Angular stable lateral plating is a valid alternative to conventional plate fixation in the proximal phalanx. A biomechanical study.

PubMed

Shanmugam, R; Ernst, M; Stoffel, K; Fischer, M F; Wahl, D; Richards, R G; Gueorguiev, B

2015-06-01

Dorsal plating is commonly used in proximal phalanx fractures but it bears the risk of interfering with the extensor apparatus. In this study, dorsal and lateral plating fixation methods are compared to assess biomechanical differences using conventional 1.5mm non-locking plates and novel 1.3mm lateral locking plates. Twenty-four fresh frozen human cadaveric proximal phalanges were equally divided into four groups. An osteotomy was set at the proximal metaphyseal-diaphyseal junction and fixed with either dorsal (group A) or lateral (group B) plating using a 1.5mm non-locking plate, or lateral plating with a novel 1.3mm locking plate with bicortical (group C) or unicortical (group D) screws. The specimens were loaded in axial, dorsovolar and mediolateral direction to assess fixation stiffness followed by a cyclic destructive test in dorsovolar loading direction. Axial stiffness was highest in group D (mean 321.02, SEM 21.47N/mm) with a significant difference between groups D and B (P=0.033). Locking plates (groups C and D) were stiffer than non-locking plates under mediolateral loading (P=0.007), no significant differences were noted under dorsovolar loading. Furthermore, no significant differences were observed under cyclic loading to failure between any of the study groups. No considerable biomechanical advantage of using a conventional 1.5mm dorsal non-locking plate was identified over the novel 1.3mm lateral locking plate in the treatment of proximal phalanx fractures. Since the novel low-profile plate is less disruptive to the extensor mechanism, it should be considered as a valid alternative. Copyright © 2015 Elsevier Ltd. All rights reserved.

Evaluation of Bone Atrophy After Treatment of Forearm Fracture Using Nonlinear Finite Element Analysis: A Comparative Study of Locking Plates and Conventional Plates.

PubMed

Matsuura, Yusuke; Rokkaku, Tomoyuki; Suzuki, Takane; Thoreson, Andrew Ryan; An, Kai-Nan; Kuniyoshi, Kazuki

2017-08-01

Forearm diaphysis fractures are usually managed by open reduction internal fixation. Recently, locking plates have been used for treatment. In the long-term period after surgery, some patients present with bone atrophy adjacent to the plate. However, a comparison of locking and conventional plates as a cause of atrophy has not been reported. The aim of this study was to investigate long-term bone atrophy associated with use of locking and conventional plates for forearm fracture treatment. In this study we included 15 patients with forearm fracture managed by either locking or conventional plates and with more than 5 years of follow-up. Computed tomographic imaging of both forearms was performed to assess bone thickness and local bone mineral density and to predict bone strength without plate reinforcement based on finite element analysis. Mean patient age at surgery was 48.0 years. Eight patients underwent reduction with fixed locking plates and were followed up for a mean of 79.5 months; the remaining 7 patients were treated with conventional plates and were followed up for a mean of 105.0 months. Compared with the conventional plate group, the locking plate group had the same fractured limb-contralateral limb ratio of cortex bone thickness, but had significantly lower ratios of mineral density adjacent to the plate and adjusted bone strength. This study demonstrated bone atrophy after locking plate fixation for forearm fractures. Treatment plans for forearm fracture should take into consideration the impact of bone atrophy long after plate fixation. Therapeutic IV. Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

LagLoc - a new surgical technique for locking plate systems.

PubMed

Triana, Miguel; Gueorguiev, Boyko; Sommer, Christoph; Stoffel, Karl; Agarwal, Yash; Zderic, Ivan; Helfen, Tobias; Krieg, James C; Krause, Fabian; Knobe, Matthias; Richards, R Geoff; Lenz, Mark

2018-06-19

Treatment of oblique and spiral fractures remains challenging. The aim of this study was to introduce and investigate the new LagLoc technique for locked plating with generation of interfragmentary compression, combining the advantages of lag-screw and locking-head-screw techniques. Oblique fracture was simulated in artificial diaphyseal bones, assigned to three groups for plating with a 7-hole locking compression plate. Group I was plated with three locking screws in holes 1, 4 and 7. The central screw crossed the fracture line. In group II the central hole was occupied with a lag screw perpendicular to fracture line. Group III was instrumented applying the LagLoc technique as follows. Hole 4 was predrilled perpendicularly to the plate, followed by overdrilling of the near cortex and insertion of a locking screw whose head was covered by a holding sleeve to prevent temporarily the locking in the plate hole and generate interfragmentary compression. Subsequently, the screw head was released and locked in the plate hole. Holes 1 and 7 were occupied with locking screws. Interfragmentary compression in the fracture gap was measured using pressure sensors. All screws in the three groups were tightened with 4Nm torque. Interfragmentary compression in group I (167 ± 25N) was significantly lower in comparison to groups II (431 ± 21N) and III (379 ± 59N), p≤0.005. The difference in compression between groups II and III remained not significant (p = 0.999). The new LagLoc technique offers an alternative tool to generate interfragmentary compression with the application of locking plates by combining the biomechanical advantages of lag screw and locking screw fixations. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Orthodontic skeletal anchorage using a palatal external plate.

PubMed

Kobayashi, Masaru; Fushima, Kenji

2014-03-01

We have developed the Anchor-Lock external plate system, which is fitted on the palate for the purpose of orthodontic skeletal anchorage. The aim of this study was to introduce the Anchor-Lock and assess its success rate. The Anchor-Lock is composed of titanium screws of 2·0-mm diameter and a titanium plate of 1·0-mm thickness. The external plate is rigidly interlocked with the heads of the screws, which are implanted trans-mucosally into palatal bone. Three types of Anchor-Lock are available. These were applied to 137 orthodontic patients (104 females and 33 males) aged 10-54 years. Two types of plate were used, a straight-shaped plate applied to the hard palate and to the anterior palate and a double-Y-shaped plate applied after tooth-borne rapid maxillary expansion. Success rate of the Anchor-Lock was 92·0% overall. No significant difference in success rate was found by age or sex of patients. Type or screw length of the Anchor-Lock did not affect success rate significantly. Success rate was significantly increased by the use of the surgical stent. The Anchor-Lock was effectively applied to distalize and/or intrude the upper molars. The Anchor-Lock system appears suitable for clinical use as an alternative to conventional screw- and plate-type orthodontic implants.

Comparison of modern locked plating and antiglide plating for fixation of osteoporotic distal fibular fractures.

PubMed

Switaj, Paul J; Wetzel, Robert J; Jain, Neel P; Weatherford, Brian M; Ren, Yupeng; Zhang, Li-Qun; Merk, Bradley R

2016-09-01

Fractures in osteoporotic patients can be difficult to treat because of poor bone quality and inability to gain screw purchase. The purpose of this study is to compare modern lateral periarticular distal fibula locked plating to antiglide plating in the setting of an osteoporotic, unstable distal fibula fracture. AO/OTA 44-B2 distal fibula fractures were created in sixteen paired fresh frozen cadaveric ankles and fixed with a lateral locking plate and an independent lag screw or an antiglide plate with a lag screw through the plate. The specimens underwent stiffness, cyclic loading, and load to failure testing. The energy absorbed until failure, torque to failure, construct stiffness, angle at failure, and energy at failure was recorded. The lateral locking construct had a higher torque to failure (p=0.02) and construct stiffness (p=0.04). The locking construct showed a trend toward increased angle at failure, but did not reach statistical significance (p=0.07). Seven of the eight lateral locking plate specimens failed through the distal locking screws, while the antiglide plating construct failed with pullout of the distal screws and displacement of the fracture in six of the eight specimens. In our study, the newly designed distal fibula periarticular locking plate with increased distal fixation is biomechanically stronger than a non-locking one third tubular plate applied in antiglide fashion for the treatment of AO/OTA 44-B2 osteoporotic distal fibula fractures. V: This is an ex-vivo study performed on cadavers and is not a study performed on live patients. Therefore, this is considered Level V evidence. Copyright © 2015. Published by Elsevier Ltd.

Vane segment support and alignment device

DOEpatents

McLaurin, L.D.; Sizemore, J.D.

1999-07-13

A support and alignment assembly for supporting and aligning a vane segment is provided. The support and alignment assembly comprises a torque plate which defines an opening for receiving an eccentric pin and a locking end member for receiving a lock socket member. An eccentric pin adjustably supported by the torque plate opening for supporting and aligning a vane segment is provided. A lock socket member adapted to securely receive the eccentric pin and rotated therewith, and adjustably engage the torque plate locking end is provided. The lock socket member receives the eccentric pin, such that when the eccentric pin is adjusted to align the vane segment, the lock socket member engages the torque plate locking end to secure the vane segment in the desired position. 5 figs.

Vane segment support and alignment device

DOEpatents

McLaurin, Leroy Dixon; Sizemore, John Derek

1999-01-01

A support and alignment assembly for supporting and aligning a vane segment is provided. The support and alignment assembly comprises a torque plate which defines an opening for receiving an eccentric pin and a locking end member for receiving a lock socket member. An eccentric pin adjustably supported by the torque plate opening for supporting and aligning a vane segment is provided. A lock socket member adapted to securely receive the eccentric pin and rotated therewith, and adjustably engage the torque plate locking end is provided. The lock socket member receives the eccentric pin, such that when the eccentric pin is adjusted to align the vane segment, the lock socket member engages the torque plate locking end to secure the vane segment in the desired position.

Percutaneous insertion of a proximal humeral locking plate: an anatomic study.

PubMed

Smith, Jason; Berry, Greg; Laflamme, Yves; Blain-Pare, Etienne; Reindl, Rudy; Harvey, Edward

2007-02-01

This cadaveric study sought to evaluate the feasibility of applying a locking proximal humerus plate with a novel minimally invasive technique. A unique pre-contoured locking plate was placed on cadaveric proximal humeri through a described minimally invasive approach. Proximity of the plate and screws to the axillary nerve and their respective surgical tracks were quantified. Safe screw hole placement with respect to the axillary nerve was determined. Risk of entrapment of the nerve beneath the plate was evaluated. Three of the holes near the middle of the locking plate consistently intersected the course of the axillary nerve and were unsafe for percutaneous placement of the screws. The axillary nerve could be palpated during the course of surgery and easily protected from injury. No entrapment of the axillary nerve occurred using this minimally invasive technique. The screw-in locking guide cannot be used with this technique as it caused tenting of the axillary nerve. Placement of a locking proximal humerus plate via a minimally invasive lateral trans-deltoid approach is safe if the locking screws are limited to superior and inferior holes. This can be done safely without entrapment of the axillary beneath the plate. Plate fixation of proximal humerus fractures may now be more desirable with the use of this approach.

Full title: Biomechanical comparison between stainless steel, titanium and carbon-fiber reinforced polyetheretherketone volar locking plates for distal radius fractures.

PubMed

Mugnai, Raffaele; Tarallo, Luigi; Capra, Francesco; Catani, Fabio

2018-05-25

As the popularity of volar locked plate fixation for distal radius fractures has increased, so have the number and variety of implants, including variations in plate design, the size and angle of the screws, the locking screw mechanism, and the material of the plates. carbon-fiber reinforced polyetheretherketone (CFR-PEEK) plate features similar biomechanical properties to metallic plates, representing, therefore, an optimal alternative for the treatment of distal radius fractures. three different materials-composed plates were evaluated: stainless steel volar lateral column (Zimmer); titanium DVR (Hand Innovations); CFR-PEEK DiPHOS-RM (Lima Corporate). Six plates for each type were implanted in sawbones and an extra-articular rectangular osteotomy was created. Three plates for each material were tested for load to failure and bending stiffness in axial compression. Moreover, 3 constructs for each plate were evaluated after dynamically loading for 6000 cycles of fatigue. the mean bending stiffness pre-fatigue was significantly higher for the stainless steel plate. The titanium plate yielded the higher load to failure both pre and post fatigue. After cyclic loading, the bending stiffness increased by a mean of 24% for the stainless steel plate; 33% for the titanium; and 17% for the CFR-PEEK plate. The mean load to failure post-fatigue increased by a mean of 10% for the stainless steel and 14% for CFR-PEEK plates, whereas it decreased (-16%) for the titanium plate. Statistical analysis between groups reported significant values (p <.001) for all comparisons except for Hand Innovations vs. Zimmer bending stiffness post fatigue (p = .197). the significant higher load to failure of the titanium plate, makes it indicated for patients with higher functional requirements or at higher risk of trauma in the post-operative period. The CFR-PEEK plate showed material-specific disadvantages, represented by little tolerance to plastic deformation, and lower load to failure. N/A. Copyright © 2018. Published by Elsevier Masson SAS.

[Comparative study on the strength of different mechanisms of operation of multidirectionally angle-stable distal radius plates].

PubMed

Rausch, S; Hoffmeier, K; Gueorguiev, B G; Klos, K; Gras, F; Hofmann, G O; Mückley, T

2011-12-01

Polyaxial angle-stable plating is thought to be particularly beneficial in the management of complex intra-articular fractures of the distal radius. The present study was performed to investigate the strength of polyaxial locking interfaces of distal radius plates. We tested the polyaxial interfaces of 3 different distal radius plates (2.4 mm Variable Angle LCP Two-Column Volar Distal Radius Plate, Synthes, Palmar Classic, Königsee Implantate and VariAx Plate Stryker). The strength of 0° and 10° screw locking angle was obtained during static loading. The strength of Palmar Classic with a 0° locking angle is significantly the best of all tested systems. With a 10° locking angle there is no significant difference between Palmar Classic, Two column Plate and VariAx Plate. The strength of polyaxial interfaces differs between the tested systems. A reduction of ultimate strength is due to increases of screw locking angle. The design of polyaxial locking interfaces should be investigated in human bone models. © Georg Thieme Verlag KG Stuttgart · New York.

Adult periarticular locking plates for the treatment of pediatric and adolescent subtrochanteric hip fractures.

PubMed

Sanders, Samuel; Egol, Kenneth A

2009-01-01

Two cases are presented in which adult, precontoured, lower-extremity periarticular locking plates were utilized for fixation of subtrochanteric femur fractures in pediatric patients. Recognition of the fact that a distal tibial locking plate in a small child and a proximal tibial locking plate in an adolescent anatomically ft the proximal femur in each case may provide a surgeon treating subtrochanteric hip fractures in this population increased options for operative stabilization.

Vane segment support and alignment device

DOE Office of Scientific and Technical Information (OSTI.GOV)

McLaurin, L.D.; Sizemore, J.D.

1999-07-13

A support and alignment assembly for supporting and aligning a vane segment is provided. The support and alignment assembly comprises a torque plate which defines an opening for receiving an eccentric pin and a locking end member for receiving a lock socket member. An eccentric pin adjustably supported by the torque plate opening for supporting and aligning a vane segment is provided. A lock socket member adapted to securely receive the eccentric pin and rotated therewith, and adjustably engage the torque plate locking end is provided. The lock socket member receives the eccentric pin, such that when the eccentric pinmore » is adjusted to align the vane segment, the lock socket member engages the torque plate locking end to secure the vane segment in the desired position. 5 figs.« less

Biomechanical Analysis of the Efficacy of Locking Plates during Cyclic Loading in Metacarpal Fractures

PubMed Central

Meffert, Rainer H.; Raschke, Michael J.; Blunk, Torsten; Ochman, Sabine

2014-01-01

Purpose. To analyse the biomechanical characteristics of locking plates under cyclic loading compared to a nonlocking plate in a diaphyseal metacarpal fracture. Methods. Oblique diaphyseal shaft fractures in porcine metacarpal bones were created in a biomechanical fracture model. An anatomical reduction and stabilization with a nonlocking and a comparable locking plate in mono- or bicortical screw fixation followed. Under cyclic loading, the displacement, and in subsequent load-to-failure tests, the maximum load and stiffness were measured. Results. For the monocortical screw fixation of the locking plate, a similar displacement, maximum load, and stiffness could be demonstrated compared to the bicortical screw fixation of the nonlocking plate. Conclusions. Locking plates in monocortical configuration may function as a useful alternative to the currently common treatment with bicortical fixations. Thereby, irritation of the flexor tendons would be avoided without compromising the stability, thus enabling the necessary early functional rehabilitation. PMID:24757429

Dynamic Stabilization of Simple Fractures With Active Plates Delivers Stronger Healing Than Conventional Compression Plating

PubMed Central

Tsai, Stanley; Bliven, Emily K.; von Rechenberg, Brigitte; Kindt, Philipp; Augat, Peter; Henschel, Julia; Fitzpatrick, Daniel C.; Madey, Steven M.

2017-01-01

Objectives: Active plates dynamize a fracture by elastic suspension of screw holes within the plate. We hypothesized that dynamic stabilization with active plates delivers stronger healing relative to standard compression plating. Methods: Twelve sheep were randomized to receive either a standard compression plate (CP) or an active plate (ACTIVE) for stabilization of an anatomically reduced tibial osteotomy. In the CP group, absolute stabilization was pursued by interfragmentary compression with 6 cortical screws. In the ACTIVE group, dynamic stabilization after bony apposition was achieved with 6 elastically suspended locking screws. Fracture healing was analyzed weekly on radiographs. After sacrifice 9 weeks postsurgery, the torsional strength of healed tibiae and contralateral tibiae was measured. Finally, computed tomography was used to assess fracture patterns and healing modes. Results: Healing in both groups included periosteal callus formation. ACTIVE specimens had almost 6 times more callus area by week 9 (P < 0.001) than CP specimens. ACTIVE specimens recovered on average 64% of their native strength by week 9, and were over twice as strong as CP specimens, which recovered 24% of their native strength (P = 0.008). Microcomputed tomography demonstrated that compression plating induced a combination of primary bone healing and gap healing. Active plating consistently stimulated biological bone healing by periosteal callus formation. Conclusions: Compared with compression plating, dynamic stabilization of simple fractures with active plates delivers significantly stronger healing. PMID:27861456

Effect of Off-Axis Screw Insertion, Insertion Torque, and Plate Contouring on Locked Screw Strength

PubMed Central

Gallagher, Bethany; Silva, Matthew J.; Ricci, William M.

2015-01-01

Objectives This study quantifies the effects of insertion torque, off-axis screw angulation, and plate contouring on the strength of locking plate constructs. Methods Groups of locking screws (n = 6–11 screws) were inserted at 50%, 100%, 150%, and 200% of the manufacturer-recommended torque (3.2 Nm) into locking compression plates at various angles: orthogonal (control), 5-degree angle off-axis, and 10-degree angle off-axis. Screws were loaded to failure by a transverse force (parallel to the plate) either in the same (“+”) or opposite direction (“−”) of the initial screw angulation. Separately, locking plates were bent to 5 and 10-degree angles, with the bend apex at a screw hole. Locking screws inserted orthogonally into the apex hole at 100% torque were loaded to failure. Results Orthogonal insertion resulted in the highest average load to failure, 2577 ± 141 N (range, 2413–2778 N), whereas any off-axis insertion significantly weakened constructs (165–1285 N, at 100% torque) (P < 0.05). For “+” loading, torque beyond 100% did not increase strength, but 50% torque reduced screw strength (P < 0.05). Loading in the “−” direction consistently resulted in higher strengths than “+” loading (P < 0.05). Plate contouring of 5-degree angle did not significantly change screw strength compared with straight plates but contouring of 10-degree angle significantly reduced load to failure (P < 0.05). Conclusions To maximize the screw plate interface strength, locking screws should be inserted without cross-threading. The mechanical stability of locked screws is significantly compromised by loose insertion, off-axis insertion, or severe distortion of the locking mechanism. PMID:24343255

External fixation versus open reduction with locked volar plating for geriatric distal radius fractures.

PubMed

Lee, Daniel J; Elfar, John C

2014-09-01

The optimal management of displaced dorsal radius fractures (DRFs) in older patients remains an issue of debate. Bridging external fixation is a well-accepted treatment modality for severely comminuted DRFs, while open reduction and internal fixation with locked volar plating has emerged as a promising alternative in recent years. The current body of randomized trials supports the trend toward locked volar plating, as it allows for quicker improvement in subjective and functional outcomes. There is no clear evidence to suggest that one technique carries significantly less complications than the other. Locked volar plating should be considered in patients for whom an accelerated functional recovery would be advantageous. Otherwise, both external fixation and locked volar plating provide good long-term clinical outcomes.

Safety lock-out device for electrical appliances

DOEpatents

Cliff, Jr., Paul L.

1996-01-01

A safety lock-out device prevents the insertion of an electrical power cord into an electrical power cord receptacle of an electrical appliance. The devise comprises a mounting plate fastened to the appliance and a cover plate hingedly attached to the appliance. The cover plate is movable between a first position and a second position such that, in the first position, the cover plate covers and prevents insertion of a power cord into the appliance receptacle. In said second position, the appliance receptacle is uncovered to permit insertion of a power cord into the receptacle. Extending a lock shank through aligned openings formed in flange members extending from the mounting plate and the cover plate locks the cover plate in the first position.

Safety lock-out device for electrical appliances

DOEpatents

Cliff, P.L. Jr.

1996-07-09

A safety lock-out device prevents the insertion of an electrical power cord into an electrical power cord receptacle of an electrical appliance. The device comprises a mounting plate fastened to the appliance and a hinged cover plate attached to the appliance. The cover plate is movable between a first position and a second position such that, in the first position, the cover plate covers and prevents insertion of a power cord into the appliance receptacle. In said second position, the appliance receptacle is uncovered to permit insertion of a power cord into the receptacle. Extending a lock shank through aligned openings formed in flange members extending from the mounting plate, the cover plate locks the cover plate in the first position. 15 figs.

Outcomes of proximal humeral fracture fixation with locked CFR-PEEK plating.

PubMed

Katthagen, Jan Christoph; Ellwein, Alexander; Lutz, Olga; Voigt, Christine; Lill, Helmut

2017-04-01

To investigate the outcomes of proximal humeral fracture (PHF) fixation with a novel carbon-fiber-reinforced (CFR)-PEEK plate and to compare results with outcomes after conventional locked titanium plating. Twenty-one patients (7 male, 14 female) with operative treatment of unilateral displaced PHFs (mean age, 66.8 ± 9.9 years) with a novel CRF-PEEK plate were prospectively enrolled. Patients were followed up clinically (Constant Score, Simple Shoulder Test and Simple Shoulder Value) and radiologically 3 months postoperative and again clinically 12 months postoperative. Implant-related complications were evaluated after 3 and 12 months. Results at 1-year follow-up were compared with results of 21 patients (7 male, 14 female; mean age, 67.4 ± 9.7 years) with conventional titanium locked plating by matched case-control analysis. All functional outcomes improved after CFR-PEEK plating (p < 0.05). Twelve months postoperatively, the mean age- and gender-related Constant Score was 99.8 ± 21.2%. All fractures healed by the 3-month follow-up without evidence of secondary screw perforation, fragment displacement or loss of fixation. There were no significant differences between the functional outcomes of patients with the CF-PEEK plate and patients with locked titanium plating (p > 0.05). Patients with locked titanium plating were significantly more likely to require revision surgery related to articular screw perforations (p = 0.048). Fracture fixation of displaced PHFs with a novel CFR-PEEK plate resulted in good to excellent 1-year functional outcomes which were similar to outcomes of conventional locked titanium plating. The stiffer locked titanium plating was associated with a higher risk of articular screw perforations than the more elastic CFR-PEEK plate.

Dual mini-fragment plating for midshaft clavicle fractures: a clinical and biomechanical investigation.

PubMed

Prasarn, Mark L; Meyers, Kathleen N; Wilkin, Geoffrey; Wellman, David S; Chan, Daniel B; Ahn, Jaimo; Lorich, Dean G; Helfet, David L

2015-12-01

We sought to evaluate clinical and biomechanical outcomes of dual mini-fragment plate fixation for clavicle fractures. We hypothesized that this technique would produce an anatomical reduction with good clinical outcomes, be well tolerated by patients, and demonstrate equivalent biomechanics to single plating. Dual mini-fragment plating was performed for 17 isolated, displaced midshaft clavicle fractures. Functional outcomes and complications were retrospectively reviewed. A sawbones model compared dual plating biomechanics to a (1) superior 3.5-mm locking reconstruction plate, or (2) antero-inferior 3.5-mm locking reconstruction plate. On biomechanical testing, with anterior loading, dual plating was significantly more rigid than single locked anterior-plating (p = 0.02) but less rigid than single locked superior-plating (p = 0.001). With superior loading, dual plating trended toward higher rigidity versus single locked superior-plating (p = 0.07) but was less rigid than single locked anterior-plating (p = 0.03). No statistically significant differences in axial loading (p = 0.27) or torsion (p = 0.23) were detected. Average patient follow-up was 16.1 months (12-38). Anatomic reduction was achieved and maintained through final healing (average 14.7 weeks). No patient underwent hardware removal. Average 1-year DASH score was 4.0 (completed in 88 %). Displaced midshaft clavicle fractures can be effectively managed with dual mini-fragment plating. This technique results in high union rates and excellent clinical outcomes. Compared to single plating, dual plating is biomechanically equivalent in axial loading and torsion, yet offers better multi-planar bending stiffness despite the use of smaller plates. This technique may decrease the need for secondary surgery due to implant prominence and may aid in fracture reduction by buttressing butterfly fragments in two planes.

Dynamic locking screw improves fixation strength in osteoporotic bone: an in vitro study on an artificial bone model.

PubMed

Pohlemann, Tim; Gueorguiev, Boyko; Agarwal, Yash; Wahl, Dieter; Sprecher, Christoph; Schwieger, Karsten; Lenz, Mark

2015-04-01

The novel dynamic locking screw (DLS) was developed to improve bone healing with locked-plate osteosynthesis by equalising construct stiffness at both cortices. Due to a theoretical damping effect, this modulated stiffness could be beneficial for fracture fixation in osteoporotic bone. Therefore, the mechanical behaviour of the DLS at the screw-bone interface was investigated in an artificial osteoporotic bone model and compared with conventional locking screws (LHS). Osteoporotic surrogate bones were plated with either a DLS or a LHS construct consisting of two screws and cyclically axially loaded (8,500 cycles, amplitude 420 N, increase 2 mN/cycle). Construct stiffness, relative movement, axial screw migration, proximal (P) and distal (D) screw pullout force and loosening at the bone interface were determined and statistically evaluated. DLS constructs exhibited a higher screw pullout force of P 85 N [standard deviation (SD) 21] and D 93 N (SD 12) compared with LHS (P 62 N, SD 28, p = 0.1; D 57 N, SD 25, p < 0.01) and a significantly lower axial migration over cycles compared with LHS (p = 0.01). DLS constructs showed significantly lower axial construct stiffness (403 N/mm, SD 21, p < 0.01) and a significantly higher relative movement (1.1 mm, SD 0.05, p < 0.01) compared with LHS (529 N/mm, SD 27; 0.8 mm, SD 0.04). Based on the model data, the DLS principle might also improve in vivo plate fixation in osteoporotic bone, providing enhanced residual holding strength and reducing screw cutout. The influence of pin-sleeve abutment still needs to be investigated.

A biomechanical comparison of conventional dynamic compression plates and string-of-pearls™ locking plates using cantilever bending in a canine Ilial fracture model.

PubMed

Kenzig, Allison R; Butler, James R; Priddy, Lauren B; Lacy, Kristen R; Elder, Steven H

2017-07-13

Fracture of the ilium is common orthopedic injury that often requires surgical stabilization in canine patients. Of the various methods of surgical stabilization available, application of a lateral bone plate to the ilium is the most common method of fixation. Many plating options are available, each having its own advantages and disadvantages. The purpose of this study was to evaluate the biomechanical properties of a 3.5 mm String-of-Pearls™ plate and a 3.5 mm dynamic compression plate in a cadaveric canine ilial fracture model. Hemipelves were tested in cantilever bending to failure and construct stiffness, yield load, displacement at yield, ultimate load, and mode of failure were compared. The mean stiffness of dynamic compression plate (116 ± 47 N/mm) and String-of-Pearls™ plate (107 ± 18 N/mm) constructs, mean yield load of dynamic compression plate (793 ± 333 N) and String-of-Pearls™ plate (860 ± 207 N) constructs, mean displacement at yield of dynamic compression plate (8.6 ± 3.0 mm) and String-of-Pearls™ plate (10.2 ± 2.8 mm) constructs, and ultimate load at failure of dynamic compression plate (936 ± 320 N) and String-of-Pearls™ plate (939 ± 191 N) constructs were not significantly different. No differences were found between constructs with respect to mode of failure. No significant biomechanical differences were found between String-of-Pearls™ plate and dynamic compression plate constructs in this simplified cadaveric canine ilial fracture model.

Locking support for nuclear fuel assemblies

DOEpatents

Ledin, Eric

1980-01-01

A locking device for supporting and locking a nuclear fuel assembly within a cylindrical bore formed by a support plate, the locking device including a support and locking sleeve having upwardly extending fingers forming wedge shaped contact portions arranged for interaction between an annular tapered surface on the fuel assembly and the support plate bore as well as downwardly extending fingers having wedge shaped contact portions arranged for interaction between an annularly tapered surface on the support plate bore and the fuel assembly whereby the sleeve tends to support and lock the fuel assembly in place within the bore by its own weight while facilitating removal and/or replacement of the fuel assembly.

[Unidirectional versus multidirectional palmar locking osteosynthesis of unstable distal radius fractures: comparative analysis with LDR 2.4 mm versus 2.7 mm matrix-Smartlock].

PubMed

Hakimi, M; Jungbluth, P; Gehrmann, S; Nowak, J; Windolf, J; Wild, M

2010-03-01

Due to advances in the development of the unidirectional locking plates there is now an increased use of multidirectional palmar locking plates in the treatment of distal radius factures. The purpose of this study was to evaluate a possible improvement of the treatment and results. This prospective cohort study investigated 40 patients with C1 and C2 Colles' fractures who had been treated with unidirectional and multidirectional locking plates. The average time for the follow-up examinations was 12.3 months (range 12-15 months) after surgery. The intra-operative functional (neutral-zero method), radiological and subjective (DASH score, VAS) results were evaluated. The intra-operative fluoroscopy time of the unidirectional group was 58 s shorter compared to the multidirectional group. All fractures healed without any complication. The radiological, subjective (DASH score) and objective results for both groups were good and showed no differences. Unidirectional palmar locking plates are equally suited for the therapy of C1 and C2 fractures as multidirectional palmar locking plates but multidirectional plates require a longer fluoroscopy time.

Biomechanical strength of the Peri-Loc proximal tibial plate: a comparison of all-locked versus hybrid locked/nonlocked screw configurations.

PubMed

Estes, Chris; Rhee, Peter; Shrader, M Wade; Csavina, Kristine; Jacofsky, Marc C; Jacofsky, David J

2008-01-01

The purpose of this study was to compare the biomechanical properties of a contoured locking plate instrumented with either an all-locked or hybrid locked/nonlocked screw construct in a proximal metaphyseal fracture of the tibia (AO 41-A3.2). A standardized proximal metaphyseal wedge osteotomy (AO 41-A3.2) was created in five pairs of cadaveric tibia. Each pair was randomly instrumented with either an all-locked or combination locked/nonlocked screw construct using a locked contoured periarticular plate (Peri-Loc periarticular locked plating system, Smith & Nephew, Memphis, TN). Vertical subsidence (irreversible deformation) and deflection (reversible deformation) in each pair were analyzed and compared. Load to failure, defined by complete fracture gap closure, was also determined. There was no statistically significant difference in vertical subsidence (P = 0.19) or deflection (P = 0.19) of the proximal tibia between the all-locked and combination locked/nonlocked screw construct with increasing levels of cyclical axial load from 200 to 1200 N. Failure occurred at a mean value of 2160 N in the locked group and 1760 N in the hybrid group (P = 0.19); the failure mode was plate bending in all specimens. The results indicate that the use of compression screws with locked screws in this particular construct allows a similar amount of irreversible and reversible deformation in response to an axial load when compared to an all-locked screw construct. This suggests that there is no statistically significant difference in the stability in fixation between the two methods, allowing the surgeon the freedom to choose the appropriate screw combination unique to each fracture.

Addition of a Medial Locking Plate to an In Situ Lateral Locking Plate Results in Healing of Distal Femoral Nonunions.

PubMed

Holzman, Michael A; Hanus, Bryan D; Munz, John W; O'Connor, Daniel P; Brinker, Mark R

2016-06-01

Nonunion of the distal femur after lateral plating is associated with axial malalignment, chronic pain, loss of ambulatory function, and decreased knee ROM. The addition of a medial locking plate with autogenous bone grafting can provide greater stability to allow bone healing and may be used to achieve union in these challenging cases. We wished to determine (1) the proportion of patients who achieve radiographic signs of osseous union for distal femoral nonunions with an in situ lateral plate after treatment with addition of a medial locking plate and autogenous bone grafting, and (2) the frequency and types of complications associated with this treatment. Between 2007 and 2013, we treated 22 patients for 23 distal femoral nonunions, defined as an unhealed fracture with no radiographic signs of osseous union at a mean of 16 months (SD, 13 months) after injury. During that time, we used a treatment algorithm consisting of treatment in one or two stages. The single-stage procedure performed in 16 aseptic nonunions with a stable lateral plate involved addition of a medial locking plate and autogenous bone graft. A two-stage treatment performed in seven nonunions with lateral plate failure involved placement of a new lateral locking plate followed by addition of a medial locking plate with autogenous bone graft at least 2 months after the first procedure. Of the 22 patients treated, 20 had a median followup of 18 months (SD, 6-94 months). We defined osseous union by bridging bone on three of four cortices with absence of a radiolucent line or more than 25% cross-sectional area of bridging bone via CT. Twenty of the 21 nonunions attained radiographic signs of osseous union by 12 months. Six of the 20 patients experienced complications: one patient had a persistent nonunion; four patients underwent removal of symptomatic hardware; and one patient experienced skin breakdown at the bone graft harvest site. A very high proportion of patients achieve union when using medial locking plates to treat distal femoral nonunions after lateral plating of the original injury. Addition of bone graft, staged reconstruction, and revision of the initial lateral plate is indicated when the nonunion is associated with fatigue failure of the initial lateral plate. Level IV, therapeutic study.

Adapter plate assembly for adjustable mounting of objects

DOEpatents

Blackburn, R.S.

1986-05-02

An adapter plate and two locking discs are together affixed to an optic table with machine screws or bolts threaded into a fixed array of internally threaded holes provided in the table surface. The adapter plate preferably has two, and preferably parallel, elongated locating slots each freely receiving a portion of one of the locking discs for secure affixation of the adapter plate to the optic table. A plurality of threaded apertures provided in the adapter plate are available to attach optical mounts or other devices onto the adapter plate in an orientation not limited by the disposition of the array of threaded holes in the table surface. An axially aligned but radially offset hole through each locking disc receives a screw that tightens onto the table, such that prior to tightening of the screw the locking disc may rotate and translate within each locating slot of the adapter plate for maximum flexibility of the orientation thereof.

Adapter plate assembly for adjustable mounting of objects

DOEpatents

Blackburn, Robert S.

1987-01-01

An adapter plate and two locking discs are together affixed to an optic table with machine screws or bolts threaded into a fixed array of internally threaded holes provided in the table surface. The adapter plate preferably has two, and preferably parallel, elongated locating slots each freely receiving a portion of one of the locking discs for secure affixation of the adapter plate to the optic table. A plurality of threaded apertures provided in the adapter plate are available to attach optical mounts or other devices onto the adapter plate in an orientation not limited by the disposition of the array of threaded holes in the table surface. An axially aligned but radially offset hole through each locking disc receives a screw that tightens onto the table, such that prior to tightening of the screw the locking disc may rotate and translate within each locating slot of the adapter plate for maximum flexibility of the orientation thereof.

Easy and Inexpensive Technique for Removal of Round Headed, Jammed Locking Screws in Distal Tibial Interlocking Plate.

PubMed

Singh, Harpreet; Sharma, Rohit; Gupta, Sachin; Singh, Narinderjit; Singh, Simarpreet

2015-01-01

The advent of locking plates has brought new problems in implant removal. Difficulty in removing screws from a locking plate is well-known. These difficulties include cold welding between the screw head and locking screw hole, stripping of the recess of the screw head for the screwdriver, and cross-threading between threads in the screw head and screw hole. However, there are cases in which removal is difficult. We describe a new technique for removing a round headed, jammed locking screws from a locking plate. 55 years old male patient received a locking distal tibial plate along with distal fibular plate 3years back from UAE. Now patient came with complaint of non-healing ulcer over medial aspect of lower 1/3rd of right leg from past 1 year. Non operative management did not improve the symptoms. The patient consented to implant removal, with the express understanding that implant removal might be impossible because already one failed attempt had been performed at some other hospital six months back. We then decided to proceed with the new technique. The rest of the proximal screws were removed using a technique not previously described. We used stainless steel metal cutting blades that are used to cut door locks or pad locks to cut the remaining stripped headed screws. This technique is very quick, easy to perform and inexpensive because the metal cutting blades which are used to cut the screws are very cheap. Yet it is very effective technique to remove the stripped headed or jammed locking screws. It is also very less destructive because of very less heat production during the procedure there is no problem of thermal necrosis to the bone or the surrounding soft tissue.

CAD-CAM plates versus conventional fixation plates for primary mandibular reconstruction: A biomechanical in vitro analysis.

PubMed

Rendenbach, Carsten; Sellenschloh, Kay; Gerbig, Lucca; Morlock, Michael M; Beck-Broichsitter, Benedicta; Smeets, Ralf; Heiland, Max; Huber, Gerd; Hanken, Henning

2017-11-01

CAD/CAM reconstruction plates have become a viable option for mandible reconstruction. The aim of this study was to determine whether CAD/CAM plates provide higher fatigue strength compared with conventional fixation systems. 1.0 mm miniplates, 2.0 mm conventional locking plates (DePuy Synthes, Umkirch, Germany), and 2.0 mm CAD/CAM plates (Materialise, Leuven, Belgium/DePuy Synthes) were used to reconstruct a polyurethane mandible model (Synbone, Malans, CH) with cortical and cancellous bone equivalents. Mastication was simulated via cyclic dynamic testing using a universal testing machine (MTS, Bionix, Eden Prairie, MN, USA) until material failure reached a rate of 1 Hz with increasing loads on the left side. No significant difference was found between the groups until a load of 300 N. At higher loads, vertical displacement differed increasingly, with a poorer performance of miniplates (p = 0.04). Plate breakage occurred in miniplates and conventional locking plates. Screw breakage was recorded as the primary failure mechanism in CAD/CAM plates. Stiffness was significantly higher with the CAD/CAM plates (p = 0.04). CAD/CAM plates and reconstruction plates provide higher fatigue strength than miniplates, and stiffness is highest in CAD/CAM systems. All tested fixation methods seem sufficiently stable for mandible reconstruction. Copyright © 2017 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Development of a Titanium Plate for Mandibular Angle Fractures with a Bone Defect in the Lower Border: Finite Element Analysis and Mechanical Test

PubMed Central

Goulart, Douglas Rangel; Kemmoku, Daniel Takanori; Noritomi, Pedro Yoshito

2015-01-01

ABSTRACT Objectives The aim of the present study was to develop a plate to treat mandibular angle fractures using the finite element method and mechanical testing. Material and Methods A three-dimensional model of a fractured mandible was generated using Rhinoceros 4.0 software. The models were exported to ANSYS®, in which a static application of displacement (3 mm) was performed in the first molar region. Three groups were assessed according to the method of internal fixation (2 mm system): two non-locking plates; two locking plates and a new design locking plate. The computational model was transferred to an in vitro experiment with polyurethane mandibles. Each group contained five samples and was subjected to a linear loading test in a universal testing machine. Results A balanced distribution of stress was associated with the new plate design. This plate modified the mechanical behavior of the fractured region, with less displacement between the fractured segments. In the mechanical test, the group with two locking plates exhibited greater resistance to the 3 mm displacement, with a statistically significant difference when compared with the new plate group (ANOVA, P = 0.016). Conclusions The new plate exhibited a more balanced distribution of stress. However, the group with two locking plates exhibited greater mechanical resistance. PMID:26539287

49 CFR 236.779 - Plate, top.

Code of Federal Regulations, 2010 CFR

2010-10-01

... OF SIGNAL AND TRAIN CONTROL SYSTEMS, DEVICES, AND APPLIANCES Definitions § 236.779 Plate, top. A metal plate secured to a locking bracket to prevent the cross locking from being forced out of the...

Jacking mechanism for upper internals structure of a liquid metal nuclear reactor

DOEpatents

Gillett, James E.; Wineman, Arthur L.

1984-01-01

A jacking mechanism for raising the upper internals structure of a liquid metal nuclear reactor which jacking mechanism uses a system of gears and drive shafts to transmit force from a single motor to four mechanically synchronized ball jacks to raise and lower support columns which support the upper internals structure. The support columns have a pin structure which rides up and down in a slot in a housing fixed to the reactor head. The pin has two locking plates which can be rotated around the pin to bring bolt holes through the locking plates into alignment with a set of bolt holes in the housing, there being a set of such housing bolt holes corresponding to both a raised and a lowered position of the support column. When the locking plate is so aligned, a surface of the locking plate mates with a surface in the housing such that the support column is then supported by the locking plate and not by the ball jacks. Since the locking plates are to be installed and bolted to the housing during periods of reactor operation, the ball jacks need not be sized to react the large forces which occur or potentially could occur on the upper internals structure of the reactor during operation. The locking plates react these loads. The ball jacks, used only during refueling, can be smaller, which enable conventionally available equipment to fulfill the precision requirements for the task within available space.

Notch sensitivity jeopardizes titanium locking plate fatigue strength.

PubMed

Tseng, Wo-Jan; Chao, Ching-Kong; Wang, Chun-Chin; Lin, Jinn

2016-12-01

Notch sensitivity may compromise titanium-alloy plate fatigue strength. However, no studies providing head-to-head comparisons of stainless-steel or titanium-alloy locking plates exist. Custom-designed identically structured locking plates were made from stainless steel (F138 and F1314) or titanium alloy. Three screw-hole designs were compared: threaded screw-holes with angle edges (type I); threaded screw-holes with chamfered edges (type II); and non-threaded screw-holes with chamfered edges (type III). The plates' bending stiffness, bending strength, and fatigue life, were investigated. The stress concentration at the screw threads was assessed using finite element analyses (FEA). The titanium plates had higher bending strength than the F1314 and F138 plates (2.95:1.56:1) in static loading tests. For all metals, the type-III plate fatigue life was highest, followed by type-II and type-I. The type-III titanium plates had longer fatigue lives than their F138 counterparts, but the type-I and type-II titanium plates had significantly shorter fatigue lives. All F1314 plate types had longer fatigue lives than the type-III titanium plates. The FEA showed minimal stress difference (0.4%) between types II and III, but the stress for types II and III was lower (11.9% and 12.4%) than that for type I. The screw threads did not cause stress concentration in the locking plates in FEA, but may have jeopardized the fatigue strength, especially in the notch-sensitive titanium plates. Improvement to the locking plate design is necessary. Copyright © 2016 Elsevier Ltd. All rights reserved.

The influence of distal locking on the need for fibular plating in intramedullary nailing of distal metaphyseal tibiofibular fractures.

PubMed

Attal, R; Maestri, V; Doshi, H K; Onder, U; Smekal, V; Blauth, M; Schmoelz, W

2014-03-01

Using human cadaver specimens, we investigated the role of supplementary fibular plating in the treatment of distal tibial fractures using an intramedullary nail. Fibular plating is thought to improve stability in these situations, but has been reported to have increased soft-tissue complications and to impair union of the fracture. We proposed that multidirectional locking screws provide adequate stability, making additional fibular plating unnecessary. A distal tibiofibular osteotomy model performed on matched fresh-frozen lower limb specimens was stabilised with reamed nails using conventional biplanar distal locking (CDL) or multidirectional distal locking (MDL) options with and without fibular plating. Rotational stiffness was assessed under a constant axial force of 150 N and a superimposed torque of ± 5 Nm. Total movement, and neutral zone and fracture gap movement were analysed. In the CDL group, fibular plating improved stiffness at the tibial fracture site, albeit to a small degree (p = 0.013). In the MDL group additional fibular plating did not increase the stiffness. The MDL nail without fibular plating was significantly more stable than the CDL nail with an additional fibular plate (p = 0.008). These findings suggest that additional fibular plating does not improve stability if a multidirectional distal locking intramedullary nail is used, and is therefore unnecessary if not needed to aid reduction.

Comparison between locked intramedullary nailing and anatomical locking plating in the treatment of displaced clavicular midshaft fractures.

PubMed

Zehir, Sinan; Çalbıyık, Murat; Şahin, Ercan; İpek, Deniz

2016-01-01

The aim of this study was to compare the results of expandable flexible locked intramedullary nailing and anatomical locking plating in clavicular midshaft fractures. Thirty-three patients (21 male, 12 female) who had displaced fractures and at least 2-cm shortening fixed with expandable flexible locked intramedullary nailing and 38 patients (24 male, 14 female) who underwent anatomical locking plating were recruited. Duration of surgery, incision size, duration of hospital stay, union time, and early and late complications were compared between the groups. Functional results were compared with Constant scoring system. Mean duration of surgery was 32.4±9.1 minutes (range: 20-42 minutes) in the nailing group and 54.1±11.9 minutes (range: 42-70 minutes) in the plating group. The incision was 4.1±0.9 cm (range: 3-5 cm) in the nailing group and 9.5±1.7 cm (range: 7-12 cm) in the plating group. Mean union time was 14.8 weeks (range: 10-24 weeks) in the nailing group and 21.3 weeks (range: 12-33 weeks) in the plating group. Mean duration of hospital stay was 3.6±1.1 days (range: 2-4 days) in the plating group, whereas it was 2.3±0.8 days (range: 1-3 days) in the nailing group. In the plating group, an average of 2.7-mm (range: 0-7 mm) shortening was determined in the clavicles that underwent surgery as compared to the intact clavicles, whereas shortening was 2.3 mm (range: 0-6 mm) in the nailing group. Expandable flexible locked intramedullary nailing can provide more successful outcomes than plating in displaced clavicular midshaft fractures, due to advantages such as shorter union time, lower complication rate, and better cosmetic outcomes.

Locking, mass flux and topographic response at convergent plate boundaries - the Chilean case

NASA Astrophysics Data System (ADS)

Oncken, Onno

2016-04-01

On the long term, convergent plate boundaries have been shown to be controlled by either accretion/underplating or by subduction erosion. Vertical surface motion is coupled to convergence rate - typically with an uplift rate of the coastal area ranging from 0 to +50% of convergence rate in accretive systems, and -20 to +30% in erosive systems. Vertical kinematics, however, are not necessarily linked to horizontal strain mode, i.e. upper plate shortening or extension, in a simple way. This range of kinematic behaviors - as well as their acceleration where forearcs collide with oceanic ridges/plateau - is well expressed along the Chilean plate margin. Towards the short end of the time scale, deformation appears to exhibit a close correlation with the frictional properties and geodetic locking at the plate interface. Corroborating analogue experiments of strain accumulation during multiple earthquake cycles, forearc deformation and uplift focus above the downdip and updip end of seismic coupling and slip and are each related to a particular stage of the seismic cycle, but with opposite trends for both domains. Similarly, barriers separating locked domains along strike appear to accumulate most upper plate faulting interseismically. Hence, locking patters are reflected in topography. From the long-term memory contained in the forearc topography the relief of the Chilean forearc seems to reflect long term stability of the observed heterogeneity of locking at the plate interface. This has fundamental implications for spatial and temporal distribution of seismic hazard. Finally, the nature of locking at the plate interface controlling the above kinematic behavior appears to be strongly controlled by the degree of fluid overpressuring at the plate interface suggesting that the hydraulic system at the interface takes a key role for the forearc response.

Effect of screw position on single cycle to failure in bending and torsion of a locking plate-rod construct in a synthetic feline femoral gap model.

PubMed

Niederhäuser, Simone K; Tepic, Slobodan; Weber, Urs T

2015-05-01

To evaluate the effect of screw position on strength and stiffness of a combination locking plate-rod construct in a synthetic feline femoral gap model. 30 synthetic long-bone models derived from beechwood and balsa wood. 3 constructs (2 locking plate-rod constructs and 1 locking plate construct; 10 specimens/construct) were tested in a diaphyseal bridge plating configuration by use of 4-point bending and torsion. Variables included screw position (near the fracture gap and far from the fracture gap) and application of an intramedullary pin. Constructs were tested to failure in each loading mode to determine strength and stiffness. Failure was defined as plastic deformation of the plate or breakage of the bone model or plate. Strength, yield angle, and stiffness were compared by use of a Wilcoxon test. Placement of screws near the fracture gap did not increase bending or torsional stiffness in the locking plate-rod constructs, assuming the plate was placed on the tension side of the bone. Addition of an intramedullary pin resulted in a significant increase in bending strength of the construct. Screw positioning did not have a significant effect on any torsion variables. Results of this study suggested that, in the investigated plate-rod construct, screw insertion adjacent to the fracture lacked mechanical advantages over screw insertion at the plate ends. For surgeons attempting to minimize soft tissue dissection, the decision to make additional incisions for screw placement should be considered with even more caution.

Biomechanical Concepts for Fracture Fixation

PubMed Central

Bottlang, Michael; Schemitsch, Christine E.; Nauth, Aaron; Routt, Milton; Egol, Kenneth; Cook, Gillian E.; Schemitsch, Emil H.

2015-01-01

Application of the correct fixation construct is critical for fracture healing and long-term stability; however, it is a complex issue with numerous significant factors. This review describes a number of common fracture types, and evaluates their currently available fracture fixation constructs. In the setting of complex elbow instability, stable fixation or radial head replacement with an appropriately sized implant in conjunction with ligamentous repair is required to restore stability. For unstable sacral fractures, “standard” iliosacral screw fixation is not sufficient for fractures with vertical or multiplanar instabilities. Periprosthetic femur fractures, in particular Vancouver B1 fractures, have increased stability when using 90/90 fixation versus a single locking plate. Far Cortical Locking combines the concept of dynamization with locked plating in order to achieve superior healing of a distal femur fracture. Finally, there is no ideal construct for syndesmotic fracture stabilization; however, these fractures should be fixed using a device that allows for sufficient motion in the syndesmosis. In general, orthopaedic surgeons should select a fracture fixation construct that restores stability and promotes healing at the fracture site, while reducing the potential for fixation failure. PMID:26584263

Reissner-Mindlin Legendre Spectral Finite Elements with Mixed Reduced Quadrature

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brito, K. D.; Sprague, M. A.

2012-10-01

Legendre spectral finite elements (LSFEs) are examined through numerical experiments for static and dynamic Reissner-Mindlin plate bending and a mixed-quadrature scheme is proposed. LSFEs are high-order Lagrangian-interpolant finite elements with nodes located at the Gauss-Lobatto-Legendre quadrature points. Solutions on unstructured meshes are examined in terms of accuracy as a function of the number of model nodes and total operations. While nodal-quadrature LSFEs have been shown elsewhere to be free of shear locking on structured grids, locking is demonstrated here on unstructured grids. LSFEs with mixed quadrature are, however, locking free and are significantly more accurate than low-order finite-elements for amore » given model size or total computation time.« less

Locking of the Chile subduction zone controlled by fluid pressure before the 2010 earthquake

NASA Astrophysics Data System (ADS)

Moreno, Marcos; Haberland, Christian; Oncken, Onno; Rietbrock, Andreas; Angiboust, Samuel; Heidbach, Oliver

2014-04-01

Constraints on the potential size and recurrence time of strong subduction-zone earthquakes come from the degree of locking between the down-going and overriding plates, in the period between large earthquakes. In many cases, this interseismic locking degree correlates with slip during large earthquakes or is attributed to variations in fluid content at the plate interface. Here we use geodetic and seismological data to explore the links between pore-fluid pressure and locking patterns at the subduction interface ruptured during the magnitude 8.8 Chile earthquake in 2010. High-resolution three-dimensional seismic tomography reveals variations in the ratio of seismic P- to S-wave velocities (Vp/Vs) along the length of the subduction-zone interface. High Vp/Vs domains, interpreted as zones of elevated pore-fluid pressure, correlate spatially with parts of the plate interface that are poorly locked and slip aseismically. In contrast, low Vp/Vs domains, interpreted as zones of lower pore-fluid pressure, correlate with locked parts of the plate interface, where unstable slip and earthquakes occur. Variations in pore-fluid pressure are caused by the subduction and dehydration of a hydrothermally altered oceanic fracture zone. We conclude that variations in pore-fluid pressure at the plate interface control the degree of interseismic locking and therefore the slip distribution of large earthquake ruptures.

Biomechanical Assessment of Locked Plating for the Fixation of Patella Fractures.

PubMed

Wurm, Simone; Augat, Peter; Bühren, Volker

2015-09-01

To analyze the mechanical stability of locked plating in comparison with tension-band wiring for the fixation of fractures of the patella. Biomechanical tests were performed on artificial foam patella specimens comparing an angular stable plate and monocortical screws with tension-band wiring. Tests were performed under combined tension and bending until failure simulating physiological loading of the tibia during walking. Tension-band wiring failed at 66% of the failure load of plating (1052 N, P = 0.002) and had 5 times larger fracture gap displacements (P = 0.002). Based on the biomechanical advantages, locked plating of the patella may constitute a reasonable alternative in the treatment of patella fractures.

Semi-rigid screws provide an auxiliary option to plate working length to control interfragmentary movement in locking plate fixation at the distal femur.

PubMed

Heyland, Mark; Duda, Georg N; Haas, Norbert P; Trepczynski, Adam; Döbele, Stefan; Höntzsch, Dankward; Schaser, Klaus-Dieter; Märdian, Sven

2015-10-01

Extent and orientation of interfragmentary movement (IFM) are crucially affecting course and quality of fracture healing. The effect of different configurations for implant fixation on successful fracture healing remain unclear. We hypothesize that screw type and configuration of locking plate fixation profoundly influences stiffness and IFM for a given load in a distal femur fracture model. Simple analytical models are presented to elucidate the influence of fixation configuration on construct stiffness. Models were refined with a consistent single-patient-data-set to create finite-element femur models. Locking plate fixation of a distal femoral 10mm-osteotomy (comminution model) was fitted with rigid locking screws (rLS) or semi-rigid locking screws (sLS). Systematic variations of screw placements in the proximal fragment were tested. IFM was quantitatively assessed and compared for different screw placements and screw types. Different screw allocations significantly affect IFM in a locking plate construct. LS placement of the first screw proximal to the fracture (plate working length, PWL) has a significant effect on axial IFM (p < 0.001). Replacing rLS with sLS caused an increase (p < 0.001) of IFM under the plate (cis-cortex) between +8.4% and +28.1% for the tested configurations but remained constant medially (<1.1%, trans-cortex). Resultant shear movements markedly increased at fracture level (p < 0.001) to the extent that plate working length increased. The ratio of shear/axial IFM was found to enhance for longer PWL. sLS versus rLS lead to significantly smaller ratios of shear/axial IFM at the cis-cortex for PWL of ≥ 62 mm (p ≤ 0.003). Mechanical frame conditions can be significantly influenced by type and placement of the screws in locking plate osteosynthesis of the distal femur. By varying plate working length stiffness and IFM are modulated. Moderate axial and concomitantly low shear IFM could not be achieved through changes in screw placement alone. In the present transverse osteotomy model, ratio of shear/axial IFM with simultaneous moderate axial IFM is optimized by the use of appropriate plate working length of about 42-62 mm. Fixation with sLS demonstrated significantly more axial IFM underneath the plate and may further contribute to compensation of asymmetric straining. Copyright © 2015 Elsevier Ltd. All rights reserved.

Arthroscopic-assisted Locking Compression Plate clavicular hook fixation for unstable fractures of the lateral end of the clavicle: a prospective study

PubMed Central

Lee, Kwang Won; Kim, Kap Jung; Kim, Yong In; Kwon, Won Cho; Choy, Won Sik

2009-01-01

The aim of this prospective study was to assess the clinical outcomes of an unstable fracture of the lateral end of the clavicle treated with an arthroscopic-assisted locking compressive plate (LCP) clavicular hook plate. Twenty-three patients underwent arthroscopic assisted LCP clavicular hook plate fixation for these fractures. All patients achieved clinical and radiological union over a mean of 4.2 months (range, 3.4–5 months). Four patients (17%) showed some degree of acromial osteolysis. Three patients (13%) showed radiological signs of arthrosis of the acromioclavicular joint. In one patient, a second fracture (stress) was observed between the medial two screws of the plate without an additional injury. Five patients (22%) showed subacromial bursitis on dynamic ultrasonography. The mean Constant and Murley score was 91 points (range, 81–98). The average level of pain in the shoulder at rest and on abduction was 1 (range, 0–2) and 2.4 (range, 0–4), respectively. Based on our experience, arthroscopic-assisted LCP hook plate fixation for the treatment of unstable fractures of the lateral end of the clavicle is not without complications. However, it is an acceptable alternative method that is easy to apply with good results. Furthermore, it prevents rotator cuff impingement, allows early mobilisation and maintains the acromioclavicular joint biomechanics. PMID:19998033

The effect of load obliquity on the strength of locking and nonlocking constructs in synthetic osteoporotic bone.

PubMed

Tensmeyer, Daniel F; Gustafson, Peter A; Jastifer, James R; Patel, Bipin; Chess, Joseph L

2015-11-01

The biomechanical performance of internal fracture fixation depends on several factors. One measure of performance is the strength of the construct. The objective of this biomechanical study was to identify the effect of load obliquity on the strength of locking and nonlocking plate and screw constructs. For this study, plates and screws were fixed to synthetic osteoporotic bone that had a 1 mm thick synthetic cortical shell. An 8-hole, 3.5 mm thick hybrid plate was fixed with either two 3.5 mm major diameter locking screws or two 4.0 mm major diameter cancellous screws. Forces were applied at 0, 45, and 90 degrees to the plate normal. Eight specimens were loaded to failure for each group. When loads were applied normal to the plate, the nonlocking construct failed initially at higher loads (123.2 ± 13.2 N) than the locking construct (108.7 ± 7.6 N, P = 0.020). For oblique loads, the locking construct failed at higher mean loads but the difference of means was not statistically significant (167.7 ± 14.9 N compared to 154.2 ± 9.4 N, P = 0.052). For loads parallel to the plate, the locking construct was much stronger than the nonlocking construct (1591 ± 227 N compared to 913 ± 237 N, P < 0.001). Stiffness and Energy outcomes are also compared. Copyright © 2015 IPEM. Published by Elsevier Ltd. All rights reserved.

Congruency of scapula locking plates: implications for implant design.

PubMed

Park, Andrew Y; DiStefano, James G; Nguyen, Thuc-Quyen; Buckley, Jenni M; Montgomery, William H; Grimsrud, Chris D

2012-04-01

We conducted a study to evaluate the congruency of fit of current scapular plate designs. Three-dimensional image-processing and -analysis software, and computed tomography scans of 12 cadaveric scapulae were used to generate 3 measurements: mean distance from plate to bone, maximum distance, and percentage of plate surface within 2 mm of bone. These measurements were used to quantify congruency. The scapular spine plate had the most congruent fit in all 3 measured variables. The lateral border and glenoid plates performed statistically as well as the scapular spine plate in at least 1 of the measured variables. The medial border plate had the least optimal measurements in all 3 variables. With locking-plate technology used in a wide variety of anatomical locations, the locking scapula plate system can allow for a fixed-angle construct in this region. Our study results showed that the scapular spine, glenoid, and lateral border plates are adequate in terms of congruency. However, design improvements may be necessary for the medial border plate. In addition, we describe a novel method for quantifying hardware congruency, a method that can be applied to any anatomical location.

Biomechanics of far cortical locking.

PubMed

Bottlang, Michael; Feist, Florian

2011-02-01

The development of far cortical locking (FCL) was motivated by a conundrum: locked plating constructs provide inherently rigid stabilization, yet they should facilitate biologic fixation and secondary bone healing that relies on flexible fixation to stimulate callus formation. Recent studies have confirmed that the high stiffness of standard locked plating constructs can suppress interfragmentary motion to a level that is insufficient to reliably promote secondary fracture healing by callus formation. Furthermore, rigid locking screws cause an uneven stress distribution that may lead to stress fracture at the end screw and stress shielding under the plate. This review summarizes four key features of FCL constructs that have been shown to enhance fixation and healing of fractures: flexible fixation, load distribution, progressive stiffening, and parallel interfragmentary motion. Specifically, flexible fixation provided by FCL reduces the stiffness of a locked plating construct by 80% to 88% to actively promote callus proliferation similar to an external fixator. Load is evenly distributed between FCL screws to mitigate stress risers at the end screw. Progressive stiffening occurs by near cortex support of FCL screws and provides additional support under elevated loading. Finally, parallel interfragmentary motion by the S-shaped flexion of FCL screws promotes symmetric callus formation. In combination, these features of FCL constructs have been shown to induce more callus and to yield significantly stronger and more consistent healing compared with standard locked plating constructs. As such, FCL constructs function as true internal fixators by replicating the biomechanical behavior and biologic healing response of external fixators.

Intraoral technique for locking reconstruction plate fixation using an implant handpiece with adapted drills.

PubMed

Haas, Orion Luiz; Scolari, Neimar; Meirelles, Lucas da Silva; Becker, Otávio Emmel; Melo, Marcelo Fernandes Santos; Viegas, Vinícius Nery; de Oliveira, Rogério Belle

2016-09-01

Locking reconstruction plates are used in the treatment of jaw trauma and diseases if there is a need for surgical resection and to prevent pathologic fracture after tumor excision. Fixation is typically performed using an extraoral approach. This article describes a technique for the intraoral fixation of locking reconstruction plates that uses prototyping to model the plate before the procedure as well as an implant handpiece with adapted drills for bone drilling and the insertion of screws into relatively inaccessible areas. Intraoral fixation not only prevents nerve damage and facial scarring but also minimizes the plate's risk of extraoral exposure and reduces surgical morbidity. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1436-1439, 2016. © 2016 Wiley Periodicals, Inc.

Volar fixed-angle plating of extra-articular distal radius fractures--a biomechanical analysis comparing threaded screws and smooth pegs.

PubMed

Weninger, Patrick; Dall'Ara, Enrico; Leixnering, Martin; Pezzei, Christoph; Hertz, Harald; Drobetz, Herwig; Redl, Heinz; Zysset, Philippe

2010-11-01

Distal radius fractures represent the most common fractures in adult individuals. Volar fixed-angle plating has become a popular modality for treating unstable distal radius fractures. Most of the plates allow insertion of either threaded locking screws or smooth locking pegs. To date, no biomechanical studies compare locking screws and pegs under axial and torsional loading. Ten Sawbones radii were used to simulate an AO/OTA A3 fracture. Volar fixed-angle plates (Aptus Radius 2.5, Medartis, Switzerland) with threaded locking screws (n = 5) or smooth locking pegs (n = 5) were used to fix the distal metaphyseal fragment. Each specimen was tested under axial compression and under torsional load with a servohydraulic testing machine. Qualitative parameters were recorded as well as axial and torsional stiffness, torsion strength, energy absorbed during monotonic loading and energy absorbed in one cycle. Axial stiffness was comparable between both groups (p = 0.818). If smooth pegs were used, a 17% reduction of torsional stiffness (p = 0.017) and a 12% reduction of minimum torque (p = 0.012) were recorded. A 12% reduction of energy absorbed (p = 0.013) during monotonic loading and unloading was recorded if smooth pegs were used. A 34% reduction of energy absorbed in one cycle (p < 0.007) was recorded if threaded screws were used. Sliding of the pegs out of the distal radius metaphyses of the synthetic bones was recorded at a mean torque of 3.80 Nm ± 0.19 Nm. No sliding was recorded if threaded screws were used. According to the results of this study using Sawbones, volar fixed-angle plates with threaded locking screws alone are mechanically superior to volar fixed-angle plates with smooth locking pegs alone under torsional loading.

Polyaxial Screws in Locked Plating of Tibial Pilon Fractures.

PubMed

Yenna, Zachary C; Bhadra, Arup K; Ojike, Nwakile I; Burden, Robert L; Voor, Michael J; Roberts, Craig S

2015-08-01

This study examined the axial and torsional stiffness of polyaxial locked plating techniques compared with fixed-angle locked plating techniques in a distal tibia pilon fracture model. The effect of using a polyaxial screw to cross the fracture site was examined to determine its ability to control relative fracture site motion. A laboratory experiment was performed to investigate the biomechanical stiffness of distal tibia fracture models repaired with 3.5-mm anterior polyaxial distal tibial plates and locking screws. Sawbones Fourth Generation Composite Tibia models (Pacific Research Laboratories, Inc, Vashon, Washington) were used to model an Orthopaedic Trauma Association 43-A1.3 distal tibia pilon fracture. The polyaxial plates were inserted with 2 central locking screws at a position perpendicular to the cortical surface of the tibia and tested for load as a function of axial displacement and torque as a function of angular displacement. The 2 screws were withdrawn and inserted at an angle 15° from perpendicular, allowing them to span the fracture and insert into the opposing fracture surface. Each tibia was tested again for axial and torsional stiffness. In medial and posterior loading, no statistically significant difference was found between tibiae plated with the polyaxial plate and the central screws placed in the neutral position compared with the central screws placed at a 15° position. In torsional loading, a statistically significant difference was noted, showing greater stiffness in tibiae plated with the polyaxial plate and the central screws placed at a 15° position compared with tibiae plated with the central screws placed at a 0° (or perpendicular) position. This study showed that variable angle constructs show similar stiffness properties between perpendicular and 15° angle insertions in axial loading. The 15° angle construct shows greater stiffness in torsional loading. Copyright 2015, SLACK Incorporated.

Comparative study of single lateral locked plating versus double plating in type C bicondylar tibial plateau fractures.

PubMed

Neogi, Devdatta Suhas; Trikha, Vivek; Mishra, Kaushal Kant; Bandekar, Shivanand M; Yadav, Chandra Shekhar

2015-01-01

Bicondylar tibial plateau fractures are complex injuries and treatment is challenging. Ideal method is still controversial with risk of unsatisfactory results if not treated properly. Many different techniques of internal and external fixation are used. This study compares the clinical results in single locked plating versus dual plating (DP) using two incision approaches. Our hypothesis was that DP leads to less collapse and change in alignment at final followup compared with single plating. 61 cases of Type C tibial plateau fractures operated between January 2007 and June 2011 were included in this prospective study. All cases were operated either by single lateral locked plate by anterolateral approach or double plating through double incision. All cases were followed for a minimum of 24 months radiologically and clinically. The statistical analysis was performed using software SPSS 10.0 to analyze the data. Twenty nine patients in a single lateral locked plate and 32 patients in a double plating group were followed for minimum 2 years. All fractures healed, however there was a significant incidence of malalignment in the single lateral plating group. Though there was a significant increase in soft tissue issues with the double plating group; however, there was only 3.12% incidence of deep infection. There was no significant difference in Hospital for special surgery score at 2 years followup. Double plating through two incisions resulted in a better limb alignment and joint reduction with an acceptable soft tissue complication rate.

Biomechanical in vitro - stability testing on human specimens of a locking plate system against conventional screw fixation of a proximal first metatarsal lateral displacement osteotomy.

PubMed

Arnold, Heino; Stukenborg-Colsman, Christina; Hurschler, Christof; Seehaus, Frank; Bobrowitsch, Evgenij; Waizy, Hazibullah

2012-01-01

The aim of this study was to examine resistance to angulation and displacement of the internal fixation of a proximal first metatarsal lateral displacement osteotomy, using a locking plate system compared with a conventional crossed screw fixation. Seven anatomical human specimens were tested. Each specimen was tested with a locking screw plate as well as a crossed cancellous srew fixation. The statistical analysis was performed by the Friedman test. The level of significance was p = 0.05. We found larger stability about all three axes of movement analyzed for the PLATE than the crossed screws osteosynthesis (CSO). The Friedman test showed statistical significance at a level of p = 0.05 for all groups and both translational and rotational movements. The results of our study confirm that the fixation of the lateral proximal first metatarsal displacement osteotomy with a locking plate fixation is a technically simple procedure of superior stability.

Biomechanical In Vitro - Stability Testing on Human Specimens of a Locking Plate System Against Conventional Screw Fixation of a Proximal First Metatarsal Lateral Displacement Osteotomy

PubMed Central

Arnold, Heino; Stukenborg-Colsman, Christina; Hurschler, Christof; Seehaus, Frank; Bobrowitsch, Evgenij; Waizy, Hazibullah

2012-01-01

Introduction: The aim of this study was to examine resistance to angulation and displacement of the internal fixation of a proximal first metatarsal lateral displacement osteotomy, using a locking plate system compared with a conventional crossed screw fixation. Materials and Methodology: Seven anatomical human specimens were tested. Each specimen was tested with a locking screw plate as well as a crossed cancellous srew fixation. The statistical analysis was performed by the Friedman test. The level of significance was p = 0.05. Results: We found larger stability about all three axes of movement analyzed for the PLATE than the crossed screws osteosynthesis (CSO). The Friedman test showed statistical significance at a level of p = 0.05 for all groups and both translational and rotational movements. Conclusion: The results of our study confirm that the fixation of the lateral proximal first metatarsal displacement osteotomy with a locking plate fixation is a technically simple procedure of superior stability. PMID:22675409

History of internal fixation with plates (part 2): new developments after World War II; compressing plates and locked plates.

PubMed

Hernigou, Philippe; Pariat, Jacques

2017-07-01

The first techniques of operative fracture with plates were developed in the 19th century. In fact, at the beginning these methods consisted of an open reduction of the fracture usually followed by a very unstable fixation. As a consequence, the fracture had to be opened with a real risk of (sometimes lethal) infection, and due to unstable fixation, protection with a cast was often necessary. During the period between World Wars I and II, plates for fracture fixation developed with great variety. It became increasingly recognised that, because a fracture of a long bone normally heals with minimal resorption at the bone ends, this may result in slight shortening and collapse, so a very rigid plate might prevent such collapse. However, as a consequence, delayed healing was observed unless the patient was lucky enough to have the plate break. One way of dealing with this was to use a slotted plate in which the screws could move axially, but the really important advance was recognition of the role of compression. After the first description of compression by Danis with a "coapteur", Bagby and Müller with the AO improved the technique of compression. The classic dynamic compression plates from the 1970s were the key to a very rigid fixation, leading to primary bone healing. Nevertheless, the use of strong plates resulted in delayed union and the osteoporosis, cancellous bone, comminution, and/or pathological bone resulted in some failures due to insufficient stability. Finally, new devices represented by locking plates increased the stability, contributing to the principles of a more biological osteosynthesis while giving enough stability to allow immediate full weight bearing in some patients.

76 FR 61343 - Certain Helical Spring Lock Washers From Taiwan and the People's Republic of China: Final Results...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-04

... bearing surface. The scope does not include internal or external tooth washers, nor does it include spring... are lock washers of carbon steel, of carbon alloy steel, or of stainless steel, heat-treated or non-heat-treated, plated or non-plated, with ends that are off-line. Lock washers are designed to: (1...

75 FR 29720 - Certain Helical Spring Lock Washers From the People's Republic of China: Final Results of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-27

...) provide a hardened bearing surface. The scope does not include internal or external tooth washers, nor... helical spring lock washers of carbon steel, of carbon alloy steel, or of stainless steel, heat- treated or non-heat-treated, plated or non-plated, with ends that are off-line. Helical spring lock washers...

76 FR 75873 - Certain Helical Spring Lock Washers From Taiwan and the People's Republic of China: Continuation...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-05

... or bolts; and (3) provide a hardened bearing surface. The scope does not include internal or external tooth washers, nor does it include spring lock washers made of other metals, such as copper. Lock..., or of stainless steel, heat-treated or non-heat-treated, plated or non-plated, with ends that are off...

Periarticular locking plate vs intramedullary nail for tibiotalocalcaneal arthrodesis: a biomechanical investigation.

PubMed

Ohlson, Blake L; Shatby, Meena W; Parks, Brent G; White, Kacey L; Schon, Lew C

2011-02-01

Augmented retrograde intramedullary (IM) nail fixation was compared with augmented periarticular locking- plate fixation for tibiotalocalcaneal arthrodesis. Specimens in 10 matched pairs were randomly assigned to a fixation construct and loaded cyclically in dorsiflexion. The groups did not differ in initial or final stiffness, load to failure, or construct deformation. No correlation was found between bone mineral density and construct deformation for either group. A humeral locking plate may be a viable alternative to an IM nail for tibiotalocalcaneal fixation in cases not amenable to IM nailing.

Percutaneous locking plates for fractures of the distal tibia: our experience and a review of the literature.

PubMed

Ahmad, Mudussar Abrar; Sivaraman, Alagappan; Zia, Ahmed; Rai, Amarjit; Patel, Amratlal D

2012-02-01

Distal tibial metaphyseal fractures pose many complexities. This study assessed the outcomes of distal tibial fractures treated with medial locking plates. Eighteen patients were selected based on the fracture pattern and classified using the AO classification and stabilized with an AO medial tibial locking plate. Time to fracture union, complications, and outcomes were assessed with the American Orthopedic Foot and Ankle Society Ankle score at 12 months. Sixteen of the 18 patients achieved fracture union, with 1 patient lost to follow-up. Twelve fractures united within 24 weeks, with an average union time of 23.1 weeks. Three delayed unions, two at 28 weeks and one at 56 weeks. The average time to union was 32 weeks in the smokers and 15.3 weeks in the nonsmokers. Five of the 18 patients (27%) developed complications. One superficial wound infection, and one chronic wound infection, resulting in nonunion at 56 weeks, requiring revision. Two patients required plate removal, one after sustaining an open fracture at the proximal end of the plate 6 months after surgery (postfracture union)and the other for painful hardware. One patient had implant failure of three proximal diaphyseal locking screws at the screwhead/neck junction, but successful fracture union. The average American Orthopedic Foot and Ankle Society ankle score was 88.8 overall, and 92.1 in fractures that united within 24 weeks. Distal tibial locking plates have high fracture union rates, minimum soft tissue complications, and good functional outcomes. The literature shows similar fracture union and complication rates in locking and nonlocking plates. Copyright © 2012 by Lippincott Williams & Wilkins

Comparison and analysis of reoperations in two different treatment protocols for trochanteric hip fractures - postoperative technical complications with dynamic hip screw, intramedullary nail and Medoff sliding plate.

PubMed

Paulsson, Johnny; Stig, Josefine Corin; Olsson, Ola

2017-08-24

In treatment of unstable trochanteric fractures dynamic hip screw and Medoff sliding plate devices are designed to allow secondary fracture impaction, whereas intramedullary nails aim to maintain fracture alignment. Different treatment protocols are used by two similar Swedish regional emergency care hospitals. Dynamic hip screw is used for fractures considered as stable within the respective treatment protocol, whereas one treatment protocol (Medoff sliding plate/dynamic hip screw) uses biaxial Medoff sliding plate for unstable pertrochanteric fractures and uniaxial Medoff sliding plate for subtrochanteric fractures, the second (intramedullary nail/dynamic hip screw) uses intramedullary nail for subtrochanteric fractures and for pertrochanteric fractures with intertrochanteric comminution or subtrochanteric extension. All orthopedic surgeries are registered in a regional database. All consecutive trochanteric fracture operations during 2011-2012 (n = 856) and subsequent technical reoperations (n = 40) were derived from the database. Reoperations were analysed and classified into the categories adjustment (percutaneous removal of the locking screw of the Medoff sliding plate or the intramedullary nail, followed by fracture healing) or minor, intermediate (reosteosynthesis) or major (hip joint replacement, Girdlestone or persistent nonunion) technical complications. The relative risk of intermediate or major technical complications was 4.2 (1.2-14) times higher in unstable pertrochanteric fractures and 4.6 (1.1-19) times higher in subtrochanteric fractures with treatment protocol: intramedullary nail/dynamic hip screw, compared to treatment protocol: Medoff sliding plate/dynamic hip screw. Overall rates of intermediate and major technical complications in unstable pertrochanteric and subtrochanteric fractures were with biaxial Medoff sliding plate 0.68%, with uniaxial Medoff sliding plate 1.4%, with dynamic hip screw 3.4% and with intramedullary nail 7.2%. The treatment protocol based on use of biaxial Medoff sliding plate for unstable pertrochanteric and uniaxial Medoff sliding plate for subtrochanteric fractures reduced the risk of severe technical complications compared to using the treatment protocol based on dynamic hip screw and intramedullary nail.

Fixation of a split fracture of the lateral tibial plateau with a locking screw plate instead of cannulated screws would allow early weight bearing: a computational exploration.

PubMed

Carrera, Ion; Gelber, Pablo Eduardo; Chary, Gaetan; González-Ballester, Miguel A; Monllau, Juan Carlos; Noailly, Jerome

2016-10-01

To assess, with finite element (FE) calculations, whether immediate weight bearing would be possible after surgical stabilization either with cannulated screws or with a locking plate in a split fracture of the lateral tibial plateau (LTP). A split fracture of the LTP was recreated in a FE model of a human tibia. A three-dimensional FE model geometry of a human femur-tibia system was obtained from the VAKHUM project database, and was built from CT images from a subject with normal bone morphologies and normal alignment. The mesh of the tibia was reconverted into a geometry of NURBS surfaces. A split fracture of the lateral tibial plateau was reproduced by using geometrical data from patient radiographs. A locking screw plate (LP) and a cannulated screw (CS) systems were modelled to virtually reduce the fracture and 80 kg static body-weight was simulated. While the simulated body-weight led to clinically acceptable interfragmentary motion, possible traumatic bone shear stresses were predicted nearby the cannulated screws. With a maximum estimation of about 1.7 MPa maximum bone shear stresses, the Polyax system might ensure more reasonable safety margins. Split fractures of the LTP fixed either with locking screw plate or cannulated screws showed no clinically relevant IFM in a FE model. The locking screw plate showed higher mechanical stability than cannulated screw fixation. The locking screw plate might also allow full or at least partial weight bearing under static posture at time zero.

Locking plate fixation provides superior fixation of humerus split type greater tuberosity fractures than tension bands and double row suture bridges.

PubMed

Gaudelli, Cinzia; Ménard, Jérémie; Mutch, Jennifer; Laflamme, G-Yves; Petit, Yvan; Rouleau, Dominique M

2014-11-01

This paper aims to determine the strongest fixation method for split type greater tuberosity fractures of the proximal humerus by testing and comparing three fixation methods: a tension band with No. 2 wire suture, a double-row suture bridge with suture anchors, and a manually contoured calcaneal locking plate. Each method was tested on eight porcine humeri. A osteotomy of the greater tuberosity was performed 50° to the humeral shaft and then fixed according to one of three methods. The humeri were then placed in a testing apparatus and tension was applied along the supraspinatus tendon using a thermoelectric cooling clamp. The load required to produce 3mm and 5mm of displacement, as well as complete failure, was recorded using an axial load cell. The average load required to produce 3mm and 5mm of displacement was 658N and 1112N for the locking plate, 199N and 247N for the double row, and 75N and 105N for the tension band. The difference between the three groups was significant (P<0.01). The average load to failure of the locking plate (810N) was significantly stronger than double row (456N) and tension band (279N) (P<0.05). The stiffness of the locking plate (404N/mm) was significantly greater than double row (71N/mm) and tension band (33N/mm) (P<0.01). Locking plate fixation provides the strongest and stiffest biomechanical fixation for split type greater tuberosity fractures. Copyright © 2014 Elsevier Ltd. All rights reserved.

Lithospheric Structure and Isostasy of Central Andes: Implication for plate Coupling

NASA Astrophysics Data System (ADS)

Mahatsente, R.; Rutledge, S.

2017-12-01

A significant section of the Peru-Chile convergent zone is building up stresses. The interseismic coupling in northern and southern Peru is significantly high indicating, elastic energy accumulation since the 1746 and 1868 earthquakes of magnitude 8.6 and 8.8 , respectively. Similar seismic patterns have also been observed in Central Chile. The plate interface beneath Central Chile is highly coupled, and the narrow zones of low coupling separate seismic gaps. The reasons for the seismic gaps and plate coupling are yet unknown, but the configuration of the slab is thought to be the main factor. Here, we assessed the locking mechanism and isostatic state of the Central Andes based on gravity models of the crust and upper mantle structure. The density models are based on satellite gravity data and are constrained by velocity models and earthquake hypocenters. The gravity models indicate a high-density batholithic structure in the fore-arc, overlying the subducting Nazca plate. This high-density body pushes downward on the slab, causing the slab to lock with the overlying continental plate. The increased compressive stress closer to the trench, due to the increased contact area between the subducting and overriding plates, may have increased the plate coupling in the Central Andes. Thus, trench parallel crustal thickness and density variations along the Central Andes and buoyancy force on the subducting Nazca plate may control plate coupling and asperity generation. The western part of the Central Andes may be undercompensated. There is a residual topography of 800 m in the western part of the Central Andes that cannot be explained by the observed crustal thicknesses. Thus, part of the observed topography in the western part of the Central Andes may be dynamically supported by mantle wedge flow below the overriding plate.

Biomechanical comparison of locking plate and crossing metallic and absorbable screws fixations for intra-articular calcaneal fractures.

PubMed

Ni, Ming; Wong, Duo Wai-Chi; Mei, Jiong; Niu, Wenxin; Zhang, Ming

2016-09-01

The locking plate and percutaneous crossing metallic screws and crossing absorbable screws have been used clinically to treat intra-articular calcaneal fractures, but little is known about the biomechanical differences between them. This study compared the biomechanical stability of calcaneal fractures fixed using a locking plate and crossing screws. Three-dimensional finite-element models of intact and fractured calcanei were developed based on the CT images of a cadaveric sample. Surgeries were simulated on models of Sanders type III calcaneal fractures to produce accurate postoperative models fixed by the three implants. A vertical force was applied to the superior surface of the subtalar joint to simulate the stance phase of a walking gait. This model was validated by an in vitro experiment using the same calcaneal sample. The intact calcaneus showed greater stiffness than the fixation models. Of the three fixations, the locking plate produced the greatest stiffness and the highest von Mises stress peak. The micromotion of the fracture fixated with the locking plate was similar to that of the fracture fixated with the metallic screws but smaller than that fixated with the absorbable screws. Fixation with both plate and crossing screws can be used to treat intra-articular calcaneal fractures. In general, fixation with crossing metallic screws is preferable because it provides sufficient stability with less stress shielding.

Better Axial Stiffness of a Bicortical Screw Construct Compared to a Cable Construct for Comminuted Vancouver B1 Proximal Femoral Fractures.

PubMed

Griffiths, Jamie T; Taheri, Arash; Day, Robert E; Yates, Piers J

2015-12-01

The aim of this study was to biomechanically evaluate the Locking attachment plate (LAP) construct in comparison to a Cable plate construct, for the fixation of periprosthetic femoral fractures after cemented total hip arthroplasty. Each construct incorporated a locking compression plate with bi-cortical locking screws for distal fixation. In the Cable construct, 2 cables and 2 uni-cortical locking screws were used for proximal fixation. In the LAP construct, the cables were replaced by a LAP with 4 bi-cortical locking screws. The LAP construct was significantly stiffer than the cable construct under axial load with a bone gap (P=0.01). The LAP construct offers better axial stiffness compared to the cable construct in the fixation of comminuted Vancouver B1 proximal femoral fractures. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

Comparative study of single lateral locked plating versus double plating in type C bicondylar tibial plateau fractures

PubMed Central

Neogi, Devdatta Suhas; Trikha, Vivek; Mishra, Kaushal Kant; Bandekar, Shivanand M.; Yadav, Chandra Shekhar

2015-01-01

Background: Bicondylar tibial plateau fractures are complex injuries and treatment is challenging. Ideal method is still controversial with risk of unsatisfactory results if not treated properly. Many different techniques of internal and external fixation are used. This study compares the clinical results in single locked plating versus dual plating (DP) using two incision approaches. Our hypothesis was that DP leads to less collapse and change in alignment at final followup compared with single plating. Materials and Methods: 61 cases of Type C tibial plateau fractures operated between January 2007 and June 2011 were included in this prospective study. All cases were operated either by single lateral locked plate by anterolateral approach or double plating through double incision. All cases were followed for a minimum of 24 months radiologically and clinically. The statistical analysis was performed using software SPSS 10.0 to analyze the data. Results: Twenty nine patients in a single lateral locked plate and 32 patients in a double plating group were followed for minimum 2 years. All fractures healed, however there was a significant incidence of malalignment in the single lateral plating group. Though there was a significant increase in soft tissue issues with the double plating group; however, there was only 3.12% incidence of deep infection. There was no significant difference in Hospital for special surgery score at 2 years followup. Conclusion: Double plating through two incisions resulted in a better limb alignment and joint reduction with an acceptable soft tissue complication rate. PMID:26015609

A femtosecond Yb-doped fiber laser with generalized vector vortex beams output (Conference Presentation)

NASA Astrophysics Data System (ADS)

Huo, Tiancheng; Qi, Li; Zhang, Buyun; Chen, Zhongping

2017-03-01

Light carries both spin and orbital angular momentum (OAM) and the superpositions of these two dynamical properties have found many applications. Many techniques exist to create such light sources but none allow their creation at the femtosecond fiber laser. Here we report on a novel mode-locked Ytterbium-doped fiber laser that generates femtosecond pulses with generalized vector vortex states. The controlled generation of such pulses such as azimuthally and radially polarized light with definite orbital angular momentum modes are demonstrated. A unidirectional ring cavity constructed with the Yb-doped fiber placed at the end of the fiber section to reduces unnecessary nonlinear effects is employed for self-starting operation. Pairs of diffraction gratings are used for compensating the normal group velocity dispersion of the fiber and other elements. Mode-locked operation is achieved based on nonlinear polarization evolution, which is mainly implemented with the single mode fiber, the bulk wave plates and the variable spiral plates (q-plate with topological charge q=0.5). The conversion from spin angular momentum to the OAM and reverse inside the laser cavity are realized by means of a quarter-wave plate and a q-plate so that the polarization control was mapped to OAM mode control. The fiber laser is diode pumped by a wavelength-division multiplexing coupler, which leads to excellent stability and portability.

