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
The migration,accumulation,and high yield of hydrocarbons in tight sandstone reservoirs are closely tied to the natural fracture systems within the reservoirs.Large-scale fracture networks not only enhance reservoir s...The migration,accumulation,and high yield of hydrocarbons in tight sandstone reservoirs are closely tied to the natural fracture systems within the reservoirs.Large-scale fracture networks not only enhance reservoir seepage capacity but also influence effective productivity and subsequent fracturing reconstruction.Given the diverse mechanical behaviors,such as migration,penetration,or fracture arrest,traditional assumptions about fracture interaction criteria fail to address this complexity.To resolve these issues,a global cohesive element method is proposed to model random natural fractures.This approach verifies intersection models based on real-time stress conditions rather than pre-set criteria,enabling better characterization of interactions between hydraulic and natural fractures.Research has shown that the elastic modulus,horizontal stress difference,and fracturing fluid pumping rate significantly promote the expansion of hydraulic fractures.The use of low viscosity fracturing fluid can observe a decrease in the width of fractures near the wellbore,which may cause fractures to deflect when interacting with natural fractures.However,simulations under these conditions did not form a“complex network of fractures”.It is worth noting that when the local stress difference is zero,the result is close to the formation of this network.Excessive spacing will reduce the interaction between fractures,resulting in a decrease in the total length of fractures.By comprehensively analyzing these factors,an optimal combination can be identified,increasing the likelihood of achieving a“complex fracture network”.This paper thoroughly investigates hydraulic fracture propagation in naturally fractured reservoirs under various conditions,offering insights for developing efficient fracturing methods.展开更多
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
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
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
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
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
The Gabes aquifer system,located in southeastern Tunisia,is a crucial resource for supporting local socio-economic activities.Due to its dual porosity structure,is particularly vulnerable to pollution.This study aims ...The Gabes aquifer system,located in southeastern Tunisia,is a crucial resource for supporting local socio-economic activities.Due to its dual porosity structure,is particularly vulnerable to pollution.This study aims to develop a hybrid model that combines the Fracture Aquifer Index(FAI)with the conventional GOD(Groundwater occurrence,Overall lithology,Depth to water table)method,to assess groundwater vulnerability in fractured aquifer.To develop the hybrid model,the classical GOD method was integrated with FAI to produce a single composite index.Each parameter within both GOD and FAI was scored,and a final index was calculated to delineate vulnerable areas.The results show that the study area can be classified into four vulnerability levels:Very low,low,moderate,and high,indicating that approximately 8%of the area exhibits very low vulnerability,29%has low vulnerability,25%falls into the moderate category,and 38%is considered highly vulnerable.The FAI-GOD model further incorporates fracture network characteristics.This refinement reduces the classification to three vulnerability classes:Low,medium,and high.The outcomes demonstrate that 46%of the area is highly vulnerable due to a dense concentration of fractures,while 17%represents an intermediate zone characterized by either shallow or deeper fractures.In contrast,37%corresponds to areas with lightly fractured rock,where the impact on vulnerability is minimal.Multivariate statistical analysis was employed using Principal Components Analysis(PCA)and Hierarchical Cluster Analysis(HCA)on 24 samples across six variables.The first three components account for over 76%of the total variance,reinforcing the significance of fracture dynamics in classifying vulnerability levels.The FAI-GOD model removes the very-low-vulnerability class and expands the spatial extent of low-and high-vulnerability zones,reflecting the dominant influence of fracture networks on aquifer sensitivity.While both indices use a five-class system,FAI-GOD redistributes vulnerability by eliminating very-low-vulnerability areas and amplifying low/high categories,highlighting the critical role of fractures.A strong correlation(R2=0.94)between the GOD and FAI-GOD indices,demonstrated through second-order polynomial regression,confirms the robustness of the FAI-GOD model in accurately predicting vulnerability to pollution.This model provides a useful framework for assessing the vulnerability of complex aquifers and serves as a decision-making tool for groundwater managers in similar areas.展开更多
