Effect of dorsal capsular imbrication on intraoperative DRUJ instability following arthroscopic TFCC repair surgery.

BACKGROUND: To assess the clinical outcomes and identify the ideal indication for implementing dorsal distal radioulnar joint (DRUJ) capsular imbrication after triangular fibrocartilage complex (TFCC) repair in cases of DRUJ instability. METHODS: We conducted a retrospective study on patients who underwent arthroscopic TFCC repair between 2016 and 2021. Inclusion criteria comprised a symptomatic ulna fovea sign for over 6 months and dorsal DRUJ subluxation on magnetic resonance imaging. A total of 225 patients were divided into two groups: Group 1 (135 cases) with a negative ballottement test after "Cross-form TFCC repair" (CR) and Group 2 (90 cases) with a positive ballottement test after "Cross-form TFCC repair" and augmented DRUJ stability through dorsal DRUJ capsular imbrication (CR + DCI). Pain visual analog scale score (VAS), grip strength, modified Mayo Wrist Score (MMWS), wrist range of motion (ROM), and patient-reported outcomes (PROMs) were assessed for a minimum of 3 years postoperatively. RESULTS: Both groups showed significant improvements in pain VAS score, grip strength, wrist ROM, MMWS, and PROMs between the preoperative and postoperative periods (all P < 0.05). Recurrent DRUJ instability occurred in 3.7% and 1.1% of patients in the "CR" and "CR + DCI" groups, respectively, with a significant difference. Despite the "CR + DCI" group initially exhibiting inferior ROM compared with the "CR" group, subsequently, no significant difference was noted between them. CONCLUSIONS: Dorsal DRUJ capsular imbrication effectively reduces postoperative DRUJ instability rates, enhances grip strength, and maintains wrist ROM in patients with a positive intra-operative ballottement test after arthroscopic TFCC repair.

Electro-hydrodynamic programming reshapes liquid crystal dynamics in free-form director fields.

This study unveils a groundbreaking technique leveraging the superposition of electric field vectors to manipulate liquid crystals (LCs). Demonstrated through a simple configuration of four independent electrodes at the corners of a rectangular enclosure, notably, this configuration can be further simplified or modified as needed, showcasing the versatility of the approach. Significantly, the design showcased in the paper eliminates the need for an alignment layer, highlighting the versatility of the method. Through nuanced adjustments in waveforms, amplitudes, frequencies, and phases in AC or DC from these electrodes, precise control over LC shape deformation and dynamic phase transformation is achieved in both temporal and spatial dimensions. In contrast to traditional methods, the approach presented here abolishes alignment layers and intricate electrode-array systems, opting for a streamlined configuration with varying AC frequencies and DC electric signals. This innovative methodology, founded on simplified governing equations from Q-tensor hydrodynamics theory, demonstrates true 3D control over LCs, displaying efficiency in electrode usage beyond current arrays. The study's contributions extend to temporal control emphasis, superposition techniques, and the elimination of fixed electrodes, promising unprecedented possibilities for programming LC materials and advancing the field of programmable LC devices.

Mirrorless MEMS imaging: a nonlinear vibrational approach utilizing aerosol-jetted PZT-actuated fiber MEMS scanner for microscale illumination.

This study introduces a novel image capture and lighting techniques using a cutting-edge hybrid MEMS scanner system designed for compact microscopic imaging. The scanner comprises a tapered optical fiber waveguide and innovative aerosol-jet printed PZT (lead zirconate titanate) bimorph push-pull actuators on a stainless-steel substrate, effectively addressing issues that are commonly associated with PZT on silicon substrates such as fracture and layer separation. By leveraging nonlinear vibration, the scanner achieves a spiral scan pattern from a single signal input, in addition to the expected two-dimensional scanning and target illumination from two phase-shifted inputs. This capability is further enhanced by a novel process to taper the optical fiber, which reduces illumination scattering and tunes the fiber to the resonant frequencies of the scanner. The precisely tapered tip enables large fields of view while maintaining independent 2-axis scanning through one-degree-of-freedom actuation. Experimental validation showcases the successful generation of a spiral scan pattern with a 60 µm diameter scan area and a 10 Hz frame rate, effectively reconstructing scanned images of 5 µm lines, cross patterns (15 µm in length with a 5 µm gap), and structures of a Psychodidae wing.

Effect of intraoperative hand-grip position on surgical outcome of thumb carpometacarpal arthrodesis.

