A strategy for strengthening chaotic mixing of dual shaft eccentric mixers by changing non-Newtonian fluids kinetic energy distribution

Efficiently modulating the velocity distribution and flow pattern of non-Newtonian fluids is a critical challenge in the context of dual shaft eccentric mixers for process intensification,posing a significant barrier for the existing technologies.Accordingly,this work reports a convenient strategy that changes the kinetic energy to controllably regulate the flow patterns from radial flow to axial flow.Results showed that the desired velocity distribution and flow patterns could be effectively obtained by varying the number and structure of baffles to change kinetic energy,and a more uniform velocity distribution,which could not be reached normally in standard baffle dual shaft mixers,was easily obtained.Furthermore,a comparative analysis of velocity and shear rate distributions is employed to elucidate the mechanism behind the generation of flow patterns in various dual-shaft eccentric mixers.Importantly,there is little difference in the power number of the laminar flow at the same Reynolds number,meaning that the baffle type has no effect on the power consumption,while the power number of both unbaffle and U-shaped baffle mixing systems decreases compared with the standard baffle mixing system in the transition flow.Finally,at the same rotational condition,the dimensionless mixing time of the U-shaped baffle mixing system is 15.3%and 7.9%shorter than that of the standard baffle and the unbaffle mixing system,respectively,which shows the advantage of the U-shaped baffle in stirring rate.

A Multiscale Reliability-Based Design Optimization Method for Carbon-Fiber-Reinforced Composite Drive Shafts

Carbon fiber composites,characterized by their high specific strength and low weight,are becoming increasingly crucial in automotive lightweighting.However,current research primarily emphasizes layer count and orientation,often neglecting the potential of microstructural design,constraints in the layup process,and performance reliability.This study,therefore,introduces a multiscale reliability-based design optimization method for carbon fiber-reinforced plastic(CFRP)drive shafts.Initially,parametric modeling of the microscale cell was performed,and its elastic performance parameters were predicted using two homogenization methods,examining the impact of fluctuations in microscale cell parameters on composite material performance.A finite element model of the CFRP drive shaft was then constructed,achieving parameter transfer between microscale and macroscale through Python programming.This enabled an investigation into the influence of both micro and macro design parameters on the CFRP drive shaft’s performance.The Multi-Objective Particle Swarm Optimization(MOPSO)algorithm was enhanced for particle generation and updating strategies,facilitating the resolution of multi-objective reliability optimization problems,including composite material layup process constraints.Case studies demonstrated that this approach leads to over 30%weight reduction in CFRP drive shafts compared to metallic counterparts while satisfying reliability requirements and offering insights for the lightweight design of other vehicle components.

Early Treatment Outcome of Humeral Shaft Fracture Non-Union in Adults: Comparative Study of Plating versus Interlocking Nailing

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 3rd 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.

Nonlinear dynamic modeling of planar moving Timoshenko beam considering non-rigid non-elastic axial effects

Due to the importance of vibration effects on the functional accuracy of mechanical systems,this research aims to develop a precise model of a nonlinearly vibrating single-link mobile flexible manipulator.The manipulator consists of an elastic arm,a rotary motor,and a rigid carrier,and undergoes general in-plane rigid body motion along with elastic transverse deformation.To accurately model the elastic behavior,Timoshenko’s beam theory is used to describe the flexible arm,which accounts for rotary inertia and shear deformation effects.By applying Newton’s second law,the nonlinear governing equations of motion for the manipulator are derived as a coupled system of ordinary differential equations(ODEs)and partial differential equations(PDEs).Then,the assumed mode method(AMM)is used to solve this nonlinear system of governing equations with appropriate shape functions.The assumed modes can be obtained after solving the characteristic equation of a Timoshenko beam with clamped boundary conditions at one end and an attached mass/inertia at the other.In addition,the effect of the transverse vibration of the inextensible arm on its axial behavior is investigated.Despite the axial rigidity,the effect makes the rigid body dynamics invalid for the axial behavior of the arm.Finally,numerical simulations are conducted to evaluate the performance of the developed model,and the results are compared with those obtained by the finite element approach.The comparison confirms the validity of the proposed dynamic model for the system.According to the mentioned features,this model can be reliable for investigating the system’s vibrational behavior and implementing vibration control algorithms.

