Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 19 de 19
Filtrar
1.
Artículo en Inglés | MEDLINE | ID: mdl-38293739

RESUMEN

A predictive finite element model was developed to investigate the best configuration of a fixation pins system consisting of two K-wires inserted in a synthetic model (Sawbones®) at different angles and secured to a connecting rod. Two key parameters were considered to determine the best configuration delivering the higher pull-out strength and lower pull-out length: the diameter and insertion angle. Results show that as the diameter and insertion angle increased, the pull-out force increased, while the pull-out length decreased. Results are successfully compared with available experimental data in literature. This model can be used as an alternative to experimental study.

2.
J Biomech ; 163: 111955, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38266533

RESUMEN

Breast implants are widely used after breast cancer resection and must be changed regularly to avoid a rupture. To date, there are no quantitative criteria to help this decision. The mechanical evolution of the gels and membranes of the implants is still underinvestigated, although it can lead to early rupture. In this study, 35 breast explants having been implanted in patients for up to 17 years were characterized by ex vivo measurements of their mechanical properties. Using Acoustic Radiation Force Impulse (ARFI) ultrasound elastography, an imaging method for non-destructive mechanical characterization, an increase in the stiffness of the explants has been observed. This increase was correlated with the implantation duration, primarily after 8 years of implantation. With an increase of the shear modulus of up to a factor of nearly 3, the loss of flexibility of the implants is likely to lead to a significant increase of their risk of rupture. A complementary analysis of the gel from the explants by mass spectrometry imaging (MSI) and liquid chromatography coupled to high resolution mass spectrometry (LC-HRMS) confirms the presence of metabolites of cholesterol originating from the breast tissues, which most likely crossed the membrane of the implants and most likely degrades the gel. By observing the consequences of the physical-chemical mechanisms at work within patients, this study shows that ultrasound elastography could be used in vivoas a quantitative indicator of the risk of breast implant rupture and help diagnose their replacement.


Asunto(s)
Implantes de Mama , Neoplasias de la Mama , Diagnóstico por Imagen de Elasticidad , Humanos , Femenino , Diagnóstico por Imagen de Elasticidad/métodos , Implantes de Mama/efectos adversos , Ultrasonido
3.
Hand Surg Rehabil ; : 101745, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38960085

RESUMEN

INTRODUCTION: Peripheral nerves consist of axons and connective tissue. The amount of connective tissue in peripheral nerves such as the brachial plexus varies proximally to distally. The proximal regions of the brachial plexus are more susceptible to stretch injuries than the distal regions. A description of the mechanical behavior of the peripheral nerve components is necessary to better understand the deformation mechanisms during stretch injuries. The purpose of this study was to model the biomechanical behavior of each component of the peripheral nerves (fascicles, connective tissue) in a cadaveric model and report differences in elastic modulus, maximum stress and maximum strain. METHODS: Forty-six specimens of fascicles and epi-perineurium were subjected to cyclical uniaxial tensile tests to obtain the stress and strain histories of each specimen, using a BOSE® Electroforce® 3330 and INSTRON® 5969 materials testing machines. Maximum stress, maximum strain and elastic modulus were extracted from the load-displacement and stress-strain curves, and analyzed using Mann-Whitney tests. RESULTS: Mean elastic modulus was 6.34 MPa for fascicles, and 32.1 MPa for connective tissue. The differences in elastic modulus and maximum stress between fascicles and connective tissue were statistically significant (p < 0.001). CONCLUSIONS: Peripheral nerve connective tissue showed significantly higher elastic modulus and maximum stress than fascicles. These data confirm the greater fragility of axons compared to connective tissue, suggesting that the greater susceptibility to stretch injury in proximal regions of the brachial plexus might be related to the smaller amount of connective tissue.

