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Fatigue fracture mechanism of AZ31B magnesium alloy and its welded joint 被引量:3
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作者 张红霞 王文先 +2 位作者 卫英慧 李晋永 王建玲 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2011年第6期1225-1233,共9页
Fatigue test was carried out on AZ31B magnesium alloy. Under 2×10 6 cycle times, the fatigue strengths of base metal (BM), butt joint (BJ), transverse cross joint (TJ), lateral connection joint (LJ) are 6... Fatigue test was carried out on AZ31B magnesium alloy. Under 2×10 6 cycle times, the fatigue strengths of base metal (BM), butt joint (BJ), transverse cross joint (TJ), lateral connection joint (LJ) are 66.72, 39.00, 24.38 and 24.40 MPa, respectively. The crack propagation behavior of the alloy was analyzed by optical microscopy. The AZ31B magnesium alloy base metal has a smooth crack propagation macroscopic path. However, the microscopic path is twisted and some cracks have two forks, and the crack propagation is transgranular. The crack initiates in the weld toe and the crack propagates along the HAZ for the BJ and TJ; for the LJ crack initiates in the fillet weld leg. The fatigue fracture mechanisms were analyzed by SEM. The fatigue fracture surface consists of quasi-cleavage patterns or cleavage step and a brittle fracture occurs. Numerous secondary cracks are observed; some fatigue striations exist in butt joint and its size is about 5 μm. 展开更多
关键词 AZ31b magnesium alloy fatigue fracture crack propagation brittle fracture
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闭合性Danis-WeberB和C型三踝骨折的手术疗效分析 被引量:11
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作者 叶曙明 荆珏华 +3 位作者 周云 吕浩 张积森 齐新生 《生物医学工程与临床》 CAS 2013年第5期455-459,共5页
目的探讨闭合性Danis—WeberB和C型三踝骨折的最佳手术时机及固定后踝骨折块对踝关节功能恢复的影响。方法对2008年11月至2011年11月接受手术治疗的61例Danis—WeberB和C型三踝骨折患者进行回顾性研究.其中男性38例,女性23例:年龄18... 目的探讨闭合性Danis—WeberB和C型三踝骨折的最佳手术时机及固定后踝骨折块对踝关节功能恢复的影响。方法对2008年11月至2011年11月接受手术治疗的61例Danis—WeberB和C型三踝骨折患者进行回顾性研究.其中男性38例,女性23例:年龄18~68岁,平均年龄43岁。分为急诊手术组(A组)28例,择期手术组(B组)33例,对两组手术时间、骨折愈合时间、切口愈合时间、并发症及Baird-Jackson踝关节评分标准进行比较;根据后踝骨折块固定与否将患者分成后踝骨折固定组(C组.26例)和后踝未固定组(D组,35例),对两组术后疗效及需行下胫腓固定患者的比例进行比较。结果61例患者术后获得1~3年(平均随访时间1.7年)随访,在手术时间上A组明显少于B组[(102.50±10.13)min vs(146.80±11.73)min],而在骨折愈合时间和并发症发生率上差异无统计学意义(P〉0.05)。按Baird—Jackson踝关节评分系统:C、D两组优良率分别为76.92%和65.71%,差异无统计学意义(P〉0.05)。结论对于多数闭合性Danis—WeberB和C型三踝骨折.早期手术安全有效.固定后踝骨折块对重建踝关节稳定性及踝关节功能恢复具有重要的意义。 展开更多
关键词 踝关节骨折 Danis—Weberb型三踝骨折 Danis—WeberC型三踝骨折 最佳手术时机
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速度滑冰运动员Danis-Weber B型骨折术后加速康复一例
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作者 鲍捷 薛蓉 +1 位作者 郁天成 李荣 《中国临床新医学》 2020年第7期652-656,共5页
目的报道左侧踝关节Danis-Weber B型骨折的速滑运动员术后加速康复的案例。方法速度滑冰运动员意外摔倒致左踝撞击后肿胀及活动障碍1 h入院,诊断Danis-Weber B型骨折并行择期手术。术后采用Barthel指数量表、美国矫形足踝协会发布的踝... 目的报道左侧踝关节Danis-Weber B型骨折的速滑运动员术后加速康复的案例。方法速度滑冰运动员意外摔倒致左踝撞击后肿胀及活动障碍1 h入院,诊断Danis-Weber B型骨折并行择期手术。术后采用Barthel指数量表、美国矫形足踝协会发布的踝与后足功能评分问卷(AOFAS)以及选择性功能动作评估(SFMA)对踝关节功能和日常生活功能进行连续9周评估,同时根据不同评估阶段结果设计不同的康复治疗方法和体能训练方法。结果经过9周康复治疗,运动员踝关节疼痛消失,屈伸活动度恢复正常,Barthel指数和AOFAS评估均接近满分,可以重新上冰训练。结论Danis-Weber B型骨折术后的特定个体,根据康复目标实施针对性的阶段性评估与康复计划,可以加速基础康复进程。 展开更多
