We compared revision and mortality rates of 4668 patients undergoing primary total hip and knee replacement between 1989 and 2007 at a University Hospital in New Zealand. The mean age at the time of surgery was 69 years (16 to 100). A total of 1175 patients (25%) had died at follow-up at a mean of ten years post-operatively. The mean age of those who died within ten years of surgery was 74.4 years (29 to 97) at time of surgery. No change in comorbidity score or age of the patients receiving joint replacement was noted during the study period. No association of revision or death could be proven with higher comorbidity scoring, grade of surgeon, or patient gender. We found that patients younger than 50 years at the time of surgery have a greater chance of requiring a revision than of dying, those around 58 years of age have a 50:50 chance of needing a revision, and in those older than 62 years the prosthesis will normally outlast the patient. Patients over 77 years old have a greater than 90% chance of dying than requiring a revision whereas those around 47 years are on average twice as likely to require a revision than die. This information can be used to rationalise the need for long-term surveillance and during the informed consent process.

Taking the triangle areas as independent variables in the theory of Regge calculus can lead to ambiguities in the edge lengths, which can be interpreted as discontinuities in the metric. We construct solutions to area Regge calculus using a triangulated lattice and find that on a spacelike hypersurface no such discontinuity can arise. On a null hypersurface however, we can have such a situation and the resulting metric can be interpreted as a so-called refractive wave.

Following a strictly geometric approach we construct globally supersymmetric scalar field theories on the supersphere, defined as the quotient space $S^{2|2} = UOSp(1|2)/\mathcal{U}(1)$. We analyze the superspace geometry of the supersphere, in particular deriving the invariant vielbein and spin connection from a generalization of the left-invariant Maurer-Cartan form for Lie groups. Using this information we proceed to construct a superscalar field action on $S^{2|2}$, which can be decomposed in terms of the component fields, yielding a supersymmetric action on the ordinary two-sphere. We are able to derive Lagrange equations and Noether's theorem for the superscalar field itself.Comment: 38 pages, 1 figur

We reviewed the results at nine to 13 years of 125 total hip replacements in 113 patients using the monoblock uncemented Morscher press-fit acetabular component. The mean age at the time of operation was 56.9 years (36 to 74). The mean clinical follow-up was 11 years (9.7 to 13.5) and the mean radiological follow-up was 9.4 years (7.7 to 13.1). Three hips were revised, one immediately for instability, one for excessive wear and one for deep infection. No revisions were required for aseptic loosening. A total of eight hips (7.0%) had osteolytic lesions greater than 1 cm, in four around the acetabular component (3.5%). One required bone grafting behind a well-fixed implant. The mean wear rate was 0.11 mm/year (0.06 to 0.78) and was significantly higher in components with a steeper abduction angle. Kaplan-Meier survival curves at 13 years showed survival of 96.8% (95% confidence interval 90.2 to 99.0) for revision for any cause and of 95.7% (95% confidence interval 88.6 to 98.4) for any acetabular re-operation.

Supercoset spaces play an important role in the formulation of supersymmetric theories. The aim of this paper is to review and discuss the geometry of supercoset spaces with particular focus on the way the geometrical structures of the supercoset space G∕H are inherited from the super-Lie group G. The isometries of the supercoset space are discussed and a definition of Killing supervectors—the supervectors associated with infinitesimal isometries—is given that can be easily extended to spaces other than coset spaces.