Fault and fracture patterns around a strike-slip influenced salt wall

NASA Astrophysics Data System (ADS)

Alsop, G. I.; Weinberger, R.; Marco, S.; Levi, T.

2018-01-01

The trends of faults and fractures in overburden next to a salt diapir are generally considered to be either parallel to the salt margin to form concentric patterns, or at right angles to the salt contact to create an overall radial distribution around the diapir. However, these simple diapir-related patterns may become more complex if regional tectonics influences the siting and growth of a diapir. Using the Sedom salt wall in the Dead Sea Fault system as our case study, we examine the influence of regional strike-slip faulting on fracture patterns around a salt diapir. This type of influence is important in general as the distribution and orientation of fractures on all scales may influence permeability and hence control fluid and hydrocarbon flow. Fractures adjacent to the N-S trending salt wall contain fibrous gypsum veins and injected clastic dykes, attesting to high fluid pressures adjacent to the diapir. Next to the western flank of the salt wall, broad (∼1000 m) zones of upturn or 'drape folds' are associated with NW-SE striking conjugate extensional fractures within the overburden. Within 300 m of the salt contact, fracture patterns in map view display a progressive ∼30°-35° clockwise rotation with more NNW-SSE strikes immediately adjacent to the salt wall. While some extensional faults display growth geometries, indicating that they were syn-depositional and initiated prior to tilting of beds associated with drape folding, other fractures display increasing dips towards the salt, suggesting that they have formed during upturn of bedding near the diapir. These observations collectively suggest that many fractures developed to accommodate rotation of beds during drape folding. Extensional fractures in the overburden define a mean strike that is ∼45° anticlockwise (counter-clockwise) of the N-S trending salt wall, and are therefore consistent with sinistral transtension along the N-S trending Sedom Fault that underlies the salt wall. Our outcrop analysis reveals fracture geometries that are related to both tilting of beds during drape folding, and regional strike-slip tectonics. The presence of faults and fractures that interact with drape folds suggests that deformation in overburden next to salt cannot be simply pigeon-holed into 'end-member' scenarios of purely brittle faulting or viscous flow.

The medial femoral wall can play a more important role in unstable intertrochanteric fractures compared with lateral femoral wall: a biomechanical study.

PubMed

Nie, Boyuan; Chen, Xueying; Li, Jing; Wu, Dou; Liu, Qiang

2017-12-28

The major objective of the present study is to investigate the differences in the load and strain changes in the intertrochanteric region of human cadaveric femora between the loss of medial or lateral wall and after treatment with proximal femoral nail antirotation (PFNA). After measuring the geometry of the proximal femur region and modeling the medial or lateral wall defect femoral models, six pairs of freshly frozen human femora were randomly assigned in the medial or lateral wall group. According to a single-leg stance model, an axial loading was applied, and the strain distribution was measured before and after PFNA implantation. The strains of each specimen were recorded at load levels of 350, 700, and 1800 N and the failure load. Paired t test was performed to assess the differences between two groups. The failure mode of almost all defect model femora was consistent with that of the simulated type of intertrochanteric fractures. After the PFNA implantation, the failure mode of almost all stabilized femora was caused by new lateral wall fractures. The failure load of the lateral wall group for defect model femora was significantly higher than that of the medial wall group (p < 0.001). However, the difference disappeared after the PFNA was implanted (p = 0.990). The axial stiffness in all defect model femora showed the same results (p < 0.001). After the PFNA implantation, the axial stiffness of the lateral wall group remained higher than that of the medial wall group (p = 0.001). However, the axial stiffness of the lateral wall group showed that the femora removed from the lateral wall were higher than the PFNA-stabilized femora (p = 0.020). For the axial strain in the anterior wall after the PFNA implantation, the strain of the lateral wall group was significantly lower than that of the medial group (p = 0.003). Nevertheless, for the axial strain of the posterior wall after the PFNA implantation, the strain of the medial wall group was significantly lower than that of the lateral group (p < 0.001). In summary, this study demonstrated that PFNA is an effective intramedullary fixation system for treating unstable intertrochanteric fractures. Compared with the lateral wall, the medial femoral wall is a more important part in the intertrochanteric region. We suggest that in treating intertrochanteric femoral fractures with medial wall fractures, the medial wall fragment should be reset and fixed as much as possible.

Vibrational modes of hydraulic fractures: Inference of fracture geometry from resonant frequencies and attenuation

NASA Astrophysics Data System (ADS)

Lipovsky, Bradley P.; Dunham, Eric M.

2015-02-01

Oscillatory seismic signals arising from resonant vibrations of hydraulic fractures are observed in many geologic systems, including volcanoes, glaciers and ice sheets, and hydrocarbon and geothermal reservoirs. To better quantify the physical dimensions of fluid-filled cracks and properties of the fluids within them, we study wave motion along a thin hydraulic fracture waveguide. We present a linearized analysis, valid at wavelengths greater than the fracture aperture, that accounts for quasi-static elastic deformation of the fracture walls, as well as fluid viscosity, inertia, and compressibility. In the long-wavelength limit, anomalously dispersed guided waves known as crack or Krauklis waves propagate with restoring force from fracture wall elasticity. At shorter wavelengths, the waves become sound waves within the fluid channel. Wave attenuation in our model is due to fluid viscosity, rather than seismic radiation from crack tips or fracture wall roughness. We characterize viscous damping at both low frequencies, where the flow is always fully developed, and at high frequencies, where the flow has a nearly constant velocity profile away from viscous boundary layers near the fracture walls. Most observable seismic signals from resonating fractures likely arise in the boundary layer crack wave limit, where fluid-solid coupling is pronounced and attenuation is minimal. We present a method to estimate the aperture and length of a resonating hydraulic fracture using both the seismically observed quality factor and characteristic frequency. Finally, we develop scaling relations between seismic moment and characteristic frequency that might be useful when interpreting the statistics of hydraulic fracture events.

Fracture-network 3D characterization in a deformed chalk reservoir analogue -- the Laegerdorf case

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

Koestler, A.G.; Reksten, K.

1995-09-01

Quantitative descriptions of 3D fracture networks in terms of fracture characteristics and connectivity are necessary for reservoir evaluation, management, and EOR programs of fractured reservoirs. The author`s research has focused on an analogue to North Sea fractured chalk reservoirs that is excellently exposed near Laegerdorf, northwest Germany. An underlying salt diapir uplifted and deformed Upper Cretaceous chalk; the cement industry now exploits it. The fracture network in the production wall of the quarry was characterized and mapped at different scales, and 12 profiles of the 230-m wide and 35-m high production wall were investigated as the wall receded 25 m.more » In addition, three wells were drilled into the chalk volume. The wells were cored and the wellbores were imaged with both the resistivity formation micro scanner (FMS) and the sonic circumferential borehole image logger (CBIL). The large amount of fracture data was analyzed with respect to parameters, such as fracture density distribution, orientation, and length distribution, and in terms of the representativity and predictability of data sets collected from restricted rock volumes.« less

Influence of remaining coronal tooth structure on fracture resistance and failure mode of restored endodontically treated maxillary incisors.

PubMed

Santos Pantaleón, Domingo; Morrow, Brian R; Cagna, David R; Pameijer, Cornelis H; Garcia-Godoy, Franklin

2018-03-01

Limited information is available on the effect of an incomplete ferrule because of the varying residual axial wall heights and the volume of residual tooth structure on the fracture resistance of endodontically treated and restored maxillary incisors. The purpose of this in vitro investigation was to examine the effect of varying residual axial wall heights, residual coronal tooth structure, and the absence of 1 proximal axial wall on the fracture resistance and failure mode of endodontically treated teeth restored with metal posts. Sixty intact human maxillary central incisors were divided into 6 groups (n=10): no ferrule (NF), 2-mm complete ferrule (CF2), 2-mm (IF2), 3-mm (IF3), and 4-mm (IF4) incomplete ferrules missing a single interproximal wall, and a control group that had a 6-mm incomplete ferrule (IF6). Cast metal post-and-cores were placed in all experimental specimens except for controls. Control specimens received 1 interproximal cavity preparation extending to the root canal access and a composite resin restoration. Complete metal crowns were then cemented on all specimens. Completed specimens were subjected to thermocycling (6000 cycles, 5°C/55°C) followed by the immediate testing of fracture resistance. Failed specimens were sectioned buccolingually and evaluated to identify the failure mode. The data were analyzed with an analysis of variance (ANOVA) and the Student-Newman-Keuls multiple comparison test (α=.05). An incomplete ferrule (IF2) with 1 interproximal wall missing had significantly reduced fracture resistance (697 N) compared with a complete ferrule (932 N). An increase of 3 to 4 mm of remaining wall height improved fracture resistance, from 844 N (IF3) to 853 N (IF4). Partial decementation was noticed in 8 NF and 5 IF2 specimens. IF3 and IF4 had no decementations. Radicular fractures and cracks (catastrophic failure) were observed in all IF2, IF3, and IF4, 9 CF2, and 6 NF specimens. In 7 specimens without posts (IF6, control), composite resin foundation and/or coronal dentin fracture were observed and the failure was considered repairable. The results of this in vitro study indicated that specimens with a 2-mm ferrule of uniform height were more resistant to fracture than specimens with a 2-mm ferrule and 1 missing interproximal wall. An increased wall height of 3 or 4 mm was associated with a significant increase in fracture resistance and can compensate for the missing interproximal wall. Copyright © 2017 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Bifurcating Particle Swarms in Smooth-Walled Fractures

NASA Astrophysics Data System (ADS)

Pyrak-Nolte, L. J.; Sun, H.

2010-12-01

Particle swarms can occur naturally or from industrial processes where small liquid drops containing thousands to millions of micron-size to colloidal-size particles are released over time from seepage or leaks into fractured rock. The behavior of these particle swarms as they fall under gravity are affected by particle interactions as well as interactions with the walls of the fractures. In this paper, we present experimental results on the effect of fractures on the cohesiveness of the swarm and the formation of bifurcation structures as they fall under gravity and interact with the fracture walls. A transparent cubic sample (100 mm x 100 mm x 100 mm) containing a synthetic fracture with uniform aperture distributions was optically imaged to quantify the effect of confinement within fractures on particle swarm formation, swarm velocity, and swarm geometry. A fracture with a uniform aperture distribution was fabricated from two polished rectangular prisms of acrylic. A series of experiments were performed to determine how swarm movement and geometry are affected as the walls of the fracture are brought closer together from 50 mm to 1 mm. During the experiments, the fracture was fully saturated with water. We created the swarms using two different particle sizes in dilute suspension (~ 1.0% by mass). The particles were 3 micron diameter fluorescent polymer beads and 25 micron diameter soda-lime glass beads. Experiments were performed using swarms that ranged in size from 5 µl to 60 µl. The swarm behavior was imaged using an optical fluorescent imaging system composed of a CCD camera illuminated by a 100 mW diode-pumped doubled YAG laser. As a swarm falls in an open-tank of water, it forms a torroidal shape that is stable as long as no ambient or background currents exist in the water tank. When a swarm is released into a fracture with an aperture less than 5 mm, the swarm forms the torroidal shape but it is distorted because of the presence of the walls. The portions of the torroid closest to the fracture wall experiences more drag that causes the swarm to bifurcate. In fractures with 2.5 mm apertures, swarms were observed to bifurcate 7-10 times over a distance of 70 mm. The length of the branches in the tree-like structures decreased as the swarm progressed through multiple bifurcations. The bifurcation length is related to the distance swarms can travel along fractures. Acknowledgment: The authors wish to acknowledge support of this work by the Geosciences Research Program, Office of Basic Energy Sciences US Department of Energy (DE-FG02-09ER16022).

Technique for repair of fractures and separations involving the cartilaginous portions of the anterior chest wall.

PubMed

Bonne, Stephanie L; Turnbull, Isaiah R; Southard, Robert E

2015-06-01

Internal fixation of the ribs has been shown in numerous studies to decrease complications following traumatic rib fractures. Anterior injuries to the chest wall causing cartilaginous fractures, although rare, can cause significant disability and can lead to a variety of complications and, therefore, pose a unique clinical problem. Here, we report the surgical technique used for four patients with internal fixation of injuries to the cartilaginous portions of the chest wall treated at our center. All patients had excellent clinical outcomes and reported improvement in symptoms, with no associated complications. Patients who have injuries to the anterior portions of the chest wall should be considered for internal fixation of the chest wall when the injuries are severe and can lead to clinical disability.

Rib fracture after stereotactic radiotherapy for primary lung cancer: prevalence, degree of clinical symptoms, and risk factors.

PubMed

Nambu, Atsushi; Onishi, Hiroshi; Aoki, Shinichi; Tominaga, Licht; Kuriyama, Kengo; Araya, Masayuki; Saito, Ryoh; Maehata, Yoshiyasu; Komiyama, Takafumi; Marino, Kan; Koshiishi, Tsuyota; Sawada, Eiichi; Araki, Tsutomu

2013-02-07

As stereotactic body radiotherapy (SBRT) is a highly dose-dense radiotherapy, adverse events of neighboring normal tissues are a major concern. This study thus aimed to clarify the frequency and degree of clinical symptoms in patients with rib fractures after SBRT for primary lung cancer and to reveal risk factors for rib fracture. Appropriate α/β ratios for discriminating between fracture and non-fracture groups were also investigated. Between November 2001 and April 2009, 177 patients who had undergone SBRT were evaluated for clinical symptoms and underwent follow-up thin-section computed tomography (CT). The time of rib fracture appearance was also assessed. Cox proportional hazard modeling was performed to identify risk factors for rib fracture, using independent variables of age, sex, maximum tumor diameter, radiotherapeutic method and tumor-chest wall distance. Dosimetric details were analyzed for 26 patients with and 22 randomly-sampled patients without rib fracture. Biologically effective dose (BED) was calculated with a range of α/β ratios (1-10 Gy). Receiver operating characteristics analysis was used to define the most appropriate α/β ratio. Rib fracture was found on follow-up thin-section CT in 41 patients. The frequency of chest wall pain in patients with rib fracture was 34.1% (14/41), and was classified as Grade 1 or 2. Significant risk factors for rib fracture were smaller tumor-chest wall distance and female sex. Area under the curve was maximal for BED at an α/β ratio of 8 Gy. Rib fracture is frequently seen on CT after SBRT for lung cancer. Small tumor-chest wall distance and female sex are risk factors for rib fracture. However, clinical symptoms are infrequent and generally mild. When using BED analysis, an α/β ratio of 8 Gy appears most effective for discriminating between fracture and non-fracture patients.