Femoral fracture repair using a locking plate technique in an adult captive polar bear (Ursus maritimus).

PubMed

Zimmerman, Dawn M; Dew, Terry; Douglass, Michael; Perez, Edward

2010-02-01

To report successful femoral fracture repair in a polar bear. Case report. Female polar bear (Ursus maritimus) 5 years and approximately 250 kg. A closed, complete, comminuted fracture of the distal midshaft femur was successfully reduced and stabilized using a compression plating technique with 2 specialized human femur plates offering axial, rotational, and bending support, and allowing the bone to share loads with the implant. Postoperative radiographs were obtained at 11.5 weeks, 11 months, and 24 months. Bone healing characterized by marked periosteal reaction was evident at 11 months with extensive remodeling evident at 24 months. No complications were noted. Distal mid shaft femoral fracture was reduced, stabilized, and healed in an adult polar bear with a locking plate technique using 2 plates. Previously, femoral fractures in polar bears were considered irreparable. Use of 2 plates applied with a locking plate technique can result in successful fracture repair despite large body weight and inability to restrict postoperative activity.

Biomechanics of Far Cortical Locking

PubMed Central

Bottlang, Michael; Feist, Florian

2011-01-01

The development of FCL was motivated by a conundrum: locked plating constructs provide inherently rigid stabilization, yet they should facilitate biological fixation and secondary bone healing that relies on flexible fixation to stimulate callus formation. Recent studies have confirmed that the high stiffness of standard locked plating constructs can suppress interfragmentary motion to a level that is insufficient to reliably promote secondary fracture healing by callus formation. Furthermore, rigid locking screws cause an uneven stress distribution that may lead to stress fracture at the end screw and stress shielding under the plate. This review summarizes four key features of FCL constructs that have shown to enhance fixation and fracture healing: Flexible fixation, load distribution, progressive stiffening, and parallel interfragmentary motion. Specifically, flexible fixation provided by FCL reduces the stiffness of a locked plating construct by 80–88% to actively promote callus proliferation similar to an external fixator. Load distribution is evenly shared between FCL screws to mitigate stress risers at the end screw. Progressive stiffening occurs by near cortex support of FCL screws and provides additional support under elevated loading. Finally, parallel interfragmentary motion by s-shaped flexion of FCL screws has shown to induce symmetric callus formation. In combination, these features of FCL constructs have shown to induce more callus and to yield significantly stronger and more consistent healing compared to standard locked plating constructs. As such, FCL constructs function as true internal fixators by replicating the biomechanical behavior and biological healing response of external fixators. PMID:21248556

Are Locking Constructs in Distal Femoral Fractures Always Best? A Prospective Multicenter Randomized Controlled Trial Comparing the Less Invasive Stabilization System With the Minimally Invasive Dynamic Condylar Screw System.

PubMed

2016-01-01

The purpose of this clinical study is to determine whether the rate of fracture healing and fracture union, repaired with a locked device, will be as good as or better than standard nonlocking bicortical fixation in distal femoral fractures. Institutional review board-approved, multicenter prospective randomized controlled trial. Seven level 1 trauma centers across Canada. Fifty-two patients with distal femoral fractures (AO/OTA 33A1 to 33C2) were enrolled in the randomized trial. Twelve AO/OTA 33C3 fractures were excluded from the randomized trial but followed up as a nonrandomized cohort. Patients were treated through a standardized minimally invasive approach. Fractures were randomized 1:1 to treatment with the locked Less Invasive Stabilization System (LISS; Synthes, Paoli, PA) or the dynamic condylar screw (DCS). The nonrandomized cohort was treated at the surgeon's discretion. Primary outcomes were time to radiological union and number of delayed/nonunions at 12 months. Secondary outcomes were postoperative function and complications. Fifty-two patients were randomized including 34 women and 18 men. The mean age was 59 years. Twenty-eight patients were treated with the LISS and 24 with the DCS. There was no statistically significant difference between the LISS and the DCS in terms of the number of fractures healed, time to union, or functional scores. Complications and revisions were more common in the LISS group. There were 7 reoperations in the LISS group and one in the DCS group. Only 52% of the LISS group healed without intervention by 12 months compared with 91% in the DCS group. There was no advantage to the locking plate design in the management of distal femoral fractures in this study. The higher cost of the locking plates, challenges in technique, and lack of superiority have led the authors to discontinue the use of this lateral unicortical locking device in favor of other devices that allow locked or nonlocked bicortical fixation, articular compression, and bridging of the comminuted fracture segments. The cost-effective treatment for a subgroup or periarticular fractures may be a fixed-angle nonlocked device in patients with reasonable bone quality. Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.

Method and apparatus for close packing of nuclear fuel assemblies

DOEpatents

Newman, Darrell F.

1993-01-01

The apparatus of the present invention is a plate of neutron absorbing material. The plate may have a releasable locking feature permitting the plate to be secured within a nuclear fuel assembly between nuclear fuel rods during storage or transportation then removed for further use or destruction. The method of the present invention has the step of placing a plate of neutron absorbing material between nuclear fuel rods within a nuclear fuel assembly, preferably between the two outermost columns of nuclear fuel rods. Additionally, the plate may be releasably locked in place.

Method and apparatus for close packing of nuclear fuel assemblies

DOEpatents

Newman, D.F.

1993-03-30

The apparatus of the present invention is a plate of neutron absorbing material. The plate may have a releasable locking feature permitting the plate to be secured within a nuclear fuel assembly between nuclear fuel rods during storage or transportation then removed for further use or destruction. The method of the present invention has the step of placing a plate of neutron absorbing material between nuclear fuel rods within a nuclear fuel assembly, preferably between the two outermost columns of nuclear fuel rods. Additionally, the plate may be releasably locked in place.

Distal radius fractures and the volar lunate facet fragment: Kirschner wire fixation in addition to volar-locked plating.

PubMed

Moore, Amy M; Dennison, David G

2014-06-01

The volar lunate facet fragment of a distal radius fracture may not be stabilized with volar-locked plating alone due to the small size and distal location of the fragment. Identification and stabilization of this small fragment is critical as unstable fixation may result in radiocarpal and radioulnar joint subluxation. The addition of spring wire fixation with volar plating can provide stable internal fixation of this critical fracture fragment. A retrospective review (2006-2011) identified nine patients with distal radius fractures with an associated volar lunate facet fragment that were treated with volar-locked plating and spring wire fixation of the volar lunate facet fragment. Radiographic indices, range of motion, grip strength, and postoperative Patient-related wrist evaluation (PRWE) scores were obtained to assess pain and function. All distal radius fractures healed, and the volar lunate facet fragment reduction was maintained. The mean follow-up was 54 weeks. Mean active range of motion was 46° wrist flexion, 51° wrist extension, 80° pronation, and 68° supination. The mean grip strength was 21 Kg, achieving 66 % of the uninjured limb. The average PRWE score was 17. No patient required removal of hardware or had evidence of tendon irritation. The addition of spring wire fixation to volar-locked plating provided stable fixation of the volar lunate facet fragment of distal radius fractures without complication. This technique addresses a limitation of volar-locked plating to control the small volar lunate facet fragment in distal radius fractures otherwise amenable to volar plating. A retrospective case series, Level IV.

Plate Versus Intramedullary Nail Fixation of Anterior Tibial Stress Fractures: A Biomechanical Study.

PubMed

Markolf, Keith L; Cheung, Edward; Joshi, Nirav B; Boguszewski, Daniel V; Petrigliano, Frank A; McAllister, David R

2016-06-01

Anterior midtibial stress fractures are an important clinical problem for patients engaged in high-intensity military activities or athletic training activities. When nonoperative treatment has failed, intramedullary (IM) nail and plate fixation are 2 surgical options used to arrest the progression of a fatigue fracture and allow bone healing. A plate will be more effective than an IM nail in preventing the opening of a simulated anterior midtibial stress fracture from tibial bending. Controlled laboratory study. Fresh-frozen human tibias were loaded by applying a pure bending moment in the sagittal plane. Thin transverse saw cuts, 50% and 75% of the depth of the anterior tibial cortex, were created at the midtibia to simulate a fatigue fracture. An extensometer spanning the defect was used to measure the fracture opening displacement (FOD) before and after the application of IM nail and plate fixation constructs. IM nails were tested without locking screws, with a proximal screw only, and with proximal and distal screws. Plates were tested with unlocked bicortical screws (standard compression plate) and locked bicortical screws; both plate constructs were tested with the plate edge placed 1 mm from the anterior tibial crest (anterior location) and 5 mm posterior to the crest. For the 75% saw cut depth, the mean FOD values for all IM nail constructs were 13% to 17% less than those for the saw cut alone; the use of locking screws had no significant effect on the FOD. The mean FOD values for all plate constructs were significantly less than those for all IM nail constructs. The mean FOD values for all plates were 28% to 46% less than those for the saw cut alone. Anterior plate placement significantly decreased mean FOD values for both compression and locked plate constructs, but the mean percentage reductions for locked and unlocked plates were not significantly different from each other for either plate placement. The percentage FOD reductions for all plate constructs and the unlocked IM nail were significantly less with a 50% saw cut depth. Plate fixation was superior to IM nail fixation in limiting the opening of a simulated midtibial stress fracture, and anterior-posterior placement of the plate was an important variable for this construct. Results from these tests can help guide the selection of fixation hardware for patients requiring surgical treatment for a midtibial stress fracture. © 2016 The Author(s).

Surgical Treatment of the Atrophic Mandibular Fractures by Locked Plates Systems: Our Experience and a Literature Review

PubMed Central

Novelli, Giorgio; Sconza, Cristiano; Ardito, Emanuela; Bozzetti, Alberto

2012-01-01

The management of atrophic mandibular fractures in edentulous patients represents an insidious issue for the maxillofacial surgeon due to the biological and biomechanical conditions that are unfavorable for fracture fixation and bone healing. The purpose of this study was to evaluate the results of the treatment of atrophic mandibular fractures and to compare the outcomes of different plating systems used for stabilization. We selected a study group of 16 patients with fractures of completely edentulous atrophic mandibles who were treated in our department between 2004 and 2010. All patients were surgically treated by open reduction and internal rigid fixation using 2.0-mm large-profile locking and 2.4-mm locking bone plates. All patients achieved a complete fracture healing and fast functional recovery of mandibular movements without intraoperative or postoperative surgical complications. The results of our study demonstrated the efficacy of this type of treatment in association with a low postoperative complication rate, a reduction in the recovery time, and the possibility to have an immediately functional rehabilitation. There were very similar results using each of the two bone plating methods considered: no case had hardware failure or nonunion of the fracture. The 2.0-mm large locking plate is thinner, exposes through the soft tissues less frequently, and is much easier to shape and adapt to the mandibular anatomy. However, the 2.4-mm locking plate system still represents the reference hardware in the condition of severe bone atrophy. PMID:23730420

Open-wedge high tibial osteotomy: incidence of lateral cortex fractures and influence of fixation device on osteotomy healing.

PubMed

Dexel, Julian; Fritzsche, Hagen; Beyer, Franziska; Harman, Melinda K; Lützner, Jörg

2017-03-01

Open-wedge high tibial osteotomy (HTO) is an established treatment for young and middle-aged patients with medial compartment knee osteoarthritis and varus malalignment. Although not intended, a lateral cortex fracture might occur during this procedure. Different fixation devices are available to repair such fractures. This study was performed to evaluate osteotomy healing after fixation with two different locking plates. Sixty-nine medial open-wedge HTO without bone grafting were followed until osteotomy healing. In patients with an intact lateral hinge, no problems were noted with either locking plate. A fracture of the lateral cortex occurred in 21 patients (30.4 %). In ten patients, the fracture was not recognized during surgery but was visible on the radiographs at the 6-week follow-up. Lateral cortex fracture resulted in non-union with the need for surgical treatment in three out of eight (37.5 %) patients using the newly introduced locking plate (Position HTO Maxi Plate), while this did not occur with a well-established locking plate (TomoFix) (0 out of 13, p = 0.023). With regard to other adverse events, no differences between both implants were observed. In cases of lateral cortex fracture, fixation with a smaller locking plate resulted in a relevant number of non-unions. Therefore, it is recommended that bone grafting, another fixation system, or an additional lateral fixation should be used in cases with lateral cortex fracture. III.

Outcome of locking compression plates in humeral shaft nonunions

PubMed Central

Kumar, Malhar N; Ravindranath, V Pratap; Ravishankar, MR

2013-01-01

Background: Nonunion of diaphyseal fractures of the humerus are frequently seen in clinical practice (incidence of up to 15% in certain studies) and osteosynthesis using dynamic compression plates, intra medullary nails and Ilizarov fixators have been reported previously. Locking compression plates (LCP) are useful in the presence of disuse osteoporosis, segmental bone loss and cortical defects that preclude strong fixation. We report a prospective followup study of the outcome of the use of LCP for humeral nonunion following failed internal fixation in which implants other than LCP had been used. Materials and Methods: Twenty four patients with nonunion of humeral shaft fractures following failed internal fixation were included in the study. The mean followup period was 3.4 years (range: 2.4 to 5.7 years) and the minimum followup period was 2 years. Mean age of the patients was 41.04 years (range: 24 to 57 years). All 24 patients underwent osteosynthesis using LCP and autologous bone grafting (cortico-cancellous iliac crest graft combined with or without fibular strut graft). Main outcome measurements included radiographic assessment of fracture union and pre and postoperative functional evaluation using the modified Constant and Murley scoring system. Results: 23 out of 24 fractures united following osteosynthesis. Average time to union was 16 weeks (range: 10 to 28 weeks). Complications included delayed union (n = 2), transient radial nerve palsy (n = 2) and persistent nonunion (n = 1). Functional evaluation using the Constant and Murley score showed excellent results in 11, good in 10, fair in two and poor outcome in one patient. Conclusions: Locking compression plating and cancellous bone grafting is a reliable option for achieving union in humeral diaphyseal nonunion with failed previous internal fixation and results in good functional outcome in patients with higher physiological demands. PMID:23682176

Percutaneous fixation with Kirschner wires versus volar locking plate fixation in adults with dorsally displaced fracture of distal radius: randomised controlled trial.

PubMed

Costa, Matthew L; Achten, Juul; Parsons, Nick R; Rangan, Amar; Griffin, Damian; Tubeuf, Sandy; Lamb, Sarah E

2014-08-05

To compare the clinical effectiveness of Kirschner wire fixation with locking plate fixation for patients with a dorsally displaced fracture of the distal radius. A multicentre two arm parallel group assessor blind randomised controlled trial with 1:1 treatment allocation. 18 trauma centres in the United Kingdom. 461 adults with a dorsally displaced fracture of the distal radius within 3 cm of the radiocarpal joint that required surgical fixation. Patients were excluded if the surgeon thought that the surface of the wrist joint was so badly displaced it required open reduction. Kirschner wire fixation: wires are passed through the skin over the dorsal aspect of the distal radius and into the bone to hold the fracture in the correct anatomical position. Locking plate fixation: a locking plate is applied through an incision over the volar (palm) aspect of the wrist and secured to the bone with fixed angle locking screws. validated patient rated wrist evaluation (PRWE). This rates wrist function in two (equally weighted) sections concerning the patient's experience of pain and disability to give a score out of 100. disabilities of arm, shoulder, and hand (DASH) score, the EuroQol (EQ-5D), and complications related to the surgery. The baseline characteristics of the two groups were well balanced, and over 90% of patients completed follow-up. The wrist function of both groups of patients improved by 12 months. There was no clinically relevant difference in the patient rated wrist score at three, six, or 12 months (difference in favour of the plate group was -1.3, 95% confidence interval -4.5 to 1.8; P=0.40). Nor was there a clinically relevant difference in health related quality of life or the number of complications in each group. Contrary to the existing literature, and against the rapidly increasing use of locking plate fixation, this trial found no difference in functional outcome in patients with dorsally displaced fractures of the distal radius treated with Kirschner wires or volar locking plates. Kirschner wire fixation, however, is cheaper and quicker to perform. Current Controlled Trials ISCRTN 31379280. UKCRN 8956. © Costa et al 2014.

Screw Versus Plate Fixation for Chevron Osteotomy: A Retrospective Study.

PubMed

Andrews, Boyd J; Fallat, Lawrence M; Kish, John P

2016-01-01

The chevron osteotomy is a popular procedure used for the correction of moderate hallux abducto valgus deformity. Fixation is typically accomplished with Kirschner wires or bone screws; however, in cystic or osteoporotic bone, these could be inadequate, resulting in displacement of the capital fragment. We propose using a locking plate and interfragmental screw for fixation of the chevron osteotomy that could reduce the healing time and decrease the incidence of displacement. We performed a retrospective cohort study for chevron osteotomies on 75 feet (73 patients). The control groups underwent fixation with 1 screw in 30 feet (40%) and 2 screws in 30 feet (40%). A total of 15 feet (20%) were included in the locking plate and interfragmental screw group. The patients were followed up until bone healing was achieved at a median of 7 (range 6 to 14) weeks. Our hypothesis was that those treated with the locking plate and interfragmental screw would have a faster healing time and fewer incidents of capital fragment displacement compared with the 1- or 2-screw groups. The corresponding mean intervals to healing for the 1-screw group was 7.71 ± 1.28 (range 6 to 10) weeks, for the 2-screw group was 7.27 ± 1.57 (range 6 to 14) weeks, and for the locking plate and interfragmental screw group was 7.01 ± 1.00 (range 6 to 9) weeks. One case of capital fragment displacement occurred in the single screw group and one in the 2-screw group. No displacement occurred in the locking plate and interfragmental screw group. Neither finding was statistically significant. However, we believe the locking plate and interfragmental screw could be a viable option in patients with osteoporotic and cystic bone changes for correction of hallux abducto valgus. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Locked versus standard unlocked plating of the symphysis pubis in a Type-C pelvic injury: a cadaver biomechanical study.

PubMed

Moed, Berton R; O'Boynick, Christopher P; Bledsoe, J Gary

2014-04-01

The benefits of locked plating for pubic symphyseal disruption have not been established. The purpose of this biomechanical study was to determine whether locked plating offers any advantage over conventional unlocked plating of the pubic symphysis in the vertically unstable, Type-C pelvic injury. In each of eight embalmed cadaver pelvis specimens, sectioning of the pubic symphysis in conjunction with a unilateral release of the sacroiliac, sacrospinous, and sacrotuberous ligaments and pelvic floor was performed to simulate a vertically unstable Type-C (Orthopaedic Trauma Association 61-C1.2) pelvic injury. The disrupted SI joint was then reduced and fixed using two 6.5mm cannulated screws inserted into the S1 body. Using a six-hole 3.5mm plate specifically designed for the symphysis pubis having both locked and unlocked capability, four pelvises were fixed with locked screws and four pelvises were fixed with standard unlocked bicortical screws. Both groups were similar based on a dual-emission X-ray absorptiometry evaluation (P=0.69). Each pelvis was then mounted on a servohydraulic materials-testing apparatus using a bilateral stance model to mainly stress the symphyseal fixation and was cycled up to 1 million cycles or failure, whichever occurred first. Five specimens experienced failure at the jig mounting/S1 vertebral body interface, occurring between 360,000 and 715,000 cycles. Frank failure of the anterior or posterior instrumentation did not occur. However, end-trialing diastasis of the initial pubic symphysis reduction was found in all pelvises. There were no differences between the groups with respect to this loss of symphyseal reduction (P=0.69) or average cycles to failure (P=1.0). Pubic symphyseal locked plating does not appear to offer any advantage over standard unlocked plating for a Type-C (OTA 61-C1.2) pelvic ring injury. Copyright © 2013 Elsevier Ltd. All rights reserved.

One size does not fit all: distal radioulnar joint dysfunction after volar locking plate fixation.

PubMed

Jones, Christopher W; Lawson, Richard D

2014-02-01

Background Fractures of the distal radius are among the most common injuries treated by orthopedic surgeons worldwide. Failure to restore distal radius alignment can lead to fracture malunion and poor clinical outcomes, including distal radioulnar joint (DRUJ) instability and limitation of motion. Case Description We present a unique case of DRUJ dysfunction following volar plate fixation of bilateral distal radius fractures and analyze the biomechanical causes of this complication. As a result of a relatively excessive tilt of the precontoured locking plate (in comparison to the patient's particular anatomy), the fracture on one side was "over-reduced," disrupting the biomechanics of the DRUJ, causing a supination block. Clinical Relevance Volar locking plates are not a panacea to all distal radius fractures. Plate selection and fixation technique must include consideration of patient anatomy. Robust plates offer the advantage of providing rigid fixation but can be difficult to contour when reconstructing normal anatomy. Restoration of patient-specific anatomy is crucial to the management of distal radius fractures.

Treatment of proximal humerus fractures with locking plates: a systematic review.

PubMed

Thanasas, Christos; Kontakis, George; Angoules, Antonios; Limb, David; Giannoudis, Peter

2009-01-01

Locking plates with special configuration for the anatomic region of the proximal humerus have been introduced recently to address the difficulties of stabilizing proximal humeral fractures. The purpose of this study was to carry out a systematic review of the literature on the efficacy and early to medium term functional results of locking plates for stabilization of proximal humeral fractures. Using the PubMed database, a systematic review of the English and German literature was carried out in order to assess the efficacy and complications related to the use of these plates and the patients' functional outcome, using the key words "locking plates proximal humeral fractures," "angular stability plates proximal humeral fractures," "PHILOS plate," and "LPHP plate." Our criteria for eligibility were clinical studies with more than ten cases followed-up, adult patients, and adequate data provided at least in terms of implant related complications. Articles written in English and German language were included. Exclusion criteria were: studies dealing exclusively with 2-part fractures (since this category has a more favorable outcome); experimental studies; case reports; and, literature other than English or German. Each one of the articles was evaluated for quality of the study using the Structured Effectiveness Quality Evaluation Scale (SEQES). Twelve studies including 791 patients met the inclusion criteria. Patients in these studies continued to improve up to one year, achieving a mean Constant score of 74.3. The incidence of the reported complications was: avascular necrosis 7.9%, screw cut-out 11.6% and re-operation rate 13.7%. The high incidence of cut-out may be secondary to the rigidity of the implant in combination with medial inadequate support, in cases compromised by severe underlying osteoporotic bone. Definition of indications for the use of locking plates and attention on technical aspects of applying them would help optimization of the results. Systematic Review.

Fixation of osteoporotic fractures in the upper limb with a locking compression plate.

PubMed

Neuhaus, V; King, J D; Jupiter, J B

2012-01-01

Locking Compression Plate (LCP) has the advantageous feature that screws can be locked in the plate leaving an angular stable construct. There is no need to have contact between the plate and the bone to achieve stability resulting from friction of the plate-bone-construct. Therefore the plate does not need to be contoured exactly to the bone and the healing bone's periosteal blood supply is not affected. The LCP is used as a bridging plate to gain relative stability in multi-fragmentary, diaphyseal or metaphyseal fractures. Depending on the fracture, the combination hole can also allow the LCP to achieve absolute stability similar to conventional fixation techniques. Osteoporotic fractures have significant impact on morbidity and mortality. Proximal humeral and distal radius fractures are typical examples. These osteoporotic and often comminuted fractures are ideal settings/indications for LCP utilization in the upper extremity. However, the data quality is due to mostly small study populations not so powerful. Unquestionably there has been a clear and fashionable trend to choose operative treatment for these fractures, because the angular stability allows stable fixation and early functional mobilization.

Effectiveness of the surgical torque limiter: a model comparing drill- and hand-based screw insertion into locking plates.

PubMed

Ioannou, Christopher; Knight, Matthew; Daniele, Luca; Flueckiger, Lee; Tan, Ezekiel S L

2016-10-17

The objective of this study is to analyse the effectiveness of the surgical torque limiter during operative use. The study also investigates the potential differences in torque between hand and drill-based screw insertion into locking plates using a standardised torque limiter. Torque for both hand and power screw insertion was measured through a load cell, registering 6.66 points per second. This was performed in a controlled environment using synthetic bone, a locking plate and locking screws to simulate plate fixation. Screws were inserted by hand and by drill with torque values measured. The surgical torque limiter (1.5 Nm) was effective as the highest recorded reading in the study was 1.409 Nm. Comparatively, there is a statistically significant difference between screw insertion methods. Torque produced for manually driven screw insertion into locking plates was 1.289 Nm (95 % CI 1.269-1.308) with drill-powered screw insertion at 0.740 Nm (95 % CI 0.723-0.757). The surgical torque limiter proved to be effective as per product specifications. Screws inserted under power produce significantly less torque when compared to manual insertion by hand. This is likely related to the mechanism of the torque limiter when being used at higher speeds for which it was designed. We conclude that screws may be inserted using power to the plate with the addition of a torque limiter. It is recommended that all screws inserted by drill be hand tightened to achieve adequate torque values.

Numerical and experimental study of bistable plates for morphing structures

NASA Astrophysics Data System (ADS)

Nicassio, F.; Scarselli, G.; Avanzini, G.; Del Core, G.

2017-04-01

This study is concerned with the activation energy threshold of bistable composite plates in order to tailor a bistable system for specific aeronautical applications. The aim is to explore potential configurations of the bistable plates and their dynamic behavior for designing novel morphing structure suitable for aerodynamic surfaces and, as a possible further application, for power harvesters. Bistable laminates have two stable mechanical shapes that can withstand aerodynamic loads without additional constraint forces or locking mechanisms. This kind of structures, when properly loaded, snap-through from one stable configuration to another, causing large strains that can also be used for power harvesting scopes. The transition between the stable states of the composite laminate can be triggered, in principle, simply by aerodynamic loads (pilot, disturbance or passive inputs) without the need of servo-activated control systems. Both numerical simulations based on Finite Element models and experimental testing based on different activating forcing spectra are used to validate this concept. The results show that dynamic activation of bistable plates depend on different parameters that need to be carefully managed for their use as aircraft passive wing flaps.

Use of intramedullary fibular strut graft: a novel adjunct to plating in the treatment of osteoporotic humeral shaft nonunion

PubMed Central

Vamsi, K.; Rao, Sharath K.; Gnanadoss, James J.; Pandian, S.

2008-01-01

Humeral shaft fractures respond well to conservative treatment and unite without much problem. Since it is uncommon, there is not much discussion regarding the management of nonunion in the literature, and hence this is a challenge to the treating orthopaedic surgeon. Osteoporosis of the fractured bone and stiffness of the surrounding joints compounds the situation further. The Ilizarov fixator, locking compression plate, and vascularised fibular graft are viable options in this scenario but are technically demanding. We used a fibular strut graft for bridging the fracture site in order to enhance the pull-out strength of the screws of the dynamic compression plate. Six patients in the study had successful uneventful union of the fracture at the last follow-up. The fibula is easy to harvest and produces less graft site morbidity. None of the study patients needed additional iliac crest bone grafting. This is the largest reported series of patients with osteoporotic atrophic nonunion of humerus successfully treated solely using the combination of an intramedullary fibular strut graft and dynamic compression plate. PMID:18563410

Shear-strain energy rate distribution caused by the interplate locking along the Nankai Trough, southwest Japan: An integration analysis using stress tensor inversion and slip deficit inversion

NASA Astrophysics Data System (ADS)

Saito, T.; Noda, A.; Yoshida, K.; Tanaka, S.

2017-12-01

In the Nankai Trough, southwest Japan, the Philippine Sea Plate descends beneath the Eurasian plate. The locking, or the slip deficit, on the plate interface causes stress fluctuation in the inland area. The interplate locking does not always result in stress accumulation but also causes stress release. The stress increase/decrease is not determined only from the stress fluctuation but also depends on the background stress, in particular, its orientation. This study proposes a method to estimate the shear-strain energy increase/decrease distribution caused by the interplate locking. We at first investigated the background stress field in and around the Nankai Trough. The spatial distribution of the principal stress orientations and the stress ratio were estimated by analysis of 130,000 focal mechanisms of small earthquakes (e.g., Yoshida et al. 2015 Tectonophysics). For example, in an area called Chugoku region, the maximum and minimum compression axes were E-W and N-S directions, respectively. We also estimated the slip-deficit rate at the plate interface by analyzing GNSS data and calculated the stress fluctuation due to the deficit (e.g., Noda et al. 2013 GJI). The interplate locking causes the maximum compression in the direction of plate convergence. This is significantly different from the orientations of the background stress characterized by the E-W compressional strike-slip stress regime.. By combining the results of the background stress and the stress fluctuation, we made a map indicating the shear-strain energy change due to the interplate locking. In the Chugoku region, the shear-strain energy decreases due to the interplate locking. This is because the N-S compressional stress caused by the interplate locking compensates the N-S extensional stress in the background. The shear-strain energy increases in some parts of the analyzed areas. By statistically comparing the shear strain energy rate with the seismicity in the inland area, we found that the seismicity tends to be high where the interplate locking increases the shear-strain energy. Our results suggest that the stress fluctuation due to the interplate locking is not dominant in the background stress but surely contributes to the inland seismicity in southwest Japan.

Nuclear fuel element nut retainer cup. [PWR

DOE Office of Scientific and Technical Information (OSTI.GOV)

Walton, L.A.

1977-07-19

A typical embodiment has an end fitting for a nuclear reactor fuel element that is joined to the control rod guide tubes by means of a nut plate assembly. The nut plate assembly has an array of nuts, each engaging the respective threaded end of the control rod guide tubes. The nuts, moreover, are retained on the plate during handling and before fuel element assembly by means of hollow cylindrical locking cups that are brazed to the plate and loosely circumscribe the individual enclosed nuts. After the nuts are threaded onto the respective guide tube ends, the locking cups aremore » partially deformed to prevent one or more of the nuts from working loose during reactor operation. The locking cups also prevent loose or broken end fitting parts from becoming entrained in the reactor coolant.« less

Portable appliance security apparatus

NASA Technical Reports Server (NTRS)

Kerley, J. J. (Inventor)

1981-01-01

An apparatus for securing a small computer, or other portable appliance, against theft is described. It is comprised of a case having an open back through which the computer is installed or removed. Guide members in the form of slots are formed in a rear portion of opposite walls of the case for receiving a back plate to cover the opening and thereby secure the computer within the case. An opening formed in the top wall of the case exposes the keyboard and display of the computer. The back plate is locked in the closed position by a key-operated plug type lock. The lock is attached to one end of a hold down cable, the opposite end thereof being secured to a desk top or other stationary object. Thus, the lock simultaneously secures the back plate to the case and retains the case to the stationary object.

Second generation locked plating for complex proximal humerus fractures in very elderly patients.

PubMed

Gavaskar, Ashok S; Karthik B, Bhupesh; Tummala, Naveen C; Srinivasan, Parthasarathy; Gopalan, Hitesh

2016-11-01

Humeral head sacrificing procedures are more favored in elderly patients with complex proximal humerus fractures because of high incidence of failures and complications with osteosynthesis. The purpose of this study is to assess the outcome of second generation locked plating techniques in 3 and 4 part fractures in active elderly patients >70years with an emphasis on function and complications. 29 patients with displaced 3 and 4 part proximal humerus fractures were treated using the principles of second-generation proximal humerus locked plating. Fixed angle locked plating (PHILOS) using the anterolateral deltoid spilt approach augmented with traction cuff sutures was performed. Minimum of 7 locking head screws including 2 calcar screws were used. In cases with a comminuted medial calcar, an endosteal fibular strut was used. Subchondral metaphyseal bone voids were filled with injectable calcium phosphate cement. Radiological outcome (union, head - shaft angle, tuberosity reduction), functional outcome assessment (Constant and ASES scores) and complications (loss of reduction, nonunion and osteonecrosis) were assessed. The fracture united in 24 of the 26 patients available for follow up at a mean of 27 months (12-40 months). 3 patients developed complications that required arthroplasty (fixation failure in 2 patients and osteonecrosis in 1 patient). Follow up age adjusted Constant (63.1±11.9) and ASES scores (62.58±7.5) showed the extent of functional improvement post surgery. Patients with fractures having a non-comminuted medial calcar and valgus displacement of the humeral head had better functional scores and fewer complications. Osteosynthesis with second generation locked plating techniques provide satisfactory outcome in very elderly patients with complex proximal humerus fractures with minimal complications. Copyright © 2016 Elsevier Ltd. All rights reserved.

On the Possibility of Interseismic Creep of the Cascadia Megathrust

NASA Astrophysics Data System (ADS)

Wang, Y.; Wang, K.; He, J.

2012-12-01

Without any instrumental records of large megathrust earthquakes, our knowledge of the seismic potential of the Cascadia subduction zone depends critically on our understanding of the present state of interseismic fault locking. The traditional view of a fully and uniformly locked Cascadia megathrust, consistent with the extremely low modern interplate seismicity, is now challenged for two reasons. First, recent quantitative analyses of high-quality microfossil data indicate that fault slip in the great Cascadia earthquake of 1700 was heterogeneous, with high-slip areas separated by low-slip areas. This leads to the question whether the low-slip areas should exhibit interseismic creeping after the earthquake and even at present. Second, the most recent inversion of GPS measurements to infer simultaneously megathrust locking, permanent upper plate deformation, and block motion features large creeping (i.e., partial locking) segments along the margin. For example, in northern Cascadia offshore of Vancouver Island, the creep rate is reported to be about 40% of the plate convergence rate of ~50 mm/yr used in this inversion. Here we re-examine the locking state of the northern Cascadia megathrust by exploring the following issues. (1) The geodetically observed contemporary margin-normal shortening has a relatively low velocity gradient but extends quite far inland. In an elastic model, the near-field low strain rate can be explained by partial locking, and the broad pattern is explained by permanent shortening, e.g., across the Canadian Coast Mountains. We investigate whether a viscoelastic model can explain the geodetic strains with a fully locked megathrust without permanent upper plate shortening. (2) The new global plate motion model MORVEL predicts a lower convergence rate of only ~40 mm/yr at northern Cascadia. We investigate its implications to the interpretation of the geodetic observations. (3) Globally, afterslip following a great earthquake is generally observed to have a short duration. We investigate whether the contemporary Cascadia deformation field could still be under the influence of the 1700 event, especially that of the post-seismic behaviour of its low-slip areas. (4) We investigate to what extent land-based GPS observations can resolve partial locking vs. full locking of the offshore seismogenic zone. We develop a 3-D viscoelastic model with a fully locked plate interface but with the locking width varying along strike and test whether this model can explain GPS observations as well as does the partially locked elastic model. We also develop an alternative model with multiple slow slip events of spatiotemporally varying source regions, in order to investigate whether their integrated effect could be identified as partial locking by land-based GPS. Our work at Cascadia may also help understand the interseismic creep reported for other subduction zones.

[Development of polyaxial locking plate screw system of sacroiliac joint].

PubMed

Fan, Weijie; Xie, Xuesong; Zhou, Shuping; Zhang, Yonghu

2014-09-01

To develop an instrument for sacroiliac joint fixation with less injury and less complications. Firstly, 18 adult pelvic specimens (8 males and 10 females) were used to measure the anatomical data related to the locking plates and locking screws on the sacrum and ilium, and the polyaxial locking plate screw system of the sacroiliac joint was designed according to the anatomic data. This system was made of medical titanium alloy. Then 4 adult male plevic specimens were harvested and the experiment was divided into 3 groups: group A (normal pelvic), group B (the dislocated sacroiliac joint fixed with sacroiliac screws), and group C (the dislocated sacroiliac joint fixed with polyaxial locking plate screw system). The vertical displacement of sacroiliac joint under the condition of 0-700 N vertical load and the horizontal displacement on angle under the condition of 0-12 N·m torsional load were compared among the 3 groups by using the biological material test system. Finally, the simulated application test was performed on 1 adult male cadaveric specimen to observe soft tissue injury and the position of the locking plate and screw by X-ray films. According to the anatomic data of the sacrum and ilium, the polyaxial locking plate screw system of the sacroiliac joint was designed. The biomechanical results showed that the vertical displacement of the sacroiliac joint under the condition of 0-700 N vertical load in group A was significantly bigger than that in group B and group C (P < 0.05), but there was no significant difference between group B and group C (P > 0.05). The horizontal displacement on angle under the condition of 0-12 N·m torsional load in group A was significantly less than that in group B and group C (P < 0.05). The horizontal displacement on angle under the condition of 0-6 N·m torsional load in group B was bigger than that in group C, and the horizontal displacement on angle under the condition of 6-12 N·m torsional load in group B was less than that in group C, but there was no significant difference between group B and group C (P > 0.05). The test of simulating application showed that the specimen suffered less soft tissue injury, and this instrument could be implanted precisely and safely. The polyaxial locking plate screw system of the sacroiliac joint has the advantages of smaller volume and less injury; polyaxial fixation enables flexible adjustment screw direction. The simulated application test shows satisfactory fixing effect.

Three-dimensional finite element analysis of occipitocervical fixation using an anterior occiput-to-axis locking plate system: a pilot study.

PubMed

Cai, Xianhua; Yu, Yang; Liu, Zhichao; Zhang, Meichao; Huang, Weibing

2014-08-01

Although there are many techniques for occipitocervical fixation, there have been no reports regarding occipitocervical fixation via the use of an anterior anatomical locking plate system. The biomechanics of this new system were analyzed by a three-dimensional finite element to provide a theoretical basis for clinical application. This was a modeling study. We studied a 27-year-old healthy male volunteer in whom cervical disease was excluded via X-ray examination. The states of stress and strain of these two internal fixation devices were analyzed. A three-dimensional finite element model of normal occiput-C2 was established based on the anatomical data from a Chinese population. An unstable model of occipital-cervical region was established by subtracting several unit structures from the normal model. An anterior occiput-to-axis locking titanium plate system was then applied and an anterior occiput-to-axis screw fixation was performed on the unstable model. Limitation of motion was performed on the surface of the fixed model, and physiological loads were imposed on the surface of the skull base. Under various loads from different directions, the peak values of displacement of the anterior occiput-to-axis locking titanium plate system decreased 15.5%, 12.5%, 14.4%, and 23.7%, respectively, under the loads of flexion, extension, lateral bending, and axial rotation. Compared with the anterior occiput-to-axis screw fixation, the peak values of stress of the anterior occiput-to-axis locking titanium plate system also decreased 3.9%, 2.9%, 9.7%, and 7.2%, respectively, under the loads of flexion, extension, lateral bending, and axial rotation. The anterior occiput-to-axis locking titanium plate system proved superior to the anterior occiput-to-axis screw system both in the stress distribution and fixation stability based on finite element analysis. It provides a new clinical option for anterior occipitocervical fixation. Copyright © 2014 Elsevier Inc. All rights reserved.

The Geodetic Signature of the Earthquake Cycle at Subduction Zones: Model Constraints on the Deep Processes

NASA Astrophysics Data System (ADS)

Govers, R.; Furlong, K. P.; van de Wiel, L.; Herman, M. W.; Broerse, T.

2018-03-01

Recent megathrust events in Tohoku (Japan), Maule (Chile), and Sumatra (Indonesia) were well recorded. Much has been learned about the dominant physical processes in megathrust zones: (partial) locking of the plate interface, detailed coseismic slip, relocking, afterslip, viscoelastic mantle relaxation, and interseismic loading. These and older observations show complex spatial and temporal patterns in crustal deformation and displacement, and significant differences among different margins. A key question is whether these differences reflect variations in the underlying processes, like differences in locking, or the margin geometry, or whether they are a consequence of the stage in the earthquake cycle of the margin. Quantitative models can connect these plate boundary processes to surficial and far-field observations. We use relatively simple, cyclic geodynamic models to isolate the first-order geodetic signature of the megathrust cycle. Coseismic and subsequent slip on the subduction interface is dynamically (and consistently) driven. A review of global preseismic, coseismic, and postseismic geodetic observations, and of their fit to the model predictions, indicates that similar physical processes are active at different margins. Most of the observed variability between the individual margins appears to be controlled by their different stages in the earthquake cycle. The modeling results also provide a possible explanation for observations of tensile faulting aftershocks and tensile cracking of the overriding plate, which are puzzling in the context of convergence/compression. From the inversion of our synthetic GNSS velocities we find that geodetic observations may incorrectly suggest weak locking of some margins, for example, the west Aleutian margin.

Percutaneous fixation with Kirschner wires versus volar locking plate fixation in adults with dorsally displaced fracture of distal radius: randomised controlled trial

PubMed Central

Achten, Juul; Parsons, Nick R; Rangan, Amar; Griffin, Damian; Tubeuf, Sandy; Lamb, Sarah E

2014-01-01

Objectives To compare the clinical effectiveness of Kirschner wire fixation with locking plate fixation for patients with a dorsally displaced fracture of the distal radius. Design A multicentre two arm parallel group assessor blind randomised controlled trial with 1:1 treatment allocation. Setting 18 trauma centres in the United Kingdom. Participants 461 adults with a dorsally displaced fracture of the distal radius within 3 cm of the radiocarpal joint that required surgical fixation. Patients were excluded if the surgeon thought that the surface of the wrist joint was so badly displaced it required open reduction. Interventions Kirschner wire fixation: wires are passed through the skin over the dorsal aspect of the distal radius and into the bone to hold the fracture in the correct anatomical position. Locking plate fixation: a locking plate is applied through an incision over the volar (palm) aspect of the wrist and secured to the bone with fixed angle locking screws. Main outcome measures Primary outcome measure: validated patient rated wrist evaluation (PRWE). This rates wrist function in two (equally weighted) sections concerning the patient’s experience of pain and disability to give a score out of 100. Secondary outcomes: disabilities of arm, shoulder, and hand (DASH) score, the EuroQol (EQ-5D), and complications related to the surgery. Results The baseline characteristics of the two groups were well balanced, and over 90% of patients completed follow-up. The wrist function of both groups of patients improved by 12 months. There was no clinically relevant difference in the patient rated wrist score at three, six, or 12 months (difference in favour of the plate group was −1.3, 95% confidence interval −4.5 to 1.8; P=0.40). Nor was there a clinically relevant difference in health related quality of life or the number of complications in each group. Conclusions Contrary to the existing literature, and against the rapidly increasing use of locking plate fixation, this trial found no difference in functional outcome in patients with dorsally displaced fractures of the distal radius treated with Kirschner wires or volar locking plates. Kirschner wire fixation, however, is cheaper and quicker to perform. Trial registration Current Controlled Trials ISCRTN 31379280. UKCRN 8956. PMID:25096595

Style of Plate Spreading Derived from the 2008-2014 Velocity Field Across the Northern Volcanic Zone of Iceland

NASA Astrophysics Data System (ADS)

Drouin, V.; Sigmundsson, F.; Hreinsdottir, S.; Ofeigsson, B.; Sturkell, E.; Einarsson, P.

2015-12-01

The Northern Volcanic Zone (NVZ) of Iceland is a subaerial part of the divergent boundary between the North-American and Eurasian Plates. At this latitude, the full spreading between the plates is accommodated by the NVZ. We derived the plate boundary velocity field from GPS campaign and continuous measurements between 2008 and 2014, a time period free of any magma intrusion. Average velocities were estimated in the ITRF08 reference frame. The overall extension is consistent with 18 mm/yr in the 104°N direction spreading, in accordance with the MORVEL2010 plate motion model. We find that a 40km-wide band along the plate boundary accommodates about 75% of the full plate velocities. Within this zone, the average strain rate is approximately 0.35 μstrain/yr. The deformation field and the strain rate are, however, much affected by other sources of deformations in the NVZ. These include magmatic sources at the most active volcanic centers, glacial rebound near the ice-caps and geothermal power-plant water extraction. Magmatic sources include a shallow magma chamber deflation under Askja caldera, as well as under Þeistareykir and eventual deep magma inflation north of Krafla volcano. Vatnajökull ice cap melting causes large uplift and outward displacements in the southern part of the NVZ. The two geothermal power-plants near Krafla are inducing local deflations. Our GPS velocities show a 35° change in the direction of the plate boundary axis north of Askja volcano that we infer to be linked to the geometric arrangement of volcanic systems within the NVZ.We use a simple arctangent model to describe the plate spreading to provide constraints on the location and the locking depth of the spreading axis. For that purpose we divided the area in short overlapping segments having the same amount of GPS points along the plate spreading direction and inverted for the location of the center of the spreading axis and locking depth. With this simple model we can account for most of the plate spreading related deformation in the NVZ. It appears that the locking depth is not uniform all along the length of the plate boundary, with a deeper locking depth in the low activity volcanic systems and a shallower locking depth in the more active volcanic systems of Krafla and Askja.

Gradual unlocking of plate boundary controlled initiation of the 2014 Iquique earthquake.

PubMed

Schurr, Bernd; Asch, Günter; Hainzl, Sebastian; Bedford, Jonathan; Hoechner, Andreas; Palo, Mauro; Wang, Rongjiang; Moreno, Marcos; Bartsch, Mitja; Zhang, Yong; Oncken, Onno; Tilmann, Frederik; Dahm, Torsten; Victor, Pia; Barrientos, Sergio; Vilotte, Jean-Pierre

2014-08-21

On 1 April 2014, Northern Chile was struck by a magnitude 8.1 earthquake following a protracted series of foreshocks. The Integrated Plate Boundary Observatory Chile monitored the entire sequence of events, providing unprecedented resolution of the build-up to the main event and its rupture evolution. Here we show that the Iquique earthquake broke a central fraction of the so-called northern Chile seismic gap, the last major segment of the South American plate boundary that had not ruptured in the past century. Since July 2013 three seismic clusters, each lasting a few weeks, hit this part of the plate boundary with earthquakes of increasing peak magnitudes. Starting with the second cluster, geodetic observations show surface displacements that can be associated with slip on the plate interface. These seismic clusters and their slip transients occupied a part of the plate interface that was transitional between a fully locked and a creeping portion. Leading up to this earthquake, the b value of the foreshocks gradually decreased during the years before the earthquake, reversing its trend a few days before the Iquique earthquake. The mainshock finally nucleated at the northern end of the foreshock area, which skirted a locked patch, and ruptured mainly downdip towards higher locking. Peak slip was attained immediately downdip of the foreshock region and at the margin of the locked patch. We conclude that gradual weakening of the central part of the seismic gap accentuated by the foreshock activity in a zone of intermediate seismic coupling was instrumental in causing final failure, distinguishing the Iquique earthquake from most great earthquakes. Finally, only one-third of the gap was broken and the remaining locked segments now pose a significant, increased seismic hazard with the potential to host an earthquake with a magnitude of >8.5.

Biomechanical in vitro assessment of screw augmentation in locked plating of proximal humerus fractures.

PubMed

Röderer, Götz; Scola, Alexander; Schmölz, Werner; Gebhard, Florian; Windolf, Markus; Hofmann-Fliri, Ladina

2013-10-01

Proximal humerus fracture fixation can be difficult because of osteoporosis making it difficult to achieve stable implant anchorage in the weak bone stock even when using locking plates. This may cause implant failure requiring revision surgery. Cement augmentation has, in principle, been shown to improve stability. The aim of this study was to investigate whether augmentation of particular screws of a locking plate aimed at a region of low bone quality is effective in improving stability in a proximal humerus fracture model. Twelve paired human humerus specimens were included. Quantitative computed tomography was performed to determine bone mineral density (BMD). Local bone quality in the direction of the six proximal screws of a standard locking plate (PHILOS, Synthes) was assessed using mechanical means (DensiProbe™). A three-part fracture model with a metaphyseal defect was simulated and fixed with the plate. Within each pair of humeri the two screws aimed at the region of the lowest bone quality according to the DensiProbe™ were augmented in a randomised manner. For augmentation, 0.5 ml of bone cement was injected in a screw with multiple outlets at its tip under fluoroscopic control. A cyclic varus-bending test with increasing upper load magnitude was performed until failure of the screw-bone fixation. The augmented group withstood significantly more load cycles. The correlation of BMD with load cycles until failure and BMD with paired difference in load cycles to failure showed that augmentation could compensate for a low BMD. The results demonstrate that augmentation of screws in locked plating in a proximal humerus fracture model is effective in improving primary stability in a cyclic varus-bending test. The augmentation of two particular screws aimed at a region of low bone quality within the humeral head was almost as effective as four screws with twice the amount of bone cement. Screw augmentation combined with a knowledge of the local bone quality could be more effective in enhancing the primary stability of a proximal humerus locking plate because the effect of augmentation can be exploited more effectively limiting it to the degree required. Copyright © 2013 Elsevier Ltd. All rights reserved.

Rapid prototyping to design a customized locking plate for pancarpal arthrodesis in a giant breed dog.

PubMed

Petazzoni, M; Nicetto, T

2014-01-01

This report describes the treatment of traumatic carpal hyperextension in a giant breed dog by pancarpal arthrodesis using a custom-made Fixin locking plate, created with the aid of a three-dimensional plastic model of the bones of the antebrachium produced by rapid prototyping technology. A three-year-old 104 kg male Mastiff dog was admitted for treatment of carpal hyperextension injury. After diagnosis of carpal instability, surgery was recommended. Computed tomography images were used to create a life-size three-dimensional plastic model of the forelimb. The model was used as the basis for constructing a customized 12-hole Fixin locking plate. The plate was used to attain successful pancarpal arthrodesis in the animal. Radiographic examination after 74 and 140 days revealed signs of osseous union of the arthrodesis. Further clinical and radiographic follow-up examination three years later did not reveal any changes in implant position or complications.

Magnetically Operated Holding Plate And Ball-Lock Pin

NASA Technical Reports Server (NTRS)

Monford, Leo G., Jr.

1992-01-01

Magnetically operated holding plate and ball-locking-pin mechanism part of object attached to, or detached from second object. Mechanism includes tubular housing inserted in hole in second object. Plunger moves inside tube forcing balls to protrude from sides. Balls prevent tube from sliding out of second object. Simpler, less expensive than motorized latches; suitable for robotics applications.

Linking the kinematics of the interplate and the offshore morphology along the Chilean subduction margin

NASA Astrophysics Data System (ADS)

Urrutia, Isabel; Moreno, Marcos; Oncken, Onno

2016-04-01

Morphological features at subduction zones are undoubtedly influenced by the complex interplay between the subducting slab and the overriding plate. Several studies suggest that the subduction dynamics is strongly dependent on the geometry and rheology of the margin (including gravity/density anomalies, viscous mantle flow and roughness of the slab, among others). However, it is not clear how the geomorphological variation of the forearc along strike can be used as a proxy for better understanding the mechanics on the interface and seismotectonic segmentation. Here we investigate the links between the kinematics of the plate interface and the morphology of the overriding plate along the Chilean margin by combining morphometrical and statistical analysis. We constructed swath profiles subtracting the averaged topography and performed gradient analysis to characterize variations of morphological features, and we compared these results with the locking degree distribution derived from the inversion of GPS data. On the coastal area the bathymetry and topography analysis shows a planar feature, gently dipping ocean-wards and backed by a cliff, which exhibits spatial variations in its width, height and extension along-strike. This morphology suggests a quiescence process or a "stable tectonic condition", at least since the late Quaternary (over multiple seismic cycles). The results indicate that this planar feature spatially correlates with the rupture size of recent great earthquakes and locking degree areas, suggesting that earthquake cycle deformation has an imprint on the offshore morphology, which can be used to study the transfer of stresses among adjacent seismotectonic segments and the periodicity and location of large earthquakes. In addition, the longevity of this correlation between topography, earthquake rupture and geodetic locking that likely integrates over a time window of several 103 to several 105 years indicates that the instrumentally inferred locking has a long term memory across multiple seismic cycles.

12. VIEW OF TYPICAL CELL LOCKING MECHANISM, BUILDING 220 CELL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. VIEW OF TYPICAL CELL LOCKING MECHANISM, BUILDING 220 CELL BLOCK 'A'. THE FACE PLATE OF THE CELL LOCK IS SHOWN REMOVED, EXPOSING THE ELECTROMAGNETIC LOCKING MECHANISM COMPRISING OF 2 MICROSWITCHES FOR LOCK POSITION INDICATION (FRONT LEFT CENTER AND REAR RIGHT CENTER OF PANEL); KEY SLOT MECHANICAL LOCK; LOCK SPRING (UPPER RIGHT OF PANEL); ELECTRIC SOLENOID (BOTTOM RIGHT CORNER OF PANEL); AND MISCELLANEOUS MECHANICAL LINKAGES. - U.S. Naval Base, Pearl Harbor, Brig, Neville Way near Ninth Street at Marine Barracks, Pearl City, Honolulu County, HI

Classification and treatment of periprosthetic supracondylar femur fractures.

PubMed

Ricci, William

2013-02-01

Locked plating and retrograde nailing are two accepted methods for treatment of periprosthetic distal femur fractures. Each has relative benefits and potential pitfalls. Appropriate patient selection and knowledge of the specific femoral component geometry are required to optimally choose between these two methods. Locked plating may be applied to most periprosthetic distal femur fractures. The fracture pattern, simple or comminuted, will dictate the specific plating technique, compression plating or bridge plating. Nailing requires an open intercondylar box and a distal fragment of enough size to allow interlocking. With proper patient selection and proper techniques, good results can be obtained with either method. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Biomechanical analysis of two fixation methods for proximal chevron osteotomy of the first metatarsal.

PubMed

Schuh, Reinhard; Hofstaetter, Jochen Gerhard; Benca, Emir; Willegger, Madeleine; von Skrbensky, Gobert; Zandieh, Shahin; Wanivenhaus, Axel; Holinka, Johannes; Windhager, Reinhard

2014-05-01

The proximal chevron osteotomy provides high correctional power. However, relatively high rates of dorsiflexion malunion of up to 17 % are reported for this procedure. This leads to insufficient weight bearing of the first ray and therefore to metatarsalgia. Recent biomechanical and clinical studies pointed out the importance of rigid fixation of proximal metatarsal osteotomies. Therefore, the aim of the present study was to compare biomechanical properties of fixation of proximal chevron osteotomies with variable locking plate and cancellous screw respectively. Ten matched pairs of human fresh frozen cadaveric first metatarsals underwent proximal chevron osteotomy with either variable locking plate or cancellous screw fixation after obtaining bone mineral density. Biomechanical testing included repetitive plantar to dorsal loading from 0 to 31 N with the 858 Mini Bionix(®) (MTS(®) Systems Corporation, Eden Prairie, MN, USA). Dorsal angulation of the distal fragment was recorded. The variable locking plate construct reveals statistically superior results in terms of bending stiffness and dorsal angulation compared to the cancellous screw construct. There was a statistically significant correlation between bone mineral density and maximum tolerated load until construct failure occurred for the screw construct (r = 0.640, p = 0.406). The results of the present study indicate that variable locking plate fixation shows superior biomechanical results to cancellous screw fixation for proximal chevron osteotomy. Additionally, screw construct failure was related to levels of low bone mineral density. Based on the results of the present study we recommend variable locking plate fixation for proximal chevron osteotomy, especially in osteoporotic bone.

Four-corner fusion: comparison of patient satisfaction and functional outcome of conventional K-wire technique vs. a new locking plate.

PubMed

Hernekamp, J F; Reinecke, A; Neubrech, F; Bickert, B; Kneser, U; Kremer, T

2016-04-01

Four-corner fusion is a standard procedure for advanced carpal collapse. Several operative techniques and numerous implants for osseous fixation have been described. Recently, a specially designed locking plate (Aptus©, Medartis, Basel, Switzerland) was introduced. The purpose of this study was to compare functional results after osseous fixation using K-wires (standard of care, SOC) with four-corner fusion and locking plate fixation. 21 patients who underwent four-corner fusion in our institution between 2008 and 2013 were included in a retrospective analysis. In 11 patients, osseous fixation was performed using locking plates whereas ten patients underwent bone fixation with conventional K-wires. Outcome parameters were functional outcome, osseous consolidation, patient satisfaction (DASH- and Krimmer Score), pain and perioperative morbidity and the time until patients returned to daily work. Patients were divided in two groups and paired t-tests were performed for statistical analysis. No implant related complications were observed. Osseous consolidation was achieved in all cases. Differences between groups were not significant regarding active range of motion (AROM), pain and function. Overall patient satisfaction was acceptable in all cases; differences in the DASH questionnaire and the Krimmer questionnaire were not significant. One patient of the plate group required conversion to total wrist arthrodesis without implant-related complications. Both techniques for four-corner fusion have similar healing rates. Using the more expensive locking implant avoids a second operation for K-wire removal, but no statistical differences were detected in functional outcome as well as in patient satisfaction when compared to SOC.

Fibular fixation as an adjuvant to tibial intramedullary nailing in the treatment of combined distal third tibia and fibula fractures: a biomechanical investigation.

PubMed

Morin, Paul M; Reindl, Rudolf; Harvey, Edward J; Beckman, Lorne; Steffen, Thomas

2008-02-01

Distal third tibia fractures have classically been treated with standard plating, but intramedullary (IM) nailing has gained popularity. Owing to the lack of interference fit of the nail in the metaphyseal bone of the distal tibia, it may be beneficial to add rigid plating of the fibula to augment the overall stability of fracture fixation in this area. This study sought to assess the biomechanical effect of adding a fibular plate to standard IM nailing in the treatment of distal third tibia and fibula fractures. Eight cadaveric tibia specimens were used. Tibial fixation consisted of a solid titanium nail locked with 3 screws distally and 2 proximally, and fibular fixation consisted of a 3.5 mm low-contact dynamic compression plate. A section of tibia and fibula was removed. Testing was accomplished with an MTS machine. Each leg was tested 3 times; with and without a fibular plate and with a repetition of the initial test condition. Vertical displacements were tested with an axial load up to 500 N, and angular rotation was tested with torques up to 5 N*m. The difference in axial rotation was the only statistically significant finding (p = 0.003), with fibular fixation resulting in 1.1 degrees less rotation through the osteotomy site (17.96 degrees v. 19.10 degrees ). Over 35% of this rotational displacement occurred at the nail-locking bolt interface with the application of small torsional forces. Fibular plating in addition to tibial IM fixation of distal third tibia and fibula fractures leads to slightly increased resistance to torsional forces. This small improvement may not be clinically relevant.

Surgical Management of Ipsilateral Fracture of the Femur and Tibia in Adults (the Floating Knee): Postoperative Clinical, Radiological, and Functional Outcomes

PubMed Central

2011-01-01

Background This study evaluated the outcomes of surgical management of ipsilateral femoral and tibial fractures in adults. Methods Fifteen patients (13 men, 2 women; mean age, 34.8 years; range, 18 to 65 years) were enrolled in this study. The fractures types were classified according to the classification by Fraser et al. as follows: type I (5), type IIa (3), IIb (4), IIc (3). Femur fractures were treated using locked intramedullary nails, plate-screws, or dynamic condylar screws, and tibia fractures were treated with an external fixator (in open fractures), or plate-screws, and locked intramedullary nailing. The mean follow-up duration was 2.2 years (range, 1.3 to 4 years). Results The extent of bony union according to the Karlstrom criteria was as follows: excellent, 8; good, 4; acceptable, 2; poor, 1. Conclusions The associated injuries and type of fracture (open, intra-articular, comminution) are prognostic factors in a floating knee. The best management of the associated injuries for good final outcome involves intramedullary nailing of both the fractures and postoperative rehabilitation. PMID:21629474

Internal polarization dynamics of vector dissipative-soliton-resonance pulses in normal dispersion fiber lasers.

PubMed

Li, Daojing; Shen, Deyuan; Li, Lei; Tang, Dingyuan; Su, Lei; Zhao, Luming

2018-03-15

Internal polarization dynamics of vector dissipative-soliton-resonance (DSR) pulses in a mode-locked fiber laser are investigated. By utilizing a wave plate analyzer configuration to analyze the special structure of a DSR pulse, we find that polarization state is not uniform across a resonant dissipative soliton. Specifically, although the central plane wave of the resonant dissipative soliton acquires nearly a single fixed polarization, the dissipative fronts feature polarization states that are different and spatially varying. This distinct polarization distribution is maintained while the whole soliton extends with increasing gain. Numerical simulation further confirms the experimental observations.

Simulation of tectonic evolution of the Kanto basin of Japan since 1 Ma due to subduction of the Pacific and Philippine sea plates and collision of the Izu-Bonin arc

NASA Astrophysics Data System (ADS)

Hashima, Akinori; Sato, Toshinori; Sato, Hiroshi; Asao, Kazumi; Furuya, Hiroshi; Yamamoto, Shuji; Kameo, Koji; Miyauchi, Takahiro; Ito, Tanio; Tsumura, Noriko; Kaneda, Heitaro

2015-04-01

The Kanto basin, the largest lowland in Japan, developed by flexure as a result of (1) the subduction of the Philippine Sea (PHS) and the Pacific (PAC) plates and (2) the collision of the Izu-Bonin arc with the Japanese island arc. Geomorphological, geological, and thermochronological data on long-term vertical movements over the last 1 My suggest that subsidence initially affected the entire Kanto basin after which the area of subsidence gradually narrowed until, finally, the basin began to experience uplift. In this study, we modelled the tectonic evolution of the Kanto basin following the method of Matsu'ura and Sato (1989) for a kinematic subduction model with dislocations, in order to quantitatively assess the effects of PHS and PAC subduction. We include the steady slip-rate deficit (permanent locking rate at the plate interface) in our model to account for collision process. We explore how the arc-arc collision process has been affected by a westerly shift in the PHS plate motion vector with respect to the Eurasian plate, thought to have occurred between 1.0-0.5 Ma, using long-term vertical deformation data to constrain extent of the locked zone on the plate interface. We evaluated the change in vertical deformation rate for two scenarios: (1) a synchronous shift in the orientation of the locked zone as PHS plate motion shifts and (2) a delayed shift in the orientation of the locked zone following a change in plate motion. Observed changes in the subsidence/uplift pattern are better explained by scenario (2), suggesting that recent (<1 My) deformation in the Kanto basin shows a lag in crustal response to the shift in plate motion. We also calculated recent stress accumulation rates and found a good match with observed earthquake mechanisms, which shows that intraplate earthquakes serve to release stress accumulated through long-term plate interactions.

Simulation of tectonic evolution of the Kanto Basin of Japan since 1 Ma due to subduction of the Pacific and Philippine Sea plates and the collision of the Izu-Bonin arc

NASA Astrophysics Data System (ADS)

Hashima, Akinori; Sato, Toshinori; Sato, Hiroshi; Asao, Kazumi; Furuya, Hiroshi; Yamamoto, Shuji; Kameo, Koji; Miyauchi, Takahiro; Ito, Tanio; Tsumura, Noriko; Kaneda, Heitaro

2016-06-01

The Kanto Basin, the largest lowland in Japan, developed by flexure as a result of (1) the subduction of the Philippine Sea (PHS) and the Pacific (PAC) plates and (2) the repeated collision of the Izu-Bonin arc fragments with the Japanese island arc. Geomorphological, geological, and thermochronological data on vertical movements over the last 1 My suggest that subsidence initially affected the entire basin after which the area of subsidence gradually narrowed until, finally, the basin began to experience uplift. In this study, we modeled the tectonic evolution of the Kanto Basin following the method of Matsu'ura and Sato (1989) for a kinematic subduction model with dislocations, in order to quantitatively assess the effects of PHS and PAC subduction. We include the steady slip-rate deficit (permanent locking rate at the plate interface) in our model to account for collision process. We explore how the latest collision of the Izu Peninsula block has been affected by a westerly shift in the PHS plate motion vector with respect to the Eurasian plate, thought to have occurred between 1.0-0.5 Ma, using long-term vertical deformation data to constrain extent of the locked zone on the plate interface. We evaluated the change in vertical deformation rate for two scenarios: (1) a synchronous shift in the orientation of the locked zone as PHS plate motion shifts and (2) a delayed shift in the orientation of the locked zone following the shift in plate motion. Observed changes in the uplift/subsidence pattern are better explained by scenario (2), suggesting that recent (< 1 My) deformation in the Kanto Basin shows a lag in crustal response to the plate motion shift. We also calculated stress accumulation rates and found a good match with observed earthquake mechanisms, which shows that intraplate earthquakes serve to release stress accumulated through long-term plate interactions.

Inverted distal clavicle anatomic locking plate for displaced medial clavicle fracture.

PubMed

Wang, Yong; Jiang, Jiannong; Dou, Bin; Zhang, Panjun

2015-09-01

Fractures of the medial clavicle are rare injuries. Recently, open reduction and internal fixation has been recommended for displaced medial clavicle fractures in order to prevent non-union and dysfunction. Because of the rarity of this injury, the optimal fixation device has not yet been established. In this report, we describe a case of a 40-year-old male patient who sustained a significantly displaced medial clavicle fracture treated by open reduction and internal fixation using an inverted distal clavicle anatomic locking plate. At the 12 months follow-up, the patient recovered well, had returned to pre-injury job, and was quite satisfied with the outcome. Internal fixation of medial clavicle fracture using an inverted distal clavicle anatomic locking plate of the ipsilateral side appears to be a good treatment option.

Treatment of linear mandibular fractures using a single 2.0-mm AO locking reconstruction plate: is a second plate necessary?

PubMed

Scolozzi, Paolo; Martinez, Alvaro; Jaques, Bertrand

2009-12-01

To prospectively evaluate the use of a single Arbeitsgemeinschaft für Osteosynthesefragen (AO) 2.0-mm locking reconstruction plate for linear noncomminuted mandibular fractures without the use of a second plate. We analyzed the clinical and radiologic data of 45 patients with 74 fractures (21 single fractures, 22 double fractures, and 2 triple fractures). Fracture locations were the symphysis (n = 35, 47.3%), body (n = 15, 20.3%), and angle (n = 24, 32.4%). We recorded the mechanism of injury, time between admission to the hospital and surgery, gender and age, temporary maxillomandibular fixation and its duration, and the surgical approach. Postsurgical complications that were recorded as minor did not require surgical intervention, whereas major complications required further surgical intervention. All patients had satisfactory fracture reduction and a successful treatment outcome without major complications. Ten patients (22.2%) developed minor complications. The present study has demonstrated that treating linear noncomminuted mandibular fractures with a single AO 2.0-mm locking reconstruction plates is associated with no major complications and sound bone healing in all patients.

Reverse distal femoral locking compression plate a salvage option in nonunion of proximal femoral fractures.

PubMed

Dumbre Patil, Sampat S; Karkamkar, Sachin S; Patil, Vaishali S Dumbre; Patil, Shailesh S; Ranaware, Abhijeet S

2016-01-01

When primary fixation of proximal femoral fractures with implants fails, revision osteosynthesis may be challenging. Tracts of previous implants and remaining insufficient bone stock in the proximal femur pose unique problems for the treatment. Intramedullary implants like proximal femoral nail (PFN) or surface implants like Dynamic Condylar Screw (DCS) are few of the described implants for revision surgery. There is no evidence in the literature to choose one implant over the other. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. This implant has multiple options of fixation in proximal femur and its curvature along the length matches the anterior bow of the femur. We aimed to evaluate the efficacy of this implant in salvage situations. Twenty patients of failed primary proximal femoral fractures who underwent revision surgery with reverse distal femoral locking plate from February 2009 to November 2012 were included in this retrospective study. There were 18 subtrochanteric fractures and two ipsilateral femoral neck and shaft fractures, which exhibited delayed union or nonunion. The study included 14 males and six females. The mean patient age was 43.6 years (range 22-65 years) and mean followup period was 52.1 months (range 27-72 months). Delayed union was considered when clinical and radiological signs of union failed to progress at the end of four months from initial surgery. All fractures exhibited union without any complications. Union was assessed clinically and radiologically. One case of ipsilateral femoral neck and shaft fracture required bone grafting at the second stage for delayed union of the femoral shaft fracture. Reverse distal femoral LCP of the contralateral side can be used as a salvage option for failed fixation of proximal femoral fractures exhibiting nonunion.

Volar locking plate (VLP) versus non-locking plate (NLP) in the treatment of die-punch fractures of the distal radius, an observational study.

PubMed

Zhang, Xiong; Hu, Chunhe; Yu, Kunlun; Bai, Jiangbo; Tian, Dehu; Xu, Yi; Zhang, Bing

2016-10-01

This study aims to evaluate whether volar locking plate was superior over non-locking plate in the treatment of die-punch fractures of the distal radius. A total of 57 patients with closed die-punch fractures of the distal radius were included and analyzed. Of them, 32 were treated by non-locking plate (NLP) and the remaining 25 were treated by volar locking plate (VLP). Preoperative radiographs, computer tomographs and three-dimensional reconstruction, radiographs taken at immediate postoperation and at last follow-up were extracted and evaluated. Patients' electronic medical records were inquired and related demographic and medical data were documented. The documented contents were volar tilt, radial inclination, ulnar variance, grip strength, Disabilities of the Arm, Shoulder, and Hand (DASH) and visual analog scale (VAS) scores and complications. VLP group demonstrated a significantly reduced radial subsidence of 1.5 mm (0.7 versus 2.2 mm), during the interval of bony union (P < 0.001), compared to NLP group. Larger proportion of patients (88% versus 62.5%) in VLP group gained acceptable joint congruity (step-off <2 mm) at the final follow-up (P = 0.037). No significant differences were observed between the groups in the measurements of volar tilt, radial inclination, DASH, VAS and grip strength recovery at the last follow-up. There was a trend of fewer overall complications (5/25 versus 10/32) and major complications that required surgery interventions (1/25 versus 4/32) in VLP than NLP groups, although the difference did not approach to significance (P = 0.339, 0.372). VLP leaded to significantly better results of reduction maintainance and the final joint congruity than NLP, while reducing overall and major complications. However, the results should be treated in the context of limitations and the clinical significance of the difference required further studies to investigate. Copyright © 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

Additive fiber-cerclages in proximal humeral fractures stabilized by locking plates

PubMed Central

Hurschler, Christof; Rech, Louise; Vosshenrich, Rolf; Lill, Helmut

2009-01-01

Background and purpose The effect of additive fiber-cerclages in proximal humeral fractures stabilized by locking plates on fracture stabilization and rotator cuff function is unclear. Here it was assessed in a human cadaver study. Methods 24 paired human shoulder specimens were harvested from median 77-year-old (range 66–85) female donors. An unstable 3-part fracture model with an intact rotator cuff was developed. 1 specimen of each pair received an additive fiber-cerclage of the rotator cuff after plate fixation, and the other one received a plate fixation without an additive fiber-cerclage. Force-controlled hydraulic cylinders were used to simulate physiological rotator cuff tension, while a robot-assisted shoulder simulator performed 4 relevant cases of load: (1) axial loading at 0°, (2) glenohumeral abduction at 60°, (3) internal rotation at 0° abduction, and (4) external rotation at 0° abduction, and imitated hanging arm weight during loading without affecting joint kinematics. A 3-dimensional real-time interfragmentary motion analysis was done in fracture gaps between the greater tuberosity and the head, as well as subcapital. The capacity of the rotator cuff to strain was analyzed with an optical system. Results Interfragmentary motion was similar between the groups with and without fiber-cerclages, in both fracture gaps and in any of the cases of load. Cerclages did not impair the capacity of the rotator cuff to strain. Interpretation Provided that unstable 3-part fractures are reduced and stabilized anatomically by a locking plate, additive fiber-cerclages do not reduce interfragmentary motion. Additive fiber-cerclages may be necessary in locking plate osteosyntheses of multiple-fractured greater tuberosities or lesser tuberosity fractures that cannot be fixed sufficiently by the plate. PMID:19562564

Radiographic Outcomes of Volar Locked Plating for Distal Radius Fractures

PubMed Central

Mignemi, Megan E.; Byram, Ian R.; Wolfe, Carmen C.; Fan, Kang-Hsien; Koehler, Elizabeth A.; Block, John J.; Jordanov, Martin I.; Watson, Jeffry T.; Weikert, Douglas R.; Lee, Donald H.

2013-01-01

Purpose To assess the ability of volar locked plating to achieve and maintain normal radiographic parameters for articular stepoff, volar tilt, radial inclination, ulnar variance, and radial height in distal radius fractures. Methods We performed a retrospective review of 185 distal radius fractures that underwent volar locked plating with a single plate design over a 5-year period. We reviewed radiographs and recorded measurements for volar tilt, radial inclination, ulnar variance, radial height, and articular stepoff. We used logistic regression to determine the association between return to radiographic standard norms and fracture type. Results At the first and final postoperative follow-up visits, we observed articular congruence less than 2 mm in 92% of fractures at both times. Normal volar tilt (11°) was restored in 46% at the first follow-up and 48% at the final one. Radial inclination (22°) was achieved in 44% at the first follow-up and 43% at the final one, and ulnar variance (01 ± 2 mm) was achieved in 53% at the first follow-up and 53% at the final one. In addition, radial height (14 ± 1mm) was restored in 14% at the first follow-up and 12% at the final one. More complex, intra-articular fractures (AO class B and C and Frykman types 3, 4, 7, and 8) were less likely to be restored to normal radiographic parameters. However, because of the small sample size for some fracture types, it was difficult to discover significant associations between fracture type and radiographic outcome. Conclusions Volar locked plating for distal radius fractures achieved articular stepoff less than 2 mm in most fractures but only restored and maintained normal radiographic measurements for volar tilt, radial inclination, and ulnar variance in 50% of fractures. The ability of volar locked plating to restore and maintain ulnar variance and volar tilt decreased with more complex intra-articular fracture types. PMID:23218558

Viscoelastic deformation near active plate boundaries

NASA Technical Reports Server (NTRS)

Ward, S. N.

1986-01-01

Model deformations near the active plate boundaries of Western North America using space-based geodetic measurements as constraints are discussed. The first six months of this project were spent gaining familarity with space-based measurements, accessing the Crustal Dynamics Data Information Computer, and building time independent deformation models. The initial goal was to see how well the simplest elastic models can reproduce very long base interferometry (VLBI) baseline data. From the Crustal Dynamics Data Information Service, a total of 18 VLBI baselines are available which have been surveyed on four or more occasions. These data were fed into weighted and unweighted inversions to obtain baseline closure rates. Four of the better quality lines are illustrated. The deformation model assumes that the observed baseline rates result from a combination of rigid plate tectonic motions plus a component resulting from elastic strain build up due to a failure of the plate boundary to slip at the full plate tectonic rate. The elastic deformation resulting from the locked plate boundary is meant to portray interseismic strain accumulation. During and shortly after a large interplate earthquake, these strains are largely released, and points near the fault which were previously retarded suddenly catch up to the positions predicted by rigid plate models. Researchers judge the quality of fit by the sum squares of weighted residuals, termed total variance. The observed baseline closures have a total variance of 99 (cm/y)squared. When the RM2 velocities are assumed to model the data, the total variance increases to 154 (cm/y)squared.

Tangential Bicortical Locked Fixation Improves Stability in Vancouver B1 Periprosthetic Femur Fractures: A Biomechanical Study.

PubMed

Lewis, Gregory S; Caroom, Cyrus T; Wee, Hwabok; Jurgensmeier, Darin; Rothermel, Shane D; Bramer, Michelle A; Reid, John Spence

2015-10-01

The biomechanical difficulty in fixation of a Vancouver B1 periprosthetic fracture is purchase of the proximal femoral segment in the presence of the hip stem. Several newer technologies provide the ability to place bicortical locking screws tangential to the hip stem with much longer lengths of screw purchase compared with unicortical screws. This biomechanical study compares the stability of 2 of these newer constructs to previous methods. Thirty composite synthetic femurs were prepared with cemented hip stems. The distal femur segment was osteotomized, and plates were fixed proximally with either (1) cerclage cables, (2) locked unicortical screws, (3) a composite of locked screws and cables, or tangentially directed bicortical locking screws using either (4) a stainless steel locking compression plate system with a Locking Attachment Plate (Synthes) or (5) a titanium alloy Non-Contact Bridging system (Zimmer). Specimens were tested to failure in either axial or torsional quasistatic loading modes (n = 3) after 20 moderate load preconditioning cycles. Stiffness, maximum force, and failure mechanism were determined. Bicortical constructs resisted higher (by an average of at least 27%) maximum forces than the other 3 constructs in torsional loading (P < 0.05). Cables constructs exhibited lower maximum force than all other constructs, in both axial and torsional loading. The bicortical titanium construct was stiffer than the bicortical stainless steel construct in axial loading. Proximal fixation stability is likely improved with the use of bicortical locking screws as compared with traditional unicortical screws and cable techniques. In this study with a limited sample size, we found the addition of cerclage cables to unicortical screws may not offer much improvement in biomechanical stability of unstable B1 fractures.

Three-dimensional flat shell-to-shell coupling: numerical challenges

NASA Astrophysics Data System (ADS)

Guo, Kuo; Haikal, Ghadir

2017-11-01

The node-to-surface formulation is widely used in contact simulations with finite elements because it is relatively easy to implement using different types of element discretizations. This approach, however, has a number of well-known drawbacks, including locking due to over-constraint when this formulation is used as a twopass method. Most studies on the node-to-surface contact formulation, however, have been conducted using solid elements and little has been done to investigate the effectiveness of this approach for beam or shell elements. In this paper we show that locking can also be observed with the node-to-surface contact formulation when applied to plate and flat shell elements even with a singlepass implementation with distinct master/slave designations, which is the standard solution to locking with solid elements. In our study, we use the quadrilateral four node flat shell element for thin (Kirchhoff-Love) plate and thick (Reissner-Mindlin) plate theory, both in their standard forms and with improved formulations such as the linked interpolation [1] and the Discrete Kirchhoff [2] elements for thick and thin plates, respectively. The Lagrange multiplier method is used to enforce the node-to-surface constraints for all elements. The results show clear locking when compared to those obtained using a conforming mesh configuration.

Fragment-Specific Fixation Versus Volar Locking Plates in Primarily Nonreducible or Secondarily Redisplaced Distal Radius Fractures: A Randomized Controlled Study.

PubMed

Landgren, Marcus; Abramo, Antonio; Geijer, Mats; Kopylov, Philippe; Tägil, Magnus

2017-03-01

To compare the patient-reported, clinical, and radiographic outcome of 2 methods of internal fixation in distal radius fractures. Fifty patients, mean age 56 years (range, 21-69 years) with primarily nonreducible or secondarily redisplaced distal radius fractures were randomized to open reduction internal fixation using volar locking plates (n = 25) or fragment-specific fixation (n = 25). The patients were assessed on grip strength, range of motion, patient-reported outcome (Quick Disabilities of the Arm, Shoulder, and Hand), pain (visual analog scale), health-related quality of life (Short Form-12 [SF-12]), and radiographic evaluation. Grip strength at 12 months was the primary outcome measure. At 12 months, no difference was found in grip strength, which was 90% of the uninjured side in the volar plate group and 87% in the fragment-specific fixation group. No differences were found in range of motion and the median Quick Disabilities of the Arm, Shoulder, and Hand score was 5 in both groups. The overall complication rate was significant, 21% in the volar locking plate group, compared with 52% in the fragment-specific group. In treatment of primarily nonreducible or secondarily redisplaced distal radius fractures, volar locking plates and fragment-specific fixation both achieve good and similar patient-reported outcomes, although more complications were recorded in the fragment-specific group. Therapeutic II. Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Interprosthetic femoral fractures treated with locking plate.

PubMed

Ebraheim, Nabil; Carroll, Trevor; Moral, Muhammad Z; Lea, Justin; Hirschfeld, Adam; Liu, Jiayong

2014-10-01

Interprosthetic fractures are challenging to manage. Although treatment of femoral fractures around a single implant has been described, there is little literature for treatment of interprosthetic femoral fractures. This study analyses the management and outcomes of 15 patients with interprosthetic femoral fractures treated with locking plates. A retrospective chart review was conducted of 17 patients with interprosthetic femur fracture treated with locking plates from 2002 to 2013. Patient demographics and comorbidities were collected. Preoperatively, patients were classified with the Vancouver or Su classification system. Intraoperative use of bone graft and/or cerclage cables was also examined. Clinical and radiographic outcomes were evaluated for union, time to full weight bearing, return to preinjury level of activity, and pain assessed with visual analog scale (VAS). There were 15 patients with interprosthetic fractures meeting criteria for this study. Average patient age was 80.53 (range, 61-92) years. Bone grafting was used in 23.5% (four of 17) and cerclage cables in 29.4% (five of 17). Patients achieved complete union and return to full weight bearing an average of 4.02 (range, two to six) months later. Average VAS pain score was 1.00 (range, zero to six). All patients returned to their preoperative ambulatory status. Locking plates could achieve satisfactory results for interprosthetic fractures. Considering an individual's fracture type, bone quality and protheses to determine the appropriate plate length and optional use of cerclage and/or bone graft was essential. In this limited sample size, interprosthetic fractures occurred at similar rates at the supracondylar region and diaphysis.

Slip Behavior of the Queen Charlotte Plate Boundary Before and After the 2012, MW 7.8 Haida Gwaii Earthquake: Evidence From Repeating Earthquakes

NASA Astrophysics Data System (ADS)

Hayward, Tim W.; Bostock, Michael G.

2017-11-01

The Queen Charlotte plate boundary, near Haida Gwaii, B.C., includes the dextral, strike-slip, Queen Charlotte Fault (QCF) and the subduction interface between the downgoing Pacific and overriding North American plates. In this study, we present a comprehensive repeating earthquake catalog that represents an effective slip meter for both structures. The catalog comprises 712 individual earthquakes (0.3≤MW≤3.5) arranged into 224 repeating earthquake families on the basis of waveform similarity and source separation estimates from coda wave interferometry. We employ and extend existing relationships for repeating earthquake magnitudes and slips to provide cumulative slip histories for the QCF and subduction interface in six adjacent zones within the study area between 52.3°N and 53.8°N. We find evidence for creep on both faults; however, creep rates are significantly less than plate motion rates, which suggests partial locking of both faults. The QCF exhibits the highest degrees of locking south of 52.8°N, which indicates that the seismic hazard for a major strike-slip earthquake is highest in the southern part of the study area. The 28 October 2012, MW 7.8 Haida Gwaii thrust earthquake occurred in our study area and altered the slip dynamics of the plate boundary. The QCF is observed to undergo accelerated, right-lateral slip for 1-2 months following the earthquake. The subduction interface exhibits afterslip thrust motion that persists for the duration of the study period (i.e., 3 years and 2 months after the Haida Gwaii earthquake). Afterslip is greatest (5.7-8.4 cm/yr) on the periphery of the main rupture zone of the Haida Gwaii event.

Biomechanical Property of a Newly Designed Assembly Locking Compression Plate: Three-Dimensional Finite Element Analysis

PubMed Central

Liu, Da

2017-01-01

In this study, we developed and validated a refined three-dimensional finite element model of middle femoral comminuted fracture to compare the biomechanical stability after two kinds of plate fixation: a newly designed assembly locking compression plate (NALCP) and a locking compression plate (LCP). CT data of a male volunteer was converted to middle femoral comminuted fracture finite element analysis model. The fracture was fixated by NALCP and LCP. Stress distributions were observed. Under slow walking load and torsion load, the stress distribution tendency of the two plates was roughly uniform. The anterolateral femur was the tension stress area, and the bone block shifted toward the anterolateral femur. Maximum stress was found on the lateral border of the number 5 countersink of the plate. Under a slow walking load, the NALCP maximum stress was 2.160e+03 MPa and the LCP was 8.561e+02 MPa. Under torsion load, the NALCP maximum stress was 2.260e+03 MPa and the LCP was 6.813e+02 MPa. Based on those results of finite element analysis, the NALCP can provide adequate mechanical stability for comminuted fractures, which would help fixate the bone block and promote bone healing. PMID:29065654

Newly designed anterolateral and posterolateral locking anatomic plates for lateral tibial plateau fractures: a finite element study.