关键词 运动员 danis-weber b型骨折 加速康复
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手术治疗Danis-WeberB型踝关节骨折 被引量:2
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作者 赵汝平 杨朝华 +3 位作者 李启中 伍家福 温世锋 张光明 《中国临床解剖学杂志》 CSCD 北大核心 2005年第5期542-543,共2页
目的:探讨Danis-WeberB型踝关节骨折的手术治疗及围手术期处理方法。方法:本组41例Danis-WeberB型踝关节骨折,男28例,女13例;年龄18~70岁,平均37岁。所有患者均采用切开复位内固定治疗,手术标准是直视下解剖复位,且围手术期进行规范的... 目的:探讨Danis-WeberB型踝关节骨折的手术治疗及围手术期处理方法。方法:本组41例Danis-WeberB型踝关节骨折,男28例,女13例;年龄18~70岁,平均37岁。所有患者均采用切开复位内固定治疗,手术标准是直视下解剖复位,且围手术期进行规范的处理方案。应用改良Baird和Jackson评分系统评定其疗效。结果:全部病例均获得随访,随访时间4~58个月,平均17个月。根据Baird和Jackson评分系统,优24例,良11例,可6例,优良率为85.4%。结论:Danis-WeberB型踝关节骨折手术治疗中,满意的骨折复位、稳定的内固定及恰当的围手术期治疗对提高复位质量,改善远期疗效具有较显著的临床意义。 展开更多
关键词 踝关节 danis-weberb 骨折 内固定
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改良的后外侧切口联合内侧入路手术治疗Danis-Weber分型(B型)三踝骨折疗效观察 被引量:8
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作者 黄林新 杨绪荣 +1 位作者 张忠辉 杨亨利 《临床外科杂志》 2021年第12期1168-1170,共3页
目的总结两种不同手术方式治疗Danis-Weber分型(B型)三踝骨折的临床疗效。方法2017年1月~2020年12月收治的Danis-Weber分型(B型)三踝骨折病人67例,依照入院的先后顺序分为两组。对照组35例,采用传统腓骨入路联合内侧入路内固定术,其中... 目的总结两种不同手术方式治疗Danis-Weber分型(B型)三踝骨折的临床疗效。方法2017年1月~2020年12月收治的Danis-Weber分型(B型)三踝骨折病人67例,依照入院的先后顺序分为两组。对照组35例,采用传统腓骨入路联合内侧入路内固定术,其中下胫腓使用螺钉固定;试验组32例,采用改良的后外侧L形切口联合内侧入路内固定术,下胫腓韧带使用锚钉修复,比较两组的临床疗效。结果试验组手术时间、术中出血量、住院时间、术后骨折愈合率与对照组比较,差异均无统计学意义(P>0.05);试验组术后足踝功能评分(86.78±9.26)高于对照组(79.32±8.23),并发症发生率低于对照组(12.5%vs 25.7%),差异有统计学意义(P<0.05)。结论Danis-Weber分型B型的三踝骨折可以通过改良后外侧L形切口联合内侧入路传统内固定术结合锚定修复下胫腓韧带进行治疗,踝关节功能复原率更高,康复效果好,避免取下胫腓螺钉。 展开更多
关键词 锚钉修复 danis-weber分型b型三踝骨折 后外侧L形切口
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Inducible expression of Wnt7b promotes bone formation in aged mice and enhances fracture healing 被引量:5
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作者 Deye Song Guangxu He +6 位作者 Fangfang Song Zhepeng Wang Xiaochen Liu Lele Liao Jiangdong Ni Matthew JSilva Fanxin Long 《Bone Research》 CAS CSCD 2020年第1期76-83,共8页
There remain unmet clinical needs for safe and effective bone anabolic therapies to treat aging-related osteoporosis and to improve fracture healing in cases of nonunion or delayed union. Wnt signaling has emerged as ... There remain unmet clinical needs for safe and effective bone anabolic therapies to treat aging-related osteoporosis and to improve fracture healing in cases of nonunion or delayed union. Wnt signaling has emerged as a promising target pathway for developing novel bone anabolic drugs. Although neutralizing antibodies against the Wnt antagonist sclerostin have been tested,Wnt ligands themselves have not been fully explored as a potential therapy. Previous work has demonstrated Wnt7b as an endogenous ligand upregulated during osteoblast differentiation, and that Wnt7b overexpression potently stimulates bone accrual in the mouse. The earlier studies however did not address whether Wnt7b could promote bone formation when specifically applied to aged or fractured bones. Here we have developed a doxycycline-inducible strategy where Wnt7b is temporally induced in the bones of aged mice or during fracture healing. We report that forced expression of Wnt7b for 1 month starting at 15 months of age greatly stimulated trabecular and endosteal bone formation, resulting in a marked increase in bone mass. We further tested the effect of Wnt7b on bone healing in a murine closed femur fracture model. Induced expression of Wnt7b at the onset of fracture did not affect the initial cartilage formation but promoted mineralization of the subsequent bone callus. Thus, targeted delivery of Wnt7b to aged bones or fracture sites may be explored as a potential therapy. 