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Advancements in the diagnosis and management of complex trimalleolar ankle fractures:A comprehensive review
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作者 Lorenzo Lucchetta Giampiero Mastroeni +3 位作者 Giuseppe Rinonapoli Auro Caraffa Saran Singh Gill Valerio Pace 《World Journal of Orthopedics》 2026年第1期1-12,共12页
Complex trimalleolar ankle fractures are a major orthopaedic challenge,with an incidence of 4.22 per 10000 person-years in the United States and an annual cost of 3.4 billion dollars.This review synthesizes current ev... Complex trimalleolar ankle fractures are a major orthopaedic challenge,with an incidence of 4.22 per 10000 person-years in the United States and an annual cost of 3.4 billion dollars.This review synthesizes current evidence on diagnostic protocols and management strategies,highlighting optimal approaches and emerging trends.Initial care emphasizes soft tissue assessment,often guided by the Tscherne classification,and fracture classification systems.External fixation may be required in open injuries,while early open reduction and internal fixation within six days is linked to improved outcomes.Minimally invasive techniques for the lateral malleolus,including intramedullary nailing and locking plates,are effective,while medial malleolus fractures are commonly managed with screw fixation or tension-band wiring.Posterior malleolus fragments involving more than 25%of the articular surface usually warrant fixation.Alternatives to syndesmotic screws,such as cortical buttons or high-strength sutures,reduce the need for secondary procedures.Arthroscopic-assisted open reduction and internal fixation benefits younger,active patients by enabling concurrent management of intra-articular and ligamentous injuries.Postoperative care prioritizes early weight-bearing and validated functional scores.Despite advances,complications remain common,and further research is needed to refine surgical strategies and improve outcomes. 展开更多
关键词 Trimalleolar ankle fractures Complex ankle fractures Trimalleolar fractures Fibula fractures Tibia fractures
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Investigation of strata fractures during longwall mining:Original introscopic probe and image analysis methods
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作者 Mateusz Kudasik Marta Skiba +3 位作者 Jerzy Krawczyk Janusz Kruczkowski Mariusz Młynarczuk Norbert Skoczylas 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第2期1049-1059,共11页
The research presented in this paper aimed to analyze the evolution of fractures in strata in relation to the progress of longwall mining.To achieve this objective,an introscopic probe equipped with a highresolution c... The research presented in this paper aimed to analyze the evolution of fractures in strata in relation to the progress of longwall mining.To achieve this objective,an introscopic probe equipped with a highresolution camera was developed,along with additional equipment that enables continuous recording of the internal surfaces of drainage boreholes exceeding 100 m in depth.The probe was utilized to test two methane drainage boreholes in the Z-3b longwall,which operates within the 501/3 coal seam of the Jankowice mine in Poland.Automatic image analysis methods were applied to evaluate the recorded images,based on a newly developed classificationsystem for fractures categorized by size and number.The results were compared with an analysis of changes in the methane capture rate from the drainage boreholes,which correlated with longwall mining progress.A strong correlation was observed between the number of fractures and the lithology of the strata layers.The largest number of fractures and their evolution were recorded in the coal layers,followed by the shale layers,while the sandstone layers exhibited the least number of fractures.Based on parallel measurements of the methane capture rate from the drainage boreholes during the progress of longwall mining,the extent of the strata's fracture zone was determined to range from 6 m to 36 m.Within the fracture zone,the strata are highly fractured,which leads to an increase in methane emissions through seepage and diffusion processes. 展开更多
关键词 COAL METHANE Coal fracture Introscopic probe fracture zone
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Fracture characteristics and fracture interface buckling mechanism of cantilever rock mass under non-uniformly distributed load
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作者 Wenlong Shen Ziqiang Chen +7 位作者 Meng Wang Jianbiao Bai Zhengyuan Qin Tongqiang Xiao Ningkang Meng Juntao Liu Yan Gai Hua Nan 《International Journal of Mining Science and Technology》 2026年第2期375-397,共23页
This study examined non-uniform loading in goaf cantilever rock masses via testing,modeling,and mechanical analysis to solve instantaneous fracture and section buckling from mining abutment pressure.The study investig... This study examined non-uniform loading in goaf cantilever rock masses via testing,modeling,and mechanical analysis to solve instantaneous fracture and section buckling from mining abutment pressure.The study investigates the non-uniform load gradient effect on fracture characteristics,including load characteristics,fracture location,fracture distribution,and section roughness.A digital model for fracture interface buckling analysis was developed,elucidating the influence of non-uniform load gradients on Fracture Interface Curvature(FIC),Buckling Rate of Change(BRC),and Buckling Domain Field(BDF).The findings reveal that nonlinear tensile stress concentration and abrupt tensile-compressive-shear strain mutations under non-uniform loading are fundamental mechanisms driving fracture path buckling in cantilever rock mass structures.The buckling process of rock mass under non-uniform load can be divided into two stages:low load gradient and high gradient load.In the stage of low gradient load,the buckling behavior is mainly reflected in the compression-shear fracture of the edge.In the stage of high gradient load,a buckling band along the loading direction is gradually formed in the rock mass.These buckling principles establish a theoretical basis for accurately characterizing bearing fractures,fracture interface instability,and vibration sources within overlying cantilever rock masses in goaf. 展开更多
