Minimum 10-year follow-up outcomes of arthroscopic Bankart’s repair with metallic anchors:Reliable results with low redislocation rates

BACKGROUND With stiff competition from alternative albeit more expensive counterparts,it has become important to establish the applicability of metallic anchors for shoulder instability in the modern era.This can be accomplished,in part,by analysing long-term outcomes.AIM To analyse minimum 10-year outcomes from 30 patients following arthroscopic anterior stabilisation using metallic anchors.METHODS Prospectively collected data from arthroscopic Bankart repairs performed using metal anchors during 2007P-2010 were retrospectively analysed in this singlesurgeon study.Comprehensive data collection included historical and clinical findings,dislocation details,operative specifics,and follow-up radiological and clinical findings including shoulder scores.The primary outcomes were patientreported scores(Constant,American Shoulder and Elbow Surgeons[ASES],and Rowe scores)and pain and instability on a visual analogue scale(VAS).RESULTS A 3% recurrence rate of dislocation was noted at the final follow-up.Total constant scores at 10 years postoperatively measured between 76 and 100(mean 89)were significantly better than preoperative scores(mean 62.7).Congruous improvements were also noted in the Rowe and ASES scores and VAS at the 10-year review.CONCLUSION Reliable long-term outcomes with metallic anchors in surgery for shoulder instability can be expected.Our results provide additional evidence of their continued,cost-effective presence in the modern scenario.

Failure Envelopes of Single-Plate Rigid Helical Anchors for Floating Offshore Wind Turbine

Helical anchor is a kind of novel foundation for floating offshore wind turbines,which should be subjected to combined tensile loading caused by wind,wave and current.However,the research about the capacity of helical anchor was mainly examined under uniaxial loading and scarcely explored under combined loading.In this study,three-dimensional finite element limit analysis is adopted to assess the bearing capacities of single-plate rigid helical anchors with different ratios of helix to shaft diameter,D_(H)/D_(S) and embedment ratios L/D_(S).Result shows that the vertical,horizontal and moment bearing capacities increase with increasing D_(H)/D_(S) and L/D_(S).The normalized V-H failure envelopes expands with increasing L/D_(S),while the normalized V-M failure envelopes tend to contract with the increase of D_(H)/D_(S).With increasing D_(H)/D_(S) or decreasing L/D_(S),the normalized H-M failure envelopes expand when the horizontal and moment loading act in the same direction and contract when they act in the opposite direction.The effect of D_(H)/D_(S) and L/D_(S) on the shape of H-M failure envelope become insignificant when L/D_(S)≥4.A series of failure mechanisms under different loading conditions were observed and can be used to explain the trend.Besides,a series of approximate expressions were proposed to fit the uniaxial bearing capacities and the failure envelopes.

Full-scale pullout tests of rock anchors in a limestone quarry focusing on bond failure at the anchor-grout and grout-rock interfaces

Rock anchors are a common safety measure for stabilising large-scale infrastructure,such as bridge towers,retaining walls,rock slopes and windmills.There are four principal failure modes for rock anchors:(a)tensile failure of the steel anchor,(b)anchor-grout interface failure,(c)grout-rock interface failure,and(d)rock mass uplift.Field tests were performed in a limestone quarry.These tests were designed to test failure modes B and C through pullout.In the tests of failure mode B,the shear stress on the anchor-grout interface is the largest at the top of the grout column and attenuates towards the distal end for small loads.The shear stress becomes uniformly distributed when the applied load is approximately 50%of the ultimate pullout load.The anchors designed to test failure mode C were installed with an endplate and had a higher toughness than the straight bar anchors.The shear stress on the grout-rock interface is the largest at the endplate and attenuates upward before slip starts along the interface.When the ultimate pullout load is reached,and the grout column starts to slip,the shear stress is approximately constant.The bond shear strength on the anchor-grout interface was approximately 20%of the uniaxial compressive strength of the grout,and the bond strength of the grout-rock interface was around 5%for that of the grout.The grout-rock interface is likely determined by whichever is weaker,the grout or the rock.