4.
Hand Surg Rehabil ; : 101747, 2024 Jun 29.
Artículo en Inglés | MEDLINE | ID: mdl-38950883

RESUMEN

INTRODUCTION: The proximal regions of the brachial plexus (roots, trunks) are more susceptible to permanent damage due to stretch injuries than the distal regions (cords, terminal branches). A better description of brachial plexus mechanical behavior is necessary to better understand deformation mechanisms in stretch injury. The purpose of this study was to model the biomechanical behavior of each portion of the brachial plexus (roots, trunks, cords, peripheral nerves) in a cadaveric model and report differences in elastic modulus, maximum stress and maximum strain. METHODS: Eight cadaveric plexi, divided into 47 segments according to regions of interest, underwent cyclical uniaxial tensile tests, using a BOSE® Electroforce® 3330 and INSTRON® 5969 material testing machines, to obtain the stress and strain histories of each specimen. Maximum stress, maximum strain and elastic modulus were extracted from the load-displacement and stress-strain curves. Statistical analyses used 1-way ANOVA with post-hoc Tukey HSD (Honestly Significant Difference) and Mann-Whitney tests. RESULTS: Mean elastic modulus was 8.65 MPa for roots, 8.82 MPa for trunks, 22.44 MPa for cords, and 26.43 MPa for peripheral nerves. Differences in elastic modulus and in maximum stress were statistically significant (p < 0.001) between proximal (roots, trunks) and distal (cords, peripheral nerves) specimens. CONCLUSIONS: Proximal structures demonstrated significantly smaller elastic modulus and maximum stress than distal structures. These data confirm the greater fragility of proximal regions of the brachial plexus.

5.
Orthop Traumatol Surg Res ; 109(4): 103527, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-36563962

RESUMEN

INTRODUCTION: Lateral opening wedge distal femoral osteotomy (LOWDFO) is indicated for isolated lateral osteoarthritis in the valgus morphotype. Medial hinge fracture is a factor for poor prognosis. The present study had two aims: (1) to assess the impact of a temporary K-wire on hinge fracture risk; and (2) to assess the impact of LOWDFO opening speed. HYPOTHESIS: The main study hypothesis was that a temporary hinge K-wire reduces hinge fracture risk. The second hypothesis was that faster opening speed increases fracture risk. MATERIAL AND METHOD: Twenty femurs were produced by 3D printing from a CT database, reproducing LOWDFO anatomy. The ABS® polymer showed the same breaking-point behavior as human bone. Ten specimens were included in the "K-wire" group (KW+) and 10 in the "No K-wire" group (KW-). To determine high and low speed, a motion-capture glove was used by 2 operators, providing 3D modeling of the surgeon's hand. High speed was defined as 152mm/min and low speed as 38mm/min. The KW+ and KW- groups were subdivided into high- and low-speed subgroups (HS, LS) of 5 each. Compression tests were conducted using an Instron® mechanical test machine up to hinge fracture. The main endpoint was maximum breaking-point force (N); the secondary endpoints were maximum displacement (mm) and maximum speed (min) at breaking point. RESULTS: The K-wire significantly increased maximum breaking-point force (LS, 143.08N vs. 93.71N, p<0.01; and HS, 186.98N vs. 95.22N, p<0.01), but not maximum displacement (LS, 26.17mm vs. 24.11mm, p=0.31; and HS 26.18mm vs. 23.66mm, p=0.14) or maximum time (LS, 27.07s vs. 24.94s, p=0.31; and HS, 5.24s vs. 4.73s, p=0.14). Speed did not affect maximum force (KW+, 143.08N vs. 186.98N, p=0.06; and KW-, 93.71N vs. 95.22N, p=0.42) or maximum displacement (KW+, 26.17mm vs. 26.18mm, p=1; and KW-, 24.11mm vs. 23.66mm, p=0.69). Only maximum time was greater at low speed (KW+, 27.07s vs. 5.24s, p>0.01; and KW-, 24.94s vs. 4.73s, p<0.01), which is obvious for constant distance. DISCUSSION: The first study hypothesis was confirmed, with significantly lower hinge fracture risk with the K-wire, independently of opening speed. The second hypothesis was not confirmed. The study was performed under strict experimental conditions, unprecedented to our knowledge in the literature. However, complementary clinical studies are needed to confirm the present findings. LEVEL OF EVIDENCE: IV, experimental study.


