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A case study on behaviors of composite soil nailed wall with bored piles in a deep excavation 被引量:7
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作者 ZHU Feng-bin MIAO Lin-chang +1 位作者 GU Huan-da CHENG Yue-hong 《Journal of Central South University》 SCIE EI CAS 2013年第7期2017-2024,共8页
A complete case of a deep excavation was explored. According to the practical working conditions, a 3D non-linear finite element procedure is used to simulate a deep excavation supported by the composite soil nailed w... A complete case of a deep excavation was explored. According to the practical working conditions, a 3D non-linear finite element procedure is used to simulate a deep excavation supported by the composite soil nailed wall with bored piles in soft soil. The modified cam clay model is employed as the constitutive relationship of the soil in the numerical simulation. Results from the numerical analysis are fitted well with the field data, which indicate that the research approach used is reliable. Based on the field data and numerical results of the deep excavation supported by four different patterns of the composite soil nailed wall, the significant corner effect is founded in the 3D deep excavation. If bored piles or soil anchors are considered in the composite soil nailed wall, they are beneficial to decreasing deformations and internal forces of bored piles, cement mixing piles, soil anchors, soil nailings and soil around the deep excavation. Besides, the effects due to bored piles are more significant than those deduced from soil anchors. All mentioned above prove that the composite soil nailed wall with bored piles is feasible in the deep excavation. 展开更多
关键词 deep excavation 3D non-linear finite element bored pile composite soil nailed wall corner effect DEFORMATION internal force
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Limit equilibrium analysis for stability of soil nailed slope and optimum design of soil nailing parameters 被引量:5
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作者 DENG Dong-ping LI Liang ZHAO Lian-heng 《Journal of Central South University》 SCIE EI CAS CSCD 2017年第11期2496-2503,共8页
Reinforcement of slopes using soil nailing can effectively improve slope stability, and it has been widely used in upgrading cut slopes. Based on the assumptions of stresses on the slip surface, a new method for analy... Reinforcement of slopes using soil nailing can effectively improve slope stability, and it has been widely used in upgrading cut slopes. Based on the assumptions of stresses on the slip surface, a new method for analyzing the stability of a slope reinforced with soil nails was established in the limit equilibrium theory framework, by considering that slope sliding occurs owing to shear failure of the slip surface, which subjects to Mohr–Coulomb(M–C) strength criterion. Meanwhile, in order to easily analyze the stability of a soil nailed slope in actual engineering and facilitate optimum design of parameters for soil nailing, factor of safety(FOS) contour curve charts were drawn on the basis of the established linear proportional relationship between the spacing of soil nails and slope height, and the length of soil nails and slope height. Then, by analyzing and verifying the results obtained from classic examples, some conclusions can be got as follows: 1) The results obtained from the current method are close to those obtained from the traditional limit equilibrium methods, and the current method can provide a strict solution for the slope FOS as it satisfies all the static equilibrium conditions of a sliding body, thus confirming the feasibility of the current method; 2) The slope FOS contour curve charts can be used not only to reliably analyze the stability of a soil nailed slope, but also to design optimally the parameters of soil nailing for the slope with a certain safety requirement. 展开更多
关键词 SLOPE STABILITY soil NAILING LIMIT EQUILIBRIUM factor of safety CONTOUR curve optimum design
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Seismic analysis of nailed vertical excavation using pseudo-dynamic approach 被引量:4
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作者 Piyush Sarangi Priyanka Ghosh 《Earthquake Engineering and Engineering Vibration》 SCIE EI CSCD 2016年第4期621-631,共11页
An attempt has been made to study the behavior of nailed vertical excavations in medium dense to dense cohesionless soil under seismic conditions using a pseudo-dynamic approach. The effect of several parameters such ... An attempt has been made to study the behavior of nailed vertical excavations in medium dense to dense cohesionless soil under seismic conditions using a pseudo-dynamic approach. The effect of several parameters such as angle of internal friction of soil (φ), horizontal (kh) and vertical (kv) earthquake acceleration coefficients, amplification factor (fa), length of nails (L), angle of nail inclination (a) and vertical spacing of nails (S) on the stability of nailed vertical excavations has been explored. The limit equilibrium method along with a planar failure surface is used to derive the formulation involved with the pseudo-dynamic approach, considering axial pullout of the installed nails. A comparison of the pseudo-static and pseudo-dynamic approaches has been established in order to explore the effectiveness of the pseudo-dynamic approach over pseudo-static analysis, since most of the seismic stability studies on nailed vertical excavations are based on the latter. The results are expressed in terms of the global factor of safety (FOS). Seismic stability, i.e., the FOS of nailed vertical excavations is found to decrease with increase in the horizontal and vertical earthquake forces. The present values of FOS are compared with those available in the literature. 展开更多
