In this paper the ratcheting behavior of four pairs of stainless steel elbows is studied under conditions of steady internal pressure and dynamic conditions that induced out-of-plane external moments at frequencies ty...In this paper the ratcheting behavior of four pairs of stainless steel elbows is studied under conditions of steady internal pressure and dynamic conditions that induced out-of-plane external moments at frequencies typical of seismic excitations. The finite element analysis with the nonlinear kinematic hardening model has been used to evaluate ratcheting behavior of the piping elbows under mentioned loading condition. Material parameters have been obtained from several stabilized cycles of specimens that are subjected to symmetric strain cycles. The direction of maximum strain is at about 45° between the hoop and axial directions. The results show that the direction of highest ratcheting is along the hoop direction rather than the direction of maximum principal strain. Also, the initial rate of ratcheting is large and then it decreases with the increasing cycles. Also, the FE method gives over estimated values compared with the experimental data.展开更多
Experimental data on the pressure drop across different types of elbow for non-Newtonian pseudoplastic liquid flow in laminar condition have been presented. A generalized correlation has been developed for predicting ...Experimental data on the pressure drop across different types of elbow for non-Newtonian pseudoplastic liquid flow in laminar condition have been presented. A generalized correlation has been developed for predicting the frictional pressure drop across the elbows in the horizontal plane.展开更多
The present study demonstrates the comparison of erosion rate of critical pipeline parts, namely elbow and T-junction which face the maximum erosion in a pipeline and may cause an early damage and failure of the syste...The present study demonstrates the comparison of erosion rate of critical pipeline parts, namely elbow and T-junction which face the maximum erosion in a pipeline and may cause an early damage and failure of the system. CFD （computational fluid dynamics） with an Eulerian-Lagrangian approach coupled with an approved erosion model is applied to visualize the 3-D flow behavior of slurry flow in both parts and to predict the erosion rate and the location of erosion at the internal surfaces. The analysis of slurry erosion is performed in five steps; geometry and grid generation, grid study/refinement, fluid flow solution, solid particles tracking and finally, the erosion calculation. In previous publications in literature considering transportation of gas-solid flows in pipe parts, the application ofT-junctions instead of elbows for specified conditions in order to reduce the erosion is recommended. In this article, it is approved that for liquid-solid flows, the Stokes number is reasonably smaller than the values for gas-solid flows. This causes the solid particles tightly couple to the fluid phase and to travel more closely with the fluid streamlines. The effects of important influencing parameters such as feed flow velocity, solid concentration, particle size and shape are investigated in detail in current work. It was found that for liquid-solid flows, the erosion of T-junction for all of the mentioned influencing parameters, due to its geometrical specifications and Stokes number variation in comparison with gas-solid flows, is reasonably higher than erosion of elbow. Due to these findings, in contrary to the gas-solid mixture flows, application of T-junction instead of elbow for liquid-solid flow transportation is not recommended.展开更多
Based on the demands of compact heat exchangers and micro cooling channels applied for aviation thermal protection on aero-engines,the elbow localflow resistance charac-teristics for supercritical pressure aviation fu...Based on the demands of compact heat exchangers and micro cooling channels applied for aviation thermal protection on aero-engines,the elbow localflow resistance charac-teristics for supercritical pressure aviation fuel RP-3flowing in adiabatic horizontal serpentine tubes with the inner diameter of 1.8 mm and the massflux of 1179 kg/(m^(2)·s)were experimen-tally studied.The long-short-tube method was used to obtain the elbow pressure drop from the total serpentine tube pressure drop,and the effects of system pressures(P/Pc=1.72-2.58)and geometry parameters including bend numbers(n=5-11),bend diameters(D/d=16.7-27.8),and bend distances(L/d=20-60)on elbow pressure drops and local resistance co-efficients are analyzed on the basis of the thermal physical property variation.The results show that both the increase in the elbow pressure drop and the decrease in the local resistance coef-ficient with temperatures speed up at the near pseudo-critical temperature region of T>0.85Tpc.And the growth of the elbow local pressure drop could be inhibited by the increase of system pressures,while the local resistance coefficient is slightly affected by pressures.The influence of bend diameters on the local resistance coefficient is mild when D/d is larger than 22.2 in the premise of fully developedflow in straight tubes.Furthermore,a piecewise empir-ical correlation considering the bend diameter and physical property ratio is developed to pre-dict the elbow pressure drop of the serpentine tube and optimize the layout of the cooling tube system on aero-engines.展开更多
In the practice of pipeline transport of oil,oil products and gas to perform turns of trunk and field pipelines in vertical and horizontal planes are used bends of various designs such as:elbows with bending radius of...In the practice of pipeline transport of oil,oil products and gas to perform turns of trunk and field pipelines in vertical and horizontal planes are used bends of various designs such as:elbows with bending radius of 1.0DN or 1.5DN and standardized angles of 30°,45°,60°,90°;induction bends with bending angles from 1°to 90°;cold bends with bending angles depending on the nominal diameter DN.展开更多
