tool has its own artistry. When choosing a Polaris robotic pool cleaner, warranty and support are essential factors that can greatly impact your investment. In relation to maintaining your Polaris robotic pool cleaner, regular upkeep is essential for peak performance. In terms of maximum load and number of cycles performed prior to failure, the size 2 Activmotion plate showed higher results than all the other tested implants except the ContourLock plate. In each test, all bone-implant constructs with the size 2 Activmotion plate failed with a fracture of the lateral cortex, like with the other five previously tested implants. Thanks to their design and ease of contouring, the plates can address a wide range of fractures while allowing, in some cases, early weight-bearing of the operated ankle. Any machine can be propelled forwards, but the Dolphin Quantum pool cleaner will be able to move laterally as it cleans the walls of your swimming pool. The implants from the Activmotion S line are dedicated to adult knee osteotomies. The correction was sustained until union with no loss of correction in the MPTA (median change 0.0, 95% CI for median (-0.25, 0.4)) or tibial slope (mean increase 0.32, 95% CI (-0.02, 0.67)). This plate aims to achieve stable fixation whilst maintaining a low profile, allowing space for combined procedures. You don’t necessarily need a warranty or service plan for Polaris robotic pool cleaners, but it’s a smart choice. In terms of Polaris robotic pool cleaners, rest assured that parts are generally available. Imagine your pool cleaner as a loyal knight, bravely battling dirt and debris. Always check your cleaner’s filters and brushes, as maintaining them will enhance its efficiency and prolong its lifespan, ensuring you enjoy a sparkling clean pool. If your pool is surrounded by trees or experiences heavy debris, consider running the cleaner more frequently. Once you’ve thrown one into the pool, you can go away and forget about it while the pool is cleaned from top to bottom. Not only will they reach all areas of your pool, but they have a micron rating good enough to collect tiny particles. They’ll be able to clean up everything from the floor of your pool and they will get the leaves on the surface. You wouldn’t even be able to clean your pool as well if you jumped in with a brush and did most of it yourself. Instead, all of the dirt, algae, bacteria, and everything else made its way to your pool filter. Starting posterior to the MCL, a small periosteal elevator is then used to “scratch” the posterior bony surface of the tibia until it reaches the posterior aspect of the fibular head. The anterior component is positioned below the patellar tendon and the 2 posterior legs are placed between the posterior surface of the tibia and the MCL. Surgery is performed with the patient placed in a dorsal decubitus position under general anaesthesia with a thigh tourniquet. Han et al. reported no differences when using various types of grafts in the osteotomy gap. Traditionally, the osteotomy site is filled within bone graft (BG) including autograft (AU) and allograft (AL). The most common complications of OWHTO are the risk of delayed bone healing, non-union, lateral hinge fractures (LHFs) and loss of correction. However, a wedge-shaped defect will be created when the osteotomy space is opened, which could be left to heal or grafted with either a bone or a bone substitute material (BSM) . No significant difference was found between BSM and control group in main analysis in terms of bone non-union, but with a higher non-union rate when BSM combined with long locking plate was used. A multivariate binary logistic regression was performed to detect factors that influence bone healing. The most valgus malrotation of the tibial head was observed in the allograft group (2.6°). Ultimate load, horizontal and vertical displacements were measured and used to calculate construct stiffness and valgus malrotation of the tibial head. Static compression was applied axially to each specimen until failure of the osteotomy. These super-smart bots are especially useful for large-sized inground pools. But what gives them their cleaning power are their electric motors, a water pump that sucks in the dirt or debris into its filter, and a drive motor that propels the unit around the pool. This smart and relentless cleaning robot has so many great features that make it an ideal choice for medium to large-sized in-ground swimming pools. Using the Active-K allows patients to regain painless mobility of hip and knee joints at an early post-operative stage and stimulates the healing process.Cutting guide placement with five guide pins used to secure the guide to the anteromedial aspect of the left tibia (B).The INITIAL K – Hinge Screw solution is thus used as a complement to the placement of a plate from the Activmotion S line.A rigorous mechanical evaluation in this regard would add much value to advancing surgical best practices in MOWHTO fixation.The overall observation from the