Asunto(s)
Fracturas Óseas , Osteoartritis de la Rodilla , Humanos , Fémur/cirugía , Osteotomía/efectos adversos , Osteoartritis de la Rodilla/cirugía , Prótesis e Implantes , Tibia/cirugía
6.
Orthop Traumatol Surg Res ; 108(8): 103248, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-35181514

RESUMEN

INTRODUCTION: The aim of the present study was to assess the impact, combined and in interaction, of diameter, threading length and drilling speed on K-wire pullout strength in a synthetic model of a hand bone. MATERIAL AND METHODS: The material comprised Sawbones® (20 ×20×50mm), K-wires (diameter 1.2mm, 1.5mm, 1.8mm; threading 0mm, 5mm, 10mm, 15mm), a universal chuck with T handle and a drill (speed 0, 320, 500, 830, 1,290rpm), and tensile testing machine and a digital decision aid. The Sawbones® were drilled, varying diameter, threading and speed. The Statistical Design of Experiments (SDOE) methodology enabled the number of trials to be reduced from 300 to 70. Tensile tests at 1mm/s was imposed on the K-wire up to pullout (pullout strength). RESULTS: There was no interaction between threading length and diameter effects or between drilling speed and diameter effects, but a strong interaction between drilling speed and threading length effects. CONCLUSION: Before using K-wires for internal fixation in wrist or hand fracture, the surgeon has to select their characteristics, optimal holding power being theoretically ensured by large diameter wires with long threading inserted by a high-speed drill. LEVEL OF EVIDENCE: I, experimental study.


Asunto(s)
Hilos Ortopédicos , Mano , Humanos , Mano/cirugía , Fijación Interna de Fracturas , Fenómenos Biomecánicos
7.
Orthop Traumatol Surg Res ; 108(8): 103428, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-36202319

RESUMEN

BACKGROUND: Valgus-producing medial opening-wedge proximal tibial osteotomies (V-MOW-PTO) are used to treat isolated medial-compartment knee osteoarthritis in patients with varus malalignment. A fracture of the lateral cortical hinge is a risk factor for poor outcomes. Implantation of a protective K-wire has been suggested to prevent this complication. The primary objective of this bench study was to assess the ability of a protective K-wire to prevent lateral cortical fractures. The secondary objective was to evaluate the influence of the opening speed on fracture risk during the osteotomy. HYPOTHESIS: The primary hypothesis was that a protective K-wire decreased the risk of hinge fracture. The secondary hypothesis was that this risk was greater when the opening speed was high. MATERIALS AND METHODS: We performed an experimental study of 20 simulated thermoplastic-polymer (ABS) tibias obtained by 3D printing to assess the effects of wedge-opening speed (high vs. low) and presence of a protective K-wire (yes vs. no). The opening rates were determined in a preliminary study of Sawbone® specimens opened using a distractor. The opening rate was measured using an accelerometer via a motion-capture glove. After assessing several high and low opening speeds, we selected 38mm/min and 152mm/min for the study. We divided the 20 ABS specimens into four groups of five each: high speed and K-wire, low speed and K-wire, high speed and no K-wire, and low speed and no K-wire. The force was applied using an Instron™ testing machine until construct failure. The primary outcome measure was the load at failure (N) and the secondary outcome measures were the displacement (mm) and maximum time to failure (s). RESULTS: At both speeds, values were significantly higher with vs. without a K-wire for load to failure (low: 253.3N vs. 175.5N, p<0.01; high: 262.2N vs. 154.1N, p<0.01), displacement (low: 11.1mm vs. 8.7mm, p<0.01; high: 11mm vs. 8.9mm; p=0.012), and maximal time to failure (low: 11.4 s vs. 8.9 s; p=0.012; high: 2.2 s vs. 1.8 s; p=0.011). Thus, the osteotomy opening speed seemed to have no influence on the risk of lateral cortex fracture. DISCUSSION: Our main hypothesis was confirmed but our secondary hypothesis was refuted: a protective K-wire significantly decreased the risk of hinge fracture, whereas the osteotomy opening speed had no influence. To our knowledge, this is the first published study assessing the potential influence of opening speed on risk of lateral cortex fracture. Our findings were obtained in the laboratory and should be evaluated in clinical practice. LEVEL OF EVIDENCE: IV, experimental study.