BACKGROUND Radial head fractures constitute approximately one-third of all elbow fractures,significantly impacting the young and active population.While open reduction and internal fixation is the preferred treatment ...BACKGROUND Radial head fractures constitute approximately one-third of all elbow fractures,significantly impacting the young and active population.While open reduction and internal fixation is the preferred treatment for displaced fractures,its high complication rate in comminuted fractures has led to the increasing use of radial head arthroplasty(RHA).RHA provides improved functional outcomes with fewer complications,yet its long-term efficacy remains a topic of debate.AIM To evaluate the functional outcomes of patients undergoing RHA with a modular metallic prosthesis for comminuted Mason type III and IV radial head fractures.METHODS A prospective and retrospective hospital-based study was conducted at Dayanand Medical College and Hospital,Ludhiana over 32 months(January 2021-August 2023).A total of 26 patients with Mason type III and IV fractures were included,with six retrospective and 20 prospective cases.Functional outcomes were assessed using the Mayo Elbow Performance Score(MEPS),elbow range of motion,pain via Visual Analog Scale,and activities of daily living at immediate postoperative,three-month,and six-month follow-ups.RESULTS MEPS at 6 months follow up for 4 cases(15.38%)had good scores,and 22 cases(84.62%)had excellent scores,with a mean±SD of 97.31±6.67.Comparisons showed significant improvement from immediate post-operative to 3 months(P<0.0001),from immediate post-operative to 6 months(P<0.0001),and between 3 months and 6 months(P<0.0001).None of the patients had elbow instability after radial head replacement and 22 cases(84.62%)had no complications,while 3 cases(11.54%)had a stiff elbow,and 1 case(3.85%)had heterotopic ossification.CONCLUSION RHA is an effective treatment for comminuted radial head fractures,providing stable elbow function with minimal complications.展开更多
BACKGROUND Supracondylar humeral fractures(SCHF)are the second most common fractures in childhood and can lead to short-and long-term complications.Despite their prevalence,the anatomical factors that predispose child...BACKGROUND Supracondylar humeral fractures(SCHF)are the second most common fractures in childhood and can lead to short-and long-term complications.Despite their prevalence,the anatomical factors that predispose children to SCHF remain unclear.This study aimed to determine whether there are significant morpho-logical differences in the elbow by comparing the radiographic angular measure-ments of the contralateral elbows of patients with SCHF to those of patients with distal radius fractures(DRF)and a healthy control group.We sought to explore if these morphological variations contribute to the occurrence of SCHF.Radiographs of 78 SCHF patients were analyzed for angular measurements of the contralateral elbow.Two control groups were used:98 healthy children and 40 patients with DRF.Angular measurements included Baumann angle(BA),hu-meroulnar angle(HUA),humerus metaphysis-diaphysis angle(HMDA),humerus shaft-condylar angle(HSCA),and lateral capitellohumeral angle.Only BA,HUA,and HMDA were measured in the DRF group.Statistical analysis was performed to compare differences among groups.RESULTS Significant differences were found in elbow measurements between SCHF and control groups(P<0.05).However,the mean values for all groups fell within the ranges described in the literature.CONCLUSION While statistically significant differences were found in elbow morphology between SCHF patients and controls,these differences don't translate into clinically meaningful morphological deviations.展开更多
Gas-liquid flow(GLF),especially slug and annular flows in oil and gas gathering and transportation pipelines,become particularly complex inside elbows and can easily exacerbate pipeline corrosion and damage.In thisstu...Gas-liquid flow(GLF),especially slug and annular flows in oil and gas gathering and transportation pipelines,become particularly complex inside elbows and can easily exacerbate pipeline corrosion and damage.In thisstudy,FLUENT was used to conduct 3D simulations of slug and annular flow in elbows for different velocitiesto assess the ensuing changes in terms of pressure.In particular,the multifluid VOF(Volume of Fraction)modelwas chosen.The results indicate that under both slug and annular flow conditions,the pressure inside the elbow islower than the outside.As the superficial velocity of liquid and gas increase,the pressure and liquid flow velocityat different positions of the elbow also increase,while the secondary flow weakens.Under annular flow conditions,the liquid film on the outer side of the elbow is thicker than that on the inner side,and the liquid velocityin the main liquid film zone is the lowest.展开更多
Elbow dislocations are rare injuries in children due to the resistance of the capsuloligamentous structures. Anterior dislocation is very rare and its combination with an olecranon fracture is unusual. The authors rep...Elbow dislocations are rare injuries in children due to the resistance of the capsuloligamentous structures. Anterior dislocation is very rare and its combination with an olecranon fracture is unusual. The authors report a case of this lesion in a 7-year-old child managed nonoperatively.展开更多