PubMed

Chen, Pengbo; Lu, Hua; Shen, Hao; Wang, Wei; Ni, Binbin; Chen, Jishizhan

2017-02-23

Lateral column tibial plateau fracture fixation with a locking screw plate has higher mechanical stability than other fixation methods. The objectives of the present study were to introduce two newly designed locking anatomic plates for lateral tibial plateau fracture and to demonstrate their characteristics of the fixation complexes under the axial loads. Three different 3D finite element models of the lateral tibial plateau fracture with the bone plates were created. Various axial forces (100, 500, 1000, and 1500 N) were applied to simulate the axial compressive load on an adult knee during daily life. The equivalent maps of displacement and stress were output, and relative displacement was calculated along the fracture lines. The displacement and stresses in the fixation complexes increased with the axial force. The equivalent displacement or stress map of each fixation under different axial forces showed similar distributing characteristics. The motion characteristics of the three models differed, and the max-shear stress of trabecula increased with the axial load. These two novel plates could fix lateral tibial plateau fractures involving anterolateral and posterolateral fragments. Motions after open reduction and stable internal fixation should be advised to decrease the risk of trabecular microfracture. The relative displacement of the posterolateral fragments is different when using anterolateral plate and posterolateral plate, which should be considered in choosing the implants for different posterolateral plateau fractures.

Biomechanical analysis of plate systems for proximal humerus fractures: a systematic literature review.

PubMed

Jabran, Ali; Peach, Chris; Ren, Lei

2018-04-27

Proximal humerus fractures are the third most common in the human body but their management remains controversial. Open reduction and internal fixation with plates is one of the leading modes of operative treatment for these fractures. The development of technologies and techniques for these plates, during the recent decades, promise a bright future for their clinical use. A comprehensive review of in vitro biomechanical studies is needed for the comparison of plates' mechanical performance and the testing methodologies. This will not only guide clinicians with plate selection but also with the design of future in vitro biomechanical studies. This review was aimed to systematically categorise and review the in vitro biomechanical studies of these plates based on their protocols and discuss their results. The technologies and techniques investigated in these studies were categorised and compared to reach a census where possible. Web of Science and Scopus database search yielded 62 studies. Out of these, 51 performed axial loading, torsion, bending and/or combined bending and axial loading while 11 simulated complex glenohumeral movements by using tendons. Loading conditions and set-up, failure criteria and performance parameters, as well as results for each study, were reviewed. Only two studies tested four-part fracture model while the rest investigated two- and three-part fractures. In ten studies, synthetic humeri were tested instead of cadaveric ones. In addition to load-displacement data, three-dimensional motion analysis systems, digital image correlation and acoustic emission testing have been used for measurement. Overall, PHILOS was the most tested plate and locking plates demonstrated better mechanical performance than non-locking ones. Conflicting results have been published for their comparison with non-locking blade plates and polyaxial locking screws. Augmentation with cement [calcium phosphate or poly(methyl methacrylate)] or allografts (fibular and femoral head) was found to improve bone-plate constructs' mechanical performance. Controversy still lies over the use of rigid and semi-rigid implants and the insertion of inferomedial screws for calcar region support. This review will guide the design of in vitro and in silico biomechanical tests and also supplement the study of clinical literature.

Biomechanical comparison of orthogonal versus parallel double plating systems in intraarticular distal humerus fractures.

PubMed

Atalar, Ata C; Tunalı, Onur; Erşen, Ali; Kapıcıoğlu, Mehmet; Sağlam, Yavuz; Demirhan, Mehmet S

2017-01-01

In intraarticular distal humerus fractures, internal fixation with double plates is the gold standard treatment. However the optimal plate configuration is not clear in the literature. The aim of this study was to compare the biomechanical stability of the parallel and the orthogonal anatomical locking plating systems in intraarticular distal humerus fractures in artificial humerus models. Intraarticular distal humerus fracture (AO13-C2) with 5 mm metaphyseal defect was created in sixteen artificial humeral models. Models were fixed with either orthogonal or parallel plating systems with locking screws (Acumed elbow plating systems). Both systems were tested for their stiffness with loads in axial compression, varus, valgus, anterior and posterior bending. Then plastic deformation after cyclic loading in posterior bending and load to failure in posterior bending were tested. The failure mechanisms of all the samples were observed. Stiffness values in every direction were not significantly different among the orthogonal and the parallel plating groups. There was no statistical difference between the two groups in plastic deformation values (0.31 mm-0.29 mm) and load to failure tests in posterior bending (372.4 N-379.7 N). In the orthogonal plating system most of the failures occurred due to the proximal shaft fracture, whereas in the parallel plating system failure occurred due to the shift of the most distal screw in proximal fragment. Our study showed that both plating systems had similar biomechanical stabilities when anatomic plates with distal locking screws were used in intraarticular distal humerus fractures in artificial humerus models. Copyright © 2016 Turkish Association of Orthopaedics and Traumatology. Production and hosting by Elsevier B.V. All rights reserved.

Experimental and numerical investigation into the influence of loading conditions in biomechanical testing of locking plate fracture fixation devices

PubMed Central

MacLeod, A.; Simpson, A. H. R. W.

2018-01-01

Objectives Secondary fracture healing is strongly influenced by the stiffness of the bone-fixator system. Biomechanical tests are extensively used to investigate stiffness and strength of fixation devices. The stiffness values reported in the literature for locked plating, however, vary by three orders of magnitude. The aim of this study was to examine the influence that the method of restraint and load application has on the stiffness produced, the strain distribution within the bone, and the stresses in the implant for locking plate constructs. Methods Synthetic composite bones were used to evaluate experimentally the influence of four different methods of loading and restraining specimens, all used in recent previous studies. Two plate types and three screw arrangements were also evaluated for each loading scenario. Computational models were also developed and validated using the experimental tests. Results The method of loading was found to affect the gap stiffness strongly (by up to six times) but also the magnitude of the plate stress and the location and magnitude of strains at the bone-screw interface. Conclusions This study demonstrates that the method of loading is responsible for much of the difference in reported stiffness values in the literature. It also shows that previous contradictory findings, such as the influence of working length and very large differences in failure loads, can be readily explained by the choice of loading condition. Cite this article: A. MacLeod, A. H. R. W. Simpson, P. Pankaj. Experimental and numerical investigation into the influence of loading conditions in biomechanical testing of locking plate fracture fixation devices. Bone Joint Res 2018;7:111–120. DOI: 10.1302/2046-3758.71.BJR-2017-0074.R2. PMID:29363522

Implant material and design alter construct stiffness in distal femur locking plate fixation: a pilot study.

PubMed

Schmidt, Ulf; Penzkofer, Rainer; Bachmaier, Samuel; Augat, Peter

2013-09-01

Construct stiffness affects healing of bones fixed with locking plates. However, variable construct stiffness reported in the literature may be attributable to differing test configurations and direct comparisons may clarify these differences. We therefore asked whether different distal femur locking plate systems and constructs will lead to different (1) axial and rotational stiffness and (2) fatigue under cyclic loading. We investigated four plate systems for distal femur fixation (AxSOS, LCP, PERI-LOC, POLYAX) of differing designs and materials using bone substitutes in a distal femur fracture model (OTA/AO 33-A3). We created six constructs of each of the four plating systems. Stiffness under static and cyclic loading and fatigue under cyclic loading were measured. Mean construct stiffness under axial loading was highest for AxSOS (100.8 N/mm) followed by PERI-LOC (80.8 N/mm) and LCP (62.6 N/mm). POLYAX construct stiffness testing showed the lowest stiffness (51.7 N/mm) with 50% stiffness of AxSOS construct testing. Mean construct stiffness under torsional loading was similar in the group of AxSOS and PERI-LOC (3.40 Nm/degree versus 3.15 Nm/degree) and in the group of LCP and POLYAX (2.63 Nm/degree versus 2.56 Nm/degree). The fourth load level of > 75,000 cycles was reached by three of six AxSOS, three of six POLYAX, and two of six PERI-LOC constructs. All others including all LCP constructs failed earlier. Implant design and material of new-generation distal femur locking plate systems leads to a wide range of differences in construct stiffness. Assuming construct stiffness affects fracture healing, these data may influence surgical decision-making in choosing an implant system.

Limiting Impact Force Due to Yielding and Buckling of the Plates and Internal Structural Frame at the Bow of a Barge during Its Head-on Impact with a Bullnose or Cellular Structure

DTIC Science & Technology

2009-08-01

Locks and Dam. ERDC/ITL TR-09-3 16 The proposed flexible approach walls at Lock and Dams 22 and 25 consist of precast concrete beams supported...Figures 2.3 and 2.5. The rounded hull plate connecting the front and side hull plates (in blue) is shown in brown in Figures 2.2 and 2.3. Figure 2.4...approach angle column in Table 3.1 is of no consequence for these analyses. Table 3.1. Three design load condition categories, frequency of loadings

Quick-Change Anode for Plating

NASA Technical Reports Server (NTRS)

Beasley, J. L.

1987-01-01

Proposed fastener for attaching electroplating anode improves quality of plating and increases productivity. Notches in twist-lock fastener mates with projections on end of anode bar. Fastener made of titanium for compatibility with copper-plating solution. Also constructed in snap-on, snap-off configuration.

Locked plating of comminuted distal femur fractures: does unlocked screw placement affect stability and failure?

PubMed

Cui, Shari; Bledsoe, J G; Israel, Heidi; Watson, J T; Cannada, Lisa K

2014-02-01

Locked plates provide greater stiffness, possibly at the expense of fracture healing. The purpose of this study is to evaluate construct stiffness of distal femur plates as a function of unlocked screw position in cadaveric distal femur fractures. Osteoporotic cadaveric femurs were used. Four diaphyseal bridge plate constructs were created using 13-hole distal femur locking plates, all with identical condylar fixation. Constructs included all locked (AL), all unlocked (AUL), proximal unlocked (PUL), and distally unlocked (DUL) groups. Constructs underwent cyclic axial loading with increasing force per interval. Data were gathered on axial stiffness, torsional stiffness, maximum torque required for 5-degree external rotation, and axial force to failure. Twenty-one specimens were divided into AL, AUL, PUL, and DUL groups. Axial stiffness was not significantly different between the constructs. AL and PUL demonstrated greater torsional stiffness, maximum torque, and force to failure than AUL and AL showed greater final torsional stiffness and failure force than DUL (P < 0.05). AL and PUL had similar axial, torsion, and failure measures, as did AUL and DUL constructs. All but 2 specimens fractured before medial gap closure during failure tests. Drop-offs on load-displacement curves confirmed all failures. Only the screw nearest the gap had significant effect on torsional and failure stiffness but not axial stiffness. Construct mechanics depended on the type of screw placed in this position. This screw nearest the fracture dictates working length stiffness when the working length itself is constant and in turn determines overall construct stiffness in osteoporotic bone.

Intramedullary nail fixation versus locking plate fixation for adults with a fracture of the distal tibia: the UK FixDT RCT.

PubMed

Costa, Matthew L; Achten, Juul; Hennings, Susie; Boota, Nafisa; Griffin, James; Petrou, Stavros; Maredza, Mandy; Dritsaki, Melina; Wood, Thomas; Masters, James; Pallister, Ian; Lamb, Sarah E; Parsons, Nick R

2018-05-01

The best treatment for fractures of the distal tibia remains controversial. Most of these fractures require surgical fixation, but the outcomes are unpredictable and complications are common. To assess disability, quality of life, complications and resource use in patients treated with intramedullary (IM) nail fixation versus locking plate fixation in the 12 months following a fracture of the distal tibia. This was a multicentre randomised trial. The trial was conducted in 28 UK acute trauma centres from April 2013 to final follow-up in February 2017. In total, 321 adult patients were recruited. Participants were excluded if they had open fractures, fractures involving the ankle joint, contraindication to nailing or inability to complete questionnaires. IM nail fixation ( n  = 161), in which a metal rod is inserted into the hollow centre of the tibia, versus locking plate fixation ( n  = 160), in which a plate is attached to the surface of the tibia with fixed-angle screws. The primary outcome measure was the Disability Rating Index (DRI) score, which ranges from 0 points (no disability) to 100 points (complete disability), at 6 months with a minimum clinically important difference of 8 points. The DRI score was also collected at 3 and 12 months. The secondary outcomes were the Olerud-Molander Ankle Score (OMAS), quality of life as measured using EuroQol-5 Dimensions (EQ-5D), complications such as infection, and further surgery. Resource use was collected to inform the health economic evaluation. Participants had a mean age of 45 years (standard deviation 16.2 years), were predominantly male (61%, 197/321) and had experienced traumatic injury after a fall (69%, 223/321). There was no statistically significant difference in DRI score at 6 months [IM nail fixation group, mean 29.8 points, 95% confidence interval (CI) 26.1 to 33.7 points; locking plate group, mean 33.8 points, 95% CI 29.7 to 37.9 points; adjusted difference, 4.0 points, 95% CI -1.0 to 9.0 points; p  = 0.11]. There was a statistically significant difference in DRI score at 3 months in favour of IM nail fixation (IM nail fixation group, mean 44.2 points, 95% CI 40.8 to 47.6 points; locking plate group, mean 52.6 points, 95% CI 49.3 to 55.9 points; adjusted difference 8.8 points, 95% CI 4.3 to 13.2 points; p  < 0.001), but not at 12 months (IM nail fixation group, mean 23.1 points, 95% CI 18.9 to 27.2 points; locking plate group, 24.0 points, 95% CI 19.7 to 28.3 points; adjusted difference 1.9 points, 95% CI -3.2 to 6.9 points; p  = 0.47). Secondary outcomes showed the same pattern, including a statistically significant difference in mean OMAS and EQ-5D scores at 3 and 6 months in favour of IM nail fixation. There were no statistically significant differences in complications, including the number of postoperative infections (13% in the locking plate group and 9% in the IM nail fixation group). Further surgery was more common in the locking plate group (12% in locking plate group and 8% in IM nail fixation group at 12 months). The economic evaluation showed that IM nail fixation provided a slightly higher quality of life in the 12 months after injury and at lower cost and, therefore, it was cost-effective compared with locking plate fixation. The probability of cost-effectiveness for IM nail fixation exceeded 90%, regardless of the value of the cost-effectiveness threshold. As wound dressings after surgery are clearly visible, it was not possible to blind the patients to their treatment allocation. This evidence does not apply to intra-articular (pilon) fractures of the distal tibia. Among adults with an acute fracture of the distal tibia who were randomised to IM nail fixation or locking plate fixation, there were similar disability ratings at 6 months. However, recovery across all outcomes was faster in the IM nail fixation group and costs were lower. The potential benefit of IM nail fixation in several other fractures requires investigation. Research is also required into the role of adjuvant treatment and different rehabilitation strategies to accelerate recovery following a fracture of the tibia and other long-bone fractures in the lower limb. The patients in this trial will remain in longer-term follow-up. Current Controlled Trials ISRCTN99771224 and UKCRN 13761. This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment ; Vol. 22, No. 25. See the NIHR Journals Library website for further project information.

Spatial Variation of Slip Behavior Beneath the Alaska Peninsula Along Alaska-Aleutian Subduction Zone

NASA Astrophysics Data System (ADS)

Li, Shanshan; Freymueller, Jeffrey T.

2018-04-01

We resurveyed preexisting campaign Global Positioning System (GPS) sites and estimated a highly precise GPS velocity field for the Alaska Peninsula. We use the TDEFNODE software to model the slip deficit distribution using the new GPS velocities. We find systematic misfits to the vertical velocities from the optimal model that fits the horizontal velocities well, which cannot be explained by altering the slip distribution, so we use only the horizontal velocities in the study. Locations of three boundaries that mark significant along-strike change in the locking distribution are identified. The Kodiak segment is strongly locked, the Semidi segment is intermediate, the Shumagin segment is weakly locked, and the Sanak segment is dominantly creeping. We suggest that a change in preexisting plate fabric orientation on the downgoing plate has an important control on the along-strike variation in the megathrust locking distribution and subduction seismicity.

A comparison of parallel and diverging screw angles in the stability of locked plate constructs.

PubMed

Wähnert, D; Windolf, M; Brianza, S; Rothstock, S; Radtke, R; Brighenti, V; Schwieger, K

2011-09-01

We investigated the static and cyclical strength of parallel and angulated locking plate screws using rigid polyurethane foam (0.32 g/cm(3)) and bovine cancellous bone blocks. Custom-made stainless steel plates with two conically threaded screw holes with different angulations (parallel, 10° and 20° divergent) and 5 mm self-tapping locking screws underwent pull-out and cyclical pull and bending tests. The bovine cancellous blocks were only subjected to static pull-out testing. We also performed finite element analysis for the static pull-out test of the parallel and 20° configurations. In both the foam model and the bovine cancellous bone we found the significantly highest pull-out force for the parallel constructs. In the finite element analysis there was a 47% more damage in the 20° divergent constructs than in the parallel configuration. Under cyclical loading, the mean number of cycles to failure was significantly higher for the parallel group, followed by the 10° and 20° divergent configurations. In our laboratory setting we clearly showed the biomechanical disadvantage of a diverging locking screw angle under static and cyclical loading.

Internal fixation of complex fractures of the tarsal navicular with locking plates. A report of 10 cases.

PubMed

Cronier, P; Frin, J-M; Steiger, V; Bigorre, N; Talha, A

2013-06-01

Tarsal navicular fractures are rare and treatment of comminuted fractures is especially difficult. Since 2007, the authors have had access to 3D reconstruction from CT scan images and specific locking plates, and they decided to evaluate whether these elements improved management of these severe cases. Between 2007 and 2011, 10 comminuted tarsal navicular fractures were treated in a prospective study. All of the fractures were evaluated by 3D reconstruction from CT scan images, with suppression of the posterior tarsal bones. The surgical approach was chosen according to the type of lesion. Reduction was achieved with a mini-distractor when necessary, and stabilized by AO locking plate fixation (Synthes™). Patient follow-up included a clinical and radiological evaluation (Maryland Foot score, AOFAS score). Eight patients underwent postoperative CT scan. All patients were followed up after a mean 20.5 months. Union was obtained in all patients and arthrodesis was not necessary in any of them. The mean Maryland Foot score was 92.8/100, and the AOFAS score 90.6/100. One patient with an associated comminuted calcaneal fracture had minimal sequella from a compartment syndrome of the foot. The authors did not find any series in the literature that reported evaluating tarsal navicular fractures by 3D reconstruction from CT scan images. The images obtained after suppression of the posterior tarsal bones systematically showed a lateral plantar fragment attached to the plantar calcaneonavicular ligament, which is essential for stability, and which helped determine the reduction technique. Locking plate fixation of these fractures has never been reported. Comminuted fractures of the tarsal navicular were successfully treated with specific imaging techniques in particular 3D reconstructions of CT scan images to choose the surgical approach and the reduction technique. Locking plate fixation of the navicular seems to be a satisfactory solution for the treatment of these particularly difficult fractures. Level IV. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

[Effectiveness of mini locking plate combined with Kirschner wire in treatment of comminuted Jones fracture].

PubMed

Yan, Rongliang; Qu, Jiafu; Cao, Lihai; Liu, Hongda; Chen, Jianghua; Gao, Yan; Peng, Yi

2018-05-01

To summarize the effectiveness of mini locking plate combined with Kirschner wire in treatment of comminuted Jones fracture. Between January 2011 and October 2016, 25 cases with comminuted Jones fracture were treated with mini locking plate combined with Kirschner wire. There were 9 males and 16 females with an average age of 31.4 years (range, 16-66 years). The fractures located on the left side in 11 cases and on the right side in 14 cases. The causes of injury included spraining in 21 cases, falling down in 3 cases, and bruise in 1 case. The bone fragment of all cases was more than 3 pieces. The fracture line was mostly Y-shape or T-shape. Twelve of them were combined with other fractures. The time from injury to operation was 1-9 days (mean, 5 days). The mini locking plate and Kirschner wire were removed at 9-12 months postoperatively. At 12 months postoperatively, the pain was evaluated by the visual analogue scale (VAS) score, and the function by the American Orthopaedic Foot & Ankle Society (AOFAS) score. All incisions healed by first intention. All cases were followed up 12-36 months with an average of 21.7 months. Fracture union was observed in all patients without complications such as nonunion, delayed union, and malunion. The fracture union time was 8-12 weeks (mean, 9.4 weeks). At 12 months postoperatively, the VAS score was 1.15±0.87; the AOFAS score was 89.45±6.24, and the results were excellent in 14 cases, good in 9 cases, fair in 1 case, and poor in 1 case, with an excellent and good rate of 92%. The procedure of mini locking plate combined with Kirschner wire for comminuted Jones fracture has such advantages as convenient operation, more rigid fixation, high rate of fracture healing, and good functional recovery in foot.

Polarization switching detection method using a ferroelectric liquid crystal for dichroic atomic vapor laser lock frequency stabilization techniques.

PubMed

Dudzik, Grzegorz; Rzepka, Janusz; Abramski, Krzysztof M

2015-04-01

We present a concept of the polarization switching detection method implemented for frequency-stabilized lasers, called the polarization switching dichroic atomic vapor laser lock (PSDAVLL) technique. It is a combination of the well-known dichroic atomic vapor laser lock method for laser frequency stabilization with a synchronous detection system based on the surface-stabilized ferroelectric liquid crystal (SSFLC).The SSFLC is a polarization switch and quarter wave-plate component. This technique provides a 9.6 dB better dynamic range ratio (DNR) than the well-known two-photodiode detection configuration known as the balanced polarimeter. This paper describes the proposed method used practically in the VCSEL laser frequency stabilization system. The applied PSDAVLL method has allowed us to obtain a frequency stability of 2.7×10⁻⁹ and a reproducibility of 1.2×10⁻⁸, with a DNR of detected signals of around 81 dB. It has been shown that PSDAVLL might be successfully used as a method for spectra-stable laser sources.

The Search for the Ideal Fixation of Palatal Fractures: Innovative Experience with a Mini-Locking Plate

PubMed Central

Pollock, Richard A.

2008-01-01

Fractures of the palate have defied conventional management, such that malrotation and disinclination of the palatal shelves occur in a significant number of patients after repair. The fractured palatal shelves of eight patients were first prealigned. To do so, one or more 205-mm ratchet clamps and two intermaxillary fixation (IMF) posts were used. Rigid fixation was then achieved by applying a 2.0-mm mini-locking titanium plate (across the palatal vault) and by applying an adaptation miniplate across the fracture line as it exited the anterior surface of the maxilla. Screws were passed directly through the mucoperiosteum, to engage the palatal shelves and to lock the locking plate into position. Lacerations in the mucoperiosteum were neither used to aid fixation nor used as portals for dissection; incisions and mucoperiosteal flaps in the palatal vault were avoided. Adjuncts, such as intraoral splints, have not been used in cases to date, and early mobilization was allowed. Reconstitution of the craniomaxillofacial buttresses was added in patients with more extensive maxillary injury. The palatal appliance and screws remained rigidly in position in the roof of the mouth, much like an external fixator, until their removal 8 to 12 weeks after the repair. No patient suffered erosion of the mucoperiosteum or other major morbidity, other than a transient fistula of the soft palate. The palatoalveolar segments remained in proper realignment and inclination, and pretraumatic occlusal patterns and the width and depth of the lower face appear to have been restored with one exception. The latter suffered a subtle posterolateral open bite that was corrected orthodontically. Prealignment of fractured palatal shelves with one or more large ratchet clamps and two IMF posts provides several points of forced reduction of the palatal shelves, along the dental arch. In addition, stabilization with mini-locking plate(s) in the palatal vault and an adaptation plate across the fracture line, as it exits the maxilla, appear to have merit, based on this preliminary report (n = 8). Outcomes seen on computed tomography and clinical examination during this 3-year experience have been favorable. PMID:22110785

Two fault tolerant toggle-hook release

NASA Technical Reports Server (NTRS)

Graves, Thomas Joseph (Inventor); Brown, Christopher William (Inventor)

1991-01-01

A coupling device is disclosed which is mechanically two fault tolerant for release. The device comprises a fastener plate and fastener body, each of which is attachable to a different one of a pair of structures to be joined. The fastener plate and body are coupled by an elongate toggle mounted at one end in a socket on the fastener plate for universal pivotal movement thereon. The other end of the toggle is received in an opening in the fastener body and adapted for limited pivotal movement therein. The toggle is adapted to be restrained by three latch hooks arranged in symmetrical equiangular spacing about the axis of the toggle, each hook being mounted on the fastener body for pivotal movement between an unlatching non-contact position with respect to the toggle and a latching position in engagement with a latching surface of the toggle. The device includes releasable lock means for locking each latch hook in its latching position whereby the toggle couples the fastener plate to the fastener body and means for releasing the lock means to unlock each said latch hook from the latch position whereby the unlocking of at least one of the latch hooks from its latching position results in the decoupling of the fastener plate from the fastener body.

Proximal tibial fractures: early experience using polyaxial locking-plate technology.

PubMed

Nikolaou, Vassilios S; Tan, Hiang Boon; Haidukewych, George; Kanakaris, Nikolaos; Giannoudis, Peter V

2011-08-01

Between 2004 and 2009, 60 patients with proximal tibial fractures were included in this prospective study. All fractures were treated with the polyaxial locked-plate fixation system (DePuy, Warsaw, IN, USA). Clinical and radiographic data, including fracture pattern, changes in alignment, local and systemic complications, hardware failure and fracture union were analysed. The mean follow-up was 14 (12-36) months. According to the Orthopaedic Trauma Association (OTA) classification, there were five 41-A, 28 41-B and 27 41-C fractures. Fractures were treated percutaneously in 30% of cases. Double-plating was used in 11 cases. All but three fractures progressed to union at a mean of 3.2 (2.5-5) months. There was no evidence of varus collapse as a result of polyaxial screw failure. No plate fractured, and no screw cut out was noted. There was one case of lateral joint collapse (>10°) in a patient with open bicondylar plateau fracture. The mean Knee Society Score at the time of final follow-up was 91 points, and the mean functional score was 89 points. The polyaxial locking-plate system provided stable fixation of extra-articular and intra-articular proximal tibial fractures and good functional outcomes with a low complication rate.

Scapulothoracic dissociation with acromioclavicular separation: a case report of a novel fixation method.

PubMed

Merk, Bradley R; Minihane, Keith P; Shah, Nirav A

2008-09-01

We present a case of 39-year-old female with a scapulothoracic dissociation and acromioclavicular (AC) separation and who had fixation of the AC joint with a locking plate, coracoclavicular screw, and transarticular AC screw. The coracoclavicular and AC relationships were maintained during postoperative rehabilitation and after hardware removal. Use of a locking plate can lead to good functional outcome without the complications associated with the use of pin and wire constructs or without violating the subacromial space.

Mechanical stress in plates for bridging reconstruction mandibular defects and purposes of double plate reinforcement.

PubMed

Hoefert, Sebastian; Taier, Roberto

2018-05-01

To evaluate the biomechanical performance of a commercially available bridging plate (2.4) as well as screws and bone simulating the reconstruction of hemimandibular defects and to indicate alternatives of reinforcement to prevent plate fractures either by strength or fatigue. Two common hemimandibular defects are investigated using computed finite element analysis (FEA) approach. Simplified and refined computational models are developed for the geometry of the screw. Conditions of non-locking and locking plate-screw interfaces are considered. Static loads of 120 N are applied. Von Mises stresses and fatigue are calculated. As reinforcement, a second complete or partial plate is placed onto the original plate. Results demonstrate that reconstruction plates are often subjected to excessive stress that may lead to fracture either by strength or by fatigue. An attached complete or partial second plate is able to reduce stress in the plate, in screws and bone so that stress remains below the allowable limit of the materials. A simplified technique of attaching a whole or sectioned second plate onto the original plate can reduce the stress calculated and may reduce the frequency of plate fractures for the patient's comfort, security and financial savings. Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Clinical application of locked plating system in children. An orthopaedic view

PubMed Central

Zafra-Jimenez, Jose Alberto; Rodriguez Martin, Juan

2010-01-01

In recent years, the locked plating system has gained favour in the treatment of certain fractures in adults; however, there is not much information regarding its use in children. We think there could be some advantages and applications such as: an alternative to external fixation, the bridge plating technique, unicortical screws, removal of hardware, metadiaphyseal fractures, periarticular fractures, poor quality bone, and allograft fixation. However, there are some disadvantages to keep in mind and the final decision for using it should be based on the osteosynthesis method principle the surgeon would like to apply. In this review article we discuss the up-to-date possible clinical applications and issues of this system. PMID:20162415

Treatment of unstable distal radius fractures: non-invasive dynamic external fixator versus volar locking plate – functional and radiological outcome in a prospective case-controlled series

PubMed Central

Bajwa, Ali S.; Rammappa, Manju; Lee, Ling; Nanda, Rajesh

2015-01-01

Introduction: Distal radius fracture (DRF) is a common injury and various treatment modalities including open reduction and internal fixation (ORIF) with volar locking plate are available. More recently, a non-invasive external fixator has been used. Aims: To prospectively compare the use of a non-invasive external fixator with early dynamisation for DRF against ORIF with volar locking plate control group. Methods: Consecutive patients with closed DRF were included in a prospective case-controlled study. Patients were assigned to non-invasive external fixator or ORIF. Minimum follow-up was two years. Follow-up was at weeks 2, 4, 6, 8, 12, 26 and at one and two-year post-operatively. The outcome measures included demographic details, injury mechanism, AO fracture type, risk factors, body mass index (BMI), ulnar styloid fracture and dorsal comminution, radiographs, grip strength and DASH score. Results: Consecutive 50 patients were treated either with non-invasive external fixator (25/50) or with ORIF (25/50) and the mean age of the two groups was 53 years (SD 17.1) and 49 years (SD 19.5), respectively. Demographics were matched in two groups. In the non-invasive external fixator group, there were 10 AO Type-A, 5 Type-B and 10 Type-C fractures. The ORIF group included 8 Type-A, 6 Type-B and 11 Type-C fractures. The mean DASH score at three-months and one-year post-injury in non-invasive fixator group was 12.2 (SD 3.1) and 3.5 (SD 0.7), respectively, significantly greater than those of ORIF group 14.5 (SD 5.6) and 11.2 (SD 4.4), respectively (p < 0.05). Conclusion: DRF treated with non-invasive external fixator can give functional results superior to ORIF at three-months and the trend is maintained at one and two-year post-operatively. PMID:27163089

Management of distal femoral periprosthetic fractures by distal femoral locking plate: A retrospective study.

PubMed Central

Thukral, Rajiv; Marya, SKS; Singh, Chandeep

2015-01-01

Background: Management of periprosthetic supracondylar femoral fractures is difficult. Osteoporosis, comminution and bone loss, compromise stability with delayed mobility and poor functional outcomes. Open reduction and internal fixation (ORIF) with anatomic distal femoral (DF) locking plate permits early mobilization. However, this usually necessitates bone grafting (BG). Biological fixation using minimally invasive techniques minimizes periosteal stripping and morbidity. Materials and Methods: 31 patients with comminuted periprosthetic DF fractures were reviewed retrospectively from October 2006 to September 2012. All patients underwent fixation using a DF locking compression plate (Synthes). 17 patients underwent ORIF with primary BG, whereas 14 were treated by closed reduction (CR) and internal fixation using biological minimally invasive techniques. Clinical and radiological followup were recorded for an average 36 months. Results: Mean time to union for the entire group was 5.6 months (range 3-9 months). Patients of ORIF group took longer (Mean 6.4 months, range 4.5-9 months) than the CR group (mean 4.6 months, range 3-7 months). Three patients of ORIF and one in CR group had poor results. Mean knee society scores were higher for CR group at 6 months, but nearly identical at 12 months, with similar eventual range of motion. Discussion: Locked plating of comminuted periprosthetic DF fractures permits stable rigid fixation and early mobilization. Fixation using minimally invasive biological techniques minimizes morbidity and may obviate the need for primary BG. PMID:26015610

UK DRAFFT - A randomised controlled trial of percutaneous fixation with kirschner wires versus volar locking-plate fixation in the treatment of adult patients with a dorsally displaced fracture of the distal radius

PubMed Central

2011-01-01

Background Fractures of the distal radius are extremely common injuries in adults. However, the optimal management remains controversial. In general, fractures of the distal radius are treated non-operatively if the bone fragments can be held in anatomical alignment by a plaster cast or orthotic. However, if this is not possible, then operative fixation is required. There are several operative options but the two most common in the UK, are Kirschner-wire fixation (K-wires) and volar plate fixation using fixed-angle screws (locking-plates). The primary aim of this trial is to determine if there is a difference in the Patient-Reported Wrist Evaluation one year following K-wire fixation versus locking-plate fixation for adult patients with a dorsally-displaced fracture of the distal radius. Methods/design All adult patients with an acute, dorsally-displaced fracture of the distal radius, requiring operative fixation are potentially eligible to take part in this study. A total of 390 consenting patients will be randomly allocated to either K-wire fixation or locking-plate fixation. The surgery will be performed in trauma units across the UK using the preferred technique of the treating surgeon. Data regarding wrist function, quality of life, complications and costs will be collected at six weeks and three, six and twelve months following the injury. The primary outcome measure will be wrist function with a parallel economic analysis. Discussion This pragmatic, multi-centre trial is due to deliver results in December 2013. Trial registration Current Controlled Trials ISRCTN31379280 UKCRN portfolio ID 8956 PMID:21914196

Mechanical Evolution and Dynamics of Decollement Slip in Contractional Systems: Correlating Macro- and Micro-Scale Processes in Particle Dynamics Simulation

NASA Astrophysics Data System (ADS)

Morgan, J. K.

2014-12-01

Particle-based numerical simulations allow detailed investigations of small-scale processes and mechanisms associated with fault initiation and slip, which emerge naturally in such models. This study investigates the evolving mechanical conditions and associated micro-mechanisms during transient slip on a weak decollement propagating beneath a growing contractional wedge (e.g., accretionary prism, fold and thrust belt). The models serve as analogs of the seismic cycle, although lacking full earthquake dynamics. Nonetheless, the mechanical evolution of both decollement and upper plate can be monitored, and correlated with the particle-scale physical and contact properties, providing insights into changes that accompany such stick-slip behavior. In this study, particle assemblages consolidated under gravity and bonded to impart cohesion, are pushed at a constant velocity above a weak, unbonded decollement surface. Forward propagation of decollement slip occurs in discrete pulses, modulated by heterogeneous stress conditions (e.g., roughness, contact bridging) along the fault. Passage of decollement slip resets the stress along this horizon, producing distinct patterns: shear stress is enhanced in front of the slipped decollement due to local contact bridging and fault locking; shear stress minima occur immediately above the tip, denoting local stress release and contact reorganization following slip; more mature portions of the fault exhibit intermediate shear stress, reflecting more stable contact force distributions and magnitudes. This pattern of shear stress pre-conditions the decollement for future slip events, which must overcome the high stresses at the fault tip. Long-term slip along the basal decollement induces upper plate contraction. When upper plate stresses reach critical strength conditions, new thrust faults break through the upper plate, relieving stresses and accommodating horizontal shortening. Decollement activity retreats back to the newly formed thrust fault. The cessation of upper plate fault slip causes gradual increases in upper plate stresses, rebuilding shear stresses along the decollement and enabling renewed pulses of decollement slip. Thus, upper plate deformation occurs out of phase with decollement propagation.

Biomechanical principles and mechanobiologic aspects of flexible and locked plating.

PubMed

Claes, Lutz

2011-02-01

The goal of minimally invasive surgery in extramedullary internal fixation has led to the development of flexible plates, bridging plates, and locked internal fixators. The change from conventional compression plates to these new implants, however, resulted in different biomechanics of fixation and different mechanobiologic processes for fracture healing. The aim of a flexible fixation is the stimulation of fracture healing by callus formation. Fracture healing follows mechanobiologic rules based mainly on interfragmentary strain, which is dependent on the stability of the fixation construct and the type of fracture. Knowledge of the mechanobiologic processes and the factors influencing the stability of fracture fixation are necessary for the surgeon to choose the correct technique for fracture fixation. Problems in the selection of the correct technique and limitations with the available implants as well as possible future developments are discussed.

A biomechanical comparison of four different fixation methods for midshaft clavicle fractures.

PubMed

Chen, Yang; Yang, Yang; Ma, Xinlong; Xu, Weiguo; Ma, Jianxiong; Zhu, Shaowen; Ma, Baoyi; Xing, Dan

2016-01-01

Clavicle fractures may occur in all age groups, and 70%-80% of clavicle fractures occur in the midshaft. Many methods for treating midshaft clavicular fractures have been reported and remain controversial. To provide some guidance for clinical treatment, 30 artificial polymethyl methacrylate models of the clavicle were sewn obliquely at the midshaft to simulate the most common type of clavicular fractures, and the fracture models were divided into five groups randomly and were fixed as follows: the reconstruction plates were placed at the superior position of the fracture model (R-S group), the reconstruction plates were placed at the anteroinferior position of the fracture model (R-AI group), the locking plates were placed at the superior position (L-S group), the locking plates were placed at the anteroinferior position (L-AI group); and the control models were unfixed (control group). The strain gauges were attached to the bone surface near the fracture fragments, and then, the biomechanical properties of the specimens were measured using the compression test, torsion test and three-point bending test. The results showed that plate fixation can provide a stable construct to help with fracture healing and is the preferred method in the treatment of clavicle fractures. The locking plate provides the best biomechanical stability when placed at the anteroinferior position, and this surgical method can reduce the operation time and postoperative complications; thus, it would be a better choice in clinical practice. © IMechE 2015.

Distal radius osteotomy with volar locking plates based on computer simulation.

PubMed

Miyake, Junichi; Murase, Tsuyoshi; Moritomo, Hisao; Sugamoto, Kazuomi; Yoshikawa, Hideki

2011-06-01

Corrective osteotomy using dorsal plates and structural bone graft usually has been used for treating symptomatic distal radius malunions. However, the procedure is technically demanding and requires an extensive dorsal approach. Residual deformity is a relatively frequent complication of this technique. We evaluated the clinical applicability of a three-dimensional osteotomy using computer-aided design and manufacturing techniques with volar locking plates for distal radius malunions. Ten patients with metaphyseal radius malunions were treated. Corrective osteotomy was simulated with the help of three-dimensional bone surface models created using CT data. We simulated the most appropriate screw holes in the deformed radius using computer-aided design data of a locking plate. During surgery, using a custom-made surgical template, we predrilled the screw holes as simulated. After osteotomy, plate fixation using predrilled screw holes enabled automatic reduction of the distal radial fragment. Autogenous iliac cancellous bone was grafted after plate fixation. The median volar tilt, radial inclination, and ulnar variance improved from -20°, 13°, and 6 mm, respectively, before surgery to 12°, 24°, and 1 mm, respectively, after surgery. The median wrist flexion improved from 33° before surgery to 60° after surgery. The median wrist extension was 70° before surgery and 65° after surgery. All patients experienced wrist pain before surgery, which disappeared or decreased after surgery. Surgeons can operate precisely and easily using this advanced technique. It is a new treatment option for malunion of distal radius fractures.

Outcomes and complications of fractures of distal radius (AO type B and C): volar plating versus nonoperative treatment.

PubMed

Sharma, Himanshu; Khare, Ghanshyam Narayan; Singh, Saurabh; Ramaswamy, Arun Govindraj; Kumaraswamy, Vinay; Singh, Ashutosh Kumar

2014-07-01

Management of AO type B and C fractures of the distal radius is controversial. This study compares outcomes and complications of AO type B and C fractures of the distal radius treated with volar locked plating and nonoperative methods. Sixty-four patients with fractures of the distal radius (AO type B and C) were included in this study, according to inclusion criteria, and were allocated to the volar plating group or nonoperative group by alternate randomization: 32 patients with odd numbers went into the nonoperative group and the other 32 with even numbers went into the volar plating group. Patients in the nonoperative group were managed with closed reduction of the fracture and plaster cast application under an image intensifier. Those in the volar plating group were managed by open reduction and fixation with a volar locked plate. Preoperative and postoperative serial clinico-radiological follow-up was done. The range of movement, grip strength, functional outcome scores and radiological parameters were compared. Student's t-test was used for statistical analysis with significance at p < 0.05. Range of movement and functional scores were significantly (p < 0.001) better in the volar plating group, but the difference in ulnar variance and radial and ulnar deviation was insignificant as compared to the nonoperative group. At 24 months follow-up, the nonoperative group had significantly more cases with malunion, articular incongruity and osteoarthritis. In cases of AO type B or C fractures of the distal radius, volar locked plating provides anatomical stable fixation and early mobilization with better clinico-radiological outcome as compared to conservative treatment.

Biomechanical analysis of four different fixations for the posterolateral shearing tibial plateau fracture.

PubMed

Zhang, Wei; Luo, Cong-Feng; Putnis, Sven; Sun, Hui; Zeng, Zhi-Min; Zeng, Bing-Fang

2012-03-01

The posterolateral shearing tibial plateau fracture is uncommon in the literature, however with the increased usage of computer tomography (CT), the incidence of these fractures is no longer as low as previously thought. Few studies have concentrated on this fracture, least of all using a biomechanical model. The purpose of this study was to compare and analyse the biomechanical characteristics of four different types of internal fixation to stabilise the posterolateral shearing tibial plateau fracture. Forty synthetic tibiae (Synbone, right) simulated the posterolateral shearing fracture models and these were randomly assigned into four groups; Group A was fixed with two anterolateral lag screws, Group B with an anteromedial Limited Contact Dynamic Compression Plate (LC-DCP), Group C with a lateral locking plate, and Group D with a posterolateral buttress plate. Vertical displacement of the posterolateral fragment was measured using three different strengths of axial loading force, and finally loaded until fixation failure. It was concluded that the posterolateral buttress plate is biomechanically the strongest fixation method for the posterolateral shearing tibial plateau fracture. Copyright © 2011 Elsevier B.V. All rights reserved.

Damage assessment of composite plate structures with material and measurement uncertainty

NASA Astrophysics Data System (ADS)

Chandrashekhar, M.; Ganguli, Ranjan

2016-06-01

Composite materials are very useful in structural engineering particularly in weight sensitive applications. Two different test models of the same structure made from composite materials can display very different dynamic behavior due to large uncertainties associated with composite material properties. Also, composite structures can suffer from pre-existing imperfections like delaminations, voids or cracks during fabrication. In this paper, we show that modeling and material uncertainties in composite structures can cause considerable problem in damage assessment. A recently developed C0 shear deformable locking free refined composite plate element is employed in the numerical simulations to alleviate modeling uncertainty. A qualitative estimate of the impact of modeling uncertainty on the damage detection problem is made. A robust Fuzzy Logic System (FLS) with sliding window defuzzifier is used for delamination damage detection in composite plate type structures. The FLS is designed using variations in modal frequencies due to randomness in material properties. Probabilistic analysis is performed using Monte Carlo Simulation (MCS) on a composite plate finite element model. It is demonstrated that the FLS shows excellent robustness in delamination detection at very high levels of randomness in input data.

Fatigue Failure in Extra-Articular Proximal Tibia Fractures: Locking Intramedullary Nail Versus Double Locking Plates-A Biomechanical Study.

PubMed

Kandemir, Utku; Herfat, Safa; Herzog, Mary; Viscogliosi, Paul; Pekmezci, Murat

2017-02-01

The goal of this study is to compare the fatigue strength of a locking intramedullary nail (LN) construct with a double locking plate (DLP) construct in comminuted proximal extra-articular tibia fractures. Eight pairs of fresh frozen cadaveric tibias with low bone mineral density [age: 80 ± 7 (SD) years, T-score: -2.3 ± 1.2] were used. One tibia from each pair was fixed with LN, whereas the contralateral side was fixed with DLP for complex extra-articular multifragmentary metaphyseal fractures (simulating OTA 41-A3.3). Specimens were cyclically loaded under compression simulating single-leg stance by staircase method out to 260,000 cycles. Every 2500 cycles, localized gap displacements were measured with a 3D motion tracking system, and x-ray images of the proximal tibia were acquired. To allow for mechanical settling, initial metrics were calculated at 2500 cycles. The 2 groups were compared regarding initial construct stiffness, initial medial and lateral gap displacements, stiffness at 30,000 cycles, medial and lateral gap displacements at 30,000 cycles, failure load, number of cycles to failure, and failure mode. Failure metrics were reported for initial and catastrophic failures. DLP constructs exhibited higher initial stiffness and stiffness at 30,000 cycles compared with LN constructs (P < 0.03). There were no significant differences between groups for loads at failure or cycles to failure. For the fixation of extra-articular proximal tibia fractures, a LN provides a similar fatigue performance to double locked plates. The locked nail could be safely used for fixation of proximal tibia fractures with the advantage of limited extramedullary soft tissue damage.

A prospective, randomised trial comparing closed intramedullary nailing with percutaneous plating in the treatment of distal metaphyseal fractures of the tibia.

PubMed

Guo, J J; Tang, N; Yang, H L; Tang, T S

2010-07-01

We compared the outcome of closed intramedullary nailing with minimally invasive plate osteosynthesis using a percutaneous locked compression plate in patients with a distal metaphyseal fracture in a prospective study. A total of 85 patients were randomised to operative stabilisation either by a closed intramedullary nail (44) or by minimally invasive osteosynthesis with a compression plate (41). Pre-operative variables included the patients' age and the side and pattern of the fracture. Peri-operative variables were the operating time and the radiation time. Postoperative variables were wound problems, the time to union of the fracture, the functional American Orthopaedic Foot and Ankle surgery score and removal of hardware. We found no significant difference in the pre-operative variables or in the time to union in the two groups. However, the mean radiation time and operating time were significantly longer in the locked compression plate group (3.0 vs 2.12 minutes, p < 0.001, and 97.9 vs 81.2 minutes, p < 0.001, respectively).After one year, all the fractures had united. Patients who had intramedullary nailing had a higher mean pain score (40 = no pain, 0 = severe pain), [corrected] but better function, alignment and total American Orthopaedic Foot and Ankle surgery scores, although the differences were not statistically significant (p = 0.234, p = 0.157, p = 0.897, p = 0.177 respectively). Three (6.8%) patients in the intramedullary nailing group and six (14.6%) in the locked compression plate group showed delayed wound healing, and 37 (84.1%) in the former group and 38 (92.7%) in the latter group expressed a wish to have the implant removed. We conclude that both closed intramedullary nailing and a percutaneous locked compression plate can be used safely to treat Orthopaedic Trauma Association type-43A distal metaphyseal fractures of the tibia. However, closed intramedullary nailing has the advantage of a shorter operating and radiation time and easier removal of the implant. We therefore prefer closed intramedullary nailing for patients with these fractures.

[Advanced bone graft combined with locking compression plate for the treatment of middle and distal tibia nonunion].

PubMed

Zhao, Xue; Wang, Pan-feng; Zhang, Yun-tong; Zhang, Chun-cai; Xu, Shuo-gui; Zhang, Xin

2014-12-01

To explore methods of treating middle and distal tibia nonunion with the treatment of advanced bone graft combined with locking compression plate. From January 2011 to December 2012, 12 patients with middle and distal tibia nonunion were treated with advanced bone graft combined with locking compression plate. Among patients, there were 8 males and 4 females aged from 20 to 69 with an average of 47 years old. The time from first injuries to bone nonunion was from 9 months to 5 years, avergaed 19 months. Four cases were treated with external fixation, 6 cases were treated with plate fixation, 2 cases of 12 patients occurred broken of plate and nail. Eleven patients were non-infective bone nonunion and 1 patient was infective bone nonunion. Preoperative X-ray and CT showed all patients had sequestration and formation of ossified bone with different degrees. Operative time, blood loss, wound healing were observed, fracture healing time was evaluated by postoperative X-ray. Johner-Wruhs scoring standards was used to evaluate ankle joint function after operation at 10 months. Operative time ranged from 90 to 185 min with an average of (125.00±20.15) min; blood loss ranged from 225 to 750 ml with an average of (415.00±120.00) ml. All patients were followed up from 10 months to 2.5 years with an average of 1.5 years. Postoperative X-ray showed bone union was formed around fracture after operation at 4 months in all patients, 3 cases obtained bone healing within 6 months after operation, 9 cases obtained from 8 to 12 months. No infection, injury of nerve and vessles, and broken of plate and nail were ocurred. According to Johner-Wruhs scoring at 10 months after operation, 10 cases obtained excellent results, 1 good and 1 moderate. Advanced bone graft combined with locking compression plate, which can build fracture multi-point supporting based on full compression of bone nonunion to get effective fixation, is an effective method in treating middle and distal tibia nonunion.

[Outcomes of minimally invasive plate osteosynthesis (MIPO) with volar locking plates in distal radius fractures: A review].

PubMed

Liverneaux, P; Ichihara, S; Facca, S; Hidalgo Diaz, J J

2016-12-01

Minimally invasive plate osteosynthesis (MIPO) has been used in recent years to treat fractures of the distal radius with volar locking plates. Its advantages are the preservation of the pronator quadratus and good esthetics. The MIPO technique was described originally with two incisions: one distal transverse or longitudinal incision and one proximal longitudinal incision. The trend is now to use a single longitudinal incision less than 20mm long. Functional and radiological outcomes are comparable to those of conventional techniques. The MIPO technique is indicated for extra-articular and intra-articular fractures. Arthroscopy may be used concurrently in the latter case. When the distal radius fracture is associated with a proximal shaft fracture, a double incision is needed to introduce a longer plate. The relative contraindications of the MIPO technique are comminuted intra-articular fractures in osteoporotic elderly patients. If reduction is problematic, a larger incision can easily be made. Copyright © 2016 SFCM. Published by Elsevier Masson SAS. All rights reserved.

Operative treatment of 2-part surgical neck fractures of the proximal humerus (AO 11-A3) in the elderly: Cement augmented locking plate Philos™ vs. proximal humerus nail MultiLoc®.

PubMed

Helfen, Tobias; Siebenbürger, Georg; Mayer, Marcel; Böcker, Wolfgang; Ockert, Ben; Haasters, Florian

2016-10-28

Proximal humeral fractures are with an incidence of 4-5 % the third most common fractures in the elderly. In 20 % of humeral fractures there is an indication for surgical treatment according to the modified Neer-Criteria. A secondary varus dislocation of the head fragment and cutting-out are the most common complications of angle stable locking plates in AO11-A3 fractures of the elderly. One possibility to increase the stability of the screw-bone-interface is the cement augmentation of the screw tips. A second is the use of a multiplanar angle stablentramedullary nail that might provide better biomechanical properties after fixation of 2-part-fractures. A comparison of these two treatment options augmented locking plate versus multiplanar angle stable locking nail in 2-part surgical neck fractures of the proximal humerus has not been carried out up to now. Forty patients (female/male, ≥60 years or female postmenopausal) with a 2-part-fracture of the proximal humerus (AO type 11-A3) will be randomized to either to augmented plate fixation group (PhilosAugment) or to multiplanar intramedullary nail group (MultiLoc). Outcome parameters are Disabilities of the Shoulder, Arm and Hand-Score (DASH) Constant Score (CS), American Shoulder and Elbow Score (ASES), Oxford Shoulder Score (OSS), Range of motion (ROM) and Short Form 36 (SF-36) after 3 weeks, 6 weeks, 3 months, 6 months, 12 and 24 months. Because of the lack of clinical studies that compare cement augmented locking plates with multiplanar humeral nail systems after 2-part surgical neck fractures of the proximal humerus, the decision of surgical method currently depends only on surgeons preference. Because only a randomized clinical trial (RCT) can sufficiently answer the question if one treatment option provides advantages compared to the other method we are planning to perform a RCT. Clinical Trial ( NCT02609906 ), November 18, 2015, registered retrospectively.

Multidirectional volar fixed-angle plating using cancellous locking screws for distal radius fractures--evaluation of three screw configurations in an extra-articular fracture model.

PubMed

Weninger, Patrick; Dall'Ara, Enrico; Drobetz, Herwig; Nemec, Wolfgang; Figl, Markus; Redl, Heinz; Hertz, Harald; Zysset, Philippe

2011-01-01

Volar fixed-angle plating is a popular treatment for unstable distal radius fractures. Despite the availability of plating systems for treating distal radius fractures, little is known about the mechanical properties of multidirectional fixed-angle plates. The aim of this study was to compare the primary fixation stability of three possible screw configurations in a distal extra-articular fracture model using a multidirectional fixed-angle plate with metaphyseal cancellous screws distally. Eighteen Sawbones radii (Sawbones, Sweden, model# 1027) were used to simulate an extra-articular distal radius fracture according to AO/OTA 23 A3. Plates were fixed to the shaft with one non-locking screw in the oval hole and two locking screws as recommended by the manufacturer. Three groups (n = 6) were defined by screw configuration in the distal metaphyseal fragment: Group 1: distal row of screws only; Group 2: 2 rows of screws, parallel insertion; Group 3: 2 rows of screws, proximal screws inserted with 30° of inclination. Specimens underwent mechanical testing under axial compression within the elastic range and load controlled between 20 N and 200 N at a rate of 40 N/s. Axial stiffness and type of construct failure were recorded. There was no difference regarding axial stiffness between the three groups. In every specimen, failure of the Sawbone-implant-construct occurred as plastic bending of the volar titanium plate when the dorsal wedge was closed. Considering the limitations of the study, the recommendation to use two rows of screws or to place screws in the proximal metaphyseal row with inclination cannot be supported by our mechanical data.

[Treatment of complex scapular body fractures by locking reconstructive plates].

PubMed

Zhang, Jun-wei; Hou, Jin-yong; Yang, Mao-qing

2011-03-01

To investigate the method and effect of treatment of complex scapular body fractures by locking reconstructive plate through modified posterior approach. From August 2005 to November 2009, 27 patients with complex scapula body fractures were treated by locking reconstruction bone plate fixation,including 19 males and 8 females with an average age of 36 years old ranging from 16 to 64 years. The time after injury was 0.5 hours to 11 days (averaged 3 days). Of all the patients, 9 cases were associated with ipsilateral clavicle fracture, 2 cases were associated with acromioclavicular joint dislocation,16 cases were associated with multiple rib fractures, 1 case were associated with humeral shaft fractures, 5 cases were associated with pleural effusion, atelectasis, lung contusion etc. After operating,shoulder functional recovery were followed up. Twenty-four patients were followed up from 2 to 35 months with an average of 19 months. According to Hardegger shoulder function,the results were excellent in 15 cases, good in 7 cases, general in 2 cases. This method had the advantage of less trauma and clear exposure, firm and reliable fixation, and early activities.

External fixation using locking plate in distal tibial fracture: a finite element analysis.

PubMed

Zhang, Jingwei; Ebraheim, Nabil; Li, Ming; He, Xianfeng; Schwind, Joshua; Liu, Jiayong; Zhu, Limei

2015-08-01

External fixation of tibial fractures using a locking plate has been reported with favorable results in some selected patients. However, the stability of external plate fixation in this fracture pattern has not been previously demonstrated. We investigated the stability of external plate fixation with different plate-bone distances. In this study, the computational processing model of external fixation of a distal tibial metaphyseal fracture utilizing the contralateral femoral less invasive stabilization system plate was analyzed. The plate was placed on the anteromedial aspect of tibia with different plate-bone distances: 1, 10, 20, and 30 mm. Under axial load, the stiffness of construct in all groups was higher than intact tibia. Under axial load with an internal rotational force, the stiffness of construct with 1 and 10 mm plate-bone distances was similar to that of an intact tibia and the stiffness of the construct with 20 and 30 mm distances was lower than that of an intact tibia. Under axial load with an external rotational force, the stiffness of the construct in all groups was lower than that of an intact tibia. The maximum plate stresses were concentrated at the two most distal screws and were highest in the construct with the 10 mm plate-bone distance, and least in the construct with a 1 mm plate-bone distance. To guarantee a stable external plate fixation in distal tibial fracture, the plate-bone distance should be less than 30 mm.

Biomechanical evaluation of a new MatrixMandible plating system on cadaver mandibles.

PubMed

Gateno, Jaime; Cookston, Christopher; Hsu, Sam Sheng-Pin; Stal, Drew N; Durrani, Salim K; Gold, Jonathan; Ismaily, Sabir; Alexander, Jerry W; Noble, Philip C; Xia, James J

2013-11-01

Current mandibular plating systems contain a wide range of plates and screws needed for the treatment of mandibular reconstruction and mandibular fractures. The authors' hypothesis was that a single diameter screw could be used in all applications in a plating system. Therefore, the purpose of this study was to test if the 2.0-mm locking screws could replace the 2.4-mm screws to stabilize a 2.5-mm-thick reconstruction plate in the treatment of mandibular discontinuity. Thirty-six fresh human cadaveric mandibles were used: 18 were plated using 2.0-mm locking screws (experimental) and the other 18 were plated using 2.4-mm locking screws (control). Each group was further divided into 3 subgroups based on the site of loading application: the ipsilateral (right) second premolar region, the central incisal region, and the contralateral (left) first molar region. The same ipsilateral (right) mandibular angular discontinuity was created by the same surgeon. The mandible was mounted on a material testing machine. The micromotions between the 2 segments, permanent and elastic displacements, were recorded after incremental ramping loads. The magnitude of screw back-out and the separation between plate and bone were recorded using a laser scanner (resolution, 0.12 mm) before and after the loading applications. The data were processed. Descriptive analyses and a general linear model for repeated measures analysis of variance were performed. There was no statistically significant difference in permanent displacement (mean, 1.16 and 0.82 mm, respectively) between the 2.0-mm and 2.4-mm screw groups. There also was no statistically significant difference in elastic displacement between the 2 groups (mean, 1.48 and 1.21 mm, respectively). Finally, there were no statistically significant differences in screw back-out or separation between plate and bone between the 2 groups. All means for screw back-out and separation between screw and bone for each group were judged within the error of the laser scanning system (<0.12 mm). One may anticipate that the mechanical functions of the 2.0-mm locking screws are not different from those of the 2.4-mm screws when a 2.5-mm-thick reconstruction plate is used to reconstruct mandibular angular discontinuity. However, further biomechanical studies (ie, fatigue of screws) are warranted before a randomized clinical trial can be conducted to definitively prove that the 2.4-mm screws can be replaced by 2.0-mm screws. Copyright © 2013 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Fractures of the distal tibia treated with polyaxial locking plating.

PubMed

Gao, Hong; Zhang, Chang-Qing; Luo, Cong-Feng; Zhou, Zu-Bin; Zeng, Bing-Fang

2009-03-01

We evaluated the healing rate, complications, and functional outcomes in 32 adult patients with very short metaphyseal fragments in fractures of the distal tibia treated with a polyaxial locking system. The average distance from the distal extent of the fracture to the tibial plafond was 11 mm. All fractures healed and the average time to union was 14 weeks. Six patients (19%) reported occasional local disturbance over the medial malleolus. There were two cases of postoperative superficial infections and evidence of delayed wound healing. Using the American Orthopaedic Foot and Ankle Society ankle score, the average functional score was 87.3 points (of 100 total possible points). Our results show the polyaxial locking plates, which offer more fixation versatility, may be a reasonable treatment option for distal tibia fractures with very short metaphyseal segments.

Phase-relationships between scales in the perturbed turbulent boundary layer

NASA Astrophysics Data System (ADS)

Jacobi, I.; McKeon, B. J.

2017-12-01

The phase-relationship between large-scale motions and small-scale fluctuations in a non-equilibrium turbulent boundary layer was investigated. A zero-pressure-gradient flat plate turbulent boundary layer was perturbed by a short array of two-dimensional roughness elements, both statically, and under dynamic actuation. Within the compound, dynamic perturbation, the forcing generated a synthetic very-large-scale motion (VLSM) within the flow. The flow was decomposed by phase-locking the flow measurements to the roughness forcing, and the phase-relationship between the synthetic VLSM and remaining fluctuating scales was explored by correlation techniques. The general relationship between large- and small-scale motions in the perturbed flow, without phase-locking, was also examined. The synthetic large scale cohered with smaller scales in the flow via a phase-relationship that is similar to that of natural large scales in an unperturbed flow, but with a much stronger organizing effect. Cospectral techniques were employed to describe the physical implications of the perturbation on the relative orientation of large- and small-scale structures in the flow. The correlation and cospectral techniques provide tools for designing more efficient control strategies that can indirectly control small-scale motions via the large scales.

Time-variable stress transfer across a megathrust from seismic to Wilson cycle scale

NASA Astrophysics Data System (ADS)

Rosenau, Matthias; Angiboust, Samuel; Moreno, Marcos; Schurr, Bernd; Oncken, Onno

2013-04-01

During the lifetime of a convergent plate margin stress transfer across the plate interface (a megathrust) can be expected to vary at multiple timescales. At short time scales (years to decades), a subduction megathrust interface appears coupled (accumulating shear stress) at shallow depth (seismogenic zone <350°C) in a laterally heterogeneous fashion. Highly coupled areas are prerequisite to areas of large slip (asperities) during future earthquakes but the correlation is rarely unequivocal suggesting that the coupling pattern is transient during the interseismic period. As temperature, structure and material properties are unlike to change at short time scales as well as at short distance along strike, fluid pressure change is invoked as the prime agent of lateral and time-variable stress transfer at short time (seismic cycle) scale and beyond. On longer time scales (up to Wilson cycles), additional agents of time-variable stress change are discussed. Shear tests using velocity weakening rock analogue material suggest that in a conditionally stable regime the effective normal load controls both the geodetic and the seismic coupling (fraction of convergence velocity accommodated by interseismic backslip/seismic slip). Accordingly seismic coupling decreases from 80% to 20% as the pore fluid pressure increases from hydrostatic to near-lithostatic. Moreover, the experiments demonstrate that at sub-seismic cycle scale the geodetic coupling (locking) is not only proportional to effective normal load but also to relative shear stress. For areas of near complete stress drop locking might systematically decrease over the interseismic period from >80-95 % shortly after an earthquake to backslip at significant fractions of plate convergence rate (<5-45 % locking) later in the seismic cycle. If we allow pore fluid pressures to change at sub-seismic cycle scale a single location along a megathrust may thus appear fully locked after an earthquake while fully unlocked before an earthquake. The mechanisms and timescales of fluid pressure changes along a megathrust are yet to be explored but a valid hypothesis seems to be that non-volcanic tremor and slow slip below the seismogenic zone represent short term episodes of metamorphic fluid infiltration into the shallow megathrust. A megathrust fault valve mechanism clocked by the greatest earthquakes then accounts for cyclic fluid pressure build up and drainage at sub-seismic cycle scale. As pore pressure dynamics are controlled primarily by permeability which in turn is controlled by structure and material properties, then more long term coupling transients associated with structural evolution of the plate margin can be implied. Fluid controlled transients might interfere with transients and secular trends resulting from changes in material strength and plate tectonic forces over the Wilson cycle resulting in a multispectral stress-transfer pattern associated with convergent margin evolution. Because of the viscous damping effect of the underlying asthenosphere, however, only longterm transients (periods >1-10 ka) are transmitted into the engaged plates. We therefore speculate that the multispectral nature of stress transfer across a megathrust filtered through the asthenosphere explains transient fault activity in some intraplate settings.

Phase locking of vortex cores in two coupled magnetic nanopillars

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zhu, Qiyuan; Liu, Xianyin; Zheng, Qi

2014-11-15

Phase locking dynamics of the coupled vortex cores in two identical magnetic spin valves induced by spin-polarized current are studied by means of micromagnetic simulations. Our results show that the available current range of phase locking can be expanded significantly by the use of constrained polarizer, and the vortices undergo large orbit motions outside the polarization areas. The effects of polarization areas and dipolar interaction on the phase locking dynamics are studied systematically. Phase locking parameters extracted from simulations are discussed by theoreticians. The dynamics of vortices influenced by spin valve geometry and vortex chirality are discussed at last. Thismore » work provides deeper insights into the dynamics of phase locking and the results are important for the design of spin-torque nano-oscillators.« less

Design and Fabrication of Quadrupole Ion Mass Spectrometer for Upper Atmosphere.

DTIC Science & Technology

1981-09-30

34 diameter con-flat flange were T.I.G. welded to the end of each of three bowls. All bowls were then electro- polished, cleaned and sent out to have...plated surface was .0001" to .0002" thick. After gold plating, the hemispheres were mated and T.I.G. welded to form a sphere with a con-flat flange at...Valve Rotatable Conflat to fit k" Swage Lock Weld Adaptors. 5 2 3/4" Conflat Flanges machined to fit Swage Lock unions. 12 10-24 x 2 " Brass Screws necket

Automatic locking orthotic knee device

NASA Technical Reports Server (NTRS)

Weddendorf, Bruce C. (Inventor)

1993-01-01

An articulated tang in clevis joint for incorporation in newly manufactured conventional strap-on orthotic knee devices or for replacing such joints in conventional strap-on orthotic knee devices is discussed. The instant tang in clevis joint allows the user the freedom to extend and bend the knee normally when no load (weight) is applied to the knee and to automatically lock the knee when the user transfers weight to the knee, thus preventing a damaged knee from bending uncontrollably when weight is applied to the knee. The tang in clevis joint of the present invention includes first and second clevis plates, a tang assembly and a spacer plate secured between the clevis plates. Each clevis plate includes a bevelled serrated upper section. A bevelled shoe is secured to the tank in close proximity to the bevelled serrated upper section of the clevis plates. A coiled spring mounted within an oblong bore of the tang normally urges the shoes secured to the tang out of engagement with the serrated upper section of each clevic plate to allow rotation of the tang relative to the clevis plate. When weight is applied to the joint, the load compresses the coiled spring, the serrations on each clevis plate dig into the bevelled shoes secured to the tang to prevent relative movement between the tang and clevis plates. A shoulder is provided on the tang and the spacer plate to prevent overextension of the joint.

Controlling Heat Transport and Flow Structures in Thermal Turbulence Using Ratchet Surfaces

NASA Astrophysics Data System (ADS)

Jiang, Hechuan; Zhu, Xiaojue; Mathai, Varghese; Verzicco, Roberto; Lohse, Detlef; Sun, Chao

2018-01-01

In this combined experimental and numerical study on thermally driven turbulence in a rectangular cell, the global heat transport and the coherent flow structures are controlled with an asymmetric ratchetlike roughness on the top and bottom plates. We show that, by means of symmetry breaking due to the presence of the ratchet structures on the conducting plates, the orientation of the large scale circulation roll (LSCR) can be locked to a preferred direction even when the cell is perfectly leveled out. By introducing a small tilt to the system, we show that the LSCR orientation can be tuned and controlled. The two different orientations of LSCR give two quite different heat transport efficiencies, indicating that heat transport is sensitive to the LSCR direction over the asymmetric roughness structure. Through a quantitative analysis of the dynamics of thermal plume emissions and the orientation of the LSCR over the asymmetric structure, we provide a physical explanation for these findings. The current work has important implications for passive and active flow control in engineering, biofluid dynamics, and geophysical flows.

Accuracy of specimen-specific nonlinear finite element analysis for evaluation of radial diaphysis strength in cadaver material.

PubMed

Matsuura, Yusuke; Kuniyoshi, Kazuki; Suzuki, Takane; Ogawa, Yasufumi; Sukegawa, Koji; Rokkaku, Tomoyuki; Thoreson, Andrew Ryan; An, Kai-Nan; Takahashi, Kazuhisa

2015-01-01

The feasibility of a user-specific finite element model for predicting the in situ strength of the radius after implantation of bone plates for open fracture reduction was established. The effect of metal artifact in CT imaging was characterized. The results were verified against biomechanical test data. Fourteen cadaveric radii were divided into two groups: (1) intact radii for evaluating the accuracy of radial diaphysis strength predictions with finite element analysis and (2) radii with a locking plate affixed for evaluating metal artifact. All bones were imaged with CT. In the plated group, radii were first imaged with the plates affixed (for simulating digital plate removal). They were then subsequently imaged with the locking plates and screws removed (actual plate removal). Fracture strength of the radius diaphysis under axial compression was predicted with a three-dimensional, specimen-specific, nonlinear finite element analysis for both the intact and plated bones (bones with and without the plate captured in the scan). Specimens were then loaded to failure using a universal testing machine to verify the actual fracture load. In the intact group, the physical and predicted fracture loads were strongly correlated. For radii with plates affixed, the physical and predicted (simulated plate removal and actual plate removal) fracture loads were strongly correlated. This study demonstrates that our specimen-specific finite element analysis can accurately predict the strength of the radial diaphysis. The metal artifact from CT imaging was shown to produce an overestimate of strength.

Deformation and stress change associated with plate interaction at subduction zones: a kinematic modelling

NASA Astrophysics Data System (ADS)

Zhao, Shaorong; Takemoto, Shuzo

2000-08-01

The interseismic deformation associated with plate coupling at a subduction zone is commonly simulated by the steady-slip model in which a reverse dip-slip is imposed on the down-dip extension of the locked plate interface, or by the backslip model in which a normal slip is imposed on the locked plate interface. It is found that these two models, although totally different in principle, produce similar patterns for the vertical deformation at a subduction zone. This suggests that it is almost impossible to distinguish between these two models by analysing only the interseismic vertical deformation observed at a subduction zone. The steady-slip model cannot correctly predict the horizontal deformation associated with plate coupling at a subduction zone, a fact that is proved by both the numerical modelling in this study and the GPS (Global Positioning System) observations near the Nankai trough, southwest Japan. It is therefore inadequate to simulate the effect of the plate coupling at a subduction zone by the steady-slip model. It is also revealed that the unphysical assumption inherent in the backslip model of imposing a normal slip on the locked plate interface makes it impossible to predict correctly the horizontal motion of the subducted plate and the stress change within the overthrust zone associated with the plate coupling during interseismic stages. If the analysis made in this work is proved to be correct, some of the previous studies on interpreting the interseismic deformation observed at several subduction zones based on these two models might need substantial revision. On the basis of the investigations on plate interaction at subduction zones made using the finite element method and the kinematic/mechanical conditions of the plate coupling implied by the present plate tectonics, a synthesized model is proposed to simulate the kinematic effect of the plate interaction during interseismic stages. A numerical analysis shows that the proposed model, designed to simulate the motion of a subducted slab, can correctly produce the deformation and the main pattern of stress concentration associated with plate coupling at a subduction zone. The validity of the synthesized model is examined and partially verified by analysing the horizontal deformation observed by GPS near the Nankai trough, southwest Japan.

Time-Varying Upper-Plate Deformation during the Megathrust Subduction Earthquake Cycle

NASA Astrophysics Data System (ADS)

Furlong, Kevin P.; Govers, Rob; Herman, Matthew

2015-04-01

Over the past several decades of the WEGENER era, our abilities to observe and image the deformational behavior of the upper plate in megathrust subduction zones has dramatically improved. Several intriguing inferences can be made from these observations including apparent lateral variations in locking along subduction zones, which differs from interseismic to coseismic periods; the significant magnitude of post-earthquake deformation (e.g. following the 20U14 Mw Iquique, Chile earthquake, observed on-land GPS post-EQ displacements are comparable to the co-seismic displacements); and incompatibilities between rates of slip deficit accumulation and resulting earthquake co-seismic slip (e.g. pre-Tohoku, inferred rates of slip deficit accumulation on the megathrust significantly exceed slip amounts for the ~ 1000 year recurrence.) Modeling capabilities have grown from fitting simple elastic accumulation/rebound curves to sparse data to having spatially dense continuous time series that allow us to infer details of plate boundary coupling, rheology-driven transient deformation, and partitioning among inter-earthquake and co-seismic displacements. In this research we utilize a 2D numerical modeling to explore the time-varying deformational behavior of subduction zones during the earthquake cycle with an emphasis on upper-plate and plate interface behavior. We have used a simplified model configuration to isolate fundamental processes associated with the earthquake cycle, rather than attempting to fit details of specific megathrust zones. Using a simple subduction geometry, but realistic rheologic layering we are evaluating the time-varying displacement and stress response through a multi-earthquake cycle history. We use a simple model configuration - an elastic subducting slab, an elastic upper plate (shallower than 40 km), and a visco-elastic upper plate (deeper than 40 km). This configuration leads to an upper plate that acts as a deforming elastic beam at inter-earthquake loading times and rates with a viscously relaxed regime at depths greater than 40 km. Analyses of our preliminary model results lead to the following: 1. Co-seismic stress transfer from the unloading elastic layer (shallow) into an elastically loading visco-elastic layer (deeper) - extends ~ 100 km inboard of locked zone. This stress transfer affects both coseismic and post-seismic surface displacements. 2. Post-seismic response of upper plate involves seaward motion for initial 10-20 years (~ 2 Maxwell times) after EQ. This occurs in spite of there being no slip on locked plate boundary - i.e. this is not plate boundary after-slip but rather is a consequence of stress relaxation in co-seismically loaded visco-elastic layer. However standard inversions of the surface displacement field would indicate significant after-slip along the locked plate interface. 3. By approximately 80 years (8 Maxwell times) system has returned to simple linear displacement pattern - the expected behavior for a shortening elastic beam. Prior to that time, the surface (observable) displacement pattern changes substantially over time and would result in an apparent temporal variation in coupling - from near-zero coupling to fully locked over ~ 80 years post-earthquake. These preliminary results indicate that care is needed in interpreting observed surface displacement fields from GPS, InSAR, etc. during the interseismic period. temporal variations in crustal deformation observed in regions such as the recent Tohoku, Maule, and Iquique megathrust events which are ascribed to fault plane after-slip may in fact reflect processes associated with re-equilibration of the visco-elastic subduction system.

Biomechanical Comparison Study of Three Fixation Methods for Proximal Chevron Osteotomy of the First Metatarsal in Hallux Valgus.

PubMed

Kim, Jin Su; Cho, Hun Ki; Young, Ki Won; Kim, Ji Soo; Lee, Kyung Tai

2017-12-01

Fixation of proximal chevron metatarsal osteotomy has been accomplished using K-wires traditionally and with a locking plate recently. However, both methods have many disadvantages. Hence, we developed an intramedullary fixation technique using headless cannulated screws and conducted a biomechanical study to evaluate the superiority of the technique to K-wire and locking plate fixations. Proximal chevron metatarsal osteotomy was performed on 30 synthetic metatarsal models using three fixation techniques. Specimens in group I were fixated with K-wires (1.6 mm × 2) and in group II with headless cannulated screws (3.0 mm × 2) distally through the intramedullary canal. Specimens in group III were fixated with a locking X-shaped plate (1.3-mm thick) and screws (2.5 mm × 4). Eight metatarsal specimens were selected from each group for walking fatigue test. Bending stiffness and dorsal angulation were measured by 1,000 repetitions of a cantilever bending protocol in a plantar to dorsal direction. The remaining two samples from each group were subjected to 5 mm per minute axial loading to assess the maximal loading tolerance. All samples in group I failed walking fatigue test while group II and group III tolerated the walking fatigue test. Group II showed greater resistance to bending force and smaller dorsal angulation than group III ( p = 0.001). On the axial loading test, group I and group II demonstrated superior maximum tolerance to group III (54.8 N vs. 47.2 N vs. 28.3 N). Authors have demonstrated proximal chevron metatarsal osteotomy with intramedullary screw fixation provides superior biomechanical stability to locking plate and K-wire fixations. The new technique using intramedullary screw fixation can offer robust fixation and may lead to better outcomes in surgical treatment of hallux valgus.

Biomechanical loading test on reconstructed mandibles with fibular, iliac crest or scapula graft: a comparative study.

PubMed

Grohmann, Isabella; Raith, Stefan; Mücke, Thomas; Stimmer, Herbert; Rohleder, Nils; Kesting, Marco R; Hölzle, Frank; Steiner, Timm

2015-10-01

Advantages and disadavantages of the three most commonly-used bone grafts for mandibular reconstruction are widely known, but biomechanical experimental studies are rare. We have done loading tests on cadaveric mandibles reconstructed with fibular, iliac crest, and scapular grafts using 3 different osteosynthesis systems to detect and compare their primary stability. Loading tests were done on mandibles with grafts from the fibula and iliac crest and published previously. A 4.5cm paramedian L-type defect was reconstructed with scapula using 2 monocortical non-locking plates, 2 monocortical locking plates, or a single bicortical locking plate/fracture gap in 18 human cadaveric mandibles. These were loaded on to the "Mandibulator" test bench and the movement of fragments in 3 dimensions was assessed and quantified by a PONTOS® optical measurement system. Comparison of the osteosynthesis groups showed that the miniplate was significantly superior to the 6-hole TriLock® plate for both fibular and iliac crest grafts. The fibular graft gave greater stability than the iliac crest and scapular grafts for all 3 osteosynthesis systems. All bony specimens offered sufficient resistance to mechanical stress within the recognised range of biting forces after mandibular reconstruction, independently of the choice of bone graft and osteosynthesis system used. Anatomical and surgical advantages need to be taken into account when choosing a graft. Stability can be maximised with a fibular graft, and further optimised by enlarging the binding area by using the "double barrel" method. Computer simulated experiments could segregate factors that biased results, such as morphological differences among cadavers. Copyright © 2015 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Hydraulic Evaluation of Culvert Valves at Eisenhower and Snell Locks, St. Lawrence Seaway

DTIC Science & Technology

2015-06-01

ER D C/ CH L TR -1 5- 7 Hydraulic Evaluation of Culvert Valves at Eisenhower and Snell Locks, St. Lawrence Seaway Co as ta l a nd H...client/default. ERDC/CHL TR-15-7 June 2015 Hydraulic Evaluation of Culvert Valves at Eisenhower and Snell Locks, St. Lawrence Seaway...filling valve well of the Snell Lock’s south-wall culvert . The new vertical-frame valve operated at a slower rate than the double-skin-plate valve

Crustal deformation in great California earthquake cycles

NASA Technical Reports Server (NTRS)

Li, Victor C.; Rice, James R.

1986-01-01

Periodic crustal deformation associated with repeated strike slip earthquakes is computed for the following model: A depth L (less than or similiar to H) extending downward from the Earth's surface at a transform boundary between uniform elastic lithospheric plates of thickness H is locked between earthquakes. It slips an amount consistent with remote plate velocity V sub pl after each lapse of earthquake cycle time T sub cy. Lower portions of the fault zone at the boundary slip continuously so as to maintain constant resistive shear stress. The plates are coupled at their base to a Maxwellian viscoelastic asthenosphere through which steady deep seated mantle motions, compatible with plate velocity, are transmitted to the surface plates. The coupling is described approximately through a generalized Elsasser model. It is argued that the model gives a more realistic physical description of tectonic loading, including the time dependence of deep slip and crustal stress build up throughout the earthquake cycle, than do simpler kinematic models in which loading is represented as imposed uniform dislocation slip on the fault below the locked zone.

Dynamics of continental rift propagation: the end-member modes

NASA Astrophysics Data System (ADS)

Van Wijk, J. W.; Blackman, D. K.

2005-01-01

An important aspect of continental rifting is the progressive variation of deformation style along the rift axis during rift propagation. In regions of rift propagation, specifically transition zones from continental rifting to seafloor spreading, it has been observed that contrasting styles of deformation along the axis of rift propagation are bounded by shear zones. The focus of this numerical modeling study is to look at dynamic processes near the tip of a weak zone in continental lithosphere. More specifically, this study explores how modeled rift behavior depends on the value of rheological parameters of the crust. A three-dimensional finite element model is used to simulate lithosphere deformation in an extensional regime. The chosen approach emphasizes understanding the tectonic forces involved in rift propagation. Dependent on plate strength, two end-member modes are distinguished. The stalled rift phase is characterized by absence of rift propagation for a certain amount of time. Extension beyond the edge of the rift tip is no longer localized but occurs over a very wide zone, which requires a buildup of shear stresses near the rift tip and significant intra-plate deformation. This stage represents a situation in which a rift meets a locked zone. Localized deformation changes to distributed deformation in the locked zone, and the two different deformation styles are balanced by a shear zone oriented perpendicular to the trend. In the alternative rift propagation mode, rift propagation is a continuous process when the initial crust is weak. The extension style does not change significantly along the rift axis and lengthening of the rift zone is not accompanied by a buildup of shear stresses. Model predictions address aspects of previously unexplained rift evolution in the Laptev Sea, and its contrast with the tectonic evolution of, for example, the Gulf of Aden and Woodlark Basin.

Plans for a Northern Cascadia Subduction Zone Observatory

NASA Astrophysics Data System (ADS)

Heesemann, M.; Wang, K.; Davis, E.; Chadwell, C. D.; Nissen, E.; Moran, K.; Scherwath, M.

2017-12-01

To accurately assess earthquake and tsunami hazards posed by the Cascadia Subduction Zone, it is critically important to know which area of the plate interface is locked and whether or not part of the energy is being released aseismically by slow creep on the fault. Deeper locking that extends further to the coast produces stronger shaking in population centers. Shallow locking, on the other hand, leads to bigger tsunamis. We will report on and discuss plans for a new amphibious Northern Cascadia Subduction Zone Observatory (NCSZO) that will leverage the existing NEPTUNE cabled seafloor observatory, which is operated by Ocean Networks Canada (ONC), and the onshore network of geodetic stations, which is operated by Natural Resources Canada (NRCan). To create a NCSZO we plan to (1) add a network of seven GPS-Acoustic (GPS-A) sites offshore Vancouver Island, (2) establish a Deformation Front Observatory, and (3) improve the existing onshore geodetic network (see Figure below). The GPS-A stations will provide the undisturbed motion of the Juan de Fuca (JdF) Plate (1), deformation of the JdF plate (2), deformation of the overriding plate (3-7) and a cabled laboratory to study the potential for continuous GPS-A measurements (6). The Deformation Front Observatory will be used to study possible transient slip events using seafloor pressure and tilt instruments and fluid flux meters.

Comparison of the Mechanical Characteristics of a Universal Small Biplane Plating Technique Without Compression Screw and Single Anatomic Plate With Compression Screw.

PubMed

Dayton, Paul; Ferguson, Joe; Hatch, Daniel; Santrock, Robert; Scanlan, Sean; Smith, Bret

2016-01-01

To better understand the mechanical characteristics of biplane locked plating in small bone fixation, the present study compared the stability under cyclic cantilever loading of a 2-plate locked biplane (BPP) construct without interfragmentary compression with that of a single-plate locked construct with an additional interfragmentary screw (SPS) using surrogate bone models simulating Lapidus arthrodesis. In static ultimate plantar bending, the BPP construct failed at significantly greater load than did the SPS construct (556.2 ± 37.1 N versus 241.6 ± 6.3 N, p = .007). For cyclic failure testing in plantar bending at a 180-N starting load, the BPP construct failed at a significantly greater number of cycles (158,322 ± 50,609 versus 13,718 ± 10,471 cycles) and failure load (242.5 ± 25.0 N versus 180.0 ± 0.0 N) than the SPS construct (p = .002). For cyclic failure testing in plantar bending at a 120-N starting load, the results were not significantly different between the BPP and SPS constructs for the number of cycles (207,646 ± 45,253 versus 159,334 ± 69,430) or failure load (205.0 ± 22.4 N versus 185.0 ± 33.5 N; p = .300). For cyclic testing with 90° offset loading (i.e., medial to lateral bending) at a 120-N starting load, all 5 BPP constructs (tension side) and 2 of the 5 SPS constructs reached 250,000 cycles without failure. Overall, the present study found the BPP construct to have superior or equivalent stability in multiplanar orientations of force application in both static and fatigue testing. Thus, the concept of biplane locked plating, using 2 low profile plates and unicortical screw insertion, shows promise in small bone fixation, because it provides consistent stability in multiplanar orientations, making it universally adaptable to many clinical situations. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

SURGICAL TREATMENT OF DISTAL RADIUS FRACTURES WITH A VOLAR LOCKED PLATE: CORRELATION OF CLINICAL AND RADIOGRAPHIC RESULTS

PubMed Central

Xavier, Claudio Roberto Martins; Dal Molin, Danilo Canesin; dos Santos, Rafael Mota Marins; dos Santos, Roberto Della Torre; Neto, Julio Cezar Ferreira

2015-01-01

Objectives: To analyze and correlate the clinical and radiographic results from patients with distal radius fractures who underwent surgical treatment with a fixed-angle volar locked plate. Methods: Sixty-four patients with distal radius fractures were evaluated. They all underwent surgical treatment with a volar locked plate for the distal radius, with a minimum of six months of postoperative follow-up. They underwent a physical examination that measured range of motion and grip strength, answered the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and underwent radiographic examination. Results: In the physical examination on the patients, all the range-of-motion measurements were reduced. Grip strength measured in kgf was on average 85.8% of the strength on the unaffected side. The mean DASH score was 15.99. A significant relationship was found between lower DASH scores and losses of extension and grip strength. On the radiographs, the mean values in relation to the unfractured side were 84.0% for radial inclination, 85.4% for radial length and 86.8% for volar deviation of the radius. Loss of radial length was correlated with losses of extension and grip strength. PMID:27027046

A real-time visual inspection method of fastening bolts in freight car operation

NASA Astrophysics Data System (ADS)

Nan, Guo; Yao, JunEn

2015-10-01

A real-time inspection of the key components is necessary for ensuring safe operation of freight car. While traditional inspection depends on the trained human inspectors, which is time-consuming and lower efficient. With the development of machine vision, vision-based inspection methods get more railway on-spot applications. The cross rod end fastening bolts are important components on both sides of the train body that fixing locking plates together with the freight car main structure. In our experiment, we get the images containing fastening bolt components, and accurately locate the locking plate position using a linear Support Vector Machine (SVM) locating model trained with Histograms of Oriented Gradients (HOG) features. Then we extract the straight line segment using the Line Segment Detector (LSD) and encoding them in a range, which constitute a straight line segment dataset. Lastly we determine the locking plate's working state by the linear pattern. The experiment result shows that the localization accurate rate is over 99%, the fault detection rate is over 95%, and the module implementation time is 2f/s. The overall performance can completely meet the practical railway safety assurance application.

