期刊文献+
共找到182,153篇文章
< 1 2 250 >
每页显示 20 50 100
Advancements in the diagnosis and management of complex trimalleolar ankle fractures:A comprehensive review
1
作者 Lorenzo Lucchetta Giampiero Mastroeni +3 位作者 Giuseppe Rinonapoli Auro Caraffa Saran Singh Gill Valerio Pace 《World Journal of Orthopedics》 2026年第1期1-12,共12页
Complex trimalleolar ankle fractures are a major orthopaedic challenge,with an incidence of 4.22 per 10000 person-years in the United States and an annual cost of 3.4 billion dollars.This review synthesizes current ev... Complex trimalleolar ankle fractures are a major orthopaedic challenge,with an incidence of 4.22 per 10000 person-years in the United States and an annual cost of 3.4 billion dollars.This review synthesizes current evidence on diagnostic protocols and management strategies,highlighting optimal approaches and emerging trends.Initial care emphasizes soft tissue assessment,often guided by the Tscherne classification,and fracture classification systems.External fixation may be required in open injuries,while early open reduction and internal fixation within six days is linked to improved outcomes.Minimally invasive techniques for the lateral malleolus,including intramedullary nailing and locking plates,are effective,while medial malleolus fractures are commonly managed with screw fixation or tension-band wiring.Posterior malleolus fragments involving more than 25%of the articular surface usually warrant fixation.Alternatives to syndesmotic screws,such as cortical buttons or high-strength sutures,reduce the need for secondary procedures.Arthroscopic-assisted open reduction and internal fixation benefits younger,active patients by enabling concurrent management of intra-articular and ligamentous injuries.Postoperative care prioritizes early weight-bearing and validated functional scores.Despite advances,complications remain common,and further research is needed to refine surgical strategies and improve outcomes. 展开更多
关键词 Trimalleolar ankle fractures Complex ankle fractures Trimalleolar fractures Fibula fractures Tibia fractures
暂未订购
磁共振FRACTURE技术在髋关节骨性关节炎的应用价值
2
作者 张永莉 宋玲玲 +4 位作者 李语 梁晨 宋德情 沈露 吴文江 《中国CT和MRI杂志》 2026年第2期160-163,共4页
目的探讨MR FRACTURE成像技术诊断髋关节骨性关节炎的价值。方法收集2022年06月至2023年12月就诊于贵州医科大学附属医院的髋关节骨性关节炎患者且行髋关节CT扫描共19例。所有人均进行MRI常规序列、FRACTURE序列扫描。根据患者CT检查依... 目的探讨MR FRACTURE成像技术诊断髋关节骨性关节炎的价值。方法收集2022年06月至2023年12月就诊于贵州医科大学附属医院的髋关节骨性关节炎患者且行髋关节CT扫描共19例。所有人均进行MRI常规序列、FRACTURE序列扫描。根据患者CT检查依据Kellgren-Lawrence(K/L)分级法将髋关节骨性关节炎(hip osteoarthritis,HOA)分为1-4级。评估常规CT、FRACTURE和常规MRI诊断HOA骨赘、骨质增生硬化、关节间隙狭窄、关节面下囊变的检出率,组间的差异性分析服从偏态分布,采用Mann-Whitney U秩和检验。结果(1)FRACTURE成像与CT平扫对HOA的骨赘、关节面下骨质硬化、关节间隙狭窄的检出率相当,差异不具有统计学意义;(2)FRACTURE成像对HOA的骨赘、关节间隙狭窄的检出率高于常规MRI,差异具有统计学意义(P<0.05),而对关节面下囊变的检出率低于常规MRI成像,差异具有统计学意义(P<0.05)。结论FRACTURE成像技术对显示HOA关节边缘骨赘、骨质硬化、关节间隙狭窄方面具有优势,因此,常规MRI平扫加FRACTURE序列,能达到MRI及CT二者的诊断效果,且避免了CT辐射,具有较好的临床应用价值。 展开更多
关键词 髋关节 骨性关节炎 磁共振成像 fracture成像
暂未订购
Vulnerability assessment in fractured aquifer using improved vulnerability index:Applied to Gabes aquifer,Southeastern Tunisia
3
作者 Mounir Atoui Belgacem Agoubi 《Journal of Groundwater Science and Engineering》 2026年第1期69-82,共14页
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
关键词 GROUNDWATER Aquifer vulnerability fractured media FAI-GOD index GOD index GIS
在线阅读 下载PDF
Achilles,peroneus longus and brevis ruptures with lateral malleolus fracture:A case report and review of literature
4
作者 Alexander Vlasak Christopher Orear +1 位作者 Gary Sakryd Joshua Metzl 《World Journal of Orthopedics》 2026年第1期178-188,共11页
BACKGROUND Ankle fractures are well-documented in snow sports,but concomitant Achilles tendon and peroneal tendon ruptures are rare.This case report presents a previously unreported combination of Achilles tendon rupt... BACKGROUND Ankle fractures are well-documented in snow sports,but concomitant Achilles tendon and peroneal tendon ruptures are rare.This case report presents a previously unreported combination of Achilles tendon rupture,peroneal tendon rupture,and fibular fracture in a snowboarder,highlighting the complex nature of diagnosis,management,and rehabilitation.CASE SUMMARY A 50-year-old male snowboarder presented with severe right ankle pain following a high speed tumbling crash.Initial evaluation revealed an Achilles tendon rupture and a non-displaced distal lateral malleolus fracture.Subsequent magnetic resonance imaging confirmed complete tears of the Achilles tendon and both peroneus longus and brevis tendons,along with a Weber A lateral malleolus fracture.Surgical intervention included a 4-suture core Kraków repair of the Achilles tendon with calcaneal docking,open reduction and internal fixation of the distal fibula fracture,and primary repair of both peroneal tendons.Postoperatively,a modified Achilles repair protocol was implemented.At 16 weeks post-surgery,radiographs showed a well-healed fibular fracture,and physical examination confirmed intact Achilles and peroneal tendon repairs.By 6 months,the patient had regained full daily and work activities,including recreational pursuits.CONCLUSION This case underscores the importance of maintaining a high index of suspicion for concomitant injuries in high-energy ankle trauma during snow sports.Timely advanced imaging and a comprehensive surgical approach are crucial for optimal outcomes in such complex cases. 展开更多