关键词 EARTHQUAKE factor of safety pseudo-dynamic approach soil nailing vertical excavation
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He nailed it: Nail gun injury to the transverse colon
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作者 Hugo J.R.Bonatti 《Laparoscopic, Endoscopic and Robotic Surgery》 2020年第3期85-89,共5页
Nail guns are widely used in powerful tools.Injuries with these devices may be devastating due to the significant force they can deploy.A unique case of a 55-year-old male with accidental nail gun injury to the abdome... Nail guns are widely used in powerful tools.Injuries with these devices may be devastating due to the significant force they can deploy.A unique case of a 55-year-old male with accidental nail gun injury to the abdomen,which was managed by laparoscopic colostomy creation using the puncture site with secondary reversal after several months is reported. 展开更多
关键词 Colon perforation Nail gun LAPAROSCOPY
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Proximal Femur Bionic Nail (PFBN): A Panacea for Unstable Intertrochanteric Femur Fracture
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作者 Kaixuan Zhang Wei Chen Yingze Zhang 《Engineering》 SCIE EI CAS CSCD 2024年第6期152-158,共7页
With the aging population,intertrochanteric femur fracture in the elderly has become one of the most serious public health issues and a hot topic of research in trauma orthopedics.Due to the limitations of internal fi... With the aging population,intertrochanteric femur fracture in the elderly has become one of the most serious public health issues and a hot topic of research in trauma orthopedics.Due to the limitations of internal fixation techniques and the insufficient mechanical design of nails,the occurrence of complications delays patient recovery after surgical treatment.Design of a proximal femur bionic nail(PFBN)based on Zhang’s N triangle theory provides triangular supporting fixation,which dramatically decreases the occurrence of complications and has been widely used for clinical treatment of unstable intertrochanteric femur fracture worldwide.In this work,we developed an equivalent biomechanical model to analyze improvement in bone remodeling of unstable intertrochanteric femur fracture through PFBN use.The results show that compared with proximal femoral nail antirotation(PFNA)and InterTan,PFBN can dramatically decrease the maximum strain in the proximal femur.Based on Frost’s mechanostat theory,the local mechanical environment in the proximal femur can be regulated into the medium overload region by using a PFBN,which may render the proximal femur in a state of physiological overload,favoring post-operative recovery of intertrochanteric femur fracture in the elderly.This work shows that PFBN may constitute a panacea for unstable intertrochanteric femur fracture and provides insights into improving methods of internal fixation. 展开更多
关键词 Intertrochanteric femur fracture Internal fixation Proximal femur bionic nail(PFBN) BIOMECHANICS Bone remodeling
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Comparative efficacy of proximal femoral nail vs dynamic condylar screw in treating unstable intertrochanteric fractures
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作者 Ahmed Mohamed Yousif Mohamed Monzir Salih +2 位作者 Mohanad Abdulgadir Ayman E Abbas Duha Lutfi Turjuman 《World Journal of Orthopedics》 2024年第8期796-806,共11页
BACKGROUND Among the most frequent hip fractures are trochanteric fractures,which usually occur from low-energy trauma like minor falls,especially in older people with osteoporotic bones.AIM To evaluate the treatment ... BACKGROUND Among the most frequent hip fractures are trochanteric fractures,which usually occur from low-energy trauma like minor falls,especially in older people with osteoporotic bones.AIM To evaluate the treatment efficacy of dynamic condylar screws(DCS)and proximal femoral nails(PFN)for unstable intertrochanteric fractures.METHODS To find pertinent randomized controlled trials and retrospective observational studies comparing PFN with DCS for the management of unstable femoral intertrochanteric fractures,a thorough search was carried out.For research studies published between January 1996 and April 2024,PubMed,EMBASE,Scopus,Web of Science,Cochrane Library,and Google Scholar were all searched.The complete texts of the papers were retrieved,vetted,and independently examined by two investigators.Disputes were settled by consensus,and any disagreements that persisted were arbitrated by a third author.RESULTS This study included six articles,comprising a total of 173 patients.Compared to the DCS,the PFN had a shorter operation time[mean difference(MD):-41.7 min,95%confidence interval(95%CI):-63.04 to-20.35,P=0.0001],higher success rates with closed reduction techniques[risk ratio(RR):34.05,95%CI:11.12-104.31,P<0.00001],and required less intraoperative blood transfusion(MD:-1.4 units,95%CI:-1.80 to-1.00,P<0.00001).Additionally,the PFN showed shorter fracture union time(MD:-6.92 wk,95%CI:-10.27 to-3.57,P<0.0001)and a lower incidence of reoperation(RR:0.37,95%CI:0.17-0.82,P=0.01).However,there was no discernible variation regarding hospital stay,implant-related complications,and infections.CONCLUSION Compared to DCS,PFN offers shorter operative times,reduces the blood transfusions requirements,achieves higher closed reduction success,enables faster fracture healing,and lowers reoperation incidence. 展开更多