Rib fracture after stereotactic radiotherapy for primary lung cancer: prevalence, degree of clinical symptoms, and risk factors

PubMed Central

2013-01-01

Background As stereotactic body radiotherapy (SBRT) is a highly dose-dense radiotherapy, adverse events of neighboring normal tissues are a major concern. This study thus aimed to clarify the frequency and degree of clinical symptoms in patients with rib fractures after SBRT for primary lung cancer and to reveal risk factors for rib fracture. Appropriate α/β ratios for discriminating between fracture and non-fracture groups were also investigated. Methods Between November 2001 and April 2009, 177 patients who had undergone SBRT were evaluated for clinical symptoms and underwent follow-up thin-section computed tomography (CT). The time of rib fracture appearance was also assessed. Cox proportional hazard modeling was performed to identify risk factors for rib fracture, using independent variables of age, sex, maximum tumor diameter, radiotherapeutic method and tumor-chest wall distance. Dosimetric details were analyzed for 26 patients with and 22 randomly-sampled patients without rib fracture. Biologically effective dose (BED) was calculated with a range of α/β ratios (1–10 Gy). Receiver operating characteristics analysis was used to define the most appropriate α/β ratio. Results Rib fracture was found on follow-up thin-section CT in 41 patients. The frequency of chest wall pain in patients with rib fracture was 34.1% (14/41), and was classified as Grade 1 or 2. Significant risk factors for rib fracture were smaller tumor-chest wall distance and female sex. Area under the curve was maximal for BED at an α/β ratio of 8 Gy. Conclusions Rib fracture is frequently seen on CT after SBRT for lung cancer. Small tumor-chest wall distance and female sex are risk factors for rib fracture. However, clinical symptoms are infrequent and generally mild. When using BED analysis, an α/β ratio of 8 Gy appears most effective for discriminating between fracture and non-fracture patients. PMID:23391264

International Meeting on Medical Simulation (6th), The World of Simulation Held in San Diego, California on January 14-17, 2006

DTIC Science & Technology

2006-07-01

fracture under interscalene block and general anesthesia. Relevant past medical history includes hypertension treated with hydrochlorothiazide. While...abdominal wall constructed of upholstery foam ( fat ) glued to fabric (skin) that was firmly tied down to the operating table. In order to provide the... fat and skin fairly accurately, especially when incised with a scalpel. The girth and color of the small bowel could be altered as need to

Altered disc pressure profile after an osteoporotic vertebral fracture is a risk factor for adjacent vertebral body fracture

PubMed Central

Tzermiadianos, Michael N.; Renner, Susan M.; Phillips, Frank M.; Hadjipavlou, Alexander G.; Zindrick, Michael R.; Havey, Robert M.; Voronov, Michael

2008-01-01

This study investigated the effect of endplate deformity after an osteoporotic vertebral fracture in increasing the risk for adjacent vertebral fractures. Eight human lower thoracic or thoracolumbar specimens, each consisting of five vertebrae were used. To selectively fracture one of the endplates of the middle VB of each specimen a void was created under the target endplate and the specimen was flexed and compressed until failure. The fractured vertebra was subjected to spinal extension under 150 N preload that restored the anterior wall height and vertebral kyphosis, while the fractured endplate remained significantly depressed. The VB was filled with cement to stabilize the fracture, after complete evacuation of its trabecular content to ensure similar cement distribution under both the endplates. Specimens were tested in flexion-extension under 400 N preload while pressure in the discs and strain at the anterior wall of the adjacent vertebrae were recorded. Disc pressure in the intact specimens increased during flexion by 26 ± 14%. After cementation, disc pressure increased during flexion by 15 ± 11% in the discs with un-fractured endplates, while decreased by 19 ± 26.7% in the discs with the fractured endplates. During flexion, the compressive strain at the anterior wall of the vertebra next to the fractured endplate increased by 94 ± 23% compared to intact status (p < 0.05), while it did not significantly change at the vertebra next to the un-fractured endplate (18.2 ± 7.1%, p > 0.05). Subsequent flexion with compression to failure resulted in adjacent fracture close to the fractured endplate in six specimens and in a non-adjacent fracture in one specimen, while one specimen had no adjacent fractures. Depression of the fractured endplate alters the pressure profile of the damaged disc resulting in increased compressive loading of the anterior wall of adjacent vertebra that predisposes it to wedge fracture. This data suggests that correction of endplate deformity may play a role in reducing the risk of adjacent fractures. PMID:18795344

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

Zilkha, A.

Computed tomographic (CT) findings in four patients with isolated blow-out fracture of the medial orbital wall are reported. CT delineated the fracture site and its extent in each case, and clearly demonstrated medial rectus muscle entrapment in two. This was confirmed by surgery. CT was found superior to polytomography and proved to be the best radiologic means for the diagnosis of medial orbital wall fracture and muscle entrapment.

Rib fixation for severe chest deformity due to multiple rib fractures.

PubMed

Igai, Hitoshi; Kamiyoshihara, Mitsuhiro; Nagashima, Toshiteru; Ohtaki, Yoichi

2012-01-01

The operative indications for rib fracture repair have been a matter of debate. However, several reports have suggested that flail chest, pain on respiration, and chest deformity/defect are potential conditions for rib fracture repair. We describe our experience of rib fixation in a patient with severe chest deformity due to multiple rib fractures. A 70-year-old woman was admitted with right-sided multiple rib fractures (2nd to 7th) and marked chest wall deformity without flailing caused by an automobile accident. Collapse of the chest wall was observed along the middle anterior axillary line. At 11 days after the injury, surgery was performed to repair the chest deformity, as it was considered to pose a risk of restrictive impairment of pulmonary function or chronic intercostal pain in the future. Operative findings revealed marked displacement of the superior 4 ribs, from the 2nd to the 5th, and collapse of the osseous chest wall towards the thoracic cavity. After exposure of the fracture regions, ribs fixations were performed using rib staplers. The total operation time was 90 minutes, and the collapsed portion of the chest wall along the middle anterior axillary line was reconstructed successfully.

Acoustic and optical borehole-wall imaging for fractured-rock aquifer studies

USGS Publications Warehouse

Williams, J.H.; Johnson, C.D.

2004-01-01

Imaging with acoustic and optical televiewers results in continuous and oriented 360?? views of the borehole wall from which the character, relation, and orientation of lithologic and structural planar features can be defined for studies of fractured-rock aquifers. Fractures are more clearly defined under a wider range of conditions on acoustic images than on optical images including dark-colored rocks, cloudy borehole water, and coated borehole walls. However, optical images allow for the direct viewing of the character of and relation between lithology, fractures, foliation, and bedding. The most powerful approach is the combined application of acoustic and optical imaging with integrated interpretation. Imaging of the borehole wall provides information useful for the collection and interpretation of flowmeter and other geophysical logs, core samples, and hydraulic and water-quality data from packer testing and monitoring. ?? 2003 Elsevier B.V. All rights reserved.

Evolution of dispersion coefficient in the single rough-walled fracture before and after circulated flow near the wall

NASA Astrophysics Data System (ADS)

Lee, S.; Yeo, I.; Lee, K.

2012-12-01

Understanding detailed solute transport mechanism in a single fracture is required to expand it to the complex fractured medium. Dispersion in the variable-aperture fractures occurs by combined effects of molecular diffusion, macro dispersion and Taylor dispersion. It has been reported that Taylor dispersion which is proportional to the square of the velocity dominates for the high velocity, while macro dispersion is proportional to the velocity. Contributions of each scheme are different as the velocity changes. To investigate relationship between Reynolds number and dispersion coefficient, single acrylic rough-walled fracture which has 20 cm length and 1.03 mm average aperture was designed. In this experiment, dispersion coefficient was calculated at the middle of the fracture and at the edge of the fracture via moment analysis using breakthrough curve (BTC) of fluorescent solute under the Reynolds number 0.08, 0.28, 2.78, 8.2 and 16.4. In the results, distinct dispersion regime was observed at the highly rough-walled fracture, which is inconsistent with the model that was suggested by previous research. In the range of Re < 2.78, the dispersion coefficient was proportional to the power of n (1 2.78. The reason of this transition zone was related to the generation of circulated flow near the wall. It can flush the trapped contaminant out to the main flow channel, which makes tailing effect diminished. Also, these circulation zones were visualized using microscope, CCD camera and fluorescent particles.

Microstructure change in wood cell wall fracture from mechanical pretreatment and its influence on enzymatic hydrolysis

Treesearch

Jinxue Jiang; Jinwu Wang; Xiao Zhang; Michael Wolcott

2017-01-01

tMechanical pretreatment is an effective process for chemical or biochemical conversion of woodybiomass. The deconstruction features of the wood cell wall play an important role in its chemical or bio-chemical processing. In this work, we evaluated the wood cell wall fracture in the early stage of mechanicalpretreatment process conducted with various initial moisture...

Laboratory research of hydraulic fracturing with tangential loading of borehole wall

NASA Astrophysics Data System (ADS)

Kurlenya, MV; Patutin, AV; Rybalkin, LA; Serdyukov, SV; Shilova, TV

2017-02-01

Under study is transverse fracturing of an organic glass block through secondary shearing stress applied to the borehole wall. To this effect, a system composed of a press sealer and a collet anchor manufactured in two options has been designed. It is shown than an anchor with a circular groove allows reducing breakdown pressure and enables effective transverse fracture at the borehole bottom.

Real Time Navigation-Assisted Orbital Wall Reconstruction in Blowout Fractures.

PubMed

Shin, Ho Seong; Kim, Se Young; Cha, Han Gyu; Han, Ba Leun; Nam, Seung Min

2016-03-01

Limitation in performing restoration of orbital structures is the narrow, deep, and dark surgical field, which makes it difficult to view the operative site directly. To avoid perioperative complications from this limitation, the authors have evaluated the usefulness of computer-assisted navigation techniques in surgical treatment of blowout fracture. Total 37 patients (14 medial orbital wall fractures and 23 inferior orbital wall fractures) with facial deformities had surgical treatment under the guide of navigation system between September 2012 and January 2015. All 37 patients were treated successfully and safely with navigation-assisted surgery without any complications, including diplopia, retrobulbar hematoma, globe injury, implant migration, and blindness. Blowout fracture can be treated safely under guidance of a surgical navigation system. In orbital surgery, navigation-assisted technology could give rise to improvements in the functional and aesthetic outcome and checking the position of the instruments on the surgical site in real time, without injuring important anatomic structures.

Controversies in Treatment of Acetabular Fracture

PubMed Central

Grubor, Predrag; Krupic, Ferid; Biscevic, Mirza; Grubor, Milan

2015-01-01

Introduction: Acetabular fractures treatment represents a great controversy, challenge and dilemma for an orthopedic surgeon. Aim: The aim of the paper was to present the results of treatment of 96 acetabular fractures in the Clinic of Traumatology Banja Luka, in the period from 2003 to 2013, as well as to raise awareness regarding the controversy in the methods of choice in treating acetabulum fractures. Material and methods: The series consists of 96 patients, 82 males and 14 females, average age 40.5 years. Traffic trauma was the cause of fractures in 79 patients (85%), and in 17 patients (15%) fractures occurred due to falls from height. Polytrauma was present in 31 patients (32%). According to the classification of Judet and Letournel, representation of acetabular fractures was as follows: posterior wall in 32 patients, posterior column in 28, anterior wall in 4, anterior column in 2, transverse fractures in 8, posterior wall and posterior column in 10, anterior and posterior wall in 6, both- column in 4 and transversal fracture and posterior wall in 2 patients. 14 patients were treated with traction, that is, 6 patients with femoral traction and 8 patients with both lateral and femoral traction. 82 patients (86.4%) were surgically treated. Kocher-Langenbeck approach was applied in the treatment of 78 patients. In two patients from the Kocher-Langenbeck’s approach, the Ollier’s approach had to be applied as well. Two acetabular were primarily treated with Ollier’s approach. Extended Smith- Peterson’s approach was applied 4 times, and Emile Letournel’s (ilioinguinal) approach 14 times. Results: Functional outcome (after follow-up of 18 months), according to the Harris hip score of surgical treatment in 82 patients, was as follows: good 46 (56%), satisfactory 32 (39%) and poor 4 (5%). Results of acetabulum fractures treated with traction were: good 8 (57%), satisfactory 4 (28%) and poor 2 (15%). According to the Brook’s classification of heterotopic ossification, periarticular hetero-tropic calcifications after surgical treatment were: 0° in 65 patients (79%), I-II° in 9 patients (11%) and III-IV ° in 8 patients (10%). Calcifications in 14 patients treated with traction of heterotopic ossification by Brook-s classification were as follows: 0° in 10 patients (72%), I-II ° in 3 patients (22%) and III-IV° in 1 patient (6%). Conclusion: At the occurrence of acetabular fracture, it is necessary to start the treatment immediately, with an obligatory application of thromboembolic and antibiotic prophylaxis. Conservative treatment is acceptable if the dislocation of fracture is less than 5 mm. Indications for surgical treatment are incongruent or unstable fractures with verified dislocation greater than 5 mm, as well as when the radiography measured by JM Matta shows incongruence of acetabular roof less than 40° in all planes. Kocher-Langenbeck approach is the choice of surgical approach for the management of posterior column / wall, and Letournel’s (ilioinguinal) approach is the choice for the management of anterior wall/column. PMID:25870470

Clinical prognostic factors and grading system for rib fracture following stereotactic body radiation therapy (SBRT) in patients with peripheral lung tumors.

PubMed

Kim, Su Ssan; Song, Si Yeol; Kwak, Jungwon; Ahn, Seung Do; Kim, Jong Hoon; Lee, Jung Shin; Kim, Woo Sung; Kim, Sang-We; Choi, Eun Kyung

2013-02-01

Several studies reported rib fractures following stereotactic body radiation therapy (SBRT) for peripheral lung tumors. We tried to investigate risk factors and grading system for rib fractures after SBRT. Of 375 primary or metastatic lung tumors (296 patients) which were treated with SBRT at the Asan Medical Center (2006-2009), 126 lesions (118 patients) were adjacent to the chest-wall (<1cm) and followed-up with chest computed tomography (CT) for >6 months; these were investigated in the present retrospective study. Three to four fractional doses of 10-20 Gy were delivered to 85-90% iso-dose volume of the isocenter dose. Rib fracture grade was defined from follow-up CT scans as the appearance of a fracture line (Gr1), dislocation of the fractured rib by more than half the rib diameter (Gr2), or the appearance of adjacent soft tissue edema (Gr3). Chest wall pain was assessed according to the Common Terminology Criteria for Adverse Events (CTCAE) v3.0. Correlations between dose-volume data and the development of rib fracture were then analyzed. The Kaplan-Meier method, log-rank tests, and chi-square tests were used for statistical analysis. The median age of the patients was 69 years (range: 19-90). Over a median follow-up period of 22 months (range: 7-62), 48 cases of rib fracture were confirmed. Median time to rib fracture was 17 months (range: 4-52). The 2-year actuarial risk of rib fracture was 42.4%. Maximal grade was Gr1 (n=28), Gr2 (n=8), or Gr3 (n=15). The incidence of moderate to severe chest wall pain (CTCAE Gr ≥ 2) increased with maximal fracture grade (17.5% for Gr0-1 and 60.9% for Gr2-3; p<0.001). Multivariate analysis identified female gender, lateral location, and the dose to the 8cc of the chest wall as significant prognostic factors. Female gender and lateral tumor location were clinical risk factors for rib fracture in the present study. Efforts to decrease chest wall dose should be made to reduce the risk of the rib fracture, particularly in high-risk patients. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Acetabular fractures: anatomic and clinical considerations.