static tests is that the Activmotion plate showed higher strength values with smaller deformations when compared to the other implants.Ferretti et al. additionally described the femoral osteotomy height with a deviation of 1.6 mm (range 0–4) from the preoperative planning .Keep your core stable throughout this movement, don’t allow it to rotate with the bar.In the present study, valgus-malrotation relative to the shaft was observed in the frontal plane of the tibia head. Another important finding of this study was that the accuracy of PSSGs seems to vary significantly between different anatomical regions. Despite all these limitations and the high heterogeneity of the studies, our meta‐analyses suggest a high accuracy of PSSG in trauma and orthopaedics. Additionally, overall accuracy might be reported as ‘root mean square error’ and the direction of deviation might be indicated by plotting targeted position versus actual position/orientation. This made it impossible to assess/extract the accuracy of the guides and therefore only four studies could be included, despite a high number of initially identified studies. A similar problem was found in spine surgery, where either negative values were reported or only the average planned and postoperative angle were reported. Moreover, the stress in the Aplus Asia Distal Lateral Tibial Locking Plate was lower than those for the medial distal tibial plate and anterolateral bone plates. In the simulated distal tibia fracture, the Aplus Asia Distal Lateral Tibial Locking Plate and medial distal tibial plate tibia fixations will lead to a stiffer bone-implant construct compared to the anterolateral distal tibial plate. This study compares the novel Asia Distal Lateral Tibial Locking Plate mechanical stability to that of the current anterolateral and medial tibial plates based on finite element analysis. The posterior tibial slope is determined on preoperative lateral knee radiographs as the angle between the proximal anatomic axis of the tibia and the tangential line to the medial tibial plateau.5 If this exceeds 12°, the patient is counseled regarding the option of a slope correction osteotomy combined with a revision ACLR.5, 6, 7 You might feel guilty enough owning a swimming pool in the first place, so saving what water you can is the least you can do. The chlorine you put inside your swimming pool right now is probably terribly strong. It has three different cleaning speeds to give you more control over your pool robot. The features on the Dolphin Quantum pool cleaner are head and shoulders above anything you would have found a few years ago. Robotic pool cleaners have been in a league of their own for a long time, but the gap is becoming so much wider as technology improves. It Can Focus Purely On The Waterline – When the Polaris 9550 Sport pool cleaner gets to work it’s going to take a few hours until it’s done. It’s Programmable For Up To A Week – You’ll have the power to set this robotic pool cleaner for up to a week in advance. When the final position of the plate fits the holes drilled using the PSCG following the OW-HTO, we would have achieved our target correction. A preoperative CT scan is obtained and a virtual OW-HTO is performed. The correction parameters, the final plate position, as well as the 3-dimensional position of the hinge as well as wedge are verified preoperatively before the PSCG is produced. This work was performed at the Institute for Locomotion, Aix-Marseille University, Marseille, France. The maximum saw length to be driven into the tibia can also be estimated with the help of the preoperative CT scan. For example, there are four studies evaluating the accuracy of PSSGs for reaming and cup placement in THA but none evaluated the difference between planned and resulting centre of rotation (rather only inclination/version). The majority of studies evaluating the accuracy of PSSGs are based on conventional radiographs. Comparison of accuracy between total knee arthroplasty and total hip arthroplasty. Comparison of accuracy between total shoulder arthroplasty and total knee arthroplasty. Suction side and pressure side pool cleaners will never be able to freshen up your water like a robotic model. Let’s imagine you didn’t clean the water with a Dolphin Quantum pool cleaner. Robotic pool cleaners will help you do it thanks to the way they filter the water. One of the many reasons this works is because your pool doesn’t have to be running when the robotic pool cleaner is in action. Experimental results showed that the screw fixation yielded the stiffer response and, hence, provided greater initial stability. In conclusion, the authors highlight the advantages of these innovative implants in difficult trauma cases. Along with the original CAMS-Knee datasets, Stan's data can be requested at cams-knee.orthoload.com. The axial moment around the tibia was highest for level walking and squatting with peaks of 9.4 Nm and 10.5 Nm acting externally. Both reported the same accuracy of 0.5° (SD 0.6) in the