关键词 Cantilever rock mass Non-uniformly distributed load fracture characteristics Buckling fracture Digital model
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Thermomechanical coupling analysis of granite fracture shear behavior:True triaxial test and numerical approaches
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作者 Zhufeng Yue Fanzhen Meng +4 位作者 Qijin Cai Dongliang Tian Yuantao Wen Wei Wang Dawei Hu 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第2期1337-1358,共22页
High geo-stress and high temperature in deep rock engineering increase the possibility of engineering and geological disasters in discontinuous rocks.However,the influence of thermomechanical coupling on the shear beh... High geo-stress and high temperature in deep rock engineering increase the possibility of engineering and geological disasters in discontinuous rocks.However,the influence of thermomechanical coupling on the shear behavior and damage evolution of prefractured granite remains immature.In this context,true triaxial laboratory tests and discrete element method simulations under different confining pressures(σ3=3 MPa,σ2=4 MPa,andσ3=80 MPa,σ2=100 MPa)and temperatures(25℃-500℃)were carried out on rough granite fractures with two different orientations.Results indicate that high temperature and high confining pressure increase the peak strength of the prefractured specimen,leading to more microcracks in the host rock and more gouges between the surfaces.Thermal strengthening at low temperatures(<300℃)and residual stick-slip only occur under a greater confining pressure for prefractured specimens.High confining pressure suppresses generation of the thermal microcracks in the heating stage.Cracks first initiate in the asperities on the fracture surfaces,and then propagate into the rock matrix during the mechanical loading stage.In addition,prefractured granite with a larger fracture angle is characterized by smaller peak and residual strength,faster residual slip,fewer new cracks on the specimen surface,and a more pronounced thermal strengthening effect on peak strength.The slip tendency analysis indicates that a higher maximum principal stress(s1)and a large fracture angle(45°-75°)generally result in a higher potential for fracture slip or activation.This study will contribute to a better understanding of the fracture shear mechanism under true triaxial thermomechanical coupling conditions and provides new insights into the stability evaluation of deep dynamic geological hazards. 展开更多
关键词 Thermomechanical coupling effect Real-time high temperature Prefractured granite fracture angle True triaxial shear test
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Biocompatibility and healing patterns in experimentally induced canine tibial fractures using Pedicle screw- Rod external fixation
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作者 Mohammad Mahdi Gooran Ramin Mazaheri-Khameneh +1 位作者 Seyed Mohammad Hashemi-Asl Rahim Hobbenaghi 《Animal Models and Experimental Medicine》 2026年第1期31-40,共10页
Background:Biological osteosynthesis preserves blood supply and promotes rapid healing by aligning fracture fragments without direct surgical exposure.Pedicle screws are primarily designed for internal fixation in spi... Background:Biological osteosynthesis preserves blood supply and promotes rapid healing by aligning fracture fragments without direct surgical exposure.Pedicle screws are primarily designed for internal fixation in spinal procedures.A key objec-tive of many orthopedic studies is to assess the biocompatibility of implants with bone and adjacent soft tissue.This study aims to evaluate the biocompatibility and effects of the Pedicle screw-Rod configuration as a novel external fixation method in canine tibial osteotomy.Methods:With ethics approval,eight healthy,intact male dogs,aged 10-12 months and weighing between 20 and 22 kg,underwent a minimally invasive medial tibial approach for surgical fixation of tibial osteotomy using a Pedicle screw-Rod configu-ration.Postoperative evaluations included ultrasound assessments at the osteotomy site and histological evaluations at the bone-screw interface.Results:B-mode ultrasound evaluation indicated healing progress at all osteotomy sites.The color Doppler examination revealed an initial increase in signals in the sur-rounding soft tissue during the first 4 weeks post-operation,followed by a decrease in signals within the adjacent soft tissue between the 5th and 8th weeks.During this latter period,the signals were primarily concentrated on the bone surface and the callus.The bone-screw interface at various screw sites exhibited similar histological changes,indicating effective integration of the newly formed woven bone into the screw threads.Conclusions:Fixation of non-articular tibial osteotomy with Pedicle screw-Rod con-figuration resulted in secondary bone healing,characterized by abundant callus for-mation and neovascularization.This implant demonstrated favorable biocompatibility with bone and surrounding soft tissue,without significant complications. 展开更多