Six-Degree-of-Freedom Measurement of Plate Anchors in Centrifuge by Magnetometers

The six-degree-of-freedom movement of an offshore plate anchor is essential to evaluate anchor performance.As an emerging technology,magnetometer has shown its potential in measuring the six-degree-of-freedom movement of offshore anchors under 1-g model laboratory tests.The paper presents the feasibility of adopting a magnetometer system in geotechnical centrifuge testing.Interference factors that may affect the measuring accuracy of the magnetometer system are investigated.The results demonstrate that the magnetometer system can accurately catch the anchor movement in the soils with the restrictions of:(1)the model anchor was made with stainless steel;(2)the system was placed at least 30 cm away from the side wall of soil model tank;(3)started the measurement when the artificial acceleration by centrifuge was stable.

Prediction of load-displacement performance of grouted anchors in weathered granites using FastICA-MARS as a novel model

With the rising needs of better prediction of the load-displacement performance of grouted anchors in an era of developing large-scale underground infrastructures,the existing methods in literature lack an accurate analytical model for the real-life projects or rigorous understanding of the parameters such as grouting pressures.This paper proposes Fast ICA-MARS as a novel data-driven approach for the prediction of the load-displacement performance of uplift-resisting grouted anchors.The hybrid and data-driven Fast ICA-MARS approach integrates the multivariate adaptive regression splines(MARS)technique with the Fast ICA algorithm which is for Independent Component Analysis(ICA).A database of 4315 observations for 479 different anchors from 7 different projects is established.The database is then used to train,validate and compare the Fast ICA-MARS approach with the classical MARS approach.The developed Fast ICA-MARS model can provide more accurate predictions than MARS.Moreover,the developed Fast ICA-MARS model is easy to interpret since the evaluation of the parameter importance of the independent components can be conducted along with the considerations of the correlations with the original variables.It is noteworthy to point out that the grouting pressures play a central role in the proposed model,which is considered of paramount importance in engineering practices but has not been properly taken into account in any prior analytical or empirical predictive models for the load-displacement relationships.

Outcome of repair of chronic tear of the pectoralis major using corkscrew suture anchors by box suture sliding technique

AIM To assess the functional and clinical results of repair of chronic tears of pectoralis major using corkscrew and sliding suture technique. METHODS In this retrospective study, we reviewed the results of pectoralis major repair in 11 chronic cases(> 6 wk) done between September 2011 and December 2014 at our institute. In all cases repair was done by same surgeon using corkscrew suture anchors and box suture sliding technique. At 6 mo, after surgery magnetic resonance imaging was done to see the integrity of the repair. Functional evaluation was done using Penn and ASES scores. Pre and postoperative Isokinetic strength was measured.RESULTS Average follow-up was 48.27 ± 21.0 mo. The Wilcoxon signed rank test was used to evaluate the outcome scores. The average ASES score increased from an average of 54.63 ± 13.0 preoperatively to 95.09 ± 2.60 after surgery at their last follow-up. The average Penn score also increased from 5.72 ± 0.78, 2.81 ± 1.32 and 45.81 ± 1.72 to 9.36 ± 0.80, 8.27 ± 0.90 and 59 ± 1.34 for pain, satisfaction and function respectively. Follow up magnetic resonance imaging(MRI)(at 6 mo) showed continuity and the bulk of pectoralis major muscle in all cases. Average isokinetic strength deficiency in horizontal adduction at 60° was 13.63% ± 6.93% and at 120° was 10.18% ± 4.93% and in flexion at 60° was 10.72% ± 5.08% and at 120° was 6.63% + 3.74%. Results showed that both ASES and Penn score improved significantly(2 tailed P value = 0.0036).CONCLUSION We could conclude from this series that pectoralis major repair even in chronic cases using 5.5 mm corkscrew anchors give excellent functional and cosmetic results. In chronic cases the repairable length of the tendon is not available and sliding suture technique allows for fixation of worn out tendomuscular junction to bone without letting cutting through the muscle.