展开更多
关键词 Wnt7b HEALING fracture
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Weibull analysis of effect of T6 heat treatment on fracture strength of AM60B magnesium alloy 被引量:2
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作者 A.H.SHEVIDI R.TAGHIABADI A.RAZAGHIAN 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2018年第1期20-29,共10页
The effect of T6heat treatment on the fracture strength and reliability of AM60B alloy was studied.The tensile specimens were poured at three different temperatures of670,685and700?C for different holding times of5,10... The effect of T6heat treatment on the fracture strength and reliability of AM60B alloy was studied.The tensile specimens were poured at three different temperatures of670,685and700?C for different holding times of5,10and15min.The fluidity test was also conducted to determine the fluidity length under different pouring temperatures and holding times.According to the results,the optimum pouring temperature and holding time were determined as685?C and10min,respectively.SEM fractography of the tensile specimens reveals that the entrained oxides and oxide-related porosities are the main factors responsible for the reduction of fracture strength under the non-optimal casting conditions.The Weibull statistical approach was used to quantify the scatter of fracture strength in as-cast and heat-treated conditions.For this purpose,T6schedule was applied to the specimens prepared under the optimal casting condition.It is found that,despite minor effect on the average fracture strength,T6heat treatment improves the reliability of castings,where the Weibull modulus is increased by75%.According to the microstructural and fractography observations,this improvement is related to the evolution of more uniform microstructure and the elimination of coarse brittleβ-particles in heat-treated samples. 展开更多
关键词 Mg.Al alloy AM60b alloy DIE-CAST Weibull analysis fracture strength FLUIDITY
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Effect of TiB2 and Al3Ti on the microstructure,mechanical properties and fracture behaviour of near eutectic Al−12.6Si alloy 被引量:3
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作者 Surajit Basak Prosanta Biswas +2 位作者 Surajit Patra Himadri Roy Manas Kumar Mondal 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2021年第7期1174-1185,共12页
