Biphasic Scaffold Loaded With Autologous Cartilage Yields Better Clinical Outcome and Magnetic Resonance Imaging Filling Compared With Marrow Stimulation for Focal Osteochondral Lesions in the Knee.

PURPOSE: To evaluate the effectiveness of marrow stimulation (MS) versus biphasic scaffold loaded with autologous cartilage (scaffold) in treating focal osteochondral lesions of the knee. METHODS: In total, 54 patients with symptomatic focal chondral or osteochondral lesion in the knee were randomized to either the scaffold group or the MS group. International Knee Documentation Committee subjective score, the Knee Injury Osteoarthritis Outcome Score, and magnetic resonance imaging (MRI) were assessed preoperatively and at 1 and 2 years after operation to compare treatment outcomes. Biopsy and second-look arthroscopy were performed at 1 year postoperatively for consenting patients. RESULTS: There were 27 patients (mean age 31.33 ± 10.95 years) in the scaffold group, and 27 patients (31.74 ± 11.44) in the MS group. The scaffold group and the MS group both included 23 patients with lesions ≤12.5 × 12.5 mm2 mm in size. In addition, each group had 4 patients with lesions between than 12.5 × 12.5 mm2 and ≤12.5 × 25 mm2. Both interventions achieved significant improvement in clinical outcome scores at 2 years. The scaffold group had greater International Knee Documentation Committee score than the MS group at 2 years (93.85 ± 9.55 vs 92.11 ± 9.84) and in the Symptoms/Stiffness and Sport/Recreation subscales of Knee Injury Osteoarthritis Outcome Score at 2 years (96.57 ± 5.97 vs 93.57 ± 6.52, P < .05) and (90.2 ± 17.76 vs 82.8 ± 16.08, P < .05). CONCLUSIONS: The use of biphasic scaffold loaded with autologous cartilage in treating focal osteochondral lesions demonstrates superior clinical outcomes and better cartilage refill on magnetic resonance imaging at the 2-year follow-up compared to marrow stimulation. LEVEL OF EVIDENCE: Level I, Randomized controlled trial.

Design of single-layer color echelle grating optical waveguide for augmented-reality display.

We proposed a single-layer color echelle grating combined optical waveguide structure for an augmented-reality display. In this structure, we used echelle gratings with super-wavelength periodic scale as in-coupling, relay, and out-coupling elements. The combined propagation of three light beams in the waveguide was realized by overlapping different high diffraction orders of the RGB three primary colors, and deflection of the beam direction between gratings was achieved by conical diffraction generated by the inclined grating. Using the vector diffraction theory, the structural parameters and tolerance ranges of the three types of gratings were optimized, rendering average diffraction efficiencies of the three primary colors of the in-coupling, relay, and out-coupling gratings greater than 74%, 21%, and 35%, respectively. As a result, we obtained dual-channel one-dimensional pupil dilation of the original image and a field-of-view angle of h18.9° × v36.87°.

Implantable metaverse with retinal prostheses and bionic vision processing.

We present an implantable metaverse featuring retinal prostheses in association with bionic vision processing. Unlike conventional retinal prostheses, whose electrodes are spaced equidistantly, our solution is to rearrange the electrodes to match the distribution of ganglion cells. To naturally imitate the human vision, a scheme of bionic vision processing is developed. On top of a three-dimensional eye model, our bionic vision processing is able to visualize the monocular image, binocular image fusion, and parallax-induced depth map.

Introduction to the feature issue on augmented/virtual reality: optics & photonics.

In recent years, augmented/virtual reality (AR/VR) has been attracting attention and investment in both the tech and academic communities, kickstarting a new wave of innovations. In the wake of this momentum, this feature issue was launched to cover the latest advances in this burgeoning field that pertains to optics and photonics. Alongside the 31 research articles being published, this introduction is appended to share with readers the behind-the-issue stories, submission statistics, reading guides, author biographies, and editors' perspectives.

