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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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the PICTO project(RFCR-CT-2018-800711)funded by the European Research Fund for Coal and Steel(RFCS)and the Polish Ministry of Science and Higher Education(W93/FBWiS/2018).
文摘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.
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.
基金support from the National Key Research and Development Program of China(Grant No.2022YFE0137200)supported by the Taishan Scholars Program and Open Research Fund of State Key Laboratory of Geomechanics and Geotechnical Engineering Safety(Grant No.SKLGME023003).
文摘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.
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.
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.
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.
基金supported by the National Natural Science Foundation of China(Grant Nos.52574103 and 42277150).
文摘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.
基金supported by the National Natural Science Foundation of China(Grant No.52179128)the Sand Hazards and Opportunities for Resilience,Energy,and Sustainability(SHORES)Center,funded by Tamkeen under the NYUAD Research Institute Award CG013.
文摘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.
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.
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the China National Petroleum Corporation’s Forward-Looking Fundamental Technology Breakthrough Project(2021DJ2305).
文摘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.
基金supported by the National Key Research and Development Program Young Scientist Project(Grant No.2024YFC2911000)the National Natural Science Foundation of China(Grant No.52474103)the Major Basic Research Project of the Natural Science Foundation of Shandong Province(Grant No.ZR2024ZD22).
文摘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.