coronal plane and 0.4° (SD 0.8) in the sagittal plane but did not report any data on the accuracy in the axial plane. Studies assessing the difference between planned alignment and postoperative alignment of total knee arthroplasty (TKA). CI, confidence interval; MRI, magnetic resonance tomography; TKA, total knee arthroplasty. Additionally, overall accuracy might be reported as ‘root mean square error’ and the direction of deviation might be indicated by plotting targeted position versus actual position/orientation.All plates in the range have been specially designed to meet the specific requirements of each joint and a wide variety of indications.Another important finding of this study was that the accuracy of PSSGs seems to vary significantly between different anatomical regions.Overall, regarding all of the analysed strength parameters, the size 2 Activmotion plate provided equivalent or higher mechanical stability compared to the previously tested implant.(4) All implants withstood the maximal physiological vertical tibiofemoral contact force during slow walking.The anterior component is positioned below the patellar tendon and the 2 posterior legs are placed between the posterior surface of the tibia and the MCL. This study aimed to evaluate PSSGs accuracy in traumatology and orthopaedic surgery, considering anatomical regions, printing methods and manufacturers. The INITIAL K – Hinge Screw solution is thus used as a complement to the placement of a plate from the Activmotion S line. Our solutions for the knee. Given the inherent limitations of the included studies, future well-designed RCTs are required to verify the findings of this meta-analysis. The highest lateral and medial stiffness was showed by the Activmotion and the iBalance groups respectively. The values of the first 5 groups have been retrieved from our previous studies and reported here for comparison purposes. Hence, the permanent valgus-malrotations of the tibia before and after the failure were considered to be the same for the group Activmotion. During the cyclic loading, the tibia head of all the specimens rotated counter-clockwise, such that the displacement registered by the medial sensor was counted as negative. Interestingly, the WG subgroup included the same studies as the LLP subgroup. The occurrence rate of non-union of the osteotomy gap in the WG group (Figure 4(A)). Furthermore, potential advantages include less blood loss when the osteotomy gap is filled with BSM. These clinical outcomes may provide useful insights for the use of BSM in the osteotomy gap to rival the AU in the future. Ferner et al. also said residual β-tricalcium phosphate in the osteotomy gap. In Centre 2, all procedures were performed as two‐stage surgery, with the osteotomy first and the ligament surgery in a second surgery.That might be impossible in a literal sense, but they’ve managed to break the rules inside a swimming pool.The transtuberositary approach requires an additional osteotomy of the tuberosity, and therefore leads subsequently to a slower rehabilitation and a potential risk for non‐healing of the tuberosity 27, 29.Compression tests were selected as the mode of load application for both static and dynamic tests, in order to optimally simulate the load that would be applied on the knee post-operatively.Ng et al. reported an improved accuracy for PSI for the coronal alignment of the tibia and the rotational alignment of both tibia and femur.The values of the first 5 groups have been retrieved from our previous studies and reported here for comparison purposes.This easy-to-operate cleaner climbs walls and scrubs right up to the tile line, leaving your pool spotless.A multivariate binary logistic regression using the all‐enter method was performed with potential predictors for complete bone healing after 6 weeks (vs. partial or delayed healing).The steel weights in the bar make it unstable, so your muscles have to work harder to keep your shoulder stable. The exercises themselves are pretty basic, but adding the ActivMotion bar makes them advanced. The bar’s light weight makes it suitable for corrective exercise, physical therapy, rehabilitation, and active aging. Potential benefits include increased range of motion, enhanced core and total body strength, increased balance, and improved flexibility. I received compensation and product for this ActivMotion bar review. The ActiveMotion Bar is an exercise bar filled with rolling steel weights. Like Bender, Abbie Appel, an ACE Certified Group Fitness Instructor in Boca Raton, Fla., and an ActivMotion Bar Master Trainer, also uses the bars for teaching group classes and workshops. Unlike bars with foam rubber coatings, the construction of the AMB creates a durable product that should allow for years of use without the need for replacement. A drawback to many traditional weighted bars is that the foam rubber coating flakes off, creating unsightly trash in the studio and leaving the solid metal of the bar exposed. Bicortical fixation of the distal screws of