关键词 Intertrochanteric fracture UNSTABLE Dynamic condylar screw Proximal femoral nail META-ANALYSIS Comparative study
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Meta-analysis of the clinical efficacy of the Gamma3 nail vs Gamma3U-blade system in the treatment of intertrochanteric fractures
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作者 Xuan Wu Bo Gao 《World Journal of Orthopedics》 2024年第3期285-292,共8页
BACKGROUND The traditional Gamma3 nail is a mainstream treatment for femoral intertrochanteric fractures.Literature reports that the Gamma3U-blade system can increase the stability of the Gamma3 nail and reduce compli... BACKGROUND The traditional Gamma3 nail is a mainstream treatment for femoral intertrochanteric fractures.Literature reports that the Gamma3U-blade system can increase the stability of the Gamma3 nail and reduce complication incidence.However,comparative studies between the Gamma3U-blade and Gamma3 systems are limited;hence,this meta-analysis was performed to explore the clinical efficacy of these two surgical methods.AIM To investigate the clinical efficacy of Gamma3 and Gamma3 U-blade for intertrochanteric fractures.METHODS A computerized search for Chinese and English literature published from 2010 to 2022 was conducted in PubMed,Cochrane,CNKI,Wanfang,and VIP databases.The search keywords were gamma 3,gamma 3 U blade,and intertrochanteric fracture.Additionally,literature tracking was performed on the references of published literature.The data were analyzed using Revman 5.3 software.Two individuals checked the inputs for accuracy.Continuous variables were described using mean difference and standard deviation,and outcome effect sizes were expressed using ratio OR and 95%confidence interval(CI).High heterogeneity was considered at(P<0.05,I2>50%),moderate heterogeneity at I2 from 25%to 50%,and low heterogeneity at(P≥0.05,I2<50%).RESULTS Following a comprehensive literature search,review,and analysis,six articles were selected for inclusion in this study.This selection comprised five articles in English and one in Chinese,with publication years spanning from 2016 to 2022.The study with the largest sample size,conducted by Seungbae in 2021,included a total of 304 cases.Statistical analysis:A total of 1063 patients were included in this meta-analysis.The main outcome indicators were:Surgical time:The Gamma3U blade system had a longer surgical time compared to Gamma3 nails(P=0.006,I2=76%).Tip-apex distance:No statistical significance or heterogeneity was observed(P=0.65,I2=0%).Harris Hip score:No statistical significance was found,and low heterogeneity was detected(P=0.26,I2=22%).Union time:No statistical significance was found,and high heterogeneity was detected(P=0.05,I2=75%).CONCLUSION Our study indicated that the Gamma3 system reduces operative time compared to the Gamma3 U-blade system in treating intertrochanteric fractures.Both surgical methods proved to be safe and effective for this patient group.These findings may offer valuable insights and guidance for future surgical protocols in hip fracture patients. 展开更多
关键词 Gamma3 nail Gamma3U-Blade system Femoral intertrochanteric fractures META-ANALYSIS
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Early Treatment Outcome of Humeral Shaft Fracture Non-Union in Adults: Comparative Study of Plating versus Interlocking Nailing
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作者 Abdullallahi Bello Galadima Lukman Olalekan Ajiboye +1 位作者 Muhammad Nuhu Salihu Isha Nurudeen 《Health》 2024年第4期371-381,共11页
Background: Fractures of humeral shaft in adults are common injuries. Humeral shafts non-union either from late presentation after initial treatment by traditional bone setters or failed non-operative orthodox care is... Background: Fractures of humeral shaft in adults are common injuries. Humeral shafts non-union either from late presentation after initial treatment by traditional bone setters or failed non-operative orthodox care is a major problem in this part of the world. This non-union is a major treatment challenge with increased cost of care and morbidity in this part of the world. Humeral shaft non-union can be treated with locked intra-medullary nailing (LIMN) or dynamic compression plating (DCP). Study on comparison of these methods of fixation in this part of the world is scarce in literature search, hence the reason for this study. Objective: The objectives of this study are: (1) to compare early clinical outcome following fixation of humeral shaft fracture nonunion with DCP versus LIMN;(2) to compare the time of radiologic fracture union of DCP with LIMN;(3) to compare