Sulfur particles carried by high-speed flow impact pipelines,which may cause equipment malfunctions and even failure.This paper investigates the scouring effect of mist gas containing sulfur particles on elbows in hig...Sulfur particles carried by high-speed flow impact pipelines,which may cause equipment malfunctions and even failure.This paper investigates the scouring effect of mist gas containing sulfur particles on elbows in highly sour gas fields.The multiphase-flow hydrodynamic model of the 90elbow was established by using the computational fluid dynamics(CFD)method.The scouring effects of the gasliquid mist fluid with the water-liquid fraction of 20%and particles with the diameter of 0.01 e0.05mm on elbows were explored within the flow velocity range of 0e20 m/s.In addition,the influences of secondary collision,mean curvature radius to diameter(R/D)ratio,inertial force,drag force,and Stokes number on trajectories of sulfur particles were studied.Moreover,the influences of hydrodynamic parameters of multiphase flow on corrosion inhibitor film were analyzed with the wall shear stress as the reference value.Serious erosion mainly occurred in the extrados of elbow as well as the junction between downstream pipeline and the intrados of elbow,the maximum erosion area occurs at 61.9.When the incident position of the particle was far away from the top of the inlet plane,the probability of secondary collision became smaller.Furthermore,the erosion rate decreased with the rise in the R/D radio.The maximum erosion rate of elbow increased with the increase in the Stoke number.The maximum erosion rate reached 0.428 mm/a at 0.05mm particle diameter and 20 m/s fluid velocity.The wall shear stress increased with the increase in fluid velocity and mass flow rate of particle,the fitting function of the wall shear stress curve was the Fourier type.The results indicated that highvelocity particles had a serious erosion effect on elbows and affected the stability of the corrosion inhibitor film.The erosion effect could be retarded by controlling the velocity and diameter of particles.The results provided technical supports for the safe production in highly sour gas fields.展开更多
The details of the shock propagated through the right angled multiple elbows (mainly double elbow and fourfold elbow) are investigated by the numerical study. Computations were carried out by solving the two-dimension...The details of the shock propagated through the right angled multiple elbows (mainly double elbow and fourfold elbow) are investigated by the numerical study. Computations were carried out by solving the two-dimensional compressible Navier-Stokes equations by using the total variation diminishing (TVD) scheme. Computations were performed for six types of elbow (two types of double elbow and four types of fourfold elbow) and two incident shock Mach numbers (Ms=1.5, 2.3). The effects of the direction and number of the bends in the stabilizing, merging and attenuating processes of the shock are numerically explored by various diagrams such as pressure contours, pressure distributions on the walls and time histories of the pressure contours, and the strength of the shock front at the location of about 20 times the length for each type of elbows was displayed.展开更多
During the production period of shale gas, proppant particles and rock debris are produced together,which will seriously erode the elbows of gathering pipelines. In response to this problem, this paper takes the elbow...During the production period of shale gas, proppant particles and rock debris are produced together,which will seriously erode the elbows of gathering pipelines. In response to this problem, this paper takes the elbow of the gathering pipeline in the Changning Shale Gas Field as an example to test the erosion rate and material removal mechanism of the test piece at different angles of the elbow through experiments and compares the four erosion models with the experimental results. Through analysis, it is found that the best prediction model for quartz sand-carbon steel erosion is the Oka model. Based on the Oka model, FLUENT software was used to simulate and analyze the law of erosion of the elbow of the gas gathering pipeline under different gas flow velocities, gas gathering pressure, particle size, length of L1,and bending directions of the elbow. And a spiral pipeline structure is proposed to reduce the erosion rate of the elbow under the same working conditions. The results show that this structure can reduce erosion by 34%.展开更多
BACKGROUND In recent years,the use of Magnesium alloy implants have gained renewed popularity,especially after the first commercially available ConformitéEuropéenne approved Magnesium implant became availabl...BACKGROUND In recent years,the use of Magnesium alloy implants have gained renewed popularity,especially after the first commercially available ConformitéEuropéenne approved Magnesium implant became available(MAGNEZIX®CS,Syntellix)in 2013.AIM To document our clinical and radiographical outcomes using magnesium implants in treating peri-articular elbow fractures.METHODS Our paper was based on a retrospective case series design.Intra-operatively,a standardized surgical technique was utilized for insertion of the magnesium implants.Post–operatively,clinic visits were standardized and physical exam findings,functional scores,and radiographs were obtained at each visit.All complications were recorded.RESULTS Five patients with 6 fractures were recruited(2 coronoid,3 radial head and 1 capitellum).The mean patient age and length of follow up was 54.6 years and 11 months respectively.All fractures healed,and none exhibited loss of reduction or complications requiring revision surgery.No patient developed synovitis of the elbow joint or suffered electrolytic reactions when titanium implants were used concurrently.CONCLUSION Although there is still a paucity of literature available on the subject and further studies are required,magnesium implants appear to be a feasible tool for fixation of peri-articular elbow fractures with promising results in our series.INTRODUCTION In recent years,the use of Magnesium alloy implants in orthopaedic surgeries have gained renewed popularity.Apart from being bioabsorbable,negating the need for implant removal,magnesium also has good osteoconductive properties[1-4].Biomechanically,it exhibits greater biomechanical strength than any pre-existing polymers,and reduces the stress-shielding effect associated with titanium and steel implants as it has a Young’s modulus closer to bone[4].Currently,the main utility of magnesium implants in the orthopaedic community is within the foot and ankle community where satisfactory results have been reported with its utility in forefoot osteotomies[5-7].However,its utility in the setting of orthopaedic trauma has been steadily increasing[8].Our study aims to document our clinical and radiographical outcomes using magnesium implants to treat peri-articular elbow fractures.To our knowledge,our study is the first study analyzing outcomes in radial head and coronoid fractures in the English literature.展开更多