the MOWHTO locking plate has been perceived to confer better resistance to shear and rotational forces, and minimize the risks of implant failure from physiological loading. Thus, bicortical fixation of all distal screws for MOWHTO locking plate has conventionally been preferred (4,5) to engage both cortices of the tibia. This inherently destabilizes the proximal tibia, therefore necessitating further stabilization with a fixation device consisting of an angular-stable plate with locking screws spanning the osteotomy site. High tibial osteotomy (HTO) is a surgical procedure generally considered for younger, active individuals who have unicompartmental knee osteoarthritis and are not ideal candidates for total knee replacement surgery. Our study found monocortical fixation of the two distal-most screws in MOWHTO mechanically non-inferior to bicortical fixation. This seems odd since mathematically, a measurement of accuracy cannot be less than 0 (i.e., no deviation) and the studies were thus excluded from the quantitative analysis. Quantitative analysis of included studies assessing the accuracy in total hip arthroplasty. They reported a mean difference between planned and postoperative inclination of −2.0° (SD 7.3) and version of −0.2° (SD 6.9). The outcomes measured were the osteotomy gap size, the occurrence rates of non-union and lateral hinge fractures, knee functional score, infection and the Visual Analogue Scale (VAS). A comprehensive literature search was performed, and studies comparing BSM with bone graft (BG) and without bone graft (WG) were included. These plates can be bent to adapt as well as they possibly can to the treated bone anatomy. We applied multiple strategies to identify studies and strict criteria to include and evaluate the methodological quality of the reviews, and subgroup and sensitivity analysis to minimize the heterogeneity. Four, most studies were conducted in a single centre and had a small sample size. This was another source of heterogeneity and affected the reliability of the evaluation of bone union. Third, different manufacturers produce different types of BSM with unusual bone healing abilities. First, the type of studies in our final studies was not uniform, which would impact on the reliability of our results due to the methodological heterogeneity. Song et al.28 suggest that slope-changing osteotomy should be performed along with primary ACLR in cases of slope steeper than 13°, excessive anterior tibial subluxation in extension, and chronic meniscus posterior horn tears. A posteromedial opening wedge-HTO could also be performed when metaphyseal tibial varus deformity is diagnosed,22 but a MOW-HTO will be more restrictive in correcting the slope just as an ACW-HTO in correcting the varus. Perfect correlation of the plate screw holes and predrilled holes in the tibia confirms the desired correction in the sagittal and frontal plane (PTS and medial proximal tibial angle) (Fig 5). The plate is positioned on the anteromedial tibial in line with the predrilled holes. Try to keep the weights in the center of the bar. Put your hands on the white lines on the bar. Lie down on your back with your knees propped up. The steel weights in the bar make it unstable, so your muscles have to work harder to keep your core stable. Purchase one here, or use a regular weigh bar, but the exercises won’t be quite as good. The values of the first 3 groups are retrieved from our previous studiesIn addition to decreasing the posterior tibial slope, corrections in the frontal plane also may be required.Parratte et al. compared PSI and conventional instrumentation and reported no difference in accuracy.In contrast, of 15 cases with both incompletely closed osteotomy and without compression 66.7% (10) were partially healed at 6 weeks, and only 33.3% (5) were completely healed, respectively.Data from the included studies were extracted and summarized independently by two authors (author 2 and author 3).Pijpker et al. reported an average screw entry point deviation of 1.40 mm (SD 0.81) from the preoperative planning .You’ll see powerful vortex jets on the top and sides of the cleaner that will give it the ability to move almost anywhere. Lee et al. reported remnant hydroxyapatite and mature bone identified via biopsy of haematoxylin–eosin staining. Dallari et al. reported that nanocomposites (DBSint®) were safe and effective as lyophilized bone chips in OWHTO, and no acute or chronic infection was found surrounding BSM grafts. Lee et al. reported that the β-tricalcium phosphate granule group achieved bone union in comparison with the AL chip grafts group at 6 and 12 months postoperatively. The permanent deflection angle αp after the collapse of the contralateral cortex during the cyclic tests was determined using the method indicated by Diffo Kaze et al. (Diffo Kaze, 2016; Diffo Kaze et al., 2015; Maas et al., 2013). Used failure types and their defining criteria (Diffo Kaze, 2016; Diffo Kaze et al., 2015; Maas et al., 2013) This criterion is checked by