PubMed

Lawrence, David A; Menn, Kirsten; Baumgaertner, Michael; Haims, Andrew H

2013-09-01

Classifying acetabular fractures can be an intimidating topic. However, it is helpful to remember that there are only three basic types of acetabular fractures: column fractures, transverse fractures, and wall fractures. Within this framework, acetabular fractures are classified into two broad categories: elementary or associated fractures. We will review the osseous anatomy of the pelvis and provide systematic approaches for reviewing both radiographs and CT scans to effectively evaluate the acetabulum. Although acetabular fracture classification may seem intimidating, the descriptions and distinctions discussed and shown in this article hopefully make the topic simpler to understand. Approach the task by recalling that there are only three basic types of acetabular fractures: column fractures (coronally oriented on CT images), transverse fractures (sagittally oriented on CT images), and wall fractures (obliquely oriented on CT images). We have provided systematic approaches for reviewing both conventional radiographs and CT scans to effectively assess the acetabulum. The clinical implications of the different fracture patterns have also been reviewed because it is critically important to include pertinent information for our clinical colleagues to provide the most efficient and timely clinical care.

Risk factors that predict mortality in patients with blunt chest wall trauma: a systematic review and meta-analysis.

PubMed

Battle, Ceri E; Hutchings, Hayley; Evans, Phillip A

2012-01-01

The risk factors for mortality following blunt chest wall trauma have neither been well established or summarised. To summarise the risk factors for mortality in blunt chest wall trauma patients based on available evidence in the literature. A systematic review of English and non-English articles using MEDLINE, EMBASE and the Cochrane Library from their introduction until May 2010. Additional studies were identified by hand-searching bibliographies and contacting relevant clinical experts. Grey literature was sought by searching abstracts from all Emergency Medicine conferences. Broad search terms and inclusion criteria were used to reduce the number of missed studies. A two step study selection process was used. All published and unpublished observational studies were included if they investigated estimates of association between a risk factor and mortality for blunt chest wall trauma patients. A two step data extraction process using pre-defined data fields, including study quality indicators. Each study was appraised using a previously designed quality assessment tool and the STROBE checklist. Where sufficient data were available, odds ratios with 95% confidence intervals were calculated using Mantel-Haenszel method for the risk factors investigated. The I(2) statistic was calculated for combined studies in order to assess heterogeneity. Age, number of rib fractures, presence of pre-existing disease and pneumonia were found to be related to mortality in 29 identified studies. Combined odds ratio of 1.98 (1.86-2.11, 95% CI), 2.02 (1.89-2.15, 95% CI), 2.43 (1.03-5.72, 95% CI) and 5.24 (3.51-7.82) for mortality were calculated for blunt chest wall trauma patients aged 65 years or more, with three or more rib fractures, pre-existing conditions and pneumonia respectively. The risk factors for mortality in patients sustaining blunt chest wall trauma were a patient age of 65 years or more, three or more rib fractures and the presence of pre-existing disease especially cardiopulmonary disease. The development of pneumonia post injury was also a significant risk factor for mortality. As a result of the variable quality in the studies, the results of the selected studies should be interpreted with caution. Copyright © 2011 Elsevier Ltd. All rights reserved.

Surgical Stabilization of Costoclavicular Injuries - A Combination of Flail Chest Injuries and a Clavicula Fracture.

PubMed

Langenbach, Andreas; Pinther, Melina; Krinner, Sebastian; Grupp, Sina; Ekkernkamp, Axel; Hennig, Friedrich F; Schulz-Drost, Stefan

2017-01-01

Background: Flail chest injuries (FCI) are associated with a high morbidity and mortality rate. As a concomitant clavicle fracture in FCI even worsens the outcome, the question is how can those costoclavicular injuries (CCI) be managed surgically. Methods: 11 patients with CCI were surgically treated by a locked plate osteosynthesis of the Clavicle and the underlying ribs through limited surgical approaches under general anesthesia. Patients were followed up after 2, 6, 12, 26 and 52 weeks. Results: All patients showed severe chest wall deformity due to severely displaced fractures of the ribs and the clavicle. They were suffering from pain and restriction of respiratory movements. The chest wall could be restored to normal shape in all cases with uneventful bone healing and a high patient convenience. Fractures of the clavicle and the second rib were managed through an innovative clavipectoral approach, the others through standard approaches to the anterolateral and the posterolateral chest wall. Two patients complained about numbness around the lateral approach and lasting periscapular pain. Conclusions: Surgical stabilization might be the appropriate therapy in CCI with dislocated fractures since they would cause severe deformity and loss of function of the chest wall and the shoulder. Celsius.

Operative fixation of chest wall fractures: an underused procedure?

PubMed

Richardson, J David; Franklin, Glen A; Heffley, Susan; Seligson, David

2007-06-01

Chest wall fractures, including injuries to the ribs and sternum, usually heal spontaneously without specific treatment. However, a small subset of patients have fractures that produce overlying bone fragments that may produce severe pain, respiratory compromise, and, if untreated mechanically, result in nonunion. We performed open reduction and internal fixation on seven patients with multiple rib fractures-five in the initial hospitalization and two delayed--as well as 35 sternal fractures (19 immediate fixation and 16 delayed). Operative fixation was accomplished using titanium plates and screws in both groups of patients. All patients with rib fractures did well; there were no major complications or infections, and no plates required removal. Clinical results were excellent. There was one death in the sternal fracture group in a patient who was ventilator-dependent preoperatively and extubated himself in the early postoperative period. Otherwise, the results were excellent, with no complications occurring in this group. Three patients had their plates removed after boney union was achieved. No evidence of infection or nonunion occurred. The excellent results achieved in the subset of patients with severe chest wall deformities treated initially at our institution and those referred from outside suggest that operative fixation is a useful modality that is likely underused.

Sonography of occult rib and costal cartilage fractures: a case series.

PubMed

Mattox, Ross; Reckelhoff, Kenneth E; Welk, Aaron B; Kettner, Norman W

2014-06-01

The purpose of this case series is to describe the use of diagnostic ultrasound (US) in the detection of occult rib and costal cartilage fractures presenting as chest wall pain to a chiropractic clinic. Three patients presented with chest wall pain and tenderness. Two of the patients presented with acute chest wall injury and 1 carried a previous diagnosis of rib fracture after trivial trauma 2 months earlier. Diagnostic US was selected as a non-ionizing imaging tool for these patients after negative digital radiography studies. All fractures were considered isolated as there was no associated injury, such as pneumothorax. Both of the acute cases were followed up to complete healing (evidence of osseous union) using US. All patients eventually achieved pain-free status. In these cases, US was more sensitive than radiography for diagnosing these cases of acute rib and costal cartilage fractures. Early recognition of rib injury could avoid potential complications from local manipulative therapy.

Preforming of polydioxanone sheets for orbital wall fractures - A technical note.

PubMed

Kruber, Daniel; Hierl, Thomas; Doerfler, Hans-Martin; Huempfner-Hierl, Heike; Krause, Matthias

2018-07-01

Polydioxanone (PDS) sheets are commonly used in the treatment of orbital wall fractures. A potential drawback of PDS is that it may be difficult to adapt to the anatomy of the orbital walls. Therefore a study was conceived to test the feasibility of preforming PDS sheets. PDS sheet material was water-heated and preformed using a template based on a statistical anatomical model. Then the deformed sheet was cooled, stored and compared to the original model to investigate post-deformation changes. PDS sheet material could easily be deformed using a mould. No significant post-cooling shape changes were noticed. PDS sheet material can be preformed into complex geometric shapes. This could be a benefit in the treatment of orbital wall fractures. Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Hydraulic properties of 3D rough-walled fractures during shearing: An experimental study

NASA Astrophysics Data System (ADS)

Yin, Qian; Ma, Guowei; Jing, Hongwen; Wang, Huidong; Su, Haijian; Wang, Yingchao; Liu, Richeng

2017-12-01

This study experimentally analyzed the influence of shear processes on nonlinear flow behavior through 3D rough-walled rock fractures. A high-precision apparatus was developed to perform stress-dependent fluid flow tests of fractured rocks. Then, water flow tests on rough-walled fractures with different mechanical displacements were conducted. At each shear level, the hydraulic pressure ranged from 0 to 0.6 MPa, and the normal load varied from 7 to 35 kN. The results show that (i) the relationship between the volumetric flow rate and hydraulic gradient of rough-walled fractures can be well fit using Forchheimer's law. Notably, both the linear and nonlinear coefficients in Forchheimer's law decrease during shearing; (ii) a sixth-order polynomial function is used to evaluate the transmissivity based on the Reynolds number of fractures during shearing. The transmissivity exhibits a decreasing trend as the Reynolds number increases and an increasing trend as the shear displacement increases; (iii) the critical hydraulic gradient, critical Reynolds number and equivalent hydraulic aperture of the rock fractures all increase as the shear displacement increases. When the shear displacement varies from 0 to 15 mm, the critical hydraulic gradient ranges from 0.3 to 2.2 for a normal load of 7 kN and increases to 1.8-8.6 for a normal load of 35 kN; and (iv) the Forchheimer law results are evaluated by plotting the normalized transmissivity of the fractures during shearing against the Reynolds number. An increase in the normal load shifts the fitted curves downward. Additionally, the Forchheimer coefficient β decreases with the shear displacement but increases with the applied normal load.

Quartz c-axis orientation patterns in fracture cement as a measure of fracture opening rate and a validation tool for fracture pattern models

DOE PAGES

Ukar, Estibalitz; Laubach, Stephen E.; Marrett, Randall

2016-03-09

Here, we evaluate a published model for crystal growth patterns in quartz cement in sandstone fractures by comparing crystal fracture-spanning predictions to quartz c-axis orientation distributions measured by electron backscatter diffraction (EBSD) of spanning quartz deposits. Samples from eight subvertical opening-mode fractures in four sandstone formations, the Jurassic– Cretaceous Nikanassin Formation, northwestern Alberta Foothills (Canada), Cretaceous Mesaverde Group (USA; Cozzette Sandstone Member of the Iles Formation), Piceance Basin, Colorado (USA), and upper Jurassic–lower Cretaceous Cotton Valley Group (Taylor sandstone) and overlying Travis Peak Formation, east Texas, have similar quartzose composition and grain size but contain fractures with different temperature historiesmore » and opening rates based on fluid inclusion assemblages and burial history. Spherical statistical analysis shows that, in agreement with model predictions, bridging crystals have a preferred orientation with c-axis orientations at a high angle to fracture walls. The second form of validation is for spanning potential that depends on the size of cut substrate grains. Using measured cut substrate grain sizes and c-axis orientations of spanning bridges, we calculated the required orientation for the smallest cut grain to span the maximum gap size and the required orientation of the crystal with the least spanning potential to form overgrowths that span across maximum measured gap sizes. We find that within a 10° error all spanning crystals conform to model predictions. Using crystals with the lowest spanning potential based on crystallographic orientation (c-axis parallel to fracture wall) and a temperature range for fracture opening measured from fluid inclusion assemblages, we calculate maximum fracture opening rates that allow crystals to span. These rates are comparable to those derived independently from fracture temperature histories based on burial history and multiple sequential fluid inclusion assemblages. Results support the R. Lander and S. Laubach model, which predicts that for quartz deposited synchronously with fracture opening, spanning potential, or likelihood of quartz deposits that are thick enough to span between fracture walls, depends on temperature history, fracture opening rate, size of opening increments, and size, mineralogy, and crystallographic orientation of substrates in the fracture wall (transected grains). Results suggest that EBSD maps, which can be more rapidly acquired than measurement of tens to hundreds of fluid inclusion assemblages, can provide a useful measure of relative opening rates within populations of quartz-filled fractures formed under sedimentary basin conditions. Such data are useful for evaluating fracture pattern development models.« less

Quartz c-axis orientation patterns in fracture cement as a measure of fracture opening rate and a validation tool for fracture pattern models

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

Ukar, Estibalitz; Laubach, Stephen E.; Marrett, Randall

Here, we evaluate a published model for crystal growth patterns in quartz cement in sandstone fractures by comparing crystal fracture-spanning predictions to quartz c-axis orientation distributions measured by electron backscatter diffraction (EBSD) of spanning quartz deposits. Samples from eight subvertical opening-mode fractures in four sandstone formations, the Jurassic– Cretaceous Nikanassin Formation, northwestern Alberta Foothills (Canada), Cretaceous Mesaverde Group (USA; Cozzette Sandstone Member of the Iles Formation), Piceance Basin, Colorado (USA), and upper Jurassic–lower Cretaceous Cotton Valley Group (Taylor sandstone) and overlying Travis Peak Formation, east Texas, have similar quartzose composition and grain size but contain fractures with different temperature historiesmore » and opening rates based on fluid inclusion assemblages and burial history. Spherical statistical analysis shows that, in agreement with model predictions, bridging crystals have a preferred orientation with c-axis orientations at a high angle to fracture walls. The second form of validation is for spanning potential that depends on the size of cut substrate grains. Using measured cut substrate grain sizes and c-axis orientations of spanning bridges, we calculated the required orientation for the smallest cut grain to span the maximum gap size and the required orientation of the crystal with the least spanning potential to form overgrowths that span across maximum measured gap sizes. We find that within a 10° error all spanning crystals conform to model predictions. Using crystals with the lowest spanning potential based on crystallographic orientation (c-axis parallel to fracture wall) and a temperature range for fracture opening measured from fluid inclusion assemblages, we calculate maximum fracture opening rates that allow crystals to span. These rates are comparable to those derived independently from fracture temperature histories based on burial history and multiple sequential fluid inclusion assemblages. Results support the R. Lander and S. Laubach model, which predicts that for quartz deposited synchronously with fracture opening, spanning potential, or likelihood of quartz deposits that are thick enough to span between fracture walls, depends on temperature history, fracture opening rate, size of opening increments, and size, mineralogy, and crystallographic orientation of substrates in the fracture wall (transected grains). Results suggest that EBSD maps, which can be more rapidly acquired than measurement of tens to hundreds of fluid inclusion assemblages, can provide a useful measure of relative opening rates within populations of quartz-filled fractures formed under sedimentary basin conditions. Such data are useful for evaluating fracture pattern development models.« less

Interaction of hydraulic and buckling mechanisms in blowout fractures.