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
Received 7 August 2024;received in revised form 13 November 2024;accepted 18 November 2024 Available online 30 November 2024 Abstract The poor fracture toughness limits the widespread application of high-strength cast...Received 7 August 2024;received in revised form 13 November 2024;accepted 18 November 2024 Available online 30 November 2024 Abstract The poor fracture toughness limits the widespread application of high-strength cast Mg-Re-Zn alloys.Regulating the alloy microstructure,with phases such asα-Mg,blocky LPSO(long-period stacking order),and lamellar LPSO,offers various possibilities to enhance ductility by casting and heat treatment.This study categorizes different interface types concerning crack initiation,propagation,and ultimate fracture toughness.It distinctly presents the results of interface modulation related to alloy composition and heat treatment,elucidating the influence on crack initiation and propagation paths.Consequently,it proposes structural configurations rule and relevant heat treatment processes that can optimize and improve alloy fracture toughness.Blocky LPSO should have appropriate dispersion and size while avoiding lamellar LPSO.展开更多
The deep coal reservoir in Linxing-Shenfu block of Ordos Basin is an important part of China’s coalbed methane resources.In the process of reservoir reconstruction,the artificial fracture morphology of coal seam with...The deep coal reservoir in Linxing-Shenfu block of Ordos Basin is an important part of China’s coalbed methane resources.In the process of reservoir reconstruction,the artificial fracture morphology of coal seam with gangue interaction is significantly different,which affects the efficient development of coalbed methane resources in this area.In this paper,the surface outcrop of Linxing-Shenfu block is selected,and three kinds of interaction modes between gangue and coal seam are set up,including single-component coal rock sample,coal rock sample with different thicknesses of gangue layer and coal rock sample with different numbers of gangue.Through true triaxial physical simulation and three-dimensional discrete element numerical simulation,the lawof artificial fracture initiation and propagation in multi-gangue interaction coal seam is analyzed in depth,and the hydraulic fracture initiation and propagation mode under different interaction modes of gangue layer in Linxing-Shenfu deep coal reservoir was clarified.The research shows that the initiation of artificial fractures in a single coal seam is affected by geologicalengineering factors.The maximum principal stress dominates the direction of fracture propagation,and the stress difference controls the fracture morphology.When the stress difference is 2 MPa,the fracture morphology is complex,which is easy to connect to the weak surface of coal and rock cleat,and the fracturemorphology of the stress difference is mainly a single main fracture.After the thickness of the gangue layer is increased from 2 to 5 cm,it is difficult for the artificial fracture to penetrate the layer vertically after the fracture initiation,and the effective transformation area of the reservoir is limited.The more the number of gangue layers,the greater the hydraulic energy consumption in the process of fracture propagation,and the more difficult the fracture propagation.展开更多
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
To enhance the mechanical reliability of dental prostheses under long-term service conditions,this study aimed to evaluate the fracture behavior and energy dissipation characteristics of three commonly used prosthetic...To enhance the mechanical reliability of dental prostheses under long-term service conditions,this study aimed to evaluate the fracture behavior and energy dissipation characteristics of three commonly used prosthetic materials,namely,zirconia ceramics(ZrO_(2)),cobalt-chromium alloy(Co-Cr),and titanium-zirconium alloy(Ti-13Zr),under various crack configurations.A three-dimensional finite element model of a single-crown prosthesis incorporating predefined cracks was established,and both axial and oblique multidirectional loads were applied.Using LS-DYNA software,the deformation patterns,principal stress distribution,and energy release characteristics during crack propagation were systematically analyzed.The experimental results indicate that Ti-13Zr alloy exhibited the highest crack resistance,making it particularly suitable for patients with insufficient bone volume or limited implant space.Co-Cr alloy demonstrated favorable structural stability and mechanical performance under high-load conditions.In contrast,due to its inherent brittleness,ZrO_(2)was more prone to rapid fracture propagation in long-span or high-stress scenarios,although it remains a preferred option for anterior esthetic zones and patients with metal sensitivities.Furthermore,the simulation outcomes were theoretically validated using Griffith's energy-based fracture criterion,reinforcing the accuracy of failure predictions based on principal stress analysis.This study elucidates the differences in clinical applicability among prosthetic materials and reveals their distinct fracture mechanisms,thereby providing a theoretical foundation for optimizing material selection and structural design.The findings contribute to improving the long-term safety and functional stability of implant-supported dental restorations.展开更多