[Distal clavicle fracture].

PubMed

Seppel, G; Lenich, A; Imhoff, A B

2014-06-01

Reposition and fixation of unstable distal clavicle fractures with a low profile locking plate (Acumed, Hempshire, UK) in conjunction with a button/suture augmentation cerclage (DogBone/FibreTape, Arthrex, Naples, FL, USA). Unstable fractures of the distal clavicle (Jäger and Breitner IIA) in adults. Unstable fractures of the distal clavicle (Jäger and Breitner IV) in children. Distal clavicle fractures (Jäger and Breitner I, IIB or III) with marked dislocation, injury of nerves and vessels, or high functional demand. Patients in poor general condition. Fractures of the distal clavicle (Jäger and Breitner I, IIB or III) without marked dislocation or vertical instability. Local soft-tissue infection. Combination procedure: Initially the lateral part of the clavicle is exposed by a 4 cm skin incision. After reduction of the fracture, stabilization is performed with a low profile locking distal clavicle plate. Using a special guiding device, a transclavicular-transcoracoidal hole is drilled under arthroscopic view. Additional vertical stabilization is arthroscopically achieved by shuttling the DogBone/FibreTape cerclage from the lateral portal cranially through the clavicular plate. The two ends of the FibreTape cerclage are brought cranially via adjacent holes of the locking plate while the DogBone button is placed under the coracoid process. Thus, plate bridging is achieved. Finally reduction is performed and the cerclage is secured by surgical knotting. Use of an arm sling for 6 weeks. Due to the fact that the described technique is a relatively new procedure, long-term results are lacking. In the short term, patients postoperatively report high subjective satisfaction without persistent pain.

The Use of Mesh Plates for Difficult Fractures of the Patella.

PubMed

Volgas, David; Dreger, Tina K

2017-03-01

Patella fractures present some of the more complicated fracture patterns in orthopaedic trauma care. This is partially due to the small size of the fragments but also the articular nature of each fragment. Fixation methods such as cerclage wiring, excision of smaller fragments, and screw fixation of larger fragments all have their own challenges. Our study examined our Level I trauma center's experience with variable angle locked 2.7 mm titanium plates for treatment of comminuted patella fractures or treatment of patellar nonunion. After Institutional Review Board approval, we used billing records to identify 105 patients who had undergone operative management of a displaced patella fracture between January 2011 and December 2015. We reviewed the radiographs of these patients to identify which patients underwent treatment with a mesh plate. We found 16 patients (6 males and 10 females) who had undergone fixation with a mesh plate; mean age was 47 years. Nine patients underwent primary open reduction internal fixation (ORIF) and seven underwent mesh plate fixation for failed ORIF of a patella fracture. The mean visual analog pain score was 2.75 (range, 0-9). The mean range of motion was 1 degree of extension (range, 0-10 degrees) to 110 degrees of flexion (range, 45-135 degrees). All fractures healed. Five patients required hardware removal for pain. This review illustrates the effectiveness of the locking mesh plate in two challenging clinical scenarios: that of patellar nonunion and comminuted fractures that preclude standard fixation methods. Although multiple options exist for patellar fracture fixation, the titanium mesh locking plate can be an effective option for retaining the patella in the setting of comminution. Further comparative studies should be undertaken to determine which method of treatment may be superior in the treatment of these fractures. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Plate rotations, fault slip rates, fault locking, and distributed deformation in northern Central America from 1999-2017 GPS observations

NASA Astrophysics Data System (ADS)

Ellis, A. P.; DeMets, C.; Briole, P.; Cosenza, B.; Flores, O.; Guzman-Speziale, M.; Hernandez, D.; Kostoglodov, V.; La Femina, P. C.; Lord, N. E.; Lasserre, C.; Lyon-Caen, H.; McCaffrey, R.; Molina, E.; Rodriguez, M.; Staller, A.; Rogers, R.

2017-12-01

We describe plate rotations, fault slip rates, and fault locking estimated from a new 100-station GPS velocity field at the western end of the Caribbean plate, where the Motagua-Polochic fault zone, Middle America trench, and Central America volcanic arc faults converge. In northern Central America, fifty-one upper-plate earthquakes caused approximately 40,000 fatalities since 1900. The proximity of main population centers to these destructive earthquakes and the resulting loss of human life provide strong motivation for studying the present-day tectonics of Central America. Plate rotations, fault slip rates, and deformation are quantified via a two-stage inversion of daily GPS position time series using TDEFNODE modeling software. In the first stage, transient deformation associated with three M>7 earthquakes in 2009 and 2012 is estimated and removed from the GPS position time series. In Stage 2, linear velocities determined from the corrected GPS time series are inverted to estimate deformation within the western Caribbean plate, slip rates along the Motagua-Polochic faults and faults in the Central America volcanic arc, and the gradient of extension in the Honduras-Guatemala wedge. Major outcomes of the second inversion include the following: (1) Confirmation that slip rates on the Motagua fault decrease from 17-18 mm/yr at its eastern end to 0-5 mm/yr at its western end, in accord with previous results. (2) A transition from moderate subduction zone locking offshore from southern Mexico and parts of southern Guatemala to weak or zero coupling offshore from El Salvador and parts of Nicaragua along the Middle America trench. (3) Evidence for significant east-west extension in southern Guatemala between the Motagua fault and volcanic arc. Our study also shows evidence for creep on the eastern Motagua fault that diminishes westward along the North America-Caribbean plate boundary.

Operative treatment of intra-articular calcaneal fractures with calcaneal plates and its complications

PubMed Central

Rak, Vaclav; Ira, Daniel; Masek, Michal

2009-01-01

Background: In a retrospective study we analysed intra-articular calcaneal fracture treatment by comparing results and complications related to fracture stabilization with nonlocking calcaneal plates and locking compression plates. Materials and Methods: We performed 76 osteosynthesis (67 patients) of intra-articular calcaneal fractures using the standard extended lateral approach from February 2004 to October 2007. Forty-two operations using nonlocking calcaneal plates (group A) were performed during the first three years, and 34 calcaneal fractures were stabilized using locking compression plates (group B) in 2007. In the Sanders type IV fractures, reconstruction of the calcaneal shape was attempted. Depending on the type of late complication, we performed subtalar arthroscopy in six cases, arthroscopically assisted subtalar distraction bone block arthrodesis in six cases, and plate removal with lateral-wall decompression in five cases. The patients were evaluated by the AOFAS Ankle-Hindfoot Scale. Results: Wound healing complications were 7/42 (17%) in group A and 1/34 (3%) in group B. No patient had deep osseous infection or foot rebound compartment syndrome. Preoperative size of Böhler's angle correlated with postoperative clinical results in both groups. There were no late complications necessitating corrective procedure or arthroscopy until December 2008 in Group B. All late complications ccurred in Group A. The overall results according to the AOFAS Ankle Hindfoot Scale were good or excellent in 23/42 (55%) in group A and in 30/34 (85%) in group B. Conclusion: Open reduction and internal fixation of intra-articular calcaneal fractures has become a standard surgical method. Fewer complications and better results related to treatment with locking compression plates confirmed in comparison to nonlocking ones were noted for all Sanders types of intra-articular calcaneal fractures. Age and Sanders type IV fractures are not considered to be the contraindications to surgery. PMID:19838350

[EFFECTIVENESS OF SHARP TEETH HOOK PLATE FOR TREATMENT OF OLECRANON FRACTURES].

PubMed

Yin, Qudong; Gu, Sanjun; Liu, Jun; Wu, Yongwei; Lu, Yao; Ma, Yunhong; Sheng, Youyin

2016-09-08

To investigate the effectiveness of sharp teeth hook plate by cutting for the treatment of olecranon fractures by comparison with Kirschner wire tension belt and locking plate. Between January 2011 and April 2015, 32 cases of olecranon fractures were treated. Fracture was fixed with sharp teeth hook plate by cutting in 12 cases (trial group) and with Kirschner wire tension belt or locking plate in 20 cases (control group). There was no significant difference in gender, age, side and type of fracture, and time from injury to operation between 2 groups ( P >0.05). The healing time of fractures and complications were recorded. At 1 year after operation, the subjective function results were evaluated according to Disability of Arm, Shoulder, and Hand (DASH) score, and objective function results by Mayo Elbow Score (MEPS); visual analogue scale (VAS) was used for elbow joint pain, and range of motion of flexion and extension of elbow joint was measured. All incisions healed by first intention, with no vascular and nerve injuries. All patients were followed up 12-36 months with an average of 18 months. All fractures healed, and there was no significant difference in the healing time between 2 groups ( P >0.05). Loosening of Kirschner wire occurred in 2 cases of control group, but no loosening of internal fixation was observed in trial group after operation. There was no significant difference in the incidence of complications between 2 groups ( P >0.05). The DASH, MEPS, VAS score, and range of motion of flexion in trial group were superior to those in control group, showing significant differences ( P <0.05) at 1 year after operation. There was no significant difference in range of motion of extension between 2 groups ( P >0.05). Sharp teeth hook plate for treatment of olecranon fractures overcomes the shortcomings that Kirschner wire tension is easy to slide and locking plate has a compression effect on triceps tendon, so it has good effectiveness.

Evaluation of locked plate in the osteosynthesis of fractures in osteoporotic bones.

PubMed

Oboirien, Muhammad; Agbo, Stephen Patrick; Ajiboye, Lukman Olalekan

2017-01-01

The use of conventional dynamic compression plates (DCPs) in osteoporotic bones is associated with higher chances of implant failure. The advent and use of locking combi-plates have ensured a stable construct during osteosynthesis of fractures in osteoporotic bones. The study aims to assess the outcome of use of locking combi-plates in the management of fractures in osteoporotic bones in our environment. Cases of patients with nonunion and localized osteoporosis from January 2014 to December 2014 that were managed with locked combi-plates were reviewed. Outcome was assessed by time to healing, stability of implant construct after 6 and 12 months. There were 10 patients with mean age of 47.4 ± 12.63 years. There were 9 males and 1 female, and road traffic crashes were the mechanism of injury in 90% (n = 9) and gunshot injuries in 10% (n = 1). Atrophic nonunion was the most common indication for osteosynthesis with 80%, followed by fibrous nonunion with 10.0%. The humerus was the most common long bone involved with 50%. Locked broad DCP was used in 62.5%, and the duration between initial injury and surgery was 6 and 48 months, with an average of 17.5 months. The outcome was such that 90% healed after 12 months on follow-up while one case had the implant backing out and delay union at 6 months. The use of locked plate in the management of nonunion in the presence of osteoporosis ensures stable fixation construct and healing. Contexte: L'utilisation de plaques de compression dynamiques conventionnelles dans les os ostéoporotiques est associée à des chances plus élevées de défaillance de l'implant. L'avènement et l'utilisation de combi-plaques de verrouillage ont assuré une construction stable lors de l'ostéosyntheis de fractures dans les os ostéoporotiques. Objectifs: L'étude vise à évaluer le résultat de l'utilisation de combi-plaques de verrouillage dans la gestion des fractures dans les os ostéoporotiques dans notre environnement. Méthodologie: Les cas de patients atteints d'ostéoporose non syndiquée et localisée de janvier 2014 à décembre 2014 qui ont été gérés avec des combi-plaques verrouillées ont été examinés. Le résultat a été évalué par le temps de guérison, la stabilité de la construction d'implant après 6 et 12 mois. Résultats: il y avait 10 patients avec un âge moyen de 47,4 12,63. Il y avait 9 hommes et 1 accident de la route et de la route était le mécanisme de la blessure dans 90% (n = 9) et les blessures par balle dans 10% (n = 1). La non-union atrophique était l'indication la plus courante pour l'ostéosynthèse avec 80%, suivie d'une non-union fibreuse avec 10,0%. L'humérus était l'os le plus fréquent impliqué avec 50%. La plaque de compression dynamique bloquée (DCP) a été utilisée à 62,5% et la durée entre la blessure initiale et la chirurgie était de 6 et 48 mois avec une moyenne de 17,5 mois. Le résultat était tel que 90% ont été guéris après 12 mois de suivi, tandis que 1 cas avait l'implantation de l'implant et retardé l'union à 6 mois. L'utilisation de la plaque verrouillée dans la gestion de la non-union en présence d'ostéoporose assure une construction stable de fixation et une guérison.

Tangential Bicortical Locked Fixation Improves Stability in Vancouver B1 Periprosthetic Femur Fractures: A Biomechanical Study

PubMed Central

Lewis, Gregory S.; Caroom, Cyrus T.; Wee, Hwabok; Jurgensmeier, Darin; Rothermel, Shane D.; Bramer, Michelle A.; Reid, J. Spence

2015-01-01

Objectives The biomechanical difficulty in fixation of a Vancouver B1 periprosthetic fracture is purchase of the proximal femoral segment in the presence of the hip stem. Several newer technologies provide the ability to place bicortical locking screws tangential to the hip stem with much longer lengths of screw purchase compared to unicortical screws. This biomechanical study compares the stability of two of these newer constructs to previous methods. Methods Thirty composite synthetic femurs were prepared with cemented hip stems. The distal femur segment was osteotomized, and plates were fixed proximally with either: (1) cerclage cables; (2) locked unicortical screws; (3) a composite of locked screws and cables; or tangentially directed bicortical locking screws using either (4) a stainless steel LCP system with a Locking Attachment Plate (Synthes), or (5) a titanium alloy NCB system (Zimmer). Specimens were tested to failure in either axial or torsional quasi-static loading modes (n = 3) after 20 moderate load pre-conditioning cycles. Stiffness, maximum force, and failure mechanism were determined. Results Bicortical constructs resisted higher (by an average of at least 27%) maximum forces than the other three constructs in torsional loading (p<0.05). Cables constructs exhibited lower maximum force than all other constructs, in both axial and torsional loading. The bicortical titanium construct was stiffer than the bicortical stainless steel construct in axial loading. Conclusions Proximal fixation stability is likely improved with the use of bicortical locking screws as compared to traditional unicortical screws and cable techniques. In this study with a limited sample size, we found the addition of cerclage cables to unicortical screws may not offer much improvement in biomechanical stability of unstable B1 fractures. PMID:26053467

[Arthrodesis of the shoulder. A new and soft-tissue-sparing technique with a deep locking plate in the supraspinatus fossa].

PubMed

Klonz, A; Habermeyer, P

2007-10-01

Arthrodesis of the glenohumeral joint is a difficult intervention that involves a relatively high probability of complications. A stable internal fixation and secure consolidation is required. The operation needs to achieve several conditions: thorough denudation of the cartilage and partial decortication of the subchondral bone; good congruence of the corresponding surfaces; compression of the gap by tension screws and lasting stability. For increased primary stability a neutralizing plate is generally used as well as a compression screw. Up to now, the plate has usually been applied starting from the scapular spine and extending across the acromial corner to the humeral shaft. A wide exposure is needed for this procedure; the plate is difficult to shape during the operation and often causes some discomfort because it protrudes at the acromial corner. We present an alternative position of the plate in the supraspinatus fossa, where we have sited a 4.5 mm LCP locking plate (Synthes). The implant is inserted under the acromion, does not cause any discomfort at the acromial corner, and is far easier to shape. When it is used in association with a transarticular compressive screw, the technique results in a very stable situation, which allows physiotherapy from the first day after surgery onward.

[Case-control study on minimally invasive percutaneous locking compression plate internal fixation for the treatment of type II and III pilon fractures].

PubMed

Zhang, Zhi-Da; Ye, Xiu-Yi; Shang, Li-Yong; Xu, Rong-Ming; Zhu, Yan-Zhao

2011-12-01

To explore the clinical efficacy of delayed open reduction and internal fixation with minimally invasive percutaneous locking compression plate for the treatment of type II and III Pilon fractures. From January 2007 to September 2009, 32 patients with type II and III Pilon fractures were treated with open reduction and anatomic plate fixation (AP group) and minimally invasive percutaneous locking compression plate osteosynthesis (LCP group). There were 11 males and 6 females in AP group, with an average age of (37.4 +/- 13.3) years (ranged, 19 to 55 years). And there were 10 males and 5 females in LCP group, with an average age of (34.6 +/- 11.3) years(ranged, 21 to 56 years). The operating time, fracture healing time, aligned angulation and ankle function were compared between the two groups. All the patients were followed up, and the during ranged from 12 to 25 months, with a mean of (15.0 +/- 1.7) months. The average operation time was (76.5 +/- 8.3) min for AP group and (58.3 +/- 3.4) min for LCP group; the average time of fracture healing was (20.5 +/- 0.4) weeks for AP group and (15.7 +/- 0.2) weeks for LCP group; the total angulation between anterior posterior film and lateral film was averaged (6.6 +/- 0.5) degrees for AP group and (3.6 +/- 0.2) degrees for LCP group. As to above index, the results of LCP group were better than those of AP group (P < 0.05). According to Kofoed criteria for ankle joint, the results of LCP group were better than those of AP group in ankle joint pain, wakling and ankle joint function (P < 0.05). The method of minimally invasive percutaneous locking compression plate internal fixation is effective in the treatment of Pilon fracture with less invasion, faster bone union, more stabilized fixation, quicker recovery of ankle function and fewer complications, which is more advantaged for type II and III Pilon fractures.

[BIOMECHANICAL COMPARATIVE STUDY ON FOUR INTERNAL FIXATIONS FOR ACETABULAR FRACTURES IN QUADRILATERAL AREA].

PubMed

Wang, Lei; Wu, Xiaobo; Qi, Wei; Wang, Yongbin; He, Quanjie; Xu, Fengsong; Liu, Hongyang

2015-10-01

To compare the biomechanical difference of 4 kinds of internal fixations for acetabular fracture in quadrilateral area. The transverse fracture models were created in 16 hemipelves specimens from 8 adult males, and were randomly divided into 4 groups according to different internal fixation methods (n = 4): infrapectineal buttress reconstruction plate (group A), infrapectineal buttress locking reconstruction plate (group B), reconstruction plate combined with trans-plate quadrilateral screws (group C), and anterior reconstruction plate-lag screw (group D). Then the horizontal displacement, longitudinal displacement of fractures, and axial stiffness were measured and counted to compare the stability after continuous vertical loading. Under the same loading, the horizontal and longitudinal displacements of groups A, B, C, and D were decreased gradually; when the loading reached 1 800 N, the longitudinal displacement of group A was more than 3.00 mm, indicating the failure criterion, while the axial stiffness increased gradually. Under 200 N loading, there was no significant difference (P > 0.05) in horizontal displacement, longitudinal displacement, and axial stiffness among 4 groups. When the loading reached 600-1 800 N, significant differences were found in horizontal displacement, longitudinal displacement, and axial stiffness among 4 groups (P < 0.05) except the horizontal displacement between groups C and D (P > 0.05). For acetabular fracture in the quadrilateral area, anterior reconstruction plate-lag screw for internal fixation has highest stability, followed by reconstruction plate combined with trans-plate quadrilateral screws, and they are better than infrapectineal buttress reconstruction plate and infrapectineal buttress locking reconstruction plate.

Surgical treatment of extra-articular or simple intra-articular distal tibial fractures: MIPO versus supercutaneous plating.

PubMed

He, Xianfeng; Zhang, Jingwei; Li, Ming; Yu, Yihui; Zhu, Limei

2014-10-01

Minimally invasive plate osteosynthesis (MIPO) has become a widely accepted technique to treat distal tibial fractures. Recently, the novel application of a locking plate used as an external fixator (supercutaneous plating) was introduced for the management of open fractures and infected nonunions and even as an adjunct in distraction osteogenesis, which is considered another less invasive method. The aim of this study was to compare the results of supercutaneous plating with closed reduction and minimally invasive plating in the treatment of distal tibial fractures. Forty-eight matched patients were divided according to age, sex, Injury Severity Score, and fracture pattern into the MIPO group and the supercutaneous plating group. Minimum follow-up was 12 months (mean, 18.5 months; range, 12-26 months). No patient had nonunion, hardware breakdown, or deep infection. Patients in the supercutaneous plating group had a significantly shorter mean operative time (65.6±13.2 vs 85.9±14.0 minutes; P=.000), hospital stay (7.5±2.0 vs 13.0±4.4 days; P=.000), and union time (15.2±2.4 vs 17.0±2.8 weeks; P=.000). In the MIPO group, 15 (62.5%) patients reported implant impingement or discomfort and there was 1 incidence of stripping of 15.6% at the time of locking screw removal, whereas in the supercutaneous plating group, no patient reported skin irritation, and removal of the supercutaneous plate was easily performed in clinic without anesthesia. Distal tibial fractures may be treated successfully with MIPO or supercutaneous plating. However, the supercutaneous plating technique may represent a superior surgical option because it offers advantages in terms of mean operative time, hospital stay, and union time; skin irritation; and implant removal. Copyright 2014, SLACK Incorporated.

The IODP NanTroSEIZE Transect: Accomplishments and Future Plans

NASA Astrophysics Data System (ADS)

Tobin, H. J.; Kinoshita, M.; Araki, E.; Byrne, T. B.; Kimura, G.; McNeill, L. C.; Moore, G. F.; Saffer, D. M.; Underwood, M.; Saito, S.

2009-12-01

The Nankai Trough Seismogenic Zone Experiment (NanTroSEIZE) is a decade-long project to investigate the processes and properties that determine the nature of frictional locking, creep and other fault behavior governing seismogenic rupture and tsunamigenesis on a major plate boundary where great subduction earthquakes occur. The main goal of the science plan is to sample and instrument the key faults in several locations across the transition from those dominated by frictionally stable, aseismic processes vs. those hypothesized to be frictionally locked (seismogenic) faults of the megathrust system. The transect includes primary drill sites from the incoming plate, across the outer accretionary complex of the lower slope, to the Kumano forearc basin and underlying up-dip end of the likely locked plate interface. The scale of this project required a division into multiple stages of operations, spanning a number of years and IODP expeditions. From September 2007 through October 2009, the NanTroSEIZE science team has achieved many of its primary goals during 5 expeditions. Completed drill sites to date include penetrations ranging from ~200 m to ~1600 m below the sea floor that have documented the faults and wall rocks of both the frontal thrust and out-of-sequence splay faults in the accretionary system, the sedimentary section of the subducting plate, and the thick forearc basin sedimentary record and underlying older subduction complex in the hanging wall of the main plate interface. Major results include characterization of: the fault zone geology, strain localization, and physical properties shallower than ~ 1 km, the distribution of ambient (and paleo-) stress orientations across the transect, the absence of evidence for focused fluid channeling along the principal shallow fault systems, and the tectonic history of the subduction system. Extensive downhole measurements and a 2-ship VSP have further documented stress, pressure, rock strength, and elastic properties around the boreholes. The first temporary long-term monitoring instruments are now in place in one sealed borehole, recording pore pressure and temperature. The most ambitious aspect of the NanTroSEIZE project remains for the now-scheduled next stage: drilling to ~ 7000 m below the sea bed across the faults of the main plate boundary, then placing long-term monitoring instruments into both deep and shallow sealed borehole observatories - all to test hypotheses of locking, strain accumulation, and interseismic fault processes.

Conventional plate fixation method versus pre-operative virtual simulation and three-dimensional printing-assisted contoured plate fixation method in the treatment of anterior pelvic ring fracture.

PubMed

Hung, Chun-Chi; Li, Yuan-Ta; Chou, Yu-Ching; Chen, Jia-En; Wu, Chia-Chun; Shen, Hsain-Chung; Yeh, Tsu-Te

2018-05-03

Treating pelvic fractures remains a challenging task for orthopaedic surgeons. We aimed to evaluate the feasibility, accuracy, and effectiveness of three-dimensional (3D) printing technology and computer-assisted virtual surgery for pre-operative planning in anterior ring fractures of the pelvis. We hypothesized that using 3D printing models would reduce operation time and significantly improve the surgical outcomes of pelvic fracture repair. We retrospectively reviewed the records of 30 patients with pelvic fractures treated by anterior pelvic fixation with locking plates (14 patients, conventional locking plate fixation; 16 patients, pre-operative virtual simulation with 3D, printing-assisted, pre-contoured, locking plate fixation). We compared operative time, instrumentation time, blood loss, and post-surgical residual displacements, as evaluated on X-ray films, among groups. Statistical analyses evaluated significant differences between the groups for each of these variables. The patients treated with the virtual simulation and 3D printing-assisted technique had significantly shorter internal fixation times, shorter surgery duration, and less blood loss (- 57 minutes, - 70 minutes, and - 274 ml, respectively; P < 0.05) than patients in the conventional surgery group. However, the post-operative radiological result was similar between groups (P > 0.05). The complication rate was less in the 3D printing group (1/16 patients) than in the conventional surgery group (3/14 patients). The 3D simulation and printing technique is an effective and reliable method for treating anterior pelvic ring fractures. With precise pre-operative planning and accurate execution of the procedures, this time-saving approach can provide a more personalized treatment plan, allowing for a safer orthopaedic surgery.

Surgical treatment of comminuted mandibular fractures using a low-profile locking mandibular reconstruction plate system

PubMed Central

Kanno, Takahiro; Sukegawa, Shintaro; Nariai, Yoshiki; Tatsumi, Hiroto; Ishibashi, Hiroaki; Furuki, Yoshihiko; Sekine, Joji

2014-01-01

Objective: The treatment of comminuted mandibular fractures is challenging due to the severity of associated injuries and the need for a careful diagnosis with adequate treatment planning. Recently, open reduction and stable internal fixation (OR-IF) with a load-bearing reconstruction plate have been advocated for reliable clinical outcomes with minimal complications. This clinical prospective study evaluated OR-IF in the surgical management of comminuted mandibular fractures with a new low-profile, thin, mandibular locking reconstruction plate. Materials and Methods: We prospectively assessed OR-IF of comminuted mandibular fractures with a low-profile locking mandibular reconstruction plate in 12 patients (nine men, three women; mean age 32.2 [range 16-71] years) between April 2010 and December 2011. The clinical characteristics and associated clinical parameters of patients were evaluated over a minimum follow-up period of 12 months. Results: Traffic accidents caused 50% of the fractures, followed by falls (25%). Four patients (33.3%) had associated midfacial maxillofacial fractures, while five patients had other mandibular fractures. Seven patients (58.3%) needed emergency surgery, mostly for airway management. Anatomical reduction of the comminuted segments re-established the mandibular skeleton in stable occlusion with rigid IF via extraoral (33.3%), intraoral (50%), or combined (16.7%) approaches. Immediate functional recovery was achieved. Sound bone healing was confirmed in all patients, with no complications such as malocclusion, surgical site infection, or malunion with a mean follow-up of 16.3 (range 12-24) months. Conclusions: OR-IF using a low-profile reconstruction plate system is a reliable treatment for comminuted mandibular fractures, enabling immediate functional recovery with good clinical results. PMID:25593862

Locking plate fixation in distal metaphyseal tibial fractures: series of 79 patients.

PubMed

Gupta, Rakesh K; Rohilla, Rajesh Kumar; Sangwan, Kapil; Singh, Vijendra; Walia, Saurav

2010-12-01

Open reduction and internal fixation in distal tibial fractures jeopardises fracture fragment vascularity and often results in soft tissue complications. Minimally invasive osteosynthesis, if possible, offers the best possible option as it permits adequate fixation in a biological manner. Seventy-nine consecutive adult patients with distal tibial fractures, including one patient with a bilateral fracture of the distal tibia, treated with locking plates, were retrospectively reviewed. The 4.5-mm limited-contact locking compression plate (LC-LCP) was used in 33 fractures, the metaphyseal LCP in 27 fractures and the distal medial tibial LCP in the remaining 20 fractures. Fibula fixation was performed in the majority of comminuted fractures (n = 41) to maintain the second column of the ankle so as to achieve indirect reduction and to prevent collapse of the fracture. There were two cases of delayed wound breakdown in fractures fixed with the 4.5-mm LC-LCP. Five patients required primary bone grafting and three patients required secondary bone grafting. All cases of delayed union (n = 7) and nonunion (n = 3) were observed in cases where plates were used in bridge mode. Minimally invasive plate osteosynthesis (MIPO) with LCP was observed to be a reliable method of stabilisation for these fractures. Peri-operative docking of fracture ends may be a good option in severely impacted fractures with gap. The precontoured distal medial tibial LCP was observed to be a better tolerated implant in comparison to the 4.5-mm LC-LCP or metaphyseal LCP with respect to complications of soft tissues, bone healing and functional outcome, though its contour needs to be modified.

78 FR 72861 - Foreign-Trade Zone (FTZ) 20-Suffolk, Virginia, Notification of Proposed Production Activity...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-04

... status components used in export production. On its domestic sales, GEC would be able to choose the duty...; winches; axles; tire-rim assemblies; clips; pins; brackets; bolts; junction plates; tower masts; shaped springs; shaped pipes; brackets; mufflers; stabilizer legs; locks; top covers; air springs; door plates...

Biomechanical analysis of posteromedial tibial plateau split fracture fixation.

PubMed

Zeng, Zhi-Min; Luo, Cong-Feng; Putnis, Sven; Zeng, Bing-Fang

2011-01-01

The purpose of this study was to compare the biomechanical strength of four different fixation methods for a posteromedial tibial plateau split fracture. Twenty-eight tibial plateau fractures were simulated using right-sided synthetic tibiae models. Each fracture model was randomly instrumented with one of the four following constructs, anteroposterior lag-screws, an anteromedial limited contact dynamic compression plate (LC-DCP), a lateral locking plate, or a posterior T-shaped buttress plate. Vertical subsidence of the posteromedial fragment was measured from 500 N to 1500 N during biomechanical testing, the maximum load to failure was also determined. It was found that the posterior T-shaped buttress plate allowed the least subsidence of the posteromedial fragment and produced the highest mean failure load than each of the other three constructs (P=0.00). There was no statistical significant difference between using lag screws or an anteromedial LC-DCP construct for the vertical subsidence at a 1500 N load and the load to failure (P>0.05). This study showed that a posterior-based buttress technique is biomechanically the most stable in-vitro fixation method for posteromedial split tibial plateau fractures, with AP screws and anteromedial-based LC-DCP are not as stable for this type of fracture. Copyright © 2010 Elsevier B.V. All rights reserved.

Biomechanical Comparison Study of Three Fixation Methods for Proximal Chevron Osteotomy of the First Metatarsal in Hallux Valgus

PubMed Central

Kim, Jin Su; Young, Ki Won; Kim, Ji Soo; Lee, Kyung Tai

2017-01-01

Background Fixation of proximal chevron metatarsal osteotomy has been accomplished using K-wires traditionally and with a locking plate recently. However, both methods have many disadvantages. Hence, we developed an intramedullary fixation technique using headless cannulated screws and conducted a biomechanical study to evaluate the superiority of the technique to K-wire and locking plate fixations. Methods Proximal chevron metatarsal osteotomy was performed on 30 synthetic metatarsal models using three fixation techniques. Specimens in group I were fixated with K-wires (1.6 mm × 2) and in group II with headless cannulated screws (3.0 mm × 2) distally through the intramedullary canal. Specimens in group III were fixated with a locking X-shaped plate (1.3-mm thick) and screws (2.5 mm × 4). Eight metatarsal specimens were selected from each group for walking fatigue test. Bending stiffness and dorsal angulation were measured by 1,000 repetitions of a cantilever bending protocol in a plantar to dorsal direction. The remaining two samples from each group were subjected to 5 mm per minute axial loading to assess the maximal loading tolerance. Results All samples in group I failed walking fatigue test while group II and group III tolerated the walking fatigue test. Group II showed greater resistance to bending force and smaller dorsal angulation than group III (p = 0.001). On the axial loading test, group I and group II demonstrated superior maximum tolerance to group III (54.8 N vs. 47.2 N vs. 28.3 N). Conclusions Authors have demonstrated proximal chevron metatarsal osteotomy with intramedullary screw fixation provides superior biomechanical stability to locking plate and K-wire fixations. The new technique using intramedullary screw fixation can offer robust fixation and may lead to better outcomes in surgical treatment of hallux valgus. PMID:29201305

Interactions between strike-slip earthquakes and the subduction interface near the Mendocino Triple Junction

NASA Astrophysics Data System (ADS)

Gong, Jianhua; McGuire, Jeffrey J.

2018-01-01

The interactions between the North American, Pacific, and Gorda plates at the Mendocino Triple Junction (MTJ) create one of the most seismically active regions in North America. The earthquakes rupture all three plate boundaries but also include considerable intraplate seismicity reflecting the strong internal deformation of the Gorda plate. Understanding the stress levels that drive these ruptures and estimating the locking state of the subduction interface are especially important topics for regional earthquake hazard assessment. However owing to the lack of offshore seismic and geodetic instruments, the rupture process of only a few large earthquakes near the MTJ have been studied in detail and the locking state of the subduction interface is not well constrained. In this paper, first, we use the second moments inversion method to study the rupture process of the January 28, 2015 Mw 5.7 earthquake on the Mendocino transform fault that was unusually well recorded by both onshore and offshore strong motion instruments. We estimate the rupture dimension to be approximately 6 km by 3 km corresponding to a stress drop of ∼4 MPa for a crack model. Next we investigate the frictional state of the subduction interface by simulating the afterslip that would be expected there as a result of the stress changes from the 2015 earthquake and a 2010 Mw 6.5 intraplate earthquake within the subducted Gorda plate. We simulate afterslip scenarios for a range of depths of the downdip end of the locked zone defined as the transition to velocity strengthening friction and calculate the corresponding surface deformation expected at onshore GPS monuments. We can rule out a very shallow downdip limit owing to the lack of a detectable signal at onshore GPS stations following the 2010 earthquake. Our simulations indicate that the locking depth on the slab surface is at least 14 km, which suggests that the next M8 earthquake rupture will likely reach the coastline and strong shaking should be expected there.

Assessment of Optimum Value for Dip Angle and Locking Rate Parameters in Makran Subduction Zone

NASA Astrophysics Data System (ADS)

Safari, A.; Abolghasem, A. M.; Abedini, N.; Mousavi, Z.

2017-09-01

Makran subduction zone is one of the convergent areas that have been studied by spatial geodesy. Makran zone is located in the South Eastern of Iran and South of Pakistan forming the part of Eurasian-Arabian plate's border where oceanic crust in the Arabian plate (or in Oman Sea) subducts under the Eurasian plate ( Farhoudi and Karig, 1977). Due to lack of historical and modern tools in the area, a sampling of sparse measurements of the permanent GPS stations and temporary stations (campaign) has been conducted in the past decade. Makran subduction zone from different perspectives has unusual behaviour: For example, the Eastern and Western parts of the region have very different seismicity and also dip angle of subducted plate is in about 2 to 8 degrees that this value due to the dip angle in other subduction zone is very low. In this study, we want to find the best possible value for parameters that differs Makran subduction zone from other subduction zones. Rigid block modelling method was used to determine these parameters. From the velocity vectors calculated from GPS observations in this area, block model is formed. These observations are obtained from GPS stations that a number of them are located in South Eastern Iran and South Western Pakistan and a station located in North Eastern Oman. According to previous studies in which the locking depth of Makran subduction zone is 38km (Frohling, 2016), in the preparation of this model, parameter value of at least 38 km is considered. With this function, the amount of 2 degree value is the best value for dip angle but for the locking rate there is not any specified amount. Because the proposed model is not sensitive to this parameter. So we can not expect big earthquakes in West of Makran or a low seismicity activity in there but the proposed model definitely shows the Makran subduction layer is locked.

Outcomes of Pin and Plaster Versus Locking Plate in Distal Radius Intraarticular Fractures

PubMed Central

Bahari-Kashani, Mahmoud; Taraz-Jamshidy, Mohammad Hosein; Rahimi, Hassan; Ashraf, Hami; Mirkazemy, Masoud; Fatehi, Amirreza; Asadian, Mariam; Rezazade, Jafar

2013-01-01

Background Distal radius fractures are among the most prevalent fractures predictive of probable occurrence of other osteoporotic fractures. They are treated via a variety of methods, but the best treatment has not been defined yet. Objectives This study was performed to compare the results of open reduction and internal fixation with locking plates versus the pin and plaster method. Materials and Methods In this prospective study, 114 patients aged 40 to 60 years with Fernandez type III fracture referring to Imam-Reza and Mehr hospitals of Mashhad from 2009 to 2011, were selected randomly; after obtaining informed consent, they were treated with pin and plaster fixation (n = 57) or internal fixation with the volar locking plate (n = 57). They were compared at the one year follow up. Demographic features and standard radiographic indices were recorded and MAYO, DASH and SF - 36 tests were performed. Data was analyzed by SPSS software version 13, with descriptive indices, Mann-Whitney and Chi-square tests. Results SF-36 test demonstrated a better general health (P < 0.001), mental health (P = 0.006), physical functioning (P < 0.001), social functioning (P < 0.001) and energy/fatigue (P < 0.001) in LCP group. However, pain (P = 0.647) was not significantly different between the groups. Physical limitation (P < 0.001) and emotional limitation (P < 0.001) were greater in the pin and plaster group. Also, in the LCP group mean MAYO score (P < 0.001) was more than pin and plaster group. Mean DASH score was not different between the groups (P = 0.218). The rate of acceptable results of radiographic indices (P < 0.001), grip strength (P < 0.001) and range of motion in supination-pronation (P < 0.001) in LCP method were better than the pin and plaster method. Conclusions In treatment of intra-articular distal radius fractures in middle-aged patients internal fixation with locking plates may be prefered to pin and plaster as the treatment of choice. PMID:24350132

Impact of double-tiered subchondral support procedure with a polyaxial locking plate on the stability of distal radius fractures using fresh cadaveric forearms: Biomechanical and radiographic analyses.

PubMed

Tsutsui, Sadaaki; Kawasaki, Keikichi; Yamakoshi, Ken-Ichi; Uchiyama, Eiichi; Aoki, Mitsuhiro; Inagaki, Katsunori

2016-09-01

The present study compared the changes in biomechanical and radiographic properties under cyclic axial loadings between the 'double-tiered subchondral support' (DSS) group (wherein two rows of screws were used) and the 'non-DSS' (NDSS) group (wherein only one row of distal screws was used) using cadaveric forearm models of radius fractures fixed with a polyaxial locking plate. Fifteen fresh cadaveric forearms were surgically operated to generate an Arbeitsgemeinschaft für Osteosynthesefragen (AO) type 23-C2 fracture model with the fixation of polyaxial volar locking plates. The model specimens were randomized into two groups: DSS (n = 7) and NDSS (n = 8). Both the groups received 4 locking screws in the most distal row, as is usually applied, whereas the DSS group received 2 additional screws in the second row inserted at an inclination of about 15° to support the dorsal aspect of the dorsal subchondral bone. Cyclic axial compression test was performed (3000 cycles; 0-250 N; 60 mm/min) to measure absolute rigidity and displacement, after 1, 1000, 2000 and 3000 cycles, and values were normalized relative to cycle 1. These absolute and normalized values were compared between those two groups. Radiographic images were taken before and after the cyclic loading to measure changes in volar tilt (ΔVT) and radial inclination (ΔRI). The DSS group maintained significantly higher rigidity and lower displacement values than the NDSS group during the entire loading period. Radiographic analysis indicated that the ΔVT values of the DSS group were lower than those of the NDSS group. In contrast, the fixation design did not influence the impact of loading on the ΔRI values. Biomechanical and radiographic analyses demonstrated that two rows of distal locking screws in the DSS procedure conferred higher stability than one row of distal locking screws. Copyright © 2016 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

[Development and clinical application of a new type of anatomical locking plate for sternoclavicular joint fracture and dislocation].

PubMed

Sun, Yuanlin; Yang, Yunkang; Ge, Jianhua; Yang, Kun; Xiang, Feifan; Zhou, Ju; Liang, Jie

2018-03-01

To report a new type of anatomical locking plate for sternocalvicular joint, and investigate its effectiveness in treatment of sternoclavicular joint fracture and dislocation. A new type of anatomical locking plate for sternoclavicular joint was developed, which accorded with the anatomical features and biomechanical characteristics of Chinese sternoclavicular joint. By adopting the method of clinical randomized controlled study, 32 patients with the sternoclavicular joint fracture and dislocation who met the selection criteria between June 2008 and May 2015 were randomly divided into groups A and B ( n =16), and the patients were treated with new anatomic locking plate and distal radial T locking plate internal fixation, respectively. There was no significant difference between 2 groups in gender, age, injured side, body mass index, cause of injury, type of injury, the time from injury to operation, and preoperative Rockwood grading score ( P >0.05). The operation time, intraoperative blood loss, incision length, hospitalization time, and postoperative complications in 2 groups were recorded, and the effectiveness was evaluated by Rockwood grading score. The operations of 2 groups completed successfully. The operation time, intraoperative blood loss, and hospitalization time in group A were significantly less than those in group B ( P <0.05), but there was no significant difference in the incision length between 2 groups ( t =0.672, P =0.507). All the patients were followed up 18-30 months (mean, 24 months). In group A, there were 1 case of sternoclavicular joint pain and 2 cases of wound infection; in group B, there were 1 case of sternoclavicular joint pain, 1 case of internal fixation loosening, and 1 case of sternoclavicular joint re-dislocation; there was no significant difference in complication incidence between 2 groups ( P =1.000). The Rockwood grading scores at each time point after operation in 2 groups were significantly higher than those before operation. At 1 month after operation, the Rockwood grading score in group A was significantly higher than that in group B ( t= 2.270, P =0.031); but there was no significant difference in the Rockwood grading scores between the 2 groups at 6 months and at last follow-up ( P >0.05). At last follow-up, according to the Rockwood scoring standard, the results of group A were excellent in 13 cases, good in 2 cases, poor in 1 case, the excellent and good rate was 93.75%; the results of group B were excellent in 11 cases, good in 4 cases, poor in 1 case, and the excellent and good rate was 93.75%; there was no significant difference between 2 groups ( Z =-0.748， P =0.455). The new type of anatomic locking plate accords with the Chinese anatomical characteristics. It has the advantages of easy operative procedure, less surgical trauma, shorter operation time, less intraoperative blood loss, shorter hospitalization time, and it can achieve better results in the treatment of sternoclavicular joint fracture and dislocation.

Drilling the near cortex with elongated figure-of-8 holes to reduce the stiffness of a locking compression plate construct.

PubMed

Chen, Jerry Yongqiang; Zhou, Zhihong; Ang, Benjamin Fu Hong; Yew, Andy Khye Soon; Chou, Siaw Meng; Chia, Shi-Lu; Koh, Joyce Suang Bee; Howe, Tet Sen

2015-12-01

To compare the stiffness of locking compression plate (LCP) constructs with or without drilling the near cortex with elongated figure-of-8 holes. 24 synthetic bones were sawn to create a 10-mm gap and were fixed with a 9-hole 4.5-mm narrow LCP. In 12 bones, the near cortex of the adjacent holes to the LCP holes was drilled to create elongated figure-of-8 holes before screw insertion. The stiffness of LCP constructs under axial loading or 4-point bending was assessed by (1) dynamic quasi-physiological testing for fatigue strength, (2) quasi-static testing for stiffness, and (3) testing for absolute strength to failure. None of the 24 constructs had subcatastrophic or catastrophic failure after 10 000 cycles of fatigue loading (p=1.000). The axial stiffness reduced by 16% from 613±62 to 517±44 N/mm (p=0.012) in the case group, whereas the bending stiffness was 16±1 Nm2 in both groups (p=1.000). The maximum axial load to catastrophic failure was 1596±84 N for the control group and 1627±48 N for the case group (p=0.486), whereas the maximum bending moment to catastrophic failure was 79±12 and 80±10 Nm, respectively (p=0.919). Drilling the near cortex with elongated figure-of-8 holes reduces the axial stiffness of the LCP construct, without compromising its bending stiffness or strength.

Crustal Deformation Rates and Mountain Building In Southern Alaska

NASA Astrophysics Data System (ADS)

Sauber, J.; Pavlis, T.; King, R.

In southern Alaska the northwest directed subduction of the Pacific plate, vp=51mm/yr,isaccompaniedbyaccretionoftheYakutatterranetocontinentalAlaska (va, 33-44mm/yr). The convergence, va, has been accommodated within a deforming zone that becomes increasingly wider and topographically lower from east to west (width, 80 to 120 km; average topographic height, 2500 to 1100m, respectively, Meigs and Sauber, 2000). This systematic change is correlated with an increase in the length of the shallowly dipping segment of the downgoing plate, a divergence of ma- jor upper plate structures, and a decrease in the obliquity of the Pacific plate motion relative to interior Alaska. In the Yakataga and Yakutat segments of the Pacific-North American plate boundary zone of south central Alaska recent crustal shortening and strike-slip faulting occurs offshore in the Gulf of Alaska (1970, MW =6.7; 1987-1988, MS = 6.9, 7.6, 7.6) and onshore in the Chugach-St. Elias mountains (1979, MS = 7.2). Prior great earthquakes in the region occurred in 1899 (MW = 8.1, Yakataga; MW = 8.1, Yakutat Bay). We have used GPS observations made between 1993 and 2001 to estimate short-term deformation rates. For coastal sites the horizontal defor- mation rate and orientation range from 26 to 36 mm/yr at N30-43W and the vertical uplift rates range from 6 to 23 mm/yr. Further inland above the down-dip portion of the locked zone the rate decreases to 8-15 mm/yr and the orientation is N15-26W. Fi- nite element modeling was used to calculate deformation rates and stresses associated with a shallow locked zone ( 40 km) and with ice mass fluctuations. If the elastic strain accumulated on the locked plate interface since the two 1899 earthquakes was seismically released on a single fault, it would correspond to a M 8.0 earthquake.

Strong Ground Motion Analysis and Afterslip Modeling of Earthquakes near Mendocino Triple Junction

NASA Astrophysics Data System (ADS)

Gong, J.; McGuire, J. J.

2017-12-01

The Mendocino Triple Junction (MTJ) is one of the most seismically active regions in North America in response to the ongoing motions between North America, Pacific and Gorda plates. Earthquakes near the MTJ come from multiple types of faults due to the interaction boundaries between the three plates and the strong internal deformation within them. Understanding the stress levels that drive the earthquake rupture on the various types of faults and estimating the locking state of the subduction interface are especially important for earthquake hazard assessment. However due to lack of direct offshore seismic and geodetic records, only a few earthquakes' rupture processes have been well studied and the locking state of the subducted slab is not well constrained. In this study we first use the second moment inversion method to study the rupture process of the January 28, 2015 Mw 5.7 strike slip earthquake on Mendocino transform fault using strong ground motion records from Cascadia Initiative community experiment as well as onshore seismic networks. We estimate the rupture dimension to be of 6 km by 3 km and a stress drop of 7 MPa on the transform fault. Next we investigate the frictional locking state on the subduction interface through afterslip simulation based on coseismic rupture models of this 2015 earthquake and a Mw 6.5 intraplate eathquake inside Gorda plate whose slip distribution is inverted using onshore geodetic network in previous study. Different depths for velocity strengthening frictional properties to start at the downdip of the locked zone are used to simulate afterslip scenarios and predict the corresponding surface deformation (GPS) movements onshore. Our simulations indicate that locking depth on the slab surface is at least 14 km, which confirms that the next M8 earthquake rupture will likely reach the coastline and strong shaking should be expected near the coast.

Knee arthrodesis using a short locked intramedullary nail. A new technique.

PubMed

Cheng, S L; Gross, A E

1995-01-01

This article reports on the use of a new intramedullary nail designed specifically for fixation of knee fusions. The nail is a short locked stainless steel nail that is inserted through a single anterior knee incision and uses an outrigger targeting rod to guide the insertion of the locking screws. The successful use of this technique is illustrated in two cases. The advantages of this nail compared with previously reported techniques of fixation for knee fusions are that the short locked nail avoids the second incision required for the insertion of long knee fusion nails, the bulkiness of the double plating technique in the relatively subcutaneous anterior knee area, and the difficulties inherent with the prolonged use of pins for external fixation.

Biomechanical analysis of occupant kinematics in rollover motor vehicle accidents: dynamic spit test.

PubMed

Sances, Anthony; Kumaresan, Srirangam; Clarke, Richard; Herbst, Brian; Meyer, Steve

2005-01-01

A better understanding of occupant kinematics in rollover accidents helps to advance biomechanical knowledge and to enhance the safety features of motor vehicles. While many rollover accident simulation studies have adopted the static approach to delineate the occupant kinematics in rollover accidents, very few studies have attempted the dynamic approach. The present work was designed to study the biomechanics of restrained occupants during rollover accidents using the steady-state dynamic spit test and to address the importance of keeping the lap belt fastened. Experimental tests were conducted using an anthropometric 50% Hybrid III dummy in a vehicle. The vehicle was rotated at 180 degrees/second and the dummy was restrained using a standard three-point restraint system. The lap belt of the dummy was fastened either by using the cinching latch plate or by locking the retractor. Three configurations of shoulder belt harness were simulated: shoulder belt loose on chest with cinch plate, shoulder belt under the left arm and shoulder belt behind the chest. In all tests, the dummy stayed within the confinement of the vehicle indicating that the securely fastened lap belt holds the dummy with dynamic movement of 3 1/2" to 4". The results show that occupant movement in rollover accidents is least affected by various shoulder harness positions with a securely fastened lap belt. The present study forms a first step in delineating the biomechanics of occupants in rollover accidents.

Efficient dynamic coherence transfer relying on offset locking using optical phase-locked loop

NASA Astrophysics Data System (ADS)

Xie, Weilin; Dong, Yi; Bretenaker, Fabien; Shi, Hongxiao; Zhou, Qian; Xia, Zongyang; Qin, Jie; Zhang, Lin; Lin, Xi; Hu, Weisheng

2018-01-01

We design and experimentally demonstrate a highly efficient coherence transfer based on composite optical phaselocked loop comprising multiple feedback servo loops. The heterodyne offset-locking is achieved by conducting an acousto-optic frequency shifter in combination with the current tuning and the temperature controlling of the semiconductor laser. The adaptation of the composite optical phase-locked loop enables the tight coherence transfer from a frequency comb to a semiconductor laser in a fully dynamic manner.

Utility of cement injection to stabilize split-depression tibial plateau fracture by minimally invasive methods: A finite element analysis.

PubMed

Belaid, D; Vendeuvre, T; Bouchoucha, A; Brémand, F; Brèque, C; Rigoard, P; Germaneau, A

2018-05-08

Treatment for fractures of the tibial plateau is in most cases carried out by stable fixation in order to allow early mobilization. Minimally invasive technologies such as tibioplasty or stabilization by locking plate, bone augmentation and cement filling (CF) have recently been used to treat this type of fracture. The aim of this paper was to determine the mechanical behavior of the tibial plateau by numerically modeling and by quantifying the mechanical effects on the tibia mechanical properties from injury healing. A personalized Finite Element (FE) model of the tibial plateau from a clinical case has been developed to analyze stress distribution in the tibial plateau stabilized by balloon osteoplasty and to determine the influence of the cement injected. Stress analysis was performed for different stages after surgery. Just after surgery, the maximum von Mises stresses obtained for the fractured tibia treated with and without CF were 134.9 MPa and 289.9 MPa respectively on the plate. Stress distribution showed an increase of values in the trabecular bone in the treated model with locking plate and CF and stress reduction in the cortical bone in the model treated with locking plate only. The computed results of stresses or displacements of the fractured models show that the cement filling of the tibial depression fracture may increase implant stability, and decrease the loss of depression reduction, while the presence of the cement in the healed model renders the load distribution uniform. Copyright © 2018 Elsevier Ltd. All rights reserved.

Using external and internal locking plates in a two-stage protocol for treatment of segmental tibial fractures.

PubMed

Ma, Ching-Hou; Tu, Yuan-Kun; Yeh, Jih-Hsi; Yang, Shih-Chieh; Wu, Chin-Hsien

2011-09-01

The tibial segmental fractures usually follow high-energy trauma and are often associated with many complications. We designed a two-stage protocol for these complex injuries. The aim of this study was to assess the outcome of tibial segmental fractures treated according to this protocol. A prospective series of 25 consecutive segmental tibial fractures were treated using a two-stage procedure. In the first stage, a low-profile locking plate was applied as an external fixator to temporarily immobilize the fractures after anatomic reduction had been achieved followed by soft-tissue reconstruction. The second stage involved definitive internal fixation with a locking plate using a minimally invasive percutaneous plate osteosynthesis technique. The median follow-up was 32 months (range, 20-44 months). All fractures achieved union. The median time for the proximal fracture union was 23 weeks (range, 12-30 weeks) and that for distal fracture union was 27 weeks (range, 12-46 weeks; p = 0.08). Functional results were excellent in 21 patients and good in 4 patients. There were three cases of delayed union of distal fracture. Valgus malunion >5 degrees occurred in two patients, and length discrepancy >1 cm was observed in two patients. Pin tract infection occurred in three patients. Use of the two-stage procedure for treatment of segmental tibial fractures is recommended. Surgeons can achieve good reduction with stable temporary fixation, soft-tissue reconstruction, ease of subsequent definitive fixation, and high union rates. Our patients obtained excellent knee and ankle joint motion, good functional outcomes, and a comfortable clinical course.

Filling Open Screw Holes in the Area of Metaphyseal Comminution Does Not Affect Fatigue Life of the Synthes Variable Angle Distal Femoral Locking Plate in the AO/OTA 33-A3 Fracture Model.

PubMed

Grau, Luis; Collon, Kevin; Alhandi, Ali; Kaimrajh, David; Varon, Maria; Latta, Loren; Vilella, Fernando

2018-06-01

The aim of this study is to evaluate the biomechanical effect of filling locking variable angle (VA) screw holes at the area of metaphyseal fracture comminution in a Sawbones® (Sawbones USA, Vashon, Washington) model (AO/OTA 33A-3 fracture) using a Synthes VA locking compression plate (LCP) (Depuy Synthes, Warsaw, Indiana). Seven Sawbones® femur models had a Synthes VA-LCP placed as indicated by the manufacturers technique. A 4cm osteotomy was then created to simulate an AO/OTA 33-A3 femoral fracture pattern with metaphyseal comminution. The control group consisted of four constructs in which the open screw holes at the area of comminution were left unfilled; the experimental group consisted of three constructs in which the VA screw holes were filled with locking screws. One of the control constructs was statically loaded to failure at a rate of 5mm/min. A value equal to 75% of the ultimate load to failure was used as the loading force for fatigue testing of 250,000 cycles at 3Hz. Cycles to failure was recorded for each construct and averages were compared between groups. The average number of cycles to failure in the control and experimental groups were 37524±8187 and 43304±23835, respectively (p=0.72). No significant difference was observed with respect to cycles to failure or mechanism of failure between groups. In all constructs in both the control and experimental groups, plate failure reproducibly occurred with cracks through the variable angle holes in the area of bridged comminution. The Synthes VA-LCP in a simulated AO/OTA 33-A3 comminuted metaphyseal femoral fracture fails in a reproducible manner at the area of comminution through the "honeycomb" VA screw holes. Filling open VA screw holes at the site of comminution with locking screws does not increase fatigue life of the Synthes VA-LCP in a simulated AO/OTA 33-A3 distal femoral fracture. Further studies are necessary to determine whether use of this particular plate is contraindicated when bridging distal femoral fractures with metaphyseal comminution.

Analysis of a spaceborne mirror on a main plate with isostatic mounts

NASA Astrophysics Data System (ADS)

Chan, Chia-Yen; Lien, Chun-Chieh; Huang, Po-Hsuan; Chang, Shenq-Tsong; Huang, Ting-Ming

2014-09-01

The paper is aimed at obtaining the deformation results and optical aberration configurations of a spaceborne mirror made of ZERODUR® glass on a main plate with three isostatic mounts for a space Cassegrain telescope. On the rear side of the main plate four screws will be locked to fix the focal plane assembly. The locking modes for the four screws will be simulated as push and pull motions in the Z axis for simplification. The finite element analysis and Zernike polynomial fitting are applied to the whole integrated optomechanical analysis process. Under the analysis, three isostatic mounts are bonded to the neutral plane of the mirror. The deformation results and optical aberration configurations under six types of push and pull motions as well as self-weight loading have been obtained. In addition, the comparison between the results under push and pull motions with 0.01 mm and 0.1 mm displacements in Z axis will be attained.

Different polarization dynamic states in a vector Yb-doped fiber laser.

PubMed

Li, Xingliang; Zhang, Shumin; Han, Huiyun; Han, Mengmeng; Zhang, Huaxing; Zhao, Luming; Wen, Fang; Yang, Zhenjun

2015-04-20

Different polarization dynamic states in an unidirectional, vector, Yb-doped fiber ring laser have been observed. A rich variety of dynamic states, including group velocity locked polarization domains and their splitting into regularly distributed multiple domains, polarization locked square pulses and their harmonic mode locking counterparts, and dissipative soliton resonances have all been observed with different operating parameters. We have also shown experimentally details of the conditions under which polarization-domain-wall dark pulses and bright square pulses form.

Non-equilibrium many-body influence on mode-locked Vertical External-cavity Surface-emitting Lasers

NASA Astrophysics Data System (ADS)

Kilen, Isak Ragnvald

Vertical external-cavity surface-emitting lasers are ideal testbeds for studying the influence of the non-equilibrium many-body dynamics on mode locking. As we will show in this thesis, ultra short pulse generation involves a marked departure from Fermi carrier distributions assumed in prior theoretical studies. A quantitative model of the mode locking dynamics is presented, where the semiconductor Bloch equations with Maxwell's equation are coupled, in order to study the influences of quantum well carrier scattering on mode locking dynamics. This is the first work where the full model is solved without adiabatically eliminating the microscopic polarizations. In many instances we find that higher order correlation contributions (e.g. polarization dephasing, carrier scattering, and screening) can be represented by rate models, with the effective rates extracted at the level of second Born-Markov approximations. In other circumstances, such as continuous wave multi-wavelength lasing, we are forced to fully include these higher correlation terms. In this thesis we identify the key contributors that control mode locking dynamics, the stability of single pulse mode-locking, and the influence of higher order correlation in sustaining multi-wavelength continuous wave operation.

Locking Compression Plate in Distal Femoral Intra-Articular Fractures: Our Experience

PubMed Central

Kiran Kumar, G. N.; Sharma, Gaurav; Farooque, Kamran; Sharma, Vijay; Ratan, Ratnav; Yadav, Sanjay; Lakhotia, Devendra

2014-01-01

Background. Intra-articular fractures of distal femur present a huge surgical challenge. The aim of this study is to evaluate functional outcome, fracture healing, and the complications of distal femoral intra-articular fractures using locking compression plates. Material and Methods. We reviewed 46 distal femoral fractures treated with distal femoral locking compression plates between 2009 to 2012. There were 36 men and 10 women with mean age of 35 years (range 20–72). More than half of the patients were of type C3 (AO classification) and had been caused by high energy trauma with associated injuries. Results. 2 patients were lost to follow-up. Of the remaining 44 patients, the mean follow-up period was 25 months (range 18–36). The mean time for radiological union was 12 weeks (range 10–18) except 2 patients which had gone for nonunion. At the latest follow up ROM >120° is noted in 32 patients, 90–120 in 10 patients, and 70–90 in 2 patients. 38 patients (86%) had good/excellent outcome. Conclusion. Use of standard lateral approach for simple intra-articular distal femoral fractures (C1) and transarticular/minimally invasive techniques for complex intra-articular fractures (C2/C3) results in improved exposure of the knee joint and better union rates with low incidence of bone grafting. PMID:27355064

Phase-locking dynamics in optoelectronic oscillator

NASA Astrophysics Data System (ADS)

Banerjee, Abhijit; Sarkar, Jayjeet; Das, NikhilRanjan; Biswas, Baidyanath

2018-05-01

This paper analyzes the phase-locking phenomenon in single-loop optoelectronic microwave oscillators considering weak and strong radio frequency (RF) signal injection. The analyses are made in terms of the lock-range, beat frequency and the spectral components of the unlocked-driven oscillator. The influence of RF injection signal on the frequency pulling of the unlocked-driven optoelectronic oscillator (OEO) is also studied. An approximate expression for the amplitude perturbation of the oscillator is derived and the influence of amplitude perturbation on the phase-locking dynamics is studied. It is shown that the analysis clearly reveals the phase-locking phenomenon and the associated frequency pulling mechanism starting from the fast-beat state through the quasi-locked state to the locked state of the pulled OEO. It is found that the unlocked-driven OEO output signal has a very non-symmetrical sideband distribution about the carrier. The simulation results are also given in partial support to the conclusions of the analysis.

Interlocking Nailing Versus Interlocking Plating in Intra-articular Calcaneal Fractures: A Biomechanical Study.

PubMed

Reinhardt, Sophia; Martin, Heiner; Ulmar, Benjamin; Döbele, Stefan; Zwipp, Hans; Rammelt, Stefan; Richter, Martinus; Pompach, Martin; Mittlmeier, Thomas

2016-08-01

Open reduction and internal fixation with a plate is deemed to represent the gold standard of surgical treatment for displaced intra-articular calcaneal fractures. Standard plate fixation is usually placed through an extended lateral approach with high risk for wound complications. Minimally invasive techniques might avoid wound complications but provide limited construct stability. Therefore, 2 different types of locking nails were developed to allow for minimally invasive technique with sufficient stability. The aim of this study was to quantify primary stability of minimally invasive calcaneal interlocking nail systems in comparison to a variable-angle interlocking plate. After quantitative CT analysis, a standardized Sanders type IIB fracture model was created in 21 fresh-frozen cadavers. For osteosynthesis, 2 different interlocking nail systems (C-Nail; Medin, Nov. Město n. Moravě, Czech Republic; Calcanail; FH Orthopedics SAS; Heimsbrunn, France) as well as a polyaxial interlocking plate (Rimbus; Intercus GmbH; Rudolstadt, Germany) were used. Biomechanical testing consisted of a dynamic load sequence (preload 20 N, 1000 N up to 2500 N, stepwise increase of 100 N every 100 cycles, 0.5 mm/s) and a load to failure sequence (max. load 5000 N, 0.5 mm/s). Interfragmentary movement was detected via a 3-D optical measurement system. Boehler angle was measured after osteosynthesis and after failure occurred. No significant difference regarding load to failure, stiffness, Boehler angle, or interfragmentary motion was found between the different fixation systems. A significant difference was found with the dynamic failure testing sequence where 87.5% of the Calcanail implants failed in contrast to 14% of the C-Nail group (P < .01) and 66% of the Rimbus plate. The highest load to failure was observed for the C-Nail. Boehler angle showed physiologic range with all implants before and after the biomechanical tests. Both minimally invasive interlocking nail systems displayed a high primary stability that was not inferior to an interlocking plate. Based on our results, both interlocking nails appear to represent a viable option for treating displaced intra-articular calcaneal fractures. © The Author(s) 2016.

Stability of radial head and neck fractures: a biomechanical study of six fixation constructs with consideration of three locking plates.

PubMed

Burkhart, Klaus Josef; Mueller, Lars P; Krezdorn, David; Appelmann, Philipp; Prommersberger, Karl J; Sternstein, Werner; Rommens, Pol M

2007-12-01

Open reduction and internal fixation of radial neck fractures can lead to secondary loss of reduction and nonunion due to insufficient stability. Nevertheless, there are only a few biomechanical studies about the stability achieved by different osteosynthesis constructs. Forty-eight formalin-fixed, human proximal radii were divided into 6 groups according to their bone density (measured by dual-energy x-ray absorptiometry). A 2.7-mm gap osteotomy was performed to simulate an unstable radial neck fracture, which was fixed with 3 nonlocking implants: a 2.4-mm T plate, a 2.4-mm blade plate, and 2.0-mm crossed screws, and 3 locking plates: a 2.0-mm LCP T plate, a 2.0-mm 6x2 grid plate, and a 2.0-mm radial head plate. Implants were tested under axial (N/mm) and torsional (Ncm/ degrees ) loads with a servohydraulic materials testing machine. The radial head plate was significantly stiffer than all other implants under axial as well as under torsional loads, with values of 36 N/mm and 13 Ncm/ degrees . The second-stiffest implant was the blade plate, with values of 20 N/mm and 6 Ncm/ degrees . The weakest implants were the 2.0-mm LCP, with values of 6 N/mm and 2 Ncm/ degrees , and the 2.0-mm crossed screws, with values of 18 N/mm and 2 Ncm/ degrees . The 2.4-mm T plate, with values of 14 N/mm and 4 Ncm/ degrees , and the 2.0-mm grid plate, with values of 8 N/mm and 4 Ncm/ degrees came to lie in the midfield. The 2.0-mm angle-stable plates-depending on their design-allow fixation with comparable or even higher stability than the bulky 2.4-mm nonlocking implants and 2.0-mm crossed screws.

[Comparison of effect between early and delayed in primary intramedullary nailing combined with locked plate fixation for the treatment of multi-segments tibial fractures of type].

PubMed

Gao, Wei-qiang; Hu, Jiang-hai; Gu, Zhu-chao; Zhang, Huai-xian; Min, Peng; Zhang, Lin-jun; Yu, Wen-wen; Wang, Guang-lin

2015-02-01

To compare the clinical results of early and delayed intramedullary nailing and locked plating for the treatment of multi-segments tibial fractures of type AO/ASIF-42C2. Between January 2010 and January 2013,45 patients with multi-segments closed tibial fractures of AO/ASIF-42C2 were treated by early primary intramedullary nailing and locked plating in 20 cases as early group and delayed in 25 cases as delayed group. In early group,20 cases included 13 males and 7 females with an average age of (37.9±14.3) years old ranging from 20 to 56 years;according to soft tissue injury Tscherne classification, 8 fractures were frade I,12 were grade II. In delayed group, 25 cases included 17 males and 8 females with an average age of (38.7±17.2) years old ranging from 24 to 55 years,4 fractures were grade I ,19 were grade II ,2 were grade III. The operative time, blood loss, hospital stay,fracture healing time and complications were recorded. At final follow-up, the Johner-Wruhs score were used to evaluate functional efficacy, and the posterior-anterior and lateral X-ray to evaluate fracture reduction and alignment. All the patients were followed up for (12.5±2.5) months in early group and (13.2±2.8) months in delayed group (P>0.05). No wounds infections were happened. At the last follow-up, the mean range of knee joint was 10°-0°-120°. According to Johner-Wruhs scoring,there were 15 cases in excellent,3 in good,fair in 2 in early group; 21 in excellent,2 in good,2 in fair. The average operative time,blood loss had no significant differences between two groups (P>0.05), but hospital stay in early group was significantly shorter than those in delayed group(P<0.05). Average fracture healing time of early group and delayed group were (5.3±2.6) months and (6.0±2.9) months, respectively (P>0.05). For multi-segments tibial fractures of type AO/ASIF-42C2 with preoperative minor soft tissue injuries lighter of Tscherne grade I or II, early primary intramedullary nailing and locked plating does not significantly increase the postoperative incidence of soft tissue complications for patients. The early and delayed primary intramedullary nailing and locked plating for treatment of AO/ASIF-42C2 proximal third tibial fractures can get similar curative effect.

The Maule, 2010, earthquake - geophysical and kinematic observations of the South American margin prior to the earthquake (Invited)

NASA Astrophysics Data System (ADS)

Oncken, O.; Haberland, C. A.; Moreno, M.; Melnick, D.; Tilmann, F.; Tipteq Research Groups

2010-12-01

Accumulation of deformation at convergent plate margins is recently identified to be highly discontinuous and transient in nature: silent slip events, non-volcanic tremors, afterslip, fault coupling and complex response patterns of the upper plate during a single event as well as across several seismic cycles have all been observed in various settings and combinations. Segments of convergent plate margins with high recurrence rates and at different stages of the rupture cycle like the Chilean margin offer an exceptional opportunity to study these features and their interaction resolving behaviour during the seismic cycle and over repeated cycles. A past (TIPTEQ) and several active international initiatives (Integrated Plate Boundary Observatory Chile; IPOC-network.org) address these goals with research groups from IPG Paris, Seismological Survey of Chile, Free University Berlin, Potsdam University, Hamburg University, IFM-GEOMAR Kiel, GFZ Potsdam, and Caltech (USA) employing an integrated plate boundary observatory and associated projects. Results from these studies allow us to define the preseismic state - with respect to the Maule eartghquake - of the margin system at the south Central Chilean convergent margin. Here, two major seismic events have occurred in adjoining segments (Valdivia 1960, Mw = 9.5; Maule 2010, Mw = 8.8) yielding observations from critical time windows of the seismic cycle in the same region. Seismic imaging and seismological data have allowed us to relocate major rupture hypocentres and to locate the geometry and properties of the seismogenic zone. The reflection seismic data exhibit well defined changes of reflectivity and Vp/Vs ratio along the plate interface that can be correlated with different parts of the coupling zone and its hanging wall as well as with changes during the seismic cycle. Observations suggest an important role of the hydraulic system, and of lateral variation of locking degree on subsequent rupture and aftershock distribution as evidenced by the recent Maule earthquake. Moreover, the latter coseismic rupture pattern was foreseeable from its pre-seismic locking pattern as derived by inversion of GPS observations during the previous decade. Neogene surface deformation at the Chilean coast related to these locking properties has been complex exhibiting tectonically uplifting areas along the coast driven by interseismically active reverse faulting. In addition, we observe coseismically subsiding domains along other parts of the coast - mostly above fully locked patches. Finally, we note that the characteristic peninsulas along the South American margin constitute stable rupture boundaries and appear to have done so for a protracted time as evidenced by their long-term uplift history since at least the Late Pliocene. This suggests barriers to rupture being related to anomalous properties of the plate interface affecting the mode of strain accumulation and plate interface rupture - like e.g. velocity strengthening in contrast to the weakening property of most of the remaining domains.

Societal costs in displaced transverse olecranon fractures: using decision analysis tools to find the most cost-effective strategy between tension band wiring and locked plating.

PubMed

Francis, Tittu; Washington, Travis; Srivastava, Karan; Moutzouros, Vasilios; Makhni, Eric C; Hakeos, William

2017-11-01

Tension band wiring (TBW) and locked plating are common treatment options for Mayo IIA olecranon fractures. Clinical trials have shown excellent functional outcomes with both techniques. Although TBW implants are significantly less expensive than a locked olecranon plate, TBW often requires an additional operation for implant removal. To choose the most cost-effective treatment strategy, surgeons must understand how implant costs and return to the operating room influence the most cost-effective strategy. This cost-effective analysis study explored the optimal treatment strategies by using decision analysis tools. An expected-value decision tree was constructed to estimate costs based on the 2 implant choices. Values for critical variables, such as implant removal rate, were obtained from the literature. A Monte Carlo simulation consisting of 100,000 trials was used to incorporate variability in medical costs and implant removal rates. Sensitivity analysis and strategy tables were used to show how different variables influence the most cost-effective strategy. TBW was the most cost-effective strategy, with a cost savings of approximately $1300. TBW was also the dominant strategy by being the most cost-effective solution in 63% of the Monte Carlo trials. Sensitivity analysis identified implant costs for plate fixation and surgical costs for implant removal as the most sensitive parameters influencing the cost-effective strategy. Strategy tables showed the most cost-effective solution as 2 parameters vary simultaneously. TBW is the most cost-effective strategy in treating Mayo IIA olecranon fractures despite a higher rate of return to the operating room. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

[Comparison of clinical effect on locking plate for proximal humeral fracture with or without application of inferomedial screws].

PubMed

Guo, Xiu-wu; Fan, Jian; Yuan, Feng

2016-06-01

To compare clinical outcomes of locking plate for proximal humeral fracture whether application of inferomedial screws. From January 2012 to July 2013, 46 patients with proximal humeral fracture underwent locking plates were retrospectively analyzed. There were 25 males and 21 females aged from 29 to 80 years old with an average of 55.1 years old. Among them, 25 patients were treated with inferomedial screws (support group), including 13 males and 12 females aged from 38 to 80 years old with an average of (55.8 ± 11.8) years old; 8 cases were part two fracture,10 cases were part three fracture and 7 cases were part four fracture according to Neer classification. Twenty-one patients were treated without inferomedial screws (non-support group), including 12 males and 9 females aged from 29 to 79 years old with an average of (54.2 ± 14.8)years old; 6 cases were part two fracture, 9 cases were part three fracture and 6 cases were part four fracture according to Neer classification. Operative time, fracture healing time and complications were observed and compared, Neer scoring of shoulder joint were used to evaluate clinical effect. All patients were followed up from 12 to 41 months with an average of 15.6 months. Operative time and fracture healing time in support group was (1.6 ± 0.4) h and (3.0 ± 0.6) months, and (1.5 ± 0.4) h and (3.1 ± 0.6) months in non-support group, while there was no statistical difference in operative time and fracture healing time between two groups. There was significant differences in Neer score between support group (89.7± 4.9) and non-support group (83.1 ± 7.1). No complication occurred in support group,while 4 cases occurred complications in non-support group. Locking plate with inferomedial screws for proximal humeral fracture has advantages of stable fixation, less complications, quick recovery of function and satisfied clinical effect.

Distal radius fracture fixation with a volar locking plate and endoscopic carpal tunnel release using a single 15mm approach: Feasibility study.

PubMed

Zemirline, A; Taleb, C; Naito, K; Vernet, P; Liverneaux, P; Lebailly, F

2018-05-17

Distal radius fractures (DRF) may trigger, reveal or decompensate acute carpal tunnel syndrome (CTS) in 0.5-21% of cases. Internal fixation and median nerve release must then be carried out urgently. Less invasive approaches have been described for both the median nerve release using an endoscopic device and for the DRF fixation using a volar locking plate. We assessed the feasibility of DRF fixation and median nerve release through a single, minimally-invasive 15mm approach on a series of 10 cases. We reviewed retrospectively 10 consecutive cases of DRF associated with symptomatic CTS in 8 women and 2 men, aged 57 years on average. CTS was diagnosed clinically. All patients were treated during outpatient surgery with a volar locking plate and endoscopic carpal tunnel release using a single 15mm minimally-invasive approach. In one case, arthroscopic scapholunate repair was also required. Six months after the procedure, all patients were reviewed with a clinical examination and a radiological evaluation. The average values for the clinical and radiological outcomes were as follows: pain on VAS 1.5/10; QuickDASH 14.3/100; flexion 90%; extension 90.6%; pronation 95.6%; supination 87.9%; grip strength 90.1%; 2PD test 5.2mm (4-8mm). Five complications occurred: two cases of temporary dysesthesia in the territory of the median nerve and one case of temporary hypoesthesia of the palmar branch of the median nerve, which had all completely recovered; two cases of complex regional pain syndrome type I, which were still active at 6 months. Despite its methodological weaknesses, our study is the only one to describe the technical feasibility of a single 15mm minimally-invasive approach for both internal fixation using a volar locking plate and endoscopic nerve release, with no serious complications. This technique should be added to the surgical toolbox of minimally-invasive procedures for the hand and wrist. Copyright © 2018 SFCM. Published by Elsevier Masson SAS. All rights reserved.

Strain measurements and the potential for a great subduction earthquake off the coast of washington.

PubMed

Savage, J C; Lisowski, M

1991-04-05

Geodetic measurements of deformation in northwestern Washington indicate that strain is accumulating at a rate close to that predicted by a model of the Cascadia subduction zone in which the plate interface underlying the continental slope and outer continental shelf is currently locked but the remainder of the interface slips continuously. Presumably this locked segment will eventually rupture in a great thrust earthquake with a down-dip extent greater than 100 kilometers.

A new discrete Kirchhoff-Mindlin element based on Mindlin-Reissner plate theory and assumed shear strain fields. I - An extended DKT element for thick-plate bending analysis. II - An extended DKQ element for thick-plate bending analysis

NASA Astrophysics Data System (ADS)

Katili, Irwan

1993-06-01

A new three-node nine-degree-of-freedom triangular plate bending element is proposed which is valid for the analysis of both thick and thin plates. The element, called the discrete Kirchhoff-Mindlin triangle (DKMT), has a proper rank, passes the patch test for thin and thick plates in an arbitrary mesh, and is free of shear locking. As an extension of the DKMT element, a four-node element with 3 degrees of freedom per node is developed. The element, referred to as DKMQ (discrete Kirchhoff-Mindlin quadrilateral) is found to provide good results for both thin and thick plates without any compatibility problems.

Fractographic analysis of 2.0-mm plates with a screw locking system in simulated fractures of the mandibular body.

PubMed

de Medeiros, Raquel Correia; Lauria de Moura, Andrezza; Rodrigues, Danillo Costa; Menezes Mendes, Marcelo Breno; Sawazaki, Renato; Fernandes Moreira, Roger William

2014-06-01

The purpose of the present study was to analyze the fractured plates from 2 brands of 2.0-mm locking fixation systems submitted to axial linear load testing. Four aluminum hemimandibles with linear sectioning to simulate a mandibular body fracture were used as a substrate and fixed with 2 fixation techniques from 2 national brands: Tóride and Traumec. The techniques were as follows: one 4-hole plate, with four 6-mm screws in the tension zone, and one 4-hole plate, with four 10-mm screws in the compression zone; and one 4-hole plate, with four 6-mm holes in the neutral zone. The hemimandibles were submitted to vertical linear load tests using an Instron 4411 mechanical test machine. The system was submitted to the test until complete failure had occurred. Next, a topographic analysis of the surface of the plates was performed using a stereomicroscope and an electronic scanning microscope. The samples were evaluated using different magnifications, and images were obtained. The surface of the fracture analyzed in scanning electron microscopy demonstrated a ductile-type fracture, usually found in the traction test bodies of ductile materials, such as titanium. No evidence of failure was observed in any fracture surface from a change in the structure or composition of the material. The plates were fractured by a ductile rupture mechanism, as expected, suggesting that the manufacturing of the national brand name plates used in the present study has been under adequate quality control, with no structural changes produced by the manufacturing process that could compromise their function. Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Treatment of segmental tibial fractures with supercutaneous plating.

PubMed

He, Xianfeng; Zhang, Jingwei; Li, Ming; Yu, Yihui; Zhu, Limei

2014-08-01

Segmental tibial fractures usually follow a high-energy trauma and are often associated with many complications. The purpose of this report is to describe the authors' results in the treatment of segmental tibial fractures with supercutaneous locking plates used as external fixators. Between January 2009 and March 2012, a total of 20 patients underwent external plating (supercutaneous plating) of the segmental tibial fractures using a less-invasive stabilization system locking plate (Synthes, Paoli, Pennsylvania). Six fractures were closed and 14 were open (6 grade IIIa, 2 grade IIIb, 4 grade II, and 2 grade I, according to the Gustilo classification). When imaging studies confirmed bone union, the plates and screws were removed in the outpatient clinic. Average time of follow-up was 23 months (range, 12-47 months). All fractures achieved union. Median time to union was 19 weeks (range, 12-40 weeks) for the proximal fractures and 22 weeks (range, 12-42 weeks) for the distal fractures. Functional results were excellent in 17 patients and good in 3. Delayed union of the fracture occurred in 2 patients. All patients' radiographs showed normal alignment. No rotational deformities and leg shortening were seen. No incidences of deep infection or implant failures occurred. Minor screw tract infection occurred in 2 patients. A new 1-stage protocol using supercutaneous plating as a definitive fixator for segmental tibial fractures is less invasive, has a lower cost, and has a shorter hospitalization time. Surgeons can achieve good reduction, soft tissue reconstruction, stable fixation, and high union rates using supercutaneous plating. The current patients obtained excellent knee and ankle joint motion and good functional outcomes and had a comfortable clinical course. Copyright 2014, SLACK Incorporated.

Implications of loading/unloading a subduction zone with a heterogeneously coupled interface

NASA Astrophysics Data System (ADS)

Herman, M. W.; Furlong, K. P.; Govers, R. M. A.

2017-12-01

Numerical models of subduction zones with appropriate physical properties may help understand deformation throughout great earthquake cycles, as well as associated observations such as the distribution of smaller magnitude megathrust earthquakes and surface displacements. Of particular interest are displacements near the trench, where tsunamis are generated. The patterns of co-seismic strain release in great megathrust earthquakes depend on the frictional coupling of the plate interface prior to the event. Geodetic observations during the inter-seismic stage suggest that the plates are fully locked at asperities surrounded by zones of apparent partial coupling. We simulate the accumulation (and release) of elastic strain in the subduction system using a finite element model with a relatively simple geometry and material properties. We demonstrate that inter-seismic apparent partial coupling can be dominantly explained by a distribution of completely locked asperities and zero friction elsewhere. In these models, the interface up-dip of the locked zone (< 15 km depth) accumulates large slip deficit even if its coefficient of friction is zero, as might be inferred from the scarcity of megathrust earthquakes shallower than 15 km in global earthquake catalogs. In addition, the upper plate above a low-friction shallow megathrust accumulates large displacements with little internal strain, potentially leading to large co-seismic block displacements (low displacement gradients) of the near-trench seafloor like those observed following the 2011 Mw 9.0 Tohoku earthquake. This is also consistent with anomalously low co-seismic frictional heating of the shallow megathrust indicated by borehole heat flow measurements after the Tohoku event. Our models also yield insights into slip partitioning throughout multiple earthquake cycles. In smaller ruptures, fault slip is inhibited by nearby locked zones; in subsequent multi-segment ruptures, the rest of this slip deficit may be released, producing significantly larger slip than might be expected based on historical earthquake magnitudes. Finally, because low-friction areas around asperities accumulate some slip deficit but may not rupture co-seismically, these regions may be the primary locations of afterslip following the rupture of the locked patch.

Vortex shedding experiment with flat and curved bluff plates in water

NASA Technical Reports Server (NTRS)

Reed, D.; Nesman, T.; Howard, P.

1988-01-01

Vortex shedding experiments were conducted in a water flow facility in order to simulate the strong discrete 4000-Hz vibration detected in the Space Shuttle Main Engine (SSME) which is thought to be associated with the SSME LOX inlet tee splitter vanes on the Main Injector. For the case of a flat vane with a blunt trailing edge excited by flow induced vortex shedding, lock-in with the first bending mode of the plate was observed. A curved vane displayed similar behavior, with the lock-in being a more discrete higher amplitude response. Aluminum vanes were employed to decouple the first vane bending mode from the vortex shedding mode. The application of an asymmetric 30-deg trailing edge bevel to both the flat and curved vanes was found to greatly reduce the strength of the shed vortices.

Design and application of nickel-titanium olecranon memory connector in treatment of olecranon fractures: a prospective randomized controlled trial.

PubMed

Chen, Xiao; Liu, Peng; Zhu, Xiaofei; Cao, Liehu; Zhang, Chuncai; Su, Jiacan

2013-06-01

We carried out this study to test the efficacy of the olecranon memory connector (OMC) in olecranon fractures. We designed a prospective randomised controlled trial involving 40 cases of olecranon fractures. From May 2004 to December 2009, 40 patients with olecranon fractures were randomly assigned into two groups. Twenty patients were treated with OMC, while another 20 patients were fixed with locking plates in our hospital. The DASH score, MEP score, range of motion and radiographs were used to evaluate the postoperative elbow function and complications. For MEP score, OMC was better than the locking plate; for DASH score, complication rate, and range of elbow motion, the two methods presented no significant difference. The study showed that OMC could be an effective alternative to treat olecranon fractures.

Seismicity near a Highly-Coupled Patch in the Central Ecuador Subduction Zone

NASA Astrophysics Data System (ADS)

Regnier, M. M.; Segovia, M.; Font, Y.; Charvis, P.; Galve, A.; Jarrin, P.; Hello, Y.; Ruiz, M. C.; Pazmino, A.

2017-12-01

The temporary onshore-offshore seismic network deployed during the 2-years period of the OSISEC project provides an unprecedented, detailed and well-focused image of the seismicity for magnitudes as low as 2.0 in the Central Ecuadorian subduction zone. Facing the southern border of the Carnegie Ridge, a shallow and discrete highly-coupled patch is correlated to the subduction of a large oceanic relief. No large earthquake is known in this area that is experiencing recurrent seismic swarms and slow slip events. The shallow and locked subduction interface shows no evidence of background seismicity that instead occurred down dip of the coupled patch where it is possibly controlled by structural features of the overriding plate. We show a clear spatial correlation between the background microseismicity, the down dip extension of the locked patch at 20 km depth and the geology of the upper plate. The dip angle of the interplate contact zone, defined by a smooth interpolation through the hypocenters of thrust events, is consistent with a progressive increase from 6° to 25° from the trench to 20 km depth. Offshore, a seismic swarm, concomitant with a slow slip event rupturing the locked area, highlights the reactivation of secondary active faults that developed within the thickened crust of the subducting Carnegie Ridge, at the leading edge of a large oceanic seamount. No seismicity was detected near the plate interface suggesting that stress still accumulates at small and isolated asperities

Locking plate and fibular strut-graft augmentation in the reconstruction of unicameral bone cyst of proximal femur in the paediatric population.