A hybrid ventilation scheme applied to bidirectional excavation tunnel construction with a long inclined shaft

The breakage and bending of ducts result in a difficulty to cope with ventilation issues in bidirectional excavation tunnels with a long inclined shaft using a single ventilation method based on ducts.To discuss the hybrid ventilation system applied in bidirectional excavation tunnels with a long inclined shaft,this study has established a full-scale computational fluid dynamics model based on field tests,the Poly-Hexcore method,and the sliding mesh technique.The distribution of wind speed,temperature field,and CO in the tunnel are taken as indices to compare the ventilation efficiency of three ventilation systems(duct,duct-ventilation shaft,duct–ventilated shaft-axial fan).The results show that the hybrid ventilation scheme based on duct-ventilation shaft–axial fan performs the best among the three ventilation systems.Compared to the duct,the wind speed and cooling rate in the tunnel are enhanced by 7.5%–30.6%and 14.1%–17.7%,respectively,for the duct-vent shaft-axial fan condition,and the volume fractions of CO are reduced by 26.9%–73.9%.This contributes to the effective design of combined ventilation for bidirectional excavation tunnels with an inclined shaft,ultimately improving the air quality within the tunnel.

Clinical effect of operative vs nonoperative treatment on humeral shaft fractures:Systematic review and meta-analysis of clinical trials

BACKGROUND Whether operation is superior to non-operation for humeral shaft fracture remains debatable.We hypothesized that operation could decrease the nonunion and reintervention rates and increase the functional outcomes.AIM To compare the clinical efficacy between operative and nonoperative approaches for humeral shaft fractures.METHODS We searched the PubMed,Web of Science,ScienceDirect,and Cochrane databases from 1990 to December 2023 for clinical trials and cohort studies comparing the effects of operative and conservative methods on humeral shaft fractures.Two investigators independently extracted data from the eligible studies,and the other two assessed the methodological quality of each study.The quality of the included studies was assessed using the Cochrane risk bias or Newcastle-Ottawa Scale.The nonunion,reintervention and the overall complications and functional scores were pooled and analyzed using Review Manager software(version 5.3).RESULTS A total of four randomized control trials and 13 cohort studies were included,with 1285 and 1346 patients in the operative and nonoperative groups,respectively.Patients in the operative group were treated with a plate or nail,whereas those in the conservative group were managed with splint or functional bracing.Four studies were assessed as having a high risk of bias,and the other 13 were of a low risk of bias according to the Newcastle-Ottawa Scale or Cochrane risk bias tool.The operative group had a significantly decreased rate of nonunion[odds ratio(OR)0.30;95%CI:0.23 to 0.40,reintervention(OR:0.33;95%CI:0.24 to 0.47),and overall complications(OR:0.62;95%CI:0.49 to 0.78)].The pooled effect of the Disabilities of Arm,Shoulder,and Hand score showed a significant difference at 3[mean difference(MD)-8.26;95%CI:-13.60 to-2.92],6(MD:-6.72;95%CI:-11.34 to-2.10),and 12 months(MD:-2.55;95%CI:-4.36 to-0.74).The pooled effect of Visual Analog Scale scores and the Constant-Murley score did not significantly differ between the two groups.CONCLUSION This systematic review and meta-analysis revealed a trend of rapid functional recovery and decreased rates of nonunion and reintervention after operation for humeral shaft fracture compared to conservative treatment.

Functional Outcomes of Adult Tibia Shaft Fractures Treated with Solid Intramedullary Nails versus Hollow Nails: A Systematic Review

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.