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
BACKGROUND Humeral shaft fractures are common and vary by age,with high-energy trauma observed in younger adults and low-impact injuries in older adults.Radial nerve palsy is a frequent complication.Treatment ranges f...BACKGROUND Humeral shaft fractures are common and vary by age,with high-energy trauma observed in younger adults and low-impact injuries in older adults.Radial nerve palsy is a frequent complication.Treatment ranges from nonoperative methods to surgical interventions such as intramedullary K-wires,which promote faster rehabilitation and improved elbow mobility.AIM To evaluate the outcomes of managing humeral shaft fractures using closed reduction and internal fixation with flexible intramedullary K-wires.METHODS This was a retrospective cohort study analyzing the medical records of patients with humeral shaft fractures managed with flexible intramedullary K-wires at King Abdulaziz Medical City,using non-random sampling and descriptive analysis for outcome evaluation.RESULTS This study assessed the clinical outcomes of 20 patients treated for humeral shaft fractures with intramedullary K-wires.Patients were predominantly male(n=16,80%),had an average age of 39.2 years,and a mean body mass index of 29.5 kg/m^(2).The fractures most frequently occurred in the middle third of the humerus(n=14,70%),with oblique fractures being the most common type(n=7,35%).All surgeries used general anesthesia and a posterior approach,with no intraoperative complications reported.Postoperatively,all patients achieved clinical and radiological union(n=20,100%),and the majority(n=13,65%)reached an elbow range of motion from 0 to 150 degrees.CONCLUSION These results suggest that intramedullary K-wire fixation may be an effective option for treating humeral shaft fractures,with favorable outcomes in range of motion recovery,fracture union,and a low rate of intraoperative complications.展开更多
The strong vertical discontinuities pose a fundamental challenge to optimizing stimulated reservoir volume(SRV)in multilayered reservoirs.This research proposes a radial borehole-assisted horizontal well fracturing te...The strong vertical discontinuities pose a fundamental challenge to optimizing stimulated reservoir volume(SRV)in multilayered reservoirs.This research proposes a radial borehole-assisted horizontal well fracturing technology,which is expected to achieve effective vertical stimulation and commingled production across multiple pay zones.Under different geological and engineering conditions,the vertical propagation behavior of hydraulic fractures guided by radial boreholes can be determined by adjusting the interlayered lithologies and radial borehole configurations in experimental samples.Experimental results reveal four fracture network patterns:passivated,cross-layer,skip-layer,and hybrid fractures in the radial borehole fracturing.The radial boreholes perform better fracture guiding performances in the high-brittleness interlayers,which form cross-layer and hybrid fracture networks to improve the growth height.Hydraulic fractures tend to propagate from high-strength to low-strength layers under radial borehole guidance.When radial boreholes interconnect multiple lithology layers,hydraulic fractures initiate preferentially in lower-strength zones rather than remaining confined to borehole root ends.Increased radial borehole length and diameter facilitate fracture skip-layer initiation and cross-layer propagation,while multiple borehole branches enhance fracture penetration across high-strength interlayers.Radial boreholes with inclination angles below 30°enhance fracture height by generating cross-layer and hybrid fracture networks.Furthermore,an inter-borehole phase angle of less than 180°facilitates single-wing fracture cross-layer propagation.Fracture height is primarily governed by radial borehole length,followed by quantity,inclination angle,and diameter.Based on the geometric similarity criteria,the recommended parameters for radial borehole-assisted fracturing in a 5 1/2-inch horizontal well include a length>15 m,an inclination angle<30°,and a diameter>52 mm to ensure effective stimulation across three or more pay zones.Finally,the field-scale numerical model was developed to simulate the optimized radial borehole fracturing and demonstrate the technical superiority.These findings are expected to provide an in-depth understanding of the effective stimulation in multilayered reservoirs.展开更多
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