PubMed

Nagasao, Tomohisa; Miyamoto, Junpei; Jiang, Hua; Tamaki, Tamotsu; Kaneko, Tsuyoshi

2010-04-01

The etiology of blowout fractures is generally attributed to 2 mechanisms--increase in the pressure of the orbital contents (the hydraulic mechanism) and direct transmission of impacts on the orbital walls (the buckling mechanism). The present study aims to elucidate whether or not an interaction exists between these 2 mechanisms. We performed a simulation experiment using 10 Computer-Aided-Design skull models. We applied destructive energy to the orbits of the 10 models in 3 different ways. First, to simulate pure hydraulic mechanism, energy was applied solely on the internal walls of the orbit. Second, to simulate pure buckling mechanism, energy was applied solely on the inferior rim of the orbit. Third, to simulate the combined effect of the hydraulic and buckling mechanisms, energy was applied both on the internal wall of the orbit and inferior rim of the orbit. After applying the energy, we calculated the areas of the regions where fracture occurred in the models. Thereafter, we compared the areas among the 3 energy application patterns. When the hydraulic and buckling mechanisms work simultaneously, fracture occurs on wider areas of the orbital walls than when each of these mechanisms works separately. The hydraulic and buckling mechanisms interact, enhancing each other's effect. This information should be taken into consideration when we examine patients in whom blowout fracture is suspected.

Ultrasonography in the diagnosis of nasal bone fractures: a comparison with conventional radiography and computed tomography.

PubMed

Lee, In Sook; Lee, Jung-Hoon; Woo, Chang-Ki; Kim, Hak Jin; Sol, Yu Li; Song, Jong Woon; Cho, Kyu-Sup

2016-02-01

The purpose of this study was to evaluate and compare the diagnostic efficacy of ultrasonography (US) with radiography and multi-detector computed tomography (CT) for the detection of nasal bone fractures. Forty-one patients with a nasal bone fracture who underwent prospective US examinations were included. Plain radiographs and CT images were obtained on the day of trauma. For US examinations, radiologist used a linear array transducer (L17-5 MHz) in 24 patients and hockey-stick probe (L15-7 MHz) in 17. The bony component of the nose was divided into three parts (right and left lateral nasal walls, and midline of nasal bone). Fracture detection by three modalities was subjected to analysis. Furthermore, findings made by each modality were compared with intraoperative findings. Nasal bone fractures were located in the right lateral wall (n = 28), midline of nasal bone (n = 31), or left lateral wall (n = 31). For right and left lateral nasal walls, CT had greater sensitivity and specificity than US or radiography, and better agreed with intraoperative findings. However, for midline fractures of nasal bone, US had higher specificity, positive predictive value, and negative predictive value than CT. Although two US evaluations showed good agreements at all three sites, US findings obtained by the hockey-stick probe showed closer agreement with intraoperative findings for both lateral nasal wall and midline of nasal bone. Although CT showed higher sensitivity and specificity than US or radiography, US found to be helpful for evaluating the midline of nasal bone. Furthermore, for US examinations of the nasal bone, a smaller probe and higher frequency may be required.

Fracture toughness testing on ferritic alloys using the electropotential technique

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

Huang, F.H.; Wire, G.L.

1981-06-11

Fracture toughness measurements as done conventionally require large specimens (5 x 5 x 2.5 cm) which would be prohibitively expensive to irradiate over the fluence and temperature ranges required for first wall design. To overcome this difficulty a single specimen technique for J intergral fracture toughness measurements on miniature specimens (1.6 cm OD x 0.25 cm thick) was developed. Comparisons with specimens three times as thick show that the derived J/sub 1c/ is constant, validating the specimen for first wall applications. The electropotential technique was used to obtain continuous crack extension measurements, allowing a ductile fracture resistence curve to bemore » constructed from a single specimen. The irradiation test volume required for fracture toughness measurements using both miniature specimens and single specimen J measurements was reduced a factor of 320, making it possible to perform a systematic exploration of irradiation temperature and dose variables as required for qualification of HT-9 and 9Cr-1Mo base metal and welds for first wall application. Fracture toughness test results for HT-9 and 9Cr-1Mo from 25 to 539/sup 0/C are presented to illustrate the single specimen technique.« less

Chest wall stabilization in trauma patients: why, when, and how?

PubMed Central

White, Thomas W.

2018-01-01

Blunt trauma to the chest wall and rib fractures are remarkably frequent and are the basis of considerable morbidity and possible mortality. Surgical remedies for highly displaced rib fractures, especially in cases of flail chest, have been undertaken intermittently for more than 50 years. Rib-specific plating systems have started to be used in the last 10 years. These have ushered in the modern era of rib repair with chest wall stabilization (CWS) techniques that are safer, easier to perform, and more efficient. Recent consensus statements have sought to define the indications and contraindications, as well as the when, the how, and the technical details of CWS. Repair should be considered for patients who have three or more displaced rib fractures or a flail chest, whether or not mechanical ventilation is required. Additional candidates include patients who fail non-operative management irrespective of fracture pattern and those with rib fractures who need thoracic procedures for other reasons. Traditionally, unstable spine fracture and severe traumatic brain injury are definite contraindications. Pulmonary contusion’s role in the decision to perform CWS remains controversial. A range of rib-specific plating systems are now commercially available. PMID:29744222

Reliability and smallest real difference of the ankle lunge test post ankle fracture.

PubMed

Simondson, David; Brock, Kim; Cotton, Susan

2012-02-01

This study aimed to determine the reliability and the smallest real difference of the Ankle Lunge test in an ankle fracture patient population. In the post immobilisation stage of ankle fracture, ankle dorsiflexion is an important measure of progress and outcome. The Ankle Lunge test measures weight bearing dorsiflexion, resulting in negative scores (knee to wall distance) and positive scores (toe to wall distance), for which the latter has proven reliability in normal subjects only. A consecutive sample of ankle fracture patients with permission to commence weight bearing, were recruited to the study. Three measurements of the Ankle Lunge Test were performed each by two raters, one senior and one junior physiotherapist. These occurred prior to therapy sessions in the second week after plaster removal. A standardised testing station was utilised and allowed for both knee to wall distance and toe to wall distance measurement. Data was collected from 10 individuals with ankle fracture, with an average age of 36 years (SD 14.8). Seventy seven percent of observations were negative. Intra and inter-rater reliability yielded intra class correlations at or above 0.97, p < .001. There was a significant systematic bias towards improved scores during repeated measurement for one rater (p = .01). The smallest real difference was calculated as 13.8mm. The Ankle Lunge test is a practical and reliable tool for measuring weightbearing dorsiflexion post ankle fracture. Copyright © 2011 Elsevier Ltd. All rights reserved.

Prolonged pain and disability are common after rib fractures.

PubMed

Fabricant, Loic; Ham, Bruce; Mullins, Richard; Mayberry, John

2013-05-01

The contribution of rib fractures to prolonged pain and disability may be underappreciated and undertreated. Clinicians are traditionally taught that the pain and disability of rib fractures resolves in 6 to 8 weeks. This study was a prospective observation of 203 patients with rib fractures at a level 1 trauma center. Chest wall pain was evaluated by the McGill Pain Questionnaire (MPQ) pain rating index (PRI) and present pain intensity (PPI). Prolonged pain was defined as a PRI of 8 or more at 2 months after injury. Prolonged disability was defined as a decrease in 1 or more levels of work or functional status at 2 months after injury. Predictors of prolonged pain and disability were determined by multivariate analysis. One hundred forty-five male patients and 58 female patients with a mean injury severity score (ISS) of 20 (range, 1 to 59) had a mean of 5.4 rib fractures (range, 1 to 29). Forty-four (22%) patients had bilateral fractures, 15 (7%) had flail chest, and 92 (45%) had associated injury. One hundred eighty-seven patients were followed 2 months or more. One hundred ten (59%) patients had prolonged chest wall pain and 142 (76%) had prolonged disability. Among 111 patients with isolated rib fractures, 67 (64%) had prolonged chest wall pain and 69 (66%) had prolonged disability. MPQ PPI was predictive of prolonged pain (odds ratio [OR], 1.8; 95% confidence interval [CI], 1.4 to 2.5), and prolonged disability (OR, 2.2; 95% CI, 1.5 to 3.4). The presence of significant associated injuries was predictive of prolonged disability (OR, 5.9; 95% CI, 1.4 to 29). Prolonged chest wall pain is common, and the contribution of rib fractures to disability is greater than traditionally expected. Further investigation into more effective therapies that prevent prolonged pain and disability after rib fractures is needed. Copyright © 2013 Elsevier Inc. All rights reserved.

Fracture resistance of welded thick-walled high-pressure vessels in power plants. Report No. 2. Approach to evaluating static strength

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

Gorynin, I.V.; Filatov, V.M.; Ignatov, V.A.

1986-07-01

The authors examine data on the effect of defects on the fracture resistance of high-pressure vessels and their models obtained within the framework of the HSST program. Results of internal-pressure tests of two types of vessels with a wall thickness of 152 mm made from forgings of steels SA508 and SA533, as well as small vessels with a wall thickness of 11.5 and 23mm made of steel SA533 are shown. The authors state that testing thick-walled welded high-pressure vessels and thin-walled vessels with surface defects of different sizes has demonstrated that there are substantial static-strength reserves in structures designed bymore » existing domestic and foreign standards on the strength of power-plant equipment. A correction was proposed for the presently used method of calculating the resistance of highpressure vessels to brittle fracture that allows for the dimensions of the defects in relation to the type of vessel, the manufacturing technology, and the method of inspection.« less

Controls on fault zone structure and brittle fracturing in the foliated hanging wall of the Alpine Fault

NASA Astrophysics Data System (ADS)

Williams, Jack N.; Toy, Virginia G.; Massiot, Cécile; McNamara, David D.; Smith, Steven A. F.; Mills, Steven

2018-04-01

Three datasets are used to quantify fracture density, orientation, and fill in the foliated hanging wall of the Alpine Fault: (1) X-ray computed tomography (CT) images of drill core collected within 25 m of its principal slip zones (PSZs) during the first phase of the Deep Fault Drilling Project that were reoriented with respect to borehole televiewer images, (2) field measurements from creek sections up to 500 m from the PSZs, and (3) CT images of oriented drill core collected during the Amethyst Hydro Project at distances of ˜ 0.7-2 km from the PSZs. Results show that within 160 m of the PSZs in foliated cataclasites and ultramylonites, gouge-filled fractures exhibit a wide range of orientations. At these distances, fractures are interpreted to have formed at relatively high confining pressures and/or in rocks that had a weak mechanical anisotropy. Conversely, at distances greater than 160 m from the PSZs, fractures are typically open and subparallel to the mylonitic or schistose foliation, implying that fracturing occurred at low confining pressures and/or in rocks that were mechanically anisotropic. Fracture density is similar across the ˜ 500 m width of the field transects. By combining our datasets with measurements of permeability and seismic velocity around the Alpine Fault, we further develop the hierarchical model for hanging-wall damage structure that was proposed by Townend et al. (2017). The wider zone of foliation-parallel fractures represents an outer damage zone that forms at shallow depths. The distinct < 160 m wide interval of widely oriented gouge-filled fractures constitutes an inner damage zone. This zone is interpreted to extend towards the base of the seismogenic crust given that its width is comparable to (1) the Alpine Fault low-velocity zone detected by fault zone guided waves and (2) damage zones reported from other exhumed large-displacement faults. In summary, a narrow zone of fracturing at the base of the Alpine Fault's hanging-wall seismogenic crust is anticipated to widen at shallow depths, which is consistent with fault zone flower structure models.

Diatremes and craters attributed to natural explosions

USGS Publications Warehouse

Shoemaker, Eugene Merle

1956-01-01

Diatremes - volcanic pipes attributed to explosion - and craters have been studied to infer the ultimate causes and physical conditions attending natural explosive processes. Initial piercement of diatremes on the Navajo reservation, Arizona was probably along a fracture propagated by a high-pressure aqueous fluid. Gas rising at high velocity along the fracture would become converted to a gas-solid fluidized system by entrainment of wall- rock fragments. The first stages of widening of the vent are probably accomplished mainly by simple abrasion of the high-velocity fluidized system on the walls of the fracture. As the vent widens, its enlargement may be accelerated by inward spalling of the walls. The inferred mechanics of the Navajo-Hopi diatremes is used to illustrate the possibility of diatreme formation over a molten salt mass.

Erosion of water-based fracturing fluid containing particles in a sudden contraction of horizontal pipe

NASA Astrophysics Data System (ADS)

Cheng, Jiarui; Cao, Yinping; Dou, Yihua; Li, Zhen

2017-10-01

A lab experiment was carried out to study the effects of pipe flow rate, particle concentration and pipe inner diameter ratio on proppant erosion of the reducing wall in hydraulic fracturing. The results show that the erosion rate and erosion distribution are different not only in radial direction but also in circumferential direction of the sample. The upper part of sample always has a minimum erosion rate and erosion area. Besides, the erosion rate of reducing wall is most affected by fluid flow velocity, and the erosion area is most sensitive to the change in the diameter ratio. Meanwhile, the erosion rate of reducing wall in crosslinked fracturing fluid is mainly determined by the fluid flowing state due to the high viscosity of the liquid. In general, the increase in flow velocity and diameter ratio not only cause the expansion of erosion-affected flow region in sudden contraction section, but also lead to more particles impact the wall.

Flank pseudohernia following posterior rib fracture: a case report.

PubMed

Butensky, Adam M; Gruss, Leah P; Gleit, Zachary L

2016-10-01

A pseudohernia is an abdominal wall bulge that may be mistaken for a hernia but that lacks the disruption of the abdominal wall that characterizes a hernia. Thus, the natural history and treatment of this condition differ from those of a hernia. This is the first report of a pseudohernia due to cough-associated rib fracture. A case of pseudohernia due to fractures of the 10 th and 11 th ribs in a 68-year-old white woman is presented. The patient suffered from a major coughing episode 1 year prior to her presentation, after which she noted a progressively enlarging bulge in her left flank. Computed tomography demonstrated a bulge in the abdominal wall containing bowel and spleen but with all muscle and fascial layers intact; in addition, lateral 10 th rib and posterior 11 th rib fractures were noted. As there was no defect in muscle or fascia, we diagnosed a pseudohernia, likely due to a denervation injury from the fractured ribs. Symptomatic treatment was recommended, including wearing a corset and referral to a pain management clinic. Symptomatic treatment is thought to be the mainstay of therapy for pseudohernias, as surgical intervention is unlikely to be of benefit.