关键词 Achilles rupture Peroneal rupture Ankle fracture SNOWBOARDING High-energy ankle injury Case report
暂未订购
Clinical outcomes of humeral shaft fractures managed with intramedullary K-wires:A closed reduction approach
5
作者 Mohammad Adham Abdulsamad Turki S AlMugren +6 位作者 Abdullah I Saeed Waleed A Alrogy Linah D Alanazi Ohud M Alsaqer Faisal T Alanbar Abdulrahman H Alfarraj Ziad A Aljaafri 《World Journal of Orthopedics》 2026年第1期57-66,共10页
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
关键词 Humeral shaft fractures Flexible intramedullary K-wires Clinical outcomes Range of motion Surgical management
暂未订购
Dynamic fracture behavior and coupled impact effect of as-cast W-Zr-Ti energetic structural material
6
作者 Yuxuan Qi Liang Mao +3 位作者 Chunlan Jiang Guitao Liu Kongxun Zhao Mengchen Zhang 《Defence Technology(防务技术)》 2026年第1期422-435,共14页
This paper prepared a novel as-cast W-Zr-Ti metallic ESM using high-frequency vacuum induction melting technique.The above ESM performs a typical elastic-brittle material feature and strain rate strengthening behavior... This paper prepared a novel as-cast W-Zr-Ti metallic ESM using high-frequency vacuum induction melting technique.The above ESM performs a typical elastic-brittle material feature and strain rate strengthening behavior.The specimens exhibit violent chemical reaction during the fracture process under the impact loading,and the size distribution of their residual debris follows Rosin-Rammler model.The dynamic fracture toughness is obtained by the fitting of debris length scale,approximately 1.87 MPa·m~(1/2).Microstructure observation on residual debris indicates that the failure process is determined by primary crack propagation under quasi-static compression,while it is affected by multiple cracks propagation in both particle and matrix in the case of dynamic impact.Impact test demonstrates that the novel energetic fragment performs brilliant penetration and combustion effect behind the front target,leading to the effective ignition of fuel tank.For the brittleness of as-cast W-ZrTi ESM,further study conducted bond-based peridynamic(BB-PD)C++computational code to simulate its fracture behavior during penetration.The BB-PD method successfully captured the fracture process and debris cloud formation of the energetic fragment.This paper explores a novel as-cast metallic ESM,and provides an available numerical avenue to the simulation of brittle energetic fragment. 展开更多
关键词 Energetic structural material Dynamic fracture behavior Coupled impact effect Mechanical property Peridynamics As-cast W-Zr-Ti alloy
在线阅读 下载PDF
Study of the Transport Behavior of Multispherical Proppant in Intersecting Fracture Based on Discrete Element Method 被引量:1
7
作者 Chengyong Peng JianshuWu +2 位作者 Mao Jiang Biao Yin Yishan Lou 《Energy Engineering》 EI 2025年第1期185-201,共17页
To analyze the differences in the transport and distribution of different types of proppants and to address issues such as the short effective support of proppant and poor placement in hydraulically intersecting fract... To analyze the differences in the transport and distribution of different types of proppants and to address issues such as the short effective support of proppant and poor placement in hydraulically intersecting fractures,this study considered the combined impact of geological-engineering factors on conductivity.Using reservoir production parameters and the discrete elementmethod,multispherical proppants were constructed.Additionally,a 3D fracture model,based on the specified conditions of the L block,employed coupled(Computational Fluid Dynamics)CFD-DEM(Discrete ElementMethod)for joint simulations to quantitatively analyze the transport and placement patterns of multispherical proppants in intersecting fractures.Results indicate that turbulent kinetic energy is an intrinsic factor affecting proppant transport.Moreover,the efficiency of placement and migration distance of low-sphericity quartz sand constructed by the DEM in the main fracture are significantly reduced compared to spherical ceramic proppants,with a 27.7%decrease in the volume fraction of the fracture surface,subsequently affecting the placement concentration and damaging fracture conductivity.Compared to small-angle fractures,controlling artificial and natural fractures to expand at angles of 45°to 60°increases the effective support length by approximately 20.6%.During hydraulic fracturing of gas wells,ensuring the fracture support area and post-closure conductivity can be achieved by controlling the sphericity of proppants and adjusting the perforation direction to control the direction of artificial fractures. 展开更多