In this study,by adjusting the homogenization process,numerous lamellar-shapedγ’phases are generated and uniformly distributed throughout the grain interior within as-extruded Mg-9Gd-4Y-1Zn-0.5Zr(wt.%)alloy,leading ...In this study,by adjusting the homogenization process,numerous lamellar-shapedγ’phases are generated and uniformly distributed throughout the grain interior within as-extruded Mg-9Gd-4Y-1Zn-0.5Zr(wt.%)alloy,leading to a remarkable increase enhancement in both tensile strength and fracture toughness.Notably,as compared to the alloy containing block-shaped long-period stacking-ordered(LPSO)phase,when the lamellar-shapedγ’phase is introduced within theα-Mg matrix,the fracture toughness of 29.7 MPa·m^(1/2)can be achieved with a 27%improvement.This superior fracture resistance is mainly attributed to the delamination toughening derived from the intensive micro-cracks occurring alongγ’phase interfaces oriented perpendicular to the primary fracture surface.Owing to the presence of lamellarshapedγ’phase,the fracture morphology can be significantly changed and characterized with deep dimples and pronounced deflection of main crack,which collectively contribute to the enhanced plastic energy dissipation and fracture toughness.The characteristics of deformed microstructure near the fracture surface demonstrate the activation of kinking and the inhibition of twin propagation due to the interactions with lamellarγ’phase.Such deformation behavior can effectively impede the crack propagation and contribute to the superior fracture resistance.Besides,the X-ray computed tomography analysis of the fractured alloy exhibits the distribution and size of voids,indicating that the prolate voids preferentially nucleate and propagate parallel to the lamellarγ’phase.Accordingly,the deformation mechanisms under a triaxial stress state involve the intricate interplay between lamellarγ’phase-induced delamination,crack deflection as well as void formation.Through the application of tailored pre-treatment heat treatment processes,the control of phase constituents within the microstructure can be achieved to improve the mechanical properties of Mg alloys.It is anticipated to provide a comprehensive understanding of the fracture behavior of Mg-Gd-Y-Zn-Zr,with particular emphasis on the synergistic effects of lamellarγ’phase and LPSO phase in the optimization of overall mechanical performance.展开更多
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
文摘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.
基金supported by the National Natural Science Foundation of China(52074313).
文摘The migration,accumulation,and high yield of hydrocarbons in tight sandstone reservoirs are closely tied to the natural fracture systems within the reservoirs.Large-scale fracture networks not only enhance reservoir seepage capacity but also influence effective productivity and subsequent fracturing reconstruction.Given the diverse mechanical behaviors,such as migration,penetration,or fracture arrest,traditional assumptions about fracture interaction criteria fail to address this complexity.To resolve these issues,a global cohesive element method is proposed to model random natural fractures.This approach verifies intersection models based on real-time stress conditions rather than pre-set criteria,enabling better characterization of interactions between hydraulic and natural fractures.Research has shown that the elastic modulus,horizontal stress difference,and fracturing fluid pumping rate significantly promote the expansion of hydraulic fractures.The use of low viscosity fracturing fluid can observe a decrease in the width of fractures near the wellbore,which may cause fractures to deflect when interacting with natural fractures.However,simulations under these conditions did not form a“complex network of fractures”.It is worth noting that when the local stress difference is zero,the result is close to the formation of this network.Excessive spacing will reduce the interaction between fractures,resulting in a decrease in the total length of fractures.By comprehensively analyzing these factors,an optimal combination can be identified,increasing the likelihood of achieving a“complex fracture network”.This paper thoroughly investigates hydraulic fracture propagation in naturally fractured reservoirs under various conditions,offering insights for developing efficient fracturing methods.
基金support provided by the National Natural Science Foundation of China(No.52274077)the Natural Science Foundation of Henan(No.242300421072)+2 种基金the Youth Elite Teachers Cultivation Program for Higher Education Institutions in Henan Province(No.2024GGJS036)the Funds for Distinguished Young Scholars of Henan Polytechnic University(No.J2023-3)the Young Core Teacher Funding Scheme of Henan Polytechnic University(No.2023XQG-09).
文摘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.
文摘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.
基金The Vice Chancellor of Research and Technology at Urmia University。
文摘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.
基金the National Natural Science Foundation of China(Nos.52204005,52192622,U20A20265)the Sichuan Science Fund for Young Scholars(23NSFSC4652).
文摘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.
文摘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.