Near-eye display with a triple-channel waveguide for metaverse.

We present a near-eye display featuring a triple-channel waveguide with chiral liquid crystal gratings. Our triple-channel waveguide is capable of dividing one field of view into three through both the polarization orthogonality and angular separation. To illustrate its principle, a k-space diagram, which takes into account the aspect ratio of field of view, is depicted. Our results demonstrate that its diagonal field of view reaches 90°, eye relief is 10 mm, exit pupil is 4.9 × 4.9 mm2, transmittance is 4.9%, and uniformity is 89%.

Modified Superior Capsule Reconstruction Using the Long Head of the Biceps Tendon as Reinforcement to Rotator Cuff Repair Lowers Retear Rate in Large to Massive Reparable Rotator Cuff Tears.

PURPOSE: To retrospectively assess the clinical outcomes of the patients with large to massive reparable RCTs treated by arthroscopic rotator cuff repair (ARCR) combined with modified superior capsule reconstruction (mSCR) using the long head of biceps tendon (LHBT) as reinforcement with a minimum of 2 years of follow-up. METHODS: We retrospectively evaluated 40 patients with large to massive reparable RCTs who underwent ARCR and mSCR (group I) between February 2017 and June 2018 (18 patients) or underwent ARCR and tenotomy of LHBT performed at the insertion site (group II) between January 2015 and January 2017 (22 patients). The pain visual analog score (VAS) was assessed preoperatively and 1, 3, 6, 12, 24 months postoperatively. American Shoulder and Elbow Surgeons (ASES) scores, the University of California, Los Angeles (UCLA) shoulder rating scale, and active range of motion (AROM) were assessed before surgery and 6, 12, and 24 months after surgery. The integrity of the rotator cuff and mSCR was evaluated using magnetic resonance images at 12 months postoperatively. RESULTS: After surgery, both groups had significantly improved in VAS, ASES, UCLA and AROM scores in the final follow-up. There were no significant between-group differences in the characteristics of the patients before surgery. Group I had improved pain relief at 1 month (P < .001) and at 3 months (P < .01) after surgery. For the AROM, group I (flexion, external rotation, internal rotation) demonstrated better improvement than group II 6 months after surgery (all P < .05) and better internal rotation 12 and 24 months after surgery (all P < .05). The mSCR survival rate was 94.4% (17/18). The retear rate of repaired rotator cuffs for groups I and II was 16.7% (3/18) and 40.9% (9/22), respectively, and the differences were significant (P < .046). CONCLUSIONS: ARCR combined with mSCR using LHBT as reinforcement may lead to a lower retear rate and earlier functional recovery than conventional ARCR with tenotomy of LHBT for large to massive reparable RCTs. LEVEL OF EVIDENCE: Level III, retrospective therapeutic comparative trial.

Reflective Bistable Chiral Splay Nematic Liquid Crystal for Low-Power Heat Sensor.

The memory effect of the bistable liquid crystal mode is able to maintain the display information for a long time. The splay state and π twist states are used as the memory states of the bistable chiral splay nematic (BCSN) mode. The transition time from the π twist state to the splay state is sensitive to the temperature. In this paper, for the heat sensor application, the reflective structure of the BCSN mode has been studied by the Jones matrix method. In experiments, the measured contrast ratio can be over 200 with a minimal reflective structure including a single polarizer and a reflector.

Design of foveated contact lens display for augmented reality.

We present a design of a contact lens display, which features an array of collimated light-emitting diodes and a contact lens, for the augmented reality. By building the infrastructure directly on top of the eye, eye is allowed to move or rotate freely without the need of exit pupil expansion nor eye tracking. The resolution of light-emitting diodes is foveated to match with the density of cones on the retina. In this manner, the total number of pixels as well as the latency of image processing can be significantly reduced. Based on the simulation, the device performance is quantitatively analyzed. For the real image, modulation transfer functions is 0.669757 at 30 cycle/degree, contrast ratio is 5, and distortion is 10%. For the virtual image, the field of view is 82°, best angular resolution is 0.38', modulation transfer function is above 0.999999 at 30 cycle/degree, contrast ratio is 4988, and distortion is 6%.

