PFNA2 versus 95 Degree Condylar Blade Plate in the Management of Unstable Trochanteric Fractures

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.

An exact solution for flow past an accelerated horizontal plate in a rotating fluid with the generalized Oldroyd-B model

In this paper, the generalized Oldroyd-B with fractional calculus approach is used. An exact solution in terms of Fox-H function for flow past an accelerated horizontal plate in a rotating fluid is obtained by using discrete Laplace transform method. A comparison among the influence of various parameters in the Oldroyd-B model and the angular velocity of the fluid on the velocity profiles is made through numerical method in graphic form.

Magneto-elastic dynamics and bifurcation of rotating annular plate

In this paper, magneto-elastic dynamic behavior, bifurcation, and chaos of a rotating annular thin plate with various boundary conditions are investigated. Based on the thin plate theory and the Maxwell equations, the magneto-elastic dynamic equations of rotating annular plate are derived by means of Hamilton＇s principle. Bessel function as a mode shape function and the Galerkin method are used to achieve the transverse vibration differential equation of the rotating annular plate with different boundary conditions. By numerical analysis, the bifurcation diagrams with magnetic induction, amplitude and frequency of transverse excitation force as the control parameters are respectively plotted under different boundary conditions such as clamped supported sides, simply supported sides, and clamped-one-side combined with simply-anotherside. Poincare′ maps, time history charts, power spectrum charts, and phase diagrams are obtained under certain conditions,and the influence of the bifurcation parameters on the bifurcation and chaos of the system is discussed. The results show that the motion of the system is a complicated and repeated process from multi-periodic motion to quasi-period motion to chaotic motion, which is accompanied by intermittent chaos, when the bifurcation parameters change. If the amplitude of transverse excitation force is bigger or magnetic induction intensity is smaller or boundary constraints level is lower, the system can be more prone to chaos.

Rotating extrusion technique and its effect on quality of aluminum alloy thin-plate weldments

A new technique named rotating extrusion was proposed that uses rotating extrusion action to rectify residual distortion of aluminum alloy thin-plate weldments to improve mechanical properties of welded joints. The basic principle and device of rotating extrusion were introduced. The residual distortion and stresses in rotating extrusion weldments were compared with those in conventional weldments. The differences in microstructure and mechanical properties between conventional welded joints and rotating extrusion welded joints were investigated and analyzed in order to make clear the effect of rotating extrusion on the performance of aluminum alloy weldments. Experimental results show that rotating extrusion can enhance the hardness and tensile strength of aluminum alloy welded joints evidently. This method has also potential effect on extending the life of welded structures.

3D analytical solution for a rotating transversely isotropic annular plate of functionally graded materials

The analytical solution for an annular plate rotating at a constant angular velocity is derived by means of direct displacement method from the elasticity equations for axisymmetric problems of functionally graded transversely isotropic media. The displacement components are assumed as a linear combination of certain explicit functions of the radial coordinate, with seven undetermined coefficients being functions of the axial coordinate z. Seven equations governing these z-dependent functions are derived and solved by a progressive integrating scheme. The present solution can be degenerated into the solution of a rotating isotropic functionally graded annular plate. The solution also can be degenerated into that for transversely isotropic or isotropic homogeneous materials. Finally, a special case is considered and the effect of the material gradient index on the elastic field is illustrated numerically.

Reducing residual distortion of thin-plate weldments by rotating extrusion

A new method named rotating extrusion was developed to mitigate residual distortion of thin-plate weldments. The basic principle and characteristic of rotating extrusion as well as an efficient rotating extrusion device were introduced. Systematic trials were conducted to investigate the influence of several technological parameters including the distance between the extrusion tool and welding torch, the pressure acting on weldment, the dimension of the extrusion tool and its rotational speed on distortion control effect. Experimental results show that, as for 2A12T4 aluminum alloy weldment with 2 mm in thickness, 150 mm in width and 350 mm in length, when appropriate technological parameters are adopted, rotating extrusion can reduce its buckling deflection to below 3% of the original value. Implementing rotating extrusion during welding with an extrusion tool more than 100 mm away from the welding torch may achieve better distortion mitigation effect.