A near eutectic Al−12.6Si alloy was developed with 0.0wt%,2.0wt%,4.0wt%,and 6.0wt%Al−5Ti−1B master alloy.The micro-structural morphology,hardness,tensile strength,elongation,and fracture behaviour of the alloys were s... A near eutectic Al−12.6Si alloy was developed with 0.0wt%,2.0wt%,4.0wt%,and 6.0wt%Al−5Ti−1B master alloy.The micro-structural morphology,hardness,tensile strength,elongation,and fracture behaviour of the alloys were studied.The unmodified Al−12.6Si al-loy has an irregular needle and plate-like eutectic silicon(ESi)and coarse polygonal primary silicon(PSi)particles in the matrix-likeα-Al phase.The P_(Si),E_(Si),andα-Al morphology and volume fraction were changed due to the addition of the Al−5Ti−1B master alloy.The hardness,UTS,and elongation improved due to the microstructural modification.Nano-sized in-situ Al3Ti particles and ex-situ TiB_(2)particles caused the mi-crostructural modification.The fracture images of the developed alloys exhibit a ductile and brittle mode of fracture at the same time.The Al−5Ti−1B modified alloys have a more ductile mode of fracture and more dimples compared to the unmodified alloy. 展开更多
关键词 Al−Si alloy Al−5Ti−1b modification modification mechanism mechanical properties fracture analysis
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Significantly enhancing fracture toughness of epoxy composite with promisingγ-FeOOH@Fe_(2)O_(3)hybrid nanoparticles by magnetic field assistance 被引量:1
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作者 Guan Chen Chuanguo Ma +2 位作者 Zehao Fu Jing Wang Peibang Dai 《Nano Materials Science》 EI CAS CSCD 2022年第2期139-150,共12页
The toughening of epoxy resin(EP)and the interlaminar toughening of carbon fiber reinforced composite(CF/EP)laminates have been widely concerned.In this work,the needle-likeγ-FeOOH nanoparticles were prepared by liqu... The toughening of epoxy resin(EP)and the interlaminar toughening of carbon fiber reinforced composite(CF/EP)laminates have been widely concerned.In this work,the needle-likeγ-FeOOH nanoparticles were prepared by liquid phase deposition-air oxidation method,and then were calcined under different conditions to obtainγ-FeOOH andγ-Fe_(2)O_(3) hybrid nanoparticles(γ-FeOOH@Fe_(2)O_(3)).Effect of calcination condition ofγ-FeOOH@-Fe_(2)O_(3) and magnetic field assistance on fracture toughness(KIC)of EP was systematically investigated.Then the selectedγ-FeOOH@Fe_(2)O_(3) with the best toughening effect were used to improve the mode I interlaminar fracture toughness(GIC)of CF/EP laminate.The resultingγ-FeOOH@Fe_(2)O_(3) have a length of around 1μm,a diameter of around 100 nm and the Ms of 8.99–45.96 emu/g.After calcinated at 250℃ for 1 h,theγ-FeOOH@Fe_(2)O_(3) containing 24 wt%FeOOH and 76 wt%Fe_(2)O_(3) achieved the best toughening effect.Under a magnetic field of 0.09 T,the KIC of theγ-FeOOH@Fe_(2)O_(3)/EP composite(2.45 MPa m^(1/2)) is 81.7%and 66.7%higher than that of neat epoxy and the composite without magnetic field induction,respectively.Furthermore,the GIC of theγ-FeOOH@Fe_(2)O_(3)/CF/EP composite(0.914 kJ/m^(2)) is also significantly increased by 88.8%and 51.8%compared to that of CF/EP and the corresponding composite without magnetic field induction,respectively. 展开更多
关键词 A.polymer-matrix composites(PMCs) A.Carbon fibres A.Nanocomposites b.fracture toughness
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后外侧锁定钢板在Danis-Weber B型外踝骨折中应用分析 被引量:3