关键词 Hydraulic fracturing discrete element method PROPPANT SPHERICITY CFD-DEM
在线阅读 下载PDF
Particle transport in fractured geo-energy reservoirs considering the effect of fluid inertia and turbulent flow:A review 被引量:2
8
作者 E.A.A.V.Edirisinghe M.S.A.Perera +2 位作者 D.Elsworth S.K.Matthai E.Goudeli 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第3期1906-1939,共34页
Particle-fluid two-phase flows in rock fractures and fracture networks play a pivotal role in determining the efficiency and effectiveness of hydraulic fracturing operations,a vital component in unconventional oil and... Particle-fluid two-phase flows in rock fractures and fracture networks play a pivotal role in determining the efficiency and effectiveness of hydraulic fracturing operations,a vital component in unconventional oil and gas extraction.Central to this phenomenon is the transport of proppants,tiny solid particles injected into the fractures to prevent them from closing once the injection is stopped.However,effective transport and deposition of proppant is critical in keeping fracture pathways open,especially in lowpermeability reservoirs.This review explores,then quantifies,the important role of fluid inertia and turbulent flows in governing proppant transport.While traditional models predominantly assume and then characterise flow as laminar,this may not accurately capture the complexities inherent in realworld hydraulic fracturing and proppant emplacement.Recent investigations highlight the paramount importance of fluid inertia,especially at the high Reynolds numbers typically associated with fracturing operations.Fluid inertia,often overlooked,introduces crucial forces that influence particle settling velocities,particle-particle interactions,and the eventual deposition of proppants within fractures.With their inherent eddies and transient and chaotic nature,turbulent flows introduce additional complexities to proppant transport,crucially altering proppant settling velocities and dispersion patterns.The following comprehensive survey of experimental,numerical,and analytical studies elucidates controls on the intricate dynamics of proppant transport under fluid inertia and turbulence-towards providing a holistic understanding of the current state-of-the-art,guiding future research directions,and optimising hydraulic fracturing practices. 展开更多
关键词 Two-phase flows Rock fractures Proppant transport Fluid inertia Turbulent flows Hydraulic fracturing
在线阅读 下载PDF
Experimental and numerical studies on propagation behavior between hydraulic fractures and pre-existing fractures under prepulse combined hydraulic fracturing 被引量:1
9
作者 Chao Wei Liyuan Yu +2 位作者 Shentao Geng Zichen Yuan Yubo Wang 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第5期2879-2892,共14页
Prepulse combined hydraulic fracturing facilitates the development of fracture networks by integrating prepulse hydraulic loading with conventional hydraulic fracturing.The formation mechanisms of fracture networks be... Prepulse combined hydraulic fracturing facilitates the development of fracture networks by integrating prepulse hydraulic loading with conventional hydraulic fracturing.The formation mechanisms of fracture networks between hydraulic and pre-existing fractures under different prepulse loading parameters remain unclear.This research investigates the impact of prepulse loading parameters,including the prepulse loading number ratio(C),prepulse loading stress ratio(S),and prepulse loading frequency(f),on the formation of fracture networks between hydraulic and pre-existing fractures,using both experimental and numerical methods.The results suggest that low prepulse loading stress ratios and high prepulse loading number ratios are advantageous loading modes.Multiple hydraulic fractures are generated in the specimen under the advantageous loading modes,facilitating the development of a complex fracture network.Fatigue damage occurs in the specimen at the prepulse loading stage.The high water pressure at the secondary conventional hydraulic fracturing promotes the growth of hydraulic fractures along the damage zones.This allows the hydraulic fractures to propagate deeply and interact with pre-existing fractures.Under advantageous loading conditions,multiple hydraulic fractures can extend to pre-existing fractures,and these hydraulic fractures penetrate or propagate along pre-existing fractures.Especially when the approach angle is large,the damage range in the specimen during the prepulse loading stage increases,resulting in the formation of more hydraulic fractures. 展开更多