PubMed

Jamshidi, Khodamorad; Mirkazemi, Masoud; Izanloo, Azra; Mirzaei, Alireza

2018-01-01

Several therapeutic strategies have been used for managing unicameral bone cyst (UBC) of the proximal femur. However, there is insufficient evidence to support one treatment over another, and the optimal treatment is controversial. This study aims at describing our experience with surgical reconstruction of paediatric UBCs of the proximal femur using a proximal locking plate and fibular strut allograft. In total, 14 consecutive paediatric patients with Dormans types IB (four cases) and IIB (10 cases) UBC were assessed. Mean patient age was 8.6 ± 2.3 years, and mean follow-up period was 41.7 ± 29.8 months. Six patients (42.8%) were referred with a pathologic fracture. Clinical/radiological outcome and complication rates were evaluated at the final follow-up session. No cysts were Capanna's class III (recurrence) or IV (no response). Complete healing (Capanna's class I) was seen in ten cysts, while four other cysts healed with residual radiolucent areas (Capanna's class II). Mean healing period was 14.1 ± 5.1 (9-24 months). One patient had superficial infection, one heterotopic ossification, and one mild coxa vara, and mean Musculoskeletal Tumor Society (MSTS) score was 99.5%. According to our results, locking plate and fibular strut graft in Dormans classification types IB and IIB results in a favorable outcome in managing UBC of the proximal femur in the paediatric population.

Complex angular and torsional deformities (distal femoral malunions). Preoperative planning using stereolithography and surgical correction with locking plate fixation in four dogs.

PubMed

DeTora, Michael D; Boudrieau, Randy J

2016-09-20

To describe the surgical technique of complex distal femoral deformity correction with the aid of stereolithography apparatus (SLA) biomodels, stabilized with locking plate fixation. Full-size replica epoxy bone biomodels of the affected femurs (4 dogs/ 5 limbs) were used as templates for surgical planning. A rehearsal procedure was performed on the biomodels aided by a guide wire technique and stabilized with locking plate fixation. Surgery performed in all dogs was guided by the rehearsal procedure. All pre-contoured implants were subsequently used in the definitive surgical procedure with minimal modification. All dogs had markedly improved, with near normal functional outcomes; all but one had a mild persistent lameness at the final in-hospital follow-up examination (mean: 54.4 weeks; range: 24-113 weeks after surgery). All femurs healed without complications (mean: 34 weeks, median: 12 weeks; range: 8-12 weeks for closing osteotomies, and 26-113 weeks for opening wedge osteotomies). Long-term follow-up examination (mean: 28.6 months; range: 5-42 months) revealed all but one owner to be highly satisfied with the outcome. Complications were observed in two dogs: prolonged tibiotarsal joint decreased flexion that resolved with physical therapy. In one of these dogs, iatrogenic transection of the long digital extensor tendon was repaired, and the other had a peroneal nerve neurapraxia. Stereolithography apparatus biomodels and rehearsal surgery simplified the definitive surgical corrections of complex femoral malunions and resulted in good functional outcomes.

Relationship between the Cascadia fore-arc mantle wedge, nonvolcanic tremor, and the downdip limit of seismogenic rupture

USGS Publications Warehouse

McCrory, Patricia A.; Hyndman, Roy D.; Blair, James Luke

2014-01-01

Great earthquakes anticipated on the Cascadia subduction fault can potentially rupture beyond the geodetically and thermally inferred locked zone to the depths of episodic tremor and slip (ETS) or to the even deeper fore-arc mantle corner (FMC). To evaluate these extreme rupture limits, we map the FMC from southern Vancouver Island to central Oregon by combining published seismic velocity structures with a model of the Juan de Fuca plate. These data indicate that the FMC is somewhat shallower beneath Vancouver Island (36–38 km) and Oregon (35–40 km) and deeper beneath Washington (41–43 km). The updip edge of tremor follows the same general pattern, overlying a slightly shallower Juan de Fuca plate beneath Vancouver Island and Oregon (∼30 km) and a deeper plate beneath Washington (∼35 km). Similar to the Nankai subduction zone, the best constrained FMC depths correlate with the center of the tremor band suggesting that ETS is controlled by conditions near the FMC rather than directly by temperature or pressure. Unlike Nankai, a gap as wide as 70 km exists between the downdip limit of the inferred locked zone and the FMC. This gap also encompasses a ∼50 km wide gap between the inferred locked zones and the updip limit of tremor. The separation of these features offers a natural laboratory for determining the key controls on downdip rupture limits.

Mutual Injection Locking of Monolithically Integrated Coupled-Cavity DBR Lasers

DOE PAGES

Tauke-Pedretti, Anna; Vawter, G. Allen; Skogen, Erik J.; ...

2011-07-01

We present a photonic integrated circuit (PIC) composed of two strongly coupled distributed Bragg reflector (DBR) lasers. This PIC utilizes the dynamics of mutual injection locking to increase the relaxation resonance frequency from 3 GHz to beyond 30 GHz. Mutual injection-locking and external injection-locking operation are then compared.

A wide depth distribution of seismic tremors along the northern Cascadia margin.

PubMed

Kao, Honn; Shan, Shao-Ju; Dragert, Herb; Rogers, Garry; Cassidy, John F; Ramachandran, Kumar

2005-08-11

The Cascadia subduction zone is thought to be capable of generating major earthquakes with moment magnitude as large as M(w) = 9 at an interval of several hundred years. The seismogenic portion of the plate interface is mostly offshore and is currently locked, as inferred from geodetic data. However, episodic surface displacements-in the direction opposite to the long-term deformation motions caused by relative plate convergence across a locked interface-are observed about every 14 months with an unusual tremor-like seismic signature. Here we show that these tremors are distributed over a depth range exceeding 40 km within a limited horizontal band. Many occurred within or close to the strong seismic reflectors above the plate interface where local earthquakes are absent, suggesting that the seismogenic process for tremors is fluid-related. The observed depth range implies that tremors could be associated with the variation of stress field induced by a transient slip along the deeper portion of the Cascadia interface or, alternatively, that episodic slip is more diffuse than originally suggested.

Biomechanical investigation of two plating systems for medial column fusion in foot

PubMed Central

Simons, Paul; Sommerer, Theresia; Zderic, Ivan; Wahl, Dieter; Lenz, Mark; Skulev, Hristo; Knobe, Matthias; Gueorguiev, Boyko; Richards, R. Geoff; Klos, Kajetan

2017-01-01

Background Arthrodesis of the medial column (navicular, cuneiform I and metatarsal I) is performed for reasons such as Charcot arthropathy, arthritis, posttraumatic reconstruction or severe pes planus. However, the complication rate is still high and mainly resulting from inadequate fixation. Special plates, designed for medial column arthrodesis, seem to offer potential to reduce the complication rate. The aim of this study was to investigate biomechanically plantar and dorsomedial fusion of the medial column using two new plating systems. Methods Eight matched pairs of human cadaveric lower legs were randomized in two groups and medial column fusion was performed using either plantar or dorsomedial variable-angle locking compression plates. The specimens were biomechanically tested under cyclic progressively increasing axial loading with physiological profile of each cycle. In addition to the machine data, mediolateral x-rays were taken every 250 cycles and motion tracking was performed to determine movements at the arthrodesis site. Statistical analysis of the parameters of interest was performed at a level of significance p = 0.05. Results Displacement of the talo-navicular joint after 1000, 2000 and 4000 cycles was significantly lower for plantar plating (p≤0.039) while there was significantly less movement in the naviculo-cuneiform I joint for dorsal plating post these cycle numbers (p<0.001). Displacements in all three joints of the medial column, as well as angular and torsional deformations between the navicular and metatarsal I increased significantly for each plating technique between 1000, 2000 and 4000 cycles (p≤0.021). The two plating systems did not differ significantly with regard to stiffness and cycles to failure (p≥0.171). Conclusion From biomechanical point of view, although dorsomedial plating showed less movement than plantar plating in the current setup under dynamic loading, there was no significant difference between the two plating systems with regard to stiffness and cycles to failure. Both tested techniques for dorsomedial and plantar plating appear to be applicable for arthrodesis of the medial column of the foot and other considerations, such as access morbidity, associated deformities or surgeon's preference, may also guide the choice of plating pattern. Further clinical studies are necessary before definitive recommendations can be given. PMID:28222170

Biomechanical investigation of two plating systems for medial column fusion in foot.

PubMed

Simons, Paul; Sommerer, Theresia; Zderic, Ivan; Wahl, Dieter; Lenz, Mark; Skulev, Hristo; Knobe, Matthias; Gueorguiev, Boyko; Richards, R Geoff; Klos, Kajetan

2017-01-01

Arthrodesis of the medial column (navicular, cuneiform I and metatarsal I) is performed for reasons such as Charcot arthropathy, arthritis, posttraumatic reconstruction or severe pes planus. However, the complication rate is still high and mainly resulting from inadequate fixation. Special plates, designed for medial column arthrodesis, seem to offer potential to reduce the complication rate. The aim of this study was to investigate biomechanically plantar and dorsomedial fusion of the medial column using two new plating systems. Eight matched pairs of human cadaveric lower legs were randomized in two groups and medial column fusion was performed using either plantar or dorsomedial variable-angle locking compression plates. The specimens were biomechanically tested under cyclic progressively increasing axial loading with physiological profile of each cycle. In addition to the machine data, mediolateral x-rays were taken every 250 cycles and motion tracking was performed to determine movements at the arthrodesis site. Statistical analysis of the parameters of interest was performed at a level of significance p = 0.05. Displacement of the talo-navicular joint after 1000, 2000 and 4000 cycles was significantly lower for plantar plating (p≤0.039) while there was significantly less movement in the naviculo-cuneiform I joint for dorsal plating post these cycle numbers (p<0.001). Displacements in all three joints of the medial column, as well as angular and torsional deformations between the navicular and metatarsal I increased significantly for each plating technique between 1000, 2000 and 4000 cycles (p≤0.021). The two plating systems did not differ significantly with regard to stiffness and cycles to failure (p≥0.171). From biomechanical point of view, although dorsomedial plating showed less movement than plantar plating in the current setup under dynamic loading, there was no significant difference between the two plating systems with regard to stiffness and cycles to failure. Both tested techniques for dorsomedial and plantar plating appear to be applicable for arthrodesis of the medial column of the foot and other considerations, such as access morbidity, associated deformities or surgeon's preference, may also guide the choice of plating pattern. Further clinical studies are necessary before definitive recommendations can be given.

Carrier-envelope phase control by a composite plate.

PubMed

Ell, Richard; Birge, Jonathan R; Araghchini, Mohammad; Kärtner, Franz X

2006-06-12

We demonstrate a new concept to vary the carrier-envelope phase of a mode-locked laser by a composite plate while keeping all other pulse parameters practically unaltered. The effect is verified externally in an interferometric autocorrelator, as well as inside the cavity of an octave-spanning femtosecond oscillator. The carrier-envelope frequency can be shifted by half the repetition rate with negligible impact on pulse spectrum and energy.

Patient-specific distal radius locking plate for fixation and accurate 3D positioning in corrective osteotomy.

PubMed

Dobbe, J G G; Vroemen, J C; Strackee, S D; Streekstra, G J

2014-11-01

Preoperative three-dimensional planning methods have been described extensively. However, transferring the virtual plan to the patient is often challenging. In this report, we describe the management of a severely malunited distal radius fracture using a patient-specific plate for accurate spatial positioning and fixation. Twenty months postoperatively the patient shows almost painless reconstruction and a nearly normal range of motion.

Precision and Fast Wavelength Tuning of a Dynamically Phase-Locked Widely-Tunable Laser

NASA Technical Reports Server (NTRS)

Numata, Kenji; Chen, Jeffrey R.; Wu, Stewart T.

2012-01-01

We report a precision and fast wavelength tuning technique demonstrated for a digital-supermode distributed Bragg reflector laser. The laser was dynamically offset-locked to a frequency-stabilized master laser using an optical phase-locked loop, enabling precision fast tuning to and from any frequencies within a 40-GHz tuning range. The offset frequency noise was suppressed to the statically offset-locked level in less than 40 s upon each frequency switch, allowing the laser to retain the absolute frequency stability of the master laser. This technique satisfies stringent requirements for gas sensing lidars and enables other applications that require such well-controlled precision fast tuning.

Electronic and elastic mode locking in charge density wave conductors

NASA Astrophysics Data System (ADS)

Zettl, A.

1986-12-01

Mode locking phenomena are investigated in the charge density wave (CDW) materials NbSe 3 and TaS 3. The joint application of ac and dc electric fields results in free running and mode locked solutions for the CDW drift velocity, with associated ac-induced dynamic coherence lengths ξ D(ac) on the order of several hundred microns. The electronic response couples directly to the elastic properties of the crystal, with corresponding free running and mode locked solutions for the velocity of sound. Phase slip center-induced discontinuities in the CDW phase velocity lead to mode locked solutions with period doubling routes to chaos, and noisy precursor effects at bifurcation points. These results are discussed in terms of simple models of CDW domain synchronization, and internal CDW dynamics.

The outcome of unstable proximal femoral fracture treated with reverse LISS plates.

PubMed

Lin, Shih-Jie; Huang, Kuo-Chin; Chuang, Po-Yao; Lee, Chien-Yin; Huang, Tsan-Wen; Lee, Mel S; Hsu, Robert Wen-Wei

2016-10-01

The Russel-Taylor type 2B fractures compromised the trochanteric region and medial buttress of proximal femur. This fracture pattern limits the choice of implants and raises the risk of adverse outcomes. We aimed to (i) determine the outcome of Russel-Taylor type 2B fractures treated using reverse less invasive stabilization system plates (LISS-DF) and to (ii) learn what factors affected outcomes after osteosynthesis with reverse LISS plates. A retrospective study SETTING: The study was conducted at a Level III trauma center in Taiwan. Twenty-five consecutive patients presenting with a Russel-Taylor type 2B fracture were enrolled. All cases were treated with reverse LISS plates. A Modified Radiographic Union Scale for Femur (RUSF), Radiographic parameters, functional scores, and complications were assessed. Union occurred in 21 cases at an average of 18.8 weeks. The average immediate postoperative neck-shaft angle was 130° (range: 122-135°) compared with 139° (range: 135-141°, p=0.05) on the contralateral side. Two cases had complications of proximal screws cutting out and two cases had broken implants. Finally, all 4 cases required repeated surgeries (16%). Malunion occurred in 4 patients and early mechanical failure (proximal screws cut out) occurred in 2. There was a significant difference in the purchase index of the proximal screws between cases with redisplacement and those without (26.4mm and 98.6mm, p=0.01). The use of reverse LISS plate appeared to be an alternative procedure for the specific pattern in the present study. We recommend using this reverse locking plate to treat unstable proximal femoral fractures with meticulous techniques of placing plates. Adequate purchase of the proximal locking screws might decrease the risks of complications. Copyright © 2016 Elsevier Ltd. All rights reserved.

Outcome of distal end clavicle fractures treated with locking plates.

PubMed

Vaishya, Raju; Vijay, Vipul; Khanna, Vikram

2017-02-01

Fractures of the lateral end of the clavicle are relatively uncommon. These fractures are unstable due to the various deforming forces which act on the fragments as well as the small distal fracture fragment. At most times the deforming forces are not taken into consideration, and the fracture is not fixed securely. In this study, we assessed a fixation technique using the precontoured locking plates to find out whether it provided a stable fixation with good functional outcome. Totally, 32 patients with lateral end clavicle fracture (Neer's Type II) were included in the study. After the informed consent and preoperative investigations were obtained, open reduction and internal fixation was done using a 3.5 mm precontoured superior locking plate with lateral extension under general anesthesia. Postoperative X-rays were done on day 1 and every 6 weeks after operation, until radiological union was achieved. The postoperative pain was assessed using Visual Analogue Scale (VAS) on postoperative days 1, 2 and 10. Postoperatively arm pouch sling was given for 2 weeks followed by active mobilization. Patients were asked to do their daily routine work and avoid lifting heavy weights. The functional outcome was assessed at the end of 2nd and 6th months with the help of Disabilities of the Arm, Shoulder and Hand (DASH) scoring. There were no intraoperative complications in the procedure. The mean VAS score on postoperative day 1 was found to be 5 which decreased to 3 on day 2 and 0 on day 10. The mean DASH score was calculated as 11.63 at the end of postoperative month 2 and then 4.6 at the end of month 6. There was one case of malunion in whom the overhead abduction was restricted but was not painful and was managed conservatively. The precontoured locking plates with lateral extension may be a good method to fix the fractures of the lateral end clavicle, which provide a stable fixation with good functional outcome with very few instances of stiffness and decreased range of motion of the shoulder with the hook plates and failure of fixation in screw and K-wire fixations. It may well be the answer to the fixation questions of the lateral clavicle fractures, although larger comparative studies between the surgical treatment methods are required to confirm the same. Copyright © 2017 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University. Production and hosting by Elsevier B.V. All rights reserved.

Bandwidth controller for phase-locked-loop

NASA Technical Reports Server (NTRS)

Brockman, Milton H. (Inventor)

1992-01-01

A phase locked loop utilizing digital techniques to control the closed loop bandwidth of the RF carrier phase locked loop in a receiver provides high sensitivity and a wide dynamic range for signal reception. After analog to digital conversion, a digital phase locked loop bandwidth controller provides phase error detection with automatic RF carrier closed loop tracking bandwidth control to accommodate several modes of transmission.

Research on Debonding Defects in Thermal Barrier Coatings Structure by Thermal-Wave Radar Imaging (TWRI)

NASA Astrophysics Data System (ADS)

Wang, Fei; Liu, Junyan; Mohummad, Oliullah; Wang, Yang

2018-06-01

In this paper, thermal-wave radar imaging (TWRI) is introduced to detect debonding defects in SiC-coated Ni-based superalloy plates. Linear frequency modulation signal (chirp) is used as the excitation signal which has a large time-bandwidth product. Artificial debonding defects in SiC coating are excited by the laser beam with the light intensity modulated by a chirp signal. Cross-correlation algorithm and chirp lock-in algorithm are introduced to extract the thermal-wave signal characteristic. The comparative experiment between TWRI reflection mode and transmission mode was carried out. Experiments are conducted to investigate the influence of laser power density, chirp period, and excitation frequency. Experimental results illustrate that chirp lock-in phase has a better detection capability than other characteristic parameters. TWRI can effectively detect simulated debonding defects of SiC-coated Ni-based superalloy plates.

Intramedullary nail fixation of non-traditional fractures: Clavicle, forearm, fibula.

PubMed

Dehghan, Niloofar; Schemitsch, Emil H

2017-06-01

Locked intramedullary fixation is a well-established technique for managing long-bone fractures. While intramedullary nail fixation of diaphyseal fractures in the femur, tibia, and humerus is well established, the same is not true for other fractures. Surgical fixations of clavicle, forearm and ankle are traditionally treated with plate and screw fixation. In some cases, fixation with an intramedullary device is possible, and may be advantageous. However, there is however a concern regarding a lack of rotational stability and fracture shortening. While new generation of locked intramedullary devices for fractures of clavicle, forearm and fibula are recently available, the outcomes are not as reliable as fixation with plates and screws. Further research in this area is warranted with high quality comparative studies, to investigate the outcomes and indication of these fractures treated with intramedullary nail devices compared to intramedullary nail fixation. Copyright © 2017 Elsevier Ltd. All rights reserved.

Pneumatic wall-locking geophone system

DOEpatents

Kuhlman, Harland L.; Cumerlato, Calvin L.; Tweeton, Daryl R.

1991-01-01

A seismic signal receiving system is provided for use in boreholes to receive seismic waves in carrying out geophysical investigations. The system includes three pairs of opposed plates, each of the pairs of plates including oppositely facing outer surfaces for engagement with opposite sides of a borehole. A seismic receiver is mounted on the inner surface of each of the plates for receiving seismic signals. A double-acting, fluid-operated actuator selectively causes relative movement of the plates of the pairs of plates away from each other to provide expansion thereof so as to enable the plates to engage the walls of a borehole and selectively causes relative movement of the plates of the pairs of plates toward each other to provide retraction thereof so as to enable the system to be removed from a borehole. The pairs of plates each comprise a relatively long plate and a relatively short plate. An expandable linkage interconnects the long plates at the distal ends thereof. The plates are mechanically biassed into the retracted state so that the plates return to this state in the event of a system failure.

Precision and fast wavelength tuning of a dynamically phase-locked widely-tunable laser.

PubMed

Numata, Kenji; Chen, Jeffrey R; Wu, Stewart T

2012-06-18

We report a precision and fast wavelength tuning technique demonstrated for a digital-supermode distributed Bragg reflector laser. The laser was dynamically offset-locked to a frequency-stabilized master laser using an optical phase-locked loop, enabling precision fast tuning to and from any frequencies within a ~40-GHz tuning range. The offset frequency noise was suppressed to the statically offset-locked level in less than ~40 μs upon each frequency switch, allowing the laser to retain the absolute frequency stability of the master laser. This technique satisfies stringent requirements for gas sensing lidars and enables other applications that require such well-controlled precision fast tuning.

Suitability of DCPs with screw locking elements to allow sufficient interfragmentary motion to promote secondary bone healing of osteoporotic fractures.

PubMed

Cuadrado, A; Yánez, A; Carta, J A; Garcés, G

2013-06-01

This paper analyses the suitability of a system comprising a Dynamic Compression Plate (DCP) and Screw Locking Elements (SLEs) to allow sufficient interfragmentary motion to promote secondary bone healing in osteoporotic fractures. Four fixation systems were mounted on bone-simulating reinforced epoxy bars filled with solid rigid polyurethane foam. Group 1, used for comparison purposes, represents a system comprised of a Locking Compression Plate (LCP) and eight locking screws. Groups 2 and 3 represent a system comprised of a DCP plate with eight cortical screws and two SLEs placed on the screws furthest from (group 2) and nearest to (group 3) the fracture. Group 4 represents the system comprised of a DCP plate with SLEs placed on all eight cortical screws. Cyclic compression tests of up to 10,000 load cycles were performed in order to determine the parameters of interest, namely the stiffnesses and the interfragmentary motion of the various configurations under consideration. Tukey's multiple comparison test was used to analyse the existence or otherwise of significant differences between the means of the groups. At 10,000 cycles, interfragmentary motion at the far cortex for group 2 was 0.60±0.04 mm and for group 3 0.59±0.03 mm (there being no significant differences: p=0.995). The mean interfragmentary motion at the far cortex of the LCP construct was 70% less than that of the two groups with 2SLEs (there being significant differences: p=1.1×10(-8)). In the case of group 4 this figure was 45% less than in groups 2 and 3 (there being significant differences: p=5.6×10(-6)). At 10,000 cycles, interfragmentary motion at the near cortex for group 2 was 0.24±0.06 mm and for group 3 0.24±0.03 mm (there being no significant differences: p=1.000). The mean interfragmentary motion at the near cortex of the LCP construct was 70.8% less than that of the two groups with 2SLEs (there being significant differences: p=0.011). In the case of group 4 this figure was 66.7% less than in groups 2 and 3 (there being significant differences: p=0.016). The mean stiffness at 10,000 cycles was 960±110 N mm(-1) for group 2 and 969±53 N mm(-1) for group 3 (there being no significant differences: p=1.000). For group 1 (the LCP construct) the mean stiffness at 10,000 cycles was 3144±446 N mm(-1), 3.25 times higher than that of groups 2 and 3 (there being significant differences: p=0.00002), and 1.6 times higher than that of the DCP+8SLEs construct (1944±408 N mm(-1), there being significant differences: p=0.007). It is concluded that using the DCP+2SLEs construct sufficient interfragmentary motion is ensured to promote secondary bone healing. However, if too many SLEs are used the result may be, as with the LCP, an excessively rigid system for callus formation. Copyright © 2012 IPEM. Published by Elsevier Ltd. All rights reserved.

[A finite element analysis of petal-shaped poly-axial locking plate fixation in treatment of Y-shaped patellar fracture].

PubMed

Meng, Depeng; Ouyang, Yueping; Hou, Chunlin

2017-12-01

To establish the finite element model of Y-shaped patellar fracture fixed with titanium-alloy petal-shaped poly-axial locking plate and to implement the finite element mechanical analysis. The three-dimensional model was created by software Mimics 19.0, Rhino 5.0, and 3-Matic 11.0. The finite element analysis was implemented by ANSYS Workbench 16.0 to calculate the Von-Mises stress and displacement. Before calculated, the upper and lower poles of the patella were constrained. The 2.0, 3.5, and 4.4 MPa compressive stresses were applied to the 1/3 patellofemoral joint surface of the lower, middle, and upper part of the patella respectively, and to simulated the force upon patella when knee flexion of 20, 45, and 90°. The number of nodes and elements of the finite element model obtained was 456 839 and 245 449, respectively. The max value of Von-Mises stress of all the three conditions simulated was 151.48 MPa under condition simulating the knee flexion of 90°, which was lower than the yield strength value of the titanium-alloy and patella. The max total displacement value was 0.092 8 mm under condition simulating knee flexion of 45°, which was acceptable according to clinical criterion. The stress concentrated around the non-vertical fracture line and near the area where the screws were sparse. The titanium-alloy petal-shaped poly-axial locking plate have enough biomechanical stiffness to fix the Y-shaped patellar fracture, but the result need to be proved in future.

Mechanical testing of internal fixation devices: A theoretical and practical examination of current methods.

PubMed

Grant, Caroline A; Schuetz, Michael; Epari, Devakar

2015-11-26

Successful healing of long bone fractures is dependent on the mechanical environment created within the fracture, which in turn is dependent on the fixation strategy. Recent literature reports have suggested that locked plating devices are too stiff to reliably promote healing. However, in vitro testing of these devices has been inconsistent in both method of constraint and reported outcomes, making comparisons between studies and the assessment of construct stiffness problematic. Each of the methods previously used in the literature were assessed for their effect on the bending of the sample and concordant stiffness. The choice of outcome measures used in in vitro fracture studies was also assessed. Mechanical testing was conducted on seven hole locked plated constructs in each method for comparison. Based on the assessment of each method the use of spherical bearings, ball joints or similar is suggested at both ends of the sample. The use of near and far cortex movement was found to be more comprehensive and more accurate than traditional centrally calculated interfragmentary movement values; stiffness was found to be highly susceptible to the accuracy of deformation measurements and constraint method, and should only be used as a within study comparison method. The reported stiffness values of locked plate constructs from in vitro mechanical testing is highly susceptible to testing constraints and output measures, with many standard techniques overestimating the stiffness of the construct. This raises the need for further investigation into the actual mechanical behaviour within the fracture gap of these devices. Copyright © 2015 Elsevier Ltd. All rights reserved.

Equine ulnar fracture repair with locking compression plates can be associated with inadvertent penetration of the lateral cortex of the radius.

PubMed

Kuemmerle, Jan M; Kühn, Karolin; Bryner, Marco; Fürst, Anton E

2013-10-01

To evaluate if the use of locking head screws (LHS) in the distal holes of a locking compression plate (LCP) applied to the caudal aspect of the ulna to treat equine ulnar fractures is associated with a risk of injury to the lateral cortex of the radius. Controlled laboratory study. Cadaveric equine forelimbs (n = 8 pair). After transverse ulnar osteotomy, osteosynthesis was performed with a narrow 10-13 hole 4.5/5.0 LCP applied to the caudal aspect of each ulna. The distal 3 holes were filled with 4.5 mm cortex screws (CS) in 1 limb (group 1) and with 5.0 mm LHS contralaterally (group 2). CS were inserted in an angle deemed appropriate by the surgeon and LHS were inserted perpendicular to the plate. Implant position and injury to the lateral cortex of the radius were assessed by radiography, CT, and limb dissection. In group 1, injury of the lateral radius cortex did not occur. In group 2, 4 limbs and 6/24 LHS were associated with injury of the lateral radius cortex by penetration of a LHS. This difference was statistically significant. CS were inserted with a mean angle of 17.6° from the sagittal plane in a caudolateral-craniomedial direction. Use of LHS in the distal part of a LCP applied to the caudal aspect of the ulna is associated with a risk of inadvertent injury to the lateral cortex of the radius. © Copyright 2013 by The American College of Veterinary Surgeons.

Strength of plate coupling in the southern Ryukyu subduction zone

NASA Astrophysics Data System (ADS)

Doo, Wen-Bin; Lo, Chung-Liang; Wu, Wen-Nan; Lin, Jing-Yi; Hsu, Shu-Kun; Huang, Yin-Sheng; Wang, Hsueh-Fen

2018-01-01

Understanding the strength of a plate coupling is critical for assessing potential seismic and tsunamic hazards in subduction zones. The interaction between an overriding plate and the associated subducting plate can be used to evaluate the strength of plate coupling by examining the mantle lithospheric buoyancy. Here, we calculate the mantle lithosphere buoyancy across the northern portion of the southern Ryukyu subduction zone based on gravity modeling with the constraints from a newly derived P-wave seismic velocity model. The result indicates that the strength of the plate coupling in the study area is relatively strong, which is consistent with previous observations in the southernmost Ryukyu subduction zone. Because few large earthquakes (Mw > 7) have occurred in the southern Ryukyu subduction zone, a large amount of energy is locked and accumulated by plate coupling, that could be released in the near future.

Plate on plate osteosynthesis for the treatment of nonhealed periplate fractures.

PubMed

Arealis, Georgios; Nikolaou, Vassilios S; Lacon, Andrew; Ashwood, Neil; Hamlet, Mark

2014-01-01

Purpose. The purpose of this paper is to present our technique for the treatment of periplate fractures. Methods. From 2009 to 2012 we treated three patients. In all cases the existing plate was left and the new one placed over the existing. Locking screws were placed through both plates. The other screws in the new plate were used as best suited the fracture. Results. In all cases less than 6 months had passed between fractures. None of the original fractures had healed. Mean followup was 2 years. All fractures proceeded to union within 7 months. No complications were recorded. All the patients returned to their normal activities and were satisfied with the results of their treatment. Conclusion. Our plate on plate technique is effective for the treatment of periplate fractures. A solid fusion can be achieved at the new fracture site without disturbing the previous fixation.

The service impact of failed locking plate fixation of distal tibial fractures: a service and financial evaluation at a major trauma centre.

PubMed

Kent, Michael; Mumith, Aadil; McEwan, Jo; Hancock, Nicholas

2015-12-01

The surgical treatment of distal tibial fractures is challenging and controversial. Recently, locking plate fixation has become popular, but the outcomes of this treatment are mixed with complication rates as high as 50 % in the published literature. There are no reports specifically relating to the financial and resource costs of failed treatment in the literature. Retrospective service analysis of patients who had undergone locking plate fixation of a distal third tibial fracture between 2008 and 2011 with at least 12 months follow-up. Rates of readmission, reoperation, bony union and infection were ascertained. The financial and resource (hospital stay and number of outpatient appointments) implications of failed treatment were calculated. Forty-two patients were identified. There were 31 type A fractures, one type B fracture and 10 type C fractures. Three injuries were open. Twenty patients were treated with minimally invasive percutaneous osteosynthesis (MIPO). The readmission and reoperation rates were 26 % (n = 11) and 19 % (n = 8), respectively. A total of 89 % of readmissions were due to infection. All patients had received appropriate antibiotic regimens. The average costs of successful and failed treatment were £ 5538 and £ 18,335, respectively. The average time to union was 24.5 weeks. The rate of non-union was 21 % (n = 9). The rate of infection was 28 % (n = 12), with all patients with open fracture incurring an infection. Tourniquet time had no effect on the incidence of complications. Smokers were more likely to incur a complication (p < 0.05), and non-union was lower in the MIPO group (p < 0.05). The length and total cost of inpatient care were significantly lower in the MIPO group (p < 0.05). MIPO patients were five times less likely to incur readmission or reoperation. Failed treatment was three times more expensive and four times longer than successful treatment. The study identified a large burden to the service following failure of locking plate treatment of these fractures, but the outcomes were similar to series published in the literature. Readmission rates were high following these injuries, and failed treatment was costly and had a significant impact on hospital resources. The implementation of major trauma networks and centralised subspecialised units should improve quality and value for money.

[APPLICATION OF BUTTERFLY SHAPED LOCKING COMPRESSION PLATE IN COMPLEX DISTAL RADIUS FRACTURES].

PubMed

Jiang, Zongyuan; Ma, Tao; Xia, Jiang; Hu, Caizhi; Xu, Lei

2014-06-01

To investigate the effectiveness of butterfly shaped locking compression plate for the treatment of complex distal radius fractures. Between June 2011 and January 2013, 20 cases of complex distal radius fractures were treated with butterfly shaped locking compression plate fixation. There were 11 males and 9 females with an average age of 54 years (range, 25-75 years). Injury was caused by falling in 10 cases, by traffic accident in 7 cases, and by falling from height in 3 cases. All of fractures were closed. According to AO classification system, there were 8 cases of type C1, 8 cases of type C2, and 4 cases of type C3. Of them, 9 cases had radial styloid process fracture, 4 cases had sigmoid notch fracture, and 7 cases had both radial styloid process fracture and sigmoid notch fracture. The mean interval between injury and operation was 5.2 days (range, 3-15 days). All incisions healed by first intention; no complications of infection and necrosis occurred. All cases were followed up 14 months on average (range, 10-22 months). All factures healed after 9.3 weeks on average (range, 6-11 weeks). No complications such as displacement of fracture, joint surface subsidence, shortening of the radius, and carpal tunnel syndrome were found during follow-up. At last follow-up, the mean palmar tilt angle was 10.2° (range, 7-15°), and the mean ulnar deviation angle was 21.8° (range, 17-24°). The mean range of motion of the wrist was 45.3° (range, 35-68°) in dorsal extension, 53.5° (range, 40-78°) in palmar flexion, 19.8° (range, 12-27°) in radial inclination, 26.6° (range, 18-31°) in ulnar inclination, 70.2° (range, 45-90°) in pronation, and 68.4° (range, 25-88°) in supination. According to the Dienst scoring system, the results were excellent in 8 cases, good in 10 cases, and fair in 2 cases, and the excellent and good rate was 90%. Treatment of complex distal radius fractures with butterfly shaped locking compression plate can reconstruct normal anatomic structures, especially for radial styloid process and sigmoid notch fractures, and it can get good functional recovery of the wrist and the distal radioulnar joint.

The Influence of Local Bone Density on the Outcome of One Hundred and Fifty Proximal Humeral Fractures Treated with a Locking Plate.

PubMed

Kralinger, Franz; Blauth, Michael; Goldhahn, Jörg; Käch, Kurt; Voigt, Christine; Platz, Andreas; Hanson, Beate

2014-06-18

There is biomechanical evidence that bone density predicts the mechanical failure of implants. The aim of this prospective study was to evaluate the influence of local bone mineral density on the rate of mechanical failure after locking plate fixation of proximal humeral fractures. We enrolled 150 patients who were from fifty to ninety years old with a closed, displaced proximal humeral fracture fixed with use of a locking plate from July 2007 to April 2010. There were 118 women and thirty-two men who had a mean age of sixty-nine years. Preoperative computed tomography (CT) scans were done to assess bone mineral density of the contralateral humerus, and dual x-ray absorptiometry of the distal end of the radius of the unaffected arm was conducted within the first six weeks postoperatively. At follow-up evaluations at six weeks, three months, and one year postoperatively, pain, shoulder mobility, strength, and multiple functional and quality-of-life outcome measures (Disabilities of the Arm, Shoulder and Hand [DASH] questionnaire; Shoulder Pain and Disability Index [SPADI]; Constant score; and EuroQuol-5D [EQ-5D]) were done and standard radiographs were made. We defined mechanical failure as all complications related to bone quality experienced within one year. After locking plate fixation, fifty-three (35%) of 150 patients had mechanical failure; loss of reduction and secondary screw loosening with perforation were common. CT assessments of local bone mineral density showed no difference between patients with and without mechanical failure (89.82 versus 91.51 mg/cm 3 , respectively; p = 0.670). One-year DASH, SPADI, and Constant scores were significantly better for patients without mechanical failure (p ≤ 0.05). We did not find evidence of an association between bone mineral density and the rate of mechanical failures, which may suggest that patients with normal bone mineral density are less prone to sustain a proximal humeral fracture. Future studies should target other discriminating factors between patients with and without mechanical failure. Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.

Minimally invasive fixation of type B and C interprosthetic femoral fractures.

PubMed

Ehlinger, M; Czekaj, J; Adam, P; Brinkert, D; Ducrot, G; Bonnomet, F

2013-09-01

Interprosthetic femoral fractures are rare and raise unresolved treatment issues such as the length of the fixation material that best prevents secondary fractures. Awareness of the advantages of locked-plate fixation via a minimally invasive approach remains limited, despite the potential of this method for improving success rates. Femur-spanning (from the trochanters to the condyles) locked-plate fixation via a minimally invasive approach provides high healing rates with no secondary fractures. From January 2004 to May 2011, all eight patients seen for interprosthetic fractures were treated with minimally invasive locked-plate fixation. Mean time since hip arthroplasty was 47.5 months and mean time since knee arthroplasty was 72.6 months. There were 12 standard primary prostheses and four revision prostheses; 11 prostheses were cemented and a single prosthesis showed femoral loosening. Classification about the hip prostheses was Vancouver B in one patient and Vancouver C in seven patients; about the knee prosthesis, the fracture was SoFCOT B in three patients and SOFCOT C in five patients, and a single fracture was SoFCOT D. Minimally invasive locking-plate fixation was performed in all eight patients, with installation on a traction table in seven patients. Healing was obtained in all eight patients, after a mean of 14 weeks (range, 12-16 weeks). One patient had malalignment with more than 5° of varus. There were no general or infectious complications. One patient died, 32 months after surgery. The mean Parker-Palmer mobility score decreased from 6.2 pre-operatively to 2.5 at last follow-up. Early construct failure after 3 weeks in one patient required surgical revision. There was no change in implant fixation at last follow-up. No secondary fractures were recorded. In patients with type B or C interprosthetic fractures, femur-spanning fixation not only avoids complications related to altered bone stock and presence of prosthetic material, but also decreases the risk of secondary fractures by eliminating stress riser zones. The minimally invasive option enhances healing by preserving the fracture haematoma. Thus, healing was obtained consistently in our patients, with no secondary fractures, although the construct failed in one patient. Level IV. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

[Arthrodesis of the First Metatarsophalangeal Joint by Locking Plate].

PubMed

Kunovský, R; Pink, T; Jarošík, J

2017-01-01

PURPOSE OF THE STUDY The authors in their paper evaluate a group of patients who underwent arthrodesis of the first metatarsophalangeal joint using a locking plate. MATERIAL AND METHODS In the period 2010-2015, we performed surgery in 51 patients (56 forefeet), of which in 5 cases bilaterally and in 46 cases unilaterally, in 38 women and 13 men. The mean age was 57.8 years, the mean follow-up was 3.1 years. The indications for surgery were hallux rigidus in 23 patients, hallux valgus in 15 patients, hallux varus in 3 patients, and hallux erectus in 2 patients. In 4 patients the surgery was performed for valgus deformity associated with rheumatoid arthritis, 9 patients were indicated for a failure of the prior surgical intervention. In all 56 forefeet, the anatomic, low-profile titanium plate Variable Angle LCP 1st MTP Fusion Plate 2.4/2.7 was used. RESULTS According to Gainor s score the surgical outcomes were assessed as excellent in 46 patients who underwent surgery (90%), good in 4 patients (8%), fair in 1 patient (2%), and poor in 0 patient (0%). In 53 forefeet, the control radiographs showed solid bone union. In 2 patients and 3 forefeet, non-union of the arthrodesis occurred. In 2 forefeet, revision arthrodesis was performed, after which solid bone union followed. Malpositioned union was reported in 5 forefeet, of which in 4 cases into valgosity and in 1 case into dorsiflexion. DISCUSSION Numerous fixation materials can be used for arthrodesis of the first metatarsophalangeal joint. The use of the least stable Kirschner wires (cerclage) is being abandoned and substituted with a more stable fixation by screws, memory staples and locking plates. The achievement of excellent results requires proper positioning of the arthrodesis. Impingement syndrome between the big toe and the second toe can result in painful callosities formation, too large dorsiflexion can lead to a hallux hammertoe, with reduced big toe support function, to metatarsalgia. CONCLUSIONS The arthrodesis is indicated in patients with Grade III and IV hallux rigidus, with severe hallux valgus, hallux varus, and in patients in whom the previous surgeries failed. We tend to prefer stable arthrodesis. Fixation by anatomic LCP plate facilitates early rehabilitation, loading and early return to work and sports activities. Key words: arthrodesis, metatarsophalangeal joint, hallux rigidus, hallux valgus.

[Biphasic ceramic wedge and plate fixation with locked adjustable screws for open wedge tibial osteotomy].

PubMed

Lavallé, F; Pascal-Mousselard, H; Rouvillain, J L; Ribeyre, D; Delattre, O; Catonné, Y

2004-10-01

The aim of this radiological study was to evaluate the use of a biphasic ceramic wedge combined with plate fixation with locked adjustable screws for open wedge tibial osteotomy. Twenty-six consecutive patients (27 knees) underwent surgery between December 1999 and March 2002 to establish a normal lower-limb axis. The series included 6 women and 20 men, mean age 50 years (16 right knees and 11 left knees). Partial weight-bearing with crutches was allowed on day 1. A standard radiological assessment was performed on day 1, 90, and 360 (plain AP and lateral stance films of the knee). A pangonogram was performed before surgery and at day 360. Presence of a lateral metaphyseal space, development of peripheral cortical bridges, and osteointegration of the bone substitute-bone interface were evaluated used to assess bone healing. The medial tibial angle between the line tangent to the tibial plateau and the anatomic axis of the tibia (beta) was evaluated to assess preservation of postoperative correction. The HKA angle was determined. Three patients were lost to follow-up and 23 patients (24 knees) were retained for analysis. At last follow-up, presence of peripheral cortical bridges and complete filling of the lateral metaphyseal space demonstrated bone healing in all patients. Good quality osteointegration was achieved since 21 knees did not present an interface between the bone substitute and native bone (homogeneous transition zone). The beta angle was unchanged for 23 knees. A normal axis was observed in patients (16 knees) postoperatively. Use of a biphasic ceramic wedge in combination with plate fixation with locked adjustable screws is a reliable option for open wedge tibial osteotomy. The bone substitute fills the gap well. Tolerance and integration are optimal. Bone healing is achieved. Plate fixation with protected weight bearing appears to be a solid assembly, maintaining these corrections.

[Locked volar plating for complex distal radius fractures: maintaining radial length].

PubMed

Jeudy, J; Pernin, J; Cronier, P; Talha, A; Massin, P

2007-09-01

Maintaining radial length, likely to be the main challenge in the treatment of complex distal radius fractures, is necessary for complete grip-strength and pro-supination range recovery. In spite of frequent secondary displacements, bridging external-fixation has remained the reference method, either isolated or in association with additional percutaneous pins or volar plating. Also, there seems to be a relation between algodystrophy and the duration of traction applied on the radio-carpal joint. Fixed-angle volar plating offers the advantage of maintaining the reduction until fracture healing, without bridging the joint. In a prospective study, forty-three consecutive fractures of the distal radius with a positivated ulnar variance were treated with open reduction and fixed-angle volar plating. Results were assessed with special attention to the radial length and angulation obtained and maintained throughout treatment, based on repeated measurements of the ulnar variance and radial angulation in the first six months postoperatively. The correction of the ulnar variance was maintained until complete recovery, independently of initial metaphyseal comminution, and of the amount of radial length gained at reduction. Only 3 patients lost more than 1 mm of radial length after reduction. The posterior tilt of the distal radial epiphysis was incompletely reduced in 13 cases, whereas reduction was partially lost in 6 elderly osteoporotic female patients. There was 8 articular malunions, all of them less than 2 mm. Secondary displacements were found to be related to a deficient locking technique. Eight patients developed an algodystropy. The risk factors for algodystrophy were articular malunion, associated posterior pining, and associated lesions of the ipsilateral upper limb. Provided that the locking technique was correct, this type of fixation appeared efficient in maintaining the radial length in complex fractures of the distal radius. The main challenge remains the reduction of displaced articular fractures. Based on these results, it is not possible to conclude that this method is superior to external fixation.

Orthogonal control of the frequency comb dynamics of a mode-locked laser diode.

PubMed

Holman, Kevin W; Jones, David J; Ye, Jun; Ippen, Erich P

2003-12-01

We have performed detailed studies on the dynamics of a frequency comb produced by a mode-locked laser diode (MLLD). Orthogonal control of the pulse repetition rate and the pulse-to-pulse carrier-envelope phase slippage is achieved by appropriate combinations of the respective error signals to actuate the diode injection current and the saturable absorber bias voltage. Phase coherence is established between the MLLD at 1550 nm and a 775-nm mode-locked Ti:sapphire laser working as part of an optical atomic clock.

Transition to Complicated Behavior in Infinite Dimensional Dynamical Systems

DTIC Science & Technology

1990-03-01

solitons in nonlinear refractive periodic media," Phys. Lett. A. 141 37 (1989). A.3. Dynamics of Free-Running and Injection- Locked Laser Diode Arrays...Fibers * Dynamics of Free-Running and Injection- Locked Laser Diode Arrays I Diffraction/Diffusion Mediated Instabilities in Self-focusing/Defocusing...optics, the interplay between the coherence of solitons and the scattering (Anderson localization) effects of randomness, and the value in looking at

Clinical, radiological and histological evaluation of biphasic calcium phosphate bioceramic wedges filling medial high tibial valgisation osteotomies.

PubMed

Rouvillain, J L; Lavallé, F; Pascal-Mousselard, H; Catonné, Y; Daculsi, G

2009-10-01

We report clinical, radiological and histological findings following high tibial valgisation osteotomy (HTVO) using micro-macroporous biphasic calcium phosphate wedges fixed with a plate and locking screws. From 1999 to 2002, 43 knees were operated on and studied prospectively. All underwent clinical and radiological follow-up at days 1, 90, and 365 to evaluate consolidation and bone substitute interfaces. Additionally, biopsies were taken for histology at least 1 year after implantation from 10 patients who requested plate removal. Radiologically, consolidation was observed in 98% of cases. At 1 year, correction was unchanged in 95% of cases. Histological analysis revealed considerable MBCP resorption and bone ingrowth, both into the pores and replacing the bioceramic material. Polarised light microscopy confirmed normal bony architecture with trabecular and/or dense lamellar bone growth at the expense of the wedge implants. X-ray and micro-CT scan revealed a well organised and mineralised structure in the newly-formed bone. This study shows that using MBCP wedges in combination with orientable locking screws and a plate is a simple, safe and fast surgical technique for HTVO. The is the first study to examine the results by histological analysis, which confirmed good outcomes.

Tectonics and Current Plate Motions of Northern Vancouver Island and the Adjacent Mainland

NASA Astrophysics Data System (ADS)

Jiang, Y.; Leonard, L. J.; Henton, J.; Hyndman, R. D.

2016-12-01

Northern Vancouver Island comprises a complex transition zone along the western margin of the North America plate, between the subducting Juan de Fuca plate to the south and the transcurrent Queen Charlotte Fault to the north off Haida Gwaii. The tectonic history and seismic potential for this region are unclear. Here we present current plate motions for northern Vancouver Island and the adjacent mainland, determined from continuous and campaign GPS measurements processed in a consistent manner. Immediately to the north of the mid-Vancouver Island Nootka Fault Zone, the northern limit of Juan de Fuca plate subduction, GPS velocity vectors show slower Explorer plate subduction than the Juan de Fuca Plate. Off northernmost Vancouver Island, the Winona Block is possibly converging at a slow rate that decreases northward to zero. We find a constant northward margin-parallel translation of up to 5 mm/year from northern Vancouver Island extending to Alaska. The southern limit of this translation coincides with areas of high heat flow that may reflect extension and the northern limit of episodic tremor and slip (ETS) on the Cascadia megathrust. The origin of the northward translation is poorly understood. We find a mainland coastal shear zone extends as far south as northern Vancouver Island where the offshore plate boundary is likely subduction. The pattern of the observed coastal shear cannot reflect interseismic locking on a major offshore transcurrent fault. The geodetically determined mainland coastal zone velocities decrease landward from 5 to 0 mm/yr across a region where no active faults have been identified and there is very little current seismicity. In Haida Gwaii, oblique convergence is apparent in the GPS data, consistent with partitioning between margin-parallel and margin-perpendicular strain. After removing the margin parallel translation from the data, we determine an average maximum locking depth of 15 km for the Queen Charlotte transcurrent fault, consistent with seismicity and seismic structure data.

Hidden attractors in dynamical models of phase-locked loop circuits: Limitations of simulation in MATLAB and SPICE

NASA Astrophysics Data System (ADS)

Kuznetsov, N. V.; Leonov, G. A.; Yuldashev, M. V.; Yuldashev, R. V.

2017-10-01

During recent years it has been shown that hidden oscillations, whose basin of attraction does not overlap with small neighborhoods of equilibria, may significantly complicate simulation of dynamical models, lead to unreliable results and wrong conclusions, and cause serious damage in drilling systems, aircrafts control systems, electromechanical systems, and other applications. This article provides a survey of various phase-locked loop based circuits (used in satellite navigation systems, optical, and digital communication), where such difficulties take place in MATLAB and SPICE. Considered examples can be used for testing other phase-locked loop based circuits and simulation tools, and motivate the development and application of rigorous analytical methods for the global analysis of phase-locked loop based circuits.

Investigation of monolithic passively mode-locked quantum dot lasers with extremely low repetition frequency.

PubMed

Xu, Tianhong; Cao, Juncheng; Montrosset, Ivo

2015-01-01

The dynamical regimes and performance optimization of quantum dot monolithic passively mode-locked lasers with extremely low repetition rate are investigated using the numerical method. A modified multisection delayed differential equation model is proposed to accomplish simulations of both two-section and three-section passively mode-locked lasers with long cavity. According to the numerical simulations, it is shown that fundamental and harmonic mode-locking regimes can be multistable over a wide current range. These dynamic regimes are studied, and the reasons for their existence are explained. In addition, we demonstrate that fundamental pulses with higher peak power can be achieved when the laser is designed to work in a region with smaller differential gain.

Double plating of intra-articular multifragmentary C3-type distal femoral fractures through the anterior approach.

PubMed

Imam, Mohamed A; Torieh, Ahmed; Matthana, Ahmed

2018-01-01

In this prospective case series, we report a mean of 12-month follow-up of the utilization of a dual plating of distal femoral fractures. Our technique included a lateral distal femoral locked plate with a low-contact-locked medial plate and bone graft through an extended medial parapatellar anterior approach for the fixation of C3-type distal femoral fractures. Sixteen patients (11 males and 5 females) presented with supracondylar femoral fracture type C3, according to Müller long-bone classification system and its revision OA/OTA classification. These were treated using dual plating through extended anterior approach and bone grafting. Our outcomes included clinical and radiological outcomes. Secondary outcomes included postoperative complications. The mean time of complete radiological union in the studied population was 6.0 ± 3.5 months with a range of 3-14 months. We have not observed postoperative varus or valgus deformity in our cohort. The majority (68.75%) of the studied patients showed significant improvement in range of motion (90°-120°) during follow-up. Eleven out of sixteen patients (68.75%) had well-to-excellent functional outcome. Poor outcome was reported in only two patients (12.50%). Dual plating fixation using anterior approach for type C3 distal femoral fractures is an efficient method of management. It has several advantages such as precise exposure, easy manipulation, anatomical reduction and stable fixation. However, operative indications and instructions should be strictly followed. The surgical technique must be rigorous, and the biomechanical qualities of these implants must be understood to prevent the development of major complications.

Technical Errors May Affect Accuracy of Torque Limiter in Locking Plate Osteosynthesis.

PubMed

Savin, David D; Lee, Simon; Bohnenkamp, Frank C; Pastor, Andrew; Garapati, Rajeev; Goldberg, Benjamin A

2016-01-01

In locking plate osteosynthesis, proper surgical technique is crucial in reducing potential pitfalls, and use of a torque limiter makes it possible to control insertion torque. We conducted a study of the ways in which different techniques can alter the accuracy of torque limiters. We tested 22 torque limiters (1.5 Nm) for accuracy using hand and power tools under different rotational scenarios: hand power at low and high velocity and drill power at low and high velocity. We recorded the maximum torque reached after each torque-limiting event. Use of torque limiters under hand power at low velocity and high velocity resulted in significantly (P < .0001) different mean (SD) measurements: 1.49 (0.15) Nm and 3.73 (0.79) Nm. Use under drill power at controlled low velocity and at high velocity also resulted in significantly (P < .0001) different mean (SD) measurements: 1.47 (0.14) Nm and 5.37 (0.90) Nm. Maximum single measurement obtained was 9.0 Nm using drill power at high velocity. Locking screw insertion with improper technique may result in higher than expected torque and subsequent complications. For torque limiters, the most reliable technique involves hand power at slow velocity or drill power with careful control of insertion speed until 1 torque-limiting event occurs.

Seismotectonic segmentation along the Chilean megathrust (Invited)

NASA Astrophysics Data System (ADS)

Melnick, D.; Moreno, M.

2010-12-01

This study focuses on understanding seismotectonic segmentation of megathrusts (MT). Recent research suggests elements associated to MT segmentation include: oceanic features, such as seamounts, seismic and aseismic ridges, and fracture zones; thickness and nature of trench sediments; and upper-plate heterogeneities as changes in density, lithology, and presence of splay faults or microplates, features usually manifested in coastline morphology. The 3500-km-long Chilean MT includes all these elements with various amplitudes under fairly constant kinematics and strike. Along the Nazca-South America boundary, the dense GPS network and knowledge of MT geometry allows inverting for the degree of interplate coupling or locking rate. Here we compare locking, historical MT ruptures, and long-term structure. Along-strike changes in locking rate occur at wavelengths of ~100-500 km, and locally correlate with historical ruptures as well as with lower and/or upper plate features, but without a clear systematic pattern. The transition between the 1960 M9.5 and 2010 M8.8 earthquake segments at Arauco (38.5S) has 100 km overlap deduced from land-level changes. Coherent deformation suggest this boundary has been stationary over 4 Myr, and is associated to margin-parallel collision of a forearc microplate along a Paleozoic shear zone. Seismically-active reverse splay faults bound the Peninsula and may absorb coseismic MT slip and stall rupture propagation. To the north, rupture of the 2010 M8.8 event stopped before the prominent J.Fernandez Ridge and its boundary may be associated to the Pichilemu fault, a steep oblique structure that generated a M6.9 aftershock. The change from accretionary to erosive character across this Ridge, from variable thickness of trench sediments, is manifested in narrowing of the coupling zone northwards and a small local decrease in locking rate. This local decrease is coincident with the Maipo orocline axis and a sharp bend in the orogen, which formed at 10 Ma. A sharp decrease in locking rates appears at 32.5S, near the northern end of the 1906 M8.5 earthquake. The 1906 segment appears to be highly coupled in the pre-2010 GPS data. High locking characterizes the southern edge of the 1922 M8.5 event at the Choros Peninsulas, diffusing northward. The Mejillones Peninsula, a prominent discontinuity in the coastline that marks the transition between the 1995 M8 and 1877 M8.7 earthquakes, is associated to a regional lineament of Paleogene paleomagnetic rotation and major discontinuities in Andean structural style along the fore-, intra-, and foreland regions. Minor changes in trench sediment thickness along the erosive segment may be reflected in local variations in locking rate. Two regions with localized decrease in locking rate are spatially associated to the intersection of prominent oceanic ridges at 27.5 and 21.5S, but not to boundaries of historical earthquakes. In general terms, oceanic features seem to have minor influence on earthquake rupture, except for the southern limit of the 1960 event, but are reflected as discrete lows in locking rate. Seismotectonic segmentation along the Chile MT seems to be rather controlled by upper-plate discontinuities such as splay faults and lithological boundaries inherited from the Paleozoic pre-Andean tectonic history of the margin.

Fault creep rates of the Chaman fault (Afghanistan and Pakistan) inferred from InSAR

NASA Astrophysics Data System (ADS)

Barnhart, William D.

2017-01-01

The Chaman fault is the major strike-slip structural boundary between the India and Eurasia plates. Despite sinistral slip rates similar to the North America-Pacific plate boundary, no major (>M7) earthquakes have been documented along the Chaman fault, indicating that the fault either creeps aseismically or is at a late stage in its seismic cycle. Recent work with remotely sensed interferometric synthetic aperture radar (InSAR) time series documented a heterogeneous distribution of fault creep and interseismic coupling along the entire length of the Chaman fault, including an 125 km long creeping segment and an 95 km long locked segment within the region documented in this study. Here I present additional InSAR time series results from the Envisat and ALOS radar missions spanning the southern and central Chaman fault in an effort to constrain the locking depth, dip, and slip direction of the Chaman fault. I find that the fault deviates little from a vertical geometry and accommodates little to no fault-normal displacements. Peak-documented creep rates on the fault are 9-12 mm/yr, accounting for 25-33% of the total motion between India and Eurasia, and locking depths in creeping segments are commonly shallower than 500 m. The magnitude of the 1892 Chaman earthquake is well predicted by the total area of the 95 km long coupled segment. To a first order, the heterogeneous distribution of aseismic creep combined with consistently shallow locking depths suggests that the southern and central Chaman fault may only produce small to moderate earthquakes (

GPS measurement of relative motion of the Cocos and Caribbean Plates and strain accumulation across the Middle America Trench

NASA Astrophysics Data System (ADS)

Dixon, Timothy H.

1993-10-01

Global Positioning System (GPS) measurements in 1988 and 1991 on Cocos Island (Cocos plate), San Andres Island (Caribbean plate), and Liberia (Caribbean plate, mainland Costa Rica) provide an estimate of relative motion between the Cocos and Caribbean plates. The data for Cocos and San Andres Islands, both located more than 400 km from the Middle America Trench, define a velocity that is equivalent within two standard errors (7 mm/yr rate, 5 degrees azimuth) to the NUVEL-1 plate motion model. The data for Liberia, 120 km from the trench, define a velocity that is similar in azimuth but substantially different in rate from NUVEL-1. The discrepancy can be explained with a simple model of elastic strain accumulation with a subduction zone that is locked to a relatively shallow (20±5 km) depth.

Management of comminuted proximal ulna fracture-dislocations using a multiplanar locking intramedullary nail.

PubMed

Edwards, Scott G; Argintar, Evan; Lamb, Joshua

2011-06-01

Intramedullary nails have been used for the fixation of olecranon fractures in an attempt to reduce the soft tissue irritation and resulting need for hardware removal seen with plating and tension banding. Further benefits include preservation of vascular supply, and increase stability and improved compression over some alternative techniques. Most intramedullary nails have been limited to simple olecranon fractures or osteotomies. One novel multiplanar, locking intramedullary nail, however, is indicated to stabilize all fracture patterns of the proximal ulna, including the coronoid. This particular locking nail has screws that radiate in multiple planes and form a fixed-angle lattice throughout the bone. The nail also has fixed-angle screws dedicated to the 3 parts of the coronoid: process tip, medial facet, and medial wall. This allows the nail to secure multiple fragments regardless of the fracture pattern's extent of instability. The objective of this article is to illustrate the recommended steps in reducing and stabilizing a comminuted proximal ulna fracture-dislocation using this multiplanar locking intramedullary nail.

Use of a real-size 3D-printed model as a preoperative and intraoperative tool for minimally invasive plating of comminuted midshaft clavicle fractures.

PubMed

Kim, Hyong Nyun; Liu, Xiao Ning; Noh, Kyu Cheol

2015-06-10

Open reduction and plate fixation is the standard operative treatment for displaced midshaft clavicle fracture. However, sometimes it is difficult to achieve anatomic reduction by open reduction technique in cases with comminution. We describe a novel technique using a real-size three dimensionally (3D)-printed clavicle model as a preoperative and intraoperative tool for minimally invasive plating of displaced comminuted midshaft clavicle fractures. A computed tomography (CT) scan is taken of both clavicles in patients with a unilateral displaced comminuted midshaft clavicle fracture. Both clavicles are 3D printed into a real-size clavicle model. Using the mirror imaging technique, the uninjured side clavicle is 3D printed into the opposite side model to produce a suitable replica of the fractured side clavicle pre-injury. The 3D-printed fractured clavicle model allows the surgeon to observe and manipulate accurate anatomical replicas of the fractured bone to assist in fracture reduction prior to surgery. The 3D-printed uninjured clavicle model can be utilized as a template to select the anatomically precontoured locking plate which best fits the model. The plate can be inserted through a small incision and fixed with locking screws without exposing the fracture site. Seven comminuted clavicle fractures treated with this technique achieved good bone union. This technique can be used for a unilateral displaced comminuted midshaft clavicle fracture when it is difficult to achieve anatomic reduction by open reduction technique. Level of evidence V.

Segmentation of plate coupling, fate of subduction fluids, and modes of arc magmatism in Cascadia, inferred from magnetotelluric resistivity

USGS Publications Warehouse

Wannamaker, Philip E.; Evans, Rob L.; Bedrosian, Paul A.; Unsworth, Martyn J.; Maris, Virginie; McGary, R. Shane

2014-01-01

Five magnetotelluric (MT) profiles have been acquired across the Cascadia subduction system and transformed using 2-D and 3-D nonlinear inversion to yield electrical resistivity cross sections to depths of ∼200 km. Distinct changes in plate coupling, subduction fluid evolution, and modes of arc magmatism along the length of Cascadia are clearly expressed in the resistivity structure. Relatively high resistivities under the coasts of northern and southern Cascadia correlate with elevated degrees of inferred plate locking, and suggest fluid- and sediment-deficient conditions. In contrast, the north-central Oregon coastal structure is quite conductive from the plate interface to shallow depths offshore, correlating with poor plate locking and the possible presence of subducted sediments. Low-resistivity fluidized zones develop at slab depths of 35–40 km starting ∼100 km west of the arc on all profiles, and are interpreted to represent prograde metamorphic fluid release from the subducting slab. The fluids rise to forearc Moho levels, and sometimes shallower, as the arc is approached. The zones begin close to clusters of low-frequency earthquakes, suggesting fluid controls on the transition to steady sliding. Under the northern and southern Cascadia arc segments, low upper mantle resistivities are consistent with flux melting above the slab plus possible deep convective backarc upwelling toward the arc. In central Cascadia, extensional deformation is interpreted to segregate upper mantle melts leading to underplating and low resistivities at Moho to lower crustal levels below the arc and nearby backarc. The low- to high-temperature mantle wedge transition lies slightly trenchward of the arc.

All-digital phase-lock loops for noise-free signals

NASA Technical Reports Server (NTRS)

Anderson, T. O.

1973-01-01

Bit-synchronizers utilize all-digital phase-lock loops that are referenced to a high frequency digital clock. Phase-lock loop of first design acquires frequency within nominal range and tracks phase; second design is modified for random binary data by addition of simple transition detector; and third design acquires frequency over wide dynamic range.

Crustal Deformation and the Seismic Cycle across the Kodiak Islands, Alaska

NASA Technical Reports Server (NTRS)

Sauber, Jeanne; Carver, G.; Cohen, Steven C.; King, Robert

2004-01-01

The Kodiak Islands are located approximately 130 to 250 km from the Alaska-Aleutian Trench where the Pacific plate is underthrusting the North American plate at a rate of about 57 mm/yr. The southern extent of the 1964 Prince William Sound (${M-w}$ = 9.2) earthquake rupture occurred offshore and beneath the eastern portion of the Kodiak Islands. Here we report GPS results (1993-2001) from northern Kodiak Island that span the transition between the 1964 uplift region along the eastern coast and the region of coseismic subsidence further inland. The horizontal velocity vectors range from 22.9 $\\pm$ 2.2 mm/yr at N26.3$\\deg$W $\\pm$ 2.5$\\deg$, about 150 km from the trench, to 5.9 $\\pm$ 1.3 mm/yr at N65.9$\\deg$W $\\pm$ 6.6$\\deg$, about 190 km from the trench. Near the northeastern coast of Kodiak the velocity vector above the shallow, locked main thrust zone is between the orientation of PCFC-NOAM plate motion (N22$/deg$W) and the trench-normal (N3O$\\deg$W). Further west, our geodetic results suggest the accumulation of shear strain that will be released eventually as left-lateral motion on upper plate faults such as the Kodiak Island fault. These results are consistent with the hypothesis that the difference between the Pacific-North American plate motion and the orientation of the down going slab would lead to 4-8 mm/yr of left-lateral slip. Short-term geodetic uplift rates range from 2 - 14 mm/yr, with the maximum uplift located near the axis of maximum subsidence during the 1964 earthquake. We evaluated alternate interseismic models for Kodiak to test the importance of various mechanisms responsible for crustal deformation rates. These models are based on the plate interface slip history inferred from earlier modeling of coseismic and post-seismic geodetic results. The horizontal (trench perpendicular) and vertical deformation rates across Kodiak are consistent with a model that includes the viscoelastic response to : (1) a downgoing Pacific plate interface that is locked at shallow depths,(2) coseismic slip in the 1964 and (3) interseismic creep below the seismogenic zone. The change in orientation of the horizontal velocity vector occurs down-dip from the locked main thrust zone. In southern Kodiak, the coseismic slip in the 1964 earthquake was smaller than in the northern Kodiak region; yet, the horizontal, interseismic velocities as a function of distance from the trench are comparable to those in northern Kodiak. Based on the earthquake history prior to, and following the 1964 earthquake, we hypothesize that the plate interface in southern Kodiak slips in more frequent large earthquakes than in northern Kodiak.

Stable mirror mount

DOEpatents

Cutburth, R.W.

1983-11-04

An improved mirror mount assembly is disclosed. The mirror mount assembly provides a post assembly slidable in a Y-axis orientation and a nut plate assembly slidable in an X-axis orientation and means for simultaneously locking said post assembly and said key assembly in a fixed position.

77 FR 2699 - Foreign-Trade Zone 267-Fargo, ND; Application for Temporary/Interim Manufacturing Authority, CNH...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-19

... and locks (HTSUS 8301.20); metal sign plates (HTSUS 8310.00); fans (HTSUS 8414.59); valves (HTSUS 8413... to choose the duty rates during customs entry procedures that apply to the finished subassemblies and...

Finite element analysis of intramedullary nailing and double locking plate for treating extra-articular proximal tibial fractures.

PubMed

Chen, Fancheng; Huang, Xiaowei; Ya, Yingsun; Ma, Fenfen; Qian, Zhi; Shi, Jifei; Guo, Shuolei; Yu, Baoqing

2018-01-16

Proximal tibia fractures are one of the most familiar fractures. Surgical approaches are usually needed for anatomical reduction. However, no single treatment method has been widely established as the standard care. Our present study aims to compare the stress and stability of intramedullary nails (IMN) fixation and double locking plate (DLP) fixation in the treatment of extra-articular proximal tibial fractures. A three-dimensional (3D) finite element model of the extra-articular proximal tibial fracture, whose 2-cm bone gap began 7 cm from the tibial plateau articular surface, was created fixed by different fixation implants. The axial compressive load on an adult knee during single-limb stance was imitated by an axial force of 2500 N with a distribution of 60% to the medial compartment, while the distal end was fixed effectively. The equivalent von Mises stress and displacement of the model was used as the output measures for analysis. The maximal equivalent von Mises stress value of the system in the IMN model was 293.23 MPa, which was higher comparing against that in the DLP fixation model (147.04 MPa). And the mean stress of the model in the IMN model (9.25 MPa) was higher than that of the DLP fixation system in terms of equivalent von Mises stress (EVMS) (P < 0.0001). The maximal value of displacement (sum) in the IMN system was 8.82 mm, which was lower than that in the DLP fixation system (9.48 mm). This study demonstrated that the stability provided by the locking plate fixation system was superior to the intramedullary nails fixation system and served as an alternative fixation for the extra-articular proximal tibial fractures of young patients.

Short-term Results of Robinson Type 2B2 Clavicular Fractures Treated Conservatively or Surgically.

PubMed

Malkoc, Melih; Korkmaz, Ozgur; Bayram, Erhan; Ormeci, Tugrul; Isyar, Mehmet; Yilmaz, Murat; Seker, Ali

2016-01-01

The most frequently treated injuries, representing approximately 82% of all clavicular fractures, involve the midshaft clavicle. Historically, most acute displaced midshaft clavicular fractures were treated nonsurgically. However, the outcomes of nonsurgical treatment have recently been thought to be not as good as expected in the past, and the trend is to treat these fractures surgically. The goal of this study was to evaluate the short-term clinical outcomes of Robinson type 2B2 clavicular fractures treated conservatively vs with locked plate fixation. Among 59 patients included in the study, 30 patients (mean age, 45±13.7 years; range, 30-62 years) treated conservatively were designated as group A, and 29 patients (mean age, 38.8±11.1 years; range, 20-60 years) treated with locked plate fixation were designated as group B. All patients were evaluated using Oxford and Constant scoring systems at final follow-up. Mean follow-up was 18 months (range, 12-24 months). In group A, mean Constant score was 70.5±15.1 (range, 98-43) and mean Oxford score was 46.6±1.3 (range, 49-44) at final follow-up. In group B, mean Constant score was 89.2±8 (range, 100-77) and mean Oxford score was 46.5±1.2 (range, 48-44) at final follow-up. Callus was detected radiographically in both groups at 6-week follow-up. Patients in groups A and B started active range-of-motion exercises at weeks 6 and 3 after treatment, respectively. Locked plate fixation of Robinson type 2B2 clavicular fractures can be the first treatment option because of good clinical results, low complication rates, and good cosmesis. Copyright 2016, SLACK Incorporated.

Mid-term functional outcome after the internal fixation of distal radius fractures

PubMed Central

2012-01-01

Background Distal radius fracture is a common injury with a variety of operative and non-operative management options. There remains debate as to the optimal treatment for a given patient and fracture. Despite the popularity of volar locking plate fixation, there are few large cohort or long term follow up studies to justify this modality. Our aim was to report the functional outcome of a large number of patients at a significant follow up time after fixation of their distal radius with a volar locking plate. Methods 180 patients with 183 fractures and a mean age of 62.4 years were followed up retrospectively at a mean of 30 months (Standard deviation = 10.4). Functional assessment was performed using the Disabilities of the Arm, Shoulder and Hand (DASH) and modified MAYO wrist scores. Statistical analysis was performed to identify possible variables affecting outcome and radiographs were assessed to determine time to fracture union. Results The median DASH score was 2.3 and median MAYO score was 90 for the whole group. Overall, 133 patients (74%) had a good or excellent DASH and MAYO score. Statistical analysis showed that no specific variable including gender, age, fracture type, post-operative immobilisation or surgeon grade significantly affected outcome. Complications occurred in 27 patients (15%) and in 11 patients were major (6%). Conclusion This single centre large population series demonstrates good to excellent results in the majority of patients after volar locking plate fixation of the distal radius, with complication rates comparable to other non-operative and operative treatment modalities. On this basis we recommend this mode of fixation for distal radius fractures requiting operative intervention. PMID:22280557

Mid-term functional outcome after the internal fixation of distal radius fractures.

PubMed

Phadnis, Joideep; Trompeter, Alex; Gallagher, Kieran; Bradshaw, Lucy; Elliott, David S; Newman, Kevin J

2012-01-26

Distal radius fracture is a common injury with a variety of operative and non-operative management options. There remains debate as to the optimal treatment for a given patient and fracture. Despite the popularity of volar locking plate fixation, there are few large cohort or long term follow up studies to justify this modality. Our aim was to report the functional outcome of a large number of patients at a significant follow up time after fixation of their distal radius with a volar locking plate. 180 patients with 183 fractures and a mean age of 62.4 years were followed up retrospectively at a mean of 30 months (Standard deviation=10.4). Functional assessment was performed using the Disabilities of the Arm, Shoulder and Hand (DASH) and modified MAYO wrist scores. Statistical analysis was performed to identify possible variables affecting outcome and radiographs were assessed to determine time to fracture union. The median DASH score was 2.3 and median MAYO score was 90 for the whole group. Overall, 133 patients (74%) had a good or excellent DASH and MAYO score. Statistical analysis showed that no specific variable including gender, age, fracture type, post-operative immobilisation or surgeon grade significantly affected outcome. Complications occurred in 27 patients (15%) and in 11 patients were major (6%). This single centre large population series demonstrates good to excellent results in the majority of patients after volar locking plate fixation of the distal radius, with complication rates comparable to other non-operative and operative treatment modalities. On this basis we recommend this mode of fixation for distal radius fractures requiting operative intervention.

Immediate Weightbearing After First Metatarsophalangeal Joint Arthrodesis With Screw and Locking Plate Fixation: A Short-Term Review.

PubMed

Abben, Kyle W; Sorensen, Matthew D; Waverly, Brett J

2018-05-08

Historically, the postoperative protocol for patients undergoing first metatarsophalangeal joint arthrodesis has included 6 weeks of non-weightbearing, followed by protected weightbearing in a below-the-knee cast boot or postoperative shoe. This prolonged period of non-weightbearing predisposes the patient to disuse atrophy, osteopenia, deep vein thrombosis risk, and, overall, a prolonged time to recovery. The present study reports a retrospective review of a patient cohort that underwent first metatarsophalangeal joint fusion with immediate full weightbearing postoperatively. Thirty consecutive first metatarsophalangeal joint arthrodeses were performed during the study period. Five patients were excluded secondary to insufficient postoperative follow-up data or a lack of adequate radiographic evaluation at regular postoperative intervals. Conical reamers were used for joint preparation. Internal fixation, consisting of a single cannulated interfragmentary compression screw and a dorsal locking plate, was used in all patients. The results showed that patients achieved clinical healing at an average of 5.92 weeks and showed radiographic fusion at an average of 6.83 weeks. The patients in the present study had an overall union rate of 96%. Complications included 1 nonunion, 1 superficial wound infection, 1 wound dehiscence, 1 case of symptomatic hardware, and 2 patients with symptomatic hallux interphalangeal joint arthralgia. The mean visual analog pain score preoperatively was 6.64 (range 4 to 8) and postoperatively was 0.6 (range 0 to 4). In conclusion, we found that immediate full weightbearing after first metatarsophalangeal joint fusion in the context of interfragmentary compression and locked plating techniques is a safe, predictable postoperative protocol that allows for a successful fusion interval and an early return to regular activity. Copyright © 2018 The American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Using the Vertical Component of the Surface Velocity Field to Map the Locked Zone at Cascadia Subduction Zone

NASA Astrophysics Data System (ADS)

Moulas, E.; Brandon, M. T.; Podladchikov, Y.; Bennett, R. A.

2014-12-01

At present, our understanding of the locked zone at Cascadia subduction zone is based on thermal modeling and elastic modeling of horizontal GPS velocities. The thermal model by Hyndman and Wang (1995) provided a first-order assessment of where the subduction thrust might be cold enough for stick-slip behavior. The alternative approach by McCaffrey et al. (2007) is to use a Green's function that relates horizontal surface velocities, as recorded by GPS, to interseismic elastic deformation. The thermal modeling approach is limited by a lack of information about the amount of frictional heating occurring on the thrust (Molnar and England, 1990). The GPS approach is limited in that the horizontal velocity component is fairly insensitive to the structure of the locked zone. The vertical velocity component is much more useful for this purpose. We are fortunate in that vertical velocities can now be measured by GPS to a precision of about 0.2 mm/a. The dislocation model predicts that vertical velocities should range up to about 20 percent of the subduction velocity, which means maximum values of ~7 mm/a. The locked zone is generally entirely offshore at Cascadia, except for the Olympic Peninsula region, where the underlying Juan De Fuca plate has an anomalously low dip. Previous thermal and GPS modeling, as well as tide gauge data and episodic tremors indicate the locked zone there extends about 50 to 75 km onland. This situation provides an opportunity to directly study the locked zone. With that objective in mind, we have constructed a full 3D geodynamic model of the Cascadia subduction zone. At present, the model provides a full representation of the interseismic elastic deformation due to variations of slip on the subduction thrust. The model has been benchmarked against the Savage (2D) and Okada (3D) analytical solutions. This model has an important advantage over traditional dislocation modeling in that we include temperature-sensitive viscosity for the upper and lower plates, and also use realistic constitutive models to represent the locked zone. Another important advantage is that the 3D model provides a full representation of the interseismic deformation, which is important for interpreting GPS data.

New constraints on slip rates and locking depths of the San Andreas Fault System from Sentinel-1A InSAR and GAGE GPS observations

NASA Astrophysics Data System (ADS)

Ward, L. A.; Smith-Konter, B. R.; Higa, J. T.; Xu, X.; Tong, X.; Sandwell, D. T.

2017-12-01

After over a decade of operation, the EarthScope (GAGE) Facility has now accumulated a wealth of GPS and InSAR data, that when successfully integrated, make it possible to image the entire San Andreas Fault System (SAFS) with unprecedented spatial coverage and resolution. Resulting surface velocity and deformation time series products provide critical boundary conditions needed for improving our understanding of how faults are loaded across a broad range of temporal and spatial scales. Moreover, our understanding of how earthquake cycle deformation is influenced by fault zone strength and crust/mantle rheology is still developing. To further study these processes, we construct a new 4D earthquake cycle model of the SAFS representing the time-dependent 3D velocity field associated with interseismic strain accumulation, co-seismic slip, and postseismic viscoelastic relaxation. This high-resolution California statewide model, spanning the Cerro Prieto fault to the south to the Maacama fault to the north, is constructed on a 500 m spaced grid and comprises variable slip and locking depths along 42 major fault segments. Secular deep slip is prescribed from the base of the locked zone to the base of the elastic plate while episodic shallow slip is prescribed from the historical earthquake record and geologic recurrence intervals. Locking depths and slip rates for all 42 fault segments are constrained by the newest GAGE Facility geodetic observations; 3169 horizontal GPS velocity measurements, combined with over 53,000 line-of-sight (LOS) InSAR velocity observations from Sentinel-1A, are used in a weighted least-squares inversion. To assess slip rate and locking depth sensitivity of a heterogeneous rheology model, we also implement variations in crustal rigidity throughout the plate boundary, assuming a coarse representation of shear modulus variability ranging from 20-40 GPa throughout the (low rigidity) Salton Trough and Basin and Range and the (high rigidity) Central Valley and ocean lithosphere.

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

PubMed Central

Schulz-Drost, Stefan; Oppel, Pascal; Grupp, Sina; Schmitt, Sonja; Carbon, Roman Th.; Mauerer, Andreas; Hennig, Friedrich F.; Buder, Thomas

2015-01-01

Different ways to stabilize a sternal fracture are described in literature. Respecting different mechanisms of trauma such as the direct impact to the anterior chest wall or the flexion-compression injury of the trunk, there is a need to retain each sternal fragment in the correct position while neutralizing shearing forces to the sternum. Anterior sternal plating provides the best stability and is therefore increasingly used in most cases. However, many surgeons are reluctant to perform sternal osteosynthesis due to possible complications such as difficulties in preoperative planning, severe injuries to mediastinal organs, or failure of the performed method. This manuscript describes one possible safe way to stabilize different types of sternal fractures in a step by step guidance for anterior sternal plating using low profile locking titanium plates. Before surgical treatment, a detailed survey of the patient and a three dimensional reconstructed computed tomography is taken out to get detailed information of the fracture’s morphology. The surgical approach is usually a midline incision. Its position can be described by measuring the distance from upper sternal edge to the fracture and its length can be approximated by the summation of 60 mm for the basis incision, the thickness of presternal soft tissue and the greatest distance between the fragments in case of multiple fractures. Performing subperiosteal dissection along the sternum while reducing the fracture, using depth limited drilling, and fixing the plates prevents injuries to mediastinal organs and vessels. Transverse fractures and oblique fractures at the corpus sterni are plated longitudinally, whereas oblique fractures of manubrium, sternocostal separation and any longitudinally fracture needs to be stabilized by a transverse plate from rib to sternum to rib. Usually the high convenience of a patient is seen during follow up as well as a precise reconstruction of the sternal morphology. PMID:25590989

Controlling heat transport and flow structures in thermal turbulence using ratchet surfaces

NASA Astrophysics Data System (ADS)

Sun, Chao; Jiang, Hechuan; Zhu, Xiaojue; Mathai, Varghese; Verzicco, Roberto; Lohse, Detlef

2017-11-01

In this combined experimental and numerical study on thermally driven turbulence in a rectangular cell, the global heat transport and the coherent flow structures are controlled with an asymmetric ratchet-like roughness on the top and bottom plates. We show that, by means of symmetry breaking due to the presence of the ratchet structures on the conducting plates, the orientation of the Large Scale Circulation Roll (LSCR) can be locked to a preferred direction even when the cell is perfectly leveled out. By introducing a small tilt to the system, we show that the LSCR orientation can be tuned and controlled. The two different orientations of LSCR give two quite different heat transport efficiencies, indicating that heat transport is sensitive to the LSCR direction over the asymmetric roughness structure. Through analysis of the dynamics of thermal plume emissions and the orientation of the LSCR over the asymmetric structure, we provide a physical explanation for these findings. This work is financially supported by the Natural Science Foundation of China under Grant No. 11672156, the Dutch Foundation for Fundamental Research on Matter (FOM), the Dutch Technology Foundation (STW) and a VIDI Grant.

Stable mirror mount

DOEpatents

Cutburth, Ronald W.

1990-01-01

An improved mirror mount assembly is disclosed. The mirror mount assembly provides a post assembly slidable in a Y-axis orientation and a nut plate assembly slidable in an X-axis orientation and a device for simultaneously locking the post assembly and the key assembly in a fixed position.

Diode-pumped continuous-wave and femtosecond Cr:LiCAF lasers with high average power in the near infrared, visible and near ultraviolet.

PubMed

Demirbas, Umit; Baali, Ilyes; Acar, Durmus Alp Emre; Leitenstorfer, Alfred

2015-04-06

We demonstrate continuous-wave (cw), cw frequency-doubled, cw mode-locked and Q-switched mode-locked operation of multimode diode-pumped Cr:LiCAF lasers with record average powers. Up to 2.54 W of cw output is obtained around 805 nm at an absorbed pump power of 5.5 W. Using intracavity frequency doubling with a BBO crystal, 0.9 W are generated around 402 nm, corresponding to an optical-to-optical conversion efficiency of 12%. With an intracavity birefringent tuning plate, the fundamental and frequency-doubled laser output is tuned continuously in a broad wavelength range from 745 nm to 885 nm and from 375 to 440 nm, respectively. A saturable Bragg reflector is used to initiate and sustain mode locking. In the cw mode-locked regime, the Cr:LiCAF laser produces 105-fs long pulses near 810 nm with an average power of 0.75 W. The repetition rate is 96.4 MHz, resulting in pulse energies of 7.7 nJ and peak powers of 65 kW. In Q-switched mode-locked operation, pulses with energies above 150 nJ are generated.

Trade-off between linewidth and slip rate in a mode-locked laser model.

PubMed

Moore, Richard O

2014-05-15

We demonstrate a trade-off between linewidth and loss-of-lock rate in a mode-locked laser employing active feedback to control the carrier-envelope offset phase difference. In frequency metrology applications, the linewidth translates directly to uncertainty in the measured frequency, whereas the impact of lock loss and recovery on the measured frequency is less well understood. We reduce the dynamics to stochastic differential equations, specifically diffusion processes, and compare the linearized linewidth to the rate of lock loss determined by the mean time to exit, as calculated from large deviation theory.

[Augmentation technique on the proximal humerus].

PubMed

Scola, A; Gebhard, F; Röderer, G

2015-09-01

The treatment of osteoporotic fractures is still a challenge. The advantages of augmentation with respect to primary in vitro stability and the clinical use for the proximal humerus are presented in this article. In this study six paired human humeri were randomized into an augmented and a non-augmented group. Osteosynthesis was performed with a PHILOS plate (Synthes®). In the augmented group the two screws finding purchase in the weakest cancellous bone were augmented. The specimens were tested in a 3-part fracture model in a varus bending test. The augmented PHILOS plates withstood significantly more load cycles until failure. The correlation to bone mineral density (BMD) showed that augmentation could partially compensate for low BMD. The augmentation of the screws in locked plating in a proximal humerus fracture model is effective in improving the primary stability in a cyclic varus bending test. The targeted augmentation of two particular screws in a region of low bone quality within the humeral head was almost as effective as four screws with twice the amount of bone cement. Screw augmentation combined with a knowledge of the local bone quality could be more effective in enhancing the primary stability of a proximal humerus locking plate because the effect of augmentation can be exploited more effectively limiting it to the degree required. The technique of augmentation is simple and can be applied in open and minimally invasive procedures. When the correct procedure is used, complications (cement leakage into the joint) can be avoided.

Minimally invasive locked plating of distal tibia fractures is safe and effective.

PubMed

Ronga, Mario; Longo, Umile Giuseppe; Maffulli, Nicola

2010-04-01

Distal tibial fractures are difficult to manage. Limited soft tissue and poor vascularity impose limitations for traditional plating techniques that require large exposures. The nature of the limitations for traditional plating techniques is intrinsic to the large exposure required to approach distal tibia, a bone characterized by limited soft tissue coverage and poor vascularity. The locking plate (LP) is a new device for treatment of fractures. We assessed the bone union rate, deformity, leg-length discrepancy, ankle range of motion, return to preinjury activities, infection, and complication rate in 21 selected patients who underwent minimally invasive osteosynthesis of closed distal tibia fractures with an LP. According to the AO classification, there were 12 Type A, 5 Type B, and 4 Type C fractures. The minimum followup was 2 years (average, 2.8 years; range, 2-4 years). Two patients were lost to followup. Union was achieved in all but one patient by the 24th postoperative week. Four patients had angular deformity less than 7 degrees . No patient had a leg-length discrepancy more than 1.1 cm. Five patients had ankle range of motion less than 20 degrees compared with the contralateral side. Sixteen patients had not returned to their preinjury sporting or leisure activities. Three patients developed a delayed infection. We judge the LP a reasonable device for treating distal tibia fractures. The level of physical activities appears permanently reduced in most patients. Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Finite element analysis of locking plate and two types of intramedullary nails for treating mid-shaft clavicle fractures.

