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Background: Commercially available flexible reamer and curved guide systems allow a certain degree of control over intra-articular tunnel orientation, therefore allows a wide range of intra-osseous femoral tunnel orientations, contrary to the femoral tunneling technique using a straight guide pin, which are determined by knee flexion angle. We sought to find the clinical relevance of intra-osseous femoral tunnel orientations in the respect of tunnel length. To evaluate the relationship between the tunnel axis angle in three orthogonal planes and tunnel length in the anteromedial (AM) and posterolateral (PL) femoral tunnels in patients who underwent anatomic double-bundle anterior cruciate ligament reconstruction (DB-ACLR) using the transportal (TP) technique with a 42 o curved guide.

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In this work, both experimental and numerical studies were conducted to investigate the densification behavior of stainless steel 316L (STS 316L) powders during hot isostatic pressing (HIP), and to characterize the mechanical properties of HIPed specimens. The HIP experiments were conducted with gas atomized STS 316L powders with spherical particle shapes under controlled pressure and temperature conditions. The mechanical properties of HIPed samples were determined based on a series of tensile tests, and the results were compared to a reference STS 316L sample prepared by the conventional process, i.e., extrusion and annealing process. Corresponding microstructures before and after tensile tests were observed using scanning electron microscopy and their relationships to the mechanical properties were addressed. Furthermore, a finite element simulation based on the power-law creep model was carried out to predict the density distribution and overall shape change of the STS316L powder compact during HIP process, which agreed well with the experimental results. † (