Minimally invasive treatment of forearm double fracture in adult using Acumed forearm intramedullary nail: A case report

BACKGROUND Currently,open reduction internal fixation is the conventional surgical method for treatment of double ulna and radius fracture.However,open reduction is associated with a high risk of complications.This case of forearm double fracture involved a patient treated using an Acumed intramedullary nail.The patient experienced good follow-up outcomes.The Acumed forearm intramedullary nail enables early functional exercise and hastens healing of the fracture.Few studies have reported on the use of this approach for the treatment of fractures.CASE SUMMARY A 23-year-old male patient was admitted to hospital after 5 h of pain,swelling,and limited activity of left forearm caused by a careless fall.Physical examination showed stable basic vital signs,swelling of the left forearm,and severe pain when pressing on the injured part of the forearm.Further,friction was felt at the broken end of the bone;the skin was not punctured.Movement of the left hand was normal,and the left radial artery pulse was normal.Three-dimensional computed tomography examination showed an ulna fracture of the left forearm and comminuted fracture of the radius.The fracture was located in the upper third of the radius,with significant displacement on the fracture side.Clinical diagnosis further confirmed the left radius comminuted fracture and ulna fracture.After analyzing the fracture pattern,age,and other patient characteristics,we chose an Acumed nail for treatment and achieved good follow-up outcomes.CONCLUSION Acumed forearm intramedullary nail for fixation of ulna and radius fracture reduced complication risk and resulted in good follow-up outcomes.

NUMERICAL MODELING FOR POSITIVE AND INVERSE PROBLEMS OF 3-D SEEPAGE IN DOUBLE FRACTURED MEDIA

Three-dimensional seepage in double fractured media was modeled in this paper. The determination of hydraulic conductivity tensor of rock mass is a vital problem for the sea water intrusion or sea water encroachment and seepage of fissured medium. According to the geological and hydrogeological conditions for the 2nd-stage construction of the Three Gorges Project (TGP), the physical and mathematical models for the groundwater movement through the 3D double fractured media of rock mass during construction were established in this paper. Based on discontinuity-control inverse theory, some related parameters of double fractured media were inversed with flux being the known quantity and calibration of water table the objective function. Synchronously, the seepage field of the construction region was systematically analyzed and simulated, the results of which exhibit that the double fractured media model of fracture water can comprehensively and correctly describe the geological and hydrogeological conditions in the construction region.

Simultaneous hydraulic fracturing of ultra-low permeability sandstone reservoirs in China: Mechanism and its field test

Based on the impact of the stress perturbation effect created by simultaneous propagation of multiple fractures in the process of simultaneous hydraulic fracturing, a thorough research on the mechanism and adaptation of simultaneous fracturing of double horizontal wells in ultra-low permeability sandstone reservoirs was conducted by taking two adjacent horizontal wells(well Yangping-1 and well Yangping-2 located in Longdong area of China Changqing Oilfield) as field test wells. And simultaneous fracturing optimal design of two adjacent horizontal wells was finished and employed in field test. Micro-seismic monitoring analysis of fracture propagation during the stimulation treatment shows that hydraulic fractures present a pattern of complicated network expansion, and the well test data after fracturing show that the daily production of well Yangping-1 and well Yangping-2 reach105.8 t/d and 87.6 t/d, which are approximately 9.4 times and 7.8 times the daily production of a fractured vertical well in the same area, respectively. Field test reflects that simultaneous hydraulic fracturing of two adjacent horizontal wells can enlarge the expansion area of hydraulic fractures to obtain a lager drainage area and realize the full stimulation of ultra-low permeability sandstone reservoirs in China Changqing oilfield. Therefore, simultaneous fracturing of two adjacent horizontal wells provides a good opportunity in stimulation techniques for the efficient development of ultra-low permeability reservoirs in China Changqing oilfield,and it has great popularization value and can provide a new avenue for the application of stimulation techniques in ultra-low permeability reservoirs in China.