PubMed

Ni, Ming; Niu, Wenxin; Wong, Duo Wai-Chi; Zeng, Wei; Mei, Jiong; Zhang, Ming

2016-08-01

Both plate and intramedullary nail fixations, including straight and anatomic nails, have been clinically adopted for the treatment of displaced mid-shaft clavicle fractures. However, the biomechanical performances of these fixations and implants have not been well evaluated. This study aims to compare the construct stability, stress distribution and fracture micro-motion of three fixations based on finite element (FE) method. The FE model of clavicle was reconstructed from CT images of a male volunteer. A mid-shaft fracture gap was created in the intact clavicle. Three fixation styles were simulated including locking plate (LP), anatomic intramedullary nail (CRx), and straight intramedullary nail (RCP). Two loading scenarios (axial compression and inferior bending) were applied at the distal end of the clavicle to simulate arm abduction, while the sternal end was fixed. Under both conditions, the LP was the stiffest, followed by the CRx, and the RCP was the weakest. LP also displayed a more evenly stress distribution for both implant and bone. RCP had a higher stress compared with CRx in both conditions. Moreover, all implants sustained higher stress level under the loading condition of bending than compression. The plate fixation significantly stabilizes the fracture gap, reduces the implant stress, and serves as the recommended fixation for the mid-shaft clavicle fracture. The CRx is an alternative device to treat clavicle shaft fracture, but the shoulder excessive activities should be avoided after operation. Copyright © 2016 Elsevier Ltd. All rights reserved.

A simple method to ensure proper screw position and plate size selection using the Morscher cervical spine locking plate. Technical note.

PubMed

Ball, P A; Benzel, E C; Baldwin, N G

1994-04-01

The use of bone plate instrumentation with screw fixation has proved to be a useful adjunctive measure in anterior cervical spine fusion surgery. Proper fitting, positioning, and attachment of this instrumentation have been shown to be frequently suboptimal if done without radiographic guidance. The most commonly used method of radiographic assistance for placement of this instrumentation is fluoroscopy. While this gives satisfactory technical results, it is expensive and time-consuming, and exposes the patient and the operating room personnel to ionizing radiation. The authors present a simple technique to ensure screw placement and plate fitting using Kirschner wires and a single lateral radiograph. This technique saves time, reduces exposure to radiation, and has led to satisfactory results in over 20 operative cases.

Block modeling of crustal deformation in Tierra del Fuego from GNSS velocities

NASA Astrophysics Data System (ADS)

Mendoza, L.; Richter, A.; Fritsche, M.; Hormaechea, J. L.; Perdomo, R.; Dietrich, R.

2015-05-01

The Tierra del Fuego (TDF) main island is divided by a major transform boundary between the South America and Scotia tectonic plates. Using a block model, we infer slip rates, locking depths and inclinations of active faults in TDF from inversion of site velocities derived from Global Navigation Satellite System observations. We use interseismic velocities from 48 sites, obtained from field measurements spanning 20 years. Euler vectors consistent with a simple seismic cycle are estimated for each block. In addition, we introduce far-field information into the modeling by applying constraints on Euler vectors of major tectonic plates. The difference between model and observed surface deformation near the Magallanes Fagnano Fault System (MFS) is reduced by considering finite dip in the forward model. For this tectonic boundary global plate circuits models predict relative movements between 7 and 9 mm yr- 1, while our regional model indicates that a strike-slip rate of 5.9 ± 0.2 mm yr- 1 is accommodated across the MFS. Our results indicate faults dipping 66- 4+ 6° southward, locked to a depth of 11- 5+ 5 km, which are consistent with geological models for the MFS. However, normal slip also dominates the fault perpendicular motion throughout the eastern MFS, with a maximum rate along the Fagnano Lake.

Intramedullary fixation of forearm fractures with new locked nail.

PubMed

Bansal, Himanshu

2011-09-01

Lack of availability of interlocked nails made plate osteosynthesis the first choice of treatment of forearm fractures inspite of more surgical exposure, periosteal stripping and big skin incision subsequent scar along with higher risk of refracture on implant removal. We hereby report the first 12 cases with 19 forearm bone fractures internally fixed by indegenous interlocked nail. Existing square nails were modified to have a broad proximal end of 5.5 mm with a hole for locking screw of 2.5 mm. The nail has a distal hole of 1/1.2/1.5 mm in 2.5/3/3.5 mm diameter nail, respectively. A new method of distal locking with a clip made of k wire is designed. The clip after insertion into the bone and hole in nail and opposite cortex snuggly fits the bone providing a secure locking system. Twelve skeletally mature patients, mean age 32 years (range 24-45 years) with 19 diaphyseal fractures of the forearm were treated with this indigenously made new nail. The patient were evaluated for fracture union, functional recovery and complications. The functional outcome was assessed by disabilities of arm, shoulder and hand questionnaire (DASH score). Time to radiographic union ranged between 12 and 28 weeks, with a 100% union rate. Complications were minimal, with mild infection in open fracture (n=1) and delayed union (n=1) in patient with comminuted fracture of the ulna only. The clinical results were excellent. The DASH score ranged between 0 and 36 points. This new interlocking nail may be considered as an alternative to plate osteosynthesis for fractures of the forearm in adults. The advantages are benefit of closed reduction, smaller residual scar, reduced cost and early union with allowance of immediate movements.

Reflection signature of seismic and aseismic slip on the northern Cascadia subduction interface.

PubMed

Nedimović, Mladen R; Hyndman, Roy D; Ramachandran, Kumar; Spence, George D

2003-07-24

At the northern Cascadia margin, the Juan de Fuca plate is underthrusting North America at about 45 mm x yr(-1) (ref. 1), resulting in the potential for destructive great earthquakes. The downdip extent of coupling between the two plates is difficult to determine because the most recent such earthquake (thought to have been in 1700) occurred before instrumental recording. Thermal and deformation studies indicate that, off southern Vancouver Island, the interplate interface is presently fully locked for a distance of approximately 60 km downdip from the deformation front. Great thrust earthquakes on this section of the interface (with magnitudes of up to 9) have been estimated to occur at an average interval of about 590 yr (ref. 3). Further downdip there is a transition from fully locked behaviour to aseismic sliding (where high temperatures allow ductile deformation), with the deep aseismic zone exhibiting slow-slip thrust events. Here we show that there is a change in the reflection character on seismic images from a thin sharp reflection where the subduction thrust is inferred to be locked, to a broad reflection band at greater depth where aseismic slip is thought to be occurring. This change in reflection character may provide a new technique to map the landward extent of rupture in great earthquakes and improve the characterization of seismic hazards in subduction zones.

Comparison of the pre-shaped anatomical locking plate of 3.5 mm versus 4.5 mm for the treatment of tibial plateau fractures.

PubMed

Ehlinger, Matthieu; Adamczewski, Benjamin; Rahmé, Michel; Adam, Philippe; Bonnomet, Francois

2015-12-01

Treatment of tibial plateau fractures is discussed. A retrospective comparative study of fractures treated with an anatomical locking plate of 4.5 mm or 3.5 mm. Our hypothesis is that the 3.5 mm plates give an equivalent hold of fractures with comparable results and better clinical tolerance. From May 2010 to October 2011, 18 patients were operated on using a 4.5-mm LCP™ anatomical plate (group A) and 20 patients received a3.5-mm LCP™ anatomical plate (group B). Groups were comparable. One fracture was open. For the Group A, 14 patients had a follow up of 35.3 months and for the Group B, 16 patients had a follow up of 27 months. Mobility was comparable in both groups. The Hospital for Special Surgery (HSS) score was 86.4 versus 80.6, the Lysholm score was 83.6 versus 77 for groups A and B respectively. Consolidation was 3.25 months versus 3.35 months and mean axis was 183.1° versus 181.6° for groups A and B. Mechanical axes during revision were statistically different to the controlateral axes. One secondary displacement was noted in group A and one secondary displacement in group B. Group A had eight patients reporting discomfort with the material versus three in group B (p < 0.05). The hypothesis is proven. In regards to the results, there is no significant difference between the two groups but the clinical tolerance was better in group B. More time is needed in the long term to better evaluate these severe fractures.

A dynamic system with digital lock-in-photon-counting for pharmacokinetic diffuse fluorescence tomography

NASA Astrophysics Data System (ADS)

Yin, Guoyan; Zhang, Limin; Zhang, Yanqi; Liu, Han; Du, Wenwen; Ma, Wenjuan; Zhao, Huijuan; Gao, Feng

2018-02-01

Pharmacokinetic diffuse fluorescence tomography (DFT) can describe the metabolic processes of fluorescent agents in biomedical tissue and provide helpful information for tumor differentiation. In this paper, a dynamic DFT system was developed by employing digital lock-in-photon-counting with square wave modulation, which predominates in ultra-high sensitivity and measurement parallelism. In this system, 16 frequency-encoded laser diodes (LDs) driven by self-designed light source system were distributed evenly in the imaging plane and irradiated simultaneously. Meanwhile, 16 detection fibers collected emission light in parallel by the digital lock-in-photon-counting module. The fundamental performances of the proposed system were assessed with phantom experiments in terms of stability, linearity, anti-crosstalk as well as images reconstruction. The results validated the availability of the proposed dynamic DFT system.

Note: "Lock-in accelerometry" to follow sink dynamics in shaken granular matter.

PubMed

Sánchez-Colina, G; Alonso-Llanes, L; Martínez, E; Batista-Leyva, A J; Clement, C; Fliedner, C; Toussaint, R; Altshuler, E

2014-12-01

Understanding the penetration dynamics of intruders in granular beds is relevant not only for fundamental physics, but also for geophysical processes and construction on sediments or granular soils in areas potentially affected by earthquakes. While the penetration of intruders in two dimensional (2D) laboratory granular beds can be followed using video recording, this is useless in three dimensional (3D) beds of non-transparent materials such as common sand. Here, we propose a method to quantify the sink dynamics of an intruder into laterally shaken granular beds based on the temporal correlations between the signals from a reference accelerometer fixed to the shaken granular bed, and a probe accelerometer deployed inside the intruder. Due to its analogy with the working principle of a lock-in amplifier, we call this technique lock-in accelerometry.

[The Extended Deltoid-Split Approach for Plating Four-Part Proximal Humeral Fractures].

PubMed

Schiffer, G; Sayar, A; Thelen, U

2016-08-01

The deltoideopectoral approach is established as the gold standard in the surgical treatment of proximal humeral fractures. As an alternative, we demonstrate the extended deltoid approach with an intraoperative video. A direct lateral incision is performed and the anterior parts of the axillary nerve are identified and preserved. In our experience, this approach allows improved visualisation of the greater tuberosity and easier positioning of locking plates. Clinically relevant neurological injuries cannot be seen in our patients or in the literature. Georg Thieme Verlag KG Stuttgart · New York.

Nonlinear Wave Propagation

DTIC Science & Technology

2009-02-12

describes the mode- locking and dynamics of solitons . A characteristic of short pulse lasers is the carrier-envelope phase (CEP) slip which is the change in...and evolution of pulses in mode- locked lasers that are operating in the soliton regime. To describe our research in more detail, we fix typical...solutions with mode- locking evolution. Otherwise the solitons are found to be unstable; either dispersing to radiation or evolving into nonlocalized

Using river locks to teach hydrodynamic concepts

NASA Astrophysics Data System (ADS)

Carvalho-Santos, Vagson L.; Mendes, Thales C.; Silva, Enisvaldo C.; Rios, Márcio L.; Silva, Anderson A. P.

2013-11-01

In this work, the use of a river lock as a non-formal setting for teaching hydrodynamical concepts is proposed. In particular, we describe the operation of a river lock situated at the Sobradinho dam, on the São Francisco River (Brazil). A model to represent and to analyse the dynamics of river lock operation is presented and we derive the dynamical equations for the rising of the water column as an example to understand the Euler equation. Furthermore, with this activity, we enable the integration of content initially introduced in the classroom with practical applications, thereby allowing the association of physical themes to content relevant in disciplines such as history and geography. In addition, experiences of this kind enable teachers to talk about the environmental and social impacts caused by the construction of a dam and, consequently, a crossover of concepts has been made possible, leading to more meaningful learning for the students.

Nonlinear pulse shaping and polarization dynamics in mode-locked fiber lasers

NASA Astrophysics Data System (ADS)

Boscolo, Sonia; Sergeyev, Sergey V.; Mou, Chengbo; Tsatourian, Veronika; Turitsyn, Sergei; Finot, Christophe; Mikhailov, Vitaly; Rabin, Bryan; Westbrook, Paul S.

2014-03-01

We review our recent progress on the study of new nonlinear mechanisms of pulse shaping in passively mode-locked fiber lasers. These include a mode-locking regime featuring pulses with a triangular distribution of the intensity, and spectral compression arising from nonlinear pulse propagation. We also report on our recent experimental studies unveiling new types of vector solitons with processing states of polarization for multi-pulse and tightly bound-state soliton (soliton molecule) operations in a carbon nanotube (CNT) mode-locked fiber laser with anomalous dispersion cavity.

Improving the Magnetic Damping of an AS-1 Seismometer

NASA Astrophysics Data System (ADS)

Marton, F.; Echreshzadeh, M.; Tokman, T. L.; Palaric, K. D.; Filippone, N. V.; Balzarette, M.; Sivo, J.

2016-12-01

Last year, students working on the SeismoSTEM project at Bergen Community College in New Jersey successfully manufactured and assembled an AS-1 seismometer1. For 2016, our objective has been to improve the magnetic damping mechanism invented by Chris Chapman2. As the mass on the boom is displaced by seismic waves, the spring will cause the mass to oscillate, therefore, damping is required. To achieve this, a paddle-shaped piece of copper, along with steel plates holding strong neodymium magnets are used. A localized eddy current is then induced, which then creates an opposing magnetic field. The challenges we faced for the summer internship was the fact that there was either too much or too little damping to distinguish the waves of an earthquake. However, we resolved the issue by designing our own prototype for moving the steel plates away and toward the copper paddle, to achieve critical damping. This was successfully completed by attaching two L-shaped pieces of aluminum, along with a cylindrical piece, to form a yoke. We then drilled a hole through the cylindrical piece and a plastic block for a bolt to slide through. Finally, the head of the bolt would then be used as a knob to shift the two plates away from and toward the paddle simultaneously. Although this was our solution for moving the plates horizontally, we also needed to find a way to lock the plates in place once we found the correct amount of damping. We accomplished this task by drilling two slotted holes on two symmetrical sheets of aluminum, which will allow us to slide the plates, and finally, lock them into place to avoid wobbling. References: 1Tokman, T.L. et al., What's shaking? Manufacturing & assembling an AS-1 educational seismometer for undergraduate stem research, Geological Society of America Abstracts with Programs. Vol. 47, No. 7, p.524, 2015. 2http://www.jclahr.com/science/psn/chapman/as1%20damping/

Simulating the frontal instability of lock-exchange density currents with dissipative particle dynamics

NASA Astrophysics Data System (ADS)

Li, Yanggui; Geng, Xingguo; Wang, Heping; Zhuang, Xin; Ouyang, Jie

2016-06-01

The frontal instability of lock-exchange density currents is numerically investigated using dissipative particle dynamics (DPD) at the mesoscopic particle level. For modeling two-phase flow, the “color” repulsion model is adopted to describe binary fluids according to Rothman-Keller method. The present DPD simulation can reproduce the flow phenomena of lock-exchange density currents, including the lobe-and-cleft instability that appears at the head, as well as the formation of coherent billow structures at the interface behind the head due to the growth of Kelvin-Helmholtz instability. Furthermore, through the DPD simulation, some small-scale characteristics can be observed, which are difficult to be captured in macroscopic simulation and experiment.

Chile's seismogenic coupling zones - geophysical and neotectonic observations from the South American subduction zone prior to the Maule 2010 earthquake

NASA Astrophysics Data System (ADS)

Oncken With Tipteq, Onno; Ipoc Research Groups

2010-05-01

Accumulation of deformation at convergent plate margins is recently identified to be highly discontinuous and transient in nature: silent slip events, non-volcanic tremors, afterslip, fault coupling and complex response patterns of the upper plate during a single event as well as across several seismic cycles have all been observed in various settings and combinations. Segments of convergent plate margins with high recurrence rates and at different stages of the rupture cycle like the Chilean margin offer an exceptional opportunity to study these features and their interaction resolving behaviour during the seismic cycle and over repeated cycles. A past (TIPTEQ) and an active international initiative (IPOC; Integrated Plate Boundary Observatory Chile) address these goals with research groups from IPG Paris, Seismological Survey of Chile, Free University Berlin, Potsdam University, Hamburg University, IFM-GEOMAR Kiel, and GFZ Potsdam employing an integrated plate boundary observatory and associated projects. We focus on the south Central Chilean convergent margin and the North Chilean margin as natural laboratories embracing the recent Maule 2010 megathrust event. Here, major recent seismic events have occurred (south Central Chile: 1960, Mw = 9.5; 2010, Mw = 8.8; North Chile: 1995, Mw = 8; 2001, Mw = 8.7; 2007, Mw: 7.8) or are expected in the very near future (Iquique, last ruptured 1877, Mw = 8.8) allowing observation at critical time windows of the seismic cycle. Seismic imaging and seismological data have allowed us to relocate major rupture hypocentres and to locate the geometry of the locked zone and the degree of locking in both areas. The reflection seismic data exhibit well defined changes of reflectivity and Vp/Vs ratio along the plate interface that can be correlated with different parts of the coupling zone as well as with changes during the seismic cycle. Observations suggest an important role of the hydraulic system, an inference that is strongly supported from recent findings along the exhumed, fossil seismogenic coupling zone of the European Alps. The data provide additional evidence that the degree of interseismic locking is closely mirrored by subsequent megathrust failure as evidenced by the slip and aftershock pattern of the Maule 2010 earthquake. Neogene surface deformation in Chile has been complex exhibiting tectonically uplifting areas along the coast driven by interseismically active reverse faulting. In addition, we observe coseismically subsiding domains along other parts of the coast. Moreover, the coseismic and interseismic vertical displacement identified is not coincident with long-term vertical motion that probably is superseded by slow basal underplating or tectonic erosion occurring at the downdip parts of the seismogenic zone causing discontinuous uplift. Analogue and numerical modelling lend additional support to the kinematic patterns linking slip at the seismogenic coupling zone and upper plate response. Finally we note that the characteristic peninsulas along the South American margin constitute stable rupture boundaries/barriers and appear to have done so for a protracted time as evidenced by their long-term uplift history since at least the Late Pliocene that points to anomalous properties of the plate interface affecting the mode of strain accumulation and plate interface rupture.

Using phase locking for improving frequency stability and tunability of THz-band gyrotrons

NASA Astrophysics Data System (ADS)

Adilova, Asel B.; Gerasimova, Svetlana A.; Melnikova, Maria M.; Tyshkun, Alexandra V.; Rozhnev, Andrey G.; Ryskin, Nikita M.

2018-04-01

Medium-power (10-100 W) THz-band gyrotrons operating in a continuous-wave (CW) mode are of great importance for many applications such as NMR spectroscopy with dynamic nuclear polarization (DNP/NMR), plasma diagnostics, nondestructive inspection, stand-off detection of radioactive materials, biomedical applications, etc. For all these applications, high frequency stability and tunability within 1-2 GHz frequency range is typically required. Apart from different existing techniques for frequency stabilization, phase locking has recently attracted strong interest. In this paper, we present the results of theoretical analysis and numerical simulation for several phase locking techniques: (a) phase locking by injection of the external driving signal; (b) mutual phase locking of two coupled gyrotrons; and (c) selfinjection locking by a wave reflected from the remote load.

Simplified Dynamic Structural Time History Response Analysis of Flexible Approach Walls Founded on Clustered Pile Groups Using Impact_Deck

DTIC Science & Technology

2016-07-01

Abstract Flexible approach walls are being considered for retrofits, replacements, or upgrades to Corps lock structures that have exceeded their...case of Lock and Dam 3, the peak reaction force for any individual pile group was 11% of the peak impact load. DISCLAIMER: The contents of this...Generation Flexible Approach Walls ......................................... 1 1.2.1 Lock and Dam 3

Experimental and theoretical study of fluid-structure interactions in plunging hydrofoils and gravity-driven falling plates

NASA Astrophysics Data System (ADS)

Tian, Ruijun

Two typical unsteady fluid-structure interaction problems have been investigated in the present study. One of them was about actively plunged flexible hydrofoil; the other was about gravity-driven falling plates in water. Real-time velocity field and dynamic response on the moving objects were measured to study these unsteady and highly nonlinear problems. For a long time, scientists have believed that bird and insect flight benefits greatly from the flexibility and morphing facility of their wings via flapping motion. A significant advantage flexible wing models have over quasi-steady rigid wing models is a much higher lift generation capability. Both experimental and computational studies have shown that the leading and trailing edge vortexes (LEV and TEV) play a major role in the efficient generation of such unconventionally high lift force. In this study, two NACA0012 miniature hydrofoils, one flexible and the other rigid, were actively plunged at various frequencies in a viscous glycerol-water solution to study the influence of flexibility. Two-dimensional, phase-locked particle image velocimetry (PIV) measurements were conducted to investigate the temporal and spacial development of LEVs and TEVs. Simultaneous measurements of lift and thrust forces were recorded to reveal the relationship between hydrodynamic force and the evolution of the surrounding flow field. Results from the flexible hydrofoil were compared to those from the rigid one in order to quantitatively analyze the effects of flexibility. The second problem focused on fluid-structure interaction of gravity driven falling plates. Falling leaves and paper cards in air has drawn plenty of research interest in the past decades to investigate the interaction between the fluid flow and the falling object. In this research, time-resolved PIV were employed to experimentally visualize the flow field evolution around the gravity-driven falling plates. The plates were made of different materials with various geometric dimensions, in order to investigate the effects of non-dimensional parameters such as Reynolds number (Re) and dimensionless moment of inertia (I*). Within the range of relative high Reynolds numbers (Re > 500), three types of falling modes were observed: i.e., periodic fluttering, periodic tumbling and marginal chaotic motion. It was found that the nondimensional moment of inertia controlled the falling mode. The flow features through the falling path of the plate were characterized and compared with their corresponding kinematics. Based on theoretical analysis and experimental results, a semi-analytic model was developed to calculate the real-time hydrodynamic force and moment applied on falling plates. With this model, the falling trajectory of 2D plates with arbitrary material/dimension combinations can be predicted. The model yielded a good match for both the dynamic force simulation and trajectory prediction.

Testing Spatial Correlation of Subduction Interplate Coupling and Forearc Morpho-Tectonics

NASA Technical Reports Server (NTRS)

Goldfinger, Chris; Meigs, Andrew; Meigs, Andrew; Kaye, Grant D.; VanLaningham, Sam

2005-01-01

Subduction zones that are capable of generating great (Mw greater than 8) earthquakes appear to have a common assemblage of forearc morphologic elements. Although details vary, each have (from the trench landward), an accretionary prism, outer arc high, outer forearc basin, an inner forean: basin, and volcanic arc. This pattern is common in spite of great variation in forearc architecture. Because interseismic strain is known to be associated with a locked seismogenic plate interface, we infer that this common forearc morphology is related, in an unknown way, to the process of interseismic Strain accumulation and release in great earthquakes. To date, however, no clear relationship between the subduction process and the common elements of upper plate form has emerged. Whereas certain elements of the system, i.e. the outer arc high, are reasonably well- understood in a structural context, there is little understanding of the structural or topographic evolution of the other key elements like the inner arc and inner forearc basin, particularly with respect to the coupled zone of earthquake generation. This project developed a model of the seismologic, topographic, and uplift/denudation linkages between forearc topography and the subduction system by: 1) comparing geophysical, geodetic, and topographic data from subduction margins that generate large earthquakes; 2) using existing GPS, seismicity, and other data to model the relationship between seismic cycles involving a locked interface and upper-plate topographic development; and 3) using new GPS data and a range-scale topographic, uplift, and denudation analysis of the presently aseismic Cascadia margin to constrain topographic/plate coupling relationships at this poorly understood margin.

Interlocking Intramedullary Nailing Versus Locked Dual-Plating Fixation for Femoral Shaft Fractures in Patients with Multiple Injuries: A Retrospective Comparative Study.

PubMed

Cheng, Tao; Xia, Rong-Gang; Dong, Shi-Kui; Yan, Xiao-Yu; Luo, Cong-Feng

2017-12-18

Intramedullary nailing (IMN) is a popular method in the management of femoral shaft fractures (FSFs). However, whether the association of IMN with pulmonary fat emboli can compromise the pulmonary and nervous systems is debatable. The purpose of this study is to compare IMN with the locked dual plating (LDP) method by assessing the clinical outcomes of FSF patients with head or chest injury. A total of 126 FSF patients were included in this study between January 2010 and July 2016 and divided into LDP and IMN groups. Patient demographic characteristics, operative time, blood loss, Harris Hip Score, Lysholm Knee Score, radiological outcomes, and systemic complications were collected and compared between the two treatment groups. Patients were followed up for at least 12 months. The LDP group performed better than IMN in terms of operative time, estimated blood loss amount, and malunion rate. Differences in function scores, fracture union rate, overall pulmonary complication rate, and in-hospital mortality between the two groups were not significant. Average radiographic union time was significantly longer in the LDP group (36.3 weeks) than in the IMN group (32.5 weeks). One case of fixation failure occurred postoperatively in the LDP group, whereas one case of fracture nonunion took place in the IMN group. Our findings suggest that dual-plating fixation is a promising method for FSFs with multiple injuries. However, the retrospective nature of this study necessitates high-quality trials to be performed to assess the clinical efficiency of dual plating.

Mode-locking in advection-reaction-diffusion systems: An invariant manifold perspective

NASA Astrophysics Data System (ADS)

Locke, Rory A.; Mahoney, John R.; Mitchell, Kevin A.

2018-01-01

Fronts propagating in two-dimensional advection-reaction-diffusion systems exhibit a rich topological structure. When the underlying fluid flow is periodic in space and time, the reaction front can lock to the driving frequency. We explain this mode-locking phenomenon using the so-called burning invariant manifolds (BIMs). In fact, the mode-locked profile is delineated by a BIM attached to a relative periodic orbit (RPO) of the front element dynamics. Changes in the type (and loss) of mode-locking can be understood in terms of local and global bifurcations of the RPOs and their BIMs. We illustrate these concepts numerically using a chain of alternating vortices in a channel geometry.

Optical double-locked semiconductor lasers

NASA Astrophysics Data System (ADS)

AlMulla, Mohammad

2018-06-01

Self-sustained period-one (P1) nonlinear dynamics of a semiconductor laser are investigated when both optical injection and modulation are applied for stable microwave frequency generation. Locking the P1 oscillation through modulation on the bias current, injection strength, or detuning frequency stabilizes the P1 oscillation. Through the phase noise variance, the different modulation types are compared. It is demonstrated that locking the P1 oscillation through optical modulation on the output of the master laser outperforms bias-current modulation of the slave laser. Master laser modulation shows wider P1-oscillation locking range and lower phase noise variance. The locking characteristics of the P1 oscillation also depend on the operating conditions of the optical injection system

Interventions for treating proximal humeral fractures in adults.

PubMed

Handoll, Helen H G; Ollivere, Benjamin J; Rollins, Katie E

2012-12-12

Fractures of the proximal humerus are common injuries. The management, including surgical intervention, of these fractures varies widely. This is an update of a Cochrane review first published in 2001 and last updated in 2010. To review the evidence supporting the various treatment and rehabilitation interventions for proximal humeral fractures. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE and other databases, and bibliographies of trial reports. The full search ended in January 2012. All randomised controlled trials pertinent to the management of proximal humeral fractures in adults were selected. Two people performed independent study selection, risk of bias assessment and data extraction. Only limited meta-analysis was performed. Twenty-three small randomised trials with a total of 1238 participants were included. Bias in these trials could not be ruled out. Additionally there is a need for caution in interpreting the results of these small trials, which generally do not provide sufficient evidence to conclude that any non-statistically significant finding is 'evidence of no effect'.Eight trials evaluated conservative treatment. One trial found an arm sling was generally more comfortable than a less commonly used body bandage. There was some evidence that 'immediate' physiotherapy compared with that delayed until after three weeks of immobilisation resulted in less pain and potentially better recovery in people with undisplaced or other stable fractures. Similarly, there was evidence that mobilisation at one week instead of three weeks alleviated short term pain without compromising long term outcome. Two trials provided some evidence that unsupervised patients could generally achieve a satisfactory outcome when given sufficient instruction for an adequate self-directed exercise programme.Six heterogeneous trials, involving a total of 270 participants with displaced and/or complex fractures, compared surgical versus conservative treatment. Pooled results of patient-reported functional scores at one year from three trials (153 participants) showed no statistically significant difference between the two groups (standardised mean difference -0.10, 95% CI -0.42 to 0.22; negative results favour surgery). Quality of life based on the EuroQol results scores from three trials (153 participants) showed non-statistically significant differences between the two groups at three time points up to 12 months. However, the pooled EuroQol results at two years (101 participants) from two trials run concurrently from the same centre were significantly in favour of the surgical group. There was no significant difference between the two groups in mortality (8/98 versus 5/98; RR 1.55, 95% CI 0.55 to 4.36; 4 trials). Significantly more surgical group patients had additional or secondary surgery (18/112 versus 5/111; RR 3.36, 95% CI 1.33 to 8.49; 5 trials). This is equivalent to an extra operation in one of every nine surgically treated patients.Different methods of surgical management were tested in seven small trials. One trial comparing two types of locking plate versus a locking nail for treating two-part surgical neck fractures found some evidence of better function after plate fixation but also of a higher rate of surgically-related complications. One trial comparing a locking plate versus minimally invasive fixation with distally inserted intramedullary nails found some evidence of a short-term benefit for the nailing group. Compared with hemiarthroplasty, tension-band fixation of severe injuries using wires was associated with a higher re-operation rate in one trial. Two trials found no important differences between 'polyaxial' and 'monaxial' screws combined with locking plate fixation. One trial produced some preliminary evidence that tended to support the use of medial support locking screws in locking plate fixation. One trial found better functional results for one of two types of hemiarthroplasty.Very limited evidence suggested similar outcomes from early versus later mobilisation after either surgical fixation (one trial) or hemiarthroplasty (one trial). There is insufficient evidence to inform the management of these fractures. Early physiotherapy, without immobilisation, may be sufficient for some types of undisplaced fractures. It remains unclear whether surgery, even for specific fracture types, will produce consistently better long term outcomes but it is likely to be associated with a higher risk of surgery-related complications and requirement for further surgery.There is insufficient evidence to establish what is the best method of surgical treatment, either in terms of the use of different categories of surgical intervention (such as plate versus nail fixation, or hemiarthroplasty versus tension-wire fixation) or different methods of performing an intervention in the same category (such as different methods of plate fixation). There is insufficient evidence to say when to start mobilisation after either surgical fixation or hemiarthroplasty.

Numerical investigation into the injection-locking phenomena of gain switched lasers for optical frequency comb generation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ó Dúill, Sean P., E-mail: sean.oduill@dcu.ie; Anandarajah, Prince M.; Zhou, Rui

2015-05-25

We present detailed numerical simulations of the laser dynamics that describe optical frequency comb formation by injection-locking a gain-switched laser. The typical rate equations for semiconductor lasers including stochastic carrier recombination and spontaneous emission suffice to show the injection-locking behavior of gain switched lasers, and we show how the optical frequency comb evolves starting from the free-running state, right through the final injection-locked state. Unlike the locking of continuous wave lasers, we show that the locking range for gain switched lasers is considerably greater because injection locking can be achieved by injecting at frequencies close to one of the combmore » lines. The quality of the comb lines is formally assessed by calculating the frequency modulation (FM)-noise spectral density and we show that under injection-locking conditions the FM-noise spectral density of the comb lines tend to that of the maser laser.« less

Use of locking compression plates in ulnar fractures of 18 horses.

PubMed

Jacobs, Carrie C; Levine, David G; Richardson, Dean W

2017-02-01

To describe the outcome, clinical findings, and complications associated with the use of the locking compression plate (LCP) for various types of ulnar fractures in horses. Retrospective case series. Client owned horses (n = 18). Medical records, radiographs, and follow-up for horses having an ulnar fracture repaired using at least 1 LCP were reviewed. Fifteen of 18 horses had fractures of the ulna only, and 3 horses had fractures of the ulna and proximal radius. All 18 horses were discharged from the hospital. Complications occurred in 5 horses; incisional infection (n = 4, 22%), implant-associated infection (n = 2, 11%), and colic (n = 1, 6%). Follow-up was available for all horses at a range of 13-120 months and 15 horses (83%) were sound for their intended purpose and 3 horses (17%) were euthanatized. One horse was euthanatized for complications associated with original injury and surgery. The LCP is a viable method of internal fixation for various types of ulnar fractures, with most horses in this series returning to soundness. © 2017 The American College of Veterinary Surgeons.

Anatomically precontoured LCP for delayed union of a medial third clavicle fracture. Case report with review of the literature.

PubMed

Siebenlist, S; Sandmann, G; Kirchhoff, C; Biberthaler, P; Neumaier, M

2013-01-01

Fractures of the medial clavicle third are rare injuries. Even in case of significant fracture displacement, their therapeutic management has been nonoperative. Recently, surgical intervention has become mandatory for displaced fractures types to prevent non-union and functional complaints, but the optimal operative strategy is being discussed controversially. We describe the case of a 63-year-old male patient with a significantly displaced medial clavicle fracture after failed conservative treatment resulting in restricted, painful shoulder function. The patient underwent open reduction and osteosynthesis with an anatomically precontoured locking compression plate (LCP). One year after surgery the patient is free of complaints and has returned to his preinjury activity level without any functional restrictions. As a not yet reported operative approach, anatomically preshaped locking plating seems to be an effective fixation method for displaced fractures of the medial clavicle third. The operative management is described in detail and discussed with the current literature. Based on the presented case, we underline the statement that displaced medial clavicle fractures should be surgically addressed to avoid late damage.

Poor relation between biomechanical and clinical studies for the proximal femoral locking compression plate

PubMed Central

Viberg, Bjarke; Rasmussen, Katrine M V; Overgaard, Søren; Rogmark, Cecilia

2017-01-01

Background and purpose The proximal femur locking compression plate (PF-LCP) is a new concept in the treatment of hip fractures. When releasing new implants onto the market, biomechanical studies are conducted to evaluate performance of the implant. We investigated the relation between biomechanical and clinical studies on PF-LCP. Methods A systematic literature search of relevant biomechanical and clinical studies was conducted in PubMed on December 1, 2015. 7 biomechanical studies and 15 clinical studies were included. Results Even though the biomechanical studies showed equivalent or higher failure loads for femoral neck fracture, the clinical results were far worse, with a 37% complication rate. There were no biomechanical studies on pertrochanteric fractures. Biomechanical studies on subtrochanteric fractures showed that PF-LCP had a lower failure load than with proximal femoral nail, but higher than with angled blade plate. 4 clinical studies had complication rates less than 8% and 9 studies had complication rates between 15% and 53%. Interpretation There was no clear relation between biomechanical and clinical studies. Biomechanical studies are generally inherently different from clinical studies, as they examine the best possible theoretical use of the implant without considering the long-term outcome in a clinical setting. Properly designed clinical studies are mandatory when introducing new implants, and they cannot be replaced by biomechanical studies. PMID:28287002

Fixation of supraglenoid tubercle fractures using distal femoral locking plates in three Warmblood horses.

PubMed

Frei, Sina; Fürst, Anton E; Sacks, Murielle; Bischofberger, Andrea S

2016-05-18

Three horses that were presented with supraglenoid tubercle fractures were treated with open reduction and internal fixation using distal femoral locking plates (DFLP). Placing the DFLP caudal to the scapular spine in order to preserve the suprascapular nerve led to a stable fixation, however, it resulted in infraspinatus muscle atrophy and mild scapulohumeral joint instability (case 1). Placing the DFLP cranial to the scapular spine and under the suprascapular nerve resulted in a stable fixation, however, it resulted in severe atrophy of the supraspinatus and infraspinatus muscles and scapulohumeral joint instability (case 2). Placing the DFLP cranial to the scapular spine and slightly overbending it at the suprascapular nerve passage site resulted in the best outcome (case 3). Only a mild degree of supraspinatus and infraspinatus muscle atrophy was apparent, which resolved quickly and with no effect on scapulohumeral joint stability. In all cases, fixation of supraglenoid tubercle fractures using DFLP in slightly different techniques led to stable fixations with good long-term outcome. One case suffered from a mild incisional infection and plates were removed in two horses. Placement of the DFLP cranial to the scapular spine and slightly overbending it at the suprascapular nerve passage prevented major nerve damage. Further cases investigating the degree of muscle atrophy following the use of the DFLP placed in the above-described technique are justified to improve patient outcome.

Dislocation pileup as a representation of strain accumulation on a strike-slip fault

USGS Publications Warehouse

Savage, J.C.

2006-01-01

The conventional model of strain accumulation on a vertical transform fault is a discrete screw dislocation in an elastic half-space with the Burgers vector of the dislocation increasing at the rate of relative plate motion. It would be more realistic to replace that discrete dislocation by a dislocation distribution, presumably a pileup in which the individual dislocations are in equilibrium. The length of the pileup depends upon the applied stress and the amount of slip that has occurred at depth. I argue here that the dislocation pileup (the transition on the fault from no slip to slip at the full plate rate) occupies a substantial portion of the lithosphere thickness. A discrete dislocation at an adjustable depth can reproduce the surface deformation profile predicted by a pileup so closely that it will be difficult to distinguish between the two models. The locking depth (dislocation depth) of that discrete dislocation approximation is substantially (???30%) larger than that (depth to top of the pileup) in the pileup model. Thus, in inverting surface deformation data using the discrete dislocation model, the locking depth in the model should not be interpreted as the true locking depth. Although dislocation pileup models should provide a good explanation of the surface deformation near the fault trace, that explanation may not be adequate at greater distances from the fault trace because approximating the expected horizontally distributed deformation at subcrustal depths by uniform slip concentrated on the fault is not justified.

Fixation of 4-part fractures of the proximal humerus: Can we identify radiological criteria that support locking plates or IM nailing? Comparative, retrospective study of 107 cases.

PubMed

Gadea, F; Favard, L; Boileau, P; Cuny, C; d'Ollone, T; Saragaglia, D; Sirveaux, F

2016-12-01

No objective criteria exist to help surgeons choose between IM nailing and plate fixation for 4-part fractures of the proximal humerus. The goal of this study was to identify radiological criteria that would make one technique a better choice than the other. This was a comparative, multicentre, retrospective study of 54 cases of antegrade nailing and 53 cases of plating performed between 1st January 2009 and 31 December 2011 for 4-part fractures of the proximal humerus. All patients had a minimum radiological and clinical follow-up of 18 months. The functional outcomes were evaluated using the weighted Constant score; a poor result was defined as a weighted Constant score<70%. The following radiological criteria were evaluated during the preoperative assessment and at the last follow-up: initial displacement and reduction of humeral head and tuberosities; morphology of the medial column (i.e. calcar comminution, posteromedial hinge, size of metaphyseal head extension); occurrence of avascular necrosis (AVN). After an average follow-up of 42 months, the weighted Constant scores and rate of poor outcomes were 77% and 48% in the nail group and 81% and 38% in the plate group, respectively (ns). The humeral head was reduced into an anatomical position, valgus or varus in 57%, 30% and 13% of cases in the nail group, and 58%, 29% and 13% in the plate group, respectively. The tuberosities healed in an anatomical position in 72% of nail cases and 70% of plate cases (ns). Only the presence of a medial hinge preoperatively had an effect on the functional outcomes in the nail and plate groups: the weighted Constant scores (P=0.05) and rate of poor outcomes (P=0.02) were 82% and 52% in the nail group and 97% and 9% in the plate group, respectively. The complication rates were comparable: the rates of AVN and articular screw penetration were 17% and 11% in the nail group, and 15% and 11% in the plate group, respectively. The surgical revision rate was 18.5% in the nail group and 30% in the plate group. If the medial hinge is preserved, we recommend locking plate fixation. In other cases, either technique can be used as long as the general rules of internal fixation are applied: reduction of the tuberosities, varus correction and stabilization of the calcar area. IV, retrospective study. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Mode-Locked Spike Trains in Responses of Ventral Cochlear Nucleus Chopper and Onset Neurons to Periodic Stimuli

PubMed Central

Laudanski, Jonathan; Coombes, Stephen; Palmer, Alan R.

2010-01-01

We report evidence of mode-locking to the envelope of a periodic stimulus in chopper units of the ventral cochlear nucleus (VCN). Mode-locking is a generalized description of how responses in periodically forced nonlinear systems can be closely linked to the input envelope, while showing temporal patterns of higher order than seen during pure phase-locking. Re-analyzing a previously unpublished dataset in response to amplitude modulated tones, we find that of 55% of cells (6/11) demonstrated stochastic mode-locking in response to sinusoidally amplitude modulated (SAM) pure tones at 50% modulation depth. At 100% modulation depth SAM, most units (3/4) showed mode-locking. We use interspike interval (ISI) scattergrams to unravel the temporal structure present in chopper mode-locked responses. These responses compared well to a leaky integrate-and-fire model (LIF) model of chopper units. Thus the timing of spikes in chopper unit responses to periodic stimuli can be understood in terms of the complex dynamics of periodically forced nonlinear systems. A larger set of onset (33) and chopper units (24) of the VCN also shows mode-locked responses to steady-state vowels and cosine-phase harmonic complexes. However, while 80% of chopper responses to complex stimuli meet our criterion for the presence of mode-locking, only 40% of onset cells show similar complex-modes of spike patterns. We found a correlation between a unit's regularity and its tendency to display mode-locked spike trains as well as a correlation in the number of spikes per cycle and the presence of complex-modes of spike patterns. These spiking patterns are sensitive to the envelope as well as the fundamental frequency of complex sounds, suggesting that complex cell dynamics may play a role in encoding periodic stimuli and envelopes in the VCN. PMID:20042702

Gradual unlocking of a plate boundary controlled the April 2014 M8.1 Iquique, Northern Chile megathrust earthquake

NASA Astrophysics Data System (ADS)

Schurr, B.; Hainzl, S.; Bedford, J. R.; Hoechner, A.; Wang, R.; Zhang, Y.; Oncken, O.; Palo, M.; Bartsch, M.; Moreno, M.; Tilmann, F. J.; Dahm, T.; Victor, P.; Barrientos, S. E.; Vilotte, J. P.

2014-12-01

On April 1st, 2014, Northern Chile, was struck by a magnitude 8.1 earthquake near the city of Iquique following a protracted series of foreshocks. The earthquake occurred within a seismic gap left behind by two great earthquakes devastating the northern Chilean and southern Peruvian coast about 140 years ago in 1868 and 1877. This segment, about 500 km long, was the only one along the Chilean subduction zone that has not ruptured within the last century. The Integrated Plate boundary Observatory Chile (IPOC) monitored the entire sequence of events, providing unprecedented resolution of the build-up to the main event and its rupture evolution. We analyzed the entire seismicity in this section of the subduction zone since 2007. The offshore rupture region of the Iquique event has been more or less continuously seismically active within our observation period. This is in contrast to the segments to the north and south, which are still unruptured and seismically quiet. Starting in July 2013, three foreshock clusters with increasingly larger magnitudes occurred within the future rupture area. The largest Mw 6.7 foreshock, two weeks before the mainshock, had a source mechanism distinctively different from the mainshock and with a centroid depth of only 9 km probably occurred in the upper plate. The Iquique mainshock initiated then at the northern end of the foreshock zone, inside a region of intermediate interseismic locking. Comparing the foreshock distribution to the long term deformation history of the margin, we find that the area exhibits a high gradient of locking from weakly locked updip to fully locked downdip. Mapping the b-value of the foreshocks indicates significantly lower b-values in the source area compared to all other regions where the b-value can be resolved. Importantly, a gradual drop of the b-value from about 0.75 to below 0.6 is observed in the source region within the three years before the Iquique earthquake. This has only been reversed within the last days of the foreshock sequence. We conclude that gradual weakening of the central part of the seismic gap accentuated by the foreshock activity in a zone of intermediate seismic coupling was instrumental in causing final failure.

Aftershock Distribution of the Mw=7.8 April 16, 2016 Pedernales Ecuador Subduction Earthquake: Constraints from 3D Earthquake Locations

NASA Astrophysics Data System (ADS)

Font, Y.; Agurto-Detzel, H.; Alvarado, A. P.; Regnier, M. M.; Rolandone, F.; Charvis, P.; Mothes, P. A.; Nocquet, J. M.; Jarrin, P.; Ambrois, D.; Maron, C.; Deschamps, A.; Cheze, J.; Peix, F., Sr.; Ruiz, M. C.; Gabriela, P.; Acero, W.; Singaucho, J. C.; Viracucha, C.; Vasconez, F.; De Barros, L.; Mercerat, D.; Courboulex, F.; Galve, A.; Godano, M.; Monfret, T.; Ramos, C.; Martin, X.; Rietbrock, A.; Beck, S. L.; Metlzer, A.

2017-12-01

The Mw7.8 Pedernales earthquake is associated with the subduction of the Nazca Plate beneath the South American Plate. The mainshock caused many casualties and widespread damage across the Manabi province. The 150 km-long coseismic rupture area extends beneath the coastline, near 25 km depth. The rupture propagated southward and involved the successive rupture of two discrete asperities, with a maximum slip ( 5 m) on the southern patch. The rupture area is consistent with the highly locked regions observed on interseismic coupling models, overlaps the 7.2 Mw rupture zone, and terminates near where the 1906 Mw 8.8 megathrust earthquake rupture zone is estimated to have ended. Two neighboring highly coupled patches remain locked: (A) south and updip of the coseismic rupture zone and (B) north and downdip. In this study, we are working on the earthquake locations of the first month of aftershocks and compare the seismicity distribution to the interseismic coupling, the rupture area and to early afterslip. We use continuous seismic traces recorded on the permanent network partly installed in the framework of the collaboration between l'Institut de Recherche pour le Développement (France) and the Instituto Geofísico, Escuela Politécnica Nacional (IGEPN), Quito, Ecuador. Detections are conducted using Seiscomp in play-back mode and arrival-times are manually picked. To improve earthquake locations, we use the MAXi technique and a heterogeneous a priori P-wave velocity model that approximates the large velocity variations of the Ecuadorian subduction system. Aftershocks align along 3 to 4 main clusters that strike perpendicularly to the trench, and mostly updip of the co-seismic rupture. Seismicity develops over portions of plate interface that are known to be strongly locked or almost uncoupled. The seismicity pattern is similar to the one observed during a decade of observation during the interseismic period with swarms such as the Galera alignment, Jama and Cabo Pasado, Manta to Puerto Lopez.

Opening-wedge high tibial osteotomy with a locked low-profile plate: surgical technique.

PubMed

Kolb, Werner; Guhlmann, Hanno; Windisch, Christoph; Koller, Heiko; Grützner, Paul; Kolb, Klaus

2010-09-01

High tibial osteotomy has been recognized as a beneficial treatment for osteoarthritis of the medial compartment of the knee. The purpose of this prospective study was to assess the short-term results of opening-wedge high tibial osteotomies with locked plate fixation. From September 2002 to November 2005, fifty-one consecutive medial opening-wedge high tibial osteotomies were performed. The mean age of the patients at the time of the index operation was forty-nine years. The preoperative and postoperative factors analyzed included the grade of arthritis of the tibiofemoral compartment (the Ahlbäck radiographic grade), the anatomic tibiofemoral angle, patellar height, the Hospital for Special Surgery rating system score, and the Lysholm and Gillquist knee score. Postoperatively, one superficial wound infection occurred. Fifty of the fifty-one osteotomies healed after an average period of 12.9 weeks (range, eight to sixteen weeks) without bone grafts. A nonunion developed in a sixty-two-year-old patient who was a cigarette smoker. The average postoperative tibiofemoral angle was 9° of valgus. Forty-nine patients were followed for a mean of fifty-two months. The average score on the Hospital for Special Surgery rating system was 86 points at the time of the most recent follow-up. The rating was excellent in twenty-eight patients (57%), good in twelve (24%), fair in four (8%), and poor in five (10%). The average score on the Lysholm and Gillquist knee-scoring scale was 83 points. According to these scores, the outcome was excellent in nine patients (18%), good in thirty-one (63%), fair in three (6%), and poor in six (12%). Four knees failed after an average of thirty-six months. Our results suggest that an opening-wedge high tibial osteotomy with locked plate fixation allows a correct valgus angle to be achieved with good short-term results.

A spatial picture of the synthetic large-scale motion from dynamic roughness

NASA Astrophysics Data System (ADS)

Huynh, David; McKeon, Beverley

2017-11-01

Jacobi and McKeon (2011) set up a dynamic roughness apparatus to excite a synthetic, travelling wave-like disturbance in a wind tunnel, boundary layer study. In the present work, this dynamic roughness has been adapted for a flat-plate, turbulent boundary layer experiment in a water tunnel. A key advantage of operating in water as opposed to air is the longer flow timescales. This makes accessible higher non-dimensional actuation frequencies and correspondingly shorter synthetic length scales, and is thus more amenable to particle image velocimetry. As a result, this experiment provides a novel spatial picture of the synthetic mode, the coupled small scales, and their streamwise development. It is demonstrated that varying the roughness actuation frequency allows for significant tuning of the streamwise wavelength of the synthetic mode, with a range of 3 δ-13 δ being achieved. Employing a phase-locked decomposition, spatial snapshots are constructed of the synthetic large scale and used to analyze its streamwise behavior. Direct spatial filtering is used to separate the synthetic large scale and the related small scales, and the results are compared to those obtained by temporal filtering that invokes Taylor's hypothesis. The support of AFOSR (Grant # FA9550-16-1-0361) is gratefully acknowledged.

Proximal humeral fractures: the role of calcium sulphate augmentation and extended deltoid splitting approach in internal fixation using locking plates.

PubMed

Somasundaram, K; Huber, C P; Babu, V; Zadeh, H

2013-04-01

The aim of our study is to analyse the results of our surgical technique for the treatment of proximal humeral fractures and fracture dislocations using locking plates in conjunction with calcium sulphate bone-substitute augmentation and tuberosity repair using high-strength sutures. We used the extended deltoid-splitting approach for fracture patterns involving displacement of both lesser and greater tuberosities and for fracture-dislocations. Optimal surgical management of proximal humeral fractures remains controversial. Locking plates have become a popular method of fixation. However, failure of fixation may occur if they are used as the sole method of fixation in comminuted fractures, especially in osteopenic bone. We retrospectively analysed 22 proximal humeral fractures in 21 patients; 10 were male and 11 female with an average age of 64.6 years (range 37-77). Average follow-up was 24 months. Eleven of these fractures were exposed by the extended deltoid-splitting approach. Fractures were classified according to Neer and Hertel systems. Preoperative radiographs and computed tomography (CT) scans in three- and four-part fractures were done to assess the displacement and medial calcar length for predicting the humeral head vascularity. According to the Neer classification, there were five two-part, six three-part, five four-part fractures and six fracture-dislocations (two anterior and four posterior). Results were assessed clinically with disabilities of the arm, shoulder and hand (DASH) scores, modified Constant and Murley scores and serial postoperative radiographs. The mean DASH score was 16.18 and the modified Constant and Murley score was 64.04 at the last follow-up. Eighteen out of twenty-two cases achieved good clinical outcome. All the fractures united with no evidence of infection, failure of fixation, malunion, tuberosity failure, avascular necrosis or adverse reaction to calcium sulphate bone substitute. There was no evidence of axillary nerve injury. Four patients had a longer recovery period due to stiffness, associated wrist fracture and elbow dislocation. The CaSO4 bone substitute was replaced by normal appearing trabecular bone texture at an average of 6 months in all patients. In our experience, we have found the use of locking plates, calcium sulphate bone substitute and tuberosity repair with high-strength sutures to be a safe and reliable method of internal fixation for complex proximal humeral fractures and fracture-dislocations. Furthermore, we have also found the use of the extended deltoid-splitting approach to be safe and to provide excellent exposure facilitating accurate reduction for fixation of the fracture patterns involving displacement of both lesser and greater tuberosities and for fracture-dislocations. Copyright © 2012 Elsevier Ltd. All rights reserved.

Quality of life after antegrade intramedullary nail fixation of humeral fractures: a survey in a selected cohort of Brazilian patients.

PubMed

Cocco, Luiz Fernando; Ejnisman, Benno; Belangero, Paulo Santoro; Cohen, Moises; Dos Reis, Fernando Baldy

2018-01-01

The treatment of humeral fractures remains controversial. Systematic reviews demonstrate similar results between dynamic compression plating and locked intramedullary nailing in the surgical treatment of these fractures. However, it appears that antegrade intramedullary nailing causes higher residual pain in the shoulder. The proposal of this work is to evaluate through the WORC protocol (Western Ontario Rotator Cuff Index) the consequences in the quality of life of patients submitted to osteosynthesis of the humerus with antegrade locked intramedullary nailing. This work is a cohort retrospective study in addition to the application of a questionnaire for self-rated quality of life with its 05 domains (WORC - Western Ontario Rotator Cuff Index) for patients ( N  = 26) classified in the Trauma Sector of the Department of Orthopedics and Traumatology of the Federal University of São Paulo (DOT/UNIFESP) submitted to Humerus Osteosynthesis with Antegrade Locked Intramedullary Nailing. There was also the inclusion of data related to the time since surgery, age, sex, surgical laterality, dominance among members and work leave, which were not considered in the original protocol. After, the data were statistically assessed to evaluate the association between numerical and categorical variables. The overall WORC score was 82.75 ± 17.00 (Mean ± SD) and was not different considering sex, age and postoperative period. Among the WORC domains, both Work and Sport / Recreation Protocols were the most unfavorable factors in the evaluation of patients. Although not statistically significant, those who had the procedure on the dominant side presented a lower quality of life score than those who had the surgery on the non-dominant side. Although non-significant again, those who were away from work had an overall lower quality of life score than those who were not. The WORC Quality of Life Protocol shows good results for evaluating patients submitted to humerus osteosynthesis with antegrade locked intramedullary nailing. The data stratified by domains were good, however, Work and Sport/Recreation domains showed the lowest means compared to the other domains. Research Ethics Commitee (CEP 0676/2016) and Plataforma Brasil 56381216.3.0000.550. CAAE: 56381216.3.0000.5505.

Geological and mechanical properties on the 3-D fault patch of the rapid creeping Chihshang Fault: a plate suture between Luzon arc and Eurasia in eastern Taiwan

NASA Astrophysics Data System (ADS)

Lee, J. C.; Mu, C. H.; Huang, W. J.; Liu, Z. Y. C.; Shirzaei, M.

2017-12-01

The 35-km-long Chihshang Fault is a rapidly creeping thrust at plate suture between the converging Philippine and Eurasian plates in eastern Taiwan. We combined geological investigation, geodetic data, seismological information, and a rate-dependant friction model, to illustrate the mechanical frictional properties and their variations along the strike and the depth (30-km-deep) of the fault. During the interseismic period, the Chihshang Fault is characterized by three different slip behaviours at different depths: 1) abundant micro-seismicity and semi-continuous rapid slip at the depth of 10-20 km seismogenic zone; 2) visco-elastic aseismic slip zone beneath 25 km; 3) seasonal locked/creep switch at depth of 0-2 km. Using elastic dislocation model, 1-D diffusion model, Coulomb stress criterion, and rate-dependent frictional law, we simulate the surface creep curves from the creep meters data. The result shows a rate-strengthening zone with positive frictional property (a-b) in the upper 500 meters of fault, which appears to be locked during the dry season. We tend to interpret it as a result of 300-500 m thick of unconsolidated gravels layers in the footwall of the Chihshang Fault. We also implement an inverse dynamic modeling scheme to estimate the frictional parameter () in depths by taking into account pre-seismic stress and coulomb stress changes associated with co- and post-seismic deformation of the 2003 Mw 6.5 Chengkung earthquake. Model parameters are determined from fitting the transient post-seismic geodetic signal measured at 12 continuous GPS stations. We apply a non-linear optimization algorithm, Genetic Algorithm (GA), to search for the optimum parameters. The optimum is 1.4 ×10-2 along the shallow part of the fault (0-10 km depth) and 1.2 × 10-2 in 22-28 km depth. The inferred frictional parameters are consistent with the laboratory measurements on clay rich fault zone gouges comparable to the Lichi mélange, considering the main rock composition of the Chihshang fault. Our results indicate a possibly strong influence from the surface cover of a few hundreds meter thick unconsolidated deposits (i.e., late Quaternary gravel) and the clay rich fault gouge (i.e. the Lichi Melange) on frictional properties.

Study on optimization method of test conditions for fatigue crack detection using lock-in vibrothermography

NASA Astrophysics Data System (ADS)

Min, Qing-xu; Zhu, Jun-zhen; Feng, Fu-zhou; Xu, Chao; Sun, Ji-wei

2017-06-01

In this paper, the lock-in vibrothermography (LVT) is utilized for defect detection. Specifically, for a metal plate with an artificial fatigue crack, the temperature rise of the defective area is used for analyzing the influence of different test conditions, i.e. engagement force, excitation intensity, and modulated frequency. The multivariate nonlinear and logistic regression models are employed to estimate the POD (probability of detection) and POA (probability of alarm) of fatigue crack, respectively. The resulting optimal selection of test conditions is presented. The study aims to provide an optimized selection method of the test conditions in the vibrothermography system with the enhanced detection ability.

Single-shot spectroscopy of broadband Yb fiber laser

NASA Astrophysics Data System (ADS)

Suzuki, Masayuki; Yoneya, Shin; Kuroda, Hiroto

2017-02-01

We have experimentally reported on a real-time single-shot spectroscopy of a broadband Yb-doped fiber (YDF) laser which based on a nonlinear polarization evolution by using a time-stretched dispersive Fourier transformation technique. We have measured an 8000 consecutive single-shot spectra of mode locking and noise-like pulse (NLP), because our developed broadband YDF oscillator can individually operate the mode locking and NLP by controlling a pump LD power and angle of waveplates. A shot-to-shot spectral fluctuation was observed in NLP. For the investigation of pulse formation dynamics, we have measured the spectral evolution in an initial fluctuations of mode locked broadband YDF laser at an intracavity dispersion of 1500 and 6200 fs2 for the first time. In both case, a build-up time between cw and steady-state mode locking was estimated to be 50 us, the dynamics of spectral evolution between cw and mode locking, however, was completely different. A shot-to-shot strong spectral fluctuation, as can be seen in NLP spectra, was observed in the initial timescale of 20 us at the intracavity dispersion of 1500 fs2. These new findings would impact on understanding the birth of the broadband spectral formation in fiber laser oscillator.

Phase locking of moving magnetic vortices in bridge-coupled nanodisks

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zhu, Qiyuan; Zheng, Qi; Liu, Xianyin

2015-05-07

In this paper, phase locking dynamics of vortices induced by spin transfer torque in bridge-coupled nanodisks are studied by micromagnetic simulations. In the presence of the bridge coupling, the required time for the phase locking is dramatically reduced, and the phase difference between the two vortices keeps at a nonzero value after the phase locking. Moreover, the phase difference is affected significantly by bridge coupling, Oersted field distribution, nanodisk size, as well as in-plane bias magnetic field. In addition, the coupled gyrotropic frequency of vortices depends linearly on the perpendicular magnetic field. This systematic study of phase locking parameters, especiallymore » the phase difference, is important for the applications of vortex-based spin-torque nano-oscillators.« less

Modeling of ultrashort pulse generation in mode-locked VECSELs

NASA Astrophysics Data System (ADS)

Kilen, I.; Koch, S. W.; Hader, J.; Moloney, J. V.

2016-03-01

We present a study of various models for the mode-locked pulse dynamics in a vertical external-cavity surface emitting laser with a saturable absorber. The semiconductor Bloch equations are used to model microscopically the light-matter interaction and the carrier dynamics. Maxwell's equations describe the pulse propagation. Scattering contributions due to higher order correlation effects are approximated using effective rates that are found from a comparison to solving the microscopic scattering equations on the second Born-Markov level. It is shown that the simulations result in the same mode-locked final state whether the system is initialized with a test pulse close to the final mode-locked pulse or the full field build-up from statistical noise is considered. The influence of the cavity design is studied. The longest pulses are found for a standard V-cavity while a linear cavity and a V-cavity with an high reflectivity mirror in the middle are shown to produce similar, much shorter pulses.

General description and understanding of the nonlinear dynamics of mode-locked fiber lasers.

PubMed

Wei, Huai; Li, Bin; Shi, Wei; Zhu, Xiushan; Norwood, Robert A; Peyghambarian, Nasser; Jian, Shuisheng

2017-05-02

As a type of nonlinear system with complexity, mode-locked fiber lasers are known for their complex behaviour. It is a challenging task to understand the fundamental physics behind such complex behaviour, and a unified description for the nonlinear behaviour and the systematic and quantitative analysis of the underlying mechanisms of these lasers have not been developed. Here, we present a complexity science-based theoretical framework for understanding the behaviour of mode-locked fiber lasers by going beyond reductionism. This hierarchically structured framework provides a model with variable dimensionality, resulting in a simple view that can be used to systematically describe complex states. Moreover, research into the attractors' basins reveals the origin of stochasticity, hysteresis and multistability in these systems and presents a new method for quantitative analysis of these nonlinear phenomena. These findings pave the way for dynamics analysis and system designs of mode-locked fiber lasers. We expect that this paradigm will also enable potential applications in diverse research fields related to complex nonlinear phenomena.

Fault locking, block rotation and crustal deformation in the Pacific Northwest

USGS Publications Warehouse

McCaffrey, R.; Qamar, A.I.; King, R.W.; Wells, R.; Khazaradze, G.; Williams, C.A.; Stevens, C.W.; Vollick, J.J.; Zwick, P.C.

2007-01-01

We interpret Global Positioning System (GPS) measurements in the northwestern United States and adjacent parts of western Canada to describe relative motions of crustal blocks, locking on faults and permanent deformation associated with convergence between the Juan de Fuca and North American plates. To estimate angular velocities of the oceanic Juan de Fuca and Explorer plates and several continental crustal blocks, we invert the GPS velocities together with seafloor spreading rates, earthquake slip vector azimuths and fault slip azimuths and rates. We also determine the degree to which faults are either creeping aseismically or, alternatively, locked on the block-bounding faults. The Cascadia subduction thrust is locked mainly offshore, except in central Oregon, where locking extends inland. Most of Oregon and southwest Washington rotate clockwise relative to North America at rates of 0.4-1.0?? Myr-1. No shear or extension along the Cascades volcanic arc has occurred at the mm/yr level during the past decade, suggesting that the shear deformation extending northward from the Walker Lane and eastern California shear zone south of Oregon is largely accommodated by block rotation in Oregon. The general agreement of vertical axis rotation rates derived from GPS velocities with those estimated from palaeomagnetic declination anomalies suggests that the rotations have been relatively steady for 10-15 Ma. Additional permanent dextral shear is indicated within the Oregon Coast Range near the coast. Block rotations in the Pacific Northwest do not result in net westward flux of crustal material - the crust is simply spinning and not escaping. On Vancouver Island, where the convergence obliquity is less than in Oregon and Washington, the contractional strain at the coast is more aligned with Juan de Fuca-North America motion. GPS velocities are fit significantly better when Vancouver Island and the southern Coast Mountains move relative to North America in a block-like fashion. The relative motions of the Oregon, western Washington and Vancouver Island crustal blocks indicate that the rate of permanent shortening, the type that causes upper plate earthquakes, across the Puget Sound region is 4.4 ?? 0.3 mm yr-1. This shortening is likely distributed over several faults but GPS data alone cannot determine the partitioning of slip on them. The transition from predominantly shear deformation within the continent south of the Mendocino Triple Junction to predominantly block rotations north of it is similar to changes in tectonic style at other transitions from shear to subduction. This similarity suggests that crustal block rotations are enhanced in the vicinity of subduction zones possibly due to lower resisting stress. ?? 2007 The Authors Journal compilation ?? 2007 RAS.

Dynamics of a broad-band quantum cascade laser: from chaos to coherent dynamics and mode-locking

NASA Astrophysics Data System (ADS)

Columbo, L. L.; Barbieri, S.; Sirtori, C.; Brambilla, M.

2018-02-01

The dynamics of a multimode Quantum Cascade Laser, is studied in a model based on effective semiconductor Maxwell-Bloch equations, encompassing key features for the radiationmedium interaction such as an asymmetric, frequency dependent, gain and refractive index as well as the phase-amplitude coupling provided by the Henry factor. By considering the role of the free spectral range and Henry factor, we develop criteria suitable to identify the conditions which allow to destabilize, close to threshold, the traveling wave emitted by the laser and lead to chaotic or regular multimode dynamics. In the latter case our simulations show that the field oscillations are associated to self-confined structures which travel along the laser cavity, bridging mode-locking and solitary wave propagation. In addition, we show how a RF modulation of the bias current leads to active mode-locking yielding high-contrast, picosecond pulses. Our results compare well with recent experiments on broad-band THz-QCLs and may help understanding the conditions for the generation of ultrashort pulses and comb operation in Mid-IR and THz spectral regions

Noise-driven switching and chaotic itinerancy among dynamic states in a three-mode intracavity second-harmonic generation laser operating on a Λ transition

NASA Astrophysics Data System (ADS)

Otsuka, Kenju; Ohtomo, Takayuki; Maniwa, Tsuyoshi; Kawasaki, Hazumi; Ko, Jing-Yuan

2003-09-01

We studied the antiphase self-pulsation in a globally coupled three-mode laser operating in different optical spectrum configurations. We observed locking of modal pulsation frequencies, quasiperiodicity, clustering behaviors, and chaos, resulting from the nonlinear interaction among modes. The robustness of [p:q:r] three-frequency locking states and quasiperiodic oscillations against residual noise has been examined by using joint time-frequency analysis of long-term experimental time series. Two sharply antithetical types of switching behaviors among different dynamic states were observed during temporal evolutions; noise-driven switching and self-induced switching, which manifests itself in chaotic itinerancy. The modal interplay behind observed behaviors was studied by using the statistical dynamic quantity of the information circulation. Well-organized information flows among modes, which correspond to the number of degeneracies of modal pulsation frequencies, were found to be established in accordance with the inherent antiphase dynamics. Observed locking behaviors, quasiperiodic motions, and chaotic itinerancy were reproduced by numerical simulation of the model equations.

Role of phase synchronisation in turbulence

NASA Astrophysics Data System (ADS)

Moradi, Sara; Teaca, Bogdan; Anderson, Johan

2017-11-01

The role of the phase dynamics in turbulence is investigated. As a demonstration of the importance of the phase dynamics, a simplified system is used, namely the one-dimensional Burgers equation, which is evolved numerically. The system is forced via a known external force, with two components that are added into the evolution equations of the amplitudes and the phase of the Fourier modes, separately. In this way, we are able to control the impact of the force on the dynamics of the phases. In the absence of the direct forcing in the phase equation, it is observed that the phases are not stochastic as assumed in the Random Phase Approximation (RPA) models, and in contrast, the non-linear couplings result in intermittent locking of the phases to ± π/2. The impact of the force, applied purely on the phases, is to increase the occurrence of the phase locking events in which the phases of the modes in a wide k range are now locked to ± π/2, leading to a change in the dynamics of both phases and amplitudes, with a significant localization of the real space flow structures.

A Modified Kirchhoff plate theory for Free Vibration analysis of functionally graded material plates using meshfree method

NASA Astrophysics Data System (ADS)

Nguyen Van Do, Vuong

2018-04-01

In this paper, a modified Kirchhoff theory is presented for free vibration analyses of functionally graded material (FGM) plate based on modified radial point interpolation method (RPIM). The shear deformation effects are taken account into modified theory to ignore the locking phenomenon of thin plates. Due to the proposed refined plate theory, the number of independent unknowns reduces one variable and exists with four degrees of freedom per node. The simulated free vibration results employed by the modified RPIM are compared with the other analytical solutions to verify the effectiveness and the accuracy of the developed mesh-free method. Detail parametric studies of the proposed method are then conducted including the effectiveness of thickness ratio, boundary condition and material inhomogeneity on the sample problems of square plates. Results illustrated that the modified mesh-free RPIM can effectively predict the numerical calculation as compared to the exact solutions. The obtained numerical results are indicated that the proposed method are stable and well accurate prediction to evaluate with other published analyses.

A calibration mechanism based on worm drive for space telescope

NASA Astrophysics Data System (ADS)

Chong, Yaqin; Li, Chuang; Xia, Siyu; Zhong, Peifeng; Lei, Wang

2017-08-01

In this paper, a new type of calibration mechanism based on worm drive is presented for a space telescope. This calibration mechanism based on worm drive has the advantages of compact size and self-lock. The mechanism mainly consists of thirty-six LEDs as the light source for flat calibration, a diffuse plate, a step motor, a worm gear reducer and a potentiometer. As the main part of the diffuse plate, a PTFE tablet is mounted in an aluminum alloy frame. The frame is fixed on the shaft of the worm gear, which is driven by the step motor through the worm. The shaft of the potentiometer is connected to that of the worm gear to measure the rotation angle of the diffuse plate through a flexible coupler. Firstly, the calibration mechanism is designed, which includes the LEDs assembly design, the worm gear reducer design and the diffuse plate assembly design. The counterweight blocks and two end stops are also designed for the diffuse plate assembly. Then a modal analysis with finite element method for the diffuse plate assembly is completed.

Linking interseismic deformation with coseismic slip using dynamic rupture simulations

NASA Astrophysics Data System (ADS)

Yang, H.; He, B.; Weng, H.

2017-12-01

The largest earthquakes on earth occur at subduction zones, sometimes accompanied by devastating tsunamis. Reducing losses from megathrust earthquakes and tsunami demands accurate estimate of rupture scenarios for future earthquakes. Interseismic locking distribution derived from geodetic observations is often used to qualitatively evaluate future earthquake potential. However, how to quantitatively estimate the coseismic slip from the locking distribution remains challenging. Here we derive the coseismic rupture process of the 2012 Mw 7.6 Nicoya, Costa Rica, earthquake from interseismic locking distribution using spontaneous rupture simulation. We construct a three-dimensional elastic medium with a curved fault, which is governed by the linear slip-weakening law. The initial stress on the fault is set based on the build-up stress inferred from locking and the dynamic friction coefficient from fast-speed sliding experiments. Our numerical results of coseismic slip distribution, moment rate function and final earthquake moment are well consistent with those derived from seismic and geodetic observations. Furthermore, we find that the epicentral locations affect rupture scenarios and may lead to various sizes of earthquakes given the heterogeneous stress distribution. In the Nicoya region, less than half of rupture initiation regions where the locking degree is greater than 0.6 can develop into large earthquakes (Mw > 7.2). The results of location-dependent earthquake magnitudes underscore the necessity of conducting a large number of simulations to quantitatively evaluate seismic hazard from the interseismic locking models.

Active locking and entanglement in type II optical parametric oscillators

NASA Astrophysics Data System (ADS)

Ruiz-Rivas, Joaquín; de Valcárcel, Germán J.; Navarrete-Benlloch, Carlos

2018-02-01

Type II optical parametric oscillators are amongst the highest-quality sources of quantum-correlated light. In particular, when pumped above threshold, such devices generate a pair of bright orthogonally-polarized beams with strong continuous-variable entanglement. However, these sources are of limited practical use, because the entangled beams emerge with different frequencies and a diffusing phase difference. It has been proven that the use of an internal wave-plate coupling the modes with orthogonal polarization is capable of locking the frequencies of the emerging beams to half the pump frequency, as well as reducing the phase-difference diffusion, at the expense of reducing the entanglement levels. In this work we characterize theoretically an alternative locking mechanism: the injection of a laser at half the pump frequency. Apart from being less invasive, this method should allow for an easier real-time experimental control. We show that such an injection is capable of generating the desired phase locking between the emerging beams, while still allowing for large levels of entanglement. Moreover, we find an additional region of the parameter space (at relatively large injections) where a mode with well defined polarization is in a highly amplitude-squeezed state.

75 FR 7370 - Federal Motor Vehicle Safety Standards; Door Locks and Door Retention Components

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-19

... at (202) 366-2990. For legal issues, contact Ms. Sarah Alves, Office of the Chief Counsel, by... have secondary latching positions and to remove the option for a visual door closure warning system... test plates; and, S4, to reinstate an exclusion of doors equipped with wheelchair lift systems. This...

Sensing of DNA by Graphene-on-Silicon FET Structures at DC and 101 GHz

DTIC Science & Technology

2015-01-01

For each G in Fig. 2, T displays the oscillatory Airy-function behavior characteristic of all parallel-plate etalons (and Fabry – Perot resonators) with...approximately 5 mm. The output signal from the Schottky rectifier is fed to a 1000-gain low-noise voltage ampli- fier, and then demodulated with a lock-in

Scaling Fiber Lasers to Large Mode Area: An Investigation of Passive Mode-Locking Using a Multi-Mode Fiber

PubMed Central

Ding, Edwin; Lefrancois, Simon; Kutz, Jose Nathan; Wise, Frank W.

2011-01-01

The mode-locking of dissipative soliton fiber lasers using large mode area fiber supporting multiple transverse modes is studied experimentally and theoretically. The averaged mode-locking dynamics in a multi-mode fiber are studied using a distributed model. The co-propagation of multiple transverse modes is governed by a system of coupled Ginzburg–Landau equations. Simulations show that stable and robust mode-locked pulses can be produced. However, the mode-locking can be destabilized by excessive higher-order mode content. Experiments using large core step-index fiber, photonic crystal fiber, and chirally-coupled core fiber show that mode-locking can be significantly disturbed in the presence of higher-order modes, resulting in lower maximum single-pulse energies. In practice, spatial mode content must be carefully controlled to achieve full pulse energy scaling. This paper demonstrates that mode-locking performance is very sensitive to the presence of multiple waveguide modes when compared to systems such as amplifiers and continuous-wave lasers. PMID:21731106

Scaling Fiber Lasers to Large Mode Area: An Investigation of Passive Mode-Locking Using a Multi-Mode Fiber.

PubMed

Ding, Edwin; Lefrancois, Simon; Kutz, Jose Nathan; Wise, Frank W

2011-01-01

The mode-locking of dissipative soliton fiber lasers using large mode area fiber supporting multiple transverse modes is studied experimentally and theoretically. The averaged mode-locking dynamics in a multi-mode fiber are studied using a distributed model. The co-propagation of multiple transverse modes is governed by a system of coupled Ginzburg-Landau equations. Simulations show that stable and robust mode-locked pulses can be produced. However, the mode-locking can be destabilized by excessive higher-order mode content. Experiments using large core step-index fiber, photonic crystal fiber, and chirally-coupled core fiber show that mode-locking can be significantly disturbed in the presence of higher-order modes, resulting in lower maximum single-pulse energies. In practice, spatial mode content must be carefully controlled to achieve full pulse energy scaling. This paper demonstrates that mode-locking performance is very sensitive to the presence of multiple waveguide modes when compared to systems such as amplifiers and continuous-wave lasers.

Active mode locking of quantum cascade lasers in an external ring cavity.

PubMed

Revin, D G; Hemingway, M; Wang, Y; Cockburn, J W; Belyanin, A

2016-05-05

Stable ultrashort light pulses and frequency combs generated by mode-locked lasers have many important applications including high-resolution spectroscopy, fast chemical detection and identification, studies of ultrafast processes, and laser metrology. While compact mode-locked lasers emitting in the visible and near infrared range have revolutionized photonic technologies, the systems operating in the mid-infrared range where most gases have their strong absorption lines, are bulky and expensive and rely on nonlinear frequency down-conversion. Quantum cascade lasers are the most powerful and versatile compact light sources in the mid-infrared range, yet achieving their mode-locked operation remains a challenge, despite dedicated effort. Here we report the demonstration of active mode locking of an external-cavity quantum cascade laser. The laser operates in the mode-locked regime at room temperature and over the full dynamic range of injection currents.

Active mode locking of quantum cascade lasers in an external ring cavity

PubMed Central

Revin, D. G.; Hemingway, M.; Wang, Y.; Cockburn, J. W.; Belyanin, A.

2016-01-01

Stable ultrashort light pulses and frequency combs generated by mode-locked lasers have many important applications including high-resolution spectroscopy, fast chemical detection and identification, studies of ultrafast processes, and laser metrology. While compact mode-locked lasers emitting in the visible and near infrared range have revolutionized photonic technologies, the systems operating in the mid-infrared range where most gases have their strong absorption lines, are bulky and expensive and rely on nonlinear frequency down-conversion. Quantum cascade lasers are the most powerful and versatile compact light sources in the mid-infrared range, yet achieving their mode-locked operation remains a challenge, despite dedicated effort. Here we report the demonstration of active mode locking of an external-cavity quantum cascade laser. The laser operates in the mode-locked regime at room temperature and over the full dynamic range of injection currents. PMID:27147409

Posterior locked lateral compression injury of the pelvis in geriatric patients: an infrequent and specific variant of the fragility fracture of pelvis.

PubMed

Lee, Se-Won; Kim, Weon-Yoo; Koh, Sung-Jun; Kim, Young-Yul

2017-09-01

Posterior locked lateral compression injury (PLLCI) of the pelvic ring is an infrequent variant of lateral compression injury, a condition described in only eight reported cases since 2000. Lateral compression injury usually results from high-energy trauma and is characterized by locking between the medially translated fractured ilium and the anterior border of the sacrum, regardless of whether the fractured ilium involves the sacroiliac joint. However, in our experience, lateral compression injury can also result from low-energy trauma as a manifestation of pelvic fragility fracture. The aim of the present study was to describe this rare form of PLLCI in a case series of geriatric patients. A retrospective analysis of consecutive patients with pelvic ring injuries who were admitted to our hospital from January 2008 to April 2015 identified seven geriatric patients (1 male and 6 females; median age 81 years) with a form of PLLCI. All injuries were due to falls from a standing position onto the ground. All seven cases demonstrated characteristics of a locking fractured ilium over the anterior border of the sacrum on axial computed tomography images, but were not detected on plain radiographs. All underwent follow-up at 1 year or later with improved mean visual analogue scale scores (range 0-3). Regarding Koval walking ability scores, patients who underwent pelvic brim plating with anterior external fixation were more likely to regain their pre-injury walking ability than patients who only underwent anterior external fixation or conservative treatment. Geriatric patients can experience PLCCIs of the pelvis due to low-energy trauma. These fractures have different characteristics from those associated with severe injuries due to high-energy trauma, and they comprise an infrequent form of Rommens fragility fracture of the pelvis (type IIIa). In these cases, appropriate surgical management that includes sacroiliac plating combined with anterior external fixation can yield good outcomes.

Deep Seismic Reflection Images of the Sumatra Seismic and Aseismic Gaps

NASA Astrophysics Data System (ADS)

Singh, S. C.; Hananto, N. D.; Chauhan, A.; Carton, H. D.; Midenet, S.; Djajadihardja, Y.

2009-12-01

The Sumatra subduction zone is seismically most active region on the Earth, and has been the site of three great earthquakes only in the last four years. The first of the series, the 2004 Boxing Day earthquake, broke 1300 km of the plate boundary and produced the devastating tsunami around the Indian Ocean. The second great earthquake occurred three months later in March 2005, about 150 km SE of the 2004 event. The Earth waited for three years, and then broke again in September 2007 at 1300 km SE of the 2004 event producing a twin earthquake of magnitudes of 8.5 and 7.9 at an interval of 12 hours, leaving a seismic gap of about 600 km between the second and third earthquake, the Sumatra Seismic Gap. Seismological and geodetic studies suggest that this gap is fully locked and may break any time. In order to study the seismic and tsunami risk in this locked region, a deep seismic reflection survey (Tsunami Investigation Deep Evaluation Seismic -TIDES) was carried out in May 2009 using the CGGVeritas vessel Geowave Champion towing a 15 long streamer, the longest ever used during a seismic survey, to image the nature of the subducting plate and associated features, including the seismogenic zone, from seafloor down to 50 km depth. A total of 1700 km of deep seismic reflection data were acquired. Three dip lines traverse the Sumatra subduction zone; one going through the Sumatra Seismic Gap, one crossing the region that broke during the 2007 great earthquake, and one going through the aseismic zone. These three dip profiles should provide insight about the locking mechanism and help us to understand why an earthquake occurs in one zone and not in aseismic zone. A strike-line was shot in the forearc basin connecting the locked zone with broken zone profiles, which should provide insight about barriers that might have stopped propagation of 2007 earthquake rupture further northward.

Characterization of interfragmentary motion associated with common osteosynthesis devices for rat fracture healing studies.

PubMed

Meyers, Nicholaus; Sukopp, Matthias; Jäger, Rudolf; Steiner, Malte; Matthys, Romano; Lapatki, Bernd; Ignatius, Anita; Claes, Lutz

2017-01-01

Rat models are widely used in preclinical studies investigating fracture healing. The interfragmentary movement at a fracture site is critical to the course of healing and therefore demands definition in order to aptly interpret the experimental results. Estimation of this movement requires knowledge of the fixation stiffness and loading. The characteristic loading for the rat femur has been estimated, but the stiffness of fixation used in rat studies has yet to be fully described. This study aimed to determine the 6 degree of freedom stiffness of four commonly used implants, two external fixators (RatExFix and UlmExFix), a locking plate, and a locking intramedullary nail, in all degrees of freedom and estimate the interfragmentary movement under specific physiological loads. The external fixator systems allow the greatest movement. Mounted 45° anterolateral on the femur, the RatExFix allows an average of 0.88 mm of motion in each anatomic direction while the stiffer UlmExFix allows about 0.6 mm of motion. The nail is far stiffer than the other implants investigated while the plate allows movement of an intermediate magnitude. Both the nail and plate demonstrate higher axial than shear stiffness. The relatively large standard deviations in external fixator shear motion imply strong dependence on bone axis alignment across the gap and the precise orientation of the specimen relative to the loading. The smaller standard deviation associated with the nail and plate results from improved alignment and minimization of the influence of rotational positioning of the specimen due to the reduced implant eccentricity relative to the specimen axis. These results show that the interfragmentary movement is complex and varies significantly between fixation devices but establishes a baseline for the evaluation of the results of different studies.

Characterization of interfragmentary motion associated with common osteosynthesis devices for rat fracture healing studies

PubMed Central

Steiner, Malte; Matthys, Romano; Lapatki, Bernd; Ignatius, Anita; Claes, Lutz

2017-01-01

Rat models are widely used in preclinical studies investigating fracture healing. The interfragmentary movement at a fracture site is critical to the course of healing and therefore demands definition in order to aptly interpret the experimental results. Estimation of this movement requires knowledge of the fixation stiffness and loading. The characteristic loading for the rat femur has been estimated, but the stiffness of fixation used in rat studies has yet to be fully described. This study aimed to determine the 6 degree of freedom stiffness of four commonly used implants, two external fixators (RatExFix and UlmExFix), a locking plate, and a locking intramedullary nail, in all degrees of freedom and estimate the interfragmentary movement under specific physiological loads. The external fixator systems allow the greatest movement. Mounted 45° anterolateral on the femur, the RatExFix allows an average of 0.88 mm of motion in each anatomic direction while the stiffer UlmExFix allows about 0.6 mm of motion. The nail is far stiffer than the other implants investigated while the plate allows movement of an intermediate magnitude. Both the nail and plate demonstrate higher axial than shear stiffness. The relatively large standard deviations in external fixator shear motion imply strong dependence on bone axis alignment across the gap and the precise orientation of the specimen relative to the loading. The smaller standard deviation associated with the nail and plate results from improved alignment and minimization of the influence of rotational positioning of the specimen due to the reduced implant eccentricity relative to the specimen axis. These results show that the interfragmentary movement is complex and varies significantly between fixation devices but establishes a baseline for the evaluation of the results of different studies. PMID:28453556

Fluid pressure and shear zone development over the locked to slow slip region in Cascadia.

PubMed

Audet, Pascal; Schaeffer, Andrew J

2018-03-01

At subduction zones, the deep seismogenic transition from a frictionally locked to steady sliding interface is thought to primarily reflect changes in rheology and fluid pressure and is generally located offshore. The development of fluid pressures within a seismic low-velocity layer (LVL) remains poorly constrained due to the scarcity of dense, continuous onshore-offshore broadband seismic arrays. We image the subducting Juan de Fuca oceanic plate in northern Cascadia using onshore-offshore teleseismic data and find that the signature of the LVL does not extend into the locked zone. Thickening of the LVL down dip where viscous creep dominates suggests that it represents the development of an increasingly thick and fluid-rich shear zone, enabled by fluid production in subducting oceanic crust. Further down dip, episodic tremor, and slip events occur in a region inferred to have locally increased fluid pressures, in agreement with electrical resistivity structure and numerical models of fault slip.