Beyond p-y method:A review of artificial intelligence approaches for predicting lateral capacity of drilled shafts in clayey soils

In 2023,pivotal advancements in artificial intelligence(AI)have significantly experienced.With that in mind,traditional methodologies,notably the p-y approach,have struggled to accurately model the complex,nonlinear soil-structure interactions of laterally loaded large-diameter drilled shafts.This study undertakes a rigorous evaluation of machine learning(ML)and deep learning(DL)techniques,offering a comprehensive review of their application in addressing this geotechnical challenge.A thorough review and comparative analysis have been carried out to investigate various AI models such as artificial neural networks(ANNs),relevance vector machines(RVMs),and least squares support vector machines(LSSVMs).It was found that despite ML approaches outperforming classic methods in predicting the lateral behavior of piles,their‘black box'nature and reliance only on a data-driven approach made their results showcase statistical robustness rather than clear geotechnical insights,a fact underscored by the mathematical equations derived from these studies.Furthermore,the research identified a gap in the availability of drilled shaft datasets,limiting the extendibility of current findings to large-diameter piles.An extensive dataset,compiled from a series of lateral loading tests on free-head drilled shaft with varying properties and geometries,was introduced to bridge this gap.The paper concluded with a direction for future research,proposes the integration of physics-informed neural networks(PINNs),combining data-driven models with fundamental geotechnical principles to improve both the interpretability and predictive accuracy of AI applications in geotechnical engineering,marking a novel contribution to the field.

CFD simulation of hydrodynamics and mixing performance in dual shaft eccentric mixers

This work aims to systematically study hydrodynamics and mixing characteristics of non-Newtonian fluid(carboxyl methyl cellulose,CMC)in dual shaft eccentric mixer.Fluid rheology was described by the power law rheological model.Computational fluid dynamics was employed to simulate the velocity field and shear rate inside the stirred tank.The influence mechanism of the rotational modes,height difference between impellers,impeller eccentricities,and impeller types on the flow field have been well investigated.We studied the performance of different dual-shaft eccentric mixers at the constant power input with its fluid velocity profiles,average shear strain rate,mixing time and mixing energy.The counter-rotation mode shows better mixing performance than co-rotation mode,and greater eccentricity can shorten mixing time on the basis of same stirred condition.To intensify the hydrodynamic interaction between impellers and enhance the overall mixing performance of the dual shaft eccentric mixers,it is critical to have a reasonable combination of impellers and an appropriate spatial position of impellers.

Crack Fault Diagnosis and Location Method for a Dual-Disk Hollow Shaft Rotor System Based on the Radial Basis Function Network and Pattern Recognition Neural Network

The crack fault is one of the most common faults in the rotor system,and researchers have paid close attention to its fault diagnosis.However,most studies focus on discussing the dynamic response characteristics caused by the crack rather than estimating the crack depth and position based on the obtained vibration signals.In this paper,a novel crack fault diagnosis and location method for a dual-disk hollow shaft rotor system based on the Radial basis function(RBF)network and Pattern recognition neural network(PRNN)is presented.Firstly,a rotor system model with a breathing crack suitable for a short-thick hollow shaft rotor is established based on the finite element method,where the crack's periodic opening and closing pattern and different degrees of crack depth are considered.Then,the dynamic response is obtained by the harmonic balance method.By adjusting the crack parameters,the dynamic characteristics related to the crack depth and position are analyzed through the amplitude-frequency responses and waterfall plots.The analysis results show that the first critical speed,first subcritical speed,first critical speed amplitude,and super-harmonic resonance peak at the first subcritical speed can be utilized for the crack fault diagnosis.Based on this,the RBF network and PRNN are adopted to determine the depth and approximate location of the crack respectively by taking the above dynamic characteristics as input.Test results show that the proposed method has high fault diagnosis accuracy.This research proposes a crack detection method adequate for the hollow shaft rotor system,where the crack depth and position are both unknown.

