BACKGROUND The purpose of this systematic review was to evaluate the clinical and radiological outcomes at short-term follow-up following suture button fixation for the management of ligamentous Lisfranc injuries.AIM ...BACKGROUND The purpose of this systematic review was to evaluate the clinical and radiological outcomes at short-term follow-up following suture button fixation for the management of ligamentous Lisfranc injuries.AIM To assess the effectiveness of suture button fixation in managing ligamentous Lisfranc injuries through a systematic evaluation of short-term clinical and radiological outcomes.METHODS During March 2024,the PubMed,EMBASE,and Cochrane library databases were systematically reviewed to identify clinical studies examining outcomes following suture button fixation for the management of ligamentous Lisfranc injuries.Data regarding patient demographics,pathological characteristics,subjective clinical outcomes,radiological outcomes,complications,and failure rates were extracted and analyzed.RESULTS Eight studies were included.In total,94 patients(94 feet)underwent suture button fixation for the management of ligamentous Lisfranc injuries at a weighted mean follow-up of 27.2±10.2 months.The American Orthopaedic Foot and Ankle Society score improved from a weighted mean pre-operative score of 39.2±11.8 preoperatively to a post-operative score of 82.8±5.4.The weighted mean visual analogue scale score improved from a weighted mean pre-operative score of 7.7±0.6 preoperatively to a post-operative score of 2.0±0.4.In total,100%of patients returned to sport at a mean time of 16.8 weeks.The complication rate was 5%,the most common complication of which was residual midfoot stiffness(3.0%).No failures nor secondary surgical procedures were recorded.CONCLUSION This systematic review demonstrated that suture button fixation for ligamentous Lisfranc injuries produced improved clinical outcomes at short-term follow-up.In addition,there was an excellent return-to-sport rate(100%)at a weighted mean time of 16.8 weeks.This review highlights that suture button fixation is a potent surgical treatment strategy for ligamentous Lisfranc injuries;however,caution should be taken when evaluating this data in light of the lack of high quality,comparative studies,and short-term follow-up.展开更多
Activated carbon （AC） derived from waste coconut buttons （CB） was investigated as a suitable adsorbent for the removal of heavy metal ions such as Pb（II）, Hg（II） and Cu（II） from industrial effluents through ...Activated carbon （AC） derived from waste coconut buttons （CB） was investigated as a suitable adsorbent for the removal of heavy metal ions such as Pb（II）, Hg（II） and Cu（II） from industrial effluents through batch adsorption process. The AC was characterized by elemental analysis, fourier transform infrared spectroscopy, X-ray diflraction, scanning electron microscopy, thermal gravimetric and diflerential thermal analysis, surface area analyzer and potentiometric titrations. The eflects of initial metal concentration, contact time, pH and adsorbent dose on the adsorption of metal ions were studied. The adsorbent revealed a good adsorption potential for Pb（II） and Cu（II） at pH 6.0 and for Hg（II） at pH 7.0. The experimental kinetic data were a better fit with pseudo second-order equation rather than pseudo first-order equation. The Freundlich isotherm model was found to be more suitable to represent the experimental equilibrium isotherm results for the three metals than the Langmuir model. The adsorption capacities of the AC decreased in the order： Pb（II） Hg（II） Cu（II）.展开更多
At the present time in china, the binder used in tungsten carbide composite button is mainly cobalt, which is very expensive. In order to solve the problems, a new type of rare earth and iron-rich diamond-enhanced tun...At the present time in china, the binder used in tungsten carbide composite button is mainly cobalt, which is very expensive. In order to solve the problems, a new type of rare earth and iron-rich diamond-enhanced tungsten carbide with high abrasive resistance and high toughness against impact, which realizes to substitute ferrum for cobalt, has been developed. The key problems in making the button are to improve the mechanical properties of matrix and increase the welding strength between the diamond and the matrix. All these problems have been solved effectively by low temperature activation hot-press sintering, doping rare earth lanthanum in matrix and high sintering pressure. The properties of the button have been determined under laboratory conditions. The test results show that its hardness is more than 90 HRA, its abrasive resistance is 39 times more than that of conventional cemented tungsten carbide, and its toughness against impact is more than 200 J. All these data show the button has very good mechanical properties.展开更多
At the present, the cutters used in button bits and rock bits are mainly cobalt tungsten carbide in our country. Because of its low abrasive resistance, the bit service life and drilling efficiency was very low when t...At the present, the cutters used in button bits and rock bits are mainly cobalt tungsten carbide in our country. Because of its low abrasive resistance, the bit service life and drilling efficiency was very low when the hard and extremely hard formations were being drilled. Owing to its high abrasive resistance, the diamond composite material is widely used in drilling operations. However, its toughness against impact is too low to be used in percussion drilling, only can it be used in rotary drilling. In order to solve the problems encountered by DTH hammer in hard rock drilling, make bit life longer, increase rate of penetration and decrease drilling cost, a new type diamond enhanced tungsten carbide composite button with high abrasive resistance and high toughness against impact, which may be used in percussion drilling, has been developed. The key problems to make the button are to improve the thermal stability of diamond, to increase the welding strength between diamond and cemented tungsten carbide, and to lower the sintering temperature of tungsten carbide. All these problems have been solved effectively by pretreatment of diamond, low temperature activation hot-press sintering and high sintering pressure. (1) To plate tungsten on the surface of diamond. Diamond suffers easily from erosion in the environment of high temperature containing oxygen and iron family elements. There is very high energy between the interface of diamond and bonding metal and so the metallurgical bond can’t form at the interface between diamond and bond metal. This will lower greatly the bending strength and the toughness against impact of diamond enhanced tungsten carbide composite button. In order to improve thermal stability of diamond and increase the bonding strength of the interface between diamond and bond metal, to plate tungsten on the surface of diamond by vacuum vapor deposit is adopted. (2) To lower the sintering temperature by adding nickel, phosphorus and boron etc into conventional mixed powder. In general, the sintering temperature of cemented tungsten carbide is more than 1 350 ℃ in which diamond will suffer from serious heat erosion, so the sintering temperature must be lowered. To add nickel, phosphorus and boron etc into cobalt-base bond whose melting point is more than 1 350 ℃ will lower the sintering temperature to about 1 050 ℃. To add phosphorus can lower the temperature of liquid phase occurring and promote the densification of matrix alloy in advance because the co-crystallization temperature of Ni-P and Co-P is 880 ℃ and 1 020 ℃ respectively. The proper adding amount of nickel, phosphorus and boron etc is a key problem. To substitute nickel for partial cobalt can improve the toughness against impact of diamond enhanced tungsten carbide composite button and lower the sintering temperature. To add boron is helpful for sintering and improving the toughness against impact of diamond enhanced tungsten carbide composite button. (3) To increase the sintering press. Under the same sintering temperature, to improve the sintering press can improve the density and strength of sintering products. In this study to increase the sintering press 35 MPa in the usual conditions to 50～60 MPa in sintering diamond enhanced tungsten carbide button by adopting ceramic material as pressing rod has improved the sintering quality effectively. The properties of the button have been measured under lab conditions. The testing results show that its hardness is more than HRA86 and that its abrasiveness resistance is 100 times more than conventional cemented tungsten carbide, and its toughness against impact is more than 100J. All these data theoretically show that the button has very good mechanical properties that can meet the need of percussion drilling, and can solve the problems encountered with button bit of conventional cemented tungsten carbide.展开更多
文摘BACKGROUND The purpose of this systematic review was to evaluate the clinical and radiological outcomes at short-term follow-up following suture button fixation for the management of ligamentous Lisfranc injuries.AIM To assess the effectiveness of suture button fixation in managing ligamentous Lisfranc injuries through a systematic evaluation of short-term clinical and radiological outcomes.METHODS During March 2024,the PubMed,EMBASE,and Cochrane library databases were systematically reviewed to identify clinical studies examining outcomes following suture button fixation for the management of ligamentous Lisfranc injuries.Data regarding patient demographics,pathological characteristics,subjective clinical outcomes,radiological outcomes,complications,and failure rates were extracted and analyzed.RESULTS Eight studies were included.In total,94 patients(94 feet)underwent suture button fixation for the management of ligamentous Lisfranc injuries at a weighted mean follow-up of 27.2±10.2 months.The American Orthopaedic Foot and Ankle Society score improved from a weighted mean pre-operative score of 39.2±11.8 preoperatively to a post-operative score of 82.8±5.4.The weighted mean visual analogue scale score improved from a weighted mean pre-operative score of 7.7±0.6 preoperatively to a post-operative score of 2.0±0.4.In total,100%of patients returned to sport at a mean time of 16.8 weeks.The complication rate was 5%,the most common complication of which was residual midfoot stiffness(3.0%).No failures nor secondary surgical procedures were recorded.CONCLUSION This systematic review demonstrated that suture button fixation for ligamentous Lisfranc injuries produced improved clinical outcomes at short-term follow-up.In addition,there was an excellent return-to-sport rate(100%)at a weighted mean time of 16.8 weeks.This review highlights that suture button fixation is a potent surgical treatment strategy for ligamentous Lisfranc injuries;however,caution should be taken when evaluating this data in light of the lack of high quality,comparative studies,and short-term follow-up.
文摘Activated carbon （AC） derived from waste coconut buttons （CB） was investigated as a suitable adsorbent for the removal of heavy metal ions such as Pb（II）, Hg（II） and Cu（II） from industrial effluents through batch adsorption process. The AC was characterized by elemental analysis, fourier transform infrared spectroscopy, X-ray diflraction, scanning electron microscopy, thermal gravimetric and diflerential thermal analysis, surface area analyzer and potentiometric titrations. The eflects of initial metal concentration, contact time, pH and adsorbent dose on the adsorption of metal ions were studied. The adsorbent revealed a good adsorption potential for Pb（II） and Cu（II） at pH 6.0 and for Hg（II） at pH 7.0. The experimental kinetic data were a better fit with pseudo second-order equation rather than pseudo first-order equation. The Freundlich isotherm model was found to be more suitable to represent the experimental equilibrium isotherm results for the three metals than the Langmuir model. The adsorption capacities of the AC decreased in the order： Pb（II） Hg（II） Cu（II）.
文摘At the present time in china, the binder used in tungsten carbide composite button is mainly cobalt, which is very expensive. In order to solve the problems, a new type of rare earth and iron-rich diamond-enhanced tungsten carbide with high abrasive resistance and high toughness against impact, which realizes to substitute ferrum for cobalt, has been developed. The key problems in making the button are to improve the mechanical properties of matrix and increase the welding strength between the diamond and the matrix. All these problems have been solved effectively by low temperature activation hot-press sintering, doping rare earth lanthanum in matrix and high sintering pressure. The properties of the button have been determined under laboratory conditions. The test results show that its hardness is more than 90 HRA, its abrasive resistance is 39 times more than that of conventional cemented tungsten carbide, and its toughness against impact is more than 200 J. All these data show the button has very good mechanical properties.
文摘At the present, the cutters used in button bits and rock bits are mainly cobalt tungsten carbide in our country. Because of its low abrasive resistance, the bit service life and drilling efficiency was very low when the hard and extremely hard formations were being drilled. Owing to its high abrasive resistance, the diamond composite material is widely used in drilling operations. However, its toughness against impact is too low to be used in percussion drilling, only can it be used in rotary drilling. In order to solve the problems encountered by DTH hammer in hard rock drilling, make bit life longer, increase rate of penetration and decrease drilling cost, a new type diamond enhanced tungsten carbide composite button with high abrasive resistance and high toughness against impact, which may be used in percussion drilling, has been developed. The key problems to make the button are to improve the thermal stability of diamond, to increase the welding strength between diamond and cemented tungsten carbide, and to lower the sintering temperature of tungsten carbide. All these problems have been solved effectively by pretreatment of diamond, low temperature activation hot-press sintering and high sintering pressure. (1) To plate tungsten on the surface of diamond. Diamond suffers easily from erosion in the environment of high temperature containing oxygen and iron family elements. There is very high energy between the interface of diamond and bonding metal and so the metallurgical bond can’t form at the interface between diamond and bond metal. This will lower greatly the bending strength and the toughness against impact of diamond enhanced tungsten carbide composite button. In order to improve thermal stability of diamond and increase the bonding strength of the interface between diamond and bond metal, to plate tungsten on the surface of diamond by vacuum vapor deposit is adopted. (2) To lower the sintering temperature by adding nickel, phosphorus and boron etc into conventional mixed powder. In general, the sintering temperature of cemented tungsten carbide is more than 1 350 ℃ in which diamond will suffer from serious heat erosion, so the sintering temperature must be lowered. To add nickel, phosphorus and boron etc into cobalt-base bond whose melting point is more than 1 350 ℃ will lower the sintering temperature to about 1 050 ℃. To add phosphorus can lower the temperature of liquid phase occurring and promote the densification of matrix alloy in advance because the co-crystallization temperature of Ni-P and Co-P is 880 ℃ and 1 020 ℃ respectively. The proper adding amount of nickel, phosphorus and boron etc is a key problem. To substitute nickel for partial cobalt can improve the toughness against impact of diamond enhanced tungsten carbide composite button and lower the sintering temperature. To add boron is helpful for sintering and improving the toughness against impact of diamond enhanced tungsten carbide composite button. (3) To increase the sintering press. Under the same sintering temperature, to improve the sintering press can improve the density and strength of sintering products. In this study to increase the sintering press 35 MPa in the usual conditions to 50～60 MPa in sintering diamond enhanced tungsten carbide button by adopting ceramic material as pressing rod has improved the sintering quality effectively. The properties of the button have been measured under lab conditions. The testing results show that its hardness is more than HRA86 and that its abrasiveness resistance is 100 times more than conventional cemented tungsten carbide, and its toughness against impact is more than 100J. All these data theoretically show that the button has very good mechanical properties that can meet the need of percussion drilling, and can solve the problems encountered with button bit of conventional cemented tungsten carbide.