Combined distal tibial rotational osteotomy and proximal growth plate modulation for treatment of infantile Blount's disease

Infantile Blount's disease is a condition that causes genu varum and internal tibial torsion. Treatment options include observation, orthotics, corrective osteotomy, elevation of the medial tibial plateau, resection of a physeal bar, lateral hemi-epiphysiodesis, and guided growth of the proximal tibial physis. Each of these treatment options has its disadvantages. Treating the coronal deformity alone(genu varum) will result in persistence of the internal tibial torsion(the axial deformity). In this report, we describe the combination of lateral growth modulation and distal tibial external rotation osteotomy to correct all the elements of the disease. This has not been described before for treatment of Blount's disease. Both coronal and axial deformities were corrected in this patient. We propose this combination(rather than the lateral growth modulation alone) as the method of treatment for early stages of Blount's disease as it corrects both elements of the disease and in the same time avoids the complications of proximal tibial osteotomy.

Exact Solutions on MHD Flow Past an Accelerated Porous Plate in a Rotating Frame

We present an analysis of an electrically conducting viscous fluid over a porous plate in a rotating system.The plate starts impulsively from rest relative to the rotating fluid moving with uniform acceleration in its own plane.Exact solutions are developed for both large and small times.In addition,skin friction is computed.The variations of magnetic field and porosity are displayed and discussed.It is noted that steady state behavior is not achieved even under the simultaneous effects of suction,magnetic field and rotation.

Hall Current Effects on Unsteady MHD Flow in a Rotating Parallel Plate Channel Bound-ed by Porous Bed on the Lower Half—Darcy Lapwood Model

We discussed the unsteady flow of an incompressible viscous fluid in a rotating parallel plate channel bounded on one side by a porous bed under the influence of a uniform transverse magnetic field taking hall current into account. The perturbations are created by a constant pressure gradient along the plates in addition to the non-torsional oscillations of the upper plate. The flow in the clean fluid region is governed by Navier-Stoke’s equations while in the porous bed the equations are based on Darcy-Lapwood model. The exact solutions of velocity in the clean fluid and the porous medium consist of steady state and transient state. The time required for the transient state to decay is evaluated in detail and ultimate quasi-steady state solution has been derived analytically and also its behaviour is computationally discussed with reference to different flow parameters. The shear stresses on the boundaries and the mass flux are also obtained analytically and their behaviour is computationally discussed.

Impulsively Started Horizontal Riga Plate Embedded in Unsteady Casson Fluid Flow with Rotation

This article is based on the impulsively started horizontal Riga plate in two dimensional unsteady Casson fluid flows with rotation. The plate starts abruptly from the rest relative to the rotating fluids moving with uniform acceleration in its plane. Numerical solutions are acquired by using explicit finite difference method and estimated results have been gained for various values of the Rotational parameter, modified Hartmann number, Prandtl number, Radiative parameter, Eckert number, Heat source parameter, Schmidt number, and the Soret number. Both the Compaq visual FORTRAN 6.6a and MATLAB R2015a tools have been used to find the numerical solutions and the graphical presentation. The Skin friction, Nusselt number and Sherwood number have been computed and the effects of some pertinent parameters on various distributions are discussed briefly and presented graphically.

Role on Moment of Inertia and Vortex Dynamics for a Thin Rotating Plate

In this study, we focused on the lift generation with a thin rotating plate. The objective of this study is to understand the appropriate shape and the role of vortex for rotating thin plate. We determined the shape of the plate through free-flight tests of paper strips and investigated the aerodynamic characteristics of the rotating plate with the selected shape. The rectangular plate with an aspect ratio 7 was relevant from moment of inertia and bending stress. An endplate on a wing tip increased the stability on the lateral vortex structure behind the rotating plate. Velocity field measurement by Particle Image Velocimetry (PIV) showed that the lift force was generated twice in a rotating cycle.

Hall Effects on Unsteady MHD Three Dimensional Flow through a Porous Medium in a Rotating Parallel Plate Channel with Effect of Inclined Magnetic Field

In this paper, we make an initial value investigation of the unsteady flow of incompressible viscous fluid between two rigid non-conducting rotating parallel plates bounded by a porous medium under the influence of a uniform magnetic field of strength H0 inclined at an angle of inclination α with normal to the boundaries taking hall current into account. The perturbations are created by a constant pressure gradient along the plates in addition to the non-torsional oscillations of the upper plate while the lower plate is at rest. The flow in the porous medium is governed by the Brinkman’s equations. The exact solution of the velocity in the porous medium consists of steady state and transient state. The time required for the transient state to decay is evaluated in detail and the ultimate quasi-steady state solution has been derived analytically. Its behaviour is computationally discussed with reference to the various governing parameters. The shear stresses on the boundaries are also obtained analytically and their behaviour is computationally discussed.