Design of lensless retinal scanning display with diffractive optical element.

We propose a design of a retinal-scanning-based near-eye display for augmented reality. Our solution is highlighted by a laser scanning projector, a diffractive optical element, and a moist eye with gradient refractive indices. The working principles related to each component are comprehensively studied. Its key performance is summarized as follows. The field of view is 122°, angular resolution is 8.09', diffraction efficiency is 57.6%, transmittance is 80.6%, uniformity is 0.91, luminance is 323 cd/m2, modulation transfer functions are above 0.99999 at 3.71 cycle/degree, contrast ratio is 4878, and distortion is less than 24%.

Ouabain induces apoptotic cell death in human prostate DU 145 cancer cells through DNA damage and TRAIL pathways.

Ouabain, a cardiotonic steroid and specific Na+ /K+ -ATPase inhibitor, has a potential to induce cancer cell apoptosis but the mechanisms of apoptosis induced by ouabain are not fully understand. The aim of this study was to investigate the cytotoxic effects of ouabain on human prostate cancer DU 145 cells in vitro. Cell morphological changes were examined by phase contrast microscopy. Cell viability, cell cycle distribution, cell apoptosis, DNA damage, the production of ROS and Ca2+ , and mitochondrial membrane potential (ΔΨm ) were measured by flow cytometry assay. Results indicated that ouabain induced cell morphological changes, decreased total cell viability, induced G0/G1 phase arrest, DNA damage, and cell apoptosis, increased ROS and Ca2+ production, but decreased the levels of ΔΨm in DU 145 cells. Ouabain also increased the activities of caspase-3, -8, and -9. Western blotting was used for measuring the alterations of apoptosis-associated protein expressions in DU 145 cells and results indicated that ouabain increased the expression of DNA damage associated proteins (pATMSer1981 , p-H2A.XSer139 , and p-p53Ser15 ) and ER-stress-associated proteins (Grp78, ATF6ß, p-PERKThr981 , PERK, eIF2A, GADD153, CaMKIIß, and caspase-4) in time-dependently. Furthermore, ouabain increased apoptosis-associated proteins (DR4, DR5, Fas, Fas Ligand, and FADD), TRAIL pathway, which related to extrinsic pathway, promoted the pro-apoptotic protein Bax, increased apoptotic-associated proteins, such as cytochrome c, AIF, Endo G, caspase-3, -8, and -9, but reduced anti-apoptotic protein Bcl-2 and Bcl-x in DU 145 cells. In conclusion, we may suggest that ouabain decreased cell viability and induced apoptotic cell death may via caspase-dependent and mitochondria-dependent pathways in human prostate cancer DU 145 cells.

Design of retinal-projection-based near-eye display with contact lens.

We propose a design of a retinal-projection-based near-eye display for achieving ultra-large field of view, vision correction, and occlusion. Our solution is highlighted by a contact lens combo, a transparent organic light-emitting diode panel, and a twisted nematic liquid crystal panel. Its design rules are set forth in detail, followed by the results and discussion regarding the field of view, angular resolution, modulation transfer function, contrast ratio, distortion, and simulated imaging.

Design of see-through near-eye display for presbyopia.

We propose a compact design of see-through near-eye display that is dedicated to presbyopia. Our solution is characterized by a plano-convex waveguide, which is essentially an integration of a corrective lens and two volume holograms. Its design rules are set forth in detail, followed by the results and discussion regarding the diffraction efficiency, field of view, modulation transfer function, distortion, and simulated imaging.

See-through near-eye displays enabling vision correction.

