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Long-term results of Charnley low-friction arthroplasty in tuberculosis of the hip.

We reported 8 to 13 years of follow-up of cases of tuberculosis of the hip previously. Now we report on 60 cases of hip tuberculosis treated with total hip arthroplasty. The results have been reasonably acceptable, with the longest follow-up >28 years. Prosthetic life was limited to at most 20 years in our longest cases mainly because of loss of fixation of the acetabular component. There were recurrences of tuberculosis in 5 hips. We confirmed that antituberculous chemotherapy is crucial in total hip arthroplasty reconstruction. Detection of Mycobacterium tuberculosis using polymerase chain reaction may provide rapid diagnosis and follow-up for treatment response.

Adult↗

Low friction lubrication between amorphous walls: unraveling the contributions of surface roughness and in-plane disorder.

Using molecular dynamics simulations, we show that dodecane films confined between amorphous surfaces at 300 K retain liquid-like behavior down to film thicknesses of at least 1.8 nm and possibly smaller. This is in stark contrast to the behavior of films confined between crystalline surfaces which show an abrupt transition to a very high viscosity state at a film thickness of 4 nm. We show that it is the small increase in surface roughness in going from crystalline to amorphous walls, rather than the in-plane disorder, that is responsible for disrupting the crystalline bridges found in the crystal-confined films. The main consequences of the in-plane disorder are the removal of the orientational pinning of the local domain alignment and the reduction of the critical thickness at which the transition to film rigidity appears.

Journal Article↗