关键词 Prepulse combined hydraulic fracturing Prepulse loading parameters fracture networks fracture propagation Pre-existing fracture
在线阅读 下载PDF
Role of post-operative X-rays in distal-radius fractures among pediatric patients 被引量:1
10
作者 Ammar K Alomran Bandar A Alzahrani +4 位作者 Dana S Alamoud Layan S Alsultan Meshail M AlSaud Raneem G Althobaiti Badriah S Alruwaili 《World Journal of Orthopedics》 2025年第5期51-60,共10页
BACKGROUND In pediatric age group patients(<18 years old)treated operatively for distal radius/both bone fractures extending imaging beyond the initial postoperative period-particularly in uncomplicated cases-appea... BACKGROUND In pediatric age group patients(<18 years old)treated operatively for distal radius/both bone fractures extending imaging beyond the initial postoperative period-particularly in uncomplicated cases-appears to provide limited additional benefit.AIM To determine the necessary number of follow-up X-rays to use resources efficiently.METHODS Participants included in this study are pediatric age group patients who were treated operatively for distal radius/both bone fractures and were identified from a prospected collected data from the operating room database between the years 2009 and 2017.The data in the study included patients who had distal radius fractures and underwent fixation surgery(n=88).RESULTS When assessing the difference in the odds of conducting 1 or less X-ray compared to 2 or more X-rays in regard to the type of fixation,the only significant difference is the closed reduction fixation method.Patients who underwent closed reduction method procedure have significantly lower odds of having 2 more X-rays compared to those who didn’t have closed reduction method.Open reduction,internal fixation,and other fixation methods(close reduction and internal fixation,debridement,or epiphysiodesis)have higher odds of having two or more X-rays compared to patients who did not receive these methods;however,these odds are not statistically significant.CONCLUSION The findings of this study reveal notable absence of a statistically significant association between the frequency of postoperative X-rays and the outcome of children with distal radius fractures. 展开更多
关键词 X-RAY Distal radius fractures PEDIATRICS ORTHOPEDIC fractureS
暂未订购
Fracture propagation mechanism and application of supercritical CO_(2) fracturing in shale:A review 被引量:1
11
作者 Yuan-Xiu Sun Xiao-Long Wang +2 位作者 Yan-Zhao Meng Jin-Long Tian Cheng-Hui Lu 《Petroleum Science》 2025年第4期1625-1652,共28页
With the increasing demand for energy,traditional oil resources are facing depletion and insufficient supply.Many countries are rapidly turning to the development of unconventional oil and gas resources.Among them,sha... With the increasing demand for energy,traditional oil resources are facing depletion and insufficient supply.Many countries are rapidly turning to the development of unconventional oil and gas resources.Among them,shale oil and gas reservoirs have become the focus of unconventional oil and gas resources exploration and development.Based on the characteristics of shale oil and gas reservoirs,supercritical CO_(2) fracturing is more conducive to improving oil recovery than other fracturing technologies.In this paper,the mechanism of fracture initiation and propagation of supercritical CO_(2) in shale is analyzed,including viscosity effect,surface tension effect,permeation diffusion effect of supercritical CO_(2),and dissolution-adsorption effect between CO_(2) and shale.The effects of natural factors,such as shale properties,bedding plane and natural fractures,and controllable factors,proppant,temperature,pressure,CO_(2) concentration and injection rate on fracture initiation and propagation are clarified.The methods of supercritical CO_(2) fracturing process,thickener and proppant optimization to improve the efficiency of supercritical CO_(2) fracturing are discussed.In addition,some new technologies of supercritical CO_(2) fracturing are introduced.The challenges and prospects in the current research are also summarized.For example,supercritical CO_(2) is prone to filtration when passing through porous media,and it is difficult to form a stable flow state.Therefore,in order to achieve stable fracturing fluid suspension and effectively support fractu res,it is urge nt to explo re new fracturing fluid additives or improve fracturing fluid formulations combined with the research of new proppants.This paper is of great significance for understanding the behavior mechanism of supercritical CO_(2) in shale and optimizing fracturing technology. 展开更多
关键词 Supercritical CO_(2) Waterless fracturing Shale oil and gas reservoirs fracture formation mechanism Fracturing technology
原文传递
Real-time monitoring of rock fracture by true triaxial test using fiberoptic strain monitoring in adjacent wells 被引量:1
12
作者 Yuanhang Zhang Tiankui Guo +5 位作者 Ming Chen Zhanqing Qu Zunpeng Hu Bo Zhang Linrui Xue Yunpeng Wang 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第6期3762-3772,共11页
The real-time monitoring of fracture propagation during hydraulic fracturing is crucial for obtaining a deeper understanding of fracture morphology and optimizing hydraulic fracture designs.Accurate measurements of ke... The real-time monitoring of fracture propagation during hydraulic fracturing is crucial for obtaining a deeper understanding of fracture morphology and optimizing hydraulic fracture designs.Accurate measurements of key fracture parameters,such as the fracture height and width,are particularly important to ensure efficient oilfield development and precise fracture diagnosis.This study utilized the optical frequency domain reflectometer(OFDR)technique in physical simulation experiments to monitor fractures during indoor true triaxial hydraulic fracturing experiments.The results indicate that the distributed fiber optic strain monitoring technology can efficiently capture the initiation and expansion of fractures.In horizontal well monitoring,the fiber strain waterfall plot can be used to interpret the fracture width,initiation location,and expansion speed.The fiber response can be divided into three stages:strain contraction convergence,strain band formation,and postshutdown strain rate reversal.When the fracture does not contact the fiber,a dual peak strain phenomenon occurs in the fiber and gradually converges as the fracture approaches.During vertical well monitoring in adjacent wells,within the effective monitoring range of the fiber,the axial strain produced by the fiber can represent the fracture height with an accuracy of 95.6%relative to the actual fracture height.This study provides a new perspective on real-time fracture monitoring.The response patterns of fiber-induced strain due to fractures can help us better understand and assess the dynamic fracture behavior,offering significant value for the optimization of oilfield development and fracture diagnostic techniques. 展开更多
关键词 fracture diagnostics Fiber-optic strain fracture propagation True triaxial fracturing Optical frequency domain reflectometer (OFDR)demodulation
在线阅读 下载PDF
Life-threatening vascular injury in an elderly patient with isolated pubic ramus fracture:A case report 被引量:1
13
作者 Evangelos Sakellariou Evangelia Argyropoulou +9 位作者 Athanasios Galanis Meletis Rozis Dimitrios Zachariou Iordanis Varsamos Nicolaos Parchas Dimitrios Kalavrytinos Panagiotis Karampinas Elias S Vasiliadis John Vlamis Spiros Pneumaticos 《World Journal of Clinical Cases》 2025年第21期78-83,共6页
BACKGROUND Pubic ramus fractures are generally considered fragility fractures in the elderly population,commonly deriving from a low-impact fall.Treatment is ordinarily conservative and hemodynamic complications are e... BACKGROUND Pubic ramus fractures are generally considered fragility fractures in the elderly population,commonly deriving from a low-impact fall.Treatment is ordinarily conservative and hemodynamic complications are exceedingly infrequent.Notwithstanding,patients with copious comorbidities should be carefully monitored for potential vascular injury.CASE SUMMARY This case report presents the management of a 75-year-old male patient with a history of diabetes mellitus and arterial hypertension who was admitted to the emergency room with a superior pubic ramus fracture.The patient experienced a significant drop in hematocrit and hemoglobin levels post-admission,necessi-tating urgent intervention.A computed tomography angiography revealed active bleeding,leading to the embolization of the medial femoral branch.The patient was stabilized hemodynamically and was discharged after 15 days,with recom-mendations for home-based follow-up care.CONCLUSION This report denotes the various challenges and strategies in managing simple fractures that are treated conservatively,but need prompt monitoring for occult vascular injuries that can be fatal. 展开更多
关键词 Pubic ramus fracture EMBOLIZATION COMPLICATIONS Elderly Vascular injury PELVIS fracture Case report
暂未订购
Effects of discrete fracture networks on simulating hydraulic fracturing,induced seismicity and trending transition of relative modulus in coal seams 被引量:1
14
作者 Xin Zhang Guangyao Si +3 位作者 Qingsheng Bai Joung Oh Biao Jiao Wu Cai 《International Journal of Coal Science & Technology》 2025年第1期263-278,共16页
Discrete fracture network(DFN)commonly existing in natural rock masses plays an important role in geological complexity which can influence rock fracturing behaviour during fluid injection.This paper simulated the hyd... Discrete fracture network(DFN)commonly existing in natural rock masses plays an important role in geological complexity which can influence rock fracturing behaviour during fluid injection.This paper simulated the hydraulic fracturing process in lab-scale coal samples with DFNs and the induced seismic activities by the discrete element method(DEM).The effects of DFNs on hydraulic fracturing,induced seismicity and elastic property changes have been concluded.Denser DFNs can comprehensively decrease the peak injection pressure and injection duration.The proportion of strong seismic events increases first and then decreases with increasing DFN density.In addition,the relative modulus of the rock mass is derived innovatively from breakdown pressure,breakdown fracture length and the related initiation time.Increasing DFN densities among large(35–60 degrees)and small(0–30 degrees)fracture dip angles show opposite evolution trends in relative modulus.The transitional point(dip angle)for the opposite trends is also proportionally affected by the friction angle of the rock mass.The modelling results have much practical meaning to infer the density and geometry of pre-existing fractures and the elastic property of rock mass in the field,simply based on the hydraulic fracturing and induced seismicity monitoring data. 展开更多
关键词 Discrete fracture network Hydraulic fracturing Discrete element method Induced seismicity Relative modulus
在线阅读 下载PDF
Quantitative insight into fracture distribution during supercritical CO_(2)fracturing in tight sandstone formation 被引量:1
15
作者 Bing Yang Hai Huang +5 位作者 Qian-Qian Ren Hai-Zhu Wang Bin Wang Jun Ni Yong Zheng Wen-Tong Zhang 《Petroleum Science》 2025年第4期1670-1685,共16页
Supercritical CO_(2)(SC-CO_(2))fracturing stands out a promising waterless stimulation technique in the development of unconventional resources.While numerous studies have delved into the inducedfracture mechanism of ... Supercritical CO_(2)(SC-CO_(2))fracturing stands out a promising waterless stimulation technique in the development of unconventional resources.While numerous studies have delved into the inducedfracture mechanism of SC-CO_(2),the small scale of rock samples and synthetic materials used in many studies have limited a comprehensive understanding of fracture propagation in unconventional formations.In this study,cubic tight sandstone samples with dimensions of 300 mm were employed to conduct SC-CO_(2)fractu ring experiments under true-triaxial stre ss conditions.The spatial morphology and quantitative attributes of fracture induced by water and SC-CO_(2)fracturing were compared,while the impact of in-situ stress on fracture propagation was also investigated.The results indicate that the SCCO_(2)fracturing takes approximately ten times longer than water fracturing.Furthermore,under identical stress condition,the breakdown pressure(BP)for SC-CO_(2)fracturing is nearly 25%lower than that for water fracturing.A quantitative analysis of fracture morphology reveals that water fracturing typically produces relatively simple fracture pattern,with the primary fracture distribution predominantly controlled by bedding planes.In contrast,SC-CO_(2)fracturing results in a more complex fracture morphology.As the differential of horizontal principal stress increases,the BP for SC-CO_(2)fractured rock exhibits a downward trend,and the induced fracture morphology becomes more simplified.Moreover,the presence of abnormal in-situ stress leads to a further increase in the BP for SC-CO_(2)fracturing,simultaneously enhancing the development of a more conductive fracture network.These findings provide critical insights into the efficiency and behavior of SC-CO_(2)fracturing in comparison to traditional water-based fracturing,offering valuable implication for its potential applications in unconventional reservoirs. 展开更多
关键词 Supercritical CO_(2) True-triaxial fracturing Tight sandstone fracture propagation Quantitative analysis
原文传递
Investigation on coal damage and fracture extension law of liquid nitrogen injection pre-cooling and fracturing under true triaxial stress 被引量:1
16
作者 Botao Li Haifei Lin +7 位作者 Jianping Wei Hongtu Zhang Shugang Li Zongyong Wei Lei Qin Pei Wang Rongwei Luo Zeran Liu 《International Journal of Mining Science and Technology》 2025年第2期213-229,共17页
To more accurately describe the coal damage and fracture evolution law during liquid nitrogen(LN_(2))fracturing under true triaxial stress,a thermal-hydraulic-mechanical-damage(THMD)coupling model for LN_(2) fracturin... To more accurately describe the coal damage and fracture evolution law during liquid nitrogen(LN_(2))fracturing under true triaxial stress,a thermal-hydraulic-mechanical-damage(THMD)coupling model for LN_(2) fracturing coal was developed,considering the coal heterogeneity and thermophysical parameters of nitrogen.The accuracy and applicability of model were verified by comparing with LN_(2) injection pre-cooling and fracturing experimental data.The effects of different pre-cooling times and horizontal stress ratios on coal damage evolution,permeability,temperature distribution,and fracture characteristics were analyzed.The results show that the permeability and damage of the coal increase exponentially,while the temperature decreases exponentially during the fracturing process.As the pre-cooling time increases,the damage range of the coal expands,and the fracture propagation becomes more pronounced.The initiation pressure and rupture pressure decrease and tend to stabilize with longer precooling times.As the horizontal stress ratio increases,fractures preferentially extend along the direction of maximum horizontal principal stress,leading to a significant decrease in both initiation and rupture pressures.At a horizontal stress ratio of 3,the initiation pressure drops by 48.07%,and the rupture pressure decreases by 41.36%.The results provide a theoretical basis for optimizing LN_(2) fracturing techniques and improving coal seam modification. 展开更多
关键词 Liquid nitrogen fracturing Thermal–hydraulic-mechanical-damage coupling Heterogeneous coal True triaxial stress fracture morphology
在线阅读 下载PDF
Wellbore breakouts in heavily fractured rocks:A coupled discrete fracture network-distinct element method analysis 被引量:1
17
作者 Yongcun Feng Yaoran Wei +4 位作者 Zhenlai Tan Tianyu Yang Xiaorong Li Jincai Zhang Jingen Deng 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第3期1685-1699,共15页
Wellbore breakout is one of the critical issues in drilling due to the fact that the related problems result in additional costs and impact the drilling scheme severely.However,the majority of such wellbore breakout a... Wellbore breakout is one of the critical issues in drilling due to the fact that the related problems result in additional costs and impact the drilling scheme severely.However,the majority of such wellbore breakout analyses were based on continuum mechanics.In addition to failure in intact rocks,wellbore breakouts can also be initiated along natural discontinuities,e.g.weak planes and fractures.Furthermore,the conventional models in wellbore breakouts with uniform distribution fractures could not reflect the real drilling situation.This paper presents a fully coupled hydro-mechanical model of the SB-X well in the Tarim Basin,China for evaluating wellbore breakouts in heavily fractured rocks under anisotropic stress states using the distinct element method(DEM)and the discrete fracture network(DFN).The developed model was validated against caliper log measurement,and its stability study was carried out by stress and displacement analyses.A parametric study was performed to investigate the effects of the characteristics of fracture distribution(orientation and length)on borehole stability by sensitivity studies.Simulation results demonstrate that the increase of the standard deviation of orientation when the fracture direction aligns parallel or perpendicular to the principal stress direction aggravates borehole instability.Moreover,an elevation in the average fracture length causes the borehole failure to change from the direction of the minimum in-situ horizontal principal stress(i.e.the direction of wellbore breakouts)towards alternative directions,ultimately leading to the whole wellbore failure.These findings provide theoretical insights for predicting wellbore breakouts in heavily fractured rocks. 展开更多
关键词 Wellbore breakout Discrete fracture network(DFN) Distinct element method(DEM) Heavily fractured rocks
在线阅读 下载PDF
Investigation of bubbles escape behavior from low basicity mold flux for high-Mn high-Al steels using 3D X-ray microscope
18
作者 Qiang Liu Xiang Li +3 位作者 Shen Du Ming Gao Yanbin Yin Jiongming Zhang 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS 2025年第1期102-110,共9页
During the continuous casting process of high-Mn high-Al steels,various types of gases such as Ar need to escape through the top of the mold.In which,the behavior of bubbles traversing the liquid slag serves as a rest... During the continuous casting process of high-Mn high-Al steels,various types of gases such as Ar need to escape through the top of the mold.In which,the behavior of bubbles traversing the liquid slag serves as a restrictive link,closely associated with viscosity and the thickness of liquid slag.In contrast to two-dimensional surface observation,three-dimensional(3D)analysis method can offer a more intuitive,accurate,and comprehensive information.Therefore,this study employs a 3D X-ray microscope(3D-XRM)to obtained spatial distribution and 3D morphological characteristics of residual bubbles in mold flux under different basicity of liquid slag,different temperatures,and different holding times.The results indicate that as basicity of slag increases from 0.52 to 1.03,temperature increases from 1423 to 1573 K,the viscosity of slag decreases,the floating rate of bubbles increases.In addition,when holding time increases from 10 to 30 s,the bubbles floating distance increases,and the volume fraction and average equivalent sphere diameter of the bubbles solidified in the mold flux gradually decreases.In one word,increasing the basicity,temperature,and holding time leading to an increase in the removal rate of bubbles especially for the large.These findings of bubbles escape behavior provide valuable insights into optimizing low basicity mold flux for high-Mn high-Al steels. 展开更多
关键词 mold flux low basicity BUBBLES three-dimensional X-ray microscope VISCOSITY
在线阅读 下载PDF
Effect of Surgical Combination with Traditional Chinese Medicine Dialectical Therapy in Three Phases on Intertrochanteric Fracture of the Femur and Its Impact on Fracture Healing Time 被引量:1
19
作者 Wei Qiu Yongqing Liu +1 位作者 Qizhan Duan Jia Chai 《Journal of Clinical and Nursing Research》 2025年第5期304-310,共7页
Objective:To evaluate the effectiveness of surgical combination with traditional Chinese medicine dialectical therapy in three phases for the treatment of intertrochanteric fracture of the femur(IFF).Methods:84 patien... Objective:To evaluate the effectiveness of surgical combination with traditional Chinese medicine dialectical therapy in three phases for the treatment of intertrochanteric fracture of the femur(IFF).Methods:84 patients with IFF admitted to the hospital from December 2022 to December 2024 were selected and randomly divided into two groups using a random number table.The combined group received surgery and traditional Chinese medicine dialectical therapy in three phases,while the control group received surgery alone.The total effective rate,fracture healing time,hip function score,and lower extremity function score were compared between the two groups.Results:The total effective rate was higher in the combined group than in the control group(P<0.05).After treatment,the fracture healing time was shorter in the combined group than in the control group,and the hip function and lower extremity function scores were higher in the combined group than in the control group(P<0.05).Conclusion:Surgical combination with traditional Chinese medicine dialectical therapy in three phases can shorten the fracture healing time of IFF patients and restore their hip and lower extremity function,demonstrating significant efficacy. 展开更多
关键词 SURGERY Traditional Chinese medicine dialectical therapy in three phases Intertrochanteric fracture of the femur fracture healing time
暂未订购
Predicting the productivity of fractured horizontal wells using few-shot learning 被引量:1
20
作者 Sen Wang Wen Ge +5 位作者 Yu-Long Zhang Qi-Hong Feng Yong Qin Ling-Feng Yue Renatus Mahuyu Jing Zhang 《Petroleum Science》 2025年第2期787-804,共18页
Predicting the productivity of multistage fractured horizontal wells plays an important role in exploiting unconventional resources.In recent years,machine learning(ML)models have emerged as a new approach for such st... Predicting the productivity of multistage fractured horizontal wells plays an important role in exploiting unconventional resources.In recent years,machine learning(ML)models have emerged as a new approach for such studies.However,the scarcity of sufficient real data for model training often leads to imprecise predictions,even though the models trained with real data better characterize geological and engineering features.To tackle this issue,we propose an ML model that can obtain reliable results even with a small amount of data samples.Our model integrates the synthetic minority oversampling technique(SMOTE)to expand the data volume,the support vector machine(SVM)for model training,and the particle swarm optimization(PSO)algorithm for optimizing hyperparameters.To enhance the model performance,we conduct feature fusion and dimensionality reduction.Additionally,we examine the influences of different sample sizes and ML models for training.The proposed model demonstrates higher prediction accuracy and generalization ability,achieving a predicted R^(2)value of up to 0.9 for the test set,compared to the traditional ML techniques with an R^(2)of 0.13.This model accurately predicts the production of fractured horizontal wells even with limited samples,supplying an efficient tool for optimizing the production of unconventional resources.Importantly,the model holds the potential applicability to address similar challenges in other fields constrained by scarce data samples. 展开更多
关键词 fractured horizontal well Machine learning SMOTE Few-shot learning PREDICTION Optimization
原文传递
上一页 1 2 250 下一页 到第
使用帮助 返回顶部