关键词 dog fracture NEOVASCULARIZATION OSTEOINTEGRATION Pedicle screw-Rod TIBIA
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Computer Simulation and Experimental Approach in the Investigation of Deformation and Fracture of TPMS Structures Manufactured by 3D Printing
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作者 Nataliya Kazantseva Nikolai Saharov +2 位作者 Denis Davydov Nikola iPopov Maxim Il’inikh 《Computers, Materials & Continua》 2026年第4期578-595,共18页
Because of the developed surface of the Triply PeriodicMinimumSurface(TPMS)structures,polylactide(PLA)products with a TPMS structure are thought to be promising bio soluble implants with the potential for targeted dru... Because of the developed surface of the Triply PeriodicMinimumSurface(TPMS)structures,polylactide(PLA)products with a TPMS structure are thought to be promising bio soluble implants with the potential for targeted drug delivery.For implants,mechanical properties are key performance characteristics,so understanding the deformation and failure mechanisms is essential for selecting the appropriate implant structure.The deformation and fracture processes in PLA samples with different interior architectures have been studied through computer simulation and experimental research.Two TPMS topologies,the Schwarz Diamond and Gyroid architectures,were used for the sample construction by 3D printing.ANSYS software was utilized to simulate compressive deformation.It was found that under the same load,the vonMises stresses in the Gyroid structure are higher than those in the Schwartz Diamond structure,which was associated with the different orientations of the cells in the studied structures in relation to the direction of the loading axis.The deformation process occurs in the local regions of the studied TPMS structures.Maximum von Mises stresses were observed in the vertical parts of the structures oriented along the load direction.It was found that,unlike the Gyroid,the Schwartz Diamond structure contains a frame that forms unique stiffening ribs,which ensures the redistribution of the load under the vertical loading direction.An analysis of the mechanical characteristics of PLA samples with the Schwartz Diamond and Gyroid structures produced by the Fused Deposition Modeling(FDM)method was correlated with computer simulation.The Schwarz Diamond-type structure was shown to have a higher absorption energy than the Gyroid one.A study of the fracture in PLA samples with various cell sizes revealed a particular feature related to the samples’periodic surface topology and the 3D printing process.Scanning electron microscopic(SEM)studies of the samples deformed by compression showed thatwith an increase in the density of the samples,the failure mechanism changes from ductile to quasi-brittle due to the complex participation of both cell deformation and fiber deformation. 展开更多
关键词 Computer simulation TPMS structure DEFORMATION fracture SEM 3D printing
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Numerical Simulation of Cross-Layer Propagation Mechanisms for Hydraulic Fractures in Deep Coal-Rock Formations
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作者 Zhirong Jin Xiaorui Hou +4 位作者 Yanrong Ge Tiankui Guo Ming Chen Shuyi Li Tianyu Niu 《Energy Engineering》 2026年第2期369-391,共23页
Hydraulic fracturing serves as a critical technology for reservoir stimulation in deep coalbed methane(CBM)development,where the mechanical properties of gangue layers exert a significant control on fracture propagati... Hydraulic fracturing serves as a critical technology for reservoir stimulation in deep coalbed methane(CBM)development,where the mechanical properties of gangue layers exert a significant control on fracture propagation behavior.To address the unclear mechanisms governing fracture penetration across coal-gangue interfaces,this study employs the Continuum-Discontinuum Element Method(CDEM)to simulate and analyze the vertical propagation of hydraulic fractures initiating within coal seams,based on geomechanical parameters derived from the deep Benxi Formation coal seams in the southeastern Ordos Basin.The investigation systematically examines the influence of geological and operational parameters on cross-interfacial fracture growth.Results demonstrate that vertical stress difference,elastic modulus contrast between coal and gangue layers,interfacial stress differential,and interfacial cohesion at coal-gangue interfaces are critical factors governing hydraulic fracture penetration through these interfaces.High vertical stress differences(>3 MPa)inhibit interfacial dilation,promoting predominant crosslayer fracture propagation.Reduced interfacial stress contrasts and enhanced interfacial cohesion facilitate fracture penetration across interfaces.Furthermore,smaller elastic modulus contrasts between coal and gangue correlate with increased interfacial aperture.Finally,lower injection rates effectively suppress vertical fracture propagation in deep coal reservoirs.This study elucidates the characteristics and mechanisms governing cross-layer fracture propagation in coal–rock composites with interbedded partings,and delineates the dynamic evolution laws and dominant controlling factors involved.Thefindings provide critical theoretical insights for the optimization of fracture design and the efficient development of deep coalbed methane reservoirs. 展开更多