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作者 唐国皓 陈波涛 +1 位作者 彭梅仙 廖仁飞 《实用中医药杂志》 2016年第2期158-159,共2页
目的:分析Danis-Weber B型外踝骨折应用后外侧解剖型锁定钢板的临床疗效。方法:47例DanisWeber B型外踝骨折病例,采取后外侧入路,复位予以后外侧解剖型锁定钢板固定外踝骨折。结果:随访11-31个月,47例按Burwell-Charnley骨折复位放射学... 目的:分析Danis-Weber B型外踝骨折应用后外侧解剖型锁定钢板的临床疗效。方法:47例DanisWeber B型外踝骨折病例,采取后外侧入路,复位予以后外侧解剖型锁定钢板固定外踝骨折。结果:随访11-31个月,47例按Burwell-Charnley骨折复位放射学评价标准均达到解剖复位,Olerud-Molander评分(83.6±20.3);切口延迟愈合1例,无切口感染、坏死;X线示无内固定失败及骨折不愈合;43例选择取出内固定物,原因为因个人因素31例、不适感9例,轻度疼痛3例(肌腱炎)。结论:后外侧解剖型锁定钢板利用抗滑动理论,对B型踝部骨折的外踝骨折固定更有优势。 展开更多
关键词 外踝骨折 danis-weber b 后外侧钢板 锁定钢板
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FRACTURE MODE AND PROCESS OF SiCw+B4Cp/MB15 MAGNESIUM MATRIX COMPOSITE
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作者 Su, Ying Zhang, Guoding +2 位作者 Wang, Huimin Zhang, Di Qin, Jining 《中国有色金属学会会刊:英文版》 EI CSCD 1997年第3期109-113,共5页
FRACTUREMODEANDPROCESSOFSiCw+B4Cp/MB15MAGNESIUMMATRIXCOMPOSITE①SuYing,ZhangGuoding,WangHuimin,ZhangDi,QinJin... FRACTUREMODEANDPROCESSOFSiCw+B4Cp/MB15MAGNESIUMMATRIXCOMPOSITE①SuYing,ZhangGuoding,WangHuimin,ZhangDi,QinJiningStateKeyLabofM... 展开更多
关键词 MAGNESIUM composites SIC WHISKERS b 4C PARTICLES fracture
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Bonding and Fracture Characteristics at α_2/γ Interface in TiAl Alloy with B Addition
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作者 Senying LIU Dongliang ZHAO Rongze HU and Chongyu WANG(Central Iron and Steel Research Institute, Beijing 100081, China)Ping LUO(National Research Center for CRM, Beijing 100013, China) 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 1999年第1期43-47,共5页
The bonding characteristics of (0001)α2||(111)γ interface in two-phase TiAl alloy have beeninvestigated with the recursion method. The results of bond order integral and interaction energybetween atoms are presented... The bonding characteristics of (0001)α2||(111)γ interface in two-phase TiAl alloy have beeninvestigated with the recursion method. The results of bond order integral and interaction energybetween atoms are presented. The effects of B on atoms bonding both in constituent phase andat the α2/γ interface have been studied. The correlation between the mechanical propertiesof the alloy and the bonding at the interface has been discussed. The results suggest that Bsegregation to the interface benefits the ductility. This is supported by the related experiment. 展开更多
关键词 TIAL bonding and fracture Characteristics at Interface in TiAl Alloy with b Addition
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Static Performance and Fracture Numerical Analysis of 301L/Q235B Dissimilar Steel Resistance Spot Welded Joints
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作者 Changkun Wang Huiyu Liu +2 位作者 Jiafei Fan Yinlong Zuo Liguo Hu 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2020年第6期27-34,共8页