We propose a see-through near-eye display, which is dedicated to the visually impaired users who suffer from refractive anomalies. Our solution is characterized by a pair of corrective lenses coated with multiplexed volume holograms. Its key performance including diffraction efficiency, field of view, modulation transfer function, and distortion has been studied.

Crosstalk-free dual-view liquid crystal display using patterned E-type polarizer.

We present a dual-view liquid crystal display that allows two faces of the display to be viewed in opposite directions to show different image/video content simultaneously. This device is characterized by a two-domain twisted nematic liquid crystal and a patterned E-type polarizer. Its key optical performance, including the voltage-luminance curve, crosstalk, and viewing angle, has been investigated. When observed at the best viewing angle, the crosstalk between the right and left views is less than 0.07% for all grayscales. In addition, this type of crosstalk can be immune to the misalignment between the polarizers and the liquid crystal layer. For each right/left view, the range of the viewing angle spans roughly 50°.

Improvement of diffraction efficiency of flat-panel coherent backlight for holographic displays.

Coherent backlight is an essential component for holographic displays. In this paper, a compact design of edge-lit coherent backlight featuring two holographic optical elements for two-dimensional beam expansion is presented. Its diffraction efficiency is numerically studied using the coupled-wave theory. In experiments, the diffraction efficiency is measured as 4.3% and the feasibility of this design is verified by reconstructing 3D images with a spatial light modulator.

Polymer-stabilized blue-phase liquid crystal grating cured with interfered visible light.

In this paper, we demonstrate a holographic polymer-stabilized blue-phase liquid crystal grating fabricated using a visible laser. As blue phase is stabilized by the interfered light, polymer-concentration gradient is achieved simultaneously. With the application of a uniform vertical electric field, periodic index distribution is obtained due to polymer-concentration gradient. The grating exhibits several attractive features such as polarization-independency, a broad temperature range, sub-millisecond response, simple fabrication, and low cost, thus holding great potential for photonics applications.

Postoperative Rehabilitation after Anterior Cruciate Ligament Reconstruction through Telerehabilitation with Artificial Intelligence Brace during COVID-19 Pandemic.

BACKGROUND: Due to the rapid spread of the coronavirus disease-19 (COVID-19), most of the patients expressed a reluctance to undergo postoperative rehabilitation at a rehabilitation clinic. Therefore, in this scenario it was necessary to reshape the crucial role of postoperative rehabilitation of these patients. We conducted a telerehabilitation program based on an artificial intelligence brace (AI brace) which can monitor the progress of rehabilitation through an app and an internet server. Our hypothesis was that home-based telerehabilitation might provide clinical outcomes comparable to face-to-face, hospital-based rehabilitation programs in terms of effectiveness. METHODS: A retrospective cohort study enrolled patients who received anterior cruciate ligament reconstruction (ACLR) between January and September 2020. Patients were divided into two groups: the tele-AI group received telerehabilitation with an AI brace while the FTF group had face-to-face, hospital-based rehabilitation. Clinical knee functional scores and Tegner Activity Scale (TAS) were assessed and analyzed until 12 months after the operation. RESULTS: The tele-AI group had higher IKDC scores at 3 months (p = 0.0443) and 6 months (p = 0.0052) after surgery and higher KOOS scores at 1 month (p = 0.0365) and 6 months (p = 0.0375) after surgery. However, no significant difference between the two groups was detected at the end of the follow-up. The tele-AI group had higher TAS than FTF group after 1 year. CONCLUSIONS: Telerehabilitation after ACLR seems to provide a superior short-term outcome compared to hospital-based rehabilitation during the COVID-19 pandemic.

[Morphological characteristics and gene mapping of a palea degradation(pd2) mutant in rice].