BACKGROUND The preferred treatment for distal humeral intercondylar fractures is open reduction and internal fixation.While there is consensus about the posterior approach,several posterior approaches have been develo...BACKGROUND The preferred treatment for distal humeral intercondylar fractures is open reduction and internal fixation.While there is consensus about the posterior approach,several posterior approaches have been developed.It is debatable as to which approach is best.AIM To compare triceps reflecting anconeus pedicle(TRAP)and olecranon osteotomy approaches for internal fixation of distal humeral intercondylar fracture.METHODS In total,40 cases of Arbeitsgemeinschaft für Osteosynthesefragen/Association of the Study of Internal Fixation type C,closed,and Gustilo type I intercondylar humeral fractures were included.Patients ranged in age from 18 years to 70 years.The patients were randomized into two groups:TRAP group and olecranon osteotomy group,with 20 cases in each.All were followed up at 6 wk,3 months,6 months,and 12 months.Functional outcomes were measured in terms of flexion-extension arc,Disabilities of Arm,Shoulder and Hand score,and Mayo Elbow Performance Score.RESULTS The mean age was 43.2 years in the TRAP group and 37.5 years in the olecranon osteotomy group.The mean operative time and mean duration of hospital stay in the TRAP group were significantly higher than in the olecranon osteotomy group(119.5 vs 111.5 min and 9.85 vs 5.45 d,respectively).The mean arc of flexion-extension,Disabilities of Arm,Shoulder and Hand score,and Mayo Elbow Performance Score were comparable without any significant difference in the groups at the 12-month follow-up(107.0 vs 106.2,18.3 vs 15.7,and 84.2 vs 86.2,respectively).Ulnar paresthesia and superficial infections were comparable in both groups(2 cases vs 3 cases and 3 cases vs 2 cases,respectively).Hardware prominence was significantly higher in the olecranon osteotomy group,mostly due to tension band wiring.CONCLUSION Both approaches were equivalent,but there is a need for further study including higher numbers of subjects and longer study duration to prove the benefits of one approach over the other.展开更多
BACKGROUND Due to frequent and high-risk sports activities,the elbow joint is susceptible to injury,especially to cartilage tissue,which can cause pain,limited movement and even loss of joint function.AIM To evaluate ...BACKGROUND Due to frequent and high-risk sports activities,the elbow joint is susceptible to injury,especially to cartilage tissue,which can cause pain,limited movement and even loss of joint function.AIM To evaluate magnetic resonance imaging(MRI)multisequence imaging for improving the diagnostic accuracy of adult elbow cartilage injury.METHODS A total of 60 patients diagnosed with elbow cartilage injury in our hospital from January 2020 to December 2021 were enrolled in this retrospective study.We analyzed the accuracy of conventional MRI sequences(T1-weighted imaging,T2-weighted imaging,proton density weighted imaging,and T2 star weighted image)and Three-Dimensional Coronary Imaging by Spiral Scanning(3D-CISS)in the diagnosis of elbow cartilage injury.Arthroscopy was used as the gold standard to evaluate the diagnostic effect of single and combination sequences in different injury degrees and the consistency with arthroscopy.RESULTS The diagnostic accuracy of 3D-CISS sequence was 89.34%±4.98%,the sensitivity was 90%,and the specificity was 88.33%,which showed the best performance among all sequences(P<0.05).The combined application of the whole sequence had the highest accuracy in all sequence combinations,the accuracy of mild injury was 91.30%,the accuracy of moderate injury was 96.15%,and the accuracy of severe injury was 93.33%(P<0.05).Compared with arthroscopy,the combination of all MRI sequences had the highest consistency of 91.67%,and the kappa value reached 0.890(P<0.001).CONCLUSION Combination of 3D-CISS and each sequence had significant advantages in improving MRI diagnostic accuracy of elbow cartilage injuries in adults.Multisequence MRI is recommended to ensure the best diagnosis and treatment.展开更多
BACKGROUND Distal humerus elbow fractures are one of the most common traumatic fractures seen in pediatric patients and present as three main types:Supracondylar(SC),lateral condyle(LC),and medial epicondyle(ME)fractu...BACKGROUND Distal humerus elbow fractures are one of the most common traumatic fractures seen in pediatric patients and present as three main types:Supracondylar(SC),lateral condyle(LC),and medial epicondyle(ME)fractures.AIM To evaluate the epidemiology of pediatric distal humerus fractures(SC,LC,and ME)from an American insurance claims database.METHODS A retrospective review was performed on patients 17 years and younger with the ICD 9 and 10 codes for SC,LC and ME fractures based on the IBM Truven MarketScan®Commercial and IBM Truven MarketScan Medicare Supplemental databases.Patients from 2015 to 2020 were queried for treatments,patient age,sex,length of hospitalization,and comorbidities.RESULTS A total of 1133 SC,154 LC,and 124 ME fractures were identified.SC fractures had the highest percentage of operation at 83%,followed by LC(78%)and ME fractures(41%).Male patients were,on average,older than female patients for both SC and ME fractures.CONCLUSION In the insurance claims databases used,SC fractures were the most reported,followed by LC fractures,and finally ME fractures.Age was identified to be a factor for how a pediatric distal humerus fractures,with patients with SC and LC fractures being younger than those with ME fractures.The peak age per injury per sex was similar to reported historic central tendencies,despite reported trends for younger physiologic development.展开更多
