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Chang, Edward S.

Publications and source records attributed to Chang, Edward S..

Biomechanical Comparison of Anatomic Restoration of the Ulnar Footprint vs Traditional Ulnar Tunnels in Ulnar Collateral Ligament Reconstruction

Background: Current techniques for ulnar collateral ligament (UCL) reconstruction do not reproduce the anatomic ulnar footprint of the UCL. The purpose of this study was to describe a novel UCL reconstruction technique that utilizes proximal-to-distal ulnar bone tunnels to better re-create the anatomy of the UCL and to compare the biomechanical profile at time zero among this technique, the native UCL, and the traditional docking technique. Hypothesis: The biomechanical profile of the anatomic technique is similar to the native UCL and traditional docking technique. Study Design: Controlled laboratory study. Methods: Ten matched cadaveric elbows were potted with the forearm in neutral rotation. The palmaris longus tendon graft was harvested, and bones were sectioned 14 cm proximal and distal to the elbow joint. Specimen testing included (1) native UCL testing performed at 90° of flexion with 0.5 N·m of valgus moment preload, (2) cyclic loading from 0.5 to 5 N·m of valgus moment for 1000 cycles at 1 Hz, and (3) load to failure at 0.2 mm/s. Elbows then underwent UCL reconstruction with 1 elbow of each pair receiving the classic docking technique using either anatomic (proximal to distal) or traditional (anterior to posterior) tunnel locations. Specimen testing was then repeated as described. Results: There were no differences in maximum load at failure between the anatomic and traditional tunnel location techniques (mean ± SD, 34.90 ± 10.65 vs 37.28 ± 14.26 N·m; P = .644) or when including the native UCL (45.83 ± 17.03 N·m; P = .099). Additionally, there were no differences in valgus angle after 1000 cycles across the anatomic technique (4.58°± 1.47°), traditional technique (4.08°± 1.28°), and native UCL (4.07°± 1.99°). The anatomic group and the native UCL had similar valgus angles at failure (24.13°± 5.86° vs 20.13°± 5.70°; P = .083), while the traditional group had a higher valgus angle at failure when compared with the native UCL (24.88°± 6.18° vs 19.44°± 5.86°; P = .015). Conclusion: In this cadaveric model, UCL reconstruction with the docking technique utilizing proximal-to-distal ulnar tunnels better restored the ulnar footprint while providing valgus stability comparable with reconstruction with the docking technique using traditional anterior-to-posterior ulnar tunnel locations. These results suggest that utilization of the anatomic tunnel location in UCL reconstruction has similar biomechanical properties to the traditional method at the time of initial fixation (ie, not accounting for healing after reconstruction in vivo) while keeping the ulnar tunnels farther from the ulnar nerve. Further studies are warranted to determine if an anatomically based UCL reconstruction results in differing outcomes than traditional reconstruction techniques. Clinical Relevance: Current UCL reconstruction techniques do not accurately re-create the ulnar UCL footprint. The UCL is a dynamic constraint to valgus loads at the elbow, and a more anatomic reconstruction may afford more natural joint kinematics. This more anatomic technique performs similarly to the traditional docking technique at time zero, and the results of this study may offer a starting point for future in vivo studies.

Chang, Edward S.↗

Intramedullary Unicortical Button and All-Suture Anchors Provide Similar Maximum Strength for Onlay Distal Biceps Tendon Repair

To evaluate the biomechanical profile of onlay distal biceps repair with an intramedullary unicortical button versus all-suture anchors under cyclic loading and maximal load to failure. Twenty paired fresh-frozen human cadaveric elbows were randomized to onlay distal biceps repair with either a single intramedullary button or with two 1.35-mm all-suture anchors. A 1.3-mm high tensile strength tape was used in a Krackow stitch to suture the tendons in both groups. Specimens and repair constructs were loaded for 3,000 cycles and then loaded to failure. Maximum load to failure, mode of failure, and construct elongation were recorded. Mean (± standard deviation) maximum load to failure for the unicortical intramedullary button and all-suture anchor repairs were 503.23 ± 141.77 N and 537.33 ± 262.13 N (P = .696), respectively. Mean maximum displacement after 3,000 cycles (± standard deviation) was 4.17 ± 2.05 mm in the button group and 2.06 ± 1.05 mm in the suture anchor group (P = .014). Mode of failure in the button group was suture tape rupture in 7 specimens, failure at the tendon–suture interface in 2 specimens, and button pullout in 1 specimen. Anchor pullout was the mode of failure in all suture anchor specimens. There were no tendon ruptures or radial tuberosity fractures in either group. In conclusion, this study demonstrates that onlay distal biceps repair with 2 all-suture anchors has similar maximum strength to repair with an intramedullary button and that both are viable options for fixation.