Geochemistry and Geochronology of Circumferential Dykes of the Franklin LIP: A Rotated Perspective on Plate Reconstruction

In addition to an extrusive volcanic component and associated sills,the Neoproterozoic Franklin Large Igneous Province(LIP)comprises a giant radiating dyke swarm spanning an arc of ca.110?,as well as a less-

SIMULATION OF FABRIC DRAPE USING A THIN PLATE ELEMENT WITH FINITE ROTATION

The draping behavior of fabric is simulated by using four node quadrilateral thin plate elements with finite rotation. The finite element formulation is based on the total Lagrangian approach. An exact representation of finite rotation is introduced. The strain energy function accounting for the material symmetry is obtained by the tensor representation theory. To avoid shear locking, the assumed strain technique for transverse shear is adopted. The conjugate gradient method with a proposed line search algorithm is employed to minimize energy and reach the final shape of fabric. The draping behavior of a rectangular piece of fabric over a rectangular table is simulated. (Author abstract) 9 Refs.

Analysis of recent Antarctic plate kinematics based on GNSS data

The research aims to study recent Antarctic plate kinematics based on Global Navigation Satellite System(GNSS)data.The research covers 60 continuous GNSS stations located on the Antarctic plate during 1994-2021.We determine the components of horizontal displacement vectors of these GNSS stations and construct the schematic map of their distribution.The results indicate that the direction of velocity vectors of horizontal displacements has a rotational nature in clockwise order.The analysis of deformation processes shows that a gradual decrease in the horizontal strain rates,maximum shear strain and area strain is taking place from west to east,in the direction of West Antarctica-the Transantarctic Mountains-East Antarctica.The absolute rotation pole of the Antarctic plate in the ITRF2014/IGS14 reference frame has been determined,and the obtained values are in good agreement with recent plate models.

金刚石微粉电镀镍品质影响因素研究

金刚石微粉在镀液中易漂浮导致电镀镍困难,为获得金刚石微粉电镀镍工艺,本文研究了镀瓶转速和电镀电流对金刚石微粉电镀镍品质的影响。通过对金刚石微粉颗粒在不同镀瓶转速时运动状态进行理论分析,得到了镀瓶转速调节方法,并通过实验确定了不同电镀电流时镀瓶转速的调节范围。采用单因素实验,研究了电镀电流对镀层增重率、形貌和密度的影响。结果表明:镀瓶转速在1~7 r/min范围内,从小到大逐步提高,同时电镀电流不超过3.0 A条件下,能够实现金刚石微粉电镀镍。电镀电流在0.5 A时镀层失重,出现明显退镀现象,在1.0 A时镀层有少部分漏镀现象,在1.5~2.5 A时镀层包裹完整,基本无漏镀;电镀电流在1.0~2.5 A范围时,随着电镀电流增大,镀层增重率逐渐增大,镀层密度逐渐减小。采用低转速低电流、逐步提高镀瓶转速的方法对金刚石微粉进行电镀镍,镀瓶转速在1~7 r/min,电镀电流在1.5~2.5 A时金刚石微粉电镀镍品质较好。

考虑轴力与底板约束的埋入式钢柱脚刚度模型

为准确预测埋入式(特别是浅埋)钢柱脚节点的初始转动刚度,将柱脚的埋入段简化为地基梁,基于初参数法完善考虑轴力影响的Winkler地基上的Timoshenko梁理论,提出受锚栓和混凝土约束的柱脚底板转动刚度的计算方法,进而建立可以综合反映柱脚埋深、埋入段剪切变形、钢柱轴力、底板约束影响的埋入式钢柱脚转动刚度模型。基于已验证的有限元模型进行参数分析,研究埋深比、轴力和锚栓布置对柱脚转动刚度的影响。与有限元结果的对比表明,提出的刚度模型较过往文献中理论模型具有更高的精度和更好的适用性,尤其是对于埋深比为0.5~1.5的浅埋柱脚节点。理论与有限元结果表明:埋深比较小时,柱脚转动刚度随埋深比的增加快速增大,而埋深比增加到一定程度后,其对转动刚度几乎无影响;柱脚转动刚度随钢柱轴压力增加呈增大的趋势;对于浅埋柱脚节点,底板约束对其转动刚度的影响较大,而随着埋深的增大,其影响逐渐减小;底板转动约束对埋深比小于1.5的节点刚度具有显著影响,当埋深比增大至2.5,其影响可以忽略。