Asunto(s)
Fracturas Óseas , Osteoartritis de la Rodilla , Humanos , Osteoartritis de la Rodilla/etiología , Osteoartritis de la Rodilla/cirugía , Osteotomía , Tibia/cirugía , Articulación de la Rodilla/cirugía
8.
Orthop Traumatol Surg Res ; 108(7): 103400, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-36096378

RESUMEN

BACKGROUND: Peri-prosthetic fractures (PPFs) are steadily rising in number due to population ageing and increased performance of joint replacement procedures. Although PPFs without implant loosening are usually managed by internal fixation, no consensus exists regarding the optimal construct. The primary objective of this study was to compare five constructs, and the secondary objective was to compare sub-groups of mono-cortical screw constructs, with the goal of identifying the method most appropriate for diaphyseal fracture fixation when prosthetic material is present within the intra-medullary canal. HYPOTHESIS: The primary hypothesis was that fixation using bi-cortical screws, i.e., the current reference standard, was superior over other fixation methods. The secondary hypothesis was that adding double cerclage to mono-cortical screw fixation provided the greatest mechanical strength. MATERIALS AND METHODS: Synthetic osteoporotic bone was used to compare five methods for locking-screw fixation of a femoral diaphyseal plate. One method involved bi-cortical screws and four methods mono-cortical screws, with no cerclage wire, a single cerclage wire on either side positioned near or at a distance from the fracture, and two cerclage wires on both sides of the fracture. A complex fracture was simulated by creating a 2-cm diaphyseal gap. Load-to-failure was determined by applying compression loading along the anatomical axis of the femur. RESULTS: Bi-cortical screw fixation provided greater mechanical strength than did three of the four mono-cortical screw constructs. The exception was the mono-cortical-screw and double-cerclage construct, for which no significant difference was found compared to bi-cortical screw fixation. Thus, mono-cortical screw fixation with double cerclage may be the best alternative when presence of an implant in the intra-medullary canal precludes bi-cortical screw fixation. CONCLUSION: The findings from this study have clear implications for clinical practice. The study hypotheses were partly confirmed. The absence of a significant difference between the reference-standard bi-cortical screw fixation method and mono-cortical screw fixation with double cerclage, combined with the results regarding the secondary objective, suggest that mono-cortical screws plus double cerclage deserve preference in patients with an intra-medullary implant. Clinical studies are needed to assess the results of this bench study. LEVEL OF EVIDENCE: IV, bench study.


Asunto(s)
Fracturas del Fémur , Fracturas Óseas , Humanos , Ensayo de Materiales/métodos , Fenómenos Biomecánicos , Placas Óseas , Fijación Interna de Fracturas/métodos , Fracturas Óseas/cirugía , Fracturas del Fémur/diagnóstico por imagen , Fracturas del Fémur/cirugía
9.
Orthop Traumatol Surg Res ; 108(8): 103411, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-36126870