In view of the composition analysis and identification of ancient glass products, L1 regularization, K-Means cluster analysis, elbow rule and other methods were comprehensively used to build logical regression, cluste...In view of the composition analysis and identification of ancient glass products, L1 regularization, K-Means cluster analysis, elbow rule and other methods were comprehensively used to build logical regression, cluster analysis, hyper-parameter test and other models, and SPSS, Python and other tools were used to obtain the classification rules of glass products under different fluxes, sub classification under different chemical compositions, hyper-parameter K value test and rationality analysis. Research can provide theoretical support for the protection and restoration of ancient glass relics.展开更多
Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objectiv...Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objective: To present the management of elbow dislocation in children in cases of limited resources. Presentation of the Cases: These were 2 older male children aged 7 and 9 years old, admitted to the emergency room for painful functional impotence of the right elbow after a fall and landing on the right hand. Clinical and radiological examinations were in favor of posterior elbow dislocations. The reductions were carried out under sedation and immobilization in Jersey. According to Robert’s criteria, the functional result was excellent in both patients. Conclusion: Emergency reduction and immobilization whatever the means ensure an excellent functional prognosis even in cases of limited resources.展开更多
文摘In this paper the ratcheting behavior of four pairs of stainless steel elbows is studied under conditions of steady internal pressure and dynamic conditions that induced out-of-plane external moments at frequencies typical of seismic excitations. The finite element analysis with the nonlinear kinematic hardening model has been used to evaluate ratcheting behavior of the piping elbows under mentioned loading condition. Material parameters have been obtained from several stabilized cycles of specimens that are subjected to symmetric strain cycles. The direction of maximum strain is at about 45° between the hoop and axial directions. The results show that the direction of highest ratcheting is along the hoop direction rather than the direction of maximum principal strain. Also, the initial rate of ratcheting is large and then it decreases with the increasing cycles. Also, the FE method gives over estimated values compared with the experimental data.
文摘Experimental data on the pressure drop across different types of elbow for non-Newtonian pseudoplastic liquid flow in laminar condition have been presented. A generalized correlation has been developed for predicting the frictional pressure drop across the elbows in the horizontal plane.
文摘The present study demonstrates the comparison of erosion rate of critical pipeline parts, namely elbow and T-junction which face the maximum erosion in a pipeline and may cause an early damage and failure of the system. CFD （computational fluid dynamics） with an Eulerian-Lagrangian approach coupled with an approved erosion model is applied to visualize the 3-D flow behavior of slurry flow in both parts and to predict the erosion rate and the location of erosion at the internal surfaces. The analysis of slurry erosion is performed in five steps; geometry and grid generation, grid study/refinement, fluid flow solution, solid particles tracking and finally, the erosion calculation. In previous publications in literature considering transportation of gas-solid flows in pipe parts, the application ofT-junctions instead of elbows for specified conditions in order to reduce the erosion is recommended. In this article, it is approved that for liquid-solid flows, the Stokes number is reasonably smaller than the values for gas-solid flows. This causes the solid particles tightly couple to the fluid phase and to travel more closely with the fluid streamlines. The effects of important influencing parameters such as feed flow velocity, solid concentration, particle size and shape are investigated in detail in current work. It was found that for liquid-solid flows, the erosion of T-junction for all of the mentioned influencing parameters, due to its geometrical specifications and Stokes number variation in comparison with gas-solid flows, is reasonably higher than erosion of elbow. Due to these findings, in contrary to the gas-solid mixture flows, application of T-junction instead of elbow for liquid-solid flow transportation is not recommended.
基金Fundamental Research Funds for the Central Universities (No.501XTCX2023146001 and 501QYZX2023146001)the National Major Science and Technology Projects of China (Nos.J2019-III-0021-0065 and J2019-III-0015-0059)the Science Center for Gas Turbine Project (No.P2022-C-II-005-001).
文摘Based on the demands of compact heat exchangers and micro cooling channels applied for aviation thermal protection on aero-engines,the elbow localflow resistance charac-teristics for supercritical pressure aviation fuel RP-3flowing in adiabatic horizontal serpentine tubes with the inner diameter of 1.8 mm and the massflux of 1179 kg/(m^(2)·s)were experimen-tally studied.The long-short-tube method was used to obtain the elbow pressure drop from the total serpentine tube pressure drop,and the effects of system pressures(P/Pc=1.72-2.58)and geometry parameters including bend numbers(n=5-11),bend diameters(D/d=16.7-27.8),and bend distances(L/d=20-60)on elbow pressure drops and local resistance co-efficients are analyzed on the basis of the thermal physical property variation.The results show that both the increase in the elbow pressure drop and the decrease in the local resistance coef-ficient with temperatures speed up at the near pseudo-critical temperature region of T>0.85Tpc.And the growth of the elbow local pressure drop could be inhibited by the increase of system pressures,while the local resistance coefficient is slightly affected by pressures.The influence of bend diameters on the local resistance coefficient is mild when D/d is larger than 22.2 in the premise of fully developedflow in straight tubes.Furthermore,a piecewise empir-ical correlation considering the bend diameter and physical property ratio is developed to pre-dict the elbow pressure drop of the serpentine tube and optimize the layout of the cooling tube system on aero-engines.