PFNA和ALP治疗股骨转子间骨折患者的疗效及对血清SO、DKK-3水平的影响

目的 探究股骨近端防旋型髓内钉(PFNA)和股骨近端解剖型锁定钢板(ALP)治疗股骨转子间骨折患者的疗效及对血清骨硬化蛋白(SO)、Dickkopf-3(DKK-3)水平的影响.方法 选取我院2021年4月1日~2023年3月31日符合条件的78例股骨转子间骨折患者,按照抽签法分为对照组(n=39)和研究组(n=39).对照组患者采用ALP髓外固定治疗,研究组患者采用PFNA髓内固定治疗.评估两组患者的手术相关临床指标、并发症情况以及治疗前后的Harris评分、血清DKK-3与SO水平.结果 研究组患者的手术时间、住院时间、下地负重时间、切口长度明显短于对照组,术中出血量明显少于对照组,差异有统计学意义(P<0.05);治疗后,研究组髋内翻、内固定物松动、感染、静脉血栓、压疮、关节脱位等并发症的总发生率明显低于对照组,差异有统计学意义(P<0.05);治疗前两组疼痛、功能、活动度评分比较,差异无统计学意义(P>0.05),治疗后研究组疼痛、功能、活动度评分均明显高于对照组,差异有统计学意义(P<0.05);治疗前两组血清DKK-3、SO水平比较,差异无统计学意义(P>0.05),治疗后研究组血清DKK-3、SO水平明显低于对照组,差异有统计学意义(P<0.05).结论 相较于ALP髓外固定治疗,PFNA髓内固定治疗在股骨转子间骨折患者中的应用效果更好,可加速患者术后恢复速度,提高患者髋关节功能,降低并发症发生率,并改善患者血清DKK-3、SO水平.

改进YOLOv5混合样本训练的绝缘子伞盘脱落缺陷检测方法

为了实现输电线路巡检时绝缘子串及伞盘脱落缺陷的精准定位和识别,提出了一种基于改进YOLOv5混合样本训练的绝缘子缺陷检测模型。针对绝缘子缺陷图像稀少问题,提出了一种混合样本数据生成方法,通过将GrabCut算法与图像融合技术相结合实现数据集的扩充。针对绝缘子及缺陷的外形特点,利用长边定义法和环形平滑标签(circular smooth label,CSL)重新定义模型特征提取区域的坐标参数。通过增加角度信息,实现更加精确化的特征提取。通过将主干网络(Backbone)中部分特征层与路径聚合网络(path aggregation network,PAN)提取的特征相融合,对CSPDarkNet主干网络进行优化。改进后的YOLOv5 CSPDarkNet模型相较于改进前绝缘子缺陷检测精度提升了2.8个百分点,检测速率为20.5 FPS。实验结果表明,改进的绝缘子缺陷识别方法基本满足实际应用需求。

新型外包钢板-自攻螺钉连接胶合竹梁柱节点转动性能

针对胶合竹材不易预开槽和预开孔以及节点转动时竹材易发生横纹劈裂的问题,研究了新型外包钢板-自攻螺钉连接节点的转动性能。对T形外包钢板-自攻螺钉连接节点和双L形外包钢板-自攻螺钉连接节点共5个试件进行了单调加载试验,分析了节点的破坏模式、初始刚度、极限承载力、变形能力和延性系数。试验发现,T形外包钢板-自攻螺钉连接节点相较双L形外包钢板-自攻螺钉连接节点,各项受力性能参数均较优。布置直径小但数量多的自攻螺钉时,节点(T8×8-M)的破坏表现为钢板和自攻螺钉的受拉断裂以及与胶合竹柱连接的自攻螺钉受拉断裂,布置直径较大但数量少的自攻螺钉时,节点(T6×10-M)的破坏则表现为竹材的横纹劈裂和自攻螺钉的剪切破坏。横纹方向采用自攻螺丝加强,可改善节点的受力性能,对T形外包钢板-自攻螺钉连接节点改善更明显。现行《工程竹结构设计标准》(T/CECS 1101—2022)提供的节点设计方法偏于安全地预测胶合竹自攻螺钉连接梁柱节点的抗弯承载力。