Fluid pressure and shear zone development over the locked to slow slip region in Cascadia

PubMed Central

Audet, Pascal; Schaeffer, Andrew J.

2018-01-01

At subduction zones, the deep seismogenic transition from a frictionally locked to steady sliding interface is thought to primarily reflect changes in rheology and fluid pressure and is generally located offshore. The development of fluid pressures within a seismic low-velocity layer (LVL) remains poorly constrained due to the scarcity of dense, continuous onshore-offshore broadband seismic arrays. We image the subducting Juan de Fuca oceanic plate in northern Cascadia using onshore-offshore teleseismic data and find that the signature of the LVL does not extend into the locked zone. Thickening of the LVL down dip where viscous creep dominates suggests that it represents the development of an increasingly thick and fluid-rich shear zone, enabled by fluid production in subducting oceanic crust. Further down dip, episodic tremor, and slip events occur in a region inferred to have locally increased fluid pressures, in agreement with electrical resistivity structure and numerical models of fault slip. PMID:29536046

The structure of mode-locking regions of piecewise-linear continuous maps: II. Skew sawtooth maps

NASA Astrophysics Data System (ADS)

Simpson, D. J. W.

2018-05-01

In two-parameter bifurcation diagrams of piecewise-linear continuous maps on , mode-locking regions typically have points of zero width known as shrinking points. Near any shrinking point, but outside the associated mode-locking region, a significant proportion of parameter space can be usefully partitioned into a two-dimensional array of annular sectors. The purpose of this paper is to show that in these sectors the dynamics is well-approximated by a three-parameter family of skew sawtooth circle maps, where the relationship between the skew sawtooth maps and the N-dimensional map is fixed within each sector. The skew sawtooth maps are continuous, degree-one, and piecewise-linear, with two different slopes. They approximate the stable dynamics of the N-dimensional map with an error that goes to zero with the distance from the shrinking point. The results explain the complicated radial pattern of periodic, quasi-periodic, and chaotic dynamics that occurs near shrinking points.

Actively controlling coolant-cooled cold plate configuration

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chainer, Timothy J.; Parida, Pritish R.

Cooling apparatuses are provided to facilitate active control of thermal and fluid dynamic performance of a coolant-cooled cold plate. The cooling apparatus includes the cold plate and a controller. The cold plate couples to one or more electronic components to be cooled, and includes an adjustable physical configuration. The controller dynamically varies the adjustable physical configuration of the cold plate based on a monitored variable associated with the cold plate or the electronic component(s) being cooled by the cold plate. By dynamically varying the physical configuration, the thermal and fluid dynamic performance of the cold plate are adjusted to, formore » example, optimally cool the electronic component(s), and at the same time, reduce cooling power consumption used in cooling the electronic component(s). The physical configuration can be adjusted by providing one or more adjustable plates within the cold plate, the positioning of which may be adjusted based on the monitored variable.« less

Theta EEG dynamics of the error-related negativity.

PubMed

Trujillo, Logan T; Allen, John J B

2007-03-01

The error-related negativity (ERN) is a response-locked brain potential (ERP) occurring 80-100ms following response errors. This report contrasts three views of the genesis of the ERN, testing the classic view that time-locked phasic bursts give rise to the ERN against the view that the ERN arises from a pure phase-resetting of ongoing theta (4-7Hz) EEG activity and the view that the ERN is generated - at least in part - by a phase-resetting and amplitude enhancement of ongoing theta EEG activity. Time-domain ERP analyses were augmented with time-frequency investigations of phase-locked and non-phase-locked spectral power, and inter-trial phase coherence (ITPC) computed from individual EEG trials, examining time courses and scalp topographies. Simulations based on the assumptions of the classic, pure phase-resetting, and phase-resetting plus enhancement views, using parameters from each subject's empirical data, were used to contrast the time-frequency findings that could be expected if one or more of these hypotheses adequately modeled the data. Error responses produced larger amplitude activity than correct responses in time-domain ERPs immediately following responses, as expected. Time-frequency analyses revealed that significant error-related post-response increases in total spectral power (phase- and non-phase-locked), phase-locked power, and ITPC were primarily restricted to the theta range, with this effect located over midfrontocentral sites, with a temporal distribution from approximately 150-200ms prior to the button press and persisting up to 400ms post-button press. The increase in non-phase-locked power (total power minus phase-locked power) was larger than phase-locked power, indicating that the bulk of the theta event-related dynamics were not phase-locked to response. Results of the simulations revealed a good fit for data simulated according to the phase-locking with amplitude enhancement perspective, and a poor fit for data simulated according to the classic view and the pure phase-resetting view. Error responses produce not only phase-locked increases in theta EEG activity, but also increases in non-phase-locked theta, both of which share a similar topography. The findings are thus consistent with the notion advanced by Luu et al. [Luu P, Tucker DM, Makeig S. Frontal midline theta and the error-related negativity; neurophysiological mechanisms of action regulation. Clin Neurophysiol 2004;115:1821-35] that the ERN emerges, at least in part, from a phase-resetting and phase-locking of ongoing theta-band activity, in the context of a general increase in theta power following errors.

Downdip and along-strike variations in the properties of the Alaska megathrust from active-source seismic imaging

NASA Astrophysics Data System (ADS)

Shillington, D. J.; Becel, A.; Nedimovic, M. R.; Li, J.; Kuehn, H.; Webb, S. C.; Abers, G. A.; Keranen, K. M.; Saffer, D. M.

2014-12-01

Downdip and along-strike changes in slip behavior at subduction zones are often attributed to changes in the properties of the megathrust. Here we review information on the subduction megathrust offshore of the Alaska Peninsula from MCS reflection and wide-angle seismic data acquired in 2011 during the Alaska Langseth Experiment to Understand the megaThrust (ALEUT) program, and compare them with constraints from other data and experiments. This region encompasses the full spectrum of coupling: 1) the weakly coupled Shumagin Gap; 2) the Semidi segment, which last ruptured in the 1938 M8.2 event, appears to be locked at present, and 3) the western Kodiak asperity, which marked the western extent of the 1964 M9.2 rupture and also appears to be locked. Our data reveal substantial along-strike variations in incoming sediment thickness and plate structure and along-strike and downdip variations in megathrust reflection characteristics. Over 1 km of sediment is observed on the incoming oceanic plate in the Semidi segment prior to subduction, and a relatively thick and continuous layer interpreted as subducted sediment can be imaged at the plate boundary here up to ~50 km from the trench . In the Shumagin Gap, where the incoming sediment section is half as thick and more pervasively faulted at the outer rise, a subducting sediment layer is also observed but it is thinner, less continuous and is not observed to continue as far from the trench. ,Although the Semidi segment is capable of producing great earthquakes, the comparatively thick sediment here may contribute to the relative paucity of seismicity compared with adjacent segments. At greater depths, simple and bright reflections are generally observed at depths of ~12-25 km, ~40-100 km from the trench, within the center of the estimated locked zone. The character changes where the megathrust appears to intersect the forearc mantle wedge to a wide (~2 km thick), bright band of reflections and may arise from a change in deformation style, distribution of fluids, and/or plate boundary properties. Although the overall patterns in reflection characteristics are consistent between profiles across different segments, this transition in reflection characteristics occurs at larger distances from the trench within the Semidi segment than in the Shumagin Gap.

Pulse shaping in mode-locked fiber lasers by in-cavity spectral filter.

PubMed

Boscolo, Sonia; Finot, Christophe; Karakuzu, Huseyin; Petropoulos, Periklis

2014-02-01

We numerically show the possibility of pulse shaping in a passively mode-locked fiber laser by inclusion of a spectral filter into the laser cavity. Depending on the amplitude transfer function of the filter, we are able to achieve various regimes of advanced temporal waveform generation, including ones featuring bright and dark parabolic-, flat-top-, triangular- and saw-tooth-profiled pulses. The results demonstrate the strong potential of an in-cavity spectral pulse shaper for controlling the dynamics of mode-locked fiber lasers.

Experimental investigation of different regimes of mode-locking in a high repetition rate passively mode-locked semiconductor quantum-dot laser.

PubMed

Kéfélian, Fabien; O'Donoghue, Shane; Todaro, Maria Teresa; McInerney, John; Huyet, Guillaume

2009-04-13

We report experimental investigations on a two-section 16-GHz repetition rate InAs/GaAs quantum dot passively mode-locked laser. Near the threshold current, pseudo-periodic Q-switching with complex dynamics is exhibited. Mode-locking operation regimes characterized by different repetition rates and timing jitter levels are encountered up to twice the threshold current. Evolution of the RF spectrum and optical spectrum with current is compared. The different mode-locked regimes are shown to be associated with different spectral and temporal shapes, ranging from 1.3 to 6 ps. This point is discussed by introducing the existence of two different supermodes. Repetition rate evolution and timing jitter increase is attributed to the coupling between the dominant and the secondary supermodes.

High speed strain measurement of active mode locking FBG laser sensor using chirped FBG cavity

NASA Astrophysics Data System (ADS)

Kim, Gyeong Hun; Kim, Joon Young; Park, Chang Hyun; Kim, Chang-Seok; Lee, Hwi Don; Chung, Youngjoo

2017-04-01

We propose a high speed strain measurement method using an active mode locking (AML) fiber Bragg grating (FBG) laser sensor with a chirped FBG cavity. The mode-locked frequency of the AML laser depends on both the position and Bragg wavelength of the FBG. Thus, the mode-locked frequency of cascaded FBGs can be detected independently along the cavity length of cascaded FBGs. The strain across FBGs can be interrogated dynamically by monitoring the change in mode-locked frequency. In this respect, the chirped FBG critically improves the frequency sensitivity to Bragg wavelength shift as a function of increasing dispersion in the AML cavity. The strain measurement of the FBG sensor shows a highly linear response, with an R-squared value of 0.9997.

Crustal motion studies in the southwest Pacific: Geodetic measurements of plate convergence in Tonga, Vanuatu and the Solomon Islands

NASA Astrophysics Data System (ADS)

Phillips, David A.

The southwest Pacific is one of the most tectonically dynamic regions on Earth. This research focused on crustal motion studies in three regions of active Pacific-Australia plate convergence in the southwest Pacific: Tonga, the New Hebrides (Vanuatu) and the Solomons Islands. In Tonga, new and refined velocity estimates based on more than a decade of Global Positioning System (GPS) measurements and advanced analysis techniques are much more accurate than previously reported values. Convergence rates of 80 to 165 mm/yr at the Tonga trench represent the fastest plate motions observed on Earth. For the first time, rotation of the Fiji platform relative to the Australian plate is observed, and anomalous deformation of the Tonga ridge was also detected. In the New Hebrides, a combined GPS dataset with a total time series of more than ten years led to new and refined velocity estimates throughout the island arc. Impingement of large bathymetric features has led to arc fragmentation, and four distinct tectonic segments are identified. The central New Hebrides arc segment is being shoved eastward relative to the rest of the arc as convergence is partitioned between the forearc (Australian plate) and the backarc (North Fiji Basin) boundaries due to impingement of the d'Entrecasteaux Ridge and associated Bougainville seamount. The southern New Hebrides arc converges with the Australian plate more rapidly than predicted due to backarc extension. The first measurements of convergence in the northern and southernmost arc segments were also made. In the Solomon Islands, a four-year GPS time series was used to generate the first geodetic estimates of crustal velocity in the New Georgia Group, with 57--84 mm/yr of Australia-Solomon motion and 19--39 mm/yr of Pacific-Solomon motion being observed. These velocities are 20--40% lower than predicted Australia-Pacific velocities. Two-dimensional dislocation models suggest that most of this discrepancy can be attributed to locking of the San Cristobal trench and elastic strain accumulation in the forearc. Anomalous motion at Simbo island is also observed.

Pore-pressure sensitivities to dynamic strains: observations in active tectonic regions

USGS Publications Warehouse

Barbour, Andrew J.

2015-01-01

Triggered seismicity arising from dynamic stresses is often explained by the Mohr-Coulomb failure criterion, where elevated pore pressures reduce the effective strength of faults in fluid-saturated rock. The seismic response of a fluid-rock system naturally depends on its hydro-mechanical properties, but accurately assessing how pore-fluid pressure responds to applied stress over large scales in situ remains a challenging task; hence, spatial variations in response are not well understood, especially around active faults. Here I analyze previously unutilized records of dynamic strain and pore-pressure from regional and teleseismic earthquakes at Plate Boundary Observatory (PBO) stations from 2006 through 2012 to investigate variations in response along the Pacific/North American tectonic plate boundary. I find robust scaling-response coefficients between excess pore pressure and dynamic strain at each station that are spatially correlated: around the San Andreas and San Jacinto fault systems, the response is lowest in regions of the crust undergoing the highest rates of secular shear strain. PBO stations in the Parkfield instrument cluster are at comparable distances to the San Andreas fault (SAF), and spatial variations there follow patterns in dextral creep rates along the fault, with the highest response in the actively creeping section, which is consistent with a narrowing zone of strain accumulation seen in geodetic velocity profiles. At stations in the San Juan Bautista (SJB) and Anza instrument clusters, the response depends non-linearly on the inverse fault-perpendicular distance, with the response decreasing towards the fault; the SJB cluster is at the northern transition from creeping-to-locked behavior along the SAF, where creep rates are at moderate to low levels, and the Anza cluster is around the San Jacinto fault, where to date there have been no statistically significant creep rates observed at the surface. These results suggest that the strength of the pore pressure response in fluid-saturated rock near active faults is controlled by shear strain accumulation associated with tectonic loading, which implies a strong feedback between fault strength and permeability: dynamic triggering susceptibilities may vary in space and also in time.

Clinical comparison of two different plating methods in minimally invasive plate osteosynthesis for clavicular midshaft fractures: A randomized controlled trial.

PubMed

Sohn, Hoon-Sang; Shon, Min Soo; Lee, Kyung-Hag; Song, Si-Jung

2015-11-01

The aim of this study was to compare the clinical and radiographic outcomes between two different plating methods (superior vs. anteroinferior) in minimally invasive plate osteosynthesis (MIPO) for acute displaced clavicular shaft fractures. A prospective, randomized controlled trial was performed in a single centre. Nineteen patients were treated with superior plating and 18 with anteroinferior plating using the MIPO technique. A 3.5-mm locking reconstruction plate was bent preoperatively and applied to either the anteroinferior or superior aspect of the clavicle through two separate incisions. The operating time, time to union, the proportional length difference, complications, and functional outcome of the shoulder joint were evaluated using the Constant score and the University of California Los Angeles (UCLA) score. There was no statistically significant difference in the Constant score and UCLA score. The mean time to union was 16.8 weeks for superior plating and 17.1 weeks for anteroinferior plating (p=0.866). The average operation time was 77.2min in superior plating and 79.4min in anteroinferior plating (p=0.491). One patient in the superior plating group showed plate failure. Despite no significant difference, one patient had nonunion in the superior plating group (p>0.999). From a clinical perspective, although MIPO with anteroinferior plating provides better outcomes especially in complications without statistically significant difference, both plating methods provided satisfactory clinical and radiographic outcomes. Level I, a single-centre, prospective, randomized controlled trial. Copyright © 2015 Elsevier Ltd. All rights reserved.

Interventions for treating proximal humeral fractures in adults.

PubMed

Handoll, Helen H G; Brorson, Stig

2015-11-11

Fracture of the proximal humerus, often termed shoulder fracture, is a common injury in older people. The management of these fractures varies widely. This is an update of a Cochrane Review first published in 2001 and last updated in 2012. To assess the effects (benefits and harms) of treatment and rehabilitation interventions for proximal humeral fractures in adults. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, and other databases, conference proceedings and bibliographies of trial reports. The full search ended in November 2014. We considered all randomised controlled trials (RCTs) and quasi-randomised controlled trials pertinent to the management of proximal humeral fractures in adults. Both review authors performed independent study selection, risk of bias assessment and data extraction. Only limited meta-analysis was performed. We included 31 heterogeneous RCTs (1941 participants). Most of the 18 separate treatment comparisons were tested by small single-centre trials. The main exception was the surgical versus non-surgical treatment comparison tested by eight trials. Except for a large multicentre trial, bias in these trials could not be ruled out. The quality of the evidence was either low or very low for all comparisons except the largest comparison.Nine trials evaluated non-surgical treatment in mainly minimally displaced fractures. Four trials compared early (usually one week) versus delayed (three or four weeks) mobilisation after fracture but only limited pooling was possible and most of the data were from one trial (86 participants). This found some evidence that early mobilisation resulted in better recovery and less pain in people with mainly minimally displaced fractures. There was evidence of little difference between the two groups in shoulder complications (2/127 early mobilisation versus 3/132 delayed mobilisation; 4 trials) and fracture displacement and non-union (2/52 versus 1/54; 2 trials).One quasi-randomised trial (28 participants) found the Gilchrist-type sling was generally more comfortable than the Desault-type sling (body bandage). One trial (48 participants) testing pulsed electromagnetic high-frequency energy provided no evidence. Two trials (62 participants) provided evidence indicating little difference in outcome between instruction for home exercises versus supervised physiotherapy. One trial (48 participants) reported, without presentable data, that home exercise alone gave better early and comparable long-term results than supervised exercise in a swimming pool plus home exercise.Eight trials, involving 567 older participants, evaluated surgical intervention for displaced fractures. There was high quality evidence of no clinically important difference in patient-reported shoulder and upper-limb function at one- or two-year follow-up between surgical (primarily locking plate fixation or hemiarthroplasty) and non-surgical treatment (sling immobilisation) for the majority of displaced proximal humeral fractures; and moderate quality evidence of no clinically important difference between the two groups in quality of life at two years (and at interim follow-ups at six and 12 months). There was moderate quality evidence of little difference between groups in mortality in the surgery group (17/248 versus 12/248; risk ratio (RR) 1.40 favouring non-surgical treatment, 95% confidence interval (CI) 0.69 to 2.83; P = 0.35; 6 trials); only one death was explicitly linked with the treatment. There was moderate quality evidence of a higher risk of additional surgery in the surgery group (34/262 versus 16/261; RR 2.06, 95% CI 1.18 to 3.60; P = 0.01; 7 trials). Although there was moderate evidence of a higher risk of adverse events after surgery, the 95% confidence intervals for adverse events also included the potential for a greater risk of adverse events after non-surgical treatment.Different methods of surgical management were tested in 12 trials. One trial (57 participants) comparing two types of locking plate versus a locking nail for treating two-part surgical neck fractures found some evidence of slightly better function after plate fixation but also of a higher rate of surgically-related complications. One trial (61 participants) comparing a locking plate versus minimally invasive fixation with distally inserted intramedullary K-wires found little difference between the two implants at two years. Compared with hemiarthroplasty, one trial (32 participants) found similar results with locking plate fixation in function and re-operation rates, whereas another trial (30 participants) reported all five re-operations occurred in the tension-band fixation group. One trial (62 participants) found better patient-rated (Quick DASH) and composite shoulder function scores at a minimum of two years follow-up and a lower incidence of re-operation and complications after reverse shoulder arthroplasty (RSA) compared with hemiarthroplasty.No important between-group differences were found in one trial (120 participants) comparing the deltoid-split approach versus deltopectoral approach for non-contact bridging plate fixation, and two trials (180 participants) comparing 'polyaxial' and 'monaxial' screws in locking plate fixation. One trial (68 participants) produced some preliminary evidence that tended to support the use of medial support locking screws in locking plate fixation. One trial (54 participants) found fewer adverse events, including re-operations, for the newer of two types of intramedullary nail. One trial (35 participants) found better functional results for one of two types of hemiarthroplasty. One trial (45 participants) found no important effects of tenodesis of the long head of the biceps for people undergoing hemiarthroplasty.Very limited evidence suggested similar outcomes from early versus later mobilisation after either surgical fixation (one trial: 64 participants) or hemiarthroplasty (one trial: 49 participants). There is high or moderate quality evidence that, compared with non-surgical treatment, surgery does not result in a better outcome at one and two years after injury for people with displaced proximal humeral fractures involving the humeral neck and is likely to result in a greater need for subsequent surgery. The evidence does not cover the treatment of two-part tuberosity fractures, fractures in young people, high energy trauma, nor the less common fractures such as fracture dislocations and head splitting fractures.There is insufficient evidence from RCTs to inform the choices between different non-surgical, surgical, or rehabilitation interventions for these fractures.

Isolating active orogenic wedge deformation in the southern Subandes of Bolivia

NASA Astrophysics Data System (ADS)

Weiss, Jonathan R.; Brooks, Benjamin A.; Foster, James H.; Bevis, Michael; Echalar, Arturo; Caccamise, Dana; Heck, Jacob; Kendrick, Eric; Ahlgren, Kevin; Raleigh, David; Smalley, Robert; Vergani, Gustavo

2016-08-01

A new GPS-derived surface velocity field for the central Andean backarc permits an assessment of orogenic wedge deformation across the southern Subandes of Bolivia, where recent studies suggest that great earthquakes (>Mw 8) are possible. We find that the backarc is not isolated from the main plate boundary seismic cycle. Rather, signals from subduction zone earthquakes contaminate the velocity field at distances greater than 800 km from the Chile trench. Two new wedge-crossing velocity profiles, corrected for seasonal and earthquake affects, reveal distinct regions that reflect (1) locking of the main plate boundary across the high Andes, (2) the location of and loading rate at the back of orogenic wedge, and (3) an east flank velocity gradient indicative of décollement locking beneath the Subandes. Modeling of the Subandean portions of the profiles indicates along-strike variations in the décollement locked width (WL) and wedge loading rate; the northern wedge décollement has a WL of ~100 km while accumulating slip at a rate of ~14 mm/yr, whereas the southern wedge has a WL of ~61 km and a slip rate of ~7 mm/yr. When compared to Quaternary estimates of geologic shortening and evidence for Holocene internal wedge deformation, the new GPS-derived wedge loading rates may indicate that the southern wedge is experiencing a phase of thickening via reactivation of preexisting internal structures. In contrast, we suspect that the northern wedge is undergoing an accretion or widening phase primarily via slip on relatively young thrust-front faults.

Seismic reflection imaging of two megathrust shear zones in the northern Cascadia subduction zone.

PubMed

Calvert, Andrew J

2004-03-11

At convergent continental margins, the relative motion between the subducting oceanic plate and the overriding continent is usually accommodated by movement along a single, thin interface known as a megathrust. Great thrust earthquakes occur on the shallow part of this interface where the two plates are locked together. Earthquakes of lower magnitude occur within the underlying oceanic plate, and have been linked to geochemical dehydration reactions caused by the plate's descent. Here I present deep seismic reflection data from the northern Cascadia subduction zone that show that the inter-plate boundary is up to 16 km thick and comprises two megathrust shear zones that bound a >5-km-thick, approximately 110-km-wide region of imbricated crustal rocks. Earthquakes within the subducting plate occur predominantly in two geographic bands where the dip of the plate is inferred to increase as it is forced around the edges of the imbricated inter-plate boundary zone. This implies that seismicity in the subducting slab is controlled primarily by deformation in the upper part of the plate. Slip on the shallower megathrust shear zone, which may occur by aseismic slow slip, will transport crustal rocks into the upper mantle above the subducting oceanic plate and may, in part, provide an explanation for the unusually low seismic wave speeds that are observed there.

Nail or plate in the management of distal extra-articular tibial fracture, what is better? Valutation of outcomes

PubMed Central

Bisaccia, Michele; Cappiello, Andrea; Meccariello, Luigi; Rinonapoli, Giuseppe; Falzarano, Gabriele; Medici, Antonio; Vicente, Cristina Ibáñez; Piscitelli, Luigi; Stano, Verdiana; Bisaccia, Olga; Caraffa, Auro

2018-01-01

Introduction: Distal tibial fractures are the most common long bone fractures. Several studies focusing on the methods of treatment of displaced distal tibial fractures have been published. To date, locked plates, intramedullary nails and external fixation are the three most used techniques. The aim of our study was to compare intramedullary nail (IMN) and locked plate (LP) for treatment of this kind of fracture. Materials and methods: We collected data on 81 patients with distal tibial fractures (distance from the joint between 40 and 100 mm) and we divided into two groups: IMN and LP. We compared in the 2 groups the mean operation time, the mean union time, the infection rate the rate of malunion and nonunion, the full weight bearing time. Results: No patient in the two groups developed a nonunion. None of the patients obtained a fair or poor outcome. Overall 52 patients obtained an excellent result (69.3%) and 23 obtained a good result (30.6%). Discussion: Our study results indicate a superiority of IMN over LP in terms of lower rates of infections and statistically significant shorter time to full weight bearing. Whereas LP appeared to be advantageous over IMN in terms of leading to a better anatomical and fixed reductions of the fracture and a lower rate of union complications. The two treatments achieved comparable results in terms of operation time, hospital stay, union time and functional outcomes. PMID:29469802

Rise of the central Andean coast by earthquakes straddling the Moho

NASA Astrophysics Data System (ADS)

Melnick, Daniel

2016-05-01

Surface movements during the largest subduction zone earthquakes commonly drown coastlines. Yet, on geological timescales, coastlines above subduction zones uplift. Here I use a morphometric analysis combined with a numerical model of landscape evolution to estimate uplift rates along the central Andean rasa--a low-relief coastal surface bounded by a steep cliff formed by wave erosion. I find that the rasa has experienced steady uplift of 0.13 +/- 0.04 mm per year along a stretch of more than 2,000 km in length, during the Quaternary. These long-term uplift rates do not correlate with Global Positioning System (GPS) measurements of interseismic movements over the decadal scale, which implies that permanent uplift is not predominantly accumulated during the interseismic period. Instead, the rate of rasa uplift correlates with slip during earthquakes straddling the crust-mantle transition, the Moho. Such deeper earthquakes with magnitude 7 to 8 that occurred between 1995 and 2012 resulted in decimetres of coastal uplift. Slip during these earthquakes is located below the locked portion of the plate interface, and therefore may translate into permanent deformation of the overlying plate, where it causes uplift of the coastline. Thus, lower parts of the plate boundary are stably segmented over hundreds to millions of years. I suggest the coastline marks the surface expression of the transition between the shallow, locked seismogenic domain and the deeper, conditionally stable domain where modest earthquakes build up topography.

Treatment of periprosthetic femoral fractures of the knee.

PubMed

Ehlinger, Matthieu; Adam, Philippe; Abane, Lamine; Rahme, Michel; Moor, Beat Kaspar; Arlettaz, Yvan; Bonnomet, François

2011-09-01

We report a continuous series of periprosthetic femoral fractures after knee arthroplasty treated with a locking plate. We hypothesize that minimally invasive surgery and immediate weight-bearing improve functional recovery. From June 2002 to December 2008, 15 patients with 16 fractures were treated. Median age was 81 years. The autonomy level according to the mobility score of Parker and Palmer showed a median of 5 (0-9). Osteosynthesis was performed mainly through a minimally invasive approach using a locking compression plate. The rehabilitation protocol consisted of immediate mobilization and, whenever possible, immediate unrestricted weight-bearing. Five patients died during follow-up, more than 1 year after osteosynthesis. Their results were included. Autonomy and mobility were preserved with a median postoperative score of 4 (0-9) according to Parker and Palmer. The consolidation rate was 93.8%, which was obtained within 10 weeks. There were no mechanical or infectious complications. Fourteen cases were treated with minimally invasive surgery without fracture exposition; the remaining 2 required a slightly more extended approach. Full weight-bearing occurred 10 times; 20-kg partial weight-bearing was advised twice; and on 4 occasions, no weight-bearing was allowed for 6 weeks. Osteosynthesis with a minimally invasive bridge-plating technique is effective in the treatment of periprosthetic, distal femoral fractures without component loosening. Immediate full weight-bearing is possible if certain rules are respected. The surgical management presented herein is beneficial for these challenging fractures, and it may help reduce the complication rate and improve functional outcome.

Shallow velocity structure of the Alaska Peninsula subduction zone and implications for controls on seismic behavior

NASA Astrophysics Data System (ADS)

Li, J.; Shillington, D. J.; Becel, A.; Nedimovic, M. R.; Kuehn, H.; Webb, S. C.; Abers, G. A.; Keranen, K. M.; Saffer, D. M.

2014-12-01

Downdip and along-strike variations in the seismic behavior of subduction zone megathrust faults are thought to be strongly controlled by changes in the material properties along the plate boundary. Roughness and hydration of the incoming plate, fluid pressure and lithology in the subducting sediment channel are likely to control the distribution of shallower rupture. Here, we focus on the subduction zone offshore of the Alaska Peninsula. In 2011, the ALEUT program acquired deep penetration multichannel seismic (MCS) reflection and ocean bottom seismometer (OBS) data across the apparently freely sliding Shumagin Gap, the locked Semidi segment that last ruptured in 1938 M8.2 earthquake, and the locked western Kodiak asperity, which ruptured in the 1964 M9.2 earthquake. Seismic reflection data from the ALEUT cruise reveal significant variability in the thickness of sediment on the incoming plate and entering the trench, and the roughness and degree of hydration of the incoming plate. Oceanic crust entering the trench in the Shumagin gap is rugged with extensive faults and only a thin layer of sediment (<0.5 km thick). Farther east in the Semidi segment, the subducting plate has a smoother surface with thicker sediments (~1 km thick) and less faulting/hydration. To better constrain the properties of the accretionary prism and shallow part of the plate boundary, we are undertaking travel time tomography using reflection/refraction phases in OBS and MCS data, and constraints on the interface geometry from MCS images to estimate the detailed shallow velocity structure, with particular focus on properties within the shallow subduction channel. We observe refractions and reflections in OBS data from the shallow part of the subduction zone in both the Shumagin Gap and Semidi segment, including reflections off the top and base of what appears to be a layer of subducting sediment, which can be used for this work. We plan to present initial models of the shallow part of the subduction zone from both segments and discuss comparisons between the two.

Core-pumped mode-locked ytterbium-doped fiber laser operating around 980 nm

NASA Astrophysics Data System (ADS)

Zhou, Yue; Dai, Yitang; Li, Jianqiang; Yin, Feifei; Dai, Jian; Zhang, Tian; Xu, Kun

2018-07-01

In this letter, we first demonstrate a core-pumped passively mode-locked all-normal-dispersion ytterbium-doped fiber oscillator based on nonlinear polarization evolution operating around 980 nm. The dissipative soliton fiber laser pulse can be compressed down to 250 fs with 1 nJ pulse energy, and the slope efficiency of the oscillator can be as high as 19%. To improve the dissipative soliton laser output spectrum smoothness, we replace the birefringent plate based intracavity filter with a diffraction-grating based filter. The output pulse duration can then be further compressed down to 180 fs with improved spectral-smoothness. These schemes have potential applications in seeding cryogenic Yb:YLF amplifiers and underwater exploration of marine resources.

In vitro evaluation of stiffness and load sharing in a two-level corpectomy: comparison of static and dynamic cervical plates.

PubMed

Fogel, Guy R; Li, Zhenyu; Liu, Weiqiang; Liao, Zhenhua; Wu, Jia; Zhou, Wenyu

2010-05-01

Anterior cervical plating has been accepted in corpectomy and fusion of the cervical spine. Constrained plates were criticized for stress shielding that may lead to subsidence and pseudarthrosis. A dynamic plate allows load sharing as the graft subsides. Ideally, the dynamic plate design should maintain adequate stiffness of the construct while providing a reasonable load sharing with the strut graft. The purpose of the study was to compare dynamic and static plate kinematics with graft subsidence. The study designed was an in vitro biomechanical study in a porcine cervical spine model. Twelve spines were initially tested in intact condition with 20-N axial load in 15 degrees of flexion and extension range of motion (ROM). Then, a two-level corpectomy was created in all specimens with spines randomized to receive either a static or dynamic plate. The spines were retested under identical conditions with optimal length and undersized graft. Range of motion and graft loading were analyzed with a one-way analysis of variance (p<.05). Both plates significantly limited ROM compared with the intact spine in both graft length conditions. In extension graft, load was significantly higher (p=.001) in the static plate with optimal length, and in flexion, there was a significant loss of graft load (p=.0004). In flexion, the dynamic plate with undersized graft demonstrated significantly more load sustained (p=.0004). Both plates reasonably limited the ROM of the corpectomy. The static plate had significantly higher graft loads in extension and significant loss of graft load in flexion, whereas the dynamic plate maintained a reasonable graft load in ROM even when graft contact was imperfect. Copyright 2010 Elsevier Inc. All rights reserved.

Characterization of wavelength-swept active mode locking fiber laser based on reflective semiconductor optical amplifier

NASA Astrophysics Data System (ADS)

Lee, Hwi Don; Lee, Ju Han; Yung Jeong, Myung; Kim, Chang-Seok

2011-07-01

The static and dynamic characteristics of a wavelength-swept active mode locking (AML) fiber laser are presented in both the time-region and wavelength-region. This paper shows experimentally that the linewidth of a laser spectrum and the bandwidth of the sweeping wavelength are dependent directly on the length and dispersion of the fiber cavity as well as the modulation frequency and sweeping rate under the mode-locking condition. To achieve a narrower linewidth, a longer length and higher dispersion of the fiber cavity as well as a higher order mode locking condition are required simultaneously. For a broader bandwidth, a lower order of the mode locking condition is required using a lower modulation frequency. The dynamic sweeping performance is also analyzed experimentally to determine its applicability to optical coherence tomography imaging. It is shown that the maximum sweeping rate can be improved by the increased free spectral range from the shorter length of the fiber cavity. A reflective semiconductor optical amplifier (RSOA) was used to enhance the modulation and dispersion efficiency. Overall a triangular electrical signal can be used instead of the sinusoidal signal to sweep the lasing wavelength at a high sweeping rate due to the lack of mechanical restrictions in the wavelength sweeping mechanism.

Visual cortex responses reflect temporal structure of continuous quasi-rhythmic sensory stimulation.

PubMed

Keitel, Christian; Thut, Gregor; Gross, Joachim

2017-02-01

Neural processing of dynamic continuous visual input, and cognitive influences thereon, are frequently studied in paradigms employing strictly rhythmic stimulation. However, the temporal structure of natural stimuli is hardly ever fully rhythmic but possesses certain spectral bandwidths (e.g. lip movements in speech, gestures). Examining periodic brain responses elicited by strictly rhythmic stimulation might thus represent ideal, yet isolated cases. Here, we tested how the visual system reflects quasi-rhythmic stimulation with frequencies continuously varying within ranges of classical theta (4-7Hz), alpha (8-13Hz) and beta bands (14-20Hz) using EEG. Our findings substantiate a systematic and sustained neural phase-locking to stimulation in all three frequency ranges. Further, we found that allocation of spatial attention enhances EEG-stimulus locking to theta- and alpha-band stimulation. Our results bridge recent findings regarding phase locking ("entrainment") to quasi-rhythmic visual input and "frequency-tagging" experiments employing strictly rhythmic stimulation. We propose that sustained EEG-stimulus locking can be considered as a continuous neural signature of processing dynamic sensory input in early visual cortices. Accordingly, EEG-stimulus locking serves to trace the temporal evolution of rhythmic as well as quasi-rhythmic visual input and is subject to attentional bias. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Fastener Design Course [Workbook

NASA Technical Reports Server (NTRS)

Barrett, Richart T.

1997-01-01

Richard T. Barrett, Senior Aerospace Engineer of NASA Lewis Research Center presents a comprehensive course on fastener design. A recognized expert in the field of fastener technology Mr. Barrett combines lecture, charts, illustrations with real-world experiences. Topics covered include: materials, plantings and coatings, locking methods threads, joint stiffness, rivets, inserts, nut plates, thread lubricants, design criteria, etc. These presentation slides accompany the DVD.

A geometric nonlinear degenerated shell element using a mixed formulation with independently assumed strain fields. Final Report; Ph.D. Thesis, 1989

NASA Technical Reports Server (NTRS)

Graf, Wiley E.

1991-01-01

A mixed formulation is chosen to overcome deficiencies of the standard displacement-based shell model. Element development is traced from the incremental variational principle on through to the final set of equilibrium equations. Particular attention is paid to developing specific guidelines for selecting the optimal set of strain parameters. A discussion of constraint index concepts and their predictive capability related to locking is included. Performance characteristics of the elements are assessed in a wide variety of linear and nonlinear plate/shell problems. Despite limiting the study to geometric nonlinear analysis, a substantial amount of additional insight concerning the finite element modeling of thin plate/shell structures is provided. For example, in nonlinear analysis, given the same mesh and load step size, mixed elements converge in fewer iterations than equivalent displacement-based models. It is also demonstrated that, in mixed formulations, lower order elements are preferred. Additionally, meshes used to obtain accurate linear solutions do not necessarily converge to the correct nonlinear solution. Finally, a new form of locking was identified associated with employing elements designed for biaxial bending in uniaxial bending applications.

Biomechanical outcome of proximal femoral nail antirotation is superior to proximal femoral locking compression plate for reverse oblique intertrochanteric fractures: a biomechanical study of intertrochanteric fractures.

PubMed

Ma, Jian-Xiong; Wang, Jie; Xu, Wei-Guo; Yu, Jing-Tao; Yang, Yang; Ma, Xin-Long

2015-01-01

Reverse obliquity intertrochanteric fractures are a challenge for orthopedic surgeons. The optimal internal fixation for repairing this type of unstable intertrochanteric fractures remains controversial. This study aimed to compare the biomechanical properties in axial load and cyclical axial load of proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP) for fixation of reverse obliquity intertrochanteric fractures. Sixteen embalmed cadaver femurs were sawed to simulate reverse obliquity intertrochanteric fracture and instrumented with PFNA or PFLCP. Axial loads and axial cyclic loads were applied to the femoral head by an Instron tester. If the implant-femur constructs did not fail, axial failure load was added to the remaining implant-femur constructs. Mean axial stiffness for PFNA was 21.10% greater than that of PFLCP. Cyclic axial loading caused significantly less (p=0.022) mean irreversible deformation in PFNA (3.43 mm) than in PFLCP (4.34 mm). Significantly less (p=0.002) mean total deformation was detected in PFNA (6.16 mm) than in PFLCP (8.67 mm). For fixing reverse obliquity intertrochanteric fractures, PFNA is superior to PFLCP under axial load.

Assessment of Outcomes of Treatment of Fractures of Distal Femur with a Locking Plate Taking into Account Factors Influencing the Result.

PubMed

Pakuła, Grzegorz; Kwiatkowski, Krzysztof; Kuczmera, Piotr; Fudalej, Piotr

2015-10-01

The aim of this paper is to evaluate the results of treatment of distal femoral fractures (DFF) fixed with locking plates and analysis of factors that influence the final outcome. The patients were treated at the Department of Traumatology and Orthopedics, Military Medical Institute in Warsaw, and the Department of Orthopedics and Traumatology, 4th Military Research Hospital in Wroclaw. We analysed 39 patients with 42 fractures of the distal femur. Treatment results were analysed using the KOOS and KSS scales. Factors influencing the outcome were also investigated. Statistical analysis was performed using STATISTICA v. 10. Mean KOOS scores indicate a predominance of poor outcomes, while mean KSS scores indicate good outcomes. Treatment outcomes were significantly influenced by pain and limited mobility. 1. Subjective evaluation of treatment of fractures of the distal femur using the KOOS scale per form edworse than a clinical evaluation using the KSS. 2. Post-operative management should emphasise pain relief and restoration of the performance of the treated lower limb to ensure good mobility without crutches. 3. Despite the use of modern operational methods of fracture fixation, treatment of distal femur fractures is still a challenge.

Late extensor pollicis longus rupture following plate fixation in Galeazzi fracture dislocation

PubMed Central

Sabat, Dhananjaya; Dabas, Vineet; Dhal, Anil

2014-01-01

Late rupture of extensor pollicis longus (EPL) tendon after Galeazzi fracture dislocation fixation is an unknown entity though it is a well-established complication following distal radius fractures. We report the case of a 55-year old male who presented with late EPL tendon rupture 4 months following internal fixation of Galeazzi fracture dislocation with a Locking Compression Plate (LCP). He was managed with extensor indicis proprius (EIP) transfer to restore thumb extension. At 4 years followup, functional result of the transfer was good. We identify possible pitfalls with this particular patient and discuss how to avoid them in future. PMID:25143650

Plate Motion and Crustal Deformation Estimated with Geodetic Data from the Global Positioning System

NASA Technical Reports Server (NTRS)

Argus, Donald F.; Heflin, Michael B.

1995-01-01

We use geodetic data taken over four years with the Global Positioning System (GPS) to estimate: (1) motion between six major plates and (2) motion relative to these plates of ten sites in plate boundary zones. The degree of consistency between geodetic velocities and rigid plates requires the (one-dimensional) standard errors in horizontal velocities to be approx. 2 mm/yr. Each of the 15 angular velocities describing motion between plate pairs that we estimate with GPS differs insignificantly from the corresponding angular velocity in global plate motion model NUVEL-1A, which averages motion over the past 3 m.y. The motion of the Pacific plate relative to both the Eurasian and North American plates is observed to be faster than predicted by NUVEL-1A, supporting the inference from Very Long B ase- line Interferometry (VLBI) that motion of the Pacific plate has speed up over the past few m.y. The Eurasia-North America pole of rotation is estimated to be north of NUVEL-1A, consistent with the independent hypothesis that the pole has recently migrated northward across northeast Asia to near the Lena River delta. Victoria, which lies above the main thrust at the Cascadia subduction zone, moves relative to the interior of the overriding plate at 30% of the velocity of the subducting plate, reinforcing the conclusion that the thrust there is locked beneath the continental shelf and slope.

Ultrafast spectral dynamics of dual-color-soliton intracavity collision in a mode-locked fiber laser

NASA Astrophysics Data System (ADS)

Wei, Yuan; Li, Bowen; Wei, Xiaoming; Yu, Ying; Wong, Kenneth K. Y.

2018-02-01

The single-shot spectral dynamics of dual-color-soliton collisions inside a mode-locked laser is experimentally and numerically investigated. By using the all-optically dispersive Fourier transform, we spectrally unveil the collision-induced soliton self-reshaping process, which features dynamic spectral fringes over the soliton main lobe, and the rebuilding of Kelly sidebands with wavelength drifting. Meanwhile, the numerical simulations validate the experimental observation and provide additional insights into the physical mechanism of the collision-induced spectral dynamics from the temporal domain perspective. It is verified that the dynamic interference between the soliton and the dispersive waves is responsible for the observed collision-induced spectral evolution. These dynamic phenomena not only demonstrate the role of dispersive waves in the sophisticated soliton interaction inside the laser cavity, but also facilitate a deeper understanding of the soliton's inherent stability.

Dynamics of the Ternary Complex Formed by c-Myc Interactor JPO2, Transcriptional Co-activator LEDGF/p75, and Chromatin*

PubMed Central

Hendrix, Jelle; van Heertum, Bart; Vanstreels, Els; Daelemans, Dirk; De Rijck, Jan

2014-01-01

Lens epithelium-derived growth factor (LEDGF/p75) is a transcriptional co-activator involved in targeting human immunodeficiency virus (HIV) integration and the development of MLL fusion-mediated acute leukemia. A previous study revealed that LEDGF/p75 dynamically scans the chromatin, and upon interaction with HIV-1 integrase, their complex is locked on chromatin. At present, it is not known whether LEDGF/p75-mediated chromatin locking is typical for interacting proteins. Here, we employed continuous photobleaching and fluorescence correlation and cross-correlation spectroscopy to investigate in vivo chromatin binding of JPO2, a LEDGF/p75- and c-Myc-interacting protein involved in transcriptional regulation. In the absence of LEDGF/p75, JPO2 performs chromatin scanning inherent to transcription factors. However, whereas the dynamics of JPO2 chromatin binding are decelerated upon interaction with LEDGF/p75, very strong locking of their complex onto chromatin is absent. Similar results were obtained with the domesticated transposase PogZ, another cellular interaction partner of LEDGF/p75. We furthermore show that diffusive JPO2 can oligomerize; that JPO2 and LEDGF/p75 interact directly and specifically in vivo through the specific interaction domain of JPO2 and the C-terminal domain of LEDGF/p75, comprising the integrase-binding domain; and that modulation of JPO2 dynamics requires a functional PWWP domain in LEDGF/p75. Our results suggest that the dynamics of the LEDGF/p75-chromatin interaction depend on the specific partner and that strong chromatin locking is not a property of all LEDGF/p75-binding proteins. PMID:24634210

Deterministic chaos in an ytterbium-doped mode-locked fiber laser

NASA Astrophysics Data System (ADS)

Mélo, Lucas B. A.; Palacios, Guillermo F. R.; Carelli, Pedro V.; Acioli, Lúcio H.; Rios Leite, José R.; de Miranda, Marcio H. G.

2018-05-01

We experimentally study the nonlinear dynamics of a femtosecond ytterbium doped mode-locked fiber laser. With the laser operating in the pulsed regime a route to chaos is presented, starting from stable mode-locking, period two, period four, chaos and period three regimes. Return maps and bifurcation diagrams were extracted from time series for each regime. The analysis of the time series with the laser operating in the quasi mode-locked regime presents deterministic chaos described by an unidimensional Rossler map. A positive Lyapunov exponent $\\lambda = 0.14$ confirms the deterministic chaos of the system. We suggest an explanation about the observed map by relating gain saturation and intra-cavity loss.

Role of autologous non-vascularised intramedullary fibular strut graft in humeral shaft nonunions following failed plating.

PubMed

Kashayi-Chowdojirao, Sreekanth; Vallurupalli, Aashish; Chilakamarri, Vijay Krishna; Patnala, Chandrasekhar; Chodavarapu, Lalith Mohan; Kancherla, Nageswara Rao; Khazi Syed, Asif Hussain

2017-11-01

Non-union humeral shaft fractures are seen frequently in clinical practice at about 2-10% in conservative management and 30% in surgically operated patients. Osteosynthesis using dynamic compression plate (DCP), intramedullary nailing, locking compression plate (LCP), Ilizarov technique along with bone grafting have been reported previously. In cases of prior failed plate-screw osteosynthesis the resultant osteopenia, cortical defect, bone loss, scalloping around screws and metallosis, make the management of non-union more complicated. Fibular graft as an intramedullary strut is useful in these conditions by increasing screw purchase, union and mechanical stability. This study is a retrospective and prospective follow up of revision plating along with autologous non-vascularised intramedullary fibular strut graft (ANVFG) for humeral non-unions following failed plate osteosynthesis. Seventy eight cases of nonunion humeral shaft fractures were managed in our institute between 2008 and 2015. Of these, 57 cases were failed plate osteosynthesis, in which 15 cases were infected and 42 cases were noninfected. Out of the 78 cases, bone grafting was done in 55 cases. Fibular strut graft was used in 22 patients, of which 4 cases were of primary nonunion with osteoporotic bone. Applying the exclusion criteria of infection and inclusion criteria of failed plate osteosynthesis managed with revision plating using either LCP or DCP and ANVFG, 17 cases were studied. The mean age of the patients was 40.11 yrs (range: 26-57 yrs). The mean duration of non-union was 4.43 yrs (range: 0.5-14 yrs). The mean follow-up period was 33.41 months (range: 12-94 months). The average length of fibula was 10.7 cm (range: 6-15 cm). Main outcome measurements included bony union by radiographic assessment and pre- and postoperative functional evaluation using the DASH (Disabilities of the Arm, Shoulder and Hand) score. Results: Sixteen out of 17 fractures united following revision plating and fibular strut grafting. Average time taken for union was 3.5 months (range: 3-5 months). Complications included one each of implant failure with bending, transient radial nerve palsy and transient ulnar nerve palsy. No case had infection, graft site morbidity or peroneal nerve palsy. Functional assessment by DASH score improved from 59.14 (range: 43.6-73.21) preoperatively to 23.39 (range: 8.03-34.2) postoperatively (p = 0.0003). Conclusion: The results of our study indicate that revision plating along with ANVFG is a reliable option in humeral diaphyseal non-unions with failed plate-screw osteosynthesis providing adequate screw purchase, mechanical stability and high chances of union with good functional outcome.

Dynamics of a broad-band quantum cascade laser: from chaos to coherent dynamics and mode-locking.

PubMed

Columbo, L L; Barbieri, S; Sirtori, C; Brambilla, M

2018-02-05

The dynamics of a multimode quantum cascade laser, are studied in a model based on effective semiconductor Maxwell-Bloch equations, encompassing key features for the radiation-medium interaction such as an asymmetric frequency dependent gain and refractive index as well as the phase-amplitude coupling provided by the linewidth enhancement factor. By considering its role and that of the free spectral range, we find the conditions in which the traveling wave emitted by the laser at the threshold can be destabilized by adjacent modes, thus leading the laser emission towards chaotic or regular multimode dynamics. In the latter case our simulations show that the field oscillations are associated to self-confined structures which travel along the laser cavity, bridging mode-locking and solitary wave propagation. In addition, we show how a RF modulation of the bias current leads to active mode-locking yielding high-contrast, picosecond pulses. Our results compare well with recent experiments on broad-band THz-QCLs and may help in the understanding of the conditions for the generation of ultrashort pulses and comb operation in mid-IR and THz spectral regions.

Ability of modern distal tibia plates to stabilize comminuted pilon fracture fragments: Is dual plate fixation necessary?

PubMed

Penny, Phillip; Swords, Michael; Heisler, Jason; Cien, Adam; Sands, Andrew; Cole, Peter

2016-08-01

The purpose of this study was to examine the screw trajectory of ten commercially available distal tibia plates and compare them to common fracture patterns seen in OTA C type pilon fractures to determine their ability to stabilize the three most common fracture fragments while buttressing anterolateral zones of comminution. We hypothesized that a single plate for the distal tibia would fail to adequately stabilize all three main fracture fragments and zones of comminution in complex pilon fractures. Ten synthetic distal tibia sawbones models were used in conjunction with ten different locking distal tibia plate designs from three manufacturers (Depuy Synthes, J&J Co, Paoli, PA; Smith & Nephew, Memphis, TN; and Stryker, Mawa, NJ). Both medial and anterolateral plates from each company were utilized and separately applied to an individual sawbone model. Three implants allowing variable angle screw placement were used. The location of the locking screws and buttress effect 1cm above the articular surface was noted for each implant using axial computed tomography (CT). The images were then compared to a recently published "pilon fracture map" using an overlay technique to establish the relationship between screw location and known common fracture lines and areas of comminution. Each of the three main fragments was considered "captured" by a screw if it was purchased by at least two screws thereby controlling rotational forces on each fragment. Three of four anterolateral plates lacked stable fixation in the medial fragment. Of the 4 anterolateral plates used, only the variable angle anterolateral plate by Depuy Synthes captured the medial fragment with two screws. All four anterolateral plates buttressed the area of highest comminution and had an average of 1.25 screws in the medial fragment and an average of 3 screws in the posterolateral fragment. All five direct medial plates had variable fixation within anterolateral and posterolateral fragments with an average of 1.8 screws in the anterolateral fragment and an average of 1.3 screws in the posterolateral fragment. The Depuy Synthes variable angle anterolateral plate allowed for fixation of the medial fragment with two screws while simultaneously buttressing the zone of highest comminution and capturing both the anterolateral and posterolateral fragments with five and three screws respectively. The variable angle anteromedial plate by Depuy Synthes captured all three main fracture fragments but it did not buttress the anterolateral zone of comminution. In OTA 43C type pilon fractures, 8 out of 10 studied commercially available implants precontoured for the distal tibia, do not adequately stabilize the three primary fracture fragments typically seen in these injuries. Anterolateral plates were superior in addressing the coronal primary fracture line across the apex of the plafond, and buttressing the zone of comminution. None of the available plates can substitute for an understanding of the fracture planes and fragments typically seen in complex intra-articular tibia fractures and the addition of a second plate is necessary for adequate stability. Level IV. Copyright © 2016 Elsevier Ltd. All rights reserved.

Mode locking and island suppression by resonant magnetic perturbations in Rutherford regime

DOE Office of Scientific and Technical Information (OSTI.GOV)

Huang, Wenlong; Zhu, Ping, E-mail: pzhu@ustc.edu.cn

We demonstrate in theory that tearing mode locking and magnetic island suppression by resonant magnetic perturbations (RMPs) can correspond to different states of a same dynamic system governed by the torque balance and the nonlinear island evolution in the Rutherford regime. In particular, mode locking corresponds to the exact steady state of this system. A new exact analytic solution has been obtained for such a steady state, which quantifies the dependence of the locked mode island width on RMP amplitude in different plasma regimes. Furthermore, two different branches of mode locking have been revealed with the new analytic solution andmore » the branch with suppressed island width turns out to be unstable in general. On the other hand, the system also admits stable states of island suppression achieved through the RMP modulation of tearing mode rotational frequency. When the RMP amplitude is above a certain threshold, the island suppression is transient until the tearing mode eventually gets locked. When the RMP amplitude is below the mode locking threshold, the island can be suppressed in a steady state on time-average, along with transient oscillations in rotational frequency and island width due to the absence of mode locking.« less

GPS/acoustic Seafloor Geodetic Observations Near the Nankai Trough Axis

NASA Astrophysics Data System (ADS)

Tadokoro, K.; Yasuda, K.; Fujii, C.; Watanabe, T.; Nagai, S.

2013-12-01

The GPS/acoustic seafloor geodetic observation system, which uses precise acoustic ranging and kinematic GPS positioning techniques, has been developed as a useful tool for observing seafloor crustal deformations associated with plate convergence and with earthquakes that occurred in ocean area including the 2011 Tohoku-oki Earthquake of Mw 9.0. Our research group installed eight seafloor benchmarks for this observation system in source areas of anticipated major interplate earthquakes along the Nankai Trough, off southwestern Japan. We have performed campaign measurement for 4-8 years until the end of 2012. The error of displacement rate is almost 5 mm/y through the monitoring for more than four years. At the northern-most potion of the Nankai (Suruga) Trough, the observed steady horizontal displacement rate is 45 mm/y toward west. Also no significant velocity difference is observed across the trough, indicating strong interplate locking up to the shallowest segments. On the other hand, site velocities are 40 mm/y in the direction of N75W at the central region of the Nankai trough, 70-90 km landward from the trough axis. Although this result is the strong evidence for interplate locking, with coupling ratios of 60-80% on the basis of the back-slip model, it has no resolution for the interplate locking at the most-shallowest segments whose depths are 0-10 km. In other words, seaward up-dip limit of locked zone is never resolved from the present seafloor benchmark network [Tadokoro et al., 2012] . Large co-seismic slips larger than 40-50 m on the shallowest interplate segment [Ito et al., 2011; Fujii et al., 2011; Iinuma et al., 2012] are the cause of the unexpected high tsunami that has attacked the pacific coasts of the Tohoku region during the Tohoku-oki Earthquake; it is, therefore, essential to understand slip deficit or strain accumulation condition near the trench axis, also for the anticipated mega-thrust earthquake at the Nankai Trough. For this reason, we installed a new seafloor benchmark in the vicinity of the Nankai Trough axis, about 15 km landward from the trough axis, on July 16, 2013. In addition, we plan to install another new benchmark on the other side of the Nankai Trough in August of this year, to directly measure the motion of the subducting Philippine Sea Plate. The coupling ratio is calculated from slip deficit divided by convergence rate. We can directly 'measure' the coupling ratio from crustal deformation at the newly-installed station on the Philippine Sea Plate, without using global plate motion models. Acknowledgments: We are grateful to the captain and crews of R/V "Asama" of Mie Prefecture Fisheries Research Institute, Japan. This study has been partly promoted by Ministry of Education, Culture, Sports, Science and Technology, Japanese Government.

Passive control of coherent structures in a modified backwards-facing step flow

NASA Astrophysics Data System (ADS)

Ormonde, Pedro C.; Cavalieri, André V. G.; Silva, Roberto G. A. da; Avelar, Ana C.

2018-05-01

We study a modified backwards-facing step flow, with the addition of two different plates; one is a baseline, impermeable plate and the second a perforated one. An experimental investigation is carried out for a turbulent reattaching shear layer downstream of the two plates. The proposed setup is a model configuration to study how the plate characteristics affect the separated shear layer and how turbulent kinetic energies and large-scale coherent structures are modified. Measurements show that the perforated plate changes the mean flow field, mostly by reducing the intensity of reverse flow close to the bottom wall. Disturbance amplitudes are significantly reduced up to five step heights downstream of the trailing edge of the plate, more specifically in the recirculation region. A loudspeaker is then used to introduce phase-locked, low-amplitude perturbations upstream of the plates, and phase-averaged measurements allow a quantitative study of large-scale structures in the shear-layer. The evolution of such coherent structures is evaluated in light of linear stability theory, comparing the eigenfunction of the Kelvin-Helmholtz mode to the experimental results. We observe a close match of linear-stability eigenfunctions with phase-averaged amplitudes for the two tested Strouhal numbers. The perforated plate is found to reduce the amplitude of the Kelvin-Helmholtz coherent structures in comparison to the baseline, impermeable plate, a behavior consistent with the predicted amplification trends from linear stability.

Guidelines and Recommendations on the Use of Higher Order Finite Elements for Bending Analysis of Plates

NASA Astrophysics Data System (ADS)

Carrera, E.; Miglioretti, F.; Petrolo, M.

2011-11-01

This paper compares and evaluates various plate finite elements to analyse the static response of thick and thin plates subjected to different loading and boundary conditions. Plate elements are based on different assumptions for the displacement distribution along the thickness direction. Classical (Kirchhoff and Reissner-Mindlin), refined (Reddy and Kant), and other higher-order displacement fields are implemented up to fourth-order expansion. The Unified Formulation UF by the first author is used to derive finite element matrices in terms of fundamental nuclei which consist of 3×3 arrays. The MITC4 shear-locking free type formulation is used for the FE approximation. Accuracy of a given plate element is established in terms of the error vs. thickness-to-length parameter. A significant number of finite elements for plates are implemented and compared using displacement and stress variables for various plate problems. Reduced models that are able to detect the 3D solution are built and a Best Plate Diagram (BPD) is introduced to give guidelines for the construction of plate theories based on a given accuracy and number of terms. It is concluded that the UF is a valuable tool to establish, for a given plate problem, the most accurate FE able to furnish results within a certain accuracy range. This allows us to obtain guidelines and recommendations in building refined elements in the bending analysis of plates for various geometries, loadings, and boundary conditions.

Phase locking of a seven-channel continuous wave fibre laser system by a stochastic parallel gradient algorithm

DOE Office of Scientific and Technical Information (OSTI.GOV)

Volkov, M V; Garanin, S G; Dolgopolov, Yu V

2014-11-30

A seven-channel fibre laser system operated by the master oscillator – multichannel power amplifier scheme is the phase locked using a stochastic parallel gradient algorithm. The phase modulators on lithium niobate crystals are controlled by a multichannel electronic unit with the microcontroller processing signals in real time. The dynamic phase locking of the laser system with the bandwidth of 14 kHz is demonstrated, the time of phasing is 3 – 4 ms. (fibre and integrated-optical structures)

Development of Anti-lock Braking System (ABS) for Vehicles Braking

NASA Astrophysics Data System (ADS)

Minh, Vu Trieu; Oamen, Godwin; Vassiljeva, Kristina; Teder, Leo

2016-11-01

This paper develops a real laboratory of anti-lock braking system (ABS) for vehicle and conducts real experiments to verify the ability of this ABS to prevent the vehicle wheel from being locked while braking. Two controllers of PID and fuzzy logic are tested for analysis and comparison. This ABS laboratory is designed for bachelor and master students to simulate and analyze performances of ABS with different control techniques on various roads and load conditions. This paper provides educational theories and practices on the design of control for system dynamics.

Far off-resonance laser frequency stabilization using multipass cells in Faraday rotation spectroscopy.

PubMed

Quan, Wei; Li, Yang; Li, Rujie; Shang, Huining; Fang, Zishan; Qin, Jie; Wan, Shuangai

2016-04-01

We propose a far off-resonance laser frequency stabilization method by using multipass cells in Rb Faraday rotation spectroscopy. Based on the detuning equation, if multipass cells with several meters optical path length are used in the conventional Faraday spectroscopy, the detuning of the lock point can be extended much further from the alkali metal resonance. A plate beam splitter was used to generate two different Faraday signals at the same time. The transmitted optical path length was L=50  mm and the reflected optical path length was 2L=100  mm. When the optical path length doubled, the detuning of the lock points moved further away from the atomic resonance. The temperature dependence of the detuning of the lock point was also analyzed. A temperature-insensitive lock point was found near resonance when the cell temperature was between 110°C and 130°C. We achieved an rms fluctuation of 0.9 MHz/23 h at a detuning of 0.5 GHz. A frequency drift of 16 MHz/h at a detuning of -5.6  GHz and 4 MHz/h at a detuning of -5.2  GHz were also obtained for the transmitted and reflected light Faraday signal.

Actively controlling coolant-cooled cold plate configuration

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chainer, Timothy J.; Parida, Pritish R.

A method is provided to facilitate active control of thermal and fluid dynamic performance of a coolant-cooled cold plate. The method includes: monitoring a variable associated with at least one of the coolant-cooled cold plate or one or more electronic components being cooled by the cold plate; and dynamically varying, based on the monitored variable, a physical configuration of the cold plate. By dynamically varying the physical configuration, the thermal and fluid dynamic performance of the cold plate are adjusted to, for example, optimally cool the one or more electronic components, and at the same time, reduce cooling power consumptionmore » used in cooling the electronic component(s). The physical configuration can be adjusted by providing one or more adjustable plates within the coolant-cooled cold plate, the positioning of which may be adjusted based on the monitored variable.« less

Modeling of mode-locked fiber lasers

NASA Astrophysics Data System (ADS)

Shaulov, Gary

This thesis presents the results of analytical and numerical simulations of mode-locked fiber lasers and their components: multiple quantum well saturable absorbers and nonlinear optical loop mirrors. Due to the growing interest in fiber lasers as a compact source of ultrashort pulses there is a need to develop a full understanding of the advantages and limitations of the different mode-locked techniques. The mode-locked fiber laser study performed in this thesis can be used to optimize the design and performance of mode-locked fiber laser systems. A group at Air Force Research Laboratory reported a fiber laser mode-locked by multiple quantum well (MQW) saturable absorber with stable pulses generated as short as 2 ps [21]. The laser cavity incorporates a chirped fiber Bragg grating as a dispersion element; our analysis showed that the laser operates in the soliton regime. Soliton perturbation theory was applied and conditions for stable pulse operation were investigated. Properties of MQW saturable absorbers and their effect on cavity dynamics were studied and the cases of fast and slow saturable absorbers were considered. Analytical and numerical results are in a good agreement with experimental data. In the case of the laser cavity with a regular fiber Bragg grating, the properties of MQW saturable absorbers dominate the cavity dynamics. It was shown that despite the lack of a soliton shaping mechanism, there is a regime in parameter space where stable or quasi-stable solitary waves solutions can exist. Further a novel technique of fiber laser mode-locking by nonlinear polarization rotation was proposed. Polarization rotation of vector solitons was simulated in a birefringent nonlinear optical loop mirror (NOLM) and the switching characteristics of this device was studied. It was shown that saturable absorber-like action of NOLM allows mode-locked operation of the two fiber laser designs. Laser cavity designs were proposed: figure-eight-type and sigma-type cavity.

[Bony injuries of the shoulder girdle in snowboarding].

PubMed

Ehrnthaller, C; Gebhard, F; Imhoff, A B; Braun, S

2014-01-01

The fracture of the clavicle is the second most common fracture in snowboarding after the distal radius fracture. Nonsurgical treatment is frequently the treatment of first choice. For displaced fractures, surgical treatment is recommended. In general, internal fixation can be performed with a plate osteosynthesis or an intramedullary nail. Clinical studies were able to show similar and even slightly better functional results of the intramedullary nail in comparison to plate osteosynthesis. Because of less surgical trauma and better cosmetic results, intramedullary systems are increasingly preferred. Lateral clavicular fractures are more complex regarding surgical treatment due to their potential for concomitant ligamentous injuries. The hooked plate shows good clinical results with the advantage of addressing the fracture as well as the ligament injury in one step. The limitation of mobility during the first few postoperative weeks is the technique's main disadvantage. Ligament reconstruction with suture pulley systems as a stand-alone treatment or in combination with a locking plate osteosythesis are increasingly used due to their excellent clinical results with early postoperative mobilization.

Structure of the tsunamigenic plate boundary and low-frequency earthquakes in the southern Ryukyu Trench

PubMed Central

Arai, Ryuta; Takahashi, Tsutomu; Kodaira, Shuichi; Kaiho, Yuka; Nakanishi, Ayako; Fujie, Gou; Nakamura, Yasuyuki; Yamamoto, Yojiro; Ishihara, Yasushi; Miura, Seiichi; Kaneda, Yoshiyuki

2016-01-01

It has been recognized that even weakly coupled subduction zones may cause large interplate earthquakes leading to destructive tsunamis. The Ryukyu Trench is one of the best fields to study this phenomenon, since various slow earthquakes and tsunamis have occurred; yet the fault structure and seismic activity there are poorly constrained. Here we present seismological evidence from marine observation for megathrust faults and low-frequency earthquakes (LFEs). On the basis of passive observation we find LFEs occur at 15–18 km depths along the plate interface and their distribution seems to bridge the gap between the shallow tsunamigenic zone and the deep slow slip region. This suggests that the southern Ryukyu Trench is dominated by slow earthquakes at any depths and lacks a typical locked zone. The plate interface is overlaid by a low-velocity wedge and is accompanied by polarity reversals of seismic reflections, indicating fluids exist at various depths along the plate interface. PMID:27447546

Modeling of abnormal mechanical properties of nickel-based single crystal superalloy by three-dimensional discrete dislocation dynamics

NASA Astrophysics Data System (ADS)

Yang, Hui; Li, Zhenhuan; Huang, Minsheng

2014-12-01

Unlike common single crystals, the nickel-based single crystal superalloy shows surprisingly anomalous flow strength (i.e. with the increase of temperature, the yield strength first increases to a peak value and then decreases) and tension-compression (TC) asymmetry. A comprehensive three-dimensional discrete dislocation dynamics (3D-DDD) procedure was developed to model these abnormal mechanical properties. For this purpose, a series of complicated dynamic evolution details of Kear-Wilsdorf (KW) locks, which are closely related to the flow strength anomaly and TC asymmetry, were incorporated into this 3D-DDD framework. Moreover, the activation of the cubic slip system, which is the origin of the decrease in yield strength with increasing temperature at relatively high temperatures, was especially taken into account by introducing a competition criterion between the unlocking of the KW locks and the activation of the cubic slip system. To test our framework, a series of 3D-DDD simulations were performed on a representative volume cell model with a cuboidal Ni3Al precipitate phase embedded in a nickel matrix. Results show that the present 3D-DDD procedure can successfully capture the dynamic evolution of KW locks, the flow strength anomaly and TC asymmetry. Then, the underlying dislocation mechanisms leading to these abnormal mechanical responses were investigated and discussed in detail. Finally, a cyclic deformation of the nickel-based single crystal superalloy was modeled by using the present DDD model, with a special focus on the influence of KW locks on the Bauschinger effect and cyclic softening.

Dual small fragment plating improves screw-to-screw load sharing for mid-diaphyseal humeral fracture fixation: a finite element study.

PubMed

Kosmopoulos, Victor; Luedke, Colten; Nana, Arvind D

2015-01-01

A smaller humerus in some patients makes the use of a large fragment fixation plate difficult. Dual small fragment plate constructs have been suggested as an alternative. This study compares the biomechanical performance of three single and one dual plate construct for mid-diaphyseal humeral fracture fixation. Five humeral shaft finite element models (1 intact and 4 fixation) were loaded in torsion, compression, posterior-anterior (PA) bending, and lateral-medial (LM) bending. A comminuted fracture was simulated by a 1-cm gap. Fracture fixation was modelled by: (A) 4.5-mm 9-hole large fragment plate (wide), (B) 4.5-mm 9-hole large fragment plate (narrow), (C) 3.5-mm 9-hole small fragment plate, and (D) one 3.5-mm 9-hole small fragment plate and one 3.5-mm 7-hole small fragment plate. Model A showed the best outcomes in torsion and PA bending, whereas Model D outperformed the others in compression and LM bending. Stress concentrations were located near and around the unused screw holes for each of the single plate models and at the neck of the screws just below the plates for all the models studied. Other than in PA bending, Model D showed the best overall screw-to-screw load sharing characteristics. The results support using a dual small fragment locking plate construct as an alternative in cases where crutch weight-bearing (compression) tolerance may be important and where anatomy limits the size of the humerus bone segment available for large fragment plate fixation.

Shapiro steps for skyrmion motion on a washboard potential with longitudinal and transverse ac drives

DOE PAGES

Reichhardt, Charles; Reichhardt, Cynthia Jane

2015-12-28

In this work, we numerically study the behavior of two-dimensional skyrmions in the presence of a quasi-one-dimensional sinusoidal substrate under the influence of externally applied dc and ac drives. In the overdamped limit, when both dc and ac drives are aligned in the longitudinal direction parallel to the direction of the substrate modulation, the velocity-force curves exhibit classic Shapiro step features when the frequency of the ac drive matches the washboard frequency that is dynamically generated by the motion of the skyrmions over the substrate, similar to previous observations in superconducting vortex systems. In the case of skyrmions, the additionalmore » contribution to the skyrmion motion from a nondissipative Magnus force shifts the location of the locking steps to higher dc drives, and we find that the skyrmions move at an angle with respect to the direction of the dc drive. For a longitudinal dc drive and a perpendicular or transverse ac drive, the overdamped system exhibits no Shapiro steps; however, when a finite Magnus force is present, we find pronounced transverse Shapiro steps along with complex two-dimensional periodic orbits of the skyrmions in the phase-locked regimes. Both the longitudinal and transverse ac drives produce locking steps whose widths oscillate with increasing ac drive amplitude. We examine the role of collective skyrmion interactions and find that additional fractional locking steps occur for both longitudinal and transverse ac drives. Finally, at higher skyrmion densities, the system undergoes a series of dynamical order-disorder transitions, with the skyrmions forming a moving solid on the phase locking steps and a fluctuating dynamical liquid in regimes between the steps.« less

Binding of anions in triply interlocked coordination catenanes and dynamic allostery for dehalogenation reactions.

PubMed

Yang, Linlin; Jing, Xu; An, Bowen; He, Cheng; Yang, Yang; Duan, Chunying

2018-01-28

By synergistic combination of multicomponent self-assembly and template-directed approaches, triply interlocked metal organic catenanes that consist of two isolated chirally identical tetrahedrons were constructed and stabilized as thermodynamic minima. In the presence of suitable template anions, the structural conversion from the isolated tetrahedral conformers into locked catenanes occurred via the cleavage of an intrinsically reversible coordination bond in each of the tetrahedrons, followed by the reengineering and interlocking of two fragments with the regeneration of the broken coordination bonds. The presence of several kinds of individual pocket that were attributed to the triply interlocked patterns enabled the possibility of encapsulating different anions, allowing the dynamic allostery between the unlocked/locked conformers to promote the dehalogenation reaction of 3-bromo-cyclohexene efficiently, as with the use of dehalogenase enzymes. The interlocked structures could be unlocked into two individual tetrahedrons through removal of the well-matched anion templates. The stability and reversibility of the locked/unlocked structures were further confirmed by the catching/releasing process that accompanied emission switching, providing opportunities for the system to be a dynamic molecular logic system.

Geodetic Secor Satellite

DTIC Science & Technology

1974-06-01

retrans- minied modulation signals. A phase-lock loop was used to provide correlation detection, allowing automatic acquisition and phase tracking at...steel strips, 0.5-inch-wide by 0.009-inch-thick, and formed to a 0.75-inch radius. Each antenne -was plated with silver to imprive con- dutivity...Telemetry Requirements k. Phase Detector Output Requirements 1. Primary Power Requirements m. AM Suppression Requirements n. Data Feedback Loop Gain

Materials Processes (MP) Engineering Internship Projects

NASA Technical Reports Server (NTRS)

Tomsik, Elizabeth

2017-01-01

This poster illustrates my major and minor projects worked on during my entire time interning at KSC in the Materials Science Branch. My major projects consist of three Failure Analyses, a research project on Magnesium Alloys, and the manufacturing and mechanical testing of the Advanced Plant Habitat. My three Failure Analyses are Umbilical Testing Ground Plates, Lithium Ion Battery Locking Spring Blade, and a Liquid Oxygen Poppet.

Biomechanical performance of rigid compared to dynamic anterior cervical plating: analysis of adjacent upper and lower level compressive forces.

PubMed

Connor, David E; Shamieh, Khader Samer; Ogden, Alan L; Mukherjee, Debi P; Sin, Anthony; Nanda, Anil

2012-12-01

Dynamic anterior cervical plating is well established as a means of enhancing graft loading and subsequent arthrodesis. Current concerns center on the degree of adjacent-level stress induced by these systems. The aim of this study was to evaluate and compare the load transferred to adjacent levels for single-level anterior cervical discectomy and fusion utilizing rigid compared to dynamic anterior plating systems. Nine cadaveric adult human cervical spine specimens were subjected to range-of-motion testing prior to and following C5-C6 anterior cervical discectomy and fusion procedures. Interbody grafting was performed with human fibula tissue. Nondestructive biomechanical testing included flexion/extension and lateral bending loading modes. A constant displacement of 5mm was applied in each direction and the applied load was measured in newtons (N). Specimens were tested in the following order: intact, following discectomy, after rigid plating, then after dynamic plating. Adjacent level (C4-C5 [L(S)] and C6-C7 [L(I)]) compressive forces were measured using low profile load cells inserted into each disc space. The measured load values for plating systems were then normalized using values measured for the intact specimens. Mean loads transferred to L(S) and L(I) during forced flexion in specimens with rigid plating were 23.47 N and 8.76 N, respectively; while the corresponding values in specimens with dynamic plating were 18.55 N and 1.03 N, respectively. Dynamic plating yielded no significant change at L(I) and a 21.0% decrease in load at L(S) when compared with rigid plating, although the difference was not significant. The observed trend suggests that dynamic plating may diminish superior adjacent level compressive stresses. Copyright © 2012 Elsevier Ltd. All rights reserved.

A non-asymptotic model of dynamics of honeycomb lattice-type plates

NASA Astrophysics Data System (ADS)

Cielecka, Iwona; Jędrysiak, Jarosław

2006-09-01

Lightweight structures, consisted of special composite material systems like sandwich plates, are often used in aerospace or naval engineering. In composite sandwich plates, the intermediate core is usually made of cellular structures, e.g. honeycomb micro-frames, reinforcing static and dynamic properties of these plates. Here, a new non-asymptotic continuum model of honeycomb lattice-type plates is shown and applied to the analysis of dynamic problems. The general formulation of the model for periodic lattice-type plates of an arbitrary lay-out was presented by Cielecka and Jędrysiak [Journal of Theoretical and Applied Mechanics 40 (2002) 23-46]. This model, partly based on the tolerance averaging method developed for periodic composite solids by Woźniak and Wierzbicki [Averaging techniques in thermomechanics of composite solids, Wydawnictwo Politechniki Częstochowskiej, Częstochowa, 2000], takes into account the effect of the length microstructure size on the dynamic plate behaviour. The shown method leads to the model equations describing the above effect for honeycomb lattice-type plates. These equations have the form similar to equations for isotropic cases. The dynamic analysis of such plates exemplifies this effect, which is significant and cannot be neglected. The physical correctness of the obtained results is also discussed.

Time Domain Simulations of Arm Locking in LISA

NASA Technical Reports Server (NTRS)

Thorpe, J. I.; Maghami, P.; Livas, Jeff

2011-01-01

Arm locking is a technique that has been proposed for reducing laser frequency fluctuations in the Laser Interferometer Space Antenna (LISA). a gravitational-wave observatory sensitive' in the milliHertz frequency band. Arm locking takes advantage of the geometric stability of the triangular constellation of three spacecraft that comprise LISA to provide a frequency reference with a stability in the LISA measurement band that exceeds that available from a standard reference such as an optical cavity or molecular absorption line. We have implemented a time-domain simulation of arm locking including the expected limiting noise sources (shot noise, clock noise. spacecraft jitter noise. and residual laser frequency noise). The effect of imperfect a priori knowledge of the LISA heterodyne frequencies and associated "pulling" of an arm locked laser is included. We find that our implementation meets requirements both on the noise and dynamic range of the laser frequency.

Experimental study of non-stationary operation of a dual-wavelength passively mode-locked fibre ring laser

NASA Astrophysics Data System (ADS)

Ibarra Villalón, H. E.; Pottiez, O.; Bracamontes Rodriguez, Y. E.; Lauterio-Cruz, J. P.; Gomez Vieyra, A.

2018-06-01

In this paper, we report an experimental study of different dynamics taking place in a 20 m long passively mode-locked fibre ring laser in dual-wavelength operation, at 1531 nm and 1558 nm. For different polarization adjustments, self-starting mode locking is obtained, yielding different types of emission: bunches of solitons in quasi-stationary regime, a compact bunch of solitons coexisting with loose bunches of solitons, a noise-like pulse coexisting with bunches of solitons and a noise-like pulse displaying quasi-periodic fluctuations. In each regime, we extract information on the pulse dynamics from measurements of the temporal profile evolution using a 16 GHz real-time oscilloscope and, at the same time, we propose a phase-space diagram representation of the intensity versus the energy of the temporal profile of the pulses; the latter allows evidencing patterns that could not be identified using conventional measurement techniques.

Dispersion engineering of mode-locked fibre lasers

NASA Astrophysics Data System (ADS)

Woodward, R. I.

2018-03-01

Mode-locked fibre lasers are important sources of ultrashort pulses, where stable pulse generation is achieved through a balance of periodic amplitude and phase evolutions. A range of distinct cavity pulse dynamics have been revealed, arising from the interplay between dispersion and nonlinearity in addition to dissipative processes such as filtering. This has led to the discovery of numerous novel operating regimes, offering significantly improved laser performance. In this Topical Review, we summarise the main steady-state pulse dynamics reported to date through cavity dispersion engineering, including average solitons, dispersion-managed solitons, dissipative solitons, giant-chirped pulses and similaritons. Characteristic features and the stabilisation mechanism of each regime are described, supported by numerical modelling, in addition to the typical performance and limitations. Opportunities for further pulse energy scaling are discussed, in addition to considering other recent advances including automated self-tuning cavities and fluoride-fibre-based mid-infrared mode-locked lasers.

Apparatus and Method to Enable Precision and Fast Laser Frequency Tuning

NASA Technical Reports Server (NTRS)

Chen, Jeffrey R. (Inventor); Numata, Kenji (Inventor); Wu, Stewart T. (Inventor); Yang, Guangning (Inventor)

2015-01-01

An apparatus and method is provided to enable precision and fast laser frequency tuning. For instance, a fast tunable slave laser may be dynamically offset-locked to a reference laser line using an optical phase-locked loop. The slave laser is heterodyned against a reference laser line to generate a beatnote that is subsequently frequency divided. The phase difference between the divided beatnote and a reference signal may be detected to generate an error signal proportional to the phase difference. The error signal is converted into appropriate feedback signals to phase lock the divided beatnote to the reference signal. The slave laser frequency target may be rapidly changed based on a combination of a dynamically changing frequency of the reference signal, the frequency dividing factor, and an effective polarity of the error signal. Feed-forward signals may be generated to accelerate the slave laser frequency switching through laser tuning ports.

Radiographic and functional evaluation of low profile dorsal versus volar plating for distal radius fractures.

PubMed

Kumar, Sanjay; Khan, A N; Sonanis, S V

2016-12-01

Fracture of the distal radius is a common clinical problem. Complex fracture requires open reduction and stabilization with plating to restore anatomy. Dorsal plating has advantages of buttressing the fracture better but often complicated with tendon problems as per literature. The rate of complications however, was not compared between the low-profile dorsal and the volar plates. This was a retrospective study on seventy one patients with dorsally angulated or displaced distal radius fractures, who underwent fixation of fractures with either dorsal or volar locking plate from Jan - Nov 2012. Preoperative radiographs were classified based on Universal and Fernandez classification. Postoperative radiographs were assessed for anatomical restoration of Radial length, radial inclination and volar tilt. Tendon and nerve related complications were assessed and functional evaluation was performed on the basis of PRWE (Patient related wrist evaluation) score. Both groups were matched for their demographic profile and fracture types (p 0.033). Dorsal plating group had 89% excellent/good restoration and fair in 11%. Volar group had 96% excellent/good restoration and fair in 4%. Statistical analysis was performed with unpaired t test for radiographic parameters. Three patients had tendon related complications in dorsal plating group; two patients in volar group had nerve related complications. Functional outcome with PRWE was comparable between two groups. Results with low profile dorsal plating were comparable to volar plating. Therefore dorsal plating can be used as an alternative method when dorsal buttressing of comminuted fracture is required, especially with concomitant osteoporosis.

Rational harmonic mode-locking pulse quality of the dark-optical-comb injected semiconductor optical amplifier fiber ring laser.

PubMed

Lin, Gong-Ru; Lee, Chao-Kuei; Kang, Jung-Jui

2008-06-09

We study the rational harmonic mode-locking (RHML) order dependent pulse shortening force and dynamic chirp characteristics of a gain-saturated semiconductor optical amplifier fiber laser (SOAFL) under dark-optical-comb injection, and discuss the competition between mode-locking mechanisms in the SOAFL at high-gain and strong optical injection condition at higher RHML orders. The evolutions of spectra, mode-locking and continuous lasing powers by measuring the ratio of DC/pulse amplitude and the pulse shortening force (I(pulse)/P(avg)(2) ) are performed to determine the RHML capability of SOAFL. As the rational harmonic order increases up to 20, the spectral linewidth shrinks from 12 to 3 nm, the ratio of DC/pulse amplitude enlarges from 0.025 to 2.4, and the pulse-shortening force reduces from 0.9 to 0.05. At fundamental and highest RHML condition, we characterize the frequency detuning range to realize the mode-locking quality, and measure the dynamic frequency chirp of the RHML-SOAFL to distinguish the linear and nonlinear chirp after dispersion compensation. With increasing RHML order, the pulsewidth is broadened from 4.2 to 26.4 ps with corresponding chirp reducing from 0.7 to 0.2 GHz and linear/nonlinear chirp ratio changes from 4.3 to 1.3, which interprets the high-order chirp becomes dominates at higher RHML orders.

Mapping photothermally induced gene expression in living cells and tissues by nanorod-locked nucleic acid complexes.

PubMed

Riahi, Reza; Wang, Shue; Long, Min; Li, Na; Chiou, Pei-Yu; Zhang, Donna D; Wong, Pak Kin

2014-04-22

The photothermal effect of plasmonic nanostructures has numerous applications, such as cancer therapy, photonic gene circuit, large cargo delivery, and nanostructure-enhanced laser tweezers. The photothermal operation can also induce unwanted physical and biochemical effects, which potentially alter the cell behaviors. However, there is a lack of techniques for characterizing the dynamic cell responses near the site of photothermal operation with high spatiotemporal resolution. In this work, we show that the incorporation of locked nucleic acid probes with gold nanorods allows photothermal manipulation and real-time monitoring of gene expression near the area of irradiation in living cells and animal tissues. The multimodal gold nanorod serves as an endocytic delivery reagent to transport the probes into the cells, a fluorescence quencher and a binding competitor to detect intracellular mRNA, and a plasmonic photothermal transducer to induce cell ablation. We demonstrate the ability of the gold nanorod-locked nucleic acid complex for detecting the spatiotemporal gene expression in viable cells and tissues and inducing photothermal ablation of single cells. Using the gold nanorod-locked nucleic acid complex, we systematically characterize the dynamic cellular heat shock responses near the site of photothermal operation. The gold nanorod-locked nucleic acid complex enables mapping of intracellular gene expressions and analyzes the photothermal effects of nanostructures toward various biomedical applications.

The evolving interaction of low-frequency earthquakes during transient slip.

PubMed

Frank, William B; Shapiro, Nikolaï M; Husker, Allen L; Kostoglodov, Vladimir; Gusev, Alexander A; Campillo, Michel

2016-04-01

Observed along the roots of seismogenic faults where the locked interface transitions to a stably sliding one, low-frequency earthquakes (LFEs) primarily occur as event bursts during slow slip. Using an event catalog from Guerrero, Mexico, we employ a statistical analysis to consider the sequence of LFEs at a single asperity as a point process, and deduce the level of time clustering from the shape of its autocorrelation function. We show that while the plate interface remains locked, LFEs behave as a simple Poisson process, whereas they become strongly clustered in time during even the smallest slow slip, consistent with interaction between different LFE sources. Our results demonstrate that bursts of LFEs can result from the collective behavior of asperities whose interaction depends on the state of the fault interface.

Biomechanical comparison of anterior cervical plating and combined anterior/lateral mass plating.