文摘In the practice of pipeline transport of oil,oil products and gas to perform turns of trunk and field pipelines in vertical and horizontal planes are used bends of various designs such as:elbows with bending radius of 1.0DN or 1.5DN and standardized angles of 30°,45°,60°,90°;induction bends with bending angles from 1°to 90°;cold bends with bending angles depending on the nominal diameter DN.
文摘BACKGROUND Radial head fractures constitute approximately one-third of all elbow fractures,significantly impacting the young and active population.While open reduction and internal fixation is the preferred treatment for displaced fractures,its high complication rate in comminuted fractures has led to the increasing use of radial head arthroplasty(RHA).RHA provides improved functional outcomes with fewer complications,yet its long-term efficacy remains a topic of debate.AIM To evaluate the functional outcomes of patients undergoing RHA with a modular metallic prosthesis for comminuted Mason type III and IV radial head fractures.METHODS A prospective and retrospective hospital-based study was conducted at Dayanand Medical College and Hospital,Ludhiana over 32 months(January 2021-August 2023).A total of 26 patients with Mason type III and IV fractures were included,with six retrospective and 20 prospective cases.Functional outcomes were assessed using the Mayo Elbow Performance Score(MEPS),elbow range of motion,pain via Visual Analog Scale,and activities of daily living at immediate postoperative,three-month,and six-month follow-ups.RESULTS MEPS at 6 months follow up for 4 cases(15.38%)had good scores,and 22 cases(84.62%)had excellent scores,with a mean±SD of 97.31±6.67.Comparisons showed significant improvement from immediate post-operative to 3 months(P<0.0001),from immediate post-operative to 6 months(P<0.0001),and between 3 months and 6 months(P<0.0001).None of the patients had elbow instability after radial head replacement and 22 cases(84.62%)had no complications,while 3 cases(11.54%)had a stiff elbow,and 1 case(3.85%)had heterotopic ossification.CONCLUSION RHA is an effective treatment for comminuted radial head fractures,providing stable elbow function with minimal complications.
文摘BACKGROUND Supracondylar humeral fractures(SCHF)are the second most common fractures in childhood and can lead to short-and long-term complications.Despite their prevalence,the anatomical factors that predispose children to SCHF remain unclear.This study aimed to determine whether there are significant morpho-logical differences in the elbow by comparing the radiographic angular measure-ments of the contralateral elbows of patients with SCHF to those of patients with distal radius fractures(DRF)and a healthy control group.We sought to explore if these morphological variations contribute to the occurrence of SCHF.Radiographs of 78 SCHF patients were analyzed for angular measurements of the contralateral elbow.Two control groups were used:98 healthy children and 40 patients with DRF.Angular measurements included Baumann angle(BA),hu-meroulnar angle(HUA),humerus metaphysis-diaphysis angle(HMDA),humerus shaft-condylar angle(HSCA),and lateral capitellohumeral angle.Only BA,HUA,and HMDA were measured in the DRF group.Statistical analysis was performed to compare differences among groups.RESULTS Significant differences were found in elbow measurements between SCHF and control groups(P<0.05).However,the mean values for all groups fell within the ranges described in the literature.CONCLUSION While statistically significant differences were found in elbow morphology between SCHF patients and controls,these differences don't translate into clinically meaningful morphological deviations.
基金supported by the Ministry of Industry and Information Technology High Tech Ship Special Project(Grant No.CBG3N21-2-6).
文摘Gas-liquid flow(GLF),especially slug and annular flows in oil and gas gathering and transportation pipelines,become particularly complex inside elbows and can easily exacerbate pipeline corrosion and damage.In thisstudy,FLUENT was used to conduct 3D simulations of slug and annular flow in elbows for different velocitiesto assess the ensuing changes in terms of pressure.In particular,the multifluid VOF(Volume of Fraction)modelwas chosen.The results indicate that under both slug and annular flow conditions,the pressure inside the elbow islower than the outside.As the superficial velocity of liquid and gas increase,the pressure and liquid flow velocityat different positions of the elbow also increase,while the secondary flow weakens.Under annular flow conditions,the liquid film on the outer side of the elbow is thicker than that on the inner side,and the liquid velocityin the main liquid film zone is the lowest.
文摘Elbow dislocations are rare injuries in children due to the resistance of the capsuloligamentous structures. Anterior dislocation is very rare and its combination with an olecranon fracture is unusual. The authors report a case of this lesion in a 7-year-old child managed nonoperatively.
基金The authors acknowledge the support from the National Natural Science Foundation Project of China(No.51374177)the Supporting Program of Youth Backbone Teachers of Southwest Petroleum University.