This paper presents an experimental study on the static tensile test of resistance spot welding between 2.0 mm thick dissimilar 301L⁃DLT and Q235B in tensile⁃shear specimens with different welding nugget diameters.For... This paper presents an experimental study on the static tensile test of resistance spot welding between 2.0 mm thick dissimilar 301L⁃DLT and Q235B in tensile⁃shear specimens with different welding nugget diameters.Force⁃displacement curves of the specimens were compared with simulation curves by the finite element software.The stress⁃strain distribution and fracture evolution process during the tensile process were analyzed.The hardness of the nugget was higher than that of the base material and the heat affected zone.Under static tensile load,the stress and strain in the spot welded joints increased exponentially with the increase of displacement,and the maximum stress was located at the nugget edge of the 301L plate loading side.The static tensile strength and plastic deformation of the spot welded joint failure by the nugget pulled⁃out fracture mode was better than that by the interface fracture mode.The critical nugget diameter of Q235B for the transition from nugget interfacial fracture to the pull⁃out fracture was 7.12 mm,and that of 301L was 7.81 mm,which was about 5√t. 展开更多
关键词 301L/Q235b dissimilar resistance spot welding static mechanical properties fracture mode finite element analysis
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Investigation on the Tensile Properties and Fracture Characteristics of Amorphous Ribbons Fe81.50B1.40Si7.95Nb7.37Cu1.73P0.05
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作者 Sheng Lei Jun Sun +3 位作者 Yinfeng Zhu Huaqi Liang Yansheng Yao Rong Hu 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2019年第6期80-85,共6页
A number of Fe-Si-B amorphous ribbons are made by using melt spinning method. The microstructure, mechanical and other relevant properties of thin amorphous ribbons of Fe81.50B1.40Si7.95Nb7.37Cu1.73P0.05 alloy at room... A number of Fe-Si-B amorphous ribbons are made by using melt spinning method. The microstructure, mechanical and other relevant properties of thin amorphous ribbons of Fe81.50B1.40Si7.95Nb7.37Cu1.73P0.05 alloy at room temperature were studied with several equipment including Differential scanning calorimetry (DSC), X-ray diffraction (XRD),Scanning electron microscope (SEM), and tensile machine. Significantly different microstructures exist between the free and wheel face of the thin amorphous ribbons. The free face is smooth while the wheel face is coarse with a great number of micro voids on the surface. Experimental results show that the tensile strength and elastic modulus of thethin amorphous ribbons at room temperature are 1951 MPa and 70 GPa. In addition, the amorphous ribbons possess reasonable tensile elongation (2.46%). The fracture appearance of amorphous ribbons of Fe81.50B1.40Si7.95Nb7.37Cu1.73P0.05 alloyis a mixed mode of ductile and brittle fracture which includes dimples and partial cleavage fracture similar to the crystalline materials. The dimple feature proves that it still has plastic characteristics on the micro scale. 展开更多
关键词 Fe81.50b1.40Si7.95Nb7.37Cu1.73P0.05 alloy tensile strength DUCTILE brittle fracture melt spinning method dimples
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抗滑钢板内固定治疗Danis-Weber B型踝关节骨折的回顾性分析
