To prevent patella infera in open wedge high tibial osteotomy, a new operation technique was developed. Instead of a proximal tibial tuberosity osteotomy, a distal osteotomy was performed and the tuberosity was fixed with one screw to the tibia. Initial experience in 17 patients was evaluated and compared with results of 20 patients with open wedge high tibial osteotomy with proximal tuberosity...

The paper studies the properties of a sinusoidally vibrating wedge billiard as a model for 2D impact juggling. It is shown that some periodic orbits that are unstable in the elastic fixed wedge become exponentially stable in the (non-)elastic vibrating wedge. These orbits are linked with some classical juggling patterns, providing an interesting benchmark for the study of the frequency-locking ...

Centrifuge analog modeling incorporating thickness variations of décollement and overlying sedimentary cover is used to study thrust-wedge evolution on salt-detached contractional systems involving tapered cover. From simpler, layer-cake 3D décollement-cover sequences, our models constrain wedge evolution: a more advanced front, where the thicker, promotes differential frontal translation trigg...

The polychaete Nereis virens burrows through muddy sediments by exerting dorsoventral forces against the walls of its tongue-depressor-shaped burrow to extend an oblate hemispheroidal crack. Stress is concentrated at the crack tip, which extends when the stress intensity factor (KI) exceeds the critical stress intensity factor (KIc). Relevant forces were measured in gelatin, an analog for elast...

BACKGROUND There is limited guidance on the design of stepped wedge cluster randomised trials. Current methodological literature focuses mainly on trials with cross-sectional data collection at discrete times, yet many recent stepped wedge trials do not follow this design. In this article, we present a typology to characterise the full range of stepped wedge designs, and offer guidance on sever...