RESUMEN

OBJECTIVE: The purpose of this study was to examine the effect of insertion angles on the pullout strength of connected pins using a synthetic model simulating a hand bone. MATERIAL AND METHODS: The material consisted of Sawbones® (20 mm×20 mm × 60 mm), fixation pins secured to a connecting rod much like an external fixator, an electric drill (speed 1,290 rpm) and a tensile testing machine. The Sawbones® were drilled with different pin diameters (1.2 mm, 1.5 mm, and 1.8 mm) and insertion angles (100°, 110° and 120°). A vertical displacement of 1 mm/min was applied until the pins were extracted (maximum force). RESULTS: The pullout strength increased with the insertion angle of the connected pins. It also increased with their diameter. Regardless of the pin diameter, the load-displacement curve during the pullout test had 4 sections (peak 1, ascending slope, peak 2, descending slope) that corresponded to the combined frictional force and contact force between the pins and Sawbones®. DISCUSSION: Our study findings showed that, theoretically, for wrist or hand fractures treated with connected pins, the larger the diameter and insertion angle, the better the mechanical holding power of the pins. LEVEL OF EVIDENCE: I, experimental study.


Asunto(s)
Fracturas Óseas , Mano , Humanos , Mano/cirugía , Clavos Ortopédicos , Fijadores Externos , Fracturas Óseas/cirugía , Fricción , Fenómenos Biomecánicos
10.
Orthop Traumatol Surg Res ; 107(7): 103031, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34343697

RESUMEN

INTRODUCTION: the hinge plays a fundamental role in the support and consolidation of a high tibial osteotomy. The objective of this work was to analyse the influence of the end zone of the osteotomy cut and its orientation in relation to the articular joint line (JL) on the risk of hinge fracture. HYPOTHESIS: a specific orientation and end zone of the osteotomy cut can be utilised to decrease the risk of hinge fracture. MATERIAL AND METHOD: a finite element (FE) model was used to reproduce the proximal portion of the tibia and the proximal tibiofibular joint with transverse isotropic elastic bone properties. A 1.27mm thick, complete, anteroposterior saw cut was made with a U-shaped saw blade. Five proximal and lateral tibial zones were used according to Nakamura et al corresponding to the end zones of the osteotomy cut. Three angulations of the cut relative to the JL were defined: 10°, 15°, 20°. The tests consisted of simulating 15 possible situations (3 angulations for each of the 5 end zones) on this model. These simulations made it possible to identify the existence of a local stress concentration (von Mises, in MPa) at the level of the hinge, corresponding to the main judgment criterion. RESULTS: If we consider only the end zones of the osteotomy cut, regardless of its angulation with respect to the JL, the zone which presents, on average, the lowest local stress concentration is the AM zone (40.3MPa). If we consider only the angulation of the osteotomy cut, with respect to the JL, regardless of the end zone of the cut, the angulation that locally concentrates, on average, the least stress is an angulation at 10° (147.7MPa). Finally, it is important to define the best end zone of the osteotomy cut for each angulation value in relation to the JL: for an angulation of 10°, the end zone must be in AM (38MPa), but also for an angulation of 15° (45MPa), and for an angulation of 20° (38MPa). DISCUSSION-CONCLUSION: With the inherent caveats of the experimental conditions, the hypothesis is confirmed. An end zone of the osteotomy cut exists (AM) and an orientation (10°) that induces the lowest local stress concentration and therefore the least likely to induce lateral hinge fracture. However, the orientation of the osteotomy cut is also a matter of surgical habit, especially regarding complementary osteotomy of the tibial tuberosity that some may want to avoid. Thus, it is equally important to know the best end zone associated with a given angulation of the cut in relation to the JL, which according to these results is the AM zone for each angulation. This information helps guide the operator in their surgical practices according to their habits. LEVEL OF EVIDENCE: V, expert opinion.