Automatic Extraction of the Sparse Prior Correspondences for Non-Rigid Point Cloud Registration

Non-rigid registration of point clouds is still far from stable,especially for the largely deformed one.Sparse initial correspondences are often adopted to facilitate the process.However,there are few studies on how to build them automatically.Therefore,in this paper,we propose a robust method to compute such priors automatically,where a global and local combined strategy is adopted.These priors in different degrees of deformation are obtained by the locally geometrical-consistent point matches from the globally structural-consistent region correspondences.To further utilize the matches,this paper also proposes a novel registration method based on the Coherent Point Drift framework.This method takes both the spatial proximity and local structural consistency of the priors as supervision of the registration process and thus obtains a robust alignment for clouds with significantly different deformations.Qualitative and quantitative experiments demonstrate the advantages of the proposed method.

Parameter Study on a Composite Sound-Absorbing Structure Liner in Elevator Shafts

With the growing global environmental awareness,the development of renewable and green materials has gained increased worldwide interest to substitute conventional materials and are favorable for sustainable economic development.This paper proposed a novel eco-friendly sound absorbing structure(NSAS)liner for noise reduction in elevator shafts.The base layer integrated with the shaft walls is a damping gypsum mortarboard,and a rock wool board and a perforated cement mortarboard are used to compose the NSAS.Based on the acoustic impedance theory of porous materials and perforated panels,the sound absorption theory of the NSAS was proposed;the parameter effects of the rock wool board(flow resistivity,porosity,structure factor)and perforated panel(perforated rates,thickness,density,perforated diameter)on NSAS absorption were discussed theoretically for absorption improvement,and experiments were also conducted.Numerical results showed that the perforation rate,the thickness of the perforated plate,and the porosity,flow resistance,and volume density of the rock wool board played a key issue in the absorption performances of the NSAS.Experiments verified the accuracy of the proposed theoretical model.Wideband sound absorption performance of the NSAS at frequencies between 500–1600 Hz was achieved in both numerical analysis and experiments,and the sound absorption coefficient was improved to 0.72 around 1000 Hz after parameter adjustments.The NSAS proposed in this paper can also be made of other renewable materials with preferable structure strength and still has the potential to broaden the absorption bandwidth.It can provide a reference for controlling the elevator shaft noise.

Eigen value analysis of composite hollow shafts using modified EMBT formulation considering the shear deformation along the thickness direction

Composite hollow shafts are used in power transmission applications due to their high specific stiffness and high specific strength.The dynamic characteristics of these shafts are important for transmission applications.Dynamic modelling of these shafts is generally carried out using Equivalent Modulus Beam Theory(EMBT)and Layerwise Beam Theory(LBT)formulations.The EMBT formulation is modified by considering stacking sequence,shear normal coupling,bending twisting coupling and bending stretching coupling.It is observed that modified EMBT formulation is underestimating the shafts stiffness at lower length/mean diameter(l/dm)ratios.In the present work,a new formulation is developed by adding shear deformation along the thickness direction to the existing modified EMBT formulation.The variation of shear deformation along the thickness direction is found using different shear deformation theories,i.e.,first-order shear deformation theory(FSDBT),parabolic shear deformation theory(PSDBT),trigonometric shear deformation theory(TSDBT),and hyperbolic shear deformation theory(HSDBT).The analysis is performed at l/d_(m) ratios of 5,10,15,20,25,30,35,and 40 for carbon/epoxy composites,E-glass/epoxy composites,and boron/epoxy composite shafts.The results show that new formulation has improved the bending natural frequency of the composite shafts for l/d_(m)<15 in comparison with modified EMBT.The effect of new formulation is more significant for the second and third bending modes of natural frequencies.

Radial Head Dislocation Associated with an Ipsilateral Open Type II Gustilo-Anderson Fracture of the Radial Shaft

Radial head dislocation associated with an ipsilateral radial shaft fracture is a rare lesion, even more so for open lesions. Few cases have been found in the literature. We report this case due to its exceptional nature and discuss the mechanism of onset. A twenty-five-year-old patient presented with a dislocation of the radial head associated with a GUSTILO ANDERSON type II open fracture of the radial shaft following an occupational accident. He was managed twenty-four hours after the trauma. The mechanism was a direct blow. The dislocation was reduced by external manoeuvre following open reduction of the radial shaft. The fracture was stabilized by two Kirschner wires following reduction. The result at 12 months was satisfactory from a clinical and radiological standpoint.