关键词 Deep coal-rock formations cross-layer fracturing fluid-solid coupling fracture propagation behavior numerical simulation
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Achilles,peroneus longus and brevis ruptures with lateral malleolus fracture:A case report and review of literature
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作者 Alexander Vlasak Christopher Orear +1 位作者 Gary Sakryd Joshua Metzl 《World Journal of Orthopedics》 2026年第1期178-188,共11页
BACKGROUND Ankle fractures are well-documented in snow sports,but concomitant Achilles tendon and peroneal tendon ruptures are rare.This case report presents a previously unreported combination of Achilles tendon rupt... BACKGROUND Ankle fractures are well-documented in snow sports,but concomitant Achilles tendon and peroneal tendon ruptures are rare.This case report presents a previously unreported combination of Achilles tendon rupture,peroneal tendon rupture,and fibular fracture in a snowboarder,highlighting the complex nature of diagnosis,management,and rehabilitation.CASE SUMMARY A 50-year-old male snowboarder presented with severe right ankle pain following a high speed tumbling crash.Initial evaluation revealed an Achilles tendon rupture and a non-displaced distal lateral malleolus fracture.Subsequent magnetic resonance imaging confirmed complete tears of the Achilles tendon and both peroneus longus and brevis tendons,along with a Weber A lateral malleolus fracture.Surgical intervention included a 4-suture core Kraków repair of the Achilles tendon with calcaneal docking,open reduction and internal fixation of the distal fibula fracture,and primary repair of both peroneal tendons.Postoperatively,a modified Achilles repair protocol was implemented.At 16 weeks post-surgery,radiographs showed a well-healed fibular fracture,and physical examination confirmed intact Achilles and peroneal tendon repairs.By 6 months,the patient had regained full daily and work activities,including recreational pursuits.CONCLUSION This case underscores the importance of maintaining a high index of suspicion for concomitant injuries in high-energy ankle trauma during snow sports.Timely advanced imaging and a comprehensive surgical approach are crucial for optimal outcomes in such complex cases. 展开更多
关键词 Achilles rupture Peroneal rupture Ankle fracture SNOWBOARDING High-energy ankle injury Case report
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Experimental Study of Hydraulic–Natural Fracture Interactions under Variable Geomechanical Conditions in Deep Shale of the Southern Sichuan Basin
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作者 Bo Zeng Junfeng Li +4 位作者 Liqing Chen Qiyong Gou Hao Luo Haiyan Zhu Xuanhe Tang 《Fluid Dynamics & Materials Processing》 2026年第2期265-277,共13页
Deep shale gas reservoirs in the southern Sichuan Basin are typically characterized by significant horizontal stress anisotropy(expressed as stress difference),variable brittleness-ductility in rock mechanics,and stro... Deep shale gas reservoirs in the southern Sichuan Basin are typically characterized by significant horizontal stress anisotropy(expressed as stress difference),variable brittleness-ductility in rock mechanics,and strong heterogeneity.These complex geomechanical conditions lead to pronounced differences in hydraulic fracturing outcomes among wells and sections.To investigate hydraulic fracture propagation and fracturing fluid injection behavior under varying geomechanical settings,true triaxial physical simulation tests were performed on 400×400×400 mm artificial rock samples.The samples were designed with different media properties based on similarity criteria.A sensitivity analysis was conducted to assess the effects of brittleness-ductility characteristics,natural fractures,and in-situ stress conditions.The results reveal that:(i)brittle samples with lower stress difference are favorable for forming complex,perforable fracture networks;(ii)brittle samples with higher stress difference tend to develop simple,planar hydraulic fractures,with natural fractures only slightly activated during very short injection periods;(iii)ductile behavior enhances the activation of natural fractures but reduces fracture complexity compared with brittle samples,even under lower stress difference;and(iv)for typical deep shale formations,larger fluid injection volumes combined with high-density,multi-cluster fracturing techniques are recommended. 展开更多
关键词 Deep shale in the southern Sichuan basin hydraulic fracturing fracture propagation true triaxial physical simulation tests typical different geomechanics
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Dynamic compressive mechanical properties and fracture mechanism of conglomerate
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作者 WANG Mi CHEN Xiao-bin +2 位作者 TANG Lu-bo WANG Ye-shun LIANG Wei-qun 《Journal of Central South University》 2026年第1期299-316,共18页