Ground penetrating radar for fracture mapping in underground hazardous waste disposal sites: A case study from an underground research tunnel, South Korea

NASA Astrophysics Data System (ADS)

Baek, Seung-Ho; Kim, Seung-Sep; Kwon, Jang-Soon; Um, Evan Schankee

2017-06-01

Secure disposal or storage of nuclear waste within stable geologic environments hinges on the effectiveness of artificial and natural radiation barriers. Fractures in the bedrock are viewed as the most likely passage for the transport of radioactive waste away from a disposal site. We utilize ground penetrating radar (GPR) to map fractures in the tunnel walls of an underground research tunnel at the Korea Atomic Energy Research Institute (KAERI). GPR experiments within the KAERI Underground Research Tunnel (KURT) were carried out by using 200 MHz, 500 MHz, and 1000 MHz antennas. By using the high-frequency antennas, we were able to identify small-scale fractures, which were previously unidentified during the tunnel excavation process. Then, through 3-D visualization of the grid survey data, we reconstructed the spatial distribution and interconnectivity of the multi-scale fractures within the wall. We found that a multi-frequency GPR approach provided more details of the complex fracture network, including deep structures. Furthermore, temporal changes in reflection polarity between the GPR surveys enabled us to infer the hydraulic characteristics of the discrete fracture network developed behind the surveyed wall. We hypothesized that the fractures exhibiting polarity change may be due to a combination of air-filled and mineralogical boundaries. Simulated GPR scans for the considered case were consistent with the observed GPR data. If our assumption is correct, the groundwater flow into these near-surface fractures may form the water-filled fractures along the existing air-filled ones and hence cause the changes in reflection polarity over the given time interval (i.e., 7 days). Our results show that the GPR survey is an efficient tool to determine fractures at various scales. Time-lapse GPR data may be essential to characterize the hydraulic behavior of discrete fracture networks in underground disposal facilities.

Brittle fracture damage around the Alpine Fault, New Zealand

NASA Astrophysics Data System (ADS)

Williams, J. N.; Toy, V.; Smith, S. A. F.; Boulton, C. J.; Massiot, C.; Mcnamara, D. D.

2017-12-01

We use field and drill-core samples to characterize macro- to micro-scale brittle fracture networks within the hanging-wall of New Zealand's Alpine Fault, an active plate-boundary fault that is approaching the end of its seismic cycle. Fracture density in the hanging-wall is roughly constant for distances of up to 500 m from the principal slip zone gouges (PSZs). Fractures >160 m from the PSZs are typically open and parallel to the regional mylonitic foliation or host rock schistosity, and likely formed as unloading joints during rapid exhumation of the hanging-wall at shallow depths. Fractures within c. 160 m of the PSZs are broadly oriented shear-fractures filled with gouge or cataclasite, and are interpreted to constitute the hanging-wall damage zone of the Alpine Fault. This is comparable to the 60-200 m wide "geophysical damage zone" estimated from low seismic wave velocities surrounding the Alpine Fault. Veins are pervasive within the c. 20 m-thick hanging-wall cataclasites and are most commonly filled by calcite, chlorite, muscovite and K-feldspar. Notably, there is a set of intragranular clast-hosted veins, as well as a younger set of veins that cross-cut both clasts and cataclasite matrix. The intragranular veins formed prior to cataclasis or during synchronous cataclasis and calcite-silicate mineralisation. Broad estimates for the depth of vein formation indicate that the cataclasites formed a c. 20 m wide actively deforming zone at depths of c. 4-8 km. Conversely, the cross-cutting veins are interpreted to represent off-fault damage within relatively indurated cataclasites following slip localization onto the <10 cm wide smectite-bearing PSZ gouges at depths of <4 km. Our observations therefore highlight a strong depth-dependence of the width of the actively deforming zone within the brittle seismogenic crust around the Alpine Fault.

3D characterization of the fracture network in a deformed chalk reservoir analogue: The Lagerdorf case

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

Koestler, A.G.; Reksten, K.

1994-12-31

Quantitative descriptions of the 3D fracture networks in terms of connectivity, fracture types, fracture surface roughness and flow characteristics are necessary for reservoir evaluation, management, and enhanced oil recovery programs of fractured reservoirs. For a period of 2 years, a research project focused on an analogue to fractured chalk reservoirs excellently exposed near Laegerdorf, NW Germany. Upper Cretaceous chalk has been uplifted and deformed by an underlying salt diapir, and is now exploited for the cement industry. In the production wall of a quarry, the fracture network of the deformed chalk was characterized and mapped at different scales. The wallmore » was scraped off as chalk exploitation proceeded, continuously revealing new sections through the faulted and fractured chalk body. A 230 m long part of the 35m high production wall was investigated during its recess of 25m. The large amount of fracture data were analyzed with respect to parameters such as fracture density distribution, orientation- and length distribution, and in terms of the representativity of data sets collected from restricted rock volumes. This 3D description and analysis of a fracture network revealed quantitative generic parameters of importance for modeling chalk reservoirs with less data and lower data quality.« less

CONTAMINANT TRANSPORT IN PARALLEL FRACTURED MEDIA: SUDICKY AND FRIND REVISITED

EPA Science Inventory

This paper is concerned with a modified, nondimensional form of the parallel fracture, contaminant transport model of Sudicky and Frind (1982). The modifications include the boundary condition at the fracture wall, expressed by a parameter, and the power-law relationship between...

CONTAMINANT TRANSPORT IN PARALLEL FRACTURED MEDIA: SUDICKY AND FRIND REVISITED

EPA Science Inventory

This paper is concerned with a modified, nondimensional form of the parallel fracture, contaminant transport model of Sudicky and Frind (1982). The modifications include the boundary condition at the fracture wall, expressed by a parameter , and the power-law relationship betwe...

Mapping Fractures in KAERI Underground Research Tunnel using Ground Penetrating Radar

NASA Astrophysics Data System (ADS)

Baek, Seung-Ho; Kim, Seung-Sep; Kwon, Jang-Soon

2016-04-01

The proportion of nuclear power in the Republic of Korea occupies about 40 percent of the entire electricity production. Processing or disposing nuclear wastes, however, remains one of biggest social issues. Although low- and intermediate-level nuclear wastes are stored temporarily inside nuclear power plants, these temporary storages can last only up to 2020. Among various proposed methods for nuclear waste disposal, a long-term storage using geologic disposal facilities appears to be most highly feasible. Geological disposal of nuclear wastes requires a nuclear waste repository situated deep within a stable geologic environment. However, the presence of small-scale fractures in bedrocks can cause serious damage to durability of such disposal facilities because fractures can become efficient pathways for underground waters and radioactive wastes. Thus, it is important to find and characterize multi-scale fractures in bedrocks hosting geologic disposal facilities. In this study, we aim to map small-scale fractures inside the KAERI Underground Research Tunnel (KURT) using ground penetrating radar (GPR). The KURT is situated in the Korea Atomic Energy Research Institute (KAERI). The survey target is a section of wall cut by a diamond grinder, which preserves diverse geologic features such as dykes. We conducted grid surveys on the wall using 500 MHz and 1000 MHz pulseEKKO PRO sensors. The observed GPR signals in both frequencies show strong reflections, which are consistent to form sloping planes. We interpret such planar features as fractures present in the wall. Such fractures were also mapped visually during the development of the KURT. We confirmed their continuity into the wall from the 3D GPR images. In addition, the spatial distribution and connectivity of these fractures are identified from 3D subsurface images. Thus, we can utilize GPR to detect multi-scale fractures in bedrocks, during and after developing underground disposal facilities. This study was supported by Korea National Research Foundation (NRF) grants NRF-2012M2A8A5007440 and NRF-2013R1A1A1076071 funded by the Ministry of Science, ICT & Future Planning, Korea.

The role of local stress perturbation on the simultaneous opening of orthogonal fractures

NASA Astrophysics Data System (ADS)

Boersma, Quinten; Hardebol, Nico; Barnhoorn, Auke; Bertotti, Giovanni; Drury, Martyn

2016-04-01

Orthogonal fracture networks (ladder-like networks) are arrangements that are commonly observed in outcrop studies. They form a particularly dense and well connected network which can play an important role in the effective permeability of tight hydrocarbon or geothermal reservoirs. One issue is the extent to which both the long systematic and smaller cross fractures can be simultaneously critically stressed under a given stress condition. Fractures in an orthogonal network form by opening mode-I displacements in which the main component is separation of the two fracture walls. This opening is driven by effective tensile stresses as the smallest principle stress acting perpendicular to the fracture wall, which accords with linear elastic fracture mechanics. What has been well recognized in previous field and modelling studies is how both the systematic fractures and perpendicular cross fractures require the minimum principle stress to act perpendicular to the fracture wall. Thus, these networks either require a rotation of the regional stress field or local perturbations in stress field. Using a mechanical finite element modelling software, a geological case of layer perpendicular systematic mode I opening fractures is generated. New in our study is that we not only address tensile stresses at the boundary, but also address models using pore fluid pressure. The local stress in between systematic fractures is then assessed in order to derive the probability and orientation of micro crack propagation using the theory of sub critical crack growth and Griffith's theory. Under effective tensile conditions, the results indicate that in between critically spaced systematic fractures, local effective tensile stresses flip. Therefore the orientation of the least principle stress will rotate 90°, hence an orthogonal fracture is more likely to form. Our new findings for models with pore fluid pressures instead of boundary tension show that the magnitude of effective tension in between systematic fractures is reduced but does not remove the occurring stress flip. However, putting effective tension on the boundaries will give overestimates in the reduction of the local effective tensile stress perpendicular to the larger systematic fractures and therefore the magnitude of the stress flip. In conclusion, both model approaches indicate that orthogonal fractures can form while experiencing one regional stress regime. This also means that under these specific loading and locally perturbed stress conditions both sets of orthogonal fractures stay open and can provide a pathway for fluid circulation.

Improvement of the fracture toughness of hydroxyapatite (HAp) by incorporation of carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and nylon

DOE PAGES

Khanal, Suraj P.; Mahfuz, Hassan; Rondinone, Adam Justin; ...

2015-11-12

The potential of improving the fracture toughness of synthetic hydroxyapatite (HAp) by incorporating carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and polymerized ε-caprolactam (nylon) was researched. A series of HAp samples with CfSWCNTs concentrations varying from 0 to 1.5 wt.%, without, and with nylon addition was prepared. X-ray diffraction (XRD), Scanning Electron Microscopy (SEM), and Transmission Electron Microscopy (TEM) were used to characterize the samples. The three point bending test was applied to measure the fracture toughness of the composites. A reproducible value of 3.6 ± 0.3 MPa.√m was found for samples containing 1 wt.% CfSWCNTs and nylon. This valuemore » is in the range of the cortical bone fracture toughness. Lastly, the increase of the CfSWCNTs content results to decrease of the fracture toughness, and formation of secondary phases.« less

Percolation and permeability of fracture networks in Excavated Damaged Zones

NASA Astrophysics Data System (ADS)

Mourzenko, V.; Thovert, J.; Adler, P. M.

2012-12-01

Generally, the excavation process of a gallery generates fractures in its immediate vicinity. The corresponding zone which is called the Excavated Damaged Zone (EDZ), has a larger permeability than the intact surrounding medium. The properties of the EDZ are attracting more and more attention because of their potential importance in repositories of nuclear wastes. The EDZ which is induced by the excavation process may create along the galleries of the repositories a high permeability zone which could directly connect the storage area with the ground surface. Therefore, the studies of its properties are of crucial importance for applications such as the storage of nuclear wastes. Field observations (such as the ones which have been systematically performed at Mont Terri by [1, 2]) suggest that the fracture density is an exponentially decreasing function of the distance to the wall with a characteristic length of about 0.5 m and that the fracture orientation is anisotropic (most fractures are subparallel to the tunnel walls) and well approximated by a Fisher law whose pole is orthogonal to the wall. Numerical samples are generated according to these prescriptions. Their percolation status and hydraulic transmissivity can be calculated by the numerical codes which are detailed in [3]. Percolation is determined by a pseudo diffusion algorithm. Flow determination necessitates the meshing of the fracture networks and the discretisation of the Darcy equation by a finite volume technique; the resulting linear system is solved by a conjugate gradient algorithm. Only the flow properties of the EDZ along the directions which are parallel to the wall are of interest when a pressure gradient parallel to the wall is applied. The transmissivity T which relates the total flow rate per unit width Q along the wall through the whole EDZ to the pressure gradient grad p, is defined by Q = - T grad p/mu where mu is the fluid viscosity. The percolation status and hydraulic transmissivity are systematically determined for a wide range of decay lengths and anisotropy parameters. They can be modeled by comparison with anisotropic fracture networks with a constant density. A heuristic power-law model is proposed which accurately describes the results for the percolation threshold over the whole investigated range of heterogeneity and anisotropy. Then, the data for the EDZ transmissivity are presented. A simple parallel flow model is introduced. The flow properties of the EDZ vary with the distance z from the wall. However, the macroscopic pressure gradient does not depend on z, and the flow lines are in average parallel to the wall. Hence, the overall transmissivity is tentatively estimated by a parallel flow model, where a layer at depth z behaves as a fractured medium with uniform properties corresponding to the state at this position in the EDZ. It yields an explicit analytical expression for the transmissivity as a function of the heterogeneity and anisotropy parameters, and it successfully accounts for all the numerical data. Graphical tools are provided from which first estimates can be quickly and easily obtained. [1] Bossart P. et al, Eng. Geol., vol. 66, 19-38 (2002). [2] Thovert J.-F. et al, Eng. Geol., 117, 39-51 (2011). [3] Adler P.M. et al, Fractured porous media, Oxford U. Press, in press.

Experimental Hydromechanical Characterization and Numerical Modelling of a Fractured and Porous Sandstone

NASA Astrophysics Data System (ADS)

Souley, Mountaka; Lopez, Philippe; Boulon, Marc; Thoraval, Alain

2015-05-01

The experimental device previously used to study the hydromechanical behaviour of individual fractures on a laboratory scale, was adapted to make it possible to measure flow through porous rock mass samples in addition to fracture flows. A first series of tests was performed to characterize the hydromechanical behaviour of the fracture individually as well as the porous matrix (sandstone) comprising the fracture walls. A third test in this series was used to validate the experimental approach. These tests showed non-linear evolution of the contact area on the fracture walls with respect to effective normal stress. Consequently, a non-linear relationship was noted between the hydraulic aperture on the one hand, and the effective normal stress and mechanical opening on the other hand. The results of the three tests were then analysed by numerical modelling. The VIPLEF/HYDREF numerical codes used take into account the dual-porosity of the sample (fracture + rock matrix) and can be used to reproduce hydromechanical loading accurately. The analyses show that the relationship between the hydraulic aperture of the fracture and the mechanical closure has a significant effect on fracture flow rate predictions. By taking simultaneous measurements of flow in both fracture and rock matrix, we were able to carry out a global evaluation of the conceptual approach used.