顺行和逆行髓内钉治疗不同部位股骨干骨折的有限元分析

背景:髓内钉治疗股骨干骨折取得了较好的临床疗效,但仍有部分患者并发无菌性骨不连,其原因为机械性不稳定。股骨作为人体最长最大的骨骼,不同部位骨折是否具有不同的生物力学特征,及不同进钉方式对于不同部位骨折端稳定性存在何种影响均研究甚少。目的:分析顺行和逆行髓内钉治疗不同部位股骨干骨折的生物力学特点,评估最佳进钉方式,减少骨不连发生率。方法:选取一名志愿者CT资料导入Mimics 19.0和Geomagic studio 2017软件中进行提取、优化得到右侧股骨三维模型;运用Solidworks 2017软件画出顺行和逆行髓内钉模型并与不同骨折部位股骨干骨折模型按照标准手术技术装配,以STEP格式导入Abaqus 2017软件中设置材料属性参数、边界条件、施加载荷、提交运算,于可视化模块中查看结果。其中上段股骨干骨折顺行和逆行髓内钉分别为A1、A2模型,中段为B1、B2模型,下段为C1、C2模型。结果与结论:(1)A1、B1、C2模型股骨整体应力分布更为均匀,位移、骨折端间隙与成角、股骨近折端骨块内翻均更小;(2)对于上段和中段股骨干骨折,顺行髓内钉具有更好的生物力学效果;对于下段股骨干骨折,逆行髓内钉效果更优。

盾构始发与接收对工作井围护结构的影响研究

[目的]一般情况下,盾构机均在盾构工作井主体结构施工完成后才进行始发或接收,由于诸多因素的限制,往往需要考虑盾构工作井主体结构尚未施工时进行盾构始发或接收的情况,因此需研究盾构始发与接收对盾构工作井围护结构的影响。[方法]以成都地铁某标准地下三层岛式车站为例,研究盾构工作井在未施作主体内衬结构状态下实现盾构始发与接收时的围护结构受力及变形情况,并分析了盾构始发与接收对围护结构稳定性的影响。[结果及结论]研究结果表明:无内衬状态工作井盾构始发与接收时,围护结构桩体水平位移最大值及弯矩最大值均发生在盾构工作井端墙中跨第4道钢支撑处,围护结构剪力最大值发生在盾构工作井端墙中跨底板处;当盾构工作井未施作主体内衬结构时,围护结构桩体变形及受力均有所增大,但其位移及力学指标均满足规范要求;围护结构在剪力及弯矩作用下能够满足承载能力及强度要求;无内衬状态下的工作井盾构始发与接收可提高施工效率,有效节省工期,节约工程成本。

纤维尺寸效应对深井井壁衬砌支护层力学特性的影响

为探究纤维尺寸效应对深井井壁钢纤维混凝土力学特性及应变演化的影响,设计三种不同钢纤维尺寸和掺量的混凝土配方,通过测试试样的力学特性后得知,随着钢纤维尺寸、掺量的增加,试样单轴抗压强度、抗拉强度、抗折强度以及弹性模量提升。借用数字图像相关技术对试验过程监测发现,钢纤维的加入使得试样破坏时表面裂纹数量、长度远大于素混凝土试样,随着钢纤维尺寸的增加,试样破坏时试样表面裂纹宽度有所下降,混凝土试样的轴向变形降低。当试样到达峰值荷载时,素混凝土迅速失稳破坏,而钢纤维混凝土试样在到达峰值荷载时仍然存在一定残余强度。运用随机森林模型对钢纤维混凝土测试强度进行训练、测试与预测,结果表明训练、测试、预测样本精度较高,R 2>0.8,均方根误差值较小,改进随机森林模型对钢纤维混凝土强度的预测较精确,利用此预测模型,可大幅度降低优化钢纤维混凝土配方所需要的人力与物力成本,结果可为现场混凝土配方强度预测提供参考。