Conglomerate rock's complex and heterogeneous microstructure significantly affects its mechanical properties,especially under dynamic loading.However,research on their dynamic behavior and fracture mechanisms is l... Conglomerate rock's complex and heterogeneous microstructure significantly affects its mechanical properties,especially under dynamic loading.However,research on their dynamic behavior and fracture mechanisms is limited.Through uniaxial compression tests and split Hopkinson pressure bar(SHPB)impact tests,the dynamic compressive mechanical properties and fracture mechanisms of conglomerate rock were studied.Nanoindentation and high-resolution X-ray computed tomography were employed to analyze the micro-mechanical behavior and internal structure of the conglomerate rock.Results indicate significant differences in mechanical properties between different gravel particles and cementing materials,with initial fractures primarily distributed at the gravel-cement interfaces.The dynamic mechanical properties of conglomerate rocks exhibit a clear strain rate dependency.Based on the stress−strain curves and failure characteristics,the dynamic compressive mechanical behavior can be categorized into two types using a critical strain rate.The dynamic compressive strength,peak strain,and toughness of conglomerate rock increased with the strain rate,with the strength at 54 s−1 being 2.6 times that at 6 s−1.The dynamic compressive fracture mechanism of conglomerate rock is related to the strain rate and microstructure;at low strain rates,gravel distribution is the key factor,whereas at high strain rates,gravel content becomes critical. 展开更多
关键词 CONGLOMERATE compressive response realistic micro-heterogeneity fracture mechanism strain rate dependency
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Hydraulic fracturing of reservoirs containing rough discrete fracture networks:FDEM-UPM approach
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作者 Wanrun Li Zhengzhao Liang Chengye Zhao 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第2期1368-1389,共22页
Fractures are typically characterized by roughness that significantlyaffects the mechanical and hydraulic characteristics of reservoirs.However,hydraulic fracturing mechanisms under the influenceof fracture morphology... Fractures are typically characterized by roughness that significantlyaffects the mechanical and hydraulic characteristics of reservoirs.However,hydraulic fracturing mechanisms under the influenceof fracture morphology remain largely unexplored.Leveraging the advantages of the finite-discrete element method(FDEM)for explicitly simulating fracture propagation and the strengths of the unifiedpipe model(UPM)for efficientlymodeling dual-permeability seepage,we propose a new hydromechanical(HM)coupling approach for modeling hydraulic fracturing.Validated against benchmark examples,the proposed FDEM-UPM model is further augmented by incorporating a Fourier-based methodology for reconstructing non-planar fractures,enabling quantitative analysis of hydraulic fracturing behavior within rough discrete fracture networks(DFNs).The FDEM-UPM model demonstrates computational advantages in accurately capturing transient hydraulic seepage phenomena,while the asynchronous time-stepping schemes between hydraulic and mechanical analyses substantially enhanced computational efficiencywithout compromising computational accuracy.Our results show that fracture morphology can affect both macroscopic fracture networks and microscopic interaction types between hydraulic fractures(HFs)and natural fractures(NFs).In an isotropic stress field,the initiation azimuth,propagation direction and microcracking mechanism are significantly influencedby fracture roughness.In an anisotropic stress field,HFs invariably propagate parallel to the direction of the maximum principal stress,reducing the overall complexity of the stimulated fracture networks.Additionally,stress concentration and perturbation attributed to fracture morphology tend to be compromised as the leak-off increases,while the breakdown and propagation pressures remain insensitive to fracture morphology.These findingsprovide new insights into the hydraulic fracturing mechanisms of fractured reservoirs containing complex rough DFNs. 展开更多
关键词 Hydraulic fracturing Unified pipe model(UPM) Finite-discrete element method(FDEM) Hydro-mechanical coupling Discrete fracture network(DFN)
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Energy budget in geomaterials fracture:analysis using non-local ductile damage model
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作者 Yijun Chen Mostafa E.Mobasher +1 位作者 Dongjian Zheng Haim Waisman 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第2期887-912,共26页
We present a novel approach for calculating the energy budget components during the progressive failure process in cohesive-frictional geomaterials.The energy supplied through external loading can be either stored as ... We present a novel approach for calculating the energy budget components during the progressive failure process in cohesive-frictional geomaterials.The energy supplied through external loading can be either stored as elastic strain energy and plastic energy storage or dissipated through damage growth and irreversible plastic deformation mechanisms.Analytical functions describing energy budget components are derived based on a thermodynamic formulation in geomaterials fracture.The thermodynamically consistent derivation leads to a non-local ductile damage model,which is solved numerically in a non-linear finite element framework.The proposed model captures geomaterial fractures in three benchmark examples,including tensile and biaxial-compressive shear scenarios and slope stability analysis.The aspects of shear fracture propagation and energy budget mechanisms are elaborately investigated,considering different material properties and stochastic distributions.The numerical results are validated against existing experimental data and other analytical methods.The model provides a physics-based understanding of energy budget in geomaterials fracture,leading to advances in ground improvement and other geotechnical supporting systems. 展开更多
关键词 Non-local ductile damage Energetic formulation Energy budget Shear fracture propagation Geomechanics applications
