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1.
Materials (Basel) ; 15(22)2022 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-36431413

RESUMEN

Cold roll forming used in the manufacturing of lightweight steel profiles for racking storage systems is associated with localized, non-uniform plastic deformations in the corner sections of the profiles, which act as fatigue damage initiation sites. In order to obtain a clearer insight on the role of existing plastic deformation on material fatigue performance, the effect of plastic pre-straining on the low cycle fatigue behavior of S355MC and S460MC steels was investigated. The steels were plastically deformed at different pre-strain levels under tension, and subsequently subjected to cyclic strain-controlled testing. Plastic pre-straining was found to increase cyclic yield strength, decrease ductility, and induce cyclic softening, which, in S460MC, degrades fatigue resistance compared to the unstrained material. In unstrained conditions, the materials present a cyclic softening to hardening transition with increasing plastic strain amplitude, which in S355MC occurs at lower strain amplitudes and degrades its fatigue resistance with regard to the pre-strained material. Pre-straining also leads to a reduction in transition life from low to high cycle fatigue. SEM fractography, performed following the onset of crack initiation, revealed that plastic pre-straining reduces the fatigue fracture section as well as striation spacing, predominantly in the S355MC steel.

2.
Knee ; 33: 169-175, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34626887

RESUMEN

BACKGROUND: The purpose of this study was to evaluate the ultimate failure load and stiffness of two patellar fixation techniques for medial patellofemoral ligament (MPFL) reconstruction: (1) quadriceps tendon fixation (QT), (2) single tunnel (STG) patella fixation with gracilis autograft. METHODS: A total of 16 fresh-frozen cadaveric knees (eight matched pairs) were randomized into two groups (QT vs. STG). The MPFL reconstructions were subjected to cyclic loading for 10 cycles to 30 N and then tested to failure at a constant displacement rate of 15 mm/min using a materials-testing machine (MTS 810 Universal Testing System). Failure mode, ultimate failure load and stiffness were recorded for each cadaveric specimen. RESULTS: There was no significant difference in mean ultimate failure load among groups (P = 0.35). The STG group failed at a mean ultimate load of 190.04 N [standard deviation (SD) 23.18] and the QT group failed at 206.24 N (SD 37.99). The STG group had a mean stiffness of 21.38 N/mm (SD 1.44). This was not significantly higher than the mean stiffness value achieved for the QT group at 20.36 N/mm (SD 1.3) (P = 0.19). In the QT group all reconstructions failed due to tendon rupture at the patella attachment. The reason for failure in the STG group was the graft-suture connection. CONCLUSIONS: This cadaver study showed no statistically significant difference in biomechanical performance of the evaluated patella fixation techniques, in terms of maximum load to failure and stiffness. Both techniques are reliable in terms of biomechanical properties and could offer additional surgical solutions.


Asunto(s)
Rótula , Articulación Patelofemoral , Autoinjertos , Fenómenos Biomecánicos , Cadáver , Humanos , Ligamentos Articulares/cirugía , Articulación Patelofemoral/diagnóstico por imagen , Articulación Patelofemoral/cirugía , Tendones
3.
Knee Surg Sports Traumatol Arthrosc ; 29(11): 3697-3705, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33386885

RESUMEN

PURPOSE: The purpose of this study was to compare the maximum load to failure and stiffness of three medial patella-femoral ligament (MPFL) reconstruction techniques: (i) suture anchor fixation (SA), (ii) interference screw fixation (SF), and (iii) suture knot (SK) patellar fixation. The null hypothesis was that the comparison between these three different patella fixation techniques would show no difference in the ultimate failure load and stiffness. METHODS: Reconstruction of the MPFL with gracilis tendon autograft was performed in 12 pairs of fresh-frozen cadaveric knees (24 knees total; mean age, 63.6 [Formula: see text] 8.0 years). The specimens were randomly distributed into 3 groups of 8 specimens; SA reconstruction was completed with two 3.0-mm metal suture anchors; (SF) fixation was accomplished by two 6-mm bio-composite interference screws; SK fixation at the lateral side of the patella was accomplished after drilling two semi-patellar tunnels with a diameter of 4.5 mm. The reconstructions were subjected to cyclic loading for 10 cycles to 30 N and tested to failure at a constant displacement rate of 15 mm/min using a materials-testing machine (MTS 810 Universal Testing System). The final load of failure (N), stiffness (N / mm) and failure mode was recorded in each specimen and followed by statistical analysis. RESULTS: There was no significant difference in mean ultimate failure load among the three groups. The SK group failed at a mean ([Formula: see text] SD) ultimate load of 253.5 [Formula: see text] 38.2 N, the SA group failed at 243 [Formula: see text] 41.9 N and the SF group at 263.2 [Formula: see text] 9.06 N. The SF group had a mean stiffness of 37.8 [Formula: see text] 5.7 N/mm. This was significantly higher (p < 0.05) than the mean stiffness value achieved for the SK group 21.4 [Formula: see text] 9.5 N/mm and the SA group 18.7 [Formula: see text] 3.4 N/mm. The most common mode of failure in the SA group was anchor pullout, and in the SK group was failure at the graft-suture interface. All the reconstructions in the SF group failed due to tendon graft slippage from the tunnel. CONCLUSION: Load to failure was not significantly different between the 3 techniques. However, screw fixation was found to be significantly stronger than the anchor and the suture knot fixation in terms of rigidity of the reconstruction. From a clinical point of view, all methods of fixation can be used reliably for MPFL reconstruction, since they were found to be stronger than the native MPFL.


Asunto(s)
Articulación Patelofemoral , Anclas para Sutura , Fenómenos Biomecánicos , Tornillos Óseos , Cadáver , Humanos , Persona de Mediana Edad , Rótula/cirugía , Articulación Patelofemoral/cirugía , Técnicas de Sutura , Suturas
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