Medial orbital wall reconstruction with flexible Ethisorb patches.

PubMed

Pohlenz, P; Adler, W; Li, L; Schmelzle, R; Klatt, J

2013-03-01

The aim of this study was to analyse the long-term result after reconstruction of the medial orbital wall with a flexible, biodegradable material (Ethisorb). During a period of almost 8 years, 31 patients with a medial orbital wall fracture were analysed retrospectively. Inclusion criteria were patients with a maximum size fracture of the orbital medial wall measuring 1.5-2 cm(2). Exophthalmos, enophthalmos, bulbus motility, diplopia and skin sensation were investigated over a period of 6 months. In all patients, the medial orbital wall was reconstructed with Ethisorb patches. No significant intraoperative complications were detected. No postoperative infection, abscess or seroma was found in any of the patients receiving an Ethisorb patch. The advantage of the semiflexibility of the Ethisorb patch is that it supplies an anatomically correct fit to the orbital medial wall but does not require fixation by screws or the use of sutures. The low rate of reported bulbus motility disturbance, diplopia, exophthalmos and enophthalmos demonstrates acceptable results after medial orbital wall reconstruction using the Ethisorb patch.

Detecting severe injuries of the upper body in multiple trauma patients.

PubMed

Horst, Klemens; Hildebrand, Frank; Kobbe, Philipp; Pfeifer, Roman; Lichte, Philipp; Andruszkow, Hagen; Lefering, Rolf; Pape, Hans Christoph

2015-12-01

The clavicle limits the upper thoracic cage and connects the body and upper extremities. The clavicle is easy to examine and is visible on standard emergency room radiographs. We hypothesized that clavicular fracture in polytrauma patients would indicate the presence of further injuries of the upper extremities, head, neck, and thorax. A population-based trauma registry was used. All patients were documented between 2002 and 2013. Inclusion criteria were age ≥16 y and injury severity score (ISS) ≥16. Patients were divided into two groups according to the presence or absence of a clavicular fracture (group C+ and group C-). Scoring was based on the abbreviated injury scale, ISS, and new injury severity score. Trauma mechanisms, demographics, and the posttraumatic clinical course were compared. In total, 4790 patients with clavicular fracture (C+) and 41,775 without (C-) were included; the mean ISS was 30 ± 11 (C+) versus 28 ± 12 (C-). Patients with clavicular fracture had a longer stay on the intensive care unit with 12 ± 14 versus 10 ± 13 d. Injuries to the thoracic wall, severe lung injuries as well as injuries to the cervical spine were significantly increased in C+ patients. Thoracic injuries as well as injuries of the shoulder girdle and/or arm showed an increased abbreviated injury scale in the C+ group. A clinically relevant coincidence of clavicular fractures with injuries of the chest and upper extremity was found. As clavicular fractures can be diagnosed easily, it might also help to reduce the incidence of missed injuries of the chest and upper extremity. Therefore, special attention should be paid on thoracic as well as upper extremity injures during the second and tertiary surveys in case of clavicular fractures. Copyright © 2015 Elsevier Inc. All rights reserved.

[Actual relevance of Pauwels' classification of femoral neck fractures--a critical review].

PubMed

Schwarz, N

2010-03-01

The aim of this study was to evaluate the validity of Pauwels' classification of femoral neck fractures. A study of literature was performed. It has never been proven that the inclination of the fracture plane has a prognostic relevance. A number of papers prove the contrary, there are no publications where Pauwels' classification has been used successfully in selecting treatment modalities. Pauwels' theory of fracture inclination angle has not been transferred into clinical practice. This discrepancy probably goes back to the fact that the angle cannot be determined preoperatively, that in the majority of femoral neck fractures the angle is within the range of 40 to 60 degrees, that the theoretical angle variations do practically not exist, and that the shearing forces are reduced to an unknown amount by friction resistance due to the uneven fracture plane. The mechanical laws of the pseudarthrosis of the femoral neck cannot be extrapolated to acute fractures. The theory of Pauwels has apparently no clinical relevance for the majority of acute fractures, except for the rare transcervical fractures, and should not be considered any longer as a classification of acute femoral neck fractures due to the lack of prognostic and therapeutic relevance.

Structure of the cell envelope of corynebacteria: importance of the non-covalently bound lipids in the formation of the cell wall permeability barrier and fracture plane.

PubMed

Puech, V; Chami, M; Lemassu, A; Lanéelle, M A; Schiffler, B; Gounon, P; Bayan, N; Benz, R; Daffé, M

2001-05-01

With the recent success of the heterologous expression of mycobacterial antigens in corynebacteria, in addition to the importance of these bacteria in biotechnology and medicine, a better understanding of the structure of their cell envelopes was needed. A combination of molecular compositional analysis, ultrastructural appearance and freeze-etch electron microscopy study was used to arrive at a chemical model, unique to corynebacteria but consistent with their phylogenetic relatedness to mycobacteria and other members of the distinctive suprageneric actinomycete taxon. Transmission electron microscopy and chemical analyses showed that the cell envelopes of the representative strains of corynebacteria examined consisted of (i) an outer layer composed of polysaccharides (primarily a high-molecular-mass glucan and arabinomannans), proteins, which include the mycoloyltransferase PS1, and lipids; (ii) a cell wall glycan core of peptidoglycan-arabinogalactan which may contain other sugar residues and was usually esterified by corynomycolic acids; and (iii) a typical plasma membrane bilayer. Freeze-etch electron microscopy showed that most corynomycolate-containing strains exhibited a main fracture plane in their cell wall and contained low-molecular-mass porins, while the fracture occurred within the plasma membrane of strains devoid of both corynomycolate and pore-forming proteins. Importantly, in most strains, the amount of cell wall-linked corynomycolates was not sufficient to cover the bacterial surface; interestingly, the occurrence of a cell wall fracture plane correlated with the amount of non-covalently bound lipids of the strains. Furthermore, these lipids were shown to spontaneously form liposomes, indicating that they may participate in a bilayer structure. Altogether, the data suggested that the cell wall permeability barrier in corynebacteria involved both covalently linked corynomycolates and non-covalently bound lipids of their cell envelopes.

Particle Swarm Transport across the Fracture-Matrix Interface

NASA Astrophysics Data System (ADS)

Malenda, M. G.; Pyrak-Nolte, L. J.

2016-12-01

A fundamental understanding of particle transport is required for many diverse applications such as effective proppant injection, for deployment of subsurface imaging micro-particles, and for removal of particulate contaminants from subsurface water systems. One method of particulate transport is the use of particle swarms that act as coherent entities. Previous work found that particle swarms travel farther and faster in single fractures than individual particles when compared to dispersions and emulsions. In this study, gravity-driven experiments were performed to characterize swarm transport across the fracture-matrix interface. Synthetic porous media with a horizontal fracture were created from layers of square-packed 3D printed (PMMA) spherical grains (12 mm diameter). The minimum fracture aperture ranged from 0 - 10 mm. Swarms (5 and 25 µL) were composed of 3.2 micron diameter fluorescent polystryene beads (1-2% by mass). Swarms were released into a fractured porous medium that was submerged in water and was illuminated with a green (528 nm) LED array. Descending swarms were imaged with a CCD camera (2 fps). Whether an intact swarm was transported across a fracture depended on the volume of the swarm, the aperture of the fracture, and the alignment of pores on the two fracture walls. Large aperture fractures caused significant deceleration of a swarm because the swarm was free to expand laterally in the fracture. Swarms tended to remain intact when the pores on the two fracture walls were vertically aligned and traveled in the lower porous medium with speeds that were 30%-50% of their original speed in the upper matrix. When the pores on opposing walls were no longer aligned, swarms were observed to bifurcate around the grain into two smaller slower-moving swarms. Understanding the physics of particle swarms in fractured porous media has important implications for enhancing target particulate injection into the subsurface as well as for contaminant particulate transport. Acknowledgment: This material is based upon work supported by the U.S. Department of Energy, Office of Science, Office of Basic Energy Sciences, Geosciences Research Program under Award Number (DE-FG02-09ER16022) and by National Science Foundation REU program under Award Number (PHY-1460899) at Purdue University.

Propagation behavior of the stress wave in a hollow Hopkinson transmission bar

NASA Astrophysics Data System (ADS)

Zou, G.; Shen, X.; Guo, C.; Vecchio, K. S.; Jiang, F.

2018-03-01

In order to investigate the stress wave propagation behavior through a hollow elastic bar that is used in a Hopkinson-bar-loaded fracture testing system, three-point bending fracture experiments were performed in such a system. The effects of sample span and diameter and wall thickness of the hollow elastic bar on the stress wave propagation behavior were studied numerically using the software of ANSYS/LS-DYNA. The experimental results demonstrated that the incident, reflected, and transmitted pulses calculated by the finite element method are coincident with those obtained from the Hopkinson-bar-loaded fracture tests. Compared to the solid transmission bar, the amplitude of the transmitted pulse is relatively larger in the hollow transmission bar under the same loading conditions and decreases with increasing wall thickness. On the other hand, when the inside diameter is fixed, the effect of the wall thickness on the stress wave characteristics is more obvious.

The use of cone beam computed tomography in the postoperative assessment of orbital wall fracture reconstruction.

PubMed

Tsao, Kim; Cheng, Andrew; Goss, Alastair; Donovan, David

2014-07-01

Computed tomography (CT) is currently the standard in postoperative evaluation of orbital wall fracture reconstruction, but cone beam computed tomography (CBCT) offers potential advantages including reduced radiation dose and cost. The purpose of this study is to examine objectively the image quality of CBCT in the postoperative evaluation of orbital fracture reconstruction, its radiation dose, and cost compared with CT. Four consecutive patients with orbital wall fractures in whom surgery was indicated underwent orbital reconstruction with radio-opaque grafts (bone, titanium-reinforced polyethylene, and titanium plate) and were assessed postoperatively with orbital CBCT. CBCT was evaluated for its ability to provide objective information regarding the adequacy of orbital reconstruction, radiation dose, and cost. In all patients, CBCT was feasible and provided hard tissue image quality comparable to CT with significantly reduced radiation dose and cost. However, it has poorer soft tissue resolution, which limits its ability to identify the extraocular muscles, their relationship to the reconstructive graft, and potential muscle entrapment. CBCT is a viable alternative to CT in the routine postoperative evaluation of orbital fracture reconstruction. However, in the patient who develops gaze restriction postoperatively, conventional CT is preferred over CBCT for its superior soft tissue resolution to exclude extraocular muscle entrapment.

Application of Rapid Prototyping Technique and Intraoperative Navigation System for the Repair and Reconstruction of Orbital Wall Fractures

PubMed Central

Cha, Jong Hyun; Lee, Yong Hae; Ruy, Wan Chul; Roe, Young; Moon, Myung Ho

2016-01-01

Background Restoring the orbital cavity in large blow out fractures is a challenge for surgeons due to the anatomical complexity. This study evaluated the clinical outcomes and orbital volume after orbital wall fracture repair using a rapid prototyping (RP) technique and intraoperative navigation system. Methods This prospective study was conducted on the medical records and radiology records of 12 patients who had undergone a unilateral blow out fracture reconstruction using a RP technique and an intraoperative navigation system from November 2014 to March 2015. The surgical results were assessed by an ophthalmic examination and a comparison of the preoperative and postoperative orbital volume ratio (OVR) values. Results All patients had a successful treatment outcome without complications. Volumetric analysis revealed a significant decrease in the mean OVR from 1.0952±0.0662 (ranging from 0.9917 to 1.2509) preoperatively to 0.9942±0.0427 (ranging from 0.9394 to 1.0680) postoperatively. Conclusion The application of a RP technique for the repair of orbital wall fractures is a useful tool that may help improve the clinical outcomes by understanding the individual anatomy, determining the operability, and restoring the orbital cavity volume through optimal implant positioning along with an intraoperative navigation system. PMID:28913272

Temporal evolution of surface rupture deduced from coseismic multi-mode secondary fractures: Insights from the October 8, 2005 (Mw 7.6) Kashmir earthquake, NW Himalaya

NASA Astrophysics Data System (ADS)

Sayab, Mohammad; Khan, Muhammad Asif

2010-10-01

Detailed rupture-fracture analyses of some of the well-studied earthquakes have revealed that the geometrical arrangement of secondary faults and fractures can be used as a geological tool to understand the temporal evolution of slip produced during the mainshock. The October 8, 2005 Mw 7.6 Kashmir earthquake, NW Himalaya, surface rupture provides an opportunity to study a complex network of secondary fractures developed on the hanging wall of the fault scarp. The main fault scarp is clearly thrust-type, rupture length is ~ 75 ± 5 km and the overall trend of the rupture is NW-SE. We present the results of our detailed structural mapping of secondary faults and fractures at 1:100 scale, on the hanging wall of the southern end of the rupture in the vicinity of the Sar Pain. Secondary ruptures can be broadly classified as two main types, 1) normal faults and, (2) right-lateral strike-slip 'Riedel' fractures. The secondary normal faults are NW-SE striking, with a maximum 3.3 meter vertical displacement and 2.5 meter horizontal displacement. Estimated total horizontal extension across the secondary normal faults is 3.1-3.5%. We propose that the bending-moment and coseismic stress relaxation can explain the formation of secondary normal faults on the hanging wall of the thrust fault. The strike-slip 'Riedel' fractures form distinct sets of tension (T) and shear fractures (R', R, Y) with right-lateral displacement. Field observations revealed that the 'Riedel' fractures (T) cut the secondary normal faults. In addition, there is kinematic incompatibility and magnitude mismatch between the secondary normal faults and strike-slip 'Riedel' fractures. The cross-cutting relationship, geometric and magnitude incoherence implies a temporal evolution of slip from dip- to strike-slip during the mainshock faulting. The interpretation is consistent with the thrust fault plane solution with minor right-lateral strike-slip component.

Garden City Vein Complex, Gale Crater, Mars: Implications for Late Diagenetic Fluid Flow

NASA Astrophysics Data System (ADS)

Kronyak, R. E.; Kah, L. C.; Blaney, D. L.; Sumner, D. Y.; Fisk, M. R.; Rapin, W.; Nachon, M.; Mangold, N.; Grotzinger, J. P.; Wiens, R. C.