plotting the applied sinusoidal force versus the measured displacement of interest, then by measuring the displacement range within the curve obtained (Diffo Kaze, 2016; Diffo Kaze et al., 2015; Maas et al., 2013). The failure type 3 made it possible to quantify the wobble degree, or stability, of the sample during the cyclic testing. These criteria were already used by Pape et al. (Pape et al., 2010) and were considered in our previous comparative studies. Screw orientation designed to support the medial and lateral plateau. Radiographic assessment included the medial proximal tibial angle (MPTA) and posterior tibial slope at six weeks and then three monthly until union. The bending of these plates must be performed once and in one direction only. Bendable plates – However, in the case of difficult bone anatomy, all the Activmotion S DTO plates can be bent with the appropriate bending irons (ANC452). The movement of the bar forces you to hold your torso tight with build core strength. Keep your core stable throughout this movement, don’t allow it to rotate with the bar. Push your hips back and bend your knees to lower into a squat position. Imaging modality was not considered due to the small number of studies in each group and the small and clinically not relevant difference between the modalities expected. Separately meta‐analysis was performed for each region to account for this heterogeneity and reduce the risk of bias. The analysis may be influenced by publication bias, as studies reporting low accuracy might be underrepresented in the literature. ACL, anterior cruciate ligament; MCL, medial collateral ligament. The osteotomy was performed with two parallel saw cuts under the guidance of the K‐wires (c). In the earlier years, one or two lag screws between the fragments were applied and then stabilized with a plate, in recent years the screw(s) were omitted and angular stable plates with dynamic compression holes were used for interfragmentary compression. The mean and standard deviations were retrieved from our previous studies. A valgus-malrotation of 1.4° was obtained for the Activmotion 2, which corresponded to a failure type 1. The published results of our previous studies (Groups I to V, Table 2) are also presented here for comparison purposes. Computed tomography (CT) scans of the lower extremity, including the hip, knee, and ankle joints, are obtained preoperatively to help determine deformities outside of the coronal plane. The correction angle, 3D position of the hinge and wedge, as well as final plate and screw position are planned preoperatively using virtual software and computed tomography imaging to allow precise surgical execution. I know I am loving this bar and am very excited it is part of my home gym now. I would like to challenge all of you reading this to try this bar and see how much stronger you become in the core area after using it. I don’t have any photos of him working out with the bar but trust me when I tell you – he was off balance a lot during his workout. Five studies were selected within the category hip surgery 17, 22, 48, 49, 58. They further reported a vertical deviation of 0.43 mm (SD 0.30) and horizontal deviation of 0.56 mm (SD 0.43) of the screws at the narrowest point of the pedicle. Fujita et al. reported an average vertical deviation of the screw's entry point of 0.63 mm (SD 0.50) and horizontal deviation of 0.43 mm (SD 0.35) . Pijpker et al. reported an average screw entry point deviation of 1.40 mm (SD 0.81) from the preoperative planning . Straighten one leg out to the side while keeping the bar stable at your chest. The ActivMotion bar provides another level of required stability since you need to hold your core strong to avoid the inner-bars from rolling from one side to the other. Straighten one leg with your knees together. Lie on your back with your knees bent with the ActivMotion Bar straight out in front of your chest. To determine the peri‐ and post‐operative complication rate and obtain data on bone healing in ACW‐PTO with an infratuberositary approach.These have been around longer than any other type of pool cleaner, so there are still lots of them in circulation.The bar is sturdy and feels comfortable to use during workouts.Once all the cuts are done, all k-wires are removed except the 2 hinge K-wires and the 2 PSCG are removed from the proximal tibia.Selecting a cleaner that matches your pool’s dimensions guarantees full coverage, leaving no areas untouched.An ascending biplane cut is then performed using “free-hand” technique to isolate the tibial tuberosity from the rest of the proximal tibia. The maximal displacement range, which increase with the failure, is 0,07 mm The failure type 3, which is checked by means of the maximal displacement range within hysteresis loops, did not occur in the Activmotion group because all the values of the determined maximal range were smaller than 0.5 mm, as shown as an example in Fig. The plates and screws remained undamaged during the cyclical fatigue testing. The