complications following fixation of humeral shaft fracture nonunion with DCP versus LIMN. Patients and Methods: This was a randomized control study done for 2 years in which fifty adult patients with humeral shaft non-union were recruited. The patients were grouped into 2 (P = DCP & N = LIMN). Forty five of the patients completed the follow up periods of the study and then analyzed. The P group had ORIF with DCP while the N group had ORIF with LIMN. Both groups had grafting with cancellous bones. Each patient was followed up for a period of 6 months at the time which radiographic union is expected. Any patient without clinical and/or radiographic evidence of union after six months of surgery was diagnosed as having recurrent non-union. The data generated was analyzed using SPSS Version 23. The results were presented in charts and tables. The paired t-test was used while considering p value Result: Forty five patients completed follow up. There was a male preponderance (4:1), right humerus predominated (3:2). Motor vehicular accidents were the commonest cause of the fractures (62%). Most non-union fractures occurred at the level of the middle 3<sup>rd</sup> of the humeral shaft (60%). Failed TBS treatment was the commonest indication for the osteosynthesis (71%). More patients had plating (53%) compared to 47% who had LIMN. Most patients (93.4%) had union between 3 to 6 months irrespective of fixation type with no significant statistical difference between the union rate of DCP and LIMN (p value 0.06) with similar functional outcome and complication rates irrespective of the type of fixation. Conclusion: This study showed that the success rates in term of fracture union, outcome functional grades and complication rates were not directly dependent on the types of the fixation: plating or locked intra-medullary nailing. 展开更多
关键词 Humeral Shaft NON-UNION Dynamic Compression Plating Locked Intra-Medullary Nailing Early Treatment Outcome Early Outcome
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Functional Outcomes of Adult Tibia Shaft Fractures Treated with Solid Intramedullary Nails versus Hollow Nails: A Systematic Review
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作者 Kwadwo Aning Abu Bernard Hammond +5 位作者 Mohammed Issah Suglo Bukari Kizito Kakra Vormawor Ronald Awoonor-Williams David Anyitey-Kokor Paa Kwesi Baidoo Dominic Konadu-Yeboah 《Open Journal of Orthopedics》 2024年第3期149-172,共24页
Introduction: The management of fractures of the tibia shaft is an important aspect of orthopaedic care, and the selection of the surgical method for fixation can substantially impact patient outcomes. The current rev... Introduction: The management of fractures of the tibia shaft is an important aspect of orthopaedic care, and the selection of the surgical method for fixation can substantially impact patient outcomes. The current review aims to compare the outcomes of adult tibia fractures treated with solid nails to those treated with hollow nails. Methods: A search on Scopus, PubMed, and Cochrane Library, using three keywords (Outcome, Tibia shaft fractures, Nail) was conducted in April 2023. Results were compiled and two independent reviewers screened and selected eligible articles After removing duplicates, titles and abstracts were read to exclude ineligible studies. Full-text articles of the remaining papers were read to select eligible studies which were further critically appraised to ascertain their methodological quality. The data extracted from the selected papers were synthesized using a combination of pooling of results, tests of statistical difference (t-test and chi-square) and narrative synthesis methods. Results: A total of 2295 articles were obtained from the databases and citation searching. A total of 9 papers were identified as eligible and included in the review. Findings revealed that there is no statistical difference in the outcomes of tibia fractures treated with either solid or hollow nail groups such as duration of surgery (p = 0.541), rate of delayed and non-union (p = 0.342), and rate of surgical site infections (p = 0.395). Conclusion: Intramedullary nailing of tibia shaft fractures with either solid or hollow nails have similar functional outcomes. 展开更多
关键词 Tibia Shaft Fractures Functional Outcome SIGN Nail Hollow Nail
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Epdemiology and Treatment of Pseudarthrosis of Long Bones in the Servce D Orthopedics-Traumatology of the University Hospital of Donka
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作者 Camara Nouhou Mangué Diallo Mamadou Moustapha +5 位作者 Moustapha Alhassane Diallo Alpha Mamadou Fela Sidimé Sory Camara Abdoulaye Kolié Germain Lamah Léopold 《Open Journal of Orthopedics》 2024年第3期133-138,共6页