文摘The Gabes aquifer system,located in southeastern Tunisia,is a crucial resource for supporting local socio-economic activities.Due to its dual porosity structure,is particularly vulnerable to pollution.This study aims to develop a hybrid model that combines the Fracture Aquifer Index(FAI)with the conventional GOD(Groundwater occurrence,Overall lithology,Depth to water table)method,to assess groundwater vulnerability in fractured aquifer.To develop the hybrid model,the classical GOD method was integrated with FAI to produce a single composite index.Each parameter within both GOD and FAI was scored,and a final index was calculated to delineate vulnerable areas.The results show that the study area can be classified into four vulnerability levels:Very low,low,moderate,and high,indicating that approximately 8%of the area exhibits very low vulnerability,29%has low vulnerability,25%falls into the moderate category,and 38%is considered highly vulnerable.The FAI-GOD model further incorporates fracture network characteristics.This refinement reduces the classification to three vulnerability classes:Low,medium,and high.The outcomes demonstrate that 46%of the area is highly vulnerable due to a dense concentration of fractures,while 17%represents an intermediate zone characterized by either shallow or deeper fractures.In contrast,37%corresponds to areas with lightly fractured rock,where the impact on vulnerability is minimal.Multivariate statistical analysis was employed using Principal Components Analysis(PCA)and Hierarchical Cluster Analysis(HCA)on 24 samples across six variables.The first three components account for over 76%of the total variance,reinforcing the significance of fracture dynamics in classifying vulnerability levels.The FAI-GOD model removes the very-low-vulnerability class and expands the spatial extent of low-and high-vulnerability zones,reflecting the dominant influence of fracture networks on aquifer sensitivity.While both indices use a five-class system,FAI-GOD redistributes vulnerability by eliminating very-low-vulnerability areas and amplifying low/high categories,highlighting the critical role of fractures.A strong correlation(R2=0.94)between the GOD and FAI-GOD indices,demonstrated through second-order polynomial regression,confirms the robustness of the FAI-GOD model in accurately predicting vulnerability to pollution.This model provides a useful framework for assessing the vulnerability of complex aquifers and serves as a decision-making tool for groundwater managers in similar areas.
基金Project(51978674)supported by the National Natural Science Foundation of China。
文摘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.
基金supports from the National Key Research and Development Plan(Grant No.2021YFB3701100)the National Natural Science Foundation of China(Grant No.U2241231,No.52071206).
文摘Received 7 August 2024;received in revised form 13 November 2024;accepted 18 November 2024 Available online 30 November 2024 Abstract The poor fracture toughness limits the widespread application of high-strength cast Mg-Re-Zn alloys.Regulating the alloy microstructure,with phases such asα-Mg,blocky LPSO(long-period stacking order),and lamellar LPSO,offers various possibilities to enhance ductility by casting and heat treatment.This study categorizes different interface types concerning crack initiation,propagation,and ultimate fracture toughness.It distinctly presents the results of interface modulation related to alloy composition and heat treatment,elucidating the influence on crack initiation and propagation paths.Consequently,it proposes structural configurations rule and relevant heat treatment processes that can optimize and improve alloy fracture toughness.Blocky LPSO should have appropriate dispersion and size while avoiding lamellar LPSO.
基金supported by National Key Laboratory of Petroleum Resources and Engineering,China University of Petroleum,Beijing(No.PRE/open-2307).
文摘The deep coal reservoir in Linxing-Shenfu block of Ordos Basin is an important part of China’s coalbed methane resources.In the process of reservoir reconstruction,the artificial fracture morphology of coal seam with gangue interaction is significantly different,which affects the efficient development of coalbed methane resources in this area.In this paper,the surface outcrop of Linxing-Shenfu block is selected,and three kinds of interaction modes between gangue and coal seam are set up,including single-component coal rock sample,coal rock sample with different thicknesses of gangue layer and coal rock sample with different numbers of gangue.Through true triaxial physical simulation and three-dimensional discrete element numerical simulation,the lawof artificial fracture initiation and propagation in multi-gangue interaction coal seam is analyzed in depth,and the hydraulic fracture initiation and propagation mode under different interaction modes of gangue layer in Linxing-Shenfu deep coal reservoir was clarified.The research shows that the initiation of artificial fractures in a single coal seam is affected by geologicalengineering factors.The maximum principal stress dominates the direction of fracture propagation,and the stress difference controls the fracture morphology.When the stress difference is 2 MPa,the fracture morphology is complex,which is easy to connect to the weak surface of coal and rock cleat,and the fracturemorphology of the stress difference is mainly a single main fracture.After the thickness of the gangue layer is increased from 2 to 5 cm,it is difficult for the artificial fracture to penetrate the layer vertically after the fracture initiation,and the effective transformation area of the reservoir is limited.The more the number of gangue layers,the greater the hydraulic energy consumption in the process of fracture propagation,and the more difficult the fracture propagation.