PubMed

Adams, M S; Crawford, N R; Chamberlain, R H; Bse; Sonntag, V K; Dickman, C A

2001-01-01

Previous studies showed anterior plates of older design to be inadequate for stabilizing the cervical spine in all loading directions. No studies have investigated enhancement in stability obtained by combining anterior and posterior plates. To determine which modes of loading are stabilized by anterior plating after a cervical burst fracture and to determine whether adding posterior plating further significantly stabilizes the construct. A repeated-measures in vitro biomechanical flexibility experiment was performed to investigate how surgical destabilization and subsequent addition of hardware components alter spinal stability. Six human cadaveric specimens were studied. Angular range of motion (ROM) and neutral zone (NZ) were quantified during flexion, extension, lateral bending, and axial rotation. Nonconstraining, nondestructive torques were applied while recording three-dimensional motion optoelectronically. Specimens were tested intact, destabilized by simulated burst fracture with posterior distraction, plated anteriorly with a unicortical locking system, and plated with a combined anterior/posterior construct. The anterior plate significantly (p<.05) reduced the ROM relative to normal in all modes of loading and significantly reduced the NZ in flexion and extension. Addition of the posterior plates further significantly reduced the ROM in all modes of loading and reduced the NZ in lateral bending. Anterior plating systems are capable of substantially stabilizing the cervical spine in all modes of loading after a burst fracture. The combined approach adds significant stability over anterior plating alone in treating this injury but may be unnecessary clinically. Further study is needed to assess the added clinical benefits of the combined approach and associated risks.

Crisis route to chaos in semiconductor lasers subjected to external optical feedback

NASA Astrophysics Data System (ADS)

Wishon, Michael J.; Locquet, Alexandre; Chang, C. Y.; Choi, D.; Citrin, D. S.

2018-03-01

Semiconductor lasers subjected to optical feedback have been intensively used as archetypical testbeds for high-speed (sub-ns) and high-dimensional nonlinear dynamics. By simultaneously extracting all the dynamical variables, we demonstrate that for larger current, the commonly named "quasiperiodic" route is in fact based on mixed external-cavity solutions that lock the oscillation frequency of the intensity, voltage, and separation in optical frequency through a mechanism involving successive rejections along the unstable manifold of an antimode. We show that chaos emerges from a crisis resulting from the inability to maintain locking as the unstable manifold becomes inaccessible.

Spectral dynamics of square pulses in passively mode-locked fiber lasers

NASA Astrophysics Data System (ADS)

Semaan, Georges; Komarov, Andrey; Niang, Alioune; Salhi, Mohamed; Sanchez, François

2018-02-01

We investigate experimentally and numerically the spectral dynamics of square pulses generated in passively mode-locked fiber lasers under the dissipative soliton resonance. The features of the transition from the single-peak spectral profile to the doublet spectrum with increasing pump power are studied. The used master equation takes into account the gain saturation, the quadratic frequency dispersion of the gain and the refractive index, and the cubic-quintic nonlinearity of the losses and refractive index. Experimental data are obtained for an Er:Yb-doped fiber ring laser. The theoretical and experimental results are in good agreement with each other.

Crustal deformation rates in Assam Valley, Shillong Plateau, Eastern Himalaya, and Indo-Burmese region from 11 years (2002-2013) of GPS measurements

NASA Astrophysics Data System (ADS)

Barman, Prakash; Jade, Sridevi; Shrungeshwara, T. S.; Kumar, Ashok; Bhattacharyya, Sanjeev; Ray, Jagat Dwipendra; Jagannathan, Saigeetha; Jamir, Wangshi Menla

2017-09-01

The present study reports the contemporary deformation of the tectonically complex northeast India using 11 years (2002-2013) of GPS observations. The central Shillong Plateau and few sites north of Plateau located in Assam Valley behave like a rigid block with 7 mm/year India-fixed southward velocity. The Euler pole of rotation of this central Shillong Plateau-Assam Valley (SH-AS) block is estimated to be at -25.1° ± 0.2°N, -97.8° ± 1.8°E with an angular velocity of 0.533° ± 0.10° Myr-1 relative to India-fixed reference frame. Kopili fault located between Shillong Plateau and Mikir massif records a dextral slip of 4.7 ± 1.3 mm/year with a locking depth of 10.2 ± 1.4 km indicating the fragmentation of Assam Valley across the fault. Presently, western edge of Mikir massif appears to be locked to Assam block indicating strain accumulation in this region. First-order elastic dislocation modelling of the GPS velocities estimates a slip rate of 16 mm/year along the Main Himalayan Thrust in Eastern Himalaya which is locked over a width of 130 km from the surface to a depth of 17 km with underthrusting Indian plate. Around 9 mm/year arc-normal convergence is accommodated in Lesser Himalaya just south of Main Central Thrust indicating high strain accumulation. Out of 36 mm/year (SSE) India-Sunda plate motion, about 16 mm/year motion is accommodated in Indo-Burmese Fold and Thrust Belt, both as normal convergence ( 6 mm/year) and active slip ( 7-11 mm/year) in this region.

Recovering Total Megathrust Slip Across the Seismic Cycle: Results from Two Decades of Study at the Nicoya Seismic Cycle Observatory (NSCO)

NASA Astrophysics Data System (ADS)

Newman, A. V.; Kyriakopoulos, C.

2015-12-01

Unlike most subduction environments that exist mostly or entirely offshore, the Nicoya Peninsula's location allows for unique land-based observations of the entire down-dip extent of coupling and failure along the seismogenic megathrust. Because of this geometry and approximately 50-year repeat cycle of mid-magnitude 7 earthquakes there, numerous geophysical studies were focused on the peninsula. Most notably of these are the dense seismic and GPS networks cooperatively operated by UC Santa Cruz, Georgia Tech, U. South Florida, and OVSICORI, collectively called the Nicoya Seismic Cycle Observatory (NSCO). The megathrust environment beneath Nicoya is additionally characterized by strong along-strike transitions in oceanic crust origin and geometries, including massive subducted seamounts, and a substantial crustal suture well documented in recent work by Kyriakopoulos et al. [JGR, 2015]. Using GPS data collected from campaign and continuous sites going back approximately 20 years, a number of studies have imaged components of the seismic cycle, including late-interseismic coupling, frequent slow-slip events, coseismic rupture of a moment magnitude 7.6 earthquake in 2012, and early postseismic response. The derived images of interface locking and slip behavior published for each of these episodes use different model geometries, different weighting schemes, and modeling algorithms limiting their use for fully characterizing the transitions between zones. Here, we report the first unified analysis of the full continuum of slip using the new locally defined 3D plate interface model. We focus on evaluating how transitions in plate geometry control observed locking, slip, and quantifying how well pre-seismic images of megathrust locking and slow-slip events dictate coseismic and postseismic behavior. Without the long-term and continuous geodetic observations made by the NSCO, this work would not have been possible.

Migrating slow slip detected by slow and repeating earthquakes along the Nankai trough, Japan

NASA Astrophysics Data System (ADS)

Uchida, N.; Obara, K.; Takagi, R.; Asano, Y.

2017-12-01

In the western part of the Nankai trough region, successive occurrences of deep non-volcanic tremors and shallow very low frequency earthquakes (VLFEs) associated with long-term slow slip events (SSEs) are reported in 2003 and 2010. To understand the link between the two seismic slow earthquakes, we identify small repeating earthquake in and around the region from the waveform similarity of earthquakes observed by NIED Hi-net. The result shows the repeaters are located in 15-30 km depth that is in between the depth range of the shallow VLFEs (depth <=15 km) and deep SSEs (depth>= 25km). They are also located outside of the source area of the 1946 Mw8.3 Nankai earthquake, consistent with the hypothesis that repeaters occur due to stress concentration to a locked patch by aseismic slip (creep) in the surrounding area. The long-term trend of aseismic slip estimated from the repeaters shows that the slip rate were faster during 2-3 years period before the 2003 and 2010 episodes. We also found short-term (days to month) accelerations of aseismic slip during the episode of 2010 that migrated toward north. The migration detected from repeaters follows shallow migration of VLFEs and precedes the deep migration of tremors. Therefore we consider that during the period of the long-term SSE of 3 years period, short-term slow slip migrated about 300 km length in 1 month from shallower and south part to deeper and north part of the plate boundary near the edge of the slip area of the Nankai earthquake. Such long-distance migration probably related to large-scale locking of plate boundary that is responsible to the Nankai earthquake and the interseismic stress concentration to the locked area.

Aspects of internal fixation of fractures in porotic bone. Principles, technologies and procedures using locked plate screws.

PubMed

Perren, S M; Linke, B; Schwieger, K; Wahl, D; Schneider, E

2005-01-01

Fractures of the bones of elderly people occur more often and have a more important effect because of a generally diminished ability to coordinate stance and walking. These fractures occur at a lower level of load because of lack of strength of the porotic bone. Prompt recovery of skeletal support function is essential to avoid respiratory and circulatory complications in the elderly. To prevent elderly people from the risks of being bedridden, demanding internal fixation of fractures is required. The weak porotic bone and the high level of uncontrolled loading after internal fixation pose complex problems. A combination of several technical elements of design, application and aftercare in internal fixation are proposed. Internal fixators with locked screws improve the biology and the mechanics of internal fixation. When such fixators are used as elevated splints they may stimulate early callus formation because of their flexibility, the limit of flexibility being set by the demands of resistance and function of the limb. Our own studies of triangulation of locked screws have demonstrated their beneficial effects and unexpected limitations.

Orbital maneuvering vehicle end effectors

NASA Technical Reports Server (NTRS)

Myers, W. Neill (Inventor); Forbes, John C. (Inventor); Barnes, Wayne L. (Inventor)

1988-01-01

An end effector device (A) for grasping and holding an article such as a handle (18) of a space telescope is disclosed. The device includes a V-shaped capture window (74) defined as inclined surfaces (76, 78) in parallel face plates (22, 24) which converge toward a retainer recess (54) in which the handle is retained. A pivotal finger (30) meshes with a pair of pivoted fingers (26, 28) which rotate in counterrotation. The fingers rotate to pull a handle within the capture window into recess (54) where latches (50) lock handle (18) in the recess. To align the capture window, plates (22, 24) may be cocked plus or minus five degrees on base (64).

Development of Surfaces Optically Suitable for Flat Solar Panels. [using a reflectometer which separately evaluates spectral and diffuse reflectivities of surfaces

NASA Technical Reports Server (NTRS)

1979-01-01

A reflectometer which can separately evaluate the spectral and diffuse reflectivities of surfaces is described. A phase locked detection system for the reflectometer is also described. A selective coating on aluminum potentially useful for flat plate solar collector applications is presented. The coating is composed of strongly bound copper oxide (divalent) and is formed by an etching process performed on an aluminum alloy with high copper content. Fabrication costs are expected to be small due to the one stop fabrication process. A number of conclusions gathered from the literature as to the required optical properties of flat plate solar collectors are discussed.

Ligamentous and capsular injuries to the metacarpophalangeal joints of the hand.

PubMed

Shah, Smiresh Suresh; Techy, Fernando; Mejia, Alfonso; Gonzalez, Mark H

2012-01-01

The mechanism of dorsal dislocation of the metacarpophalangeal (MCP) joint is with forced hyperextension of the joint and the main structure injured is the volar plate. A simple dislocation can be reduced by closed means whereas a complex dislocation cannot. Care must be taken not to put traction across the joint, which may cause the volar plate to slip into the joint, converting a simple dislocation into a complex dislocation. Volar dislocations are rare and mainly treated nonoperatively. Sagittal band injuries can be treated with extension splinting or surgical management with direct repair or reconstruction. A locked MCP joint can usually be treated with closed manipulation. This article discusses these injuries and management options.

Nonvolcanic Deep Tremors in the Transform Plate Bounding San Andreas Fault Zone

NASA Astrophysics Data System (ADS)

Nadeau, R. M.; Dolenc, D.

2004-12-01

Recently, deep ( ˜ 20 to 40 km) nonvolcanic tremor activity has been observed on convergent plate boundaries in Japan and in the Cascadia region of North America (Obara, 2002; Rodgers and Dragert, 2003; Szeliga et al., 2004). Because of the abundance of available fluids from subduction processes in these convergent zones, fluids are believed to play an important role in the generation of the tremor activity. The transient rates of tremor activity in these regions are also observed to correlate either with the occurrence of larger earthquakes (Obara, 2002) or with geodetically determined transient creep events that release large amounts of strain energy deep beneath the locked Cascadia megathrust (M.M. Miller et al., 2002; Rodgers and Dragert, 2003; Szeliga et al., 2004). These associations suggest that nonvolcanic tremor activity may participate in a fundamental mode of deep moment release and in the triggering of large subduction zone events (Rodgers and Dragert, 2003). We report the discovery of deep ( ˜ 20 to 45 km) nonvolcanic tremor activity on the transform plate bounding San Andreas Fault (SAF) in central California where, in contrast to subduction zones, long-term deformation directions are horizontal and fluid availability from subduction zone processes is absent. The source region of the SAF tremors lies beneath the epicentral region of the great 1857 magnitude (M) ˜ 8, Fort Tejon earthquake whose rupture zone is currently locked (Sieh, 1978). Activity rate transients of the tremors occurring since early 2001 also correlate with seismicity rate variations above the tremor source region.

Four-corner arthrodesis with a radiolucent locking dorsal circular plate: technique and outcomes.

PubMed

Rudnick, Benjamin; Goljan, Peter; Pruzansky, Jason S; Bachoura, Abdo; Jacoby, Sidney M; Rekant, Mark S

2014-09-01

Scaphoid excision and four-corner arthrodesis (FCA) is an acceptable motion sparing procedure used to treat wrist arthritis. Recently, a locking dorsal circular plate composed of polyether-ether-ketone has been introduced (Xpode®; TriMed Inc.). The purpose of this study is to assess the efficacy of this specific plate design with regard to FCA. A retrospective chart review of all patients who underwent FCA with an Xpode® between January 1, 2008 and December 31, 2012 was conducted. Patients were contacted and asked to return to clinic for clinical and radiographic follow-up. Patient demographics, range of motion, grip strength, and complications were collected from medical records. Patients completed a patient-rated wrist evaluation (PRWE). A paired t test was used to compare means, and p values <0.05 were considered statistically significant. Twenty-six procedures (24 patients) were identified. One patient required full wrist fusion following the initial procedure. Of the 25 remaining wrists, arthrodesis was successfully achieved in 20 (80 %). Eleven patients (13 wrists, 52 %) returned to clinic for an average follow-up of 28 months. Mean wrist extension improved from 30 to 47°, and flexion decreased from 33 to 23°. Average grip strength was 77 % of the uninjured side. The mean PRWE scores for pain and function were 19.7 and 17.1, respectively. Five patients underwent additional operations (two hardware removals, two contracture releases, and one distal radial ulnar joint arthroplasty). FCA with the Xpode® yielded reasonable results for pain and function and demonstrated a fusion rate of 80 %.

Induced membrane technique combined with two-stage internal fixation for the treatment of tibial osteomyelitis defects.

PubMed

Luo, Fei; Wang, Xiaohua; Wang, Shulin; Fu, Jingshu; Xie, Zhao

2017-07-01

The purpose of this study was to observe the effects of induced membrane technique combined with two-stage internal fixation in the treatment of tibial osteomyelitis defects. A retrospective analyses for 67 cases of tibialosteomyelitis defects were admitted to our department between September 2012 to February 2015, which were treated with induced membrane technique. At the first stage, implanted with a PMMA cement spacer in the defects after radical debridement and fixed with reconstructive locked plate. Bone grafting and exchanged the plate with intramedullary nail at the second stage. In current study, all patients were followed up for 18-35 months. Sixty-six patients achieved bone union with the average radiographic and clinical healing times of 5.55±2.19 and 7.45±1.69months, respectively. Seven patients required a second debridement before grafting, while four patients experienced a recurrence of infection or a relapse following second stage treatment. Twelve patients experienced either knee or ankle dysfunctions and 2 patients faced delayed wound healing. Donor site complications includes pain and infection were found in 7 and 3 patients, respectively with delayed stress fracture in 1 patient only. Induced membrane technique for the treatment of tibial osteomyelitis defects, seems a reliable method. The use of reconstructive locked plate as a temporary internal fixation at the first stage and exchanged with intramedullary nail at the second stage, potentially achieves good clinical efficacy. Care should be taken to restore the joint function especially in distal tibia. Copyright © 2017 Elsevier Ltd. All rights reserved.

Biomechanical evaluation of primary stiffness of tibiotalocalcaneal fusion with intramedullary nails.

PubMed

Mückley, Thomas; Eichorn, Stephan; Hoffmeier, Konrad; von Oldenburg, Geert; Speitling, Andreas; Hoffmann, Gunther O; Bühren, Volker

2007-02-01

Intramedullary implants are being used with increasing frequency for tibiotalocalcaneal fusion (TTCF). Clinically, the question arises whether intramedullary (IM) nails should have a compression mode to enhance biomechanical stiffness and fusion-site compression. This biomechanical study compared the primary stability of TTCF constructs using compressed and uncompressed retrograde IM nails and a screw technique in a bone model. For each technique, three composite bone models were used. The implants were a Biomet nail (static locking mode and compressed mode), a T2 femoral nail (compressed mode); a prototype IM nail 1 (PT1, compressed mode), a prototype IM nail 2 (PT2, dynamic locking mode and compressed mode), and a three-screw construct. The compressed contact surface of each construct was measured with pressure-sensitive film and expressed as percent of the available fusion-site area. Stiffness was tested in dorsiflexion and plantarflexion (D/P), varus and valgus (V/V), and internal rotation and external rotation (I/E) (20 load cycles per loading mode). Mean contact surfaces were 84.0 +/- 6.0% for the Biomet nail, 84.0 +/- 13.0% for the T2 nail, 70.0 +/- 7.2% for the PTI nail, and 83.5 +/- 5.5% for the compressed PT2 nail. The greatest primary stiffness in D/P was obtained with the compressed PT2, followed by the compressed Biomet nail. The dynamically locked PT2 produced the least primary stiffness. In V/V, PT1 had the (significantly) greatest primary stiffness, followed by the compressed PT2. The statically locked Biomet nail and the dynamically locked PT2 had the least primary stiffness in V/V. In I/E, the compressed PT2 had the greatest primary stiffness, followed by the PT1 and the T2 nails, which did not differ significantly from each other. The dynamically locked PT2 produced the least primary stiffness. The screw construct's contact surface and stiffness were intermediate. The IM nails with compression used for TTCF produced good contact surfaces and primary stiffness. They were significantly superior in these respects to the uncompressed nails and the screw construct. The large contact surfaces and great primary stiffness provided by the IM nails in a bone model may translate into improved union rates in patients who have TTCF.

Is Augmented LISS Plating Biomechanically Advantageous Over Conventional LISS Plating In Unstable Osteoporotic Distal Femoral Fractures?

PubMed

Todorov, Dimitar; Zderic, Ivan; Richards, R Geoff; Lenz, Mark; Knobe, Matthias; Enchev, Dian; Baltov, Asen; Gueorguiev, Boyko; Stoffel, Karl

2018-05-10

Treatment of complex osteoporotic distal femur fractures with the Less Invasive Stabilization System (LISS) has been associated with high complication rates. The aim of this study was to investigate the biomechanical competence of two different techniques of augmented versus conventional LISS plating. Unstable distal femoral fracture AO/OTA 33-A3 was created via osteotomies in artificial femora simulating osteoporotic bone. Three study groups, consisting of 10 specimens each, were created for instrumentation with either LISS plate, LISS plate with additional polylactide intramedullary graft, or LISS plate plus medial locking plate (double plating). All specimens were non-destructively tested under axial (20-150N) and torsional (0-4Nm) quasi-static loading. Each construct was tested with two different working length (WL) configurations (long and short) of the LISS plate. Relative movements between the most medial superior and inferior osteotomy aspects were investigated via three-dimensional motion tracking analysis. Double plating revealed significantly smaller longitudinal and shear displacement than the other two techniques (P≤0.001). In addition, LISS plus graft fixation was with significantly less longitudinal displacement in comparison to conventional LISS plating (P < 0.001). Long WL resulted in significantly higher longitudinal and shear displacement compared to short WL for LISS and LISS plus graft (P≤0.032), but not for double plating (P > 0.999). In conclusion, intramedullary grafting resulted in significantly increased fracture stability under axial loading in comparison to conventional LISS plating. Although it was not efficient enough to provide comparable stability to double plating, intramedullary grafting may be considered as a useful biological alternative to the latter in a surgeon's armamentarium. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Direct control of transitions between different mode-locking states of a fiber laser

NASA Astrophysics Data System (ADS)

Ilday, Fatih; Teamir, Tesfay; Iegorov, Roman; Makey, Ghaith

Mode-locking corresponds to a far-from-equilibrium steady state of a laser, whereby extremely short pulses can be produced. Capability to directly control mode-locking states can be used to improve laser performance with numerous applications, as well as shed light on their far-from-equilibrium physics using the laser as an experimental platform. Here, we demonstrate direct control of the mode-locking state using spectral pulse shaping by incorporating a spatial light modulator at a Fourier plane inside the cavity of an Yb-doped fiber laser. We show that we can halt and restart mode-locking, suppress instabilities, induce controlled reversible and irreversible transitions between mode-locking states, and perform advanced pulse shaping on pulses as short as 40 fs. This capability can be used to experimentally investigate bifurcations, reversible and irreversible transitions, by selecting, steering, and even competing various mode-locking states. Such studies can explore collective dynamics of dissipative soliton molecules, and ultimately test emerging theories about far-from-equilibrium physics, where there is an acute lack of experimental systems that are sufficiently well controlled. ERC CoG 617521, TUBITAK 113F319.

Macroscopic Quantum Phase-Locking Model for the Quantum Hall = Effect

NASA Astrophysics Data System (ADS)

Wang, Te-Chun; Gou, Yih-Shun

1997-08-01

A macroscopic model of nonlinear dissipative phase-locking between a Josephson-like frequency and a macroscopic electron wave frequency is proposed to explain the Quantum Hall Effect. It is well known that a r.f-biased Josephson junction displays a collective phase-locking behavior which can be described by a non-autonomous second order equation or an equivalent 2+1-dimensional dynamical system. Making a direct analogy between the QHE and the Josephson system, this report proposes a computer-solving nonlinear dynamical model for the quantization of the Hall resistance. In this model, the Hall voltage is assumed to be proportional to a Josephson-like frequency and the Hall current is assumed related to a coherent electron wave frequency. The Hall resistance is shown to be quantized in units of the fine structure constant as the ratio of these two frequencies are locked into a rational winding number. To explain the sample-width dependence of the critical current, the 2DEG under large applied current is further assumed to develop a Josephson-like junction array in which all Josephson-like frequencies are synchronized. Other remarkable features of the QHE such as the resistance fluctuation and the even-denominator states are also discussed within this picture.

Dynamical modeling and experiment for an intra-cavity optical parametric oscillator pumped by a Q-switched self-mode-locking laser

NASA Astrophysics Data System (ADS)

Wang, Jing; Liu, Nianqiao; Song, Peng; Zhang, Haikun

2016-11-01

The rate-equation-based model for the Q-switched mode-locking (QML) intra-cavity OPO (IOPO) is developed, which includes the behavior of the fundamental laser. The intensity fluctuation mechanism of the fundamental laser is first introduced into the dynamics of a mode-locking OPO. In the derived model, the OPO nonlinear conversion is considered as a loss for the fundamental laser and thus the QML signal profile originates from the QML fundamental laser. The rate equations are solved by a digital computer for the case of an IOPO pumped by an electro-optic (EO) Q-switched self-mode-locking fundamental laser. The simulated results for the temporal shape with 20 kHz EO repetition and 11.25 W pump power, the signal average power, the Q-switched pulsewidth and the Q-switched pulse energy are obtained from the rate equations. The signal trace and output power from an EO QML Nd3+: GdVO4/KTA IOPO are experimentally measured. The theoretical values from the rate equations agree with the experimental results well. The developed model explains the behavior, which is helpful to system optimization.

Dynamics of temporally localized states in passively mode-locked semiconductor lasers

NASA Astrophysics Data System (ADS)

Schelte, C.; Javaloyes, J.; Gurevich, S. V.

2018-05-01

We study the emergence and the stability of temporally localized structures in the output of a semiconductor laser passively mode locked by a saturable absorber in the long-cavity regime. For large yet realistic values of the linewidth enhancement factor, we disclose the existence of secondary dynamical instabilities where the pulses develop regular and subsequent irregular temporal oscillations. By a detailed bifurcation analysis we show that additional solution branches that consist of multipulse (molecules) solutions exist. We demonstrate that the various solution curves for the single and multipeak pulses can splice and intersect each other via transcritical bifurcations, leading to a complex web of solutions. Our analysis is based on a generic model of mode locking that consists of a time-delayed dynamical system, but also on a much more numerically efficient, yet approximate, partial differential equation. We compare the results of the bifurcation analysis of both models in order to assess up to which point the two approaches are equivalent. We conclude our analysis by the study of the influence of group velocity dispersion, which is only possible in the framework of the partial differential equation model, and we show that it may have a profound impact on the dynamics of the localized states.

Quasi-periodicity of vector solitons in a graphene mode-locked fiber laser

NASA Astrophysics Data System (ADS)

Song, Yu Feng; Li, Lei; Tang, Ding Yuan; Shen, De Yuan

2013-12-01

We report on the experimental observation of quasi-periodic dynamics of vector solitons in an erbium-doped fiber laser passively mode-locked with atomic layer graphene. Apart from the stable polarization-locked vector soliton emission, it was found that under certain conditions the fiber laser could also emit vector solitons with quasi-periodic pulse energy variation and polarization rotation during the cavity roundtrips. We show that the physical mechanism for the quasi-periodic vector soliton evolution is cavity-induced soliton modulation instability. Quasi-periodic evolution of multiple vector solitons was also observed in the same laser.

Emergence of resonant mode-locking via delayed feedback in quantum dot semiconductor lasers.

PubMed

Tykalewicz, B; Goulding, D; Hegarty, S P; Huyet, G; Erneux, T; Kelleher, B; Viktorov, E A

2016-02-22

With conventional semiconductor lasers undergoing external optical feedback, a chaotic output is typically observed even for moderate levels of the feedback strength. In this paper we examine single mode quantum dot lasers under strong optical feedback conditions and show that an entirely new dynamical regime is found consisting of spontaneous mode-locking via a resonance between the relaxation oscillation frequency and the external cavity repetition rate. Experimental observations are supported by detailed numerical simulations of rate equations appropriate for this laser type. The phenomenon constitutes an entirely new mode-locking mechanism in semiconductor lasers.

Numerical investigation of flow-induced rotary oscillation of circular cylinder with rigid splitter plate

NASA Astrophysics Data System (ADS)

Lu, Lin; Guo, Xiao-ling; Tang, Guo-qiang; Liu, Ming-ming; Chen, Chuan-qi; Xie, Zhi-hua

2016-09-01

Numerical results of fluid flow over a rotationally oscillating circular cylinder with splitter plate are presented here. Different from the previous examinations with freely rotatable assembly, the fluid and structure interactions are treated as a coupled dynamic system by fully considering the structural inertia, stiffness, and damping. The hydrodynamic characteristics are examined in terms of reduced velocity Ur at a relatively low Reynolds number Re = 100 for different plate lengths of L/D = 0.5, 1.0, and 1.5, where Ur = U/(Dfn), Re = UD/υ and fn = (κ/J)0.5/2π with U the free stream velocity, D the diameter of the circular cylinder, υ the fluid kinematic viscosity, fn the natural frequency, J the inertial moment, κ the torsional stiffness, and L the plate length. Contrast to the freely rotating cylinder/plate body, that is, in the limit of κ → 0 or Ur →∞, remarkable rotary oscillation is observed at relatively low reduced velocities. For the typical case with L/D = 1.0, the maximum amplitude may reach five times that at the highest reduced velocity of Ur = 15.0 considered in this work. At the critical reduced velocity Ur = 4.2, notable hydrodynamic jumps are identified for the rotation amplitude, response frequency, mean drag coefficient, lift amplitude, and vortex shedding frequency. Moreover, the phase angle between the fluid moment and rotary oscillation abruptly changes from 0 to π at Ur = 6.5. Due to the combined effect of fluid moment, rotation response, and phase difference, the natural frequency of the rotating body varies in flow, leading to a wide regime of lock-in/synchronization (Ur ≥4.2, for L/D = 1.0). The phenomenon of rotation bifurcation, i.e., the equilibrium position of the rotary oscillation deflects to a position which is not parallel to the free stream, is found to only occur at higher reduced velocities. The longer splitter plate has the lower critical reduced velocity. The occurrence of bifurcation is attributed to the anti-symmetry breaking of the wake flow evolution. The resultant asymmetric mean pressure distribution on the splitter plate gives rise to the net lift force and the deviated moment on the assembly, leading to the offset mean position of splitter plate. The global vortex shedding is identified to be the classic 2S mode for both cases with and without the bifurcation, although the second vortex formation and the shedding pattern in the near wake for the bifurcate case are different from the non-bifurcate case with lower reduced velocities.

Malaligned dynamic anterior cervical plate: a biomechanical analysis of effectiveness.

PubMed

Lawrence, Brandon D; Patel, Alpesh A; Guss, Andrew; Ryan Spiker, W; Brodke, Darrel S

2014-12-01

Biomechanical evaluation. To evaluate the kinematic and load-sharing differences of dynamic anterior cervical plates when placed in-line at 0° and off-axis at 20°. The use of dynamic anterior cervical plating systems has recently gained popularity due to the theoretical benefit of improved load sharing with graft subsidence. Occasionally, due to anatomical restraints, the anterior cervical plate may be placed off-axis in the coronal plane. This may potentially decrease the dynamization capability of the plate, leading to less load sharing and potentially decreased fusion rates. The purpose of this study was to comprehensively evaluate the kinematic and load-sharing differences of a dynamic plate placed in-line versus off-axis in the coronal plane. Thirteen fresh-frozen human cadaveric cervical spines (C2-T1) were used. Nondestructive range-of-motion testing was performed with a pneumatically controlled spine simulator in flexion/extension, lateral bending, and axial rotation using the OptoTrak motion measurement system. A C5 corpectomy was performed, and a custom interbody spacer with an integrated load cell collected load-sharing data under axial compression at varying loads. A dynamic anterior cervical plate was placed in-line at 0° and then off-axis at 20°. Testing conditions ensued using a full-length spacer, followed by simulated subsidence by removing 10% of the height of the original spacer. There were no kinematic differences noted in the in-line model versus the off-axis model. After simulated subsidence, the small decreases in stiffness and increases in motion were similar whether the plate was placed in-line or off-axis in all 3 planes of motion. There were also no significant differences in the load-sharing characteristics of the in-line plate versus the off-axis plate in either the full-length model or the subsided interbody model. This study suggests that off-axis dynamic plate positioning does not significantly impact construct kinematics or graft load sharing. As such, we do not recommend removal or repositioning of an off-axis placed dynamic plate because the kinematic and load-sharing biomechanical properties are similar. N/A.

The Hikurangi Plateau: Tectonic Ricochet and Accretion

NASA Astrophysics Data System (ADS)

Willis, David; Moresi, Louis; Betts, Peter; Whittaker, Joanne

2015-04-01

80 million years between interactions with different subduction systems provided time for the Hikurangi Plateau and Pacific Ocean lithosphere to cool, densify and strengthen. Neogene subduction of the Hikurangi Plateau occurring orthogonal to its Cretaceous predecessor, provides a unique opportunity to explore how changes to the physical properties of oceanic lithosphere affect subduction dynamics. We used Underworld to build mechanically consistent collision models to understand the dynamics of the two Hikurangi collisions. The Hikurangi Plateau is a ~112 Ma, 15km thick oceanic plateau that has been entrained by subduction zones immediately preceding the final break-up of Eastern Gondwana and currently within the active Hikurangi Margin. We explore why attempted subduction of the plateau has resulted in vastly different dynamics on two separate occasions. Slab break-off occured during the collision with Gondwana, currently there is apparent subduction of the plateau underneath New Zealand. At ~100Ma the young, hot Hikurangi Plateau, positively buoyant with respect to the underlying mantle, impacted a Gondwana Margin under rapid extension after the subduction of an mid-ocean ridge 10-15Ma earlier. Modelling of plateaus within young oceanic crust indicates that subduction of the thickened crust was unlikely to occur. Frontal accretion of the plateau and accompanying slab break-off is expected to have occured rapidly after its arrival. The weak, young slab was susceptible to lateral propagation of the ~1500 km window opened by the collision, and break-off would have progressed along the subduction zone inhibiting the "step-back" of the trench seen in older plates. Slab break-off coincided with a world-wide reorganisation of plate velocites, and orogenic collapse along the Gondwana margin characterised by rapid extension and thinning of the over-riding continental plate from ~60 to 30km. Following extension, Zealandia migrated to the NW until the Miocene allowing the oceanic crust time to densify and strengthen. At ~23Ma, the inception of the Hikurangi Subduction Zone drove the scissor rotation of the Australian and Pacific Plates creating displacement along the Alpine Fault. The Hikurangi Plateau was once again drawn into the subduction system, this time with subduction occurring orthogonal to the Cretaceous suture. The northern margin of the plateau has begun to subduct, but towards the southern terminus, the trench appears to be pinned. The result of the locked subduction zone is the asymmetric roll-back of the Hikurangi-Kermadec-Tonga subduction system around the point where the trench transitions from roll-back to shortening. The oceanic Pacific lithosphere is now signficantly negatively buoyant while the thickened lithosphere of the plateau maintains a slight positive buoyancy. The oceanic crust provides sufficient slab pull to drive subduction of the northern plateau, aided by the thin ~500km width of the plateaus subducting front. The increased strength profile of the older subducting lithosphere allows buoyancy forces to be transmitted to the over-riding plate, allowing continued convergence and hindering slab-breakoff.

Plate fixation for proximal chevron osteotomy has greater risk for hallux valgus recurrence than Kirschner wire fixation.

PubMed

Park, Chul-Hyun; Ahn, Ji-Yong; Kim, Yu-Mi; Lee, Woo-Chun

2013-06-01

The purpose of this study was to compare the results of hallux valgus surgery between feet fixed with Kirschner wires and those fixed with a plate and screws. Between December 2008 and November 2009, 53 patients (62 feet) were treated with proximal chevron osteotomy and distal soft tissue procedure for symptomatic moderate to severe hallux valgus deformity. Thirty-four patients (41 feet) were stabilised with Kirschner wires (K-wire group) and 19 patients (21 feet) were stabilised with a locking plate (plate group). Clinical results were assessed using American Orthopaedic Foot and Ankle Society (AOFAS) score. Radiographic parameters were compared between these groups. Recurrence rate at the last follow-up was compared between the K-wire and plate groups. Mean AOFAS score was lower in the plate group, however, the difference between the groups was not statistically significant in AOFAS score at the last follow-up. Hallux valgus angle and intermetatarsal angle were significantly larger in the plate group at the last follow-up. Mean 1-2 metatarsal (MT) distance on immediately postoperative radiographs was significant larger in the plate group. Four (9.8 %) of the 41 feet in the K-wire group and 7 (33.3 %) of the 21 feet in the plate group showed hallux valgus recurrence at the last follow-up. The plate group had a significantly higher risk of recurrence than the K-wire group. Fixation of proximal chevron osteotomy using a plate and screws has a greater risk of hallux valgus recurrence than fixation using Kirschner wires.

6.5 Years of Slow Slip Events in Cascadia: A Catalogue of SSE Surface Expressions, Interface Slip Distributions, Event Magnitudes and Relationship to Tremor.

NASA Astrophysics Data System (ADS)

Dimitrova, L. L.; Wallace, L. M.; Haines, A. J.; Bartlow, N. M.

2015-12-01

Slow slip events (SSEs) in Cascadia occur at ~30-50 km depth, every 10-19 months, and typically involve slip of a few cm, producing surface displacements on the order of a few mm up to ~1cm. Are there smaller SSE signals that are currently not recognized geodetically? What is the spatial, temporal and size distribution of SSEs, and how are SSE related to tremor? We address these questions with a catalogue of all detectable SSEs spanning the last 6.5 years using a new methodology based on Vertical Derivatives of Horizontal Stress (VDoHS) rates obtained from cGPS times series. VDoHS rates, calculated by solving the force balance equations at the Earth's surface, represent the most inclusive and spatially compact surface expressions of subsurface deformation sources: VDoHS rate vectors are tightly localized above the sources and point in the direction of push or pull. We compare our results with those from the Network Inversion Filter (NIF) for selected events. We identify and characterize a spectrum of SSEs, including events with moment release at least two orders of magnitudes smaller than has been previously identified with GPS data. We catalogue events timing, interface slip distribution and moment release, and compare our results with existing tremor catalogues. VDoHS rates also reveal the boundaries between the locked and unlocked portions of the megathrust, and we can track how this varies throughout the SSE cycle. Above the locked interface, the pull of the subducted plate generates shear tractions in the overlying plate in the direction of subduction, while above the creeping section shear tractions are in the opposite direction, which is reflected in the VDoHS rates. We show that sections of the Cascadia megathrust unlock prior to some SSEs and lock thereafter, with the locked zone propagating downdip and eastward after the SSEs over weeks to months. The catalogue and movies of events will be available at http://www.ig.utexas.edu/people/staff/lada/SSEs.

Experimental studies on the tripping behavior of narrow T-stiffened flat plates subjected to hydrostatic pressure and underwater shock

NASA Technical Reports Server (NTRS)

Budweg, H. L.; Shin, Y. S.

1987-01-01

An experimental investigation was conducted to determine the static and dynamic responses of a specific stiffened flat plate design. The air-backed rectangular flat plates of 6061-T6 aluminum with an externally machined longitudinal narrow-flanged T-stiffener and clamped boundary conditions were subjected to static loading by water hydropump pressure and shock loading from an eight pound TNT charge detonated underwater. The dynamic test plate was instrumented to measure transient strains and free field pressure. The static test plate was instrumented to measure transient strains, plate deflection, and pressure. Emphasis was placed upon forcing static and dynamic stiffener tripping, obtaining relevant strain and pressure data, and studying the associated plate-stiffener behavior.

Mode-locking behavior of Izhikevich neurons under periodic external forcing

NASA Astrophysics Data System (ADS)

Farokhniaee, AmirAli; Large, Edward W.

2017-06-01

Many neurons in the auditory system of the brain must encode periodic signals. These neurons under periodic stimulation display rich dynamical states including mode locking and chaotic responses. Periodic stimuli such as sinusoidal waves and amplitude modulated sounds can lead to various forms of n :m mode-locked states, in which a neuron fires n action potentials per m cycles of the stimulus. Here, we study mode-locking in the Izhikevich neurons, a reduced model of the Hodgkin-Huxley neurons. The Izhikevich model is much simpler in terms of the dimension of the coupled nonlinear differential equations compared with other existing models, but excellent for generating the complex spiking patterns observed in real neurons. We obtained the regions of existence of the various mode-locked states on the frequency-amplitude plane, called Arnold tongues, for the Izhikevich neurons. Arnold tongue analysis provides useful insight into the organization of mode-locking behavior of neurons under periodic forcing. We find these tongues for both class-1 and class-2 excitable neurons in both deterministic and noisy regimes.

Proposed FY13 LRIR: Shock-Mitigating Multilayered Mechanical Metamaterials (SM5)

DTIC Science & Technology

2012-08-02

DoD SMART Scholarship for Service Program Awareness Info Sharing Co-Funded Inter- locked 4Approved for Public Release; Distribution Unlimited (PA...Materials Modeling • Rate-dependent • Temperature-dependent • Complex properties Theoretical Mechanics • Dispersion • Wave modes/ polarization ...Dick (Rice) • Wavelet SEM in Plates, PI: Ratan Jha (Clarkson) – Soliton -Based Artificial Nervous System • PI’s: “JK” Yang (USC), Amanda Schrand

USSR Report, Physics and Mathematics

DTIC Science & Technology

1984-05-07

E- vector of the incident wave and the grating lines. The polarizer and analyzer were two MLR-1 germanium plates oriented at the Brewster angle...with active mode locking is available as a source of radiation in the X = 3 ;um band for generating infrared solitons . Figures 2, references 15: 7...Bol’shakov, et al.; ZHURNAL PRIKLADNOY SPEKTROSKOPII, No 5, Nov 83) 19 Experimental Study of Polarization Characteristics of Reflective Diffraction

77 FR 32986 - Notice of Inventory Completion: The University of Alabama Museums, Tuscaloosa, AL

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-04

... than 2,032 glass beads, 1 lot of more than 17 shell beads, 1 unidentified bead, 1 gun lock, 1 gun butt plate, 1 gun stock, 2 gun barrels, 1 brass ramrod support, 8 musket balls, 2 iron buckles, 1 iron handle... fragments, 1 unidentified bead, 2 glass beads, 1 gun flint, 1 iron knife blade, 1 iron nail, 1 musket ball...

Seismic imaging along a 600 km transect of the Alaska Subduction zone (Invited)

NASA Astrophysics Data System (ADS)

Calkins, J. A.; Abers, G. A.; Freymueller, J. T.; Rondenay, S.; Christensen, D. H.

2010-12-01

We present earthquake locations, scattered wavefield migration images, and phase velocity maps from preliminary analysis of combined seismic data from the Broadband Experiment Across the Alaska Range (BEAAR) and Multidisciplinary Observations of Onshore Subduction (MOOS) projects. Together, these PASSCAL broadband arrays sampled a 500+ km transect across a portion of the subduction zone characterized by the Yakutat terrane/Pacific plate boundary in the downgoing plate, and the Denali volcanic gap in the overriding plate. These are the first results from the MOOS experiment, a 34-station array that was deployed from 2006-2008 to fill in the gap between the TACT offshore refraction profile (south and east of the coastline of the Kenai Peninsula), and the BEAAR array (spanning the Alaska Range between Talkeetna and Fairbanks). 2-D images of the upper 150 km of the subduction zone were produced by migrating forward- and back-scattered arrivals in the coda of P waves from large teleseismic earthquakes, highlighting S-velocity perturbations from a smoothly-varying background model. The migration images reveal a shallowly north-dipping low velocity zone that is contiguous near 20 km depth on its updip end with previously obtained images of the subducting plate offshore. The low velocity zone steepens further to the north, and terminates near 120 km beneath the Alaska Range. We interpret this low velocity zone to be the crust of the downgoing plate, and the reduced seismic velocities to be indicative of hydrated gabbroic compositions. Earthquakes located using the temporary arrays and nearby stations of the Alaska Regional Seismic Network correlate spatially with the inferred subducting crust. Cross-sections taken along nearly orthogonal strike lines through the MOOS array reveal that both the dip angle and the thickness of the subducting low velocity zone change abruptly across a roughly NNW-SSE striking line drawn through the eastern Kenai Peninsula, coincident with a distinct change in locking at the subduction interface as revealed by previous geodetic studies. On the west end of the Kenai Peninsula, where seismically imaged downgoing crust appears oceanic, the geodetic signal mainly reflects postseismic deformation from the 1964 earthquake as evinced by southeast trending displacement vectors (with respect to fixed North America). While postseismic relaxation continues east of the boundary, NNW-directed elastic deformation due to locking at the plate boundary dominates the geodetic signal, and imaging reveals thickened Yakutat crust is subducting. The collocation of sharp changes in both deep structure and surface deformation suggest that the nature of the plate interface changes drastically across the western edge of the Yakutat block and that variations in downgoing plate structure control the strain field in the overriding plate.

A Six-Node Curved Triangular Element and a Four-Node Quadrilateral Element for Analysis of Laminated Composite Aerospace Structures

NASA Technical Reports Server (NTRS)

Martin, C. Wayne; Breiner, David M.; Gupta, Kajal K. (Technical Monitor)

2004-01-01

Mathematical development and some computed results are presented for Mindlin plate and shell elements, suitable for analysis of laminated composite and sandwich structures. These elements use the conventional 3 (plate) or 5 (shell) nodal degrees of freedom, have no communicable mechanisms, have no spurious shear energy (no shear locking), have no spurious membrane energy (no membrane locking) and do not require arbitrary reduction of out-of-plane shear moduli or under-integration. Artificial out-of-plane rotational stiffnesses are added at the element level to avoid convergence problems or singularity due to flat spots in shells. This report discusses a 6-node curved triangular element and a 4-node quadrilateral element. Findings show that in regular rectangular meshes, the Martin-Breiner 6-node triangular curved shell (MB6) is approximately equivalent to the conventional 8-node quadrilateral with integration. The 4-node quadrilateral (MB4) has very good accuracy for a 4-node element, and may be preferred in vibration analysis because of narrower bandwidth. The mathematical developments used in these elements, those discussed in the seven appendices, have been applied to elements with 3, 4, 6, and 10 nodes and can be applied to other nodal configurations.

[Osteosynthesis of metacarpal fractures with 2.0 mm LCP system and functional postoperative treatment].

PubMed

Oberreiter, B; Kilgus, M; Bodmer, E; Platz, A

2017-01-01

Locking head systems are an additional option in the surgical treatment of metacarpal fractures. In this clinic 2.0 mm locking compression plates (LCP) are used, which provide the possibility of functional postoperative treatment even for complex and osteoporotic metacarpal fractures. For simple fractures and good bone quality the LCP system is used as a compression or neutralization plate. Depending on the type and localization of the fracture, different osteosynthesis techniques are used in order to achieve a functional postoperative treatment in as many patients as possible. Between July 2009 and December 2010 a total of 49 patients were enrolled in a prospective trial. All patients underwent surgical treatment with a 2.0 mm LCP system. Postoperative functionality of the hand was restored without immobilization. Clinical and radiological examinations were performed after 6 and 12 weeks and after 6 and 12 months with documentation of the range of motion (ROM), grip strength, fingertip to palm distance and the disabilities of the arm, shoulder and hand (DASH) score. After 6 months a good functional result was achieved in all patients with no cases of malrotation. Radiographs showed a completely consolidated bone healing. After osteosynthesis with 2.0 mm LCPs all types of metacarpal fractures can be treated without immobilization.

Displaced mid-shaft clavicular fractures: is conservative treatment still preferred?

PubMed

Brin, Yaron S; Palmanovich, Ezequiel; Dolev, Eran; Nyska, Meir; Kish, Benyamin J

2014-12-01

A clavicular fracture accounts for 2.6%-5% of adult fractures. Fractures in the middle-third (OTA 15-B) represent 69%-82% of all clavicular fractures. There is no consensus among orthopedic surgeons regarding treatment for these fractures: many support conservative treatment even for displaced middle-third clavicular fractures, while others choose operative treatment. To assess the attitudes of orthopedic surgeons regarding treatment of displaced mid-shaft clavicular fractures. We conducted a survey in which we interviewed orthopedic surgeons from various countries during the 2012 EFORT meeting in Berlin. The questionnaire included an X-ray of a displaced middle-third clavicular fracture, as well as questions regarding the surgeon's proposed treatment plan. A total of 177 orthopedic surgeons completed the questionnaire; 49% preferred operative treatment for a displaced middle-third clavicular fracture. Among the orthopedic trauma specialists, 58% suggested operative treatment, as did 82% of shoulder specialists. Most surgeons preferred a locking plate for fixation. The treatment approach for a displaced middle-third clavicular fracture seems to be evenly split between conservative and operative approaches. The tendency toward operative treatment was.even more remarkable among orthopedic trauma specialists and shoulder specialists who completed the questionnaire. Most surgeons prefer a locking plate as a fixation system for this type of fracture.

Addition of a suture anchor for coracoclavicular fixation to a superior locking plate improves stability of type IIB distal clavicle fractures.

PubMed

Madsen, Wes; Yaseen, Zaneb; LaFrance, Russell; Chen, Tony; Awad, Hani; Maloney, Michael; Voloshin, Ilya

2013-06-01

The purpose of this study was to determine the effect of coracoclavicular (CC) fixation on biomechanical stability in type IIB distal clavicle fractures fixed with plate and screws. Twelve fresh-frozen matched cadaveric specimens were used to create type IIB distal clavicle fractures. Dual-energy x-ray absorptiometry (DEXA) scans ensured similar bone quality. Group 1 (6 specimens) was stabilized with a superior precontoured distal clavicle locking plate and supplemental suture anchor CC fixation. Group 2 (6 specimens) followed the same construct without CC fixation. Each specimen was cyclically loaded in the coronal plane at 40 to 80 N for 17,500 cycles. Load-to-failure testing was performed on the specimens that did not fail cyclic loading. Outcome measures included mode of failure and the number of cycles or load required to create 10 mm of displacement in the construct. All specimens (12 of 12) completed cyclic testing without failure and underwent load-to-failure testing. Group 1 specimens failed at a mean of 808.5 N (range, 635.4 to 952.3 N), whereas group 2 specimens failed at a mean of 401.3 N (range, 283.6 to 656.0 N) (P = .005). Group 1 specimens failed by anchor pullout without coracoid fracture (4 of 6) and distal clavicle fracture fragment fragmentation (1 of 6); one specimen did not fail at the maximal load the materials testing machine was capable of exerting (1,000 N). Group 2 specimens failed by distal clavicle fracture fragment fragmentation (3 of 6) and acromioclavicular (AC) joint displacement (1 of 6); 2 specimens did not fail at the maximal load of the materials testing machine. During cyclic loading, type IIB distal clavicle fractures with and without CC fixation remain stable. CC fixation adds stability to type IIB distal clavicle fractures fixed with plate and screws when loaded to failure. CC fixation for distal clavicle fractures is a useful adjunct to plate-and-screw fixation to augment stability of the fracture. Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Active mode-locking of mid-infrared quantum cascade lasers with short gain recovery time.

PubMed

Wang, Yongrui; Belyanin, Alexey

2015-02-23

We investigate the dynamics of actively modulated mid-infrared quantum cascade lasers (QCLs) using space- and time-domain simulations of coupled density matrix and Maxwell equations with resonant tunneling current taken into account. We show that it is possible to achieve active mode locking and stable generation of picosecond pulses in high performance QCLs with a vertical laser transition and a short gain recovery time by bias modulation of a short section of a monolithic Fabry-Perot cavity. In fact, active mode locking in QCLs with a short gain recovery time turns out to be more robust to the variation of parameters as compared to previously studied lasers with a long gain recovery time. We investigate the effects of spatial hole burning and phase locking on the laser output.

Along-Strike Electrical Conductivity Variations in the Incoming Plate and Shallow Forearc of the Cascadia Subduction Zone

NASA Astrophysics Data System (ADS)

Key, K.; Bedrosian, P.; Egbert, G. D.; Livelybrooks, D.; Parris, B. A.; Schultz, A.

2015-12-01

The Magnetotelluric Observations of Cascadia using a Huge Array (MOCHA) experiment was carried out to study the nature of the seismogenic locked zone and the down-dip transition zone where episodic tremor and slip (ETS) originates. This amphibious magnetotelluric (MT) data set consists of 8 offshore and 15 onshore profiles crossing from just seaward of the trench to the western front of the Cascades, with a north-south extent spanning from central Oregon to central Washington. The 71 offshore stations and the 75 onshore stations (red triangles in the image below) fit into the broader context of the more sparsely sampled EarthScope MT transportable array (black triangles) and other previous and pending MT surveys (other symbols). These data allows us to image variations in electrical conductivity along distinct segments of the Cascadia subduction zone defined by ETS recurrence intervals. Since bulk conductivity in this setting depends primarily on porosity, fluid content and temperature, the conductivity images created from the MOCHA data offer unique insights on fluid processes in the crust and mantle, and how the distribution of fluid along the plate interface relates to observed variations in ETS behavior. This abstract explores the across- and along-strike variations in the incoming plate and the shallow offshore forearc. In particular we examine how conductivity variations, and the inferred fluid content and porosity variations, are related to tectonic segmentation, seismicity and deformation patterns, and arc magma variations along-strike. Porosity inferred in the forearc crust can be interpreted in conjunction with active and passive seismic imaging results and may provide new insights on the origin of recently observed extremely high heat flow values. A companion abstract (Parris et al.) examines the deeper conductivity structure of the locked and ETS zones along the plate interface in order to identify correlations between ETS occurrence rates and inferred fluid concentrations.

Outcome Analysis of Intra-Articular Scapula Fracture Fixation with Distal Radius Plate: A Multicenter Prospective Study.

PubMed

Panigrahi, Ranajit; Madharia, Divya; Das, Dibya Singha; Samant, Saswat; Biswal, Manas Ranjan

2016-12-01

Scapula fractures occur in approximately 1% of all fractures and constitute about 3% - 5% of all injuries of the shoulder joint. This study aimed to evaluate the clinical outcomes of 20 surgically treated patients with displaced glenoid fractures after stabilization with distal radius plate. Between 2012 and 2015, at 2 centers (HMCH & SHCE) of Bhubaneswar Odisha, we stabilized 20 scapular intra-articular fractures surgically with distal radius locking plate and studied the outcome of the surgeries. The outcome of the 20 fractures was determined using the Constant and Murley score. Both shoulders were assessed and the score on the injured side was given as a percentage of that on the uninjured side. The median score was 88% (mean 65%, range 30 to 100). The median score for strength was 21/25 (mean 19, range 0 to 25) and that for pain 11/15 (mean 11, range 5 to 15). The median functional score was 16/20 (mean 15, range 0 to 20). The mean range of active abduction of the shoulder was 135° (20 to 180), the mean range of flexion 138° (20 to 180) and the mean range of external rotation 38° (0 to 100). Five patients showed excellent result; 11 patients showed good result; three patients showed fair result and one patient had poor outcome according to the Constant-Murley score. A superficial infection settled with antibiotics after operation in one patient whose score at final follow-up was 96%. In one patient, delayed healing was reported because of infection. One patient with stiffness of the shoulder at six weeks underwent manipulation under anesthesia with a follow-up score of 81%. Various fixation modalities have been described in the literature, however fixation of intra-articular fracture of glenoid with distal radius locking plate for articular reconstruction in the presented series provides good functional outcome with early restoration of the range of motion of the shoulder.

Minimally invasive plate osteosynthesis with locking compression plate for distal diametaphyseal tibia fracture.

PubMed

Shrestha, D; Acharya, B M; Shrestha, P M

2011-01-01

Distal diametaphyseal tibia fracture though requires operative treatment is difficult to manage. Conventional osteosynthesis is not suitable because distal tibia is subcutaneous bone with poor vascularity. Closed reduction and minimally invasive plate osteosynthesis (MIPO) with locking compression plate (LCP) has emerged as an alternative treatment option because it respects biology of distal tibia and fracture hematoma and also provides biomechanicaly stable construct. To find out suitability of MIPO with LCP for distal diametaphyseal tibia fracture including union time and complicatios and compare wih other available management options in literature. Twenty patients with closed distal diametaphyseal tibia fracture with or without intra articular extension (AO classification: 12 type 43A1, 4 type 43A2, 2 type 43A3 and 2 type 43B1) treated with MIPO with LCP were prospectively followed for average duration of 18.45 months (range 5-30 months). Average duration of injury-hospital and injury-surgery interval was 12.8 hrs (range 2-44 hrs) and 4.45 days (range 1-10 days) respectively. All fractures got united with an average duration of 18.5 weeks (range14-28weeks) except one case of delayed union which was managed with percutaneous bone marrow injection. Two patients had union with valgus angulation less than 5 degees but no nonunion was found. There were two superficial and one deep post operative wound infection. All infections healed with extended period of intravenous antibiotics besides repeated debridemet for deep infection. Implants were removed in eight patients among whom six (30%) had malleolar skin irritation and pain due to prominent hardware. The present case series shows that MIPO with LCP is an effective treatment method in terms of union time and complications rate for distal diametaphyseal tibia fracture. Malleolar skin irritation is common problem because of prominent hardware.

Movement-related phase locking in the delta-theta frequency band.

PubMed

Popovych, S; Rosjat, N; Toth, T I; Wang, B A; Liu, L; Abdollahi, R O; Viswanathan, S; Grefkes, C; Fink, G R; Daun, S

2016-10-01

Movements result from a complex interplay of multiple brain regions. These regions are assembled into distinct functional networks depending on the specific properties of the action. However, the nature and details of the dynamics of this complex assembly process are unknown. In this study, we sought to identify key markers of the neural processes underlying the preparation and execution of motor actions that always occur irrespective of differences in movement initiation, hence the specific neural processes and functional networks involved. To this end, EEG activity was continuously recorded from 18 right-handed healthy participants while they performed a simple motor task consisting of button presses with the left or right index finger. The movement was performed either in response to a visual cue or at a self-chosen, i.e., non-cued point in time. Despite these substantial differences in movement initiation, dynamic properties of the EEG signals common to both conditions could be identified using time-frequency and phase locking analysis of the EEG data. In both conditions, a significant phase locking effect was observed that started prior to the movement onset in the δ-θ frequency band (2-7Hz), and that was strongest at the electrodes nearest to the contralateral motor region (M1). This phase locking effect did not have a counterpart in the corresponding power spectra (i.e., amplitudes), or in the event-related potentials. Our finding suggests that phase locking in the δ-θ frequency band is a ubiquitous movement-related signal independent of how the actual movement has been initiated. We therefore suggest that phase-locked neural oscillations in the motor cortex are a prerequisite for the preparation and execution of motor actions. Copyright © 2016 Elsevier Inc. All rights reserved.

Edge-Driven Block Rotations Interpreted From New GPS Results: Papua New Guinea

NASA Astrophysics Data System (ADS)

Wallace, L.

2001-12-01

An ongoing discussion in plate tectonics involves whether microplate motions are driven by plate edge forces or by flow at the base of the lithosphere. We present results from a GPS network of 40 sites spanning much of the mainland of Papua New Guinea (PNG). Most of the sites are concentrated in the region of the active Finisterre arc-continent collision and have been observed on multiple campaigns from 1993-2001. Significant portions of the Ramu-Markham fault are locked, which has implications for seismic hazard assessment in the Markham Valley region. Additionally, we find that out-of-sequence thrusting is important in emplacement of the Finisterre arc terrane onto the PNG mainland. Site velocities derived from these GPS data have helped to delineate the major tectonic blocks in the region. We model site velocities by simultaneously dealing with rigid block rotation and elastic strain. We find that the mainland of PNG consists of four distinct tectonic plates: the Australian, South Bismarck and Woodlark plates (in agreement with previous studies), and a previously unrecognized New Guinea Highlands plate. The relative rotation poles for at least two of these plate pairs plot on their respective boundaries, indicating that microplate motion in PNG may be dominantly edge-driven, as predicted for this region by Schouten and Benes (1993).

A double-plating approach to distal femur fracture: A clinical study.

PubMed

Steinberg, Ely L; Elis, Jacov; Steinberg, Yohai; Salai, Moshe; Ben-Tov, Tomer

2017-10-01

Locked plating is one of the latest innovative options for treating supracondylar femur fractures with relatively low failure rates. Single lateral plating was often found to have a relative higher failure rate. No clinical studies of double-plating distal femur fixation have thus far been reported. The aim of this study is to present our clinical experience with this surgical approach. Thirty-two patients (26 females and 6 males, mean age 76 years, range 44-101) were included in the study. Eight of them patients had a periprosthetic stable implant fracture and two patients were treated for a nonunion. All fractures, excluding one that needed bone grafting and one refracture, healed within 12 weeks. One patient needed bone grafting for delayed union and one patient needed fixation exchange due to femur re-fracture at the site of the most proximal screw. Two patients developed superficial wound infection and one patient required medial plate removal after union due to deep infection. Based on these promising results, we propose that the double-plating technique should be considered in the surgeon's armamentarium for the treatment of supracondylar femur fractures, particularly in patients with poor bone quality, comminuted fractures and very low periprosthetic fractures. Copyright © 2017 Elsevier Ltd. All rights reserved.

The management of pediatric subtrochanteric femur fractures with a statically locked intramedullary nail.

PubMed

Herrera-Soto, José A; Meuret, Robert; Phillips, Jonathan H; Vogel, Daniel J

2015-01-01

To evaluate locked intramedullary (IM) fixation as an alternative treatment method for children with subtrochanteric fractures. Retrospective review. Level 1 trauma center in a Children's Hospital. Pediatric patients with subtrochanteric femur fractures with open growth plates. All patients were treated with a lateral entry IM locking nail. Patients were followed until full fracture consolidation or until implant removal. Data on time to full weight bearing, return to full activity, residual pain, any form of gait abnormality, and any other complication from follow-up visits were collected. There were 9 males and 1 female patient with an average age of 12 years and average follow-up of 22 months. Most of the fractures occurred secondary to high-energy trauma. Partial weight bearing was started at 24 days and full at 66 days. Implants were removed on average at 11 months after implantation. There were neither intraoperative complications nor major complications in the postoperative period recorded after removal. Two patients presented with a longer limb on the affected side, both 8 mm, and 2 presented with asymptomatic grade I heterotopic ossification. The use of a statically locked lateral entry IM nail for subtrochanteric femur fractures in children is a safe and efficacious method of treatment with few complications and risks and satisfactory outcomes in children over the age of 8 years. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Combination Space Station Handrail Clamp and Pointing Device

NASA Technical Reports Server (NTRS)

Hughes, Stephen J. (Inventor)

1999-01-01

A device for attaching an experiment carrier to a space station handrail is provided. The device has two major components, a clamping mechanism for attachment to a space station handrail, and a pointing carrier on which an experiment package can be mounted and oriented. The handrail clamp uses an overcenter mechanism and the carrier mechanism uses an adjustable preload ball and socket for carrier positioning. The handrail clamp uses a stack of disk springs to provide a spring loaded button. This configuration provides consistent clamping force over a range of possible handrail thicknesses. Three load points are incorporated in the clamping mechanism thereby spreading the clamping load onto three separate points on the handrail. A four bar linkage is used to provide for a single actuation lever for all three load points. For additional safety, a secondary lock consisting of a capture plate and push lock keeps the clamp attached to the handrail in the event of main clamp failure. For the carrier positioning mechanism, a ball in a spring loaded socket uses friction to provide locking torque; however. the ball and socket are torque limited so that the ball ran slip under kick loads (125 pounds or greater). A lead screw attached to disk spring stacks is used to provide an adjustable spring force on the socket. A locking knob is attached to the lead screw to allow for hand manipulation of the lead screw.

Effects of Volar Tilt, Wrist Extension, and Plate Position on Contact Between Flexor Pollicis Longus Tendon and Volar Plate.

PubMed

Wurtzel, Caroline N Wolfe; Burns, Geoffrey T; Zhu, Andy F; Ozer, Kagan

2017-12-01

Volar plates positioned at, or distal to, the watershed line have been shown to have a higher incidence of attritional rupture of the flexor pollicis longus (FPL). In this study, we aimed to evaluate the effect of wrist extension and volar tilt on the contact between the plate and the FPL tendon in a cadaver model. We hypothesized that, following volar plate application, loss of native volar tilt increases the contact between the FPL and the plate at lower degrees of wrist extension. A volar locking plate was applied on 6 fresh-frozen cadavers. To determine the contact between the plate and the FPL tendon, both structures were wrapped with copper wire and circuit conductivity was monitored throughout wrist motion. A lateral wrist radiograph was obtained at each circuit closure, indicating tendon-plate contact. Baseline measurements were obtained with plate positioned at Soong grades 0, 1, and 2. An extra-articular osteotomy was made and contact was recorded at various volar tilt angles (+5°, 0°, -5°, -10°, -15°, and -20°) in 3 different plate positions. A blinded observer measured the degree of wrist extension on all lateral radiographs. Data were analyzed using linear mixed-effects regression model. Plates placed distal to the watershed line had the most contact throughout wrist range of motion. Significantly, less wrist extension was required for contact in wrists with neutral or dorsal tilt and in distally placed volar plates. Volar tilt, wrist extension, and plate position were 3 independent risk factors determining contact between plate and tendon. Loss of volar tilt, increased wrist extension, and higher Soong grade plate position result in greater contact between wire-wrapped FPL tendon and plate. The FPL/plate contact chart generated in this study may be used to assess the risk of rupture in the clinical setting. Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Extensional Failure of "Pre-Stressed" Lithosphere Above a Subduction Zone May Have Contributed to the Size of the Tohoku-Oki Earthquake and Tsunami

NASA Astrophysics Data System (ADS)

Buck, W. R.; Lavier, L. L.; Petersen, K. D.

2015-12-01

The Tohoku-oki earthquake was not only the costliest natural disaster in history it was the best monitored. The unprecedented data set showed that anomalously large lateral motion of the seafloor near the trench contributed to the size of the tsunami. Also, for the first time it was shown that a large subduction earthquake was followed by extensional aftershocks in a broad region of the upper plate (up to 250 km from the Japan Trench). Several observations suggest that the near-trench seafloor motion and the extensional aftershocks are linked. For example, a seismically imaged fault, just landward of the region of large seafloor motion, slipped in a normal sense during the earthquake. Also, inspired by the Tohoku data, researchers have searched for and found upper plate extensional aftershocks associated with several other subduction earthquakes that produced large tsunami. Extension of the upper plate can be driven by a reduction in the dip of a subducting slab. Such a dip change is suggested by the post-Miocene westward migration of the volcanic arc in Honshu. Numerical models show that a long-term reduction in slab dip can generate enough extensional stress to cause normal faulting over a broad region of the upper plate. The time step of the numerical model is then reduced to treat the inter-seismic time scale of 100-1000 years, when the subduction interface is locked. The interface dip continues to be reduced during the inter-seismic period, but extensional fault slip is suppressed by the relative compression of the upper plate caused by continued convergence. The relief of compressional stresses during dynamic weakening of the megathrust triggers a release of bending-related extensional strain energy. This extensional yielding can add significantly to the co-seismic radiated seismic energy and seafloor deformation. This mechanism is analogous to the breaking of a pre-stressed concrete beam supporting a bending moment when the compressional pre-stress is removed. It is plausible that similar bending is occurring at a number of subduction zones. A testable prediction of this bending model is that inter-seismic stresses can be compressional near the surface of the upper plate, but should become extensional at depths accessible to drilling.

Spatial variation of slip behavior beneath the Alaska Peninsula along Alaska-Aleutian Subduction Zone

NASA Astrophysics Data System (ADS)

Li, S.; Freymueller, J. T.

2017-12-01

The Alaska Peninsula, including the Shumagin and Semidi segments in the Alaska-Aleutian subduction zone, is one of the best places in the world to study along-strike variations in the seismogenic zone. Understanding the cause of along-strike variations on the plate interface and seismic potential is significant for better understanding of the dynamic mechanical properties of faults and the rheology of the lower crust and lithospheric mantle in subduction zones. GPS measurements can be used to study these properties and estimate the slip deficit distribution on the plate interface. We re-surveyed pre-existing (1992-2001) campaign GPS sites in 2016 and estimated a new dense and highly precise GPS velocity field for the Alaska Peninsula. We find evidence for only minimal time variations in the slip distribution in the region. We used the TDEFNODE software package to invert for the slip deficit distribution from the new velocities. There are long-wavelength systematic misfits to the vertical velocities from the optimal model that fits the horizontal velocities well, which cannot be explained by altering the slip distribution on the subduction plate interface. Possible explanations for the systematic misfit are still under investigation since the plate geometry, GIA effect and reference frame errors do not explain the misfits. In this study, we use only the horizontal velocities. We divided the overall Alaska Peninsula area into three sub-areas, which have strong differences in the pattern of the observed deformation, and explored optimal models for each sub-area. The width of the locked region decreases step-wise from NE to SW along strike. Then we compared each of these models to all of the data to identify the locations of the along-strike boundaries that mark the transition from strongly to weakly coupled segments of the margin. We identified three sharp boundaries separating segments with different fault slip deficit rate distributions. Significant change in fault coupling from strong to weak are spatially correlated with the change in pre-existing plate fabric caused by cessation of the Kula-Pacific spreading and reorientation of the northern section of Farallon-Pacific spreading, which also correlate with changes in the degree of outer rise normal faulting and hydration of the downgoing plate.

Rapid Seismic Deployment for Capturing Aftershocks of the September 2017 Tehuantepec, Mexico (M=8.1) and Morelos-Puebla (M=7.1), Mexico Earthquakes

NASA Astrophysics Data System (ADS)

Velasco, A. A.; Karplus, M. S.; Dena, O.; Gonzalez-Huizar, H.; Husker, A. L.; Perez-Campos, X.; Calo, M.; Valdes, C. M.

2017-12-01

The September 7 Tehuantepec, Mexico (M=8.1) and the September 19 Morelos-Puebla, Mexico (M=7.1) earthquakes ruptured with extensional faulting within the Cocos Plate at 70-km and 50-km depth, as it subducts beneath the continental North American Plate. Both earthquakes caused significant damage and loss of life. These events were followed by a M=6.1 extensional earthquake at only 10-km depth in Oaxaca on September 23, 2017. While the Morelos-Puebla earthquake was likely too far away to be statically triggered by the Tehuantepec earthquake, initial Coulomb stress analyses show that the M=6.1 event may have been an aftershock of the Tehuantepec earthquake. Many questions remain about these earthquakes, including: Did the Cocos Plate earthquakes load the upper plate, and could they possibly trigger an equal or larger earthquake on the plate interface? Are these the result of plate bending? Do the aftershocks migrate to the locked zone in the subduction zone? Why did the intermediate depth earthquakes create so much damage? Are these earthquakes linked by dynamic stresses? Is it possible that a potential slow-slip event triggered both events? To address some of these questions, we deployed 10 broadband seismometers near the epicenter of the Tehuantepec, Mexico earthquake and 51 UTEP-owned nodes (5-Hz, 3-component geophones) to record aftershocks and augment networks deployed by the Universidad Nacional Autónoma de México (UNAM). The 10 broadband instruments will be deployed for 6 months, while the nodes were deployed 25 days. The relative ease-of-deployment and larger numbers of the nodes allowed us to deploy them quickly in the area near the M=6.1 Oaxaca earthquake, just a few days after that earthquake struck. We deployed them near the heavily-damaged cities of Juchitan, Ixtaltepec, and Ixtepec as well as in Tehuantepec and Salina Cruz, Oaxaca in order to test their capabilities for site characterization and aftershock studies. This is the first test of these instruments in a region heavily affected by aftershocks, outside of Oklahoma. Analysis of the nodal and broadband data will allow us to investigate fault geometries from aftershock locations, stress release and orientation from the determination of fault plane solutions, and site effects and characteristics in regions of extensive damage.

Analysis of the time-varying energy of brain responses to an oddball paradigm using short-term smoothed Wigner-Ville distribution.

PubMed

Tağluk, M E; Cakmak, E D; Karakaş, S

2005-04-30

Cognitive brain responses to external stimuli, as measured by event related potentials (ERPs), have been analyzed from a variety of perspectives to investigate brain dynamics. Here, the brain responses of healthy subjects to auditory oddball paradigms, standard and deviant stimuli, recorded on an Fz electrode site were studied using a short-term version of the smoothed Wigner-Ville distribution (STSW) method. A smoothing kernel was designed to preserve the auto energy of the signal with maximum time and frequency resolutions. Analysis was conducted mainly on the time-frequency distributions (TFDs) of sweeps recorded during successive trials including the TFD of averaged single sweeps as the evoked time-frequency (ETF) brain response and the average of TFDs of single sweeps as the time-frequency (TF) brain response. Also the power entropy and the phase angles of the signal at frequency f and time t locked to the stimulus onset were studied across single trials as the TF power-locked and the TF phase-locked brain responses, respectively. TFDs represented in this way demonstrated the ERP spectro-temporal characteristics from multiple perspectives. The time-varying energy of the individual components manifested interesting TF structures in the form of amplitude modulated (AM) and frequency modulated (FM) energy bursts. The TF power-locked and phase-locked brain responses provoked ERP energies in a manner modulated by cognitive functions, an observation requiring further investigation. These results may lead to a better understanding of integrative brain dynamics.

Synchronous behaviour of two interacting oscillatory systems undergoing quasiperiodic route to chaos.

PubMed

Mondal, S; Pawar, S A; Sujith, R I

2017-10-01

Thermoacoustic instability, caused by a positive feedback between the unsteady heat release and the acoustic field in a combustor, is a major challenge faced in most practical combustors such as those used in rockets and gas turbines. We employ the synchronization theory for understanding the coupling between the unsteady heat release and the acoustic field of a thermoacoustic system. Interactions between coupled subsystems exhibiting different collective dynamics such as periodic, quasiperiodic, and chaotic oscillations are addressed. Even though synchronization studies have focused on different dynamical states separately, synchronous behaviour of two coupled systems exhibiting a quasiperiodic route to chaos has not been studied. In this study, we report the first experimental observation of different synchronous behaviours between two subsystems of a thermoacoustic system exhibiting such a transition as reported in Kabiraj et al. [Chaos 22, 023129 (2012)]. A rich variety of synchronous behaviours such as phase locking, intermittent phase locking, and phase drifting are observed as the dynamics of such subsystem change. The observed synchronization behaviour is further characterized using phase locking value, correlation coefficient, and relative mean frequency. These measures clearly reveal the boundaries between different states of synchronization.

3-D subduction dynamics in the western Pacific: Mantle pressure, plate kinematics, and dynamic topography.

NASA Astrophysics Data System (ADS)

Holt, A. F.; Royden, L.; Becker, T. W.; Faccenna, C.

2017-12-01

While it is well established that the slab pull of negatively buoyant oceanic plates is the primary driving force of plate tectonics, the dynamic "details" of subduction have proved difficult to pin down. We use the Philippine Sea Plate region of the western Pacific as a site to explore links between kinematic observables (e.g. topography and plate motions) and the dynamics of the subduction system (e.g. mantle flow, mantle pressure). To first order, the Philippine Sea Plate can be considered to be the central plate of a double slab system containing two slabs that dip in the same direction, to the west. This subduction configuration presents the opportunity to explore subduction dynamics in a setting where two closely spaced slabs interact via subduction-induced mantle flow and stresses transmitted through the intervening plate. We use a 3-D numerical approach (e.g. Holt et al., 2017), augmented by semi-analytical models (e.g. Jagoutz et al., 2017), to develop relationships between dynamic processes and kinematic properties, including plate velocities, lithospheric stress state, slab dip angles, and topography. When combined with subduction zone observables, this allows us to isolate the first order dynamic processes that are in operation in the Philippine Sea Plate region. Our results suggest that positive pressure build-up occurs in the asthenosphere between the two slabs (Izu-Bonin-Mariana and Ryukyu-Nankai), and that this is responsible for producing much of the observed kinematic variability in the region, including the steep dip of the Pacific slab at the Izu-Bonin-Mariana trench, as compared to the flat dip of the Pacific slab north of Japan. We then extend our understanding of the role of asthenospheric pressure to examine the forces responsible for the plate kinematics and dynamic topography of the entire Western Pacific subduction margin(s). References:Holt, A. F., Royden, L. H., Becker, T. W., 2017. Geophys. J. Int., 209, 250-265Jagoutz, O., Royden, L., Holt, A. F., Becker, T. W., 2015. Nature Geo., 8, doi:10.1038/ngeo2418

DOE Office of Scientific and Technical Information (OSTI.GOV)

Somnath, Suhas; Collins, Liam; Matheson, Michael A.

We develop and implement a multifrequency spectroscopy and spectroscopic imaging mode, referred to as general dynamic mode (GDM), that captures the complete spatially- and stimulus dependent information on nonlinear cantilever dynamics in scanning probe microscopy (SPM). GDM acquires the cantilever response including harmonics and mode mixing products across the entire broadband cantilever spectrum as a function of excitation frequency. GDM spectra substitute the classical measurements in SPM, e.g. amplitude and phase in lock-in detection. Here, GDM is used to investigate the response of a purely capacitively driven cantilever. We use information theory techniques to mine the data and verify themore » findings with governing equations and classical lock-in based approaches. We explore the dependence of the cantilever dynamics on the tip–sample distance, AC and DC driving bias. This approach can be applied to investigate the dynamic behavior of other systems within and beyond dynamic SPM. In conclusion, GDM is expected to be useful for separating the contribution of different physical phenomena in the cantilever response and understanding the role of cantilever dynamics in dynamic AFM techniques.« less

Dynamic Stiffness Modeling of Composite Plate and Shell Assemblies

DTIC Science & Technology

2013-12-09

FA8655-10-1-3084 Report 6 Dynamic Stiffness Modelling of Plate and Shell Assemblies 4 Introduction Aerospace structures are generally made up of thin ...Sound and Vibration, 294(1- 2):131–161, 2006. [23] Y. F. Xing and B. Liu. New exact solutions for free vibrations of thin orthotropic rectangular plates ...Structures, 89(5–6):467–475, 2011. [80] A.Y.T. Leung. Dynamic stiffness analysis of laminated composite plates . Thin - Walled Structures, 25:109–133, 1996

Anterior tibial stress fractures treated with anterior tension band plating in high-performance athletes.

PubMed

Cruz, Alexandre Santa; de Hollanda, João Paris Buarque; Duarte, Aires; Hungria Neto, José Soares

2013-06-01

The non-surgical treatment of anterior tibial cortex stress fractures requires long periods of abstention from sports activities and often results in non-union. Many different surgical techniques have already been previously described to treat these fractures, but there is no consensus on the best treatment. We describe the outcome of treatment using anterior tibial tension band plating in three high-performance athletes (4 legs) with anterior tibial cortex stress fractures. Tibial osteosynthesis with a 3.5-mm locking compression plate in the anterolateral aspect of the tibia was performed in all patients diagnosed with anterior tibial stress fracture after September 2010 at Santa Casa Hospital. All of the fractures were consolidated within a period of 3 months after surgery, allowing for an early return to pre-injury levels of competitive sports activity. There were no infection, non-union, malunion or anterior knee pain complications. Anterior tibial tension band plating leads to prompt fracture consolidation and is a good alternative for the treatment of anterior tibial cortex stress fractures. Bone grafts were shown to be unnecessary.

Coordinate measuring machine test standard apparatus and method

DOEpatents

Bieg, L.F.

1994-08-30

A coordinate measuring machine test standard apparatus and method are disclosed which includes a rotary spindle having an upper phase plate and an axis of rotation, a kinematic ball mount attached to the phase plate concentric with the axis of rotation of the phase plate, a groove mounted at the circumference of the phase plate, and an arm assembly which rests in the groove. The arm assembly has a small sphere at one end and a large sphere at the other end. The small sphere may be a coordinate measuring machine probe tip and may have variable diameters. The large sphere is secured in the kinematic ball mount and the arm is held in the groove. The kinematic ball mount includes at least three mounting spheres and the groove is an angular locating groove including at least two locking spheres. The arm may have a hollow inner core and an outer layer. The rotary spindle may be a ratio reducer. The device is used to evaluate the measuring performance of a coordinate measuring machine for periodic recertification, including 2 and 3 dimensional accuracy, squareness, straightness, and angular accuracy. 5 figs.

Coordinate measuring machine test standard apparatus and method

DOEpatents

Bieg, Lothar F.

1994-08-30

A coordinate measuring machine test standard apparatus and method which iudes a rotary spindle having an upper phase plate and an axis of rotation, a kinematic ball mount attached to the phase plate concentric with the axis of rotation of the phase plate, a groove mounted at the circumference of the phase plate, and an arm assembly which rests in the groove. The arm assembly has a small sphere at one end and a large sphere at the other end. The small sphere may be a coordinate measuring machine probe tip and may have variable diameters. The large sphere is secured in the kinematic ball mount and the arm is held in the groove. The kinematic ball mount includes at least three mounting spheres and the groove is an angular locating groove including at least two locking spheres. The arm may have a hollow inner core and an outer layer. The rotary spindle may be a ratio reducer. The device is used to evaluate the measuring performance of a coordinate measuring machine for periodic recertification, including 2 and 3 dimensional accuracy, squareness, straightness, and angular accuracy.

Towards a Millennial Time-scale Vertical Deformation Field in Taiwan

NASA Astrophysics Data System (ADS)

Bordovaos, P. A.; Johnson, K. M.

2015-12-01

Pete Bordovalos and Kaj M. Johnson To better understand the feedbacks between erosion and deformation in Taiwan, we need constraints on the millennial time-scale vertical field. Dense GPS and leveling data sets in Taiwan provide measurements of the present-day vertical deformation field over the entire Taiwan island. However, it is unclear how much of this vertical field is transient (varies over earthquake cycle) or steady (over millennial time scale). A deformation model is required to decouple transient from steady deformation. This study takes a look at how the 82 mm/yr of convergence motion between the Eurasian plate and the Philippine Sea plate is distributed across the faults on Taiwan. We build a plate flexure model that consists of all known active faults and subduction zones cutting through an elastic plate supported by buoyancy. We use horizontal and vertical GPS data, leveling data, and geologic surface uplift rates with a Monte Carlo probabilistic inversion method to infer fault slip rates and locking depths on all faults. Using our model we examine how different fault geometries influence the estimates of distribution of slip along faults and deformation patterns.

Real-time full-field characterization of transient dissipative soliton dynamics in a mode-locked laser

NASA Astrophysics Data System (ADS)

Ryczkowski, P.; Närhi, M.; Billet, C.; Merolla, J.-M.; Genty, G.; Dudley, J. M.

2018-04-01

Dissipative solitons are remarkably localized states of a physical system that arise from the dynamical balance between nonlinearity, dispersion and environmental energy exchange. They are the most universal form of soliton that can exist, and are seen in far-from-equilibrium systems in many fields, including chemistry, biology and physics. There has been particular interest in studying their properties in mode-locked lasers, but experiments have been limited by the inability to track the dynamical soliton evolution in real time. Here, we use simultaneous dispersive Fourier transform and time-lens measurements to completely characterize the spectral and temporal evolution of ultrashort dissipative solitons as their dynamics pass through a transient unstable regime with complex break-up and collisions before stabilization. Further insight is obtained from reconstruction of the soliton amplitude and phase and calculation of the corresponding complex-valued eigenvalue spectrum. These findings show how real-time measurements provide new insights into ultrafast transient dynamics in optics.

Tidally-induced thermal runaway on extrasolar Earth: Impact on habitability

NASA Astrophysics Data System (ADS)

Behounkova, M.; Tobie, G.; Choblet, G.; Cadek, O.

2010-12-01

Low mass extrasolar bodies start to be discovered owing to the increased precision of detection surveys. As the detection probability decreases with the star-body distance, these planets (and the numerous candidates already announced for the coming years) are likely to orbit their parent stars in a close distance. These short-period planets undergo a strong tidal forcing and their orbits are tidally locked. The associated heat production may influence the internal thermal evolution of these bodies: it has even been suggested that the habitable zone could be influenced by tidal heating (Barnes et al. 2008; Henning et al. 2009). In this study, we further investigate the effect of tidal heating on thermal evolution of tidally locked Earth-like planets. Owing to the strong temperature dependence of the mechanical properties of both the long-term evolution and the tidal deformations, the two processes are coupled. Nevertheless, the tidal deformation has no direct effect on the convective flow and only the dissipative part is included as a heat source for mantle dynamics since the time scales of the two processes strongly differs. For significant tidal dissipation rates, the strong positive feedback leads, in some cases, to thermal runaways. We focus here on the susceptibility of Earth-like planets to tidal dissipation for fixed orbital parameters (eccentricity, orbital period and the spin-orbit resonance type) and on the associated timescales for runaway (if any). In order to describe this behavior and the three dimensional nature of both the tidal forcing and the temperature anomalies, a fully three-dimensional approach solving the two processes simultaneously is employed (Běhounková et al., JGR, in press). We consider an extrasolar planet having the internal properties similar to the Earth. Two modes for heat transfer are modeled through the choice of convective parameters (Rayleigh number and temperature dependence of viscosity, amount of radiogenic heating): a relatively effective plate-tectonics-like regime and a one-plate (stagnant lid) regime. For all numerical experiments sharing the same initial temperature conditions, the reciprocal value of the runaway timescale depends linearly on the initial tidal dissipation. Moreover, the occurrence of tidally driven runaways is associated to large scale melting of the interior having an impact on the habitability of the planet. In the case of runaway timescales between 0.1 and 1Gy and for the plate-tectonics-like heat transfer, the habitable zone is affected by the thermal runaway only for high eccentricities (e≳0.2) for 0.1M sun stars and 1:1 resonance. In the case of the 3:2 orbital resonance, whatever the eccentricity is, the runaway affects the habitable zone for orbital periods lower than 7-12 days. The impact on the habitable zone is even higher for one-plate planets due to the ineffective heat transfer. For more massive stars (>0.5M sun), tidal heating in the habitable zone is not significant and has no impact on the internal evolution.

Lock-in imaging with synchronous digital mirror demodulation

NASA Astrophysics Data System (ADS)

Bush, Michael G.

2010-04-01

Lock-in imaging enables high contrast imaging in adverse conditions by exploiting a modulated light source and homodyne detection. We report results on a patent pending lock-in imaging system fabricated from commercial-off-theshelf parts utilizing standard cameras and a spatial light modulator. By leveraging the capabilities of standard parts we are able to present a low cost, high resolution, high sensitivity camera with applications in search and rescue, friend or foe identification (IFF), and covert surveillance. Different operating modes allow the same instrument to be utilized for dual band multispectral imaging or high dynamic range imaging, increasing the flexibility in different operational settings.