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Dynamic fracture behavior and coupled impact effect of as-cast W-Zr-Ti energetic structural material
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作者 Yuxuan Qi Liang Mao +3 位作者 Chunlan Jiang Guitao Liu Kongxun Zhao Mengchen Zhang 《Defence Technology(防务技术)》 2026年第1期422-435,共14页
This paper prepared a novel as-cast W-Zr-Ti metallic ESM using high-frequency vacuum induction melting technique.The above ESM performs a typical elastic-brittle material feature and strain rate strengthening behavior... This paper prepared a novel as-cast W-Zr-Ti metallic ESM using high-frequency vacuum induction melting technique.The above ESM performs a typical elastic-brittle material feature and strain rate strengthening behavior.The specimens exhibit violent chemical reaction during the fracture process under the impact loading,and the size distribution of their residual debris follows Rosin-Rammler model.The dynamic fracture toughness is obtained by the fitting of debris length scale,approximately 1.87 MPa·m~(1/2).Microstructure observation on residual debris indicates that the failure process is determined by primary crack propagation under quasi-static compression,while it is affected by multiple cracks propagation in both particle and matrix in the case of dynamic impact.Impact test demonstrates that the novel energetic fragment performs brilliant penetration and combustion effect behind the front target,leading to the effective ignition of fuel tank.For the brittleness of as-cast W-ZrTi ESM,further study conducted bond-based peridynamic(BB-PD)C++computational code to simulate its fracture behavior during penetration.The BB-PD method successfully captured the fracture process and debris cloud formation of the energetic fragment.This paper explores a novel as-cast metallic ESM,and provides an available numerical avenue to the simulation of brittle energetic fragment. 展开更多
关键词 Energetic structural material Dynamic fracture behavior Coupled impact effect Mechanical property Peridynamics As-cast W-Zr-Ti alloy
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Research on the Efficacy of Autologous Periosteum Graft Combined with PRP in the Treatment of Long Bone Fractures in the Extremities
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作者 Xiang Chen 《Journal of Clinical and Nursing Research》 2026年第1期323-330,共8页
Objective:To analyze the clinical application value of autologous periosteum graft combined with platelet-rich plasma(PRP)in the treatment of long bone fractures in the extremities.Methods:A total of 40 patients with ... Objective:To analyze the clinical application value of autologous periosteum graft combined with platelet-rich plasma(PRP)in the treatment of long bone fractures in the extremities.Methods:A total of 40 patients with long bone fractures in the extremities admitted to Santai Hospital Affiliated to North Sichuan Medical College from January 2023 to January 2025 were included,including cases of upper extremity forearm fractures and lower extremity femoral and tibial fractures.The patients were evenly divided using a random number table,with the control group undergoing open reduction and internal fixation(ORIF)combined with autologous periosteum graft,and the observation group undergoing ORIF,autologous periosteum graft,and PRP injection.Surgical indicators,complication rates,excellent fracture healing rates,functional satisfaction,and joint range of motion were compared between the two groups.Results:The surgical indicators in the observation group were similar to those in the control group(p>0.05).The complication rate in the observation group was lower than that in the control group,while the excellent fracture healing rate and functional satisfaction were higher in the observation group(p<0.05).Conclusion:Autologous periosteum graft combined with PRP technology is safe and reliable for the treatment of long bone fractures in the extremities,with satisfactory clinical outcomes. 展开更多
关键词 Periosteum graft Long bones of the extremities PRP Complication rate fracture healing
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The Impact of Early Postoperative Rehabilitation Training on Balance Ability and Quality of Life in Elderly Patients with Hip Fracture
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作者 Kaiyu Yang Xiaofang Peng Li Xu 《Journal of Clinical and Nursing Research》 2026年第1期394-399,共6页
Objective:To analyze the improvement effect of early postoperative rehabilitation training on balance ability and quality of life in elderly patients with hip fracture.Methods:A total of 50 elderly patients with hip f... Objective:To analyze the improvement effect of early postoperative rehabilitation training on balance ability and quality of life in elderly patients with hip fracture.Methods:A total of 50 elderly patients with hip fracture admitted to our hospital from January 2023 to January 2024 were selected and divided into the observation group(25 cases)and the control group(25 cases)by random number table method.The control group received routine nursing,while the observation group received early rehabilitation training on the basis of routine nursing.The balance ability(Berg Balance Scale,BBS)and quality of life(SF-36)of the two groups were compared.Results:The BBS scores of the observation group at all postoperative time points were significantly higher than those of the control group(p<0.05),and the quality-of-life scores of the observation group were also significantly higher than those of the control group(p<0.05).Conclusion:Early postoperative rehabilitation training for elderly patients with hip fracture can improve their balance ability,enhance their quality of life,and reduce the incidence of postoperative complications,which is worthy of clinical promotion. 展开更多