BACKGROUND: A variety of surgical techniques had been developed over the past few decades for treating thumb carpometacarpal joint (CMCJ) osteoarthritis (OA). However, there are currently no accepted consensus on the ideal treatment for thumb CMCJ OA. Arthrodesis was one of the widely popular treatment methods; however, studies have showed that non-union rates were as high as 50%, with higher complications such as osteoarthritis of neighbouring joints and higher revision surgeries required as compared to other surgical methods. Patients with arthrodesis were also reported to have decreased thumb range of motion and loss of opponens function. Currently, there are numerous intraoperative positioning techniques for arthrodesis which could be confusing for young surgeons. With recent developments of fixation plates and better understanding of the wrist anatomy, this retrospective review aimed to evaluate the efficacy of our intraoperative hand-grip positioning method for arthrodesis of thumb CMCJ OA. What are the postoperative functional outcomes of (1) T-hook plates and (2) our intraoperative hand-grip positioning method for Eaton III thumb CMCJ OA arthrodesis by evaluating pain visual analogue scale (VAS) score, Disabilities of the Arm, Shoulder and Hand questionnaires (DASH), Mayo Wrist scores, capability of thumb opposition (Kapandji score), and comparing pre- and postoperative grip and pinch strength? METHODS: Twenty patients with CMCJ OA underwent arthrodesis using our intraoperative hand-grip positioning method and T-hook plates and screws (Acumed, USA). Patients were evaluated preoperatively and at 1, 3, 6 and 12 months postoperatively. Radiologic assessment including fusion evaluation, evaluation of radial and palmar abduction angles was done on hand X-rays. RESULTS: Twenty patients with a minimum follow-up duration of 12 months were included in this study. 100% fusion rate was achieved with only 1 case of complication involving radial sensory nerve neuropathy which was resolved after removal of implant and neurolysis. Significant improvement in pain and Mayo Wrist scores were noted 3 months postoperatively, whilst DASH score exhibited significant improvements after 6 months of follow-up (p < 0.05). Even though there were no significant differences observed between preoperative and postoperative grip strength, pinch strength and Kapandji scores, positive recovery trends were noted for all parameters with these functions surpassing preoperative levels after 12 months of follow-up. Significant improvements on hand X-rays were also noted for both postoperative radial and palmar abduction angles. CONCLUSIONS: There is currently no consensus on the ideal treatment method for thumb CMCJ OA. In this study, we would like to propose a simple intraoperative hand-grip positioning method with T-hook plates for arthrodesis. As seen from our results, our technique was able to provide satisfactory and replicable postoperative results and thus we would like to propose our hand-grip positioning method with T-hook plates fixation for subsequent treatment of patients with Eaton stage III thumb CMCJ OA.

Biomechanical study of the fixation ability of the dorsal and volar locking plate for transverse metacarpal neck fractures.

Metacarpal neck fracture is one of the most common types of hand fractures; the literature suggests that applying a bone plate on the dorsal side provides higher fixation strength than that provided by other fixation methods. However, bone plate fixation on the dorsal side may result in postoperative tendon adhesion. So far, no studies have investigated the fixation of metacarpal neck fractures on the volar side by using a bone plate. The objective of this study was to investigate the differences in the fixation results between bone plate fixation on the dorsal side and bone plate fixation on the volar side of the metacarpal in the case of a metacarpal neck fracture. A saw blade was used to create a transverse metacarpal neck fracture on 14 artificial metacarpal bone specimens. The specimens were divided into 2 groups depending on the fixation method: a volar locking plate (VLP) group and a dorsal locking plate (DLP) group. All specimens were subjected to a cantilever bending test on a material testing system, and a force-displacement curve was used to measure the yield force and stiffness, which served as an indicator of the fixation ability of the 2 fracture fixation methods. For the experimental results, the Mann-Whitney U test was used to compare the fixation abilities of the 2 fixation methods. In terms of yield force, the DLP group (266.9 ± 68.3 N) scored significantly higher than the VLP group (32.6 ± 2.7 N) (P < .05); expressed in terms of median, the DLP group scored 8.2 times higher than the VLP group. Similarly, in terms of stiffness, the DLP group (69.0 ± 13.4 N/mm, median ± interquartile range) scored significantly higher than the VLP group (12.9 ± 1.4 N/mm) (P < .05); expressed in terms of median, the DLP group scored 5.3 times higher than the VLP group. The fixation strength of volar bone plates is only about one-third of that of dorsal bone plates.