Introduction: Pseudarthrosis (PSA) of the diaphysis of long bones still remains a current problem, despite improvements in the treatment of these fractures. Our study aims to study the epidemiological and therapeutic ... Introduction: Pseudarthrosis (PSA) of the diaphysis of long bones still remains a current problem, despite improvements in the treatment of these fractures. Our study aims to study the epidemiological and therapeutic aspects of PSA of the diaphysis of long bones. Method: This retrospective work concerns 30 cases of non-union of the diaphysis of long bones treated in the orthopedic and trauma surgery department at Donka National Hospital, during a period of 18 months from January 1, 2019 to June 30, 2020. Results: We recruited 30 patients, 80% of whom were male, with an average age of 39.9 years. Public road accidents (AVP) represented the main cause of fractures of the diaphysis of long bones 87%, they were open in 25 cases or 83%. The fractures were located in the middle 1/3 of the diaphysis of the long bones in 50% of cases. Treatment of initial fractures was traditional in 21 cases, orthopedic in 2 cases and surgical in 7 cases. It was aseptic nonunion in 28 cases (93%) and septic nonunion in 2 cases. They were hypertrophic in 7 cases, slightly hypertrophic in 5 cases, oligotrophic in 11 cases, atrophic in 6 cases and with bone defect in 1 case. The treatment was based on osteosynthesis including 16 cases of screwed “PV” plate: 7 cases of centromedullary “ECM” nailing, 2 cases of external fixator, 1 case of broaching and 4 cases of Plastering. The results according to ASAMI criteria on an anatomical level were excellent in 19 cases, good in 3 cases and poor in 3 cases, with a union rate of 76%. And 5 patients undergoing consolidation. Conclusion: Based on the literature data and the experience of our department, the true treatment of PSA requires correct management of the initial fracture without forgetting the interest in preventing AVP which appears to be an element essential, making it possible to reduce the incidence of fractures of the diaphysis. 展开更多
关键词 PSEUDARTHROSIS Aseptic-Septic-Diaphysis Long Bones Screwed Plate Intramedullary Nailing Bone Graft Osteo-Muscular Decortication
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PFNA2 versus 95 Degree Condylar Blade Plate in the Management of Unstable Trochanteric Fractures
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作者 Piyush Gadegone Wasudeo Gadegone +1 位作者 Vijayanand Lokhande Virender Kadian 《Open Journal of Orthopedics》 2024年第2期93-104,共12页
Purpose: The proximal femoral nail anti-rotation (PFNA) is known to have advantages in enhancing the anchorage ability of internal fixation in elderly unstable osteoporotic intertrochanteric fracture patients. However... Purpose: The proximal femoral nail anti-rotation (PFNA) is known to have advantages in enhancing the anchorage ability of internal fixation in elderly unstable osteoporotic intertrochanteric fracture patients. However whether it is superior to condylar blade fixation is not clear. This study aimed to determine which treatment has better clinical outcomes in older patients. Materials and Methods: A total of 86 patients over the age of 60 with unstable trochanteric fractures within the past 3 weeks, were included in this prospective study conducted from June 1, 2018, to May 31, 2021. All the intertrochanteric fractures were classified according to AO/OTA classification. Among them, 44 cases were treated with the Proximal Femoral Nail (PFNA2) with or without an augmentation screw, and 42 cases were treated with the Condylar Blade Plate. In addition, the operative time, intraoperative blood loss, intraoperative and postoperative blood transfusion, postoperative weight-bearing time, hospitalization time, Harris score of hip function, Kyle’s criteria and postoperative complications were compared between the two groups. Results: The mean duration of surgery for the PFN group was 66.8 minutes (on average), whereas for the condylar blade plate group, it was 99.30 minutes (on average). The PFNA2 group experienced less blood loss (average of 80 mL) compared to the condylar blade plate group (average of 120 mL). Union and partial weight-bearing occurred earlier in the PFNA2 group (14.1 weeks and 10.6 weeks, respectively) compared to the Condylar blade plate group (18.7 weeks and 15.8 weeks). In two patients from the PFNA2 group, screw backing out and varus collapse complications were encountered;however, these patients remained asymptomatic and did not require revision surgery. In two other patients, screw cut out and breakage of the nail at the helical screw hole leading to non-union of the proximal femur were observed during the nine-month follow-up, necessitating revision surgery with prosthetic replacement. Among the condylar blade plate group, three patients experienced complications, including blade breakage at the blade and plate junction. In two cases, the fracture united in varus, and in one case, the blade cut through, resulting in non-union of the femoral head, which required revision surgery. According to the Harris hip score and Kyle’s criteria, a good-excellent outcome was observed in 92.85% of cases in the PFNA2 group and 90.90% of cases in the condylar blade plate group. Conclusion: Both the Proximal Femoral Nail A2 and Condylar blade plate are effective implants for the treatment of unstable trochanteric fractures. The intramedullary implant promotes biological healing and allows for early ambulation with minimal complications. Similarly satisfactory restoration of anatomy and favorable radiological and functional results can be achieved with the biological fixation provided by the 95-degree condylar blade plate. However, the use of PFNA2 internal fixation technique has the advantage of less trauma in elderly patients than the 95-degree condylar blade plate. 展开更多