Asunto(s)
Fracturas Óseas , Osteotomía , Análisis de Elementos Finitos , Humanos , Articulación de la Rodilla/cirugía , Osteotomía/efectos adversos , Osteotomía/métodos , Tibia/cirugía
11.
J Colloid Interface Sci ; 589: 318-326, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33472151

RESUMEN

HYPOTHESIS: The setting time and mechanical properties of cements are a major technical concern for a long time in civil engineering. More recently those practical problems became a major concern for biomedical applications -in bone surgery and in dentistry- in particular concerning the setting time which should be minimized. The possibility to add organic additives to interact with the different constituting ions in cements constitutes a way to modify the setting kinetics. We made the assumption that a hydrolysable polyphenol like tannic acid could modify the setting time and the physical properties of Mineral Trioxide Aggregate (MTA). EXPERIMENTS: Tannic acid is added in variable proportions to the water used to set MTA. The formation of the hybrid organic-mineral cements is investigated using a combination of structural, chemical and mechanical methods. X-ray tomography was also used to investigate the changes in porosity and pore size distribution upon incorporation of tannic acid in MTA based cements. The hydrophilicity of the cements was evaluated by measuring the permeation kinetics of small water droplets. FINDINGS: We found that tannic acid allowed to reduce markedly the setting time of MTA based cements. The obtained cements have an increased hydrophilicity and display excellent resistance to compression. The number of pores but not the average pore size is also affected. The possible roles of tannic acid in modifying the cement properties are discussed.

12.
Mater Sci Eng C Mater Biol Appl ; 127: 112209, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34225861

RESUMEN

The design of bioactive plasters is of major interest for the amelioration of dental and bone cements. In this article, a one pot and environmentally friendly strategy based on the addition of a cheap polyphenol-tannic acid (TA) or the main phenolic constituent of TA, namely pyrogallol (PY)- able to interact with calcium sulfate is proposed. Tannic acid and pyrogallol not only modify the morphology of the obtained plaster+TA/PY composites but a part of it is released and provides strong-up to twenty fold- antibacterial effect against Staphylococcus aureus. It is shown that the higher antibacterial efficiency of PY is related to a greater release compared to TA even if in solution the antibacterial effect of PY is lower than that of TA when reported on the basis of the molar concentration in PY units.


Asunto(s)
Antiinfecciosos , Taninos , Antibacterianos/farmacología , Antiinfecciosos/farmacología , Sulfato de Calcio , Pirogalol/farmacología , Taninos/farmacología
13.
Bioengineering (Basel) ; 8(12)2021 Nov 29.
Artículo en Inglés | MEDLINE | ID: mdl-34940348

RESUMEN

The purpose of the present in vitro study was to investigate the bond strength of root canal dentin and the filling ability of a new multi-fiber-reinforced composite post (mFRC) compared to a conventional single fiber-reinforced-composite post (sFRC). Twenty-eight freshly maxillary first permanent single-rooted premolars were instrumented and divided into groups (n = 14). Group 1: single-fiber-reinforced composite (sFRC), group 2: multi-fiber-reinforced composite (mFRC). Bonding procedures were performed using a dual-cure universal adhesive system and resin cement. All specimens were sectioned so that seven discs of 1 mm of thickness were obtained from each root. An optical microscope was used before the push-out test to measure the total area of the voids and to determine the length of the smaller/bigger circumferences. The push-out bond strength (PBS) test was performed using an Instron universal testing machine. Data were then compared by one-way ANOVA on ranks (α = 0.05). The dentin-cement-post interface was observed using scanning electron microscopy (SEM). At the coronal third, a significantly higher bond strength (p < 0.05) was obtained in the sFRC group (44.7 ± 13.1 MPa) compared to the mFRC group (37.2 ± 9.2 MPa). No significant difference was detected between the groups at the middle third (sFRC group "33.7 ± 12.5 MPa" and mFRC group "32.6 ± 12.4 MPa") (p > 0.05). Voids were significantly lower in the mFRC compared to those observed in the sFRC group (p < 0.05) at the coronal third. Whereas, no significant difference was found at the middle third (p > 0.05) between the tested groups. Filling ability was overall improved when employing mFRC, although such technique might have characteristic limitations concerning the bond strength to dentin.