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作者 李松 李维勇 +3 位作者 冯遵浩 林飞 周和意 许瑞龙 《足踝外科电子杂志》 2023年第1期47-50,共4页
目的探讨对Danis-Weber B型踝关节骨折患者采用抗滑钢板内固定治疗的效果。方法回顾性分析2019年1月至2022年3月邳州市中医院收治的50例Danis-Weber B型踝关节骨折患者的临床资料,根据治疗方法的不同分成观察组(n=25)与对照组(n=25),对... 目的探讨对Danis-Weber B型踝关节骨折患者采用抗滑钢板内固定治疗的效果。方法回顾性分析2019年1月至2022年3月邳州市中医院收治的50例Danis-Weber B型踝关节骨折患者的临床资料,根据治疗方法的不同分成观察组(n=25)与对照组(n=25),对照组采用手法整复石膏固定治疗,观察组采用抗滑钢板内固定治疗,对两组临床疗效、踝关节功能、并发症发生情况进行比较。结果观察组治疗优良率显著高于对照组(92.00%vs 64.00%,P<0.05)。观察组患者的住院时间和术后恢复时间显著短于对照组(P<0.05)。在疼痛评分上,两组术前比较无显著差异(P>0.05);术后疼痛评分均显著低于术前,且观察组的疼痛评分显著低于对照组(P<0.05)。在踝关节功能上,两组术前比较无显著差异(P>0.05);术后6个月较术前均显著提高(P<0.05),且观察组术后的踝关节功能评分[(52.83±4.61)分]高于对照组的(43.51±3.97)分,组间比较差异有统计学意义(P<0.05)。结论将抗滑钢板内固定应用于Danis-Weber B型踝关节骨折患者治疗中,可提高临床疗效,改善踝关节功能,减轻患者疼痛,缩短患者恢复时间,值得临床借鉴。 展开更多
关键词 抗滑钢板内固定 danis-weber b型踝关节骨折 踝关节功能 疼痛评分
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腓骨髓内钉与解剖锁定钢板治疗外踝骨折Danis-weber B及C型骨折效果比较
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作者 戴鹏 刘飞 +2 位作者 刘沛 黄晖 叶俊刚 《医学食疗与健康》 2020年第22期7-8,共2页
目的:探讨外踝骨折Danis-weber B及C型骨折患者采用髓内钉固定与解剖锁定钢板治疗效果。方法:回顾性分析本院2016年1月至2017年1月收治的94例外踝骨折Danis-weber B及C型骨折患者,其中采用Acumed腓骨髓内钉固定治疗者为观察组;采用Synt... 目的:探讨外踝骨折Danis-weber B及C型骨折患者采用髓内钉固定与解剖锁定钢板治疗效果。方法:回顾性分析本院2016年1月至2017年1月收治的94例外踝骨折Danis-weber B及C型骨折患者,其中采用Acumed腓骨髓内钉固定治疗者为观察组;采用Synthes解剖锁定钢板治疗者为对照组,分别为47例。比较两组术后6个月疗效、手术指标及术后康复效果、并发症情况、术前和术后外踝骨X线片。结果:观察组住院时间、手术时间、骨折愈合时间均短于对照组;切口长度、术中出血量及裸关节功能评分低于对照组(P<0.05);两组治疗优良率比较,差异无统计学意义(P>0.05);观察组术后并发症发生率2.128%,低于对照组14.89%(P<0.05)。术后X线可见腓骨长度及旋转恢复,骨折对位对线好、腓骨骨折解剖复位。结论:采用髓内钉固定治疗外踝骨折Danis-weber B及C型骨折更有效,且可减少术中出血量,减少术后并发症,减轻患者痛苦,促进其术后康复。 展开更多
关键词 解剖锁定钢板 外踝骨折 danis-weber b骨折 C型骨折 髓内钉固定
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Danis-Weber B型单纯不稳定外踝骨折手法复位石膏固定治疗临床观察
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作者 刘琰 《双足与保健》 2019年第22期162-163,共2页
目的分析手法复位石膏固定治疗对Danis-Weber B型单纯不稳定外踝骨折患者的临床应用价值。方法选取该院2014年3月-2019年3月期间门诊诊治40例Danis-Weber分型中的B型外踝骨折患者进行研究。结果40例患者治疗后3个月的Baied-Jackson踝关... 目的分析手法复位石膏固定治疗对Danis-Weber B型单纯不稳定外踝骨折患者的临床应用价值。方法选取该院2014年3月-2019年3月期间门诊诊治40例Danis-Weber分型中的B型外踝骨折患者进行研究。结果40例患者治疗后3个月的Baied-Jackson踝关节评分、Mazur功能评分两项评分相比于治疗前整体水平明显增加,差异有统计学意义(P<0.05)。40例患者治疗后,90.0%的患者达到有效治疗。结论手法复位石膏固定治疗可使患者的关节功能恢复周期明显缩短。临床应用价值较高。 展开更多
关键词 danis-weber b型单纯不稳定外踝骨折 手法复位 石膏固定
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B超引导下髋关节囊周神经丛阻滞与腹股沟上髂筋膜间隙阻滞在股骨颈骨折患者中的应用效果对比
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作者 毕路甲 杨利民 +2 位作者 朱建业 陈辉 闫军杰 《河南医学研究》 CAS 2024年第21期3920-3924,共5页
目的探讨B超引导下髋关节囊周神经丛阻滞(PNGB)与腹股沟上髂筋膜间隙阻滞(S-FICB)在股骨颈骨折(FNF)患者中的应用效果。方法选取2021年9月至2022年9月在漯河医学高等专科学校第二附属医院就诊的80例行全髋节置换术治疗的FNF患者为研究对... 目的探讨B超引导下髋关节囊周神经丛阻滞(PNGB)与腹股沟上髂筋膜间隙阻滞(S-FICB)在股骨颈骨折(FNF)患者中的应用效果。方法选取2021年9月至2022年9月在漯河医学高等专科学校第二附属医院就诊的80例行全髋节置换术治疗的FNF患者为研究对象,根据随机数表法分为S-FICB组与PNGB组,每组40例。S-FICB组行S-FICB阻滞,PNGB组行PNGB阻滞。记录患者阻滞前(T_(0))和阻滞后5 min(T_(1))、10 min(T_(2))、15 min(T_(3))时的心率。记录患者T_(0)、T_(3)及阻滞后30 min(T_(4))、2 h(T_(5))、6 h(T_(6))、12 h(T_(7))、24 h(T_(8))静息、抬髋15°时的数字评定量表(NRS)评分。记录患者超声成像时间、穿刺操作时间、超声成像清晰度评分、首次下床活动时间、住院时间、术后并发症发生情况。结果两组T_(0)~T_(3)时的心率组间、时间和交互作用无统计学意义(P>0.05)。两组静息时T_(0)、T_(3)~T_(8)时NRS评分的组间、时间和交互作用有统计学意义(P<0.05),PNGB组静息时T_(0)、T_(3)~T_(8)时NRS评分均低于S-FICB组(P<0.05)。两组抬髋15°时T_(0)、T_(3)~T_(8)的NRS评分的组间、时间和交互作用有统计学意义(P<0.05),且PNGB组抬髋15°时T_(0)、T_(3)~T_(8)的NRS评分均低于S-FICB组(P<0.05)。PNGB组超声成像时间短于S-FICB组(P<0.05);术后,PNGB组首次下床活动时间短于S-FICB组(P<0.05);两组均未见神经阻滞相关并发症。结论S-FICB和PNGB应用于FNF患者中,均有较好的镇痛效果,对心率无明显影响,但PNGB在缓解术后疼痛,缩短超声成像时间,促进术后恢复方面效果更佳。 展开更多