关键词 Proximal Femoral Nail Anti-Rotation Condylar Blade Plate Internal Fixation Unstable Intertrochanteric Fracture OSTEOPOROTIC
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Nail Holding Performance of Self-Tapping Screws on Masson Pine and Chinese Fir Dimension Lumbers
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作者 De Li Bengang Zhang +7 位作者 Yuan Tu Guoming Xiao Meifen Tian Xiaoxue Xu Xiao Zhong Qiaoyan Zhang Zhigang Wu Jiankun Liang 《Journal of Renewable Materials》 EI 2023年第10期3725-3738,共14页
Screw connection is a type most commonly applied to timber structures.As important commercial tree species in China,Masson pine and Chinese fir have the potential to prepare wood structures.In this study,the effects o... Screw connection is a type most commonly applied to timber structures.As important commercial tree species in China,Masson pine and Chinese fir have the potential to prepare wood structures.In this study,the effects of the diameter of the self-tapping screw and the guiding bores on the nail holding performance on different sections of Masson pine and Chinese fir dimension lumbers were mainly explored.The results showed that:(1)The nail holding strength of the tangential section was the maximum,followed by that of the radial section,and that of the cross section was the minimum.(2)The nail holding strength of Masson pine was higher than that of Chinese fir.(3)The nail holding strength grew with the increase in the diameter of self-tapping screws,but a large diameter would lead to plastic cracking of the timber,thus further affecting the nail holding strength.Masson pine and Chinese fir reached the maximum nail holding strength when the diameter of self-tapping screws was 3.5 mm.(4)Under a large diameter of screws,prefabricated guiding bores could mitigate timber cracking and improve its nail holding strength.(5)Prefabricated guiding bores were more necessary for the screw connection of Masson pine.The results obtained could provide a scientific basis for the screw connection design of Masson pine and Chinese fir timber structures. 展开更多
关键词 Masson pine Chinese fir self-tapping screws nail holding performance
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Mechanical analysis of the femoral neck dynamic intersection system with different nail angles and clinical applications
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作者 Ying Wang Jian-Xiong Ma +4 位作者 Hao-Hao Bai Bin Lu Lei Sun Hong-Zhen Jin Xin-Long Ma 《World Journal of Clinical Cases》 SCIE 2023年第20期4814-4823,共10页
BACKGROUND The femoral neck dynamic intersection system(FNS)is mechanically more stable than other internal fixation techniques.Current studies have confirmed that the structural design of FNS has good biomechanical p... BACKGROUND The femoral neck dynamic intersection system(FNS)is mechanically more stable than other internal fixation techniques.Current studies have confirmed that the structural design of FNS has good biomechanical properties in European and American populations.However,whether the suitability of the FNS's 130°main nail angle design for Asian populations has been thoroughly investigated remains unclear.AIM To compare the biomechanical stability differences among different main nail angles of the FNS in the treatment of femoral neck fractures in Asian populations.METHODS Computed tomography data of the femur of healthy adult male volunteers were imported into Mimics software to create a three-dimensional model of the femur.The model was adapted to the curve using Geomagic software and imported into Solidworks software to construct the Pauwels I femoral neck fracture model and design the FNS internal fixation model using different main nail angles.Afterward,the models were assembled with the FNS fracture model and meshed using the preprocessing Hypermesh software.Subsequently,they were imported into Abaqus software to analyze and evaluate the biomechanical effects of different angles of the FNS main nail on the treatment of femoral neck fractures.RESULTS The peak displacement of the proximal femur under different angles of FNS fixation under stress was 7.446 millimeters in the 120°group and 7.416 millimeters in the 125°group;in the 130°,135°,and 140°FNS fixation groups,the peak displacement was 7.324 millimeters,8.138 millimeters,and 8.246 millimeters,respectively.In the 120°and 125°FNS fixation groups,the maximum stresses were concentrated at the main nail and the anti-rotation screw,which intersected the fracture line of the femur neck,resulting in peak stresses of 200.7 MPa and 138.8 MPa,respectively.Peak stresses of 208.8 MPa,219.8 MPa,and 239.3 MPa were observed on the angular locking plate distal to the locking screw in the 130°,135°,and 140°fixation groups.CONCLUSION FNS has significant stress distribution properties,a minimal proximal femoral displacement,and an optimal stability for treating femoral neck fractures in Asian populations when performed with a 130°main nail angle. 展开更多
关键词 Femoral neck dynamic intersection system BIOMECHANICS Three-dimensional reconstruction Nail angle Finite element analysis Stress
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Total hip arthroplasty following the failure of intertrochanteric nailing:First implant or salvage surgery?