overall observation from the static tests is that the Activmotion plate showed higher strength values with smaller deformations when compared to the other implants. The fracture of the lateral cortex of the specimen Activmotion 1 was abrupt with no observable crack formations prior to the failure. The size 2 Activmotion plate showed the highest lateral stiffness (4763 N/mm) compared to the other implants. Stiffness has been introduced into this study as an additional damage indicator; furthermore, a high stiffness of the lateral side of the bone-implant construct suggests a stable lateral cortical hinge. This suggests that the size 2 Activmotion plate offered good stability to the bone-implant construct as the failure type 3 quantifies the wobble degree of the bone-implant construct. The iBalance implant showed the smallest mean lateral displacement (1.9 mm) compared to the Activmotion plates, with a lateral displacement of 3,8 mm. INITIAL A – Ankle is our range of single-use sterile kits for distal fibula fractures. Newclip Technics offers a wide range of implants and instruments dedicated to the management of ankle pathologies, whether traumatic or elective. Preservation has been specially designed for arthrodeses of the medial column and distal arch following their collapse. The Footmotion Plating System range includes a wide selection of implants suitable for forefoot, midfoot, and hindfoot surgery, offering solutions to meet the preferences of each surgeon. Activ Ankle is the solution for the treatment of medial and lateral malleolar injuries as well as diaphyseal fibula fractures. The surgeon fixed the implants according to standard techniques of each implant. It is important to quantify and compare the stabilising effect of these implants. They have different shapes and also have varying biomechanical and material properties. Precise preoperative planning and high primary fixation stability of the implant are required for a good outcome (Pape et al., 2004). The iBalance implant offered the highest stiffness (3.1 kN/mm) for static loading on the lateral side, while the size 2 Activmotion showed the highest stiffness (4.8 kN/mm) in cyclic loading. Study Design The authors reported on completely healed osteotomies within 2 months after surgery in all cases. The overall results were excellent, with no complications reported in this series. From the same authors, mid‐term results of nine cases combined with second revision ACLR were reported in 2015 . The technique of supratuberositary slope‐decreasing osteotomy was described by Dejour et al. in 1998, and the original technique was recently re‐described 4, 11. However, no comparative studies are available, and all descriptions of the techniques, possible complications, advantages, and disadvantages have only been published in small case series so far . ACTIVMOTION Distal Femoral Osteotomy Plate & PSI The allograft group showed high stiffness on the medial side of the tibial head (7.54 kN•mm − 1) as well as the highest stiffness on the lateral side (2.18 kN•mm − 1). The synthetic group showed the highest stiffness at the medial side of the tibial head (9.54 kN•mm − 1), but the lowest stiffness at the lateral side (1.59 kN•mm-1). The designs are meant to yield a physiological load sharing between the trabecular and the cortical bone in the proximal tibia, and to minimize anterior lift-off of the tibial base plate. Problems are mostly initiated on the tibial side, and may be due to ± amongst others ± improper mechanical design of the tibial base plate. All authors contributed to the study conception and design. Last but not least, some studies assessed the accuracy of commercially available products in cooperation with the manufacturer, introducing potential bias in favour of those products. Some older studies thus may not reflect the performance of newer guides. In the “monocortical group”, two proximal distal screws (4.5 mm diameter, 40 mm length) were bicortical, while the two distal-most screws (4.5 mm diameter, 35 mm length) were fixed monocortically. In the “bicortical group”, all four distal screws measured 42 mm in length and engaged both cortices. Conversely, monocortical fixation may provide additional postulated benefits of decreased stress shielding, decreased incidence of symptomatic hardware from screw prominence and soft tissue injury, and therefore may theoretically lower the peri-operative complication and revision rates (6). However, such differences may not be clinically or biomechanically significant in the setting of MOWHTO under physiological loads. Our meta-analysis was performed with the radiological and clinical outcomes of BSM, especially the occurrence rate of non-union, compared with BG and WG. Delayed union and non-union of the osteotomy gap are common complications in OWHTO. This study aimed to evaluate the efficacy and safety of BSM in OWHTO. The quality of studies limited to confounding, classification of intervention, selection of participants and measurement of outcomes. The