关键词 Elderly hip fracture Early postoperative rehabilitation training Balance ability Quality of life COMPLICATIONS
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Experimental Study of Sand Transport Assisted by Self-Suspended Proppant in Complex Fractures
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作者 Yang Zhang Xiaoping Yang +3 位作者 Yalan Zhang Mingzhe Han Jiayi Sun Zhengsheng Xia 《Fluid Dynamics & Materials Processing》 2026年第1期138-153,共16页
Self-suspended proppants,which enable clear-water fracturing,represent a promising new class of materials for reservoir stimulation.Given the economic limitations associated with their exclusive use,this study investi... Self-suspended proppants,which enable clear-water fracturing,represent a promising new class of materials for reservoir stimulation.Given the economic limitations associated with their exclusive use,this study investigates proppant transport behavior in hybrid systems combining self-suspended proppants with conventional 40/70 mesh quartz sand at various mixing ratios.A dedicated experimental apparatus was developed to replicate field-relevant complex fracture networks,consisting of a main fracture and two branching fractures with different deflection angles.Using this system,sand bank formation and proppant distribution were examined for both conventional quartz sand fracturing and fracturing augmented with self-suspended proppants.The effects of slurry discharge volume,proppant mixing ratio,sand ratio,and injection location of the self-suspended proppant on transport and placement behavior were systematically analyzed.According to the results,the incorporation of self-suspended proppants markedly enhances the proppant-carrying capacity of the slurry and substantially modifies sand bank morphology.Increasing the discharge volume raises the inlet slope angle and promotes greater proppant penetration into branch fractures.The proportion of self-suspended proppant governs slurry viscoelasticity and,consequently,proppant settling behavior.As the fraction of self-suspended proppant decreases,the equilibrium height of the sand bank increases,while the proppant mass fraction within branch fractures exhibits a non-monotonic response,initially decreasing and then increasing.Variations in sand ratio alter both overall proppant concentration and the self-suspended proppant-to-water ratio,thereby modulating slurry rheology and influencing proppant placement.In addition,changes in injection location affect near-wellbore vortex structures,leading to distinct sand bank morphologies. 展开更多
关键词 Unconventional oil and gas clearwater fracturing self-suspended proppant complex fractures assisted sand transportation
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Effect of dominant fractures on triaxial behavior of 3D-printed rock analogs with internal fracture networks
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作者 Lishuai Jiang Pimao Li +3 位作者 Xin He Yang Zhao Quansen Wu Ye Zhao 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第2期1390-1412,共23页
Internal structural defects in engineering rock masses vary in size,exhibit complex shapes,and are unevenly distributed.Dominant fractures within a rock mass often play a critical to its mechanical behavior,directly a... Internal structural defects in engineering rock masses vary in size,exhibit complex shapes,and are unevenly distributed.Dominant fractures within a rock mass often play a critical to its mechanical behavior,directly affecting the macromechanical properties and failure modes.These fractures affect the instability and failure of the surrounding rock,significantlyimpacting the overall stability of engineering structures.Herein,sand-powder three-dimensional(3D)printing technology was used to prepare rock-like specimens with internal fracture networks.Triaxial compression testing,post-failure fracture mapping,and fractal dimension analysis of the fracture surfaces were conducted to investigate the effects of dominant fracture angles on the strength and deformation of rocks with internal fracture networks under triaxial stress.The results indicate that the dominant fracture angle has a pronounced effect on the mechanical behavior of rock.With increasing angle,both compressive strength and elastic modulus exhibit an initial decline followed by an increase.Moreover,higher confiningpressure significantlyimproves the compressive strength of fractured rock.This enhancement weakens as the confiningpressure further increases.Moreover,with increasing confiningpressure,the differences between the maximum and minimum values of elastic moduli and lateral strain ratios in fractured rock gradually decrease.Thus,the impact of the dominant fracture angle on rock mass deformation decreases with increasing confiningpressure.This research elucidates the effects of dominant fracture angles on the mechanical and failure properties of complex fractured rock masses and the influenceof the confiningpressure on these relationships.It provides valuable theoretical insights and practical guidance for stability analyses in engineering rock masses. 展开更多
关键词 Sand powder three-dimensional(3D) printing Internal fracture networks Triaxial compression Rock mechanics Fractal dimension
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磁共振FRACTURE技术在髋关节骨性关节炎的应用价值
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作者 张永莉 宋玲玲 +4 位作者 李语 梁晨 宋德情 沈露 吴文江 《中国CT和MRI杂志》 2026年第2期160-163,共4页