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作者 Giuseppe Solarino Davide Bizzoca +4 位作者 Pasquale Dramisino Giovanni Vicenti Lorenzo Moretti Biagio Moretti Andrea Piazzolla 《World Journal of Orthopedics》 2023年第10期763-770,共8页
BACKGROUND Proximal femur fractures,including both intracapsular(femoral neck fractures)and extracapsular fractures(intertrochanteric femoral fractures,IFFs),affect around 1.5 million people per year worldwide.Mechani... BACKGROUND Proximal femur fractures,including both intracapsular(femoral neck fractures)and extracapsular fractures(intertrochanteric femoral fractures,IFFs),affect around 1.5 million people per year worldwide.Mechanical failures of intertrochanteric nailing in IFFs could be managed with revision total hip arthroplasty(THA).AIM To describe the surgical complexity and the procedure-related complication rates in patients with trochanteric nailing failure and treated with THA.METHODS Patients referred to our level I trauma center between April 2012 and July 2018 with failed cephalomedullary nailing following trochanteric fractures were retrospectively recruited.All patients underwent a salvage surgical procedure,i.e.,cephalomedullary nail removal and conversion to THA.The same surgical and anesthesiology team performed the surgical procedures under spinal anesthesia.All patients underwent clinical and radiographic follow-ups for at least 24 mo.Complications and re-operations were recorded.RESULTS Seventy-four patients met the inclusion criteria(male:29;female:45;mean age:73.8-years-old;range:65-89)and were included in the current study.The average operative time was 117 min(76-192 min).The average blood loss was 585 mL(430-1720 mL).Among the 74 patients,43(58.1%)required transfusion of three or more blood units.Two patients died within the 4th d after surgery because of pulmonary embolism,and 1 patient died 9 mo after surgery due to ischemic myocardial infarction.The complication rate in the 71 patients who completed the minimum 24-mo follow-up was 22.5%.In 3 cases out of 71(4.2%)periprosthetic acetabular fracture was observed during the followup.One of these periacetabular fractures occurred intraoperatively.An intraoperative periprosthetic femur fracture was observed in 5 patients out of 71(7.0%).Four of these patients needed a re-operation to fix the fracture with plates and cerclages;in one of these patients,femoral stem revision was also necessary.In 4 patients out of 71(5.6%),an early THA dislocation was observed,whereas in 1 case(1.4%)a late THA dislocation was observed.Three patients out of 71(4.2%)developed a periprosthetic joint infection during the study follow-up.CONCLUSION The present study demonstrated that salvage options for IFF fixation failure are complex procedures with a relevant intraoperative and postoperative complication rate. 展开更多
关键词 Femoral nailing Total hip arthroplasty Proximal femur fractures OSTEOPOROSIS Fragility fractures Geriatric patients Hip traumatology Hip replacement
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Humeral Metastasis of Renal Clear Cell Carcinoma, a Case Report and Review of the Literature
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作者 Mohamed Idrissa Seidou Issa Soumana Yahaya +3 位作者 Ali Moussa Niandou Mahamadou Dalatou Malam Maman Abassa Seyni Zirbine Seyni Souna Badio 《Open Journal of Orthopedics》 2023年第7期275-281,共7页
Introduction: Adult bone tumors may be primary or secondary. Their diagnosis is often based on the results of imaging tests but can also be completed by biopsy. Case Presentation: We report the observation of a clinic... Introduction: Adult bone tumors may be primary or secondary. Their diagnosis is often based on the results of imaging tests but can also be completed by biopsy. Case Presentation: We report the observation of a clinical case of fortuitous discovery in the orthopaedic-traumatology department of the national hospital Amirou Boubacar Diallo of Niamey, pathological fracture of the right humeral shaft secondary to metastasis of clear-cell adenocarcinoma of renal origin, a 57-year-old man, a refrigeration engineer by profession, from Niger living in the Middle East. This patient has no known pathological history. He consulted us for pain in his right arm that was more severe at night. All imaging and pathology examinations carried out both in Niger and in the Middle East confirmed the diagnosis of humeral metastasis of clear-cell renal cell carcinoma. Surgical management consisted of tumor resection and Kuntscher-type centromedullary alignment nailing of the fracture site. The loss of bone substance in the fracture is filled with acrylic cement. The treatment was completed by chemotherapy. Conclusion: Bone tumours are most often secondary in location. However, the diagnosis must be sought in the presence of any clinical sign. 展开更多
关键词 Humeral Metastasis Renal Adenocarcinoma Centromedullary Nailing