Synthesis of 2,5,8-Tris(1-phenyl-1H-benzo[d]imidazol-2-yl)benzo[1,2-b:3,4-b':5,6-b″] Trithiophenes and Their Spontaneous Orientation Polarization in Thin Films.

To investigate the relationship between molecular structures and spontaneous orientation polarization (SOP) in organic thin films, 2,5,8-tris(1-phenyl-1H-benzo[d]imidazol-2-yl)benzo[1,2-b:3,4-b':5,6-b″] trithiophene (TPBTT) and its ethyl derivative (m-ethyl-TPBTT) were synthesized. Variable angle spectroscopic ellipsometry and two-dimensional grazing-incidence wide-angle X-ray scattering showed that the vacuum-deposited films of TPBTT and m-ethyl-TPBTT had a higher degree of molecular orientation parallel to the substrate compared with that of prototypical 2,2',2″-(1,3,5-benzinetriyl)-tris(1-phenyl-1-H-benzimidazole) (TPBi) due to the larger π-conjugated benzotrithiophene core. However, TPBTT films showed a lower SOP of +54.4 mV/nm than did the TPBi film (+77.3 mV/nm), indicating that the molecular orientation alone did not determine the SOP. In contrast, m-ethyl-TPBTT showed a larger SOP of +104.0 mV/nm in the film. Quantum chemical calculations based on density functional theory suggested that the differences in the stable molecular conformation and the permanent dipole moments between TPBTT and m-ethyl-TPBTT caused the differences in SOP. These results suggest that the simultaneous control of the orientational order and conformation of the molecules is important to achieving a large SOP in films.

Mathematical analysis in the design of digital artery-based V-Y advancement flap in treating proximal interphalangeal joint flexion contracture.

BACKGROUND: The digital artery-based V-Y advancement flap is a widely used flap for soft tissue coverage in the treatment of flexion contracture of the proximal interphalangeal (PIP) joint. A standard method for the flap design and a mathematical method to predict the advance distance have not been well established. In this study, we proposed a simplified method for the design of V-Y advancement flaps based on digital arteries and used a geometric model to predict the advance distance for the flexion contracture correction surgery. METHODS: According to the general concept of hand flap design and law of cosine, we proposed three principles in the design of the digital artery-based V-Y advancement flap that should be followed. Since 2021 to 2022, finger geometric data of 120 fingers (index, middle, ring, and small fingers) from 30 healthy participants were collected and analysed to evaluate the necessary advance distance and flap tip angle for PIP flexion contracture correction of different fingers by our flap design method. RESULTS: The middle finger needed a significantly longer advance distance compared to other fingers in the same degree flexion contracture correction. The ring finger had the largest length-to width ratio and smallest flap tip angle among the four fingers in the V-Y flap design. No vertical scar crossed the flexion creases and flap tip angle < 20° was found in the tentative V-Y flap design for the 120 fingers. CONCLUSIONS: Our flap design method provides a proper advance distance and flap length-to-width ratio without common skin complications in the flap design for PIP flexion contracture of index, middle, ring and small fingers. This geometric model provides a mathematical basis for prediction of advance distance and flap tip angle in the design of a digital artery-based V-Y advancement flap.

Design and Analysis of a PDLC-Based Reconfigurable Hilbert Fractal Antenna for Large and Fine THz Frequency Tuning.

The proposed reconfigurable radiating antenna design is based on the integration of a reconfigurable fractal antenna and electro-optic substrate material. This antenna can be adjusted to achieve either re-configurability or tunability in the desired frequency range for wireless systems. The electromagnetic characteristics of the fractal antenna are manipulated at both the level of fractal geometry, electrical length and dielectric substrate. The designed antenna features multiband responses, in which the geometry and length change create a large frequency shift and the dielectric change using polymer dispersed liquid crystal (PDLC) creates fine and/or continuous tuning. The far field and scattering properties of the antenna are analyzed using the Computer Simulation Technology (CST) Microwave Studio Suite. The proposed approach has successfully demonstrated reconfigurable switching for up to four frequency bands between 0.2 and 0.6 THz. The dielectric constant change in the PDLC substrate shows fine and continuous frequency tuning with an 8% maximum frequency shift when operating around 0.54 THz and a high directivity of 7.35 dBi at 0.54 THz and 8.43 dBi at 0.504 THz. The antenna can also realize a peak gain of 4.29 dBi at 0.504 THz in the extraordinary polarization state of PDLC. The designed antenna can be readily integrated in the current communication devices, such as satellites, smart phones, laptops, and other portable electronic devices, due to its compact geometry and IC compatible design. In satellite applications, the proposed antenna can play a significant role in terms of security. The antenna could be extremely useful for satellites that want to keep their information secret; by constantly switching their operating frequency, spy satellites can evade detection and data collection from enemy ears.

Tuning Molecular Conformations to Enhance Spontaneous Orientation Polarization in Organic Thin Films.

Three isomeric derivatives of 2,2',2″-(1,3,5-benzinetriyl)-tris(1-phenyl-1-H-benzimidazole) (TPBi) bearing ethyl groups on the N-phenyl moieties were synthesized to elucidate the effects of intramolecular interactions on spontaneous orientation polarization (SOP) in thin films. The films of the TPBi derivatives displayed enhanced SOP with a surface potential change of up to 1.8 times that for TPBi, and the p-substituted derivative exhibited the largest potential change reported to date (+141.0 mV/nm). Density functional theory calculations and single-crystal structure analysis suggest that the introduction of the ethyl groups switched the stable molecular conformation from C1 to C3 symmetry. Through analysis of the structural anisotropy in the films by spectral ellipsometry and two-dimensional (2D) grazing-incidence wide-angle X-ray scattering, we conclude that the conformational change of the molecules was the major factor underlying the SOP enhancement.

Design of an ultra-wideband omnidirectional and polarization insensitive flower petal antenna for potential ambient electromagnetic energy harvesting applications.

Developing a polarization insensitive, omnidirectional, and ultra-wideband (UWB) antenna is highly desired for improving the utilization of freely available electromagnetic (EM) radiation energy. In this study, we have designed an UWB antenna based on tapered flower petals and numerically analyzed to show that it is a promising candidate for energy harvesting applications in the infrared (IR) to UV-visible regime. The impacts of design strategy and parameters on the absorption performance are studied numerically. The antenna shows a high performance in both bandwidth and absorptivity (average absorption of 84.5% spanning a broad range from 25 to 800 THz) under normal incidence of plane waves. To get a better understanding behind such high and UWB absorption mechanism, we investigated the electric field (E-field) distribution over the structure. The antenna also generates less than 5% absorption deviation between normal to 45° incident angle and 0.05% absorption deviation between 0° and 90° polarizations for both transverse electric (TE) and transverse magnetic (TM) modes. This new design aspect and the numerical findings unfolds the new direction for numerous EM wideband applications such as THz technology, photo detection, bolometric sensing, camouflaging, spectral imaging, and ambient EM energy harvesting applications.

Three cases of discontinuous refractive index in metamaterial study.

We investigate three cases of metamaterials presented in the literature displaying refractive index with one or more discontinuities along the frequency spectrum. We reproduce the numerical simulations of these metamaterials and compare our simulations to each reported case. For each case, we perform a geometrical investigation of each metamaterial's refractive index by mean of a numerical simulation of a prism made of the reported metamaterials upon which is incident a plane electromagnetic wave. Such investigation allows us to infirm or confirm negative refraction at resonance frequency. Finally, we carry a numerical and theoretical investigation of this discontinuity and show that, as the refractive index crosses a discontinuity, while the topology of the effective wave has changed within the metamaterial, the dynamics of the phases remain unchanged at any time at the metamaterial's boundaries.

Midterm Results of Arthroscopy-Assisted "Tent Form" Triangular Fibrocartilage Complex Repair With Dorsal Distal Radioulnar Joint Capsule Imbrication for Posttraumatic Chronic Distal Radioulnar Joint Instability.

PURPOSE: To evaluate the outcomes of "tent form" triangular fibrocartilage complex (TFCC) repair combined with dorsal distal radioulnar joint (DRUJ) capsule imbrication for posttraumatic chronic DRUJ instability. METHODS: All patients treated with arthroscopic "tent form" TFCC repair and DRUJ capsule imbrication from 2016 to 2019 were retrospectively reviewed. The inclusion criteria were symptomatic chronic DRUJ instability for >6 months and dorsal DRUJ subluxation on magnetic resonance imaging. The Disabilities of the Arm, Shoulder, and Hand score, Patient-Rated Wrist Evaluation, grip strength, Modified Mayo Wrist Score, range of motion, and distal radioulnar joint stability were assessed for a minimum of 2 years postoperatively. RESULTS: Thirty-eight patients were included in the final analysis. The average follow-up duration was 35.6 months (range, 24-48 months). The 24-month postoperative grip strengths and 3-dimensional motions of wrist were not significantly different from that of the nonoperated wrist. Compared with their preoperative status, Disabilities of the Arm, Shoulder, and Hand score, Patient-Rated Wrist Evaluation, and Modified Mayo Wrist Score indicated the significant improvement with P values of .001, .001, and .002, respectively. CONCLUSIONS: In chronic DRUJ instability with a loosening dorsal capsule, "tent form" TFCC transcapsular repair combined with DRUJ capsule imbrication restored the integrity of TFCC and dorsal DRUJ capsule and achieved a promising outcome. We recommend this procedure as an option of treatment for patients with posttraumatic chronic DRUJ instability. LEVEL OF EVIDENCE: IV, case series.

Functional outcomes and complications of hook plate for bony mallet finger: a retrospective case series study.

BACKGROUND: The treatment of mallet fracture using hook plate fixation was first introduced in 2007 and has subsequently shown excellent outcomes. Common complications, such as nail deformity and screw loosening, have also been reported. Very few studies have focused on these common complications or their prevention. In this study, we present the clinical outcomes and complications of our case series and describe the pitfalls and detailed solution of surgical tips to avoid common complications related to this procedure. METHODS: The retrospective case series of 16 patients with mallet fractures who underwent open reduction and hook plate fixation in our hospital from 2015 to 2020 were retrospectively reviewed. Data on extension lag, range-of-motion (ROM) of the distal interphalangeal joint (DIP) joint, the Disabilities of the Arm, Shoulder, and Hand (DASH) score, and surgical complications were collected and analysed. The clinical outcome was graded according to the Crawford mallet finger criteria. RESULTS: Sixteen patients were included in our analysis. The median DIP extension lag was 0° (range, 0° to 30°) and the median active DIP flexion angle was 60° (range, 40° to 90°). The median DASH score was 0 (range, 0-11.3). Fourteen patients with good and excellent results were satisfied with this treatment. The Complication rate in our patient series was 18%. Common complications reported in articles included wound necrosis, extension lag, nail deformity, and plate loosening. CONCLUSIONS: Despite the fact that the treatment of mallet fracture with hook plate fixation has satisfactory functional outcomes, pitfalls, including iatrogenic nail germinal matrix injury, unnecessary soft tissue dissection, and insufficient screw purchase, were still reported. To avoid complications, we suggest modifications of the skin incision, soft tissue dissection, and screw position.

Integration of SMP with PVDF Unimorph for Bending Enhancement.

Heat generation in active/passive layer-based piezoelectric actuators is unavoidable due to the mechanical, dielectric, and resistive losses in the material. In this work, a polyvinylidene fluoride (PVDF)-based unimorph cantilever actuator is developed with simulation and experimental studies on the effect of DC high voltages on heat production in the PVDF layer. A layer of one-way shape memory polymers (1W-SMPs) is integrated in the actuator to exploit the heat produced to increase the bending angle. The length and mounting location of the SMP layer impacts the bending of the actuator; by using an SMP layer with a length equal to half of the PVDF layer at the center of the unimorph actuator, the absolute bending angle is increased to 40° compared to the base piezo bending angle of 4° at 20 V/µm.

Electrostatic Self-Assembly of Composite Nanofiber Yarn.

Electrospinning polymer fibers is a well-understood process primarily resulting in random mats or single strands. More recent systems and methods have produced nanofiber yarns (NFY) for ease of use in textiles. This paper presents a method of NFY manufacture using a simplified dry electrospinning system to produce self-assembling functional NFY capable of conducting electrical charge. The polymer is a mixture of cellulose nanocrystals (CNC), polyvinyl acrylate (PVA) and poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS). When treated with ethylene glycol (EG) to enhance conductivity, fibers touching the collector plate align to the applied electrostatic field and grow by twisting additional nanofiber polymers injected by the jet into the NFY bundle. The longer the electrospinning continues, the longer and more uniformly twisted the NFY becomes. This process has the added benefit of reducing the electric field required for NFY production from >2.43 kV cm-1 to 1.875 kV cm-1.

Wrist function recovery course in patients with scaphoid nonunion treated with combined volar bone grafting and a dorsal antegrade headless screw.

BACKGROUND: Surgical treatment is necessary for scaphoid nonunion. Open surgery with a combined volar and dorsal approach is thought to have poor functional outcomes and a prolonged recovery course. However, the detailed recovery course for this approach is rarely reported. The aim of this study was to investigate the recovery course and radiographic outcome for patients with scaphoid nonunion who underwent a combined volar bone grafting and dorsal antegrade headless screw approach. MATERIAL AND METHODS: Eighteen patients with scaphoid nonunion who underwent combined volar bone grafting and dorsal antegrade headless screw fixation were enrolled in this retrospective study. Preoperative and serial postoperative wrist functional and radiographic outcomes were collected and analysed. RESULTS: All 18 patients achieved bone union at a mean time of 14.3 weeks. Compared to the preoperative status, the grip strength, wrist motion arc, and Mayo Wrist score were improved significantly 6 months after surgery, whilst the Disabilities of the Arm, Shoulder, and Hand (DASH) score did not recover until 12 months after surgery. Significant improvements were found in all scaphoid radiographic parameters. CONCLUSION: The surgical outcomes for scaphoid nonunion treated with a combined volar bone grafting and dorsal antegrade headless screw achieved a high union rate, with great wrist functional and radiographic outcomes. The earliest recovered wrist functional parameters were grip strength, motion arc, Mayo Wrist score and finally the DASH score at postoperative 6 months and 12 months, respectively.

Design and Fabrication of a Push-Pull Electrostatic Actuated Cantilever Waveguide Scanner.

The paper presents a novel fully integrated MEMS-based non-resonating operated 2D mechanical scanning system using a 1D push-pull actuator. Details of the design, fabrication and tests performed are presented. The current design utilizes an integrated electrostatic push-pull actuator and a SU-8 rib waveguide with a large core cross section (4 µm in height and 20 µm in width) in broadband single mode operation (λ = 0.4 µm to 0.65 µm). We have successfully demonstrated a 2D scanning motion using non- resonating operation with 201Hz in vertical direction and 20 Hz in horizontal direction. This non-resonating scanner system has achieved a field of view (FOV) of 0.019 to 0.072 radians in vertical and horizontal directions, with the advantage of overcoming its frequency shift caused by fabrication uncertainties. In addition, we observed two fundamental resonances at 201 and 536 Hz in the vertical and horizontal directions with corresponding displacements of 130 and 19 µm, or 0.072 and 0.0105 radian field of view operating at a +150 V input. A gradient index (GRIN) lens is placed at the end of the waveguide to focus the diverging beam output from the waveguide and a 20 µm beam diameter is observed at the focal plane. The transmission efficiency of the waveguide is slightly low (~10%) and slight tensile residual stress can be observed at the cantilever portion of the waveguide due to inherent imperfections in the fabrication process.

Measurement and modeling of electrowetting lens oscillations using digital holographic interferometry and Bessel and Legendre polynomial functions.

The function of electrowetting liquid lenses is expanding beyond tunable focal length lensing. Recently, single and multi-mode oscillations on the meniscus profile of two non-miscible liquids have been used for optical phase modulation and fast focal length sweeping. To achieve a user-defined phase modulation, a prediction model of oscillation patterns and amplitudes is needed. We present digital holographic interferometry (DHI) measurements of oscillation patterns and amplitudes on a 5.8mm aperture lens up to 160 Hz, including frequency responses from 26-100 Hz. We discuss using Bessel function and Legendre polynomial models for oscillations on a conical frustum shaped electrowetting lens.

Development of a disposable force-sensing glove for clinicians and demonstration of its force measurements on patients during rehabilitation following anterior cruciate ligament reconstruction surgery.

For many clinicians, their effectiveness is dependent on the magnitude of forces they manually apply to their patients. However, current state-of-the-art care strategies lack quantitative feedback, making it difficult to provide consistent care over time and among multiple clinicians. To provide real-time quantitative feedback to clinicians, we have developed a disposable glove with a force sensor embedded in the fingertips or palm. The sensor is based on the fiber-optic bendloss effect whereby light intensity from an infrared source is attenuated as the fiber is bent between a series of corrugated teeth. The sensor fabricated has a very low profile (10×7×1 mm) and has demonstrated high sensitivity, accuracy, range, and durability. Force feedback up to 90 N with an average force threshold at 0.19 N and average sensor resolution at 0.05 N has been demonstrated. A preliminary clinical study has also been conducted with anterior cruciate ligament reconstruction patients who show significant range of motion improvement when treated with the force-sensing glove.