Artificial Neural Network Model for Predicting Ultimate Tensile Capacity of Adhesive Anchors

To predict the tensile capacity of adhesive anchors, a multilayered feed-forward neural network trained with the back-propagation algorithm is constructed. The ANN model have 5 inputs, including the compressive strength of concrete, tensile strength of concrete, anchor diameter, hole diameter, embedment of anchors, and ultimate load. The predictions obtained from the trained ANN show a good agreement with the experiments. Meanwhile, the predicted ultimate tensile capacity of anchors is close to the one calculated from the strength formula of the combined cone-bond failure model.

A Study on the Management of Career Development of Young Teachers in Higher Education Institutions from the Perspective of Career Anchors

In January 2021,six departments in China,including the Ministry of Education jointly issued the Guiding Opinions on Strengthening Reform in HEI Teacher Capacity Building for the New Era which emphasizes support for career development of young teachers.From the perspective of the career anchor theory,this paper takes human resource management as a tool to analyze organizational environment at the macro and micro levels to find out how to facilitate career development of young teachers in higher education institutions.

Reliability analysis of prestressed anchors in rock slopes of open-pit mines

Prestressed anchor cables are widely used for slope reinforcement,but the loss of prestress makes it difficult to guarantee the reinforcement effect.Anchor cable prestress degradation was considered as a stochastic process,and the probability density function of this process was established using gamma theory and impact theory respectively.Combined with the failure threshold,the probability density was integrated to find the time-dependent reliability of the anchor cable.Based on the monitoring data of the prestress degradation of the anchor cable,parameters in the probability density function were solved by the maximum likelihood method,and the time-varying reliability and service life of the anchor cable were obtained analytically.The applicability of two degradation theories,gamma stochastic process and impact theory,was compared.The results showed that the probability density curves of both degradation models were normally distributed and the error of reliability results did not exceed 0.06.The life prediction results of the gamma stochastic process were closer to the actual life of 400 h than the 500 h of the impact theory,and the probability curves of the anchor cable life also indicated that the impact theory overestimated the service life probability of the anchor cable.Taking the anchor cable reinforcement within the slope of the Dagushan open-pit mine as an example,and the results verify the feasibility of using gamma theory to predict the degradation of anchor cables and provides theoretical support for prevention of the degradation of anchor cables in the slope of an open-pit mine under the action of external forces.

Testing and modeling of cyclically loaded rock anchors

The Norwegian Public Roads Administration(NPRA) is planning for an upgrade of the E39 highway route at the westcoast of Norway. Fixed links shall replace ferries at seven fjord crossings. Wide spans and large depths at the crossings combined with challenging subsea topography and environmental loads call for an extension of existing practice. A variety of bridge concepts are evaluated in the feasibility study. The structures will experience significant loads from deadweight, traffic and environment. Anchoring of these forces is thus one of the challenges met in the project. Large-size subsea rock anchors are considered a viable alternative. These can be used for anchoring of floating structures but also with the purpose of increasing capacity of fixed structures. This paper presents first a thorough study of factors affecting rock anchor bond capacity. Laboratory testing of rock anchors subjected to cyclic loading is thereafter presented. Finally, the paper presents a model predicting the capacity of a rock anchor segment, in terms of a ribbed bar, subjected to a cyclic load history. The research assumes a failure mode occurring in the interface between the rock anchor and the surrounding grout. The constitutive behavior of the bonding interface is investigated for anchors subjected to cyclic one-way tensile loads. The model utilizes the static bond capacity curve as a basis, defining the ultimate bond sbuand the slip s1 at τ. A limited number of input parameters are required to apply the model. The model defines the bond-slip behavior with the belonging rock anchor capacity depending on the cyclic load level(τcy/τ), the cyclic load ratio(R= τcy/τcy), and the number of load cycles(N). The constitutive model is intended to model short anchor lengths representing an incremental length of a complete rock anchor.