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NaH,NaD分子基态(X^1Σ^+)的结构与势能函数 被引量:7
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作者 岳莉 吴位巍 +1 位作者 令狐荣锋 杨向东 《西南大学学报(自然科学版)》 CAS CSCD 北大核心 2007年第9期77-80,共4页
采用量子力学从头算方法,运用二次组态相互作用QCISD(T)/6-311++G(3df,3pd)对NaH,NaD分子基态进行理论计算,得到它们的几何结构、光谱性质,并拟合出Murrell-Sorbie和Murrell-Sorbie+C6势能函数.结果表明NaH,NaD分子基态的势能函数用Murr... 采用量子力学从头算方法,运用二次组态相互作用QCISD(T)/6-311++G(3df,3pd)对NaH,NaD分子基态进行理论计算,得到它们的几何结构、光谱性质,并拟合出Murrell-Sorbie和Murrell-Sorbie+C6势能函数.结果表明NaH,NaD分子基态的势能函数用Murrell-Sorbie函数表示较好. 展开更多
关键词 NAIL NaD分子基态 MURRELL-SORBIE函数 势能函数
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Effects of Salt Stress on Epidermal Cell Expansion in Leaves of Arabidopsis thaliana 被引量:6
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作者 侯蕾 陈龙俊 《Agricultural Science & Technology》 CAS 2011年第3期340-342,共3页
[Objective] The aim of this study was to investigate the effects of salt stress on cell expansion in Arabidopsis thaliana rosette leaves.[Method] Arabidopsis seedlings were treated by sodium chloride at the concentrat... [Objective] The aim of this study was to investigate the effects of salt stress on cell expansion in Arabidopsis thaliana rosette leaves.[Method] Arabidopsis seedlings were treated by sodium chloride at the concentration of 0,100 or 150 mmol/L. At the 7th and 14th d of treatment,with nail enamel printing mark method and computer software,the leaf blades area and abaxial epidermal pavement cells area was measured and compared using statistical analysis in Excel. [Result] The growth of Arabidopsis rosette leaves was inhibited under salt stress. Leaves treated for 7 or 14 d expanded less compared with controls. The salt-mediated decrease in leaf expansion is associated with a decrease in abaxial pavement cell expansion. [Conclusion] The decreased leaf and epidermal cell expansion under salt stress is the most important characteristic of plant physiological response to salt stress. 展开更多
关键词 Arabidopsis thaliana Salt treatment Leaf blade area Epidermal cell area Nail enamel printing mark method
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痕量锰的动力学分光光度法测定(N,N-二甲基苯胺-NaIO_4体系) 被引量:1
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作者 段友构 王尊本 《厦门大学学报(自然科学版)》 CAS CSCD 北大核心 1991年第6期629-631,共3页
基于痕量锰对某些氧化还原反应的催化作用,已建立了一系列测定锰的催化动力学分光光度法。常用的氧化剂是过氧化氢或高碘酸盐,还原剂则以芳香胺类较为多见,如孔雀绿和N,N-二乙基苯胺等,但至今未见用N,N-二甲基苯胺作为还原剂的报道。我... 基于痕量锰对某些氧化还原反应的催化作用,已建立了一系列测定锰的催化动力学分光光度法。常用的氧化剂是过氧化氢或高碘酸盐,还原剂则以芳香胺类较为多见,如孔雀绿和N,N-二乙基苯胺等,但至今未见用N,N-二甲基苯胺作为还原剂的报道。我们发现,在pH为7.6的Clark-Lubs缓冲体系中,Mn(Ⅱ)能灵敏地催化高碘酸钠氧化N,N-二甲基苯胺的显色反应。 展开更多
关键词 Kinetic SPECTROPHOTOMETRY MANGANESE Seawater NAIL Hair.
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Design and Experimental Analysis of NLT Trussed Rafter in Yellow Pine
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作者 Emanuelle Graca Recco Jorge Daniel de Melo Moura Everaldo Pletz 《Journal of Civil Engineering and Architecture》 2017年第1期16-28,共13页
The roof system of social housing in Brazil generally consists of components made out of native forest lumber of high market value. Taking into account the increasing number of planted forests and the need to develop ... The roof system of social housing in Brazil generally consists of components made out of native forest lumber of high market value. Taking into account the increasing number of planted forests and the need to develop new products and to add value to this timber, this work deals with the development and structural analysis of a roof system using yellow pine plantation wood (Pinus spp), a sustainable material which however presents many defects. The NLT (laminated nailed timber) technology was chosen as it allows the use of shorter length and smaller cross section pieces, eliminating major defects. Seven samples of structural trussed rafters in NLT were tested; six made out of graded timber and one ungraded in order to verify the impact of the wood grading in the structural performance of the model. The results showed that the trussed rafter system in NLT meets the necessary structural performance requiring poor conditions of infrastructure for manufacture process, and that the graded wood samples showed better performance than the ungraded one. 展开更多
关键词 Roof systems yellow pine wood laminated nailed timber trussed rafter design methodology.
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弹性髓内针在治疗成人肱骨干中段骨折中的手术体会 被引量:1
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作者 苗明丽 靳京 郭院生 《中国医学创新》 CAS 2014年第5期131-132,共2页
目的:探讨采用弹性髓内针(TEN)在治疗成人肱骨干中段骨折中的治疗效果及手术体会。方法:对25例肱骨干中段骨折患者采用经皮逆行弹性髓内针治疗,详细记录术后骨折愈合情况,并对其并发症及疗效进行统计分析。结果:随访12~36个月,... 目的:探讨采用弹性髓内针(TEN)在治疗成人肱骨干中段骨折中的治疗效果及手术体会。方法:对25例肱骨干中段骨折患者采用经皮逆行弹性髓内针治疗,详细记录术后骨折愈合情况,并对其并发症及疗效进行统计分析。结果:随访12~36个月,肩关节综合评价优良率达到96%;肘关节综合评价优良率达到92%。结论:弹性髓内针技术具有固定牢靠、创伤较小、及早改善患者的锻炼功能等特点,有较好的推广意义。 展开更多
关键词 弹性髓内钉 肱骨干骨折 骨折愈合 综合评价 TITANIC Elastic Nailing(TEN)
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