2015-12-01

Calcium sulfate filled fractures are observed in nearly all stratigraphic units encountered by the Mars Science Laboratory (MSL) Curiosity rover. The mm-scale of veins, however, provides little evidence for emplacement style. From sols 924-949, Curiosity observed a vein rich outcrop called Garden City, which shows variation in both thickness and complexity of veins. Extensive Mastcam and MAHLI imaging was conducted across the outcrop to provide textural detail that can be related to emplacement mechanisms. Additionally, Curiosity collected geochemical data on 17 ChemCam targets and 7 APXS targets, shedding light on the composition and variety of potential vein fluids. The Garden City vein system records (1) the presence of distinct dark-toned and light-toned (calcium sulfate) mineralization, and (2) the presence of laminated, epitaxial, and brecciated fabrics that suggest multiple emplacement modes. Dark-toned mineralization is observed as erosionally resistant ridges predominantly along fracture walls. Although erosional resistance may reflect the permeability of host rock to fracture-borne fluids, at Garden City, laminated textures suggest that at least some mineralization may have occurred as fracture-fill. Light-toned mineralization often bisects dark-toned material, indicating re-use of fluid pathways. Light-toned veinlets permeate fracture walls, and the largest veins entrain host rock and dark-toned material within calcium sulfate matrix. Such brecciation indicates high forces associated with fluid expulsion. Elsewhere, linear patterns occur broadly perpendicular to fracture walls, and are interpreted to represent epitaxial crystal growth, suggesting lower flow rates and fluid flow pressures within the fracture system. Together these observations indicate multiple episodes of fluid flow in the Gale Crater system.

3D surgical printing and pre contoured plates for acetabular fractures.

PubMed

Chana-Rodríguez, Francisco; Mañanes, Rubén Pérez; Rojo-Manaute, José; Gil, Pablo; Martínez-Gómiz, José María; Vaquero-Martín, Javier

2016-11-01

We describe the methodical and possibilities of 3D surgical printing in preoperative planning of acetabular fractures showing a case of a 45-year-old with an associated transverse fracture of the left acetabulum with posterior wall fracture, with multiple fragments, and posterior ipsilateral hip dislocation, defending the do it your-self mode. Copyright © 2016 Elsevier Ltd. All rights reserved.

High cesium concentrations in groundwater in the upper 1.2 km of fractured crystalline rock - Influence of groundwater origin and secondary minerals

NASA Astrophysics Data System (ADS)

Mathurin, Frédéric A.; Drake, Henrik; Tullborg, Eva-Lena; Berger, Tobias; Peltola, Pasi; Kalinowski, Birgitta E.; Åström, Mats E.

2014-05-01

Dissolved and solid phase cesium (Cs) was studied in the upper 1.2 km of a coastal granitoid fracture network on the Baltic Shield (Äspö Hard Rock Laboratory and Laxemar area, SE Sweden). There unusually high Cs concentrations (up to 5-6 μg L-1) occur in the low-temperature (<20 °C) groundwater. The material includes water collected in earlier hydrochemical monitoring programs and secondary precipitates (fracture coatings) collected on the fracture walls, as follows: (a) hydraulically pristine fracture groundwater sampled through 23 surface boreholes equipped for the retrieval of representative groundwater at controlled depths (Laxemar area), (b) fracture groundwater affected by artificial drainage collected through 80 boreholes drilled mostly along the Äspö Hard Rock Laboratory (underground research facility), (c) surface water collected in local streams, a lake and sea bay, and shallow groundwater collected in 8 regolith boreholes, and (d) 84 new specimens of fracture coatings sampled in cores from the Äspö HRL and Laxemar areas. The groundwater in each area is different, which affects Cs concentrations. The highest Cs concentrations occurred in deep-seated saline groundwater (median Äspö HRL: 4.1 μg L-1; median Laxemar: 3.7 μg L-1) and groundwater with marine origin (Äspö HRL: 4.2 μg L-1). Overall lower, but variable, Cs concentrations were found in other types of groundwater. The similar concentrations of Cs in the saline groundwater, which had a residence time in the order of millions of years, and in the marine groundwater, which had residence times in the order of years, shows that duration of water-rock interactions is not the single and primary control of dissolved Cs in these systems. The high Cs concentrations in the saline groundwater is ascribed to long-term weathering of minerals, primarily Cs-enriched fracture coatings dominated by illite and mixed-layer clays and possibly wall rock micaceous minerals. The high Cs concentrations in the groundwater of marine origin are, in contrast, explained by relatively fast cation exchange reactions. As indicated by the field data and predicted by 1D solute transport modeling, alkali cations with low-energy hydration carried by intruding marine water are capable of (NH4+ in particular and K+ to some extent) replacing Cs+ on frayed edge (FES) sites on illite in the fracture coatings. The result is a rapid and persistent (at least in the order of decades) buildup of dissolved Cs concentrations in fractures where marine water flows downward. The identification of high Cs concentrations in young groundwater of marine origin and the predicted capacity of NH4+ to displace Cs from fracture solids are of particular relevance in the disposal of radioactive nuclear waste deep underground in crystalline rock.

Primary drainage in geological fractures: Effects of aperture variability and wettability

NASA Astrophysics Data System (ADS)

Yang, Z.; Méheust, Y.; Neuweiler, I.

2017-12-01

Understanding and controlling fluid-fluid displacement in porous and fractured media is a key asset for many practical applications, such as the geological storage of CO2, hydrocarbon recovery, groundwater remediation, etc. We numerically investigate fluid-fluid displacement in rough-walled fractures with a focus on the combined effect of wettability, the viscous contrast between the two fluids, and fracture surface topography on drainage patterns and interface growth. A model has been developed to simulate the dynamic displacement of one fluid by another immiscible one in a rough geological fracture; the model takes both capillary and viscous forces into account. Capillary pressures at the fluid-fluid interface are calculated based on the Young-Laplace equation using the two principal curvatures (aperture-induced curvature and in-plane curvature) [1], while viscous forces are calculated by continuously solving the fluid pressure field in the fracture. The aperture field of a fracture is represented by a spatially correlated random field, with a power spectral density of the fracture wall topographies scaling as a power law, and a cutoff wave-length above which the Fourier modes of the two walls are identical [2]. We consider flow scenarios with both rectangular and radial configurations. Results show that the model is able to produce displacement patterns of compact displacement, capillary fingering, and viscous fingering, as well as the transitions between them. Both reducing the aperture variability and increasing the contact angle (from drainage to weak imbibition) can stabilize the displacement due to the influence of the in-plane curvature, an effect analogous to that of the cooperative pore filling in porous media. These results suggest that for geometries typical of geological fractures we can extend the phase diagram in the parameter space of capillary number and mobility ratio by another dimension to take into account the combined effect of wettability and fracture aperture topography. References: [1] Yang, Z. et al. (2012), A generalized approach for estimation of in-plane curvature in invasion percolation models for drainage in fractures. Wat. Resour. Res., 48(9), W09507. [2] Yang, Z. et al. (2016), Fluid trapping during capillary displacement in fractures. Adv. Water Resour., 95, 264-275.

Area balance and strain in an extensional fault system: Strategies for improved oil recovery in fractured chalk, Gilbertown Field, southwestern Alabama. Final report, March 1996--September 1998

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

Pashin, J.C.; Raymond, D.E.; Rindsberg, A.K.

1998-12-01

This project was designed to analyze the structure of Mesozoic and Tertiary strata in Gilbertown Field and adjacent areas to suggest ways in which oil recovery can be improved. The Eutaw Formation comprises 7 major flow units and is dominated by low-resistivity, low-contrast play that is difficult to characterize quantitatively. Selma chalk produces strictly from fault-related fractures that were mineralized as warm fluid migrated from deep sources. Resistivity, dipmeter, and fracture identification logs corroborate that deformation is concentrated in the hanging-wall drag zones. New area balancing techniques were developed to characterize growth strata and confirm that strain is concentrated inmore » hanging-wall drag zones. Curvature analysis indicates that the faults contain numerous fault bends that influence fracture distribution. Eutaw oil is produced strictly from footwall uplifts, whereas Selma oil is produced from fault-related fractures. Clay smear and mineralization may be significant trapping mechanisms in the Eutaw Formation. The critical seal for Selma reservoirs, by contrast, is where Tertiary clay in the hanging wall is juxtaposed with poorly fractured Selma chalk in the footwall. Gilbertown Field can be revitalized by infill drilling and recompletion of existing wells. Directional drilling may be a viable technique for recovering untapped oil from Selma chalk. Revitalization is now underway, and the first new production wells since 1985 are being drilled in the western part of the field.« less

Implications of Earth analogs to Martian sulfate-filled Fractures

NASA Astrophysics Data System (ADS)

Holt, R. M.; Powers, D. W.

2017-12-01

Sulfate-filled fractures in fine-grained sediments on Mars are interpreted to be the result of fluid movement during deep burial. Fractures in the Dewey Lake (aka Quartermaster) Formation of southeastern New Mexico and west Texas are filled with gypsum that is at least partially synsedimentary. Sulfate in the Dewey Lake takes two principal forms: gypsum cement and gypsum (mainly fibrous) that fills fractures ranging from horizontal to vertical. Apertures are mainly mm-scale, though some are > 1 cm. The gypsum is antitaxial, fibrous, commonly approximately perpendicular to the wall rock, and displays suture lines and relics of the wall rock. Direct evidence of synsedimentary, near-surface origin includes gypsum intraclasts, intraclasts that include smaller intraclasts that contain gypsum clasts, intraclasts of gypsum with suture lines, gypsum concentrated in small desiccation cracks, and intraclasts that include fibrous gypsum-filled fractures that terminate at the eroded clast boundary. Dewey Lake fracture fillings suggest that their Martian analogs may also have originated in the shallow subsurface, shortly following the deposition of Martian sediments, in the presence of shallow aquifers.

Origins and nature of non-Fickian transport through fractures

NASA Astrophysics Data System (ADS)

Wang, L.; Cardenas, M. B.

2014-12-01

Non-Fickian transport occurs across all scales within fractured and porous geological media. Fundamental understanding and appropriate characterization of non-Fickian transport through fractures is critical for understanding and prediction of the fate of solutes and other scalars. We use both analytical and numerical modeling, including direct numerical simulation and particle tracking random walk, to investigate the origin of non-Fickian transport through both homogeneous and heterogeneous fractures. For the simple homogenous fracture case, i.e., parallel plates, we theoretically derived a formula for dynamic longitudinal dispersion (D) within Poiseuille flow. Using the closed-form expression for the theoretical D, we quantified the time (T) and length (L) scales separating preasymptotic and asymptotic dispersive transport, with T and L proportional to aperture (b) of parallel plates to second and fourth orders, respectively. As for heterogeneous fractures, the fracture roughness and correlation length are closely associated with the T and L, and thus indicate the origin for non-Fickian transport. Modeling solute transport through 2D rough-walled fractures with continuous time random walk with truncated power shows that the degree of deviation from Fickian transport is proportional to fracture roughness. The estimated L for 2D rough-walled fractures is significantly longer than that derived from the formula within Poiseuille flow with equivalent b. Moreover, we artificially generated normally distributed 3D fractures with fixed correlation length but different fracture dimensions. Solute transport through 3D fractures was modeled with a particle tracking random walk algorithm. We found that transport transitions from non-Fickian to Fickian with increasing fracture dimensions, where the estimated L for the studied 3D fractures is related to the correlation length.

[Rib cage ostheosynthesis. Literature review and case reports].

PubMed

Jiménez-Quijano, Andrés; Varón-Cotés, Juan Carlos; García-Herreros-Hellal, Luis Gerardo; Espinosa-Moya, Beatriz; Rivero-Rapalino, Oscar; Salazar-Marulanda, Michelle

2015-01-01

Fractures of the chest wall include sternum and rib fractures. Traditionally they are managed conservatively due to the anatomy of the rib cage that allows most of them to remain stable and to form a callus that unites the fractured segments. In spite of this management, some patients present with chronic pain or instability of the wall which makes them require some type of fixation. The present article performs a literature review based on 4 cases. The first case was a 61 year-old man with blunt chest trauma, with a great deformity of the chest wall associated with subcutaneous emphysema, and pneumothorax. The second case was a 51 year-old man with blunt chest trauma, initially managed at another institution, who despite treatment, had persistent pain and dyspnoea. The third case was a 30 year-old man that suffered a motor vehicle accident, with resulting pain and crepitation of the rib cage and with diagnostic images showing multiple rib fractures. The last case is a 62 year-old man that fell down the stairs, with blunt chest trauma with high intensity pain, dyspnoea and basal ipsilateral hypoventilation. Rib fracture fixation offers a good alternative in selected patients to decrease associated morbidity, leading to a patient's fast return to his or her working life. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

Flow-path textures and mineralogy in tuffs of the unsaturated zone

USGS Publications Warehouse

Levy, Schön; Chipera, Steve; WoldeGabriel, Giday; Fabryka-Martin, June; Roach, Jeffrey; Sweetkind, Donald S.; Haneberg, William C.; Mozley, Peter S.; Moore, J. Casey; Goodwin, Laurel B.

1999-01-01

The high concentration of chlorine-36 (36Cl) produced by above-ground nuclear tests (bomb-pulse) provides a fortuitous tracer for infiltration during the last 50 years, and is used to detect fast flow in the unsaturated zone at Yucca Mountain, Nevada, a thick deposit of welded and nonwelded tuffs. Evidence of fast flow as much as 300 m into the mountain has been found in several zones in a 7.7-km tunnel. Many zones are associated with faults that provide continuous fracture flow paths from the surface. In the Sundance fault zone, water with the bomb-pulse signature has moved into subsidiary fractures and breccia zones. We found no highly distinctive mineralogic associations of fault and fracture samples containing bomb-pulse 36Cl. Bomb-pulse sites are slightly more likely to have calcite deposits than are non-bomb-pulse sites. Most other mineralogic and textural associations of fast-flow paths reflect the structural processes leading to locally enhanced permeability rather than the effects of ground-water percolation. Water movement through the rock was investigated by isotopic analysis of paired samples representing breccia zones and fractured wall rock bounding the breccia zones. Where bomb-pulse 36Cl is present, the waters in bounding fractures and intergranular pores of the fast pathways are not in equilibrium with respect to the isotopic signal. In structural domains that have experienced extensional deformation, fluid flow within a breccia is equivalent to matrix flow in a particulate rock, whereas true fracture flow occurs along the boundaries of a breccia zone. Where shearing predominated over extension, the boundary between wall rock and breccia is rough and irregular with a tight wallrock/breccia contact. The absence of a gap between the breccia and the wall rock helps maintain fluid flow within the breccia instead of along the wallrock/breccia boundary, leading to higher 36Cl/Cl values in the breccia than in the wall rock.