Experimental study on the stability of plate anchors in clay under cyclic loading

Although the bearing capacity of plate anchors in clay has been studied extensively, the results considering the effects of offshore cyclic loading are relatively rare. In the present study, 1g model tests are carried out to investigate the effect of cyclic loading on the bearing capacity of plate anchors in clay. The ultimate pullout capacity of plate anchors in clay decreases as the accumulated plastic shear strain grows due to the strain-softening of clay under cyclic loading. The load-displacement curves of these tests are presented and the effects of overburden stress and cyclic loading amplitude on the strain-softening behavior are discussed.

An Analytical Method for Positioning Drag Anchors in Seabed Soils

Positioning drag anchors in seabed soils are strongly influenced not only by the properties of the anchor and soil, but also by the characteristics of the installation line. The investigation on the previous prediction methods related to anchor positioning demonstrates that the prediction of the anchor position during dragging has inevitably introduced some key and unsubstantiated hypotheses and the applicability of these methods is limited. In the present study, the interactional system between the drag anchor and installation line is firstly introduced for the analysis of anchor positioning. Based on the two mechanical models for embedded lines and drag anchors, the positioning equations for drag anchors have been derived both for cohesive and noncohesive soils. Since the drag angle at the shackle is the most important parameter in the positioning equations, a novel analytical method that can predict both the variation and the exact value of the drag angle at the shackle is proposed. The analytical method for positioning drag anchors which combines the interactional system between the drag anchor and the installation line has provided a reasonable theoretic approach to investigate the anchor behaviors in soils. By comparing with the model flume experiments, the sensitivity, effectiveness and veracity of the positioning method are well verified.

Load transfer laws of tensile anchors in rock masses with weak interlayers based on a shear-slipping updating model

The load transfer characteristics of a tensile anchor in the rock mass with weak interlayers were investigated,considering the nonuniform stress of the horizontally layered rock mass along anchors.An improved shear-slipping model was proposed to describe the stress evolution characteristics of the bolt-rock interface.Based on the improved model,analytical solutions of the axial force,shear stress distribution and load-displacement relationship considering the residual stress stage were established.The effects of the stratigraphic sequence,pulling force and bolt diameter on the stress distribution of the anchorage interface were evaluated by using analytical solutions.The results were verified by applying the finite difference numerical simulation method.The sensitivity of each parameter to the axial force and shear stress of the rock bolt was determined based on calculation of the sensitivity coefficient.The study results show that the axial force and shear stress tend to decrease nonuniformly along the rock bolt towards the anchorage depth.Due to the existence of weak interlayers,the shear stress mutates at the weak and hard rock interface,and the axial force appears to“rebound”at the bottom of the anchored section.Lithology has more significant effects on the axial force and shear stress at the bottom of the anchor than at the top of the anchor.The pulling force is more sensitive to the anchor stress than stratigraphic sequence when the bolt diameter is determined.This study provides a theoretical framework for the fundamental problem of tensile bolts in horizontally or vertically laminated rock masses,providing a theoretical basis for anchor design.

Mallet Toe of the Hallux Treated by Bridging Suture Technique Using Suture Anchors: A Case Report and Literature Review

An avulsion fracture of the extensor hallucis longus at the distal end of the great toe is called “mallet toe” of the hallux. It is a rare injury and the treatment options are conservative treatment using a splint, percutaneous or open Kirschner wire fixation similar to that in the mallet finger, or suture anchor fixation. We present a case treated by the bridging technique using two suture anchors. A 57-year-old Japanese man injured his left great toe after a fall while walking barefoot on the bed. His great toe was forced into a hyperplantarflexion position. Plain radiography and computed tomography showed a small bone fragment at the base of the dorsal distal phalanx, suggesting an avulsion fracture of the extensor hallucis longus. He was treated by bridging suture technique with two suture anchors. At first, two suture anchors were inserted to the fracture bed of the distal phalanx, and then the bone fragment and extensor hallucis longus tendon were secured with two horizontal mattress sutures. Finally, bridging sutures were performed using the remaining sutures and the sutures used for mattress suturing. He obtained bony union and symmetric range of motion of the interphalangeal joint. This technique allowed us to fix the small bone fragment rigidly and mobilize the interphalangeal joint earlier to preserve the range of motion. It would be a valuable procedure when the bone fragment is small.