quality of studies limited to confounding, selection of participants and measurement of outcomes. It can turn on a dime and it is ideal for small to medium in-ground swimming pools. Just like a 4-wheel-drive vehicle, the Polaris Sport Robotic In-Ground Pool Cleaner is outfitted with 4-wheel Aqua-Trax tires that enable the machine to access all areas inside your pool. A great investment for pool owners, the Dolphin is easy to use and in just 3 hours, this dynamo will effectively clean your pool. The Dolphin Premier Robotic Pool Cleaner is recommended for in-ground pools up to 50-feet in length. Once again it all depends on your pool specifications and cleaning needs. Akoto et al. reported on 20 consecutive cases of two‐stage revisions with slope‐decreasing osteotomy in a transtuberositary approach. No significant complications were reported in this small case series, however, the rehabilitation protocol was very restricted with full weight‐bearing not earlier than 12 weeks and a fixed knee brace in full extension for 6 weeks post‐operatively. Sonnery‐Cottet et al. reported a case series of five patients with second revision ACLR combined with slope‐decreasing osteotomy with transtuberositary approach in a single‐stage procedure . Just plug in the waterproof power line or/and drop the cleaner into the pool and watch it go to work. Most robotic cleaners are computer-controlled, which allows the cleaners to learn the most effective way of cleaning your pool and are then able to direct themselves around the pool. The most popular robotic pool cleaner brand names are Dolphin, Polaris, and AquaBot. Statistical heterogeneity between studies was assessed using the chi-square test with significance set at pI2 statistic. Data from the included studies were extracted and summarized independently by two authors (author 2 and author 3). We utilized the “related articles” function to broaden the search results, and the computer search was supplemented with manual searches of the reference lists for all retrieved studies, review articles and conference abstracts. This means that the failure type 1, which is characterised by a permanent deflection angle greater than 1.4 °, did not occur for the specimens of group VI subjected to the cyclical loading. The load history is indicated with the Load Step number (LSn) at which the failure occurred. The crack formation observed prior to the collapse of the specimen Activmotion 4 (Fig. 7) was not considered as a failure and the other fractures observed were not preceded with visible cracking. As compared to Lateral Closing Wedge High Tibial Osteotomies (LCWHTO), MOWHTO has gained relative popularity with advantages of bone preservation, enhanced ligamentous stability, avoidance of fibular osteotomy and potential for technically simpler revision surgery. This supports monocortical fixation as an alternative technique for distal screw placement in MOWHTO. The first arm underwent MOWHTO with bicortical screw fixation throughout; the second arm incorporated two monocortical distal locking screws. Alians Clavical Technicals The implants of the Alians Clavicle range are dedicated to the fixation of fractures, mal-unions, non-unions, and osteotomies of the clavicle in All plates in the range have been specially designed to meet the specific requirements of each joint and a wide variety of indications. Fucentese et al. state to reported the accuracy of PSSGs for high tibial osteotomies (HTO) but reported negative mean values . Wang et al. reported the bilateral rotator centre discrepancy (BRCD) with a deviation of 3.38 mm (SD 3.0; range 0.9–11) . In vitro mechanical stiffness testing and finite element analysis. Considerably higher stress shielding was observed in MB cases than on its AP equivalent, especially in the region underneath the baseplate. The impact of stress shielding on the periprosthetic bone was found to be more fundamentally affected by the material used than its geometry. The anticipated increment in bone density owing to implantation for the cases considered was additionally displayed. The life span of the Activmotion specimens prior to failure was, on average, 1.7 higher than that of the TomoFix standard group. Regarding the parameters investigated for the fatigue loading to failure tests, the Contour Lock group showed the highest values, followed by the Activmotion. The values reported for the stiffness are those right at the beginning of the first loading step. The values of the first 3 groups are retrieved from our previous studies The failure type 1 occurred only in the iBalance, TomoFix sm and Countour Lock groups. Unrelated topics, reviews, editorials, letters to the editor, case reports, animal experiments, in vitro studies, biomechanics studies and xenograft studies were excluded. Secondary outcomes including LHFs, knee functional score, infection and Visual Analogue Scale (VAS). This meta-analysis was performed according to the guidelines of the PRISMA statement and the recommendation of the Cochrane Collaboration Group .