The yield and quality of rice are directly impacted by floral organ development in rice. Understanding of the floral development mechanism will be useful in genetic improvement of yield and quality. In this study, a rice mutant palea degradation 2 (pd2) in an indica cultivar '8PW33' was obtained after 60Co γ-ray treatment. Analysis of the mutant showed that, compared to the wild type, plant height, total grain number per panicle, and sword leaf width were significantly increased, but the seed setting rate were significantly decreased. The florets of the mutant exhibited degraded palea and sickle-shaped tortuous lemma. Detail examination using scanning electron microscopy revealed that when epidermis of the vane and lemma were normal, epidermis of the palea were arranged tightly, which might result from degraded palea. Genetic analysis supported that this mutation phenotype was controlled by a single recessive gene. Polymorphic analysis of simple sequence repeat markers demonstrated that PD2 gene is located on chromosome 9. With a larger mapping population and more indel markers, we further mapped PD2 gene between 2 indel markers with a physical region of about 82 kb. Within this region, there is a cloned gene REP1 known to control rice palea development. By comparing the DNA sequences of REP1 from pd2 and 8PW33, in combination with the results of phenotypic analysis, we concluded that PD2 is an allele of REP1.

Multimodal Biosensing for Vestibular Network-Based Cybersickness Detection.

Virtual reality (VR) has the potential to induce cybersickness (CS), which impedes CS-susceptible VR users from the benefit of emerging VR applications. To better detect CS, the current study investigated whether/how the newly proposed human vestibular network (HVN) is involved in flagship consumer VR-induced CS by simultaneously recording autonomic physiological signals as well as neural signals generated in sensorimotor and cognitive domains. The VR stimuli were made up of one or two moderate CS-inducing entertaining task(s) as well as a mild CS-inducing cognitive task implemented before and after the moderate CS task(s). Results not only showed that CS impaired cognitive control ability, represented by the degree of attentional engagement, but also revealed that combined indicators from all three HVN domains could together establish the best regression relationship with CS ratings. More importantly, we found that every HVN domain had its unique advantage with the dynamic changes in CS severity and time. These results provide evidence for involvement of the HVN in CS and indicate the necessity of HVN-based CS detection.

Validation and modification of the Coronal Plane Alignment of the Knee classification in the Asian population.

AIMS: The Coronal Plane Alignment of the Knee (CPAK) classification is a simple and comprehensive system for predicting pre-arthritic knee alignment. However, when the CPAK classification is applied in the Asian population, which is characterized by more varus and wider distribution in lower limb alignment, modifications in the boundaries of arithmetic hip-knee-ankle angle (aHKA) and joint line obliquity (JLO) should be considered. The purposes of this study were as follows: first, to propose a modified CPAK classification based on the actual joint line obliquity (aJLO) and wider range of aHKA in the Asian population; second, to test this classification in a cohort of Asians with healthy knees; third, to propose individualized alignment targets for different CPAK types in kinematically aligned (KA) total knee arthroplasty (TKA). METHODS: The CPAK classification was modified by changing the neutral boundaries of aHKA to 0° ± 3° and using aJLO as a new variable. Radiological analysis of 214 healthy knees in 214 Asian individuals was used to assess the distribution and mean value of alignment angles of each phenotype among different classifications based on the coronal plane. Individualized alignment targets were set according to the mean lateral distal femoral angle (LDFA) and medial proximal tibial angle (MPTA) of different knee types. RESULTS: A very high concentration, 191 from 214 individuals (89.3%), were found in knee types with apex distal JLO when the CPAK classification was applied in the Asian population. By using aJLO as a new variable, the high distribution percentage in knee types with apex distal JLO decreased to 125 from 214 individuals (58.4%). The most common types in order were Type II (n = 70; 32.7%), Type V (n = 55; 25.7%), and Type I (n = 46; 21.5%) in the modified CPAK classification. CONCLUSION: The modified CPAK classification corrected the uneven distribution when applying the CPAK classification in the Asian population. Setting individualized TKA alignment targets according to CPAK type may be a practical method to recreate optimal LDFA and MPTA in KA-TKA. Cite this article: Bone Jt Open 2022;3(3):211-217.