关键词 b超引导 髋关节囊周神经丛阻滞 腹股沟上髂筋膜间隙阻滞 股骨颈骨折
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载脂蛋白B和绝经后骨质疏松性骨折的相关性分析
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作者 傅琪 张翠萍 +4 位作者 杨玉娇 滕若凌 刘芬芬 刘萍 丁怡 《中国骨质疏松杂志》 CAS CSCD 北大核心 2024年第9期1311-1316,共6页
目的探究载脂蛋白B(Apo-B)和绝经后骨质疏松性骨折的相关性。方法选取2020年11月至2022年7月于常州市第一人民医院就诊的204例绝经后骨质疏松症患者。依据是否发生过脆性骨折将研究对象分为骨折组(n=91)和非骨折组(n=113),其中椎体骨折6... 目的探究载脂蛋白B(Apo-B)和绝经后骨质疏松性骨折的相关性。方法选取2020年11月至2022年7月于常州市第一人民医院就诊的204例绝经后骨质疏松症患者。依据是否发生过脆性骨折将研究对象分为骨折组(n=91)和非骨折组(n=113),其中椎体骨折66例、髋部骨折6例、肋骨及四肢骨折19例。对比两组一般资料、血脂、骨密度T值、甲状旁腺素(PTH)、维生素D、血钙水平及是否患有高血压或糖尿病等差异。采用二元及多元Logistic回归分析载脂蛋白B与骨折风险的相关性。结果绝经后骨质疏松症患者中,骨折患病率为44.61%。骨折组的年龄和确诊骨质疏松症年龄均高于非骨折组,而总胆固醇、低密度脂蛋白胆固醇、载脂蛋白B、腰椎、股骨颈和全髋T值水平均低于非骨折组,差异有统计学意义(P<0.05)。二元Logistic回归分析发现,当调整了年龄(仅限全年龄段组)、血压、腰椎和全髋T值后,载脂蛋白B在全年龄段组和≤65岁组对骨折具有保护作用(OR=0.239,95%CI:0.079~0.724,P=0.011;OR=0.181,95%CI:0.032~1.020,P=0.048)。多元Logistic回归分析发现,与无骨折组相比,在椎体骨折组中,当调整了年龄、血压、腰椎和全髋T值后,总胆固醇、低密度脂蛋白胆固醇、载脂蛋白B可能是椎体骨折的保护因素(OR=0.609,95%CI:0.418~0.888,P=0.010;OR=0.539,95%CI:0.338~0.860,P=0.010;OR=0.106,95%CI:0.028~0.408,P=0.001),但在髋部、肋骨及四肢骨折病例中,血脂水平与骨折之间未见明显关联(P>0.05);在血脂正常范围内载脂蛋白B对椎体骨折可能具有保护作用(OR=0.048,95%CI:0.008~0.306,P=0.001),当高脂血症时载脂蛋白B的保护作用消失(P>0.05)。结论载脂蛋白B可能是绝经后女性椎体骨质疏松性骨折的保护因素。 展开更多
关键词 骨质疏松性骨折 绝经后 血脂谱 载脂蛋白b
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Effects of Al-Ti-B-RE grain refiner on microstructure and mechanical properties of Al-7.0Si-0.55Mg alloy 被引量:12
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作者 王雪姣 徐聪 +4 位作者 Arfan MUHAMMAD Shuji HANADA Hiroshi YAMAGATA 王文红 马朝利 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2014年第7期2244-2250,共7页
To investigate the effects of Al-Ti-B-RE grain refiner on microstructure and mechanical properties of Al-7.0Si-0.55Mg (A357) alloy, some novel Al-7.0Si-0.55Mg alloys added with different amount of Al-STi-1B-RE grain... To investigate the effects of Al-Ti-B-RE grain refiner on microstructure and mechanical properties of Al-7.0Si-0.55Mg (A357) alloy, some novel Al-7.0Si-0.55Mg alloys added with different amount of Al-STi-1B-RE grain refiner with different RE composition were prepared by vacuum-melting. The microstructure and fracture behavior of the AI-7.0Si-0.55Mg alloys with the grain refiners were observed by X-ray diffraction (XRD), optical microscopy (OM), scanning electron microscopy (SEM), and the mechanical properties of the alloys were tested in mechanical testing machine at room temperature. The observation of AI-Ti-B-RE morphology and internal structure of the particles reveals that it exhibits a TiAl3/Ti2Al20RE core-shell structure via heterogeneous TiB2 nuclei. The tensile strength of Al-7.0Si-0.55Mg alloys with Al-5Ti-1B-3.0RE grain refiner reaches the peak value at the same addition (0.2%) of grain refiner. 展开更多
关键词 A357 alloy Al-5Ti-1b grain refiner rare earth fracture refining effect tensile strength
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