60 APPLIED LIFE SCIENCES↗

Performance of the GLAS Space Lidar Receiver Through Its Seven-Year Space Mission

NASA s Ice, Cloud, and land Elevation Satellite (ICESat) mission [1,2] carrying the Geoscience Laser Altimeter System (GLAS) Instrument, was launched on January 12, 2003. The three lasers on ICESat have made a total of 1.98 billion laser shot measurements of the Earth s surface and atmosphere during its 17 science data collection campaigns over its seven year operating lifetime. ICESat completed its science mission after the last laser stopped operating in October 2009. The spacecraft was de-orbited on August 30, 2010. The GLAS instrument carried 3 diode-pumped Q-switched Nd:YAG lasers, which emitted 6-nsec wide pulses at 1064 and 532 nm at a 40-Hz rate. There are three lidar receiver channels, a 1064 nm surface altimetry channel, a 1064 nm cloud backscattering lidar channel, and a 532 nm cloud and aerosol backscattering lidar channel. The altimetry and cloud backscatter channels used Si avalanche photodiode (APD) operated in analog mode as in the Mars Global Surveyor s Mars Orbital Laser Altimeter [3,4]. GLAS also utilized a number of new technologies and techniques for space lidar, including passively Q-switched diode-pumped Nd:YAG lasers, a 1-m diameter telescope, a temperature tuned etalon optical bandpass filter, Si APD single photon counting detectors, 1 Gsample/sec waveform digitizers, ultra stable clock oscillators, and digital signal processing and detection algorithms [5]. A global position system (GPS) receiver was used to provide the spacecraft position and epoch times. The ICESat mission provided a unique opportunity to monitor the lidar component performance in the space environment over a multi-year time period. We performed a number of engineering tests periodically to monitor the lidar receiver performance, including receiver sensitivity, timing precision, detector dark noise, etc. A series of engineering tests were also performed after the end of the science mission to evaluate the performance of the spare detector, oscillator, waveform digitizer, and GPS receiver. An experiment was conducted which pointed GLAS to Venus to test the receiver sensitivity to star light and to verify GLAS bore sight with respect to the spacecraft coordinate system. These tests provided unique data to assess the degradation and the rate of change of these key lidar components due to space radiation and aging. They also helped to validate new techniques to operate and calibrate future space lidars.

Sun, Xiaoli↗

Mission operations update for the restructured Earth Observing System (EOS) mission

The National Aeronautics and Space Administration's (NASA) Earth Observing System (EOS) will provide a comprehensive long term set of observations of the Earth to the Earth science research community. The data will aid in determining global changes caused both naturally and through human interaction. Understanding man's impact on the global environment will allow sound policy decisions to be made to protect our future. EOS is a major component of the Mission to Planet Earth program, which is NASA's contribution to the U.S. Global Change Research Program. EOS consists of numerous instruments on multiple spacecraft and a distributed ground system. The EOS Data and Information System (EOSDIS) is the major ground system developed to support EOS. The EOSDIS will provide EOS spacecraft command and control, data processing, product generation, and data archival and distribution services for EOS spacecraft. Data from EOS instruments on other Earth science missions (e.g., Tropical Rainfall Measuring Mission (TRMM)) will also be processed, distributed, and archived in EOSDIS. The U.S. and various International Partners (IP) (e.g., the European Space Agency (ESA), the Ministry of International Trade and Industry (MITI) of Japan, and the Canadian Space Agency (CSA)) participate in and contribute to the international EOS program. The EOSDIS will also archive processed data from other designated NASA Earth science missions (e.g., UARS) that are under the broad umbrella of Mission to Planet Earth.

Kelly, Angelita Castro↗

Mg I absorption features in the solar spectrum near 9 and 12 microns

High-resolution FTS observations from the Kitt Peak National Solar Observatory and the Spacelab 3 ATMOS experiment have revealed additional infrared transitions due to Mg I in the spectra of both quiet sun and sunspot penumbra. In contrast to previous observations, these transitions are seen in absorption, not emission. Absorption intensities range from 1 to 7 percent of the continuum in the quiet sun. In the penumbra, the same features appear to show Zeeman splitting. Modeling of the line profiles in the photospheric spectrum shows evidence for a factor of three overabundance in the n = 5 or more levels of Mg I in the upper photosphere, but with no deviations from a Planck source function. It is concluded that whatever the process that produces the emission (including the Lemke and Holweger mechanism), it must occur well above the tau(5000) = 0.01 level.

Glenar, David A.↗