14.
Clin Biomech (Bristol, Avon) ; 74: 96-102, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-32151903

RESUMEN

BACKGROUNDS: Despite the use of a locking plate a 30% incidence of lateral hinge fracture after Open-Wedge High Tibial Ostetomy was described in the literature. A finite element model was used to analyze if the presence of a hinge-securing screw in the osteotomy area, using Patient Specific Cutting Guides with a locking plate, decreases the stresses within the lateral hinge during compression and torsion. METHODS: A 3D model of a tibial sawbone was used to simulate an opening wedge of 10°. To apply loads on the tibial plateau, two supports were modelled on each tibial plateau to simulate the femoral condyles forces. A two second model with a hinge-stabilizing was defined with two different screws (diameter 2 mm and 4 mm). Two cases of static charges were considered 1) compression test (2500 N) 2) Torsion test (along the tibial mechanical axis). FINDINGS: During compression simulation, 17% of the total surface of lateral hinge was stressed between 41-50Mpa without hinge-securing screw while the amount of surface under stress between 41 and 50 MPa dropped significantly under screw stabilization (1% for the 2 mm and 3% for the 4 mm). During torsion stress simulation a decrease of the value of the maximal stress in the lateral hinge was also observed with the addition of a hinge-securing screw (37 MPa without screw, 27Mpa with a 2 mm screw and 25 Mpa with a 4 mm screw). INTERPRETATION: Positioning a screw intersecting the cutting plane at the theoretical lateral hinge location associated with a locking plate reduces lateral hinge stress in both compression and torsion. Those findings need to be confirmed by further specimens' mechanical testing.


Asunto(s)
Tornillos Óseos , Osteotomía , Tibia/cirugía , Análisis de Elementos Finitos , Fracturas Óseas/cirugía , Humanos
15.
Orthop Traumatol Surg Res ; 105(6): 1079-1083, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31447398

RESUMEN

INTRODUCTION: The hinge plays a primary role in the hold and healing of a high tibial osteotomy (HTO). Weakening of the hinge is a risk factor for failure. The aim of our study was to determine whether the geometry of the saw blade's cutting edge impacts crack initiation or propagation on the hinge. HYPOTHESIS: A certain cutting edge geometry exists that will reduce this risk. MATERIALS AND METHODS: A finite element model with transverse isotropic elastic bone properties was created. A 1.27-mm thick saw cut (full thickness in anteroposterior direction) was made leaving a 1cm lateral cortical hinge. Three different cutting edge geometries were compared: rectangular, U-shaped, V-shaped. Opening of the osteotomy was done over 1mm for 1 s by a load applied distally with the proximal portion fixed. In the first simulation, no crack was initiated at the hinge, while in the second simulation, the beginnings of a 2mm crack angled upward at 15° was added. These two simulations were used to identify whether a local stress riser was present at the hinge. This information was used to calculate the energy release rate to the hinge, which corresponds to the energy needed to initiate and propagate a crack on the hinge. RESULTS: In the first simulation (no crack initiation), a rectangular saw blade geometry resulted in the lowest local stress concentration. In the second simulation (with crack initiation), the U-shaped geometry resulted in the lowest local stress concentration. The U-shaped geometry had the lowest energy release rate, meaning that it was the least likely to initiate and propagate a crack on the lateral cortical hinge. DISCUSSION/CONCLUSION: Keeping the inherent limitations related to computer modelling in mind, our findings show that a U-shaped cutting edge is least likely to initiate or propagate a crack since it has the lowest energy release rate. This confirms our hypothesis. LEVEL OF EVIDENCE: V, expert opinion.