大深度大直径三山岛副井支护研究与创新探讨

竖井作为矿山深部采矿的咽喉工程,其建设工期制约着整个矿山建设期,其服役期安全稳定是矿山正常安全生产的保障。本文以三山岛金矿副井工程为背景,研究探讨直径10.5 m、埋深1 915 m的大直径深埋竖井支护理念、支护方案及建设创新。通过深入研究国内外支护理论,突破传统设计理念,采用新型工艺卸压与充分利用围岩作用的设计理念,提出了大埋深竖井分区分序支护方案,探讨了深井建设的创新方向。文章研究成果能够为深地开发利用的瓶颈工程支护设计提供参考应用,为储备2 500 m以浅的深井建设技术及相关深井工程提供重要借鉴。

大型发电机高频轴系扭振下PSS附加阻尼特性仿真研究

从发电机Heffron-Philips模型出发,分析发电机及励磁系统在涵盖有功低频振荡和轴系扭振在内的0.1~40Hz范围内无补偿相频特性,同时给出电力系统稳定器模型(PSS-1A、PSS-2B和PSS-NB)在0.1~40Hz的相频特性,并从理论上分析其在大型发电机组发生高频轴系扭振时的阻尼特性,最后通过一个高频零阻尼RTDS仿真系统进行验证。

经皮克氏针横行固定与微型钢板置入治疗第五掌骨干骨折的比较

背景:第五掌骨干骨折在临床上常见,手术治疗多采用切开复位钢板固定,但术后大多数患者要求取出内固定物,需二次住院治疗。经皮克氏针横行固定具有创伤小、切口小、不需再次住院手术取出等优点,但对第五掌骨干骨折的应用效果不明确。目的:对比分析经皮克氏针横行固定与微型钢板置入治疗第五掌骨干骨折的临床疗效。方法:回顾性分析滨州医学院附属医院在2018年5月至2020年5月收治的第五掌骨干骨折并行手术治疗患者60例,根据治疗方式分为2组,钢板组30例采用切开复位微型钢板内固定置入治疗,克氏针组30例采用闭合复位经皮克氏针横行固定(其中5例小切口切开辅助)治疗。比较两组患者的住院时间、手术时间、切口愈合等级、手术切口长度、术中出血量、术中透视次数及术后并发症的发生情况,记录两组患者骨折愈合时间、握力、第五掌指关节活动度等,采用中华医学会手外科学会手指关节总活动度法评估患者的手指功能。结果与结论:①两组患者均获得随访,随访时间13-18个月;两组患者住院时间、手术时间、切口愈合等级相比差异无显著性意义(P>0.05);②克氏针组术中出血量、手术切口长度均小于钢板组(P<0.05),钢板组术中透视次数少于克氏针组(P<0.05),两组骨折愈合时间比较差异无显著性意义(P>0.05);③末次随访时,依据手指关节总活动度法评估疗效,克氏针组优良率为87%,钢板组优良率为90%,两组比较差异无显著性意义;两组末次随访的第五掌指关节活动度、握力比较差异无显著性意义(P>0.05);④克氏针组术后有1例发生钉道感染,周围略有红肿,给予碘伏加强换药后感染得到控制;1例出现针尾刺激皮肤症状,拔除克氏针后症状消失;钢板组有12例因个人原因于术后12个月以后住院行钢板取出术,克氏针组全都在门诊取出;钢板组出现3例第五掌骨远端背侧及小指指背侧皮肤感觉麻木,术后口服甲钴胺,症状逐渐消失;两组均未出现骨不愈合及内固定取出再骨折等情况;⑤结果表明,这两种术式治疗第五掌骨干骨折均获得良好疗效,手指功能恢复佳,但经皮克氏针横行固定具有创伤小、切口小、费用低、内固定取出方便等优点。