Effects of Proactive Fiscal Policy in the Context of Supply-Side Structural Reform:On the Choice of Anchors for Monetary Policy

By constructing a New Keynesian dynamic stochastic general equilibrium(DSGE)model that embeds structural fiscal policy and contains two types of households,labor intermediaries,manufacturers,the central bank,and fiscal departments,and based on China's macroeconomic controls that combine proactive fiscal policy with prudent monetary policy in the context of supply-side structural reform,this paper compares and analyzes the macroeconomic effects of the various types of proactive fiscal policy instruments,and measures the impact of the choice of anchors for monetary policy on the long-term welfare loss caused by the various fiscal policy instruments.This study finds that the consumption-oriented fiscal expenditure increase and labor income tax reduction policies have the most significant macroeconomic stimulus effects in the short term,but attention should be paid to the disadvantage that they may lead to the rise of government debt risks;and in the long term,the role of production-oriented fiscal expenditure policies in guaranteeing the stable operations of China's economy should be brought into play.In addition,once the implementation of proactive fiscal policy lasts for too long,their long-term effects may be weakened,with negative macroeconomic impacts.In order to mitigate the resulting long-term economic fluctuations and welfare loss,prudent monetary policy should be fine-tuned with price stability as the anchor.

Degradation behavior of ZE21C magnesium alloy suture anchors and their effect on ligament-bone junction repair

Current materials comprising suture anchors used to reconstruct ligament-bone junctions still have limitation in biocompatibility,degradability or mechanical properties.Magnesium alloys are potential bone implant materials,and Mg^(2+) has been shown to promote ligament-bone healing.Here,we used Mg-2 wt.%Zn-0.5 wt.%Y-1 wt.%Nd-0.5 wt.%Zr(ZE21C)alloy and Ti6Al4V(TC4)alloy to prepare suture anchors to reconstruct the patellar ligament-tibia in SD rats.We studied the degradation behavior of the ZE21C suture anchor via in vitro and in vivo experiments and assessed its reparative effect on the ligament-bone junction.In vitro,the ZE21C suture anchor degraded gradually,and calcium and phosphorus products accumulated on its surface during degradation.In vivo,the ZE21C suture anchor could maintain its mechanical integrity within 12 weeks of implantation in rats.The tail of the ZE21C suture anchor in high stress concentration degraded rapidly during the early implantation stage(0-4weeks),while bone healing accelerated the degradation of the anchor head in the late implantation stage(4-12weeks).Radiological,histological,and biomechanical assays indicated that the ZE21C suture anchor promoted bone healing above the suture anchor and fibrocartilaginous interface regeneration in the ligament-bone junction,leading to better biomechanical strength than the TC4 group.Hence,this study provides a basis for further research on the clinical application of degradable magnesium alloy suture anchors.

Influence of surface cracking,anchor head profile,and anchor head size on cast-in headed anchors in geopolymer concrete

In this study,the concrete cone capacity,concrete cone angle,and load–displacement response of cast-in headed anchors in geopolymer concrete are explored using numerical analyses.The concrete damaged plasticity(CDP)model in ABAQUS is used to simulate the behavior of concrete substrates.The tensile behavior of anchors in geopolymer concrete is compared with that in normal concrete as well as that predicted by the linear fracture mechanics(LFM)and concrete capacity design(CCD)models.The results show that the capacity of the anchors in geopolymer concrete is 30%–40%lower than that in normal concrete.The results also indicate that the CCD model overestimates the capacity of the anchors in geopolymer concrete,whereas the LFM model provides a much more conservative prediction.The extent of the difference between the predictions by the numerical analysis and those of the above prediction models depends on the effective embedment depth of the anchor and the anchor head size.The influence of concrete surface cracking on the capacity of the anchor is shown to depend on the location of the crack and the effective embedment depth.The influence of the anchor head profile on the tensile capacity of the anchors is found to be insignificant.