文摘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.
基金Funded by the National Key R&D Program of China(No.2023YFC2412300)the Technology Development Project of Shan-dong Weigao Orthopedic Materials Co.,Ltd.(No.20221h0074)the Independent Innovation Research Fund of Wuhan University of Technology(No.104972024ZHZXhp0027)。
文摘To enhance the mechanical reliability of dental prostheses under long-term service conditions,this study aimed to evaluate the fracture behavior and energy dissipation characteristics of three commonly used prosthetic materials,namely,zirconia ceramics(ZrO_(2)),cobalt-chromium alloy(Co-Cr),and titanium-zirconium alloy(Ti-13Zr),under various crack configurations.A three-dimensional finite element model of a single-crown prosthesis incorporating predefined cracks was established,and both axial and oblique multidirectional loads were applied.Using LS-DYNA software,the deformation patterns,principal stress distribution,and energy release characteristics during crack propagation were systematically analyzed.The experimental results indicate that Ti-13Zr alloy exhibited the highest crack resistance,making it particularly suitable for patients with insufficient bone volume or limited implant space.Co-Cr alloy demonstrated favorable structural stability and mechanical performance under high-load conditions.In contrast,due to its inherent brittleness,ZrO_(2)was more prone to rapid fracture propagation in long-span or high-stress scenarios,although it remains a preferred option for anterior esthetic zones and patients with metal sensitivities.Furthermore,the simulation outcomes were theoretically validated using Griffith's energy-based fracture criterion,reinforcing the accuracy of failure predictions based on principal stress analysis.This study elucidates the differences in clinical applicability among prosthetic materials and reveals their distinct fracture mechanisms,thereby providing a theoretical foundation for optimizing material selection and structural design.The findings contribute to improving the long-term safety and functional stability of implant-supported dental restorations.
文摘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.
基金approved by King Abdullah International Medical Research Center Ethics Committee(approval No.0000074524).
文摘BACKGROUND Humeral shaft fractures are common and vary by age,with high-energy trauma observed in younger adults and low-impact injuries in older adults.Radial nerve palsy is a frequent complication.Treatment ranges from nonoperative methods to surgical interventions such as intramedullary K-wires,which promote faster rehabilitation and improved elbow mobility.AIM To evaluate the outcomes of managing humeral shaft fractures using closed reduction and internal fixation with flexible intramedullary K-wires.METHODS This was a retrospective cohort study analyzing the medical records of patients with humeral shaft fractures managed with flexible intramedullary K-wires at King Abdulaziz Medical City,using non-random sampling and descriptive analysis for outcome evaluation.RESULTS This study assessed the clinical outcomes of 20 patients treated for humeral shaft fractures with intramedullary K-wires.Patients were predominantly male(n=16,80%),had an average age of 39.2 years,and a mean body mass index of 29.5 kg/m^(2).The fractures most frequently occurred in the middle third of the humerus(n=14,70%),with oblique fractures being the most common type(n=7,35%).All surgeries used general anesthesia and a posterior approach,with no intraoperative complications reported.Postoperatively,all patients achieved clinical and radiological union(n=20,100%),and the majority(n=13,65%)reached an elbow range of motion from 0 to 150 degrees.CONCLUSION These results suggest that intramedullary K-wire fixation may be an effective option for treating humeral shaft fractures,with favorable outcomes in range of motion recovery,fracture union,and a low rate of intraoperative complications.
基金supported by the National Natural Science Foundation of China(Nos.U24B6001,52421002,52474016,and 52020105001)Research on Key Technologies for Exploration and Development of Dry Geothermal Resources(No.2022DJ5503)Deep-land National Science and Technology Major Project of China(No.2024ZD1003504).