目的探讨MR FRACTURE成像技术诊断髋关节骨性关节炎的价值。方法收集2022年06月至2023年12月就诊于贵州医科大学附属医院的髋关节骨性关节炎患者且行髋关节CT扫描共19例。所有人均进行MRI常规序列、FRACTURE序列扫描。根据患者CT检查依... 目的探讨MR FRACTURE成像技术诊断髋关节骨性关节炎的价值。方法收集2022年06月至2023年12月就诊于贵州医科大学附属医院的髋关节骨性关节炎患者且行髋关节CT扫描共19例。所有人均进行MRI常规序列、FRACTURE序列扫描。根据患者CT检查依据Kellgren-Lawrence(K/L)分级法将髋关节骨性关节炎(hip osteoarthritis,HOA)分为1-4级。评估常规CT、FRACTURE和常规MRI诊断HOA骨赘、骨质增生硬化、关节间隙狭窄、关节面下囊变的检出率,组间的差异性分析服从偏态分布,采用Mann-Whitney U秩和检验。结果(1)FRACTURE成像与CT平扫对HOA的骨赘、关节面下骨质硬化、关节间隙狭窄的检出率相当,差异不具有统计学意义;(2)FRACTURE成像对HOA的骨赘、关节间隙狭窄的检出率高于常规MRI,差异具有统计学意义(P<0.05),而对关节面下囊变的检出率低于常规MRI成像,差异具有统计学意义(P<0.05)。结论FRACTURE成像技术对显示HOA关节边缘骨赘、骨质硬化、关节间隙狭窄方面具有优势,因此,常规MRI平扫加FRACTURE序列,能达到MRI及CT二者的诊断效果,且避免了CT辐射,具有较好的临床应用价值。 展开更多
关键词 髋关节 骨性关节炎 磁共振成像 fracture成像
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A bio-healing method for underground long rock fractures with high bridging rate
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作者 Qi-Chen Dai Xiao-Hua Pan +1 位作者 Chao-Sheng Tang Bin Shi 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第2期1359-1367,共9页
One of the key challenges for underground rock reservoirs is ensuring prevention of the unwanted fluid leakage through rock fracture networks during their service life.Microbial-induced calcium carbonate precipitation... One of the key challenges for underground rock reservoirs is ensuring prevention of the unwanted fluid leakage through rock fracture networks during their service life.Microbial-induced calcium carbonate precipitation(MICP)technology has emerged as a promising bio-healing method for rock fractures with small apertures.In this study,a new“three-stage”injection strategy-based MICP(TS-MICP)bio-healing method was proposed,aiming to achieve a“three-high”performance that includes high bridging rate,high mechanical strength,and high homogeneity.A series of meter-scale rock fracture models were prepared to conduct TS-MICP grouting tests.Compared with the traditional injection strategy-based biohealing methods,the TS-MICP method significantly improved the bridging rate(32.1%e89.5%),mechanical properties(0.138e1.023 MPa),and homogeneity of CaCO_(3)precipitation(334.4%).Additionally,it achieved a higher material utilization rate(1.72 times higher),reducing the consumption of cementation solution(CS)by 258.8%,thereby demonstrating greater potential for field applications.The underlying mechanism for achieving high bridging rate and high homogeneity in CaCO_(3)precipitation can be attributed to the synergistic effects of the coupling injection strategy,which optimizes the advantages at each stage.In stage I,under the influence of gravity,the rapid flocculation and hydrogen bonding interactions of organic matter lead to formation of the dense and high-strength CaCO_(3)precipitation at the bottom using a low-concentration bacterial suspension(BS).This process establishes bridging steps along the wall sides for subsequent uniform CaCO_(3)precipitation.In stage II,concentrated BS is utilized to produce looser CaCO_(3)flocculation,which precipitates uniformly on the pre-existing bridging steps.In stage III,a two-step injection strategy was employed to reinforce the loose CaCO_(3)crystals formed in stages I and II,and finally forms a strong bridging effect with“three-high”performance. 展开更多
关键词 Microbial-induced calcium carbonate precipitation(MICP)healing Meter-scale fracture Three-stage injection strategy High bridging rate
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Nonlinear fluid flow regimes in fractured shale:Impact of confining stresses and water-supercritical CO_(2)interactions
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作者 Bingbin Xie Jingqiang Tan +4 位作者 Qiao Lyu Chenger Hu Xindong Li Yonggang Ding Gan Feng 《Natural Gas Industry B》 2026年第1期44-59,共16页
The coupled chemo-mechanical impact of supercritical CO_(2)-H_(2)O(ScCO_(2)-H_(2)O)reactions on fracture geometry and nonlinear flow regimes in deep shale under confining pressures remains inadequately quantified.This... The coupled chemo-mechanical impact of supercritical CO_(2)-H_(2)O(ScCO_(2)-H_(2)O)reactions on fracture geometry and nonlinear flow regimes in deep shale under confining pressures remains inadequately quantified.This study systematically investigates the effects of ScCO_(2)-H_(2)O-shale interactions on fracture morphology and flow properties under confining pressures from 15 MPa to 40 MPa by integrating XRD(X-ray diffraction),micro-CT,3D surface profilometry,and multistage steady-state flow experiments.The results demonstrate that ScCO_(2)-H_(2)O exposure drives pyrite/feldspar dissolution and localized clay precipitation,resulting in fracture branching and macroscopic aperture regularization.Critically,confining pressure dictates the net hydraulic response:under low confining pressure(15-25 MPa),dissolution dominates,enhancing permeability,flow efficiency(Q/VP),and pre-linear flow behavior(n<1).At high confining pressures(30-40 MPa)mechanical compaction and mineral precipitation amplify flow resistance,shifting the flow regime toward quasi-linear behavior,as inertial effects become negligible compared to dominant viscous forces and increased flow resistance.Confining pressure thus critically mediates the dissolution-precipitation balance during ScCO_(2)-H_(2)O treatment,with an optimal window of 15-25 MPa identified for enhancing conductivity while minimizing clogging risk.These findings provide a quantitative framework for predicting stress-dependent flow evolution in chemically altered shale fractures. 展开更多
关键词 Shale gas ScCO_(2)-H_(2)O interactions Nonlinear flow CCUS fracture geometry
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