Asunto(s)
Osteotomía/instrumentación , Tibia/cirugía , Simulación por Computador , Análisis de Elementos Finitos , Humanos , Osteotomía/métodos , Instrumentos Quirúrgicos
16.
Materials (Basel) ; 12(15)2019 Jul 29.
Artículo en Inglés | MEDLINE | ID: mdl-31362445

RESUMEN

The effect of reprocessing on the quasi-static uniaxial tensile behavior of two commercial polypropylene (PP)-based composites is experimentally investigated and modeled. In particular, the studied materials consist of an unfilled high-impact PP and a talc-filled high-impact PP. These PP composites are subjected to repeated processing cycles, including a grinding step and an extrusion step to simulate recycling at the laboratory level, the selected reprocessing numbers for this study being 0, 3, 6, 9, and 12. Because the repeated reprocessing leads to thermo-mechanical degradation by chain scission mechanisms, the tensile behavior of the two materials exhibits a continuous decrease of elastic modulus and failure strain with the increasing amount of reprocessing. A physically consistent three-dimensional constitutive model is used to predict the tensile response of non-recycled materials with strain rate dependence. For the recycled materials, the reprocessing effect is accounted by incorporating the reprocessing sensitive coefficient into the constitutive model for Young's modulus, failure strain, softening, and hardening equations. Our predictions of true stress-true strain curves for non-recycled and recycled 108MF97 and 7510-are in good agreement with experimental data and can be useful for industries and companies which are looking for a model able to predict the recycling effect on mechanical behavior of polymer-based materials.

17.
Waste Manag ; 75: 160-173, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29463419

RESUMEN

The prior properties of recycled polypropylene depend on the origin of waste deposits and its chemical constituents. To obtain specific properties with a predefine melt flow index of polypropylene, the suppliers of polymer introduce additives and fillers. However, the addition of additives and/or fillers can modify strongly the mechanical behaviour of recycled polypropylene. To understand the impact of the additives and fillers on the quasi-static mechanical behaviour, we consider, in this study, three different recycled polypropylenes with three different melt flow index obtained from different waste deposits. The chemical constituents of the additives and filler contents of the recycled polypropylenes are determined through thermo-physico-chemical analysis. Tensile and bending tests performed at different strain rates allow identifying the mechanical properties such as the elastic modulus, the yield stress, the maximum stress, and the failure mechanisms. The results obtained are compared with non-recycled polypropylene and with few researches to explain the combined effect of additives. Finally, a post-mortem analysis of the samples was carried out to make the link between the obtained mechanical properties and microstructure.


Asunto(s)
Polipropilenos , Reciclaje , Polímeros
18.
Environ Technol ; 37(3): 369-80, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26165374

RESUMEN

This study proposes mechanical and hydrodynamic characterization of rock wool used as support material in compact filter. A double-pronged approach, based on experimental simulation of various physical states of this material was done. First of all a scanning electron microscopy observation allows to highlight the fibrous network structure, the fibres sizing distribution and the atomic absorption spectrum. The material was essentially lacunar with 97 ± 2% of void space. Static compression tests on variably saturated rock wool samples provide the fact that the strain/stress behaviours depend on both the sample conditioning and the saturation level. Results showed that water exerts plastifying effect on mechanical behaviour of rock wool. The load-displacement curves and drainage evolution under different water saturation levels allowed exhibiting hydraulic retention capacities under stress. Finally, several tracer experiments on rock wool column considering continuous and batch feeding flow regime allowed: (i) to determine the flow model for each test case and the implications for water dynamic in rock wool medium, (ii) to assess the rock wool double porosity and discuss its advantages for wastewater treatment, (iii) to analyse the benefits effect for water treatment when the high level of rock wool hydric retention was associated with the plug-flow effect, and (iv) to discuss the practical contributions for compact filter conception and management.


Asunto(s)
Materiales de Construcción/análisis , Saneamiento/instrumentación , Saneamiento/métodos , Diseño de Equipo , Filtración , Hidrodinámica , Porosidad
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA