To investigate the height growth of multi-cluster fractures during variable fluid-viscosity fracturing in a layered shale oil reservoir,a two-dimensional finite element method(FEM)-discrete fracture network(DFN)model ...To investigate the height growth of multi-cluster fractures during variable fluid-viscosity fracturing in a layered shale oil reservoir,a two-dimensional finite element method(FEM)-discrete fracture network(DFN)model coupled with flow,stress and damage is proposed.A traction-separation law is used to describe the mixed-mode response of the damaged adhesive fractures,and the cubic law is used to describe the fluid flow within the fractures.The rock deformation is controlled by the in-situ stress,fracture cohesion and fluid pressure on the hydraulic fracture surface.The coupled finite element equations are solved by the explicit time difference method.The effects of the fracturing treatment parameters including fluid viscosity,pumping rate and cluster spacing on the geometries of multifractures are investigated.The results show that variable fluid-viscosity injection can improve the complexity of the fracture network and height of the main fractures simultaneously.The pumping rate of15 m^(3)/min,variable fluid-viscosity of 3-9-21-36-45 mPa s with a cluster spacing of 7.5 m is the ideal treatment strategy.The field application shows that the peak daily production of the application well with the optimized injection procedu re of variable fluid-viscosity fracturing is 171 tons(about 2.85 times that of the adjacent well),which is the highest daily production record of a single shale oil well in China,marking a strategic breakthrough of commercial shale oil production in the Jiyang Depression,Shengli Oilfield.The variable fluid-viscosity fracturing technique is proved to be very effective for improving shale oil production.展开更多
The Carter model is used to characterize the dynamic behaviors of fracture growth and fracturing fluid leakoff.A thermo-fluid coupling temperature response forward model is built considering the fluid flow and heat tr...The Carter model is used to characterize the dynamic behaviors of fracture growth and fracturing fluid leakoff.A thermo-fluid coupling temperature response forward model is built considering the fluid flow and heat transfer in wellbore,fracture and reservoir.The influences of fracturing parameters and fracture parameters on the responses of distributed temperature sensing(DTS)are analyzed,and a diagnosis method of fracture parameters is presented based on the simulated annealing algorithm.A field case study is introduced to verify the model’s reliability.Typical V-shaped characteristics can be observed from the DTS responses in the multi-cluster fracturing process,with locations corresponding to the hydraulic fractures.The V-shape depth is shallower for a higher injection rate and longer fracturing and shut-in time.Also,the V-shape is wider for a higher fracture-surface leakoff coefficient,longer fracturing time and smaller fracture width.Additionally,the cooling effect near the wellbore continues to spread into the reservoir during the shut-in period,causing the DTS temperature to decrease instead of rise.Real-time monitoring and interpretation of DTS temperature data can help understand the fracture propagation during fracturing operation,so that immediate measures can be taken to improve the fracturing performance.展开更多
Shale oil reservoir is generally characterized by well-developed bedding planes,and multi-cluster fracturing is the most effective technique to achieve stable shale oil production.In this paper,a multi-cluster fractur...Shale oil reservoir is generally characterized by well-developed bedding planes,and multi-cluster fracturing is the most effective technique to achieve stable shale oil production.In this paper,a multi-cluster fracturing model for a horizontal well in shale with high-density bedding planes is established.The fracture morphology,fracture geometry,fracturing area and multiple fracture propagation mechanism are analyzed under simultaneous fracturing,sequential fracturing,and alternative fracturing.Results show that in the case of small cluster spacing and three clusters,the growth of the middle fracture is inhibited and develops along the bedding planes under both simultaneous fracturing and alternative fracturing.For sequential fracturing,the increase in the interval time between each fracturing advances the post fracturing fracture deflecting to the pre-existing fractures through the bedding planes.The reactivation of the bedding planes can promote the extension of the fracturing area.Increasing the injection rate and the number of clusters promotes the activation of bedding planes.However,it is preferable to reduce the number of clusters to obtain more main fractures.Compared with modified alternating fracturing and cyclic alternating fracturing,alternating shut-in fracturing creates more main fractures towards the direction of the maximum in-situ stress.The fracturing efficiency for high-density layered shale is ranked as simultaneous fracturing>alternative fracturing>sequential fracturing.展开更多
The continental shale reservoirs of Jurassic Lianggaoshan Formation in Sichuan Basin contain thin lamina,which is characterized by strong plasticity and developed longitudinal shell limestone interlayer.To improve the...The continental shale reservoirs of Jurassic Lianggaoshan Formation in Sichuan Basin contain thin lamina,which is characterized by strong plasticity and developed longitudinal shell limestone interlayer.To improve the production efficiency of reservoirs by multi-cluster fracturing,it is necessary to consider the unbalanced propagation of hydraulic fractures and the penetration effect of fractures.This paper constructed a numerical model of multi-fracture propagation and penetration based on the finite element coupling cohesive zone method;considering the construction cluster spacing,pump rate,lamina strength and other parameters studied the influencing factors of multi-cluster fracture interaction propagation;combined with AE energy data and fracture mode reconstruction method,quantitatively characterized the comprehensive impact of the strength of thin interlayer rock interfaces on the initiation and propagation of fractures that penetrate layers,and accurately predicted the propagation pattern of hydraulic fractures through laminated shale oil reservoirs.Simulation results revealed that in the process of multi-cluster fracturing,the proportion of shear damage is low,and mainly occurs in bedding fractures activated by outer fractures.Reducing the cluster spacing enhances the fracture system's penetration ability,though it lowers the activation efficiency of lamina.The high plasticity of the limestone interlayer may impact the vertical propagation distance of the main fracture.Improving the interface strength is beneficial to the reconstruction of the fracture height,but the interface communication effect is limited.Reasonable selection of layers with moderate lamina strength for fracturing stimulation,increasing the pump rate during fracturing and setting the cluster spacing reasonably are beneficial to improve the effect of reservoir stimulation.展开更多
The authors regret Acknowledgements Firstly,the authors wish to acknowledge the academic support from Ruhr University Bochum during the first author's(Xiao Yan)research stay from 2018.11 to 2020.10,including the s...The authors regret Acknowledgements Firstly,the authors wish to acknowledge the academic support from Ruhr University Bochum during the first author's(Xiao Yan)research stay from 2018.11 to 2020.10,including the soft code implement and debug support from Vladislav Gudzulic and academic advising from Günther Meschke.展开更多
This study conducted temporary plugging and diversion fracturing(TPDF)experiments using a true triaxial fracturing simulation system within a laboratory setting that replicated a lab-based horizontal well completion w...This study conducted temporary plugging and diversion fracturing(TPDF)experiments using a true triaxial fracturing simulation system within a laboratory setting that replicated a lab-based horizontal well completion with multi-cluster sand jetting perforation.The effects of temporary plugging agent(TPA)particle size,TPA concentration,single-cluster perforation number and cluster number on plugging pressure,multi-fracture diversion pattern and distribution of TPAs were investigated.A combination of TPAs with small particle sizes within the fracture and large particle sizes within the segment is conducive to increasing the plugging pressure and promoting the diversion of multi-fractures.The addition of fibers can quickly achieve ultra-high pressure,but it may lead to longitudinal fractures extending along the wellbore.The temporary plugging peak pressure increases with an increase in the concentration of the TPA,reaching a peak at a certain concentration,and further increases do not significantly improve the temporary plugging peak pressure.The breaking pressure and temporary plugging peak pressure show a decreasing trend with an increase in single-cluster perforation number.A lower number of single-cluster perforations is beneficial for increasing the breaking pressure and temporary plugging peak pressure,and it has a more significant control on the propagation of multi-cluster fractures.A lower number of clusters is not conducive to increasing the total number and complexity of artificial fractures,while a higher number of clusters makes it difficult to achieve effective plugging.The TPAs within the fracture is mainly concentrated in the complex fracture areas,especially at the intersections of fractures.Meanwhile,the TPAs within the segment are primarily distributed near the perforation cluster apertures which initiated complex fractures.展开更多
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
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
BACKGROUND Postoperative delirium(POD)is a prevalent complication,particularly in elderly patients with hip fractures(HFs).It significantly affects recovery,length of hospital stay,healthcare costs,and long-term outco...BACKGROUND Postoperative delirium(POD)is a prevalent complication,particularly in elderly patients with hip fractures(HFs).It significantly affects recovery,length of hospital stay,healthcare costs,and long-term outcomes.Existing studies have investigated risk factors for POD,but most are limited by single-factor analyses or small sample sizes.This study systematically determines independent risk factors using large-scale data and machine learning techniques and develops a validated nomogram model to support early prediction and management of POD.AIM To investigate POD incidence in elderly patients with HF and the independent risk factors,according to which a nomogram prediction model was developed and validated.METHODS This retrospective study included elderly patients with HF who were surgically treated in Dongying People’sHospital from April 2018 to April 2022. The endpoint event includes POD. They were categorized into themodeling and validation cohorts in a 7:3 ratio by randomization. Both cohorts were further classified into thedelirium and normal (non-delirium) groups according to the presence or absence of the endpoint event. Theincidence of POD was calculated, and logistic multivariate analysis was conducted to determine the independentrisk factors. The calibration curve and the Hosmer-Lemeshow test as well as the net benefit threshold probabilityinterval by the decision curve were utilized to statistically validate the accuracy of the nomogram predictionmodel, developed according to each factor’s influence intensity.RESULTSThis study included 532 elderly patients with HF, with an overall POD incidence of 14.85%. The comparison ofbaseline data with perioperative indicators revealed statistical differences in age (P < 0.001), number of comorbidities(P = 0.042), American Society of Anesthesiologists grading (P = 0.004), preoperative red blood cell(RBC) count (P < 0.001), preoperative albumin (P < 0.001), preoperative hemoglobin (P < 0.001), preoperativeplatelet count (P < 0.001), intraoperative blood loss (P < 0.001), RBC transfusion of ≥ 2 units (P = 0.001), andpostoperative intensive care unit care (P < 0.001) between the delirium and non-delirium groups. The participantswere randomized to a training group (n = 372) and a validation group (n = 160). A score-risk nomogram predictionmodel was developed after screening key POD features using Lasso regression, support vector machine, and therandom forest method. The nomogram showed excellent discriminatory capacity with area under the curve of0.833 [95% confidence interval (CI) interval: 0.774-0.888] in the training group and 0.850 (95%CI: 0.718-0.982) in thevalidation group. Calibration curves demonstrated good agreement between predicted and actual probabilities,and decision curve analysis confirmed clinical net benefits within risk thresholds of 0%-30% and 0%-36%, respectively.The model has strong accuracy and clinical utility for predicting the risk of POD.CONCLUSIONThis study reveals cognitive impairment history, American Society of Anesthesiologists grade of > 2, RBCtransfusion of ≥ 2 units, postoperative intensive care unit care, and preoperative hemoglobin level as independentrisk factors for POD in elderly patients with HF. The developed nomogram model demonstrates excellent accuracyand stability in predicting the risk of POD, which is recommended to be applied in clinical practice to optimizepostoperative management and reduce delirium incidence.展开更多
Rock fractures or faults could be reactivated by the thermal stress generated during the decay process of the high-level radioactive waste in deep geological repositories(DGRs).Understanding thermoshearing behavior an...Rock fractures or faults could be reactivated by the thermal stress generated during the decay process of the high-level radioactive waste in deep geological repositories(DGRs).Understanding thermoshearing behavior and its influencing factors are important for the long-term performance assessment of DGRs.We designed multistage mechanical(M)shear tests and thermomechanical(TM)shear tests on three 100 mm-cubic granite specimens,each containing a single inclined sawcut fracture with distinct microroughness of 8-15μm.M test results have shown that the static friction coefficient of the granite fracture decreases in proportion to the increase in the logarithm of the loading rate within the range of 1-15 kPa/s.For the given heating and boundary conditions,thermal loading rate,i.e.,thermal stress increment with heating time,is measured to be around 1 kPa/s in the fractured granite.Thermoshearing can be well predicted by the linear Mohr-Coulomb failure envelope deduced from M shear tests employing a loading rate that is comparable with the thermal loading rate.The granite fractures exhibited two distinct slip patterns during the mechanical shearing,i.e.,stick-slip observed in the smooth fracture and stable sliding in the relatively rough surface.In contrast,the mechanical loading rate(1-15 kPa/s)investigated in this study appears to not influence the slip pattern.Unlike those in M shear tests,thermoshearing in both smooth and relatively rough fractures show stable sliding with a very slow peak velocity of around 0.002μm/s.展开更多
BACKGROUND Traumatic injuries,such as falling,car accidents,and crushing mostly cause spinal fractures in young and middle-aged people,and>50%of them are thoracolumbar fractures.This kind of fracture is easily comb...BACKGROUND Traumatic injuries,such as falling,car accidents,and crushing mostly cause spinal fractures in young and middle-aged people,and>50%of them are thoracolumbar fractures.This kind of fracture is easily combined with serious injuries to peripheral nerves and soft tissues,which causes paralysis of the lower limbs if there is no timely rehabilitation treatment.Young patients with thoracolumbar fractures find it difficult to recover after the operation,and they are prone to depression,low self-esteem,and other negative emotions.AIM To investigate the association between anxiety,depression,and social stress in young patients with thoracolumbar spine fractures and the effect on rehabilitation outcomes.METHODS This study retrospectively analyzed 100 patients admitted to the orthopedic department of Honghui Hospital,Xi’an Jiaotong University who underwent thoracolumbar spine fracture surgery from January 2022 to June 2023.The general data of the patients were assessed with the Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),life events scale,and social support rating scale(SSRS)to identify the correlation between anxiety,depression scores,and social stress and social support.The Japanese Orthopedic Association(JOA)was utilized to evaluate the rehabilitation outcomes of the patients and to analyze the effects of anxiety and depression scores on rehabilitation.RESULTS According to the scores of HAMD and HAMA in all patients,the prevalence of depression in patients was 39%(39/100),and the prevalence of anxiety was 49%(49/100).Patients were categorized into non-depression(n=61)and depression(n=39),non-anxiety(n=51),and anxiety(n=49)groups.Statistically significant differences in gender,occupation,Pittsburgh Sleep Quality Index(PSQI)score,and monthly family income were observed between the non-depression and depression groups(P<0.05).A significant difference in occupation and PSQI score was found between the non-anxiety and anxiety groups.Both depression(r=0.207,P=0.038)and anxiety scores(r=0.473,P<0.001)were significantly and positively correlated with negative life events.The difference in negative life event scores as well as SSRS total and item scores was statist-ically significant between patients in the non-depression and depression groups(P<0.05).The difference between the non-anxiety and anxiety groups was statistically significant(P<0.05)in the negative life event scores as well as the total SSRS scores.Additionally,JOA scores were significantly lower in both anxious and depressed patients.CONCLUSION Young patients with thoracolumbar fractures are prone to anxiety and depression.Patients’anxiety and depression are closely associated with social pressure,which reduces the life pressure of young patients with thoracolumbar fractures,enhances social support,and improves the psychology of anxiety and depression.,which affects patients’recovery.展开更多
Multistage multi-cluster hydraulic fracturing has enabled the economic exploitation of shale reservoirs,but the interpretation of hydraulic fracture parameters is challenging.The pressure signals after pump shutdown a...Multistage multi-cluster hydraulic fracturing has enabled the economic exploitation of shale reservoirs,but the interpretation of hydraulic fracture parameters is challenging.The pressure signals after pump shutdown are influenced by hydraulic fractures,which can reflect the geometric features of hydraulic fracture.The shutdown pressure can be used to interpret the hydraulic fracture parameters in a real-time and cost-effective manner.In this paper,a mathematical model for shutdown pressure evolution is developed considering the effects of wellbore friction,perforation friction and fluid loss in fractures.An efficient numerical simulation method is established by using the method of characteristics.Based on this method,the impacts of fracture half-length,fracture height,opened cluster and perforation number,and filtration coefficient on the evolution of shutdown pressure are analyzed.The results indicate that a larger fracture half-length may hasten the decay of shutdown pressure,while a larger fracture height can slow down the decay of shutdown pressure.A smaller number of opened clusters and perforations can significantly increase the perforation friction and decrease the overall level of shutdown pressure.A larger filtration coefficient may accelerate the fluid filtration in the fracture and hasten the drop of the shutdown pressure.The simulation method of shutdown pressure,as well as the analysis results,has important implications for the interpretation of hydraulic fracture parameters.展开更多
Tri-axial fracturing studies were carried out to understand the impact of lateral mechanical parameters on fracture propagation from multiple in-plane perforations in horizontal wells. Additionally, the discussion cov...Tri-axial fracturing studies were carried out to understand the impact of lateral mechanical parameters on fracture propagation from multiple in-plane perforations in horizontal wells. Additionally, the discussion covered the effects of geology, treatment, and perforation characteristics on the non-planar propagation behavior. According to experimental findings, two parallel transverse fractures can be successfully initiated from in-plane perforation clusters in the horizontal well because of the in-plane perforation, the guide nonuniform fishbone structure fracture propagation still can be exhibited. The emergence of transverse fractures and axial fractures combined as complex fractures under low horizontal principal stress difference and large pump rate conditions. The injection pressure was also investigated, and the largest breakdown pressure can be also found for samples under these conditions.The increase in perforation number or decrease in the cluster spacing could provide more chances to increase the complexity of the target stimulated zone, thus affecting the pressure fluctuation. In a contrast, the increase in fracturing fluid viscosity can reduce the multiple fracture complexity. The fracture propagation is significantly affected by the change in the rock mechanical properties. The fracture geometry in the high brittle zone seems to be complicated and tends to induce fracture reorientation from the weak-brittle zone. The stress shadow effect can be used to explain the fracture attraction, branch, connection, and repulsion in the multiple perforation clusters for the horizontal well.The increase in the rock heterogeneity can enhance the stress shadow effect, resulting in more complex fracture geometry. In addition, the variable density perforation and temporary plugging fracturing were also conducted, demonstrating higher likelihood for non-uniform multiple fracture propagation. Thus, to increase the perforation efficiency along the horizontal well, it is necessary to consider the lateral fracability of the horizontal well on target formation.展开更多
Introduction: Open leg fracture is a diaphyseal or metaphyseal, extra-articular fracture of one or both leg bones, with communication between the fracture site and the external environment. To provide a broader contex...Introduction: Open leg fracture is a diaphyseal or metaphyseal, extra-articular fracture of one or both leg bones, with communication between the fracture site and the external environment. To provide a broader context, studies conducted globally have highlighted the significance of understanding open leg fractures due to their complex management and potential complications. Previous research in Africa and Europe provides comparative data that emphasizes regional differences in fracture types, causes, and treatment outcomes. This study aims to contribute to improving the management of theses fractures in Niger. Materials and Methods: This was a prospective, descriptive study carried out in the Traumatology-Orthopedics Department of the Zinder National Hospital, Niger, from December 8, 2020 to June 8, 2022 (18 months). We included all patients over 15 years of age in whom an open leg fracture was diagnosed and managed. Inclusion criteria focused on patients aged over 15 years with confirmed diagnoses of open leg fractures. Results: Over an 18-month period, the frequency of open leg fractures was 16.28%. There was a predominance of males (85.93% or n = 116). The average age of patients was 31.79 years. Road accidents were the primary circumstance of occurrence (93.33% or n = 126). The fracture line was simple in 74 patients (54.81%) and complex in 61 cases (45.19%). Surgically, the external fixator was used in 78 cases (57.80%). Postoperative follow-up was mostly straightforward. The main complications were infection (4 cases) and delayed consolidation (4 cases). Conclusion: Open leg fractures in adults are frequent at Zinder National Hospital. Public road accidents were the main cause of occurrence. An external fixator osteosynthesis was the most commonly used surgical option. These findings have important implications for healthcare policy, particularly in improving trauma care infrastructure and road safety initiatives in Niger. Future studies should prioritize the development of standardized treatment protocols and investigate the long-term outcomes of different surgical approaches.展开更多
This article focuses on the factors influencing fracture nonunion, classification and treatment. The article emphasizes the importance of understanding the influencing factors and mechanisms of fracture healing for de...This article focuses on the factors influencing fracture nonunion, classification and treatment. The article emphasizes the importance of understanding the influencing factors and mechanisms of fracture healing for developing effective treatment strategies and improving patients’ quality of life. It also points out the challenges of current treatment, such as patient compliance and limitations of treatment methods, and looks at future treatment directions.展开更多
Shale reservoirs are characterized by numerous geological discontinuities,such as bedding planes,and exhibit pronounced heterogeneity across rock layers separated by these planes.Bedding planes often possess distinct ...Shale reservoirs are characterized by numerous geological discontinuities,such as bedding planes,and exhibit pronounced heterogeneity across rock layers separated by these planes.Bedding planes often possess distinct mechanical properties compared to the surrounding rock matrix,particularly in terms of damage and fracture behavior.Consequently,vertical propagation of hydraulic fractures is influenced by both bedding planes and the heterogeneity.In this study,a numerical investigation into the height growth of hydraulic fractures was conducted using the finite element method,incorporating zero-thickness cohesive elements.The analysis explored the effects of bedding planes,toughness contrasts between layers,and variations in in-situ stress across different strata.The results reveal that hydraulic fractures are more likely to propagate along bedding planes instead of traversing them and extending vertically into barrier layers when(1)bedding strength is low,(2)stress contrast between layers is high,and(3)toughness contrast is significant.Furthermore,for a given bedding strength,increased stress contrast or higher toughness contrast between layers elevate hydraulic fracture extension pressure.When a substantial stress difference exists between layers(Lc 0.4),hydraulic=fractures preferentially propagate along bedding planes.Conversely,as bedding strength increases,the propagation distance along bedding planes decreases,accompanied by an amplified horizontal compressive stress field.Notably,when the stress difference is sufficiently small(SD a phenomenon termed“stress rolling”emerges,wherein<-0.2),hydraulic fractures deviate from vertical growth and instead extend along a near-horizontal trajectory.展开更多
Background and Objectives: The distal radius fracture (DRF) is a major public health problem in northern countries. Its frequency is constantly increasing. The locked anterior plate with its well-established biomechan...Background and Objectives: The distal radius fracture (DRF) is a major public health problem in northern countries. Its frequency is constantly increasing. The locked anterior plate with its well-established biomechanical properties, offers a reliable alternative. The aim of this study was to evaluate the radiological, the functional results and to determine the factors of poor postoperative prognosis of DRF treated with Newclip radial plates®. Methodology: This prospective cohort study evaluates the radiological and functional outcames of displaced radius fractures (DRFs) in patients ≥50 years old treated with Newclip® (locked anterior plates) at the Basse-Terre Hospital in Guadeloupe from 2022 to 2024. The patients were categorized into those with epiphyseal involvement (E1 - E4) and without epiphyseal involvement (E0) based on Laulan’s MEU classification. Radiological parameters (distal radio-ulnar index (DRUI), radial inclination frant view (IRF), radial inclination sagittal view (IRS) were assessed pre and post-operatively. Functional recovery was evaluated at 12 months using the QuickDash questionnaire. Results: Falls were the most common cause of fracture. Post-operatively, SRI was the least restored parameter. Poor prognostic factor for SRI improvement included posterior commimution and unstable fractures. Factors associated with higher QuickDash scores included unstable factures, unrestored DRUI, low plate position, metaphyseal features, and ulnar features. Conclusion: The anterior locking plate osteosynthesis is reliable treatment option with excellent functional outcomes.展开更多
Hydraulic fracturing is a crucial technique for efficient development of coal reservoirs.Coal rocks typically contain a high density of natural fractures,which serve as conduits for fracturing fluid.Upon injection,the...Hydraulic fracturing is a crucial technique for efficient development of coal reservoirs.Coal rocks typically contain a high density of natural fractures,which serve as conduits for fracturing fluid.Upon injection,the fluid infiltrates these natural fractures and leaks out,resulting in complex fracture morphology.The prediction of hydraulic fracture network propagation for coal reservoirs has important practical significance for evaluating hydraulic fracturing.This study proposes a novel inversion method for predicting fracture networks in coal reservoirs,explicitly considering the distribution of natural fractures.The method incorporates three distinct natural fracture opening modes and employs a fractal probability function to constrain fracture propagationmorphology.Based on thismethod,the study compares hydraulic fracture networkmorphologies in coal reservoirs with andwithout the presence of natural fractures.Theresults showthatwhile both reservoir types exhibitmulti-branch fracture networks,reservoirs containing natural fractures demonstrate greater branching and a larger stimulated reservoir volume(SRV).Additionally,the study employs a fractal dimension calculation method to quantitatively describe the geometric distribution characteristics of fractures.The analysis reveals that the geometry and distribution of natural fractures,as well as reservoir geological parameters,significantly influence the fracture networkmorphology and fractal dimension.The contact angle between natural and hydraulic fractures affects propagation direction;specifically,when the contact angle isπ/2,the fractal dimension of the hydraulic fracture network is maximized.Moreover,smaller lengths and spacings of natural fracture led to higher fractal dimensions,which can significantly increase the SRV.The proposed method offers an effective tool for evaluating the hydraulic fracturing of coal reservoirs.展开更多
Periprosthetic fracture of femur is a common and complex complication after joint replacement. With the increase of operation volume, its incidence is increasing year by year. The treatment of this fracture is affecte...Periprosthetic fracture of femur is a common and complex complication after joint replacement. With the increase of operation volume, its incidence is increasing year by year. The treatment of this fracture is affected by many factors, including fracture type, prosthesis stability, patient age and comorbidities, and individualized treatment strategy is needed. In recent years, the internal fixation technology and prosthetic revision technology have made significant progress in surgical treatment, such as locking steel plate, titanium cable and bridge combined internal fixation system and other new technologies have effectively improved the treatment effect. In addition, the application of new materials and 3D printing technology, as well as the optimization of multidisciplinary cooperation mode, also provide new ideas for the treatment of complex fractures. However, there are still some problems such as inaccurate diagnosis, difficult choice of treatment options and high incidence of postoperative complications. In the future, technological innovation, the introduction of artificial intelligence and big data, and the further development of personalized treatment will bring more possibilities to improve the prognosis and quality of life of patients. This study summarizes the relevant research results and prospects the future development direction, providing references for clinical practice and subsequent research.展开更多
According to World Health Organization,one in six people will be older than 60 by 2030.The rising life expectancy is anticipated to contribute to a subsequent increase of geriatric fractures worldwide.Osteosarcopenia,...According to World Health Organization,one in six people will be older than 60 by 2030.The rising life expectancy is anticipated to contribute to a subsequent increase of geriatric fractures worldwide.Osteosarcopenia,which is the coexistence of osteoporosis and sarcopenia,greatly affects older people.Recent studies have tried to identify the prevalence of osteosarcopenia in older populations as well as its correlation with fragility fractures such as hip fractures.The latter pose a major burden on both health loss and costs worldwide.Increasing amount of evidence suggests that osteosarcopenia in patients with hip fractures contributes to higher rates of mortality and complications.At the same time,research focuses on the molecular basis of the interplay between osteoporosis and sarcopenia by utilizing genomic or proteomic approaches.These promising studies could reveal potential preventive or diagnostic biomarkers to optimize the management of osteosarcopenia in hip fractures patients.The fact that bones and muscle can also function as endocrine organs further highlights the complex relationship between osteoporosis and sarcopenia,underscoring the need for a better understanding of the role of myokines and osteokines in osteosarcopenia.Finally,the impact of osteosarcopenia on pain management and rehabilitation after hip fracture surgery,requires further assessment.展开更多
基金funded by the National Natural Science Foundation of China(Nos.52192622,51874253,U20A202)
文摘To investigate the height growth of multi-cluster fractures during variable fluid-viscosity fracturing in a layered shale oil reservoir,a two-dimensional finite element method(FEM)-discrete fracture network(DFN)model coupled with flow,stress and damage is proposed.A traction-separation law is used to describe the mixed-mode response of the damaged adhesive fractures,and the cubic law is used to describe the fluid flow within the fractures.The rock deformation is controlled by the in-situ stress,fracture cohesion and fluid pressure on the hydraulic fracture surface.The coupled finite element equations are solved by the explicit time difference method.The effects of the fracturing treatment parameters including fluid viscosity,pumping rate and cluster spacing on the geometries of multifractures are investigated.The results show that variable fluid-viscosity injection can improve the complexity of the fracture network and height of the main fractures simultaneously.The pumping rate of15 m^(3)/min,variable fluid-viscosity of 3-9-21-36-45 mPa s with a cluster spacing of 7.5 m is the ideal treatment strategy.The field application shows that the peak daily production of the application well with the optimized injection procedu re of variable fluid-viscosity fracturing is 171 tons(about 2.85 times that of the adjacent well),which is the highest daily production record of a single shale oil well in China,marking a strategic breakthrough of commercial shale oil production in the Jiyang Depression,Shengli Oilfield.The variable fluid-viscosity fracturing technique is proved to be very effective for improving shale oil production.
基金Supported by the National High-Tech Research Project(GJSCB-HFGDY-2024-004)National Natural Science Foundation of China(12402305)+2 种基金Postdoctoral Fellowship Program of CPSF(GZC20232200)China Postdoctoral Science Foundation(2024M762703)Sichuan Science and Technology Program(2025ZNSFSC1352)。
文摘The Carter model is used to characterize the dynamic behaviors of fracture growth and fracturing fluid leakoff.A thermo-fluid coupling temperature response forward model is built considering the fluid flow and heat transfer in wellbore,fracture and reservoir.The influences of fracturing parameters and fracture parameters on the responses of distributed temperature sensing(DTS)are analyzed,and a diagnosis method of fracture parameters is presented based on the simulated annealing algorithm.A field case study is introduced to verify the model’s reliability.Typical V-shaped characteristics can be observed from the DTS responses in the multi-cluster fracturing process,with locations corresponding to the hydraulic fractures.The V-shape depth is shallower for a higher injection rate and longer fracturing and shut-in time.Also,the V-shape is wider for a higher fracture-surface leakoff coefficient,longer fracturing time and smaller fracture width.Additionally,the cooling effect near the wellbore continues to spread into the reservoir during the shut-in period,causing the DTS temperature to decrease instead of rise.Real-time monitoring and interpretation of DTS temperature data can help understand the fracture propagation during fracturing operation,so that immediate measures can be taken to improve the fracturing performance.
基金the financial support from Intergovernmental International Science and Technology Innovation Cooperation Key Project(2022YFE0128400)National Natural Science Foundation of China(42307209)+2 种基金Shanghai Pujiang Program(2022PJD076)State Energy Center for Shale Oil Research and Development(33550000-22-ZC0613-0365)Natural Science Foundation of Qinghai Province(No.2024-ZJ-717).
文摘Shale oil reservoir is generally characterized by well-developed bedding planes,and multi-cluster fracturing is the most effective technique to achieve stable shale oil production.In this paper,a multi-cluster fracturing model for a horizontal well in shale with high-density bedding planes is established.The fracture morphology,fracture geometry,fracturing area and multiple fracture propagation mechanism are analyzed under simultaneous fracturing,sequential fracturing,and alternative fracturing.Results show that in the case of small cluster spacing and three clusters,the growth of the middle fracture is inhibited and develops along the bedding planes under both simultaneous fracturing and alternative fracturing.For sequential fracturing,the increase in the interval time between each fracturing advances the post fracturing fracture deflecting to the pre-existing fractures through the bedding planes.The reactivation of the bedding planes can promote the extension of the fracturing area.Increasing the injection rate and the number of clusters promotes the activation of bedding planes.However,it is preferable to reduce the number of clusters to obtain more main fractures.Compared with modified alternating fracturing and cyclic alternating fracturing,alternating shut-in fracturing creates more main fractures towards the direction of the maximum in-situ stress.The fracturing efficiency for high-density layered shale is ranked as simultaneous fracturing>alternative fracturing>sequential fracturing.
基金financial support by the National Key Research and Development Program of China (No.2022YFE0129800)the National Natural Science Foundation of China (No.52074311)。
文摘The continental shale reservoirs of Jurassic Lianggaoshan Formation in Sichuan Basin contain thin lamina,which is characterized by strong plasticity and developed longitudinal shell limestone interlayer.To improve the production efficiency of reservoirs by multi-cluster fracturing,it is necessary to consider the unbalanced propagation of hydraulic fractures and the penetration effect of fractures.This paper constructed a numerical model of multi-fracture propagation and penetration based on the finite element coupling cohesive zone method;considering the construction cluster spacing,pump rate,lamina strength and other parameters studied the influencing factors of multi-cluster fracture interaction propagation;combined with AE energy data and fracture mode reconstruction method,quantitatively characterized the comprehensive impact of the strength of thin interlayer rock interfaces on the initiation and propagation of fractures that penetrate layers,and accurately predicted the propagation pattern of hydraulic fractures through laminated shale oil reservoirs.Simulation results revealed that in the process of multi-cluster fracturing,the proportion of shear damage is low,and mainly occurs in bedding fractures activated by outer fractures.Reducing the cluster spacing enhances the fracture system's penetration ability,though it lowers the activation efficiency of lamina.The high plasticity of the limestone interlayer may impact the vertical propagation distance of the main fracture.Improving the interface strength is beneficial to the reconstruction of the fracture height,but the interface communication effect is limited.Reasonable selection of layers with moderate lamina strength for fracturing stimulation,increasing the pump rate during fracturing and setting the cluster spacing reasonably are beneficial to improve the effect of reservoir stimulation.
文摘The authors regret Acknowledgements Firstly,the authors wish to acknowledge the academic support from Ruhr University Bochum during the first author's(Xiao Yan)research stay from 2018.11 to 2020.10,including the soft code implement and debug support from Vladislav Gudzulic and academic advising from Günther Meschke.
基金Supported by the National Natural Science Foundation of China(51974332).
文摘This study conducted temporary plugging and diversion fracturing(TPDF)experiments using a true triaxial fracturing simulation system within a laboratory setting that replicated a lab-based horizontal well completion with multi-cluster sand jetting perforation.The effects of temporary plugging agent(TPA)particle size,TPA concentration,single-cluster perforation number and cluster number on plugging pressure,multi-fracture diversion pattern and distribution of TPAs were investigated.A combination of TPAs with small particle sizes within the fracture and large particle sizes within the segment is conducive to increasing the plugging pressure and promoting the diversion of multi-fractures.The addition of fibers can quickly achieve ultra-high pressure,but it may lead to longitudinal fractures extending along the wellbore.The temporary plugging peak pressure increases with an increase in the concentration of the TPA,reaching a peak at a certain concentration,and further increases do not significantly improve the temporary plugging peak pressure.The breaking pressure and temporary plugging peak pressure show a decreasing trend with an increase in single-cluster perforation number.A lower number of single-cluster perforations is beneficial for increasing the breaking pressure and temporary plugging peak pressure,and it has a more significant control on the propagation of multi-cluster fractures.A lower number of clusters is not conducive to increasing the total number and complexity of artificial fractures,while a higher number of clusters makes it difficult to achieve effective plugging.The TPAs within the fracture is mainly concentrated in the complex fracture areas,especially at the intersections of fractures.Meanwhile,the TPAs within the segment are primarily distributed near the perforation cluster apertures which initiated complex fractures.
基金financially supported by,the Fundamental Research Funds for the Central Universities(Grant No.2023QN1064)the China Postdoctoral Science Foundation(Grant No.2023M733772)Jiangsu Funding Program for Excellent Postdoctoral Talent(Grant No.2023ZB847)。
文摘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.
文摘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.
基金Supported by Wang Zhengguo Foundation for Traumatic Medicine“Sequential Medical Research Special Foundation”,No 2024-XGM05.
文摘BACKGROUND Postoperative delirium(POD)is a prevalent complication,particularly in elderly patients with hip fractures(HFs).It significantly affects recovery,length of hospital stay,healthcare costs,and long-term outcomes.Existing studies have investigated risk factors for POD,but most are limited by single-factor analyses or small sample sizes.This study systematically determines independent risk factors using large-scale data and machine learning techniques and develops a validated nomogram model to support early prediction and management of POD.AIM To investigate POD incidence in elderly patients with HF and the independent risk factors,according to which a nomogram prediction model was developed and validated.METHODS This retrospective study included elderly patients with HF who were surgically treated in Dongying People’sHospital from April 2018 to April 2022. The endpoint event includes POD. They were categorized into themodeling and validation cohorts in a 7:3 ratio by randomization. Both cohorts were further classified into thedelirium and normal (non-delirium) groups according to the presence or absence of the endpoint event. Theincidence of POD was calculated, and logistic multivariate analysis was conducted to determine the independentrisk factors. The calibration curve and the Hosmer-Lemeshow test as well as the net benefit threshold probabilityinterval by the decision curve were utilized to statistically validate the accuracy of the nomogram predictionmodel, developed according to each factor’s influence intensity.RESULTSThis study included 532 elderly patients with HF, with an overall POD incidence of 14.85%. The comparison ofbaseline data with perioperative indicators revealed statistical differences in age (P < 0.001), number of comorbidities(P = 0.042), American Society of Anesthesiologists grading (P = 0.004), preoperative red blood cell(RBC) count (P < 0.001), preoperative albumin (P < 0.001), preoperative hemoglobin (P < 0.001), preoperativeplatelet count (P < 0.001), intraoperative blood loss (P < 0.001), RBC transfusion of ≥ 2 units (P = 0.001), andpostoperative intensive care unit care (P < 0.001) between the delirium and non-delirium groups. The participantswere randomized to a training group (n = 372) and a validation group (n = 160). A score-risk nomogram predictionmodel was developed after screening key POD features using Lasso regression, support vector machine, and therandom forest method. The nomogram showed excellent discriminatory capacity with area under the curve of0.833 [95% confidence interval (CI) interval: 0.774-0.888] in the training group and 0.850 (95%CI: 0.718-0.982) in thevalidation group. Calibration curves demonstrated good agreement between predicted and actual probabilities,and decision curve analysis confirmed clinical net benefits within risk thresholds of 0%-30% and 0%-36%, respectively.The model has strong accuracy and clinical utility for predicting the risk of POD.CONCLUSIONThis study reveals cognitive impairment history, American Society of Anesthesiologists grade of > 2, RBCtransfusion of ≥ 2 units, postoperative intensive care unit care, and preoperative hemoglobin level as independentrisk factors for POD in elderly patients with HF. The developed nomogram model demonstrates excellent accuracyand stability in predicting the risk of POD, which is recommended to be applied in clinical practice to optimizepostoperative management and reduce delirium incidence.
基金supported by the International Collaborative Research Program(fundamental research,2021-2023)funded by Korea Institute of Civil Engineering and Building Technology(KICT).
文摘Rock fractures or faults could be reactivated by the thermal stress generated during the decay process of the high-level radioactive waste in deep geological repositories(DGRs).Understanding thermoshearing behavior and its influencing factors are important for the long-term performance assessment of DGRs.We designed multistage mechanical(M)shear tests and thermomechanical(TM)shear tests on three 100 mm-cubic granite specimens,each containing a single inclined sawcut fracture with distinct microroughness of 8-15μm.M test results have shown that the static friction coefficient of the granite fracture decreases in proportion to the increase in the logarithm of the loading rate within the range of 1-15 kPa/s.For the given heating and boundary conditions,thermal loading rate,i.e.,thermal stress increment with heating time,is measured to be around 1 kPa/s in the fractured granite.Thermoshearing can be well predicted by the linear Mohr-Coulomb failure envelope deduced from M shear tests employing a loading rate that is comparable with the thermal loading rate.The granite fractures exhibited two distinct slip patterns during the mechanical shearing,i.e.,stick-slip observed in the smooth fracture and stable sliding in the relatively rough surface.In contrast,the mechanical loading rate(1-15 kPa/s)investigated in this study appears to not influence the slip pattern.Unlike those in M shear tests,thermoshearing in both smooth and relatively rough fractures show stable sliding with a very slow peak velocity of around 0.002μm/s.
文摘BACKGROUND Traumatic injuries,such as falling,car accidents,and crushing mostly cause spinal fractures in young and middle-aged people,and>50%of them are thoracolumbar fractures.This kind of fracture is easily combined with serious injuries to peripheral nerves and soft tissues,which causes paralysis of the lower limbs if there is no timely rehabilitation treatment.Young patients with thoracolumbar fractures find it difficult to recover after the operation,and they are prone to depression,low self-esteem,and other negative emotions.AIM To investigate the association between anxiety,depression,and social stress in young patients with thoracolumbar spine fractures and the effect on rehabilitation outcomes.METHODS This study retrospectively analyzed 100 patients admitted to the orthopedic department of Honghui Hospital,Xi’an Jiaotong University who underwent thoracolumbar spine fracture surgery from January 2022 to June 2023.The general data of the patients were assessed with the Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),life events scale,and social support rating scale(SSRS)to identify the correlation between anxiety,depression scores,and social stress and social support.The Japanese Orthopedic Association(JOA)was utilized to evaluate the rehabilitation outcomes of the patients and to analyze the effects of anxiety and depression scores on rehabilitation.RESULTS According to the scores of HAMD and HAMA in all patients,the prevalence of depression in patients was 39%(39/100),and the prevalence of anxiety was 49%(49/100).Patients were categorized into non-depression(n=61)and depression(n=39),non-anxiety(n=51),and anxiety(n=49)groups.Statistically significant differences in gender,occupation,Pittsburgh Sleep Quality Index(PSQI)score,and monthly family income were observed between the non-depression and depression groups(P<0.05).A significant difference in occupation and PSQI score was found between the non-anxiety and anxiety groups.Both depression(r=0.207,P=0.038)and anxiety scores(r=0.473,P<0.001)were significantly and positively correlated with negative life events.The difference in negative life event scores as well as SSRS total and item scores was statist-ically significant between patients in the non-depression and depression groups(P<0.05).The difference between the non-anxiety and anxiety groups was statistically significant(P<0.05)in the negative life event scores as well as the total SSRS scores.Additionally,JOA scores were significantly lower in both anxious and depressed patients.CONCLUSION Young patients with thoracolumbar fractures are prone to anxiety and depression.Patients’anxiety and depression are closely associated with social pressure,which reduces the life pressure of young patients with thoracolumbar fractures,enhances social support,and improves the psychology of anxiety and depression.,which affects patients’recovery.
基金The work is supported by the Sub-Project of“Research on Key Technologies and Equipment of Reservoir Stimulation”of China National Petroleum Corporation Post–14th Five-Year Plan Forward-Looking Major Science and Technology Project“Research on New Technology of Monitoring and Diagnosis of Horizontal Well Hydraulic Fracture Network Distribution Pattern”(2021DJ4502).
文摘Multistage multi-cluster hydraulic fracturing has enabled the economic exploitation of shale reservoirs,but the interpretation of hydraulic fracture parameters is challenging.The pressure signals after pump shutdown are influenced by hydraulic fractures,which can reflect the geometric features of hydraulic fracture.The shutdown pressure can be used to interpret the hydraulic fracture parameters in a real-time and cost-effective manner.In this paper,a mathematical model for shutdown pressure evolution is developed considering the effects of wellbore friction,perforation friction and fluid loss in fractures.An efficient numerical simulation method is established by using the method of characteristics.Based on this method,the impacts of fracture half-length,fracture height,opened cluster and perforation number,and filtration coefficient on the evolution of shutdown pressure are analyzed.The results indicate that a larger fracture half-length may hasten the decay of shutdown pressure,while a larger fracture height can slow down the decay of shutdown pressure.A smaller number of opened clusters and perforations can significantly increase the perforation friction and decrease the overall level of shutdown pressure.A larger filtration coefficient may accelerate the fluid filtration in the fracture and hasten the drop of the shutdown pressure.The simulation method of shutdown pressure,as well as the analysis results,has important implications for the interpretation of hydraulic fracture parameters.
基金financially supported by the National Natural Science Foundation of China (51704324, 52374027)Natural Science Foundation of Shandong Province (ZR2023ME158, ZR2022ME025)Open Fund of Key Laboratory of Tectonics and Petroleum Resources (TPR-2020-14)。
文摘Tri-axial fracturing studies were carried out to understand the impact of lateral mechanical parameters on fracture propagation from multiple in-plane perforations in horizontal wells. Additionally, the discussion covered the effects of geology, treatment, and perforation characteristics on the non-planar propagation behavior. According to experimental findings, two parallel transverse fractures can be successfully initiated from in-plane perforation clusters in the horizontal well because of the in-plane perforation, the guide nonuniform fishbone structure fracture propagation still can be exhibited. The emergence of transverse fractures and axial fractures combined as complex fractures under low horizontal principal stress difference and large pump rate conditions. The injection pressure was also investigated, and the largest breakdown pressure can be also found for samples under these conditions.The increase in perforation number or decrease in the cluster spacing could provide more chances to increase the complexity of the target stimulated zone, thus affecting the pressure fluctuation. In a contrast, the increase in fracturing fluid viscosity can reduce the multiple fracture complexity. The fracture propagation is significantly affected by the change in the rock mechanical properties. The fracture geometry in the high brittle zone seems to be complicated and tends to induce fracture reorientation from the weak-brittle zone. The stress shadow effect can be used to explain the fracture attraction, branch, connection, and repulsion in the multiple perforation clusters for the horizontal well.The increase in the rock heterogeneity can enhance the stress shadow effect, resulting in more complex fracture geometry. In addition, the variable density perforation and temporary plugging fracturing were also conducted, demonstrating higher likelihood for non-uniform multiple fracture propagation. Thus, to increase the perforation efficiency along the horizontal well, it is necessary to consider the lateral fracability of the horizontal well on target formation.
文摘Introduction: Open leg fracture is a diaphyseal or metaphyseal, extra-articular fracture of one or both leg bones, with communication between the fracture site and the external environment. To provide a broader context, studies conducted globally have highlighted the significance of understanding open leg fractures due to their complex management and potential complications. Previous research in Africa and Europe provides comparative data that emphasizes regional differences in fracture types, causes, and treatment outcomes. This study aims to contribute to improving the management of theses fractures in Niger. Materials and Methods: This was a prospective, descriptive study carried out in the Traumatology-Orthopedics Department of the Zinder National Hospital, Niger, from December 8, 2020 to June 8, 2022 (18 months). We included all patients over 15 years of age in whom an open leg fracture was diagnosed and managed. Inclusion criteria focused on patients aged over 15 years with confirmed diagnoses of open leg fractures. Results: Over an 18-month period, the frequency of open leg fractures was 16.28%. There was a predominance of males (85.93% or n = 116). The average age of patients was 31.79 years. Road accidents were the primary circumstance of occurrence (93.33% or n = 126). The fracture line was simple in 74 patients (54.81%) and complex in 61 cases (45.19%). Surgically, the external fixator was used in 78 cases (57.80%). Postoperative follow-up was mostly straightforward. The main complications were infection (4 cases) and delayed consolidation (4 cases). Conclusion: Open leg fractures in adults are frequent at Zinder National Hospital. Public road accidents were the main cause of occurrence. An external fixator osteosynthesis was the most commonly used surgical option. These findings have important implications for healthcare policy, particularly in improving trauma care infrastructure and road safety initiatives in Niger. Future studies should prioritize the development of standardized treatment protocols and investigate the long-term outcomes of different surgical approaches.
文摘This article focuses on the factors influencing fracture nonunion, classification and treatment. The article emphasizes the importance of understanding the influencing factors and mechanisms of fracture healing for developing effective treatment strategies and improving patients’ quality of life. It also points out the challenges of current treatment, such as patient compliance and limitations of treatment methods, and looks at future treatment directions.
基金the National Natural Science Foundation of China(No.52204052)the NationalNatural Science Foundation of China(No.U23B20156)the Sichuan Science and Technology Program(No.2023NSFSC0933).
文摘Shale reservoirs are characterized by numerous geological discontinuities,such as bedding planes,and exhibit pronounced heterogeneity across rock layers separated by these planes.Bedding planes often possess distinct mechanical properties compared to the surrounding rock matrix,particularly in terms of damage and fracture behavior.Consequently,vertical propagation of hydraulic fractures is influenced by both bedding planes and the heterogeneity.In this study,a numerical investigation into the height growth of hydraulic fractures was conducted using the finite element method,incorporating zero-thickness cohesive elements.The analysis explored the effects of bedding planes,toughness contrasts between layers,and variations in in-situ stress across different strata.The results reveal that hydraulic fractures are more likely to propagate along bedding planes instead of traversing them and extending vertically into barrier layers when(1)bedding strength is low,(2)stress contrast between layers is high,and(3)toughness contrast is significant.Furthermore,for a given bedding strength,increased stress contrast or higher toughness contrast between layers elevate hydraulic fracture extension pressure.When a substantial stress difference exists between layers(Lc 0.4),hydraulic=fractures preferentially propagate along bedding planes.Conversely,as bedding strength increases,the propagation distance along bedding planes decreases,accompanied by an amplified horizontal compressive stress field.Notably,when the stress difference is sufficiently small(SD a phenomenon termed“stress rolling”emerges,wherein<-0.2),hydraulic fractures deviate from vertical growth and instead extend along a near-horizontal trajectory.
文摘Background and Objectives: The distal radius fracture (DRF) is a major public health problem in northern countries. Its frequency is constantly increasing. The locked anterior plate with its well-established biomechanical properties, offers a reliable alternative. The aim of this study was to evaluate the radiological, the functional results and to determine the factors of poor postoperative prognosis of DRF treated with Newclip radial plates®. Methodology: This prospective cohort study evaluates the radiological and functional outcames of displaced radius fractures (DRFs) in patients ≥50 years old treated with Newclip® (locked anterior plates) at the Basse-Terre Hospital in Guadeloupe from 2022 to 2024. The patients were categorized into those with epiphyseal involvement (E1 - E4) and without epiphyseal involvement (E0) based on Laulan’s MEU classification. Radiological parameters (distal radio-ulnar index (DRUI), radial inclination frant view (IRF), radial inclination sagittal view (IRS) were assessed pre and post-operatively. Functional recovery was evaluated at 12 months using the QuickDash questionnaire. Results: Falls were the most common cause of fracture. Post-operatively, SRI was the least restored parameter. Poor prognostic factor for SRI improvement included posterior commimution and unstable fractures. Factors associated with higher QuickDash scores included unstable factures, unrestored DRUI, low plate position, metaphyseal features, and ulnar features. Conclusion: The anterior locking plate osteosynthesis is reliable treatment option with excellent functional outcomes.
基金This study was supported by the Foundation of National Engineering Laboratory for Exploration and Development of Low-Permeability Oil and Gas Fields(2023-015).
文摘Hydraulic fracturing is a crucial technique for efficient development of coal reservoirs.Coal rocks typically contain a high density of natural fractures,which serve as conduits for fracturing fluid.Upon injection,the fluid infiltrates these natural fractures and leaks out,resulting in complex fracture morphology.The prediction of hydraulic fracture network propagation for coal reservoirs has important practical significance for evaluating hydraulic fracturing.This study proposes a novel inversion method for predicting fracture networks in coal reservoirs,explicitly considering the distribution of natural fractures.The method incorporates three distinct natural fracture opening modes and employs a fractal probability function to constrain fracture propagationmorphology.Based on thismethod,the study compares hydraulic fracture networkmorphologies in coal reservoirs with andwithout the presence of natural fractures.Theresults showthatwhile both reservoir types exhibitmulti-branch fracture networks,reservoirs containing natural fractures demonstrate greater branching and a larger stimulated reservoir volume(SRV).Additionally,the study employs a fractal dimension calculation method to quantitatively describe the geometric distribution characteristics of fractures.The analysis reveals that the geometry and distribution of natural fractures,as well as reservoir geological parameters,significantly influence the fracture networkmorphology and fractal dimension.The contact angle between natural and hydraulic fractures affects propagation direction;specifically,when the contact angle isπ/2,the fractal dimension of the hydraulic fracture network is maximized.Moreover,smaller lengths and spacings of natural fracture led to higher fractal dimensions,which can significantly increase the SRV.The proposed method offers an effective tool for evaluating the hydraulic fracturing of coal reservoirs.
文摘Periprosthetic fracture of femur is a common and complex complication after joint replacement. With the increase of operation volume, its incidence is increasing year by year. The treatment of this fracture is affected by many factors, including fracture type, prosthesis stability, patient age and comorbidities, and individualized treatment strategy is needed. In recent years, the internal fixation technology and prosthetic revision technology have made significant progress in surgical treatment, such as locking steel plate, titanium cable and bridge combined internal fixation system and other new technologies have effectively improved the treatment effect. In addition, the application of new materials and 3D printing technology, as well as the optimization of multidisciplinary cooperation mode, also provide new ideas for the treatment of complex fractures. However, there are still some problems such as inaccurate diagnosis, difficult choice of treatment options and high incidence of postoperative complications. In the future, technological innovation, the introduction of artificial intelligence and big data, and the further development of personalized treatment will bring more possibilities to improve the prognosis and quality of life of patients. This study summarizes the relevant research results and prospects the future development direction, providing references for clinical practice and subsequent research.
文摘According to World Health Organization,one in six people will be older than 60 by 2030.The rising life expectancy is anticipated to contribute to a subsequent increase of geriatric fractures worldwide.Osteosarcopenia,which is the coexistence of osteoporosis and sarcopenia,greatly affects older people.Recent studies have tried to identify the prevalence of osteosarcopenia in older populations as well as its correlation with fragility fractures such as hip fractures.The latter pose a major burden on both health loss and costs worldwide.Increasing amount of evidence suggests that osteosarcopenia in patients with hip fractures contributes to higher rates of mortality and complications.At the same time,research focuses on the molecular basis of the interplay between osteoporosis and sarcopenia by utilizing genomic or proteomic approaches.These promising studies could reveal potential preventive or diagnostic biomarkers to optimize the management of osteosarcopenia in hip fractures patients.The fact that bones and muscle can also function as endocrine organs further highlights the complex relationship between osteoporosis and sarcopenia,underscoring the need for a better understanding of the role of myokines and osteokines in osteosarcopenia.Finally,the impact of osteosarcopenia on pain management and rehabilitation after hip fracture surgery,requires further assessment.