文摘Sulfur particles carried by high-speed flow impact pipelines,which may cause equipment malfunctions and even failure.This paper investigates the scouring effect of mist gas containing sulfur particles on elbows in highly sour gas fields.The multiphase-flow hydrodynamic model of the 90elbow was established by using the computational fluid dynamics(CFD)method.The scouring effects of the gasliquid mist fluid with the water-liquid fraction of 20%and particles with the diameter of 0.01 e0.05mm on elbows were explored within the flow velocity range of 0e20 m/s.In addition,the influences of secondary collision,mean curvature radius to diameter(R/D)ratio,inertial force,drag force,and Stokes number on trajectories of sulfur particles were studied.Moreover,the influences of hydrodynamic parameters of multiphase flow on corrosion inhibitor film were analyzed with the wall shear stress as the reference value.Serious erosion mainly occurred in the extrados of elbow as well as the junction between downstream pipeline and the intrados of elbow,the maximum erosion area occurs at 61.9.When the incident position of the particle was far away from the top of the inlet plane,the probability of secondary collision became smaller.Furthermore,the erosion rate decreased with the rise in the R/D radio.The maximum erosion rate of elbow increased with the increase in the Stoke number.The maximum erosion rate reached 0.428 mm/a at 0.05mm particle diameter and 20 m/s fluid velocity.The wall shear stress increased with the increase in fluid velocity and mass flow rate of particle,the fitting function of the wall shear stress curve was the Fourier type.The results indicated that highvelocity particles had a serious erosion effect on elbows and affected the stability of the corrosion inhibitor film.The erosion effect could be retarded by controlling the velocity and diameter of particles.The results provided technical supports for the safe production in highly sour gas fields.
文摘The details of the shock propagated through the right angled multiple elbows (mainly double elbow and fourfold elbow) are investigated by the numerical study. Computations were carried out by solving the two-dimensional compressible Navier-Stokes equations by using the total variation diminishing (TVD) scheme. Computations were performed for six types of elbow (two types of double elbow and four types of fourfold elbow) and two incident shock Mach numbers (Ms=1.5, 2.3). The effects of the direction and number of the bends in the stabilizing, merging and attenuating processes of the shock are numerically explored by various diagrams such as pressure contours, pressure distributions on the walls and time histories of the pressure contours, and the strength of the shock front at the location of about 20 times the length for each type of elbows was displayed.
基金supported by the Petrochina's “14th Five-Year plan” Project(2021DJ2804)Sichuan Natural Science Foundation(2023NSFSC0422)。
文摘During the production period of shale gas, proppant particles and rock debris are produced together,which will seriously erode the elbows of gathering pipelines. In response to this problem, this paper takes the elbow of the gathering pipeline in the Changning Shale Gas Field as an example to test the erosion rate and material removal mechanism of the test piece at different angles of the elbow through experiments and compares the four erosion models with the experimental results. Through analysis, it is found that the best prediction model for quartz sand-carbon steel erosion is the Oka model. Based on the Oka model, FLUENT software was used to simulate and analyze the law of erosion of the elbow of the gas gathering pipeline under different gas flow velocities, gas gathering pressure, particle size, length of L1,and bending directions of the elbow. And a spiral pipeline structure is proposed to reduce the erosion rate of the elbow under the same working conditions. The results show that this structure can reduce erosion by 34%.
文摘BACKGROUND In recent years,the use of Magnesium alloy implants have gained renewed popularity,especially after the first commercially available ConformitéEuropéenne approved Magnesium implant became available(MAGNEZIX®CS,Syntellix)in 2013.AIM To document our clinical and radiographical outcomes using magnesium implants in treating peri-articular elbow fractures.METHODS Our paper was based on a retrospective case series design.Intra-operatively,a standardized surgical technique was utilized for insertion of the magnesium implants.Post–operatively,clinic visits were standardized and physical exam findings,functional scores,and radiographs were obtained at each visit.All complications were recorded.RESULTS Five patients with 6 fractures were recruited(2 coronoid,3 radial head and 1 capitellum).The mean patient age and length of follow up was 54.6 years and 11 months respectively.All fractures healed,and none exhibited loss of reduction or complications requiring revision surgery.No patient developed synovitis of the elbow joint or suffered electrolytic reactions when titanium implants were used concurrently.CONCLUSION Although there is still a paucity of literature available on the subject and further studies are required,magnesium implants appear to be a feasible tool for fixation of peri-articular elbow fractures with promising results in our series.INTRODUCTION In recent years,the use of Magnesium alloy implants in orthopaedic surgeries have gained renewed popularity.Apart from being bioabsorbable,negating the need for implant removal,magnesium also has good osteoconductive properties[1-4].Biomechanically,it exhibits greater biomechanical strength than any pre-existing polymers,and reduces the stress-shielding effect associated with titanium and steel implants as it has a Young’s modulus closer to bone[4].Currently,the main utility of magnesium implants in the orthopaedic community is within the foot and ankle community where satisfactory results have been reported with its utility in forefoot osteotomies[5-7].However,its utility in the setting of orthopaedic trauma has been steadily increasing[8].Our study aims to document our clinical and radiographical outcomes using magnesium implants to treat peri-articular elbow fractures.To our knowledge,our study is the first study analyzing outcomes in radial head and coronoid fractures in the English literature.
文摘BACKGROUND The preferred treatment for distal humeral intercondylar fractures is open reduction and internal fixation.While there is consensus about the posterior approach,several posterior approaches have been developed.It is debatable as to which approach is best.AIM To compare triceps reflecting anconeus pedicle(TRAP)and olecranon osteotomy approaches for internal fixation of distal humeral intercondylar fracture.METHODS In total,40 cases of Arbeitsgemeinschaft für Osteosynthesefragen/Association of the Study of Internal Fixation type C,closed,and Gustilo type I intercondylar humeral fractures were included.Patients ranged in age from 18 years to 70 years.The patients were randomized into two groups:TRAP group and olecranon osteotomy group,with 20 cases in each.All were followed up at 6 wk,3 months,6 months,and 12 months.Functional outcomes were measured in terms of flexion-extension arc,Disabilities of Arm,Shoulder and Hand score,and Mayo Elbow Performance Score.RESULTS The mean age was 43.2 years in the TRAP group and 37.5 years in the olecranon osteotomy group.The mean operative time and mean duration of hospital stay in the TRAP group were significantly higher than in the olecranon osteotomy group(119.5 vs 111.5 min and 9.85 vs 5.45 d,respectively).The mean arc of flexion-extension,Disabilities of Arm,Shoulder and Hand score,and Mayo Elbow Performance Score were comparable without any significant difference in the groups at the 12-month follow-up(107.0 vs 106.2,18.3 vs 15.7,and 84.2 vs 86.2,respectively).Ulnar paresthesia and superficial infections were comparable in both groups(2 cases vs 3 cases and 3 cases vs 2 cases,respectively).Hardware prominence was significantly higher in the olecranon osteotomy group,mostly due to tension band wiring.CONCLUSION Both approaches were equivalent,but there is a need for further study including higher numbers of subjects and longer study duration to prove the benefits of one approach over the other.
文摘BACKGROUND Due to frequent and high-risk sports activities,the elbow joint is susceptible to injury,especially to cartilage tissue,which can cause pain,limited movement and even loss of joint function.AIM To evaluate magnetic resonance imaging(MRI)multisequence imaging for improving the diagnostic accuracy of adult elbow cartilage injury.METHODS A total of 60 patients diagnosed with elbow cartilage injury in our hospital from January 2020 to December 2021 were enrolled in this retrospective study.We analyzed the accuracy of conventional MRI sequences(T1-weighted imaging,T2-weighted imaging,proton density weighted imaging,and T2 star weighted image)and Three-Dimensional Coronary Imaging by Spiral Scanning(3D-CISS)in the diagnosis of elbow cartilage injury.Arthroscopy was used as the gold standard to evaluate the diagnostic effect of single and combination sequences in different injury degrees and the consistency with arthroscopy.RESULTS The diagnostic accuracy of 3D-CISS sequence was 89.34%±4.98%,the sensitivity was 90%,and the specificity was 88.33%,which showed the best performance among all sequences(P<0.05).The combined application of the whole sequence had the highest accuracy in all sequence combinations,the accuracy of mild injury was 91.30%,the accuracy of moderate injury was 96.15%,and the accuracy of severe injury was 93.33%(P<0.05).Compared with arthroscopy,the combination of all MRI sequences had the highest consistency of 91.67%,and the kappa value reached 0.890(P<0.001).CONCLUSION Combination of 3D-CISS and each sequence had significant advantages in improving MRI diagnostic accuracy of elbow cartilage injuries in adults.Multisequence MRI is recommended to ensure the best diagnosis and treatment.
文摘BACKGROUND Distal humerus elbow fractures are one of the most common traumatic fractures seen in pediatric patients and present as three main types:Supracondylar(SC),lateral condyle(LC),and medial epicondyle(ME)fractures.AIM To evaluate the epidemiology of pediatric distal humerus fractures(SC,LC,and ME)from an American insurance claims database.METHODS A retrospective review was performed on patients 17 years and younger with the ICD 9 and 10 codes for SC,LC and ME fractures based on the IBM Truven MarketScan®Commercial and IBM Truven MarketScan Medicare Supplemental databases.Patients from 2015 to 2020 were queried for treatments,patient age,sex,length of hospitalization,and comorbidities.RESULTS A total of 1133 SC,154 LC,and 124 ME fractures were identified.SC fractures had the highest percentage of operation at 83%,followed by LC(78%)and ME fractures(41%).Male patients were,on average,older than female patients for both SC and ME fractures.CONCLUSION In the insurance claims databases used,SC fractures were the most reported,followed by LC fractures,and finally ME fractures.Age was identified to be a factor for how a pediatric distal humerus fractures,with patients with SC and LC fractures being younger than those with ME fractures.The peak age per injury per sex was similar to reported historic central tendencies,despite reported trends for younger physiologic development.
文摘In view of the composition analysis and identification of ancient glass products, L1 regularization, K-Means cluster analysis, elbow rule and other methods were comprehensively used to build logical regression, cluster analysis, hyper-parameter test and other models, and SPSS, Python and other tools were used to obtain the classification rules of glass products under different fluxes, sub classification under different chemical compositions, hyper-parameter K value test and rationality analysis. Research can provide theoretical support for the protection and restoration of ancient glass relics.
文摘Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objective: To present the management of elbow dislocation in children in cases of limited resources. Presentation of the Cases: These were 2 older male children aged 7 and 9 years old, admitted to the emergency room for painful functional impotence of the right elbow after a fall and landing on the right hand. Clinical and radiological examinations were in favor of posterior elbow dislocations. The reductions were carried out under sedation and immobilization in Jersey. According to Robert’s criteria, the functional result was excellent in both patients. Conclusion: Emergency reduction and immobilization whatever the means ensure an excellent functional prognosis even in cases of limited resources.