Halide Anchors for Single-Cluster Electronics

Due to their unique electronic structure,well-defined metal clusters at the atomic level are promising materials for single-cluster electronics.However,coupling between the electrode and the cluster remains challenging mainly due to the coverage of bulky ligands on the noble clusters.Using the scanning tunneling microscopy break junction(STM-BJ)technique,we have developed a“direct contact”approach to fabrication and investigation of the charge transport through single-cluster junctions of AgCu bimetallic metal clusterswith different halide anchors.Wefound that the electrodes could make contact directly with the surface halides of the single-cluster junctions and experience different contact resistance from different halogen atoms.Experiments and calculations reveal that the halide anchors provided efficient coupling between the cluster and the electrode,and the enhanced coupling with various halide anchors promoted electron transport and improved transmission probability.Our work offers a“direct contact”strategy for interface design between clusters of noble metals and electrodes,an essential step in progress toward single-cluster electronics.

Seabed structures and foundations related to deep-sea resource development:A review based on design and research

The deep‐sea ground contains a huge amount of energy and mineral resources,for example,oil,gas,and minerals.Various infrastructures such as floating structures,seabed structures,and foundations have been developed to exploit these resources.The seabed structures and foundations can be mainly classified into three types:subsea production structures,offshore pipelines,and anchors.This study reviewed the development,installation,and operation of these infrastructures,including their structures,design,installation,marine environment loads,and applications.On this basis,the research gaps and further research directions were explored through this literature review.First,different floating structures were briefly analyzed and reviewed to introduce the design requirements of the seabed structures and foundations.Second,the subsea production structures,including subsea manifolds and their foundations,were reviewed and discussed.Third,the basic characteristics and design methods of deep‐sea pipelines,including subsea pipelines and risers,were analyzed and reviewed.Finally,the installation and bearing capacity of deep‐sea subsea anchors and seabed trench influence on the anchor were reviewed.Through the review,it was found that marine environment conditions are the key inputs for any offshore structure design.The fabrication,installation,and operation of infrastructures should carefully consider the marine loads and geological conditions.Different structures have their own mechanical problems.The fatigue and stability of pipelines mainly depend on the soil‐structure interaction.Anchor selection should consider soil types and possible trench formation.These focuses and research gaps can provide a helpful guide on further research,installation,and operation of deep‐sea structures and foundations.

Instability mechanism of mining roadway passing through fault at different angles in kilometre-deep mine and control measures of roof cutting and NPR cables

The angle α between the fault strike and the axial direction of the roadway produces different damage characteristics. In this paper, the research methodology includes theoretical analyses, numerical simulations and field experiments in the context of the Daqiang coal mine located in Shenyang, China. The stability control countermeasure of "pre-splitting cutting roof + NPR anchor cable"(PSCR-NPR) is simultaneously proposed. According to the different deformation characteristics of the roadway, the faults are innovatively classified into three types, with α of type I being 0°-30°, α of type II being 30°-60°, and α of type III being 60°-90°. The full-cycle stress evolution paths during mining roadway traverses across different types of faults are investigated by numerical simulation. Different pinch angles α lead to high stress concentration areas at different locations in the surrounding rock. The non-uniform stress field formed in the shallow surrounding rock is an important reason for the instability of the roadway. The pre-cracked cut top shifted the high stress region to the deep rock mass and formed a low stress region in the shallow rock mass. The high prestressing NPR anchor cable transforms the non-uniform stress field of the shallow surrounding rock into a uniform stress field. PSCR-NPR is applied in the fault-through roadway of Daqiang mine. The low stress area of the surrounding rock was enlarged by 3-7 times, and the cumulative convergence was reduced by 45%-50%. It provides a reference for the stability control of the deep fault-through mining roadway.