文摘The strong vertical discontinuities pose a fundamental challenge to optimizing stimulated reservoir volume(SRV)in multilayered reservoirs.This research proposes a radial borehole-assisted horizontal well fracturing technology,which is expected to achieve effective vertical stimulation and commingled production across multiple pay zones.Under different geological and engineering conditions,the vertical propagation behavior of hydraulic fractures guided by radial boreholes can be determined by adjusting the interlayered lithologies and radial borehole configurations in experimental samples.Experimental results reveal four fracture network patterns:passivated,cross-layer,skip-layer,and hybrid fractures in the radial borehole fracturing.The radial boreholes perform better fracture guiding performances in the high-brittleness interlayers,which form cross-layer and hybrid fracture networks to improve the growth height.Hydraulic fractures tend to propagate from high-strength to low-strength layers under radial borehole guidance.When radial boreholes interconnect multiple lithology layers,hydraulic fractures initiate preferentially in lower-strength zones rather than remaining confined to borehole root ends.Increased radial borehole length and diameter facilitate fracture skip-layer initiation and cross-layer propagation,while multiple borehole branches enhance fracture penetration across high-strength interlayers.Radial boreholes with inclination angles below 30°enhance fracture height by generating cross-layer and hybrid fracture networks.Furthermore,an inter-borehole phase angle of less than 180°facilitates single-wing fracture cross-layer propagation.Fracture height is primarily governed by radial borehole length,followed by quantity,inclination angle,and diameter.Based on the geometric similarity criteria,the recommended parameters for radial borehole-assisted fracturing in a 5 1/2-inch horizontal well include a length>15 m,an inclination angle<30°,and a diameter>52 mm to ensure effective stimulation across three or more pay zones.Finally,the field-scale numerical model was developed to simulate the optimized radial borehole fracturing and demonstrate the technical superiority.These findings are expected to provide an in-depth understanding of the effective stimulation in multilayered reservoirs.
基金Chongqing Education Science Planning Project.Project Name:Research on Talent Training of Community Rehabilitation Major in Higher Vocational Colleges Based on OBE Concept(Project No.:K23ZG3420222)。
文摘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.
基金supported by National Natural Science Foundation of China(No.U21A2047,No 52071115,No 52401140,No U22A20187 and No 51971076)the China Postdoctoral Science Foundation(No.2024M760878)the Science Fund of State Key Laboratory of Advanced Design and Manufacturing Technology for Vehicle(No.32465004).
文摘In this study,by adjusting the homogenization process,numerous lamellar-shapedγ’phases are generated and uniformly distributed throughout the grain interior within as-extruded Mg-9Gd-4Y-1Zn-0.5Zr(wt.%)alloy,leading to a remarkable increase enhancement in both tensile strength and fracture toughness.Notably,as compared to the alloy containing block-shaped long-period stacking-ordered(LPSO)phase,when the lamellar-shapedγ’phase is introduced within theα-Mg matrix,the fracture toughness of 29.7 MPa·m^(1/2)can be achieved with a 27%improvement.This superior fracture resistance is mainly attributed to the delamination toughening derived from the intensive micro-cracks occurring alongγ’phase interfaces oriented perpendicular to the primary fracture surface.Owing to the presence of lamellarshapedγ’phase,the fracture morphology can be significantly changed and characterized with deep dimples and pronounced deflection of main crack,which collectively contribute to the enhanced plastic energy dissipation and fracture toughness.The characteristics of deformed microstructure near the fracture surface demonstrate the activation of kinking and the inhibition of twin propagation due to the interactions with lamellarγ’phase.Such deformation behavior can effectively impede the crack propagation and contribute to the superior fracture resistance.Besides,the X-ray computed tomography analysis of the fractured alloy exhibits the distribution and size of voids,indicating that the prolate voids preferentially nucleate and propagate parallel to the lamellarγ’phase.Accordingly,the deformation mechanisms under a triaxial stress state involve the intricate interplay between lamellarγ’phase-induced delamination,crack deflection as well as void formation.Through the application of tailored pre-treatment heat treatment processes,the control of phase constituents within the microstructure can be achieved to improve the mechanical properties of Mg alloys.It is anticipated to provide a comprehensive understanding of the fracture behavior of Mg-Gd-Y-Zn-Zr,with particular emphasis on the synergistic effects of lamellarγ’phase and LPSO phase in the optimization of overall mechanical performance.
文摘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.