Patient-specific puzzle implant preformed with 3D-printed rapid prototype model for combined orbital floor and medial wall fracture.

PubMed

Kim, Young Chul; Min, Kyung Hyun; Choi, Jong Woo; Koh, Kyung S; Oh, Tae Suk; Jeong, Woo Shik

2018-04-01

The management of combined orbital floor and medial wall fractures involving the inferomedial strut is challenging due to absence of stable cornerstone. In this article, we proposed surgical strategies using customized 3D puzzle implant preformed with Rapid Prototype (RP) skull model. Retrospective review was done in 28 patients diagnosed with combined orbital floor and medial wall fracture. Using preoperative CT scans, original and mirror-imaged RP skull models for each patient were prepared and sterilized. In all patients, porous polyethylene-coated titanium mesh was premolded onto RP skull model in two ways; Customized 3D jigsaw puzzle technique was used in 15 patients with comminuted inferomedial strut, whereas individual 3D implant technique was used in each fracture for 13 patients with intact inferomedial strut. Outcomes including enophthalmos, visual acuity, and presence of diplopia were assessed and orbital volume was measured using OsiriX software preoperatively and postoperatively. Satisfactory results were achieved in both groups in terms of clinical improvements. Of 10 patients with preoperative diplopia, 9 improved in 6 months, except one with persistent symptom who underwent extraocular muscle rupture. 18 patients who had moderate to severe enophthalmos preoperatively improved, and one remained with mild degree. Orbital volume ratio, defined as volumetric ratio between affected and control orbit, decreased from 127.6% to 99.79% (p < 0.05) in comminuted group, and that in intact group decreased from 117.03% to 101.3% (p < 0.05). Our surgical strategies using the jigsaw puzzle and individual reconstruction technique provide accurate restoration of combined orbital floor and medial wall fractures. Copyright © 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Emergency management of blunt chest trauma in children: an evidence-based approach.

PubMed

Pauzé, Denis R; Pauzé, Daniel K

2013-11-01

Pediatric trauma is commonly encountered in the emergency department, and trauma to the head, chest, and abdomen may be a source of significant morbidity and mortality. As children have unique thoracic anatomical and physiological properties, they may present with diagnostic challenges that the emergency clinician must be aware of. This review examines the effects of blunt trauma to the pediatric chest, as well as its relevant etiologies and associated mortality. Diagnostic and treatment options for commonly encountered injuries such as pulmonary contusions, rib fractures, and pneumothoraces are examined. Additionally, this review discusses rarely encountered--yet highly lethal--chest wall injuries such as blunt cardiac injuries, commotio cordis, nonaccidental trauma, and aortic injuries.

Effects of pore volume-transmissivity correlation on transport phenomena.

PubMed

Lunati, Ivan; Kinzelbach, Wolfgang; Sørensen, Ivan

2003-12-01

The relevant velocity that describes transport phenomena in a porous medium is the pore velocity. For this reason, one needs not only to describe the variability of transmissivity, which fully determines the Darcy velocity field for given source terms and boundary conditions, but also any variability of the pore volume. We demonstrate that hydraulically equivalent media with exactly the same transmissivity field can produce dramatic differences in the displacement of a solute if they have different pore volume distributions. In particular, we demonstrate that correlation between pore volume and transmissivity leads to a much smoother and more homogeneous solute distribution. This was observed in a laboratory experiment performed in artificial fractures made of two plexiglass plates into which a space-dependent aperture distribution was milled. Using visualization by a light transmission technique, we observe that the solute behaviour is much smoother and more regular after the fractures are filled with glass powder, which plays the role of a homogeneous fault gouge material. This is due to a perfect correlation between pore volume and transmissivity that causes pore velocity to be not directly dependent on the transmissivity, but only indirectly through the hydraulic gradient, which is a much smoother function due to the diffusive behaviour of the flow equation acting as a filter. This smoothing property of the pore volume-transmissivity correlation is also supported by numerical simulations of tracer tests in a dipole flow field. Three different conceptual models are used: an empty fracture, a rough-walled fracture filled with a homogeneous material and a parallel-plate fracture with a heterogeneous fault gouge. All three models are hydraulically equivalent, yet they have a different pore volume distribution. Even if piezometric heads and specific flow rates are exactly the same at any point of the domain, the transport process differs dramatically. These differences make it important to discriminate in situ among different conceptual models in order to simulate correctly the transport phenomena. For this reason, we study the solute breakthrough and recovery curves at the extraction wells. Our numerical case studies show that discrimination on the basis of such data might be impossible except under very favourable conditions, i.e. the integral scale of the transmissivity field has to be known and small compared to the dipole size. If the latter conditions are satisfied, discrimination between the rough-walled fracture filled with a homogeneous material and the other two models becomes possible, whereas the parallel-plate fracture with a heterogeneous fault gouge and the empty fracture still show identifiability problems. The latter may be solved by inspection of aperture and pressure testing.

Percolation and permeability of heterogeneous fracture networks

NASA Astrophysics Data System (ADS)

Adler, Pierre; Mourzenko, Valeri; Thovert, Jean-François

2013-04-01

Natural fracture fields are almost necessarily heterogeneous with a fracture density varying with space. Two classes of variations are quite frequent. In the first one, the fracture density is decreasing from a given surface; the fracture density is usually (but not always see [1]) an exponential function of depth as it has been shown by many measurements. Another important example of such an exponential decrease consists of the Excavated Damaged Zone (EDZ) which is created by the excavation process of a gallery [2,3]. In the second one, the fracture density undergoes some local random variations around an average value. This presentation is mostly focused on the first class and numerical samples are generated with an exponentially decreasing density from a given plane surface. Their percolation status and hydraulic transmissivity can be calculated by the numerical codes which are detailed in [4]. Percolation is determined by a pseudo diffusion algorithm. Flow determination necessitates the meshing of the fracture networks and the discretisation of the Darcy equation by a finite volume technique; the resulting linear system is solved by a conjugate gradient algorithm. Only the flow properties of the EDZ along the directions which are parallel to the wall are of interest when a pressure gradient parallel to the wall is applied. The transmissivity T which relates the total flow rate per unit width Q along the wall through the whole fractured medium to the pressure gradient grad p, is defined by Q = - T grad p/mu where mu is the fluid viscosity. The percolation status and hydraulic transmissivity are systematically determined for a wide range of decay lengths and anisotropy parameters. They can be modeled by comparison with anisotropic fracture networks with a constant density. A heuristic power-law model is proposed which accurately describes the results for the percolation threshold over the whole investigated range of heterogeneity and anisotropy. Then, the data for transmissivity are presented. A simple parallel flow model is introduced. The flow properties of the medium vary with the distance z from the wall. However, the macroscopic pressure gradient does not depend on z, and the flow lines are in average parallel to the wall. Hence, the overall transmissivity is tentatively estimated by a parallel flow model, where a layer at depth z behaves as a fractured medium with uniform properties corresponding to the state at this position in the medium. It yields an explicit analytical expression for the transmissivity as a function of the heterogeneity and anisotropy parameters, and it successfully accounts for all the numerical data. Graphical tools are provided from which first estimates can be quickly and easily obtained. A short overview of the second class of heterogeneous media will be given. [1] Barton C.A., Zoback M.D., J. Geophys. Res., 97B, 5181-5200 (1992). [2] Bossart P. et al, Eng. Geol., vol. 66, 19-38 (2002). [3] Thovert J.-F. et al, Eng. Geol., 117, 39-51 (2011). [4] Adler P.M. et al, Fractured porous media, Oxford U. Press, 2012.

Geology and preliminary hydrogeologic characterization of the cell-house site, Berlin, New Hampshire, 2003-04

USGS Publications Warehouse

Degnan, James R.; Clark, Stewart F.; Harte, Philip T.; Mack, Thomas J.

2005-01-01

At the cell-house site, thin, generally less than 20-foot thick overburden, consisting of till and demolition materials, overlies fractured crystalline bedrock. Bedrock at the site consists of gneiss with thin discontinuous lenses of chlorite schist and discontinuous tabular pegmatite. Two distinct fracture domains, with principal trends to the west and northwest, and to the north, overlap near the site. The cell-house site shows principal trends common to both domains. Gneiss is the most abundant rock at the site. Steeply dipping fractures within the gneiss terminate on subhorizontal contacts with pegmatite and on moderately dipping contacts with chlorite schist. Steeply northwest-dipping en Echelon fracture zones, parallel joint zones, and silicified brittle faults show consistent strikes to the northeast. Gently east-dipping to subhorizontal fractures, sub-parallel to gneissosity, strike northeast. The impermeable cap, barrier wall, and bedrock surface topography affect ground-water flow in the overburden. There is relatively little ground-water flow in the overburden in the capped area and a poor hydraulic connection between the overburden and the underlying bedrock over most of the site. The overburden beneath the cap may receive inflow through or beneath the barrier wall, or by flow through vertical fractures in the underlying bedrock beneath the barrier wall. The bedrock aquifer near the river is well connected to the river and head difference in the bedrock across the site are large (greater than 13 ft). Horizontal hydraulic conductivities of 0.2 to 20 ft/d were estimated for the bedrock. Individual fractures or fracture zones likely have hydraulic conductivities greater than the bulk rock. Subhorizontal fractures occur at pegmatite contacts or along chlorite schist lenses and may serve as ground-water conduits to the steeply dipping fractures in gneiss. The effective hydraulic conductivity across the site is likely to be in the low range of the estimated values (0.2 ft/d). Ground water discharges to the river from the bedrock aquifer and is greatest during periods of large river stage fluctuations.

Diagnostic tools in maxillofacial fractures: Is there really a need of three-dimensional computed tomography?

PubMed Central

Shah, Sheerin; Uppal, Sanjeev K.; Mittal, Rajinder K.; Garg, Ramneesh; Saggar, Kavita; Dhawan, Rishi

2016-01-01

Introduction: Because of its functional and cosmetic importance, facial injuries, especially bony fractures are clinically very significant. Missed and maltreated fractures might result in malocclusion and disfigurement of the face, thus making accurate diagnosis of the fracture very essential. In earlier times, conventional radiography along with clinical examination played a major role in diagnosis of maxillofacial fractures. However, it was noted that the overlapping nature of bones and the inability to visualise soft tissue swelling and fracture displacement, especially in face, makes radiography less reliable and useful. Computed tomography (CT), also called as X-ray computed radiography, has helped in solving this problem. This clinical study is to compare three-dimensional (3D) CT reconstruction with conventional radiography in evaluating the maxillofacial fractures preoperatively and effecting the surgical management, accordingly. Materials and Methods: Fifty patients, with suspected maxillofacial fractures on clinical examination, were subjected to conventional radiography and CT face with 3D reconstruction. The number and site of fractures in zygoma, maxilla, mandible and nose, detected by both the methods, were enumerated and compared. The final bearing of these additional fractures, on the management protocol, was analysed. Results: CT proved superior to conventional radiography in diagnosing additional number of fractures in zygoma, maxilla, mandible (subcondylar) and nasal bone. Coronal and axial images were found to be significantly more diagnostic in fracture sites such as zygomaticomaxillary complex, orbital floor, arch, lateral maxillary wall and anterior maxillary wall. Conclusion: 3D images gave an inside out picture of the actual sites of fractures. It acted as mind's eye for pre-operative planning and intra-operative execution of surgery. Better surgical treatment could be given to 33% of the cases because of better diagnostic ability of CT. PMID:27833286

Diagnostic tools in maxillofacial fractures: Is there really a need of three-dimensional computed tomography?

PubMed

Shah, Sheerin; Uppal, Sanjeev K; Mittal, Rajinder K; Garg, Ramneesh; Saggar, Kavita; Dhawan, Rishi

2016-01-01

Because of its functional and cosmetic importance, facial injuries, especially bony fractures are clinically very significant. Missed and maltreated fractures might result in malocclusion and disfigurement of the face, thus making accurate diagnosis of the fracture very essential. In earlier times, conventional radiography along with clinical examination played a major role in diagnosis of maxillofacial fractures. However, it was noted that the overlapping nature of bones and the inability to visualise soft tissue swelling and fracture displacement, especially in face, makes radiography less reliable and useful. Computed tomography (CT), also called as X-ray computed radiography, has helped in solving this problem. This clinical study is to compare three-dimensional (3D) CT reconstruction with conventional radiography in evaluating the maxillofacial fractures preoperatively and effecting the surgical management, accordingly. Fifty patients, with suspected maxillofacial fractures on clinical examination, were subjected to conventional radiography and CT face with 3D reconstruction. The number and site of fractures in zygoma, maxilla, mandible and nose, detected by both the methods, were enumerated and compared. The final bearing of these additional fractures, on the management protocol, was analysed. CT proved superior to conventional radiography in diagnosing additional number of fractures in zygoma, maxilla, mandible (subcondylar) and nasal bone. Coronal and axial images were found to be significantly more diagnostic in fracture sites such as zygomaticomaxillary complex, orbital floor, arch, lateral maxillary wall and anterior maxillary wall. 3D images gave an inside out picture of the actual sites of fractures. It acted as mind's eye for pre-operative planning and intra-operative execution of surgery. Better surgical treatment could be given to 33% of the cases because of better diagnostic ability of CT.

Rib fracture following stereotactic body radiotherapy: a potential pitfall.

PubMed

Stanic, Sinisa; Boike, Thomas P; Rule, William G; Timmerman, Robert D

2011-11-01

Although the incidence of rib fractures after conventional radiotherapy is generally low (<2%), rib fractures are a relatively common complication of stereotactic body radiotherapy. For malignancy adjacent to the chest wall, the incidence of rib fractures after stereotactic body radiotherapy is as high as 10%. Unrecognized bone fractures can mimic bone metastases on bone scintigraphy, can lead to extensive workup, and can even lead to consideration of unnecessary systemic chemotherapy, as treatment decisions can be based on imaging findings alone. Nuclear medicine physicians and diagnostic radiologists should always consider rib fracture in the differential diagnosis.

Acoustic-televiewer and acoustic-waveform logs used to characterize deeply buried basalt flows, Hanford site, Benton County, Washington

USGS Publications Warehouse

Paillet, Frederick L.

1985-01-01

Acoustic-waveform and acoustic-televiewer logs were obtained for a 400-meter interval of deeply buried basalt flows in three boreholes, and over shorter intervals in two additional boreholes located on the U.S. Department of Energy 's Hanford site in Benton County, Washington. Borehole-wall breakouts were observed in the unaltered interiors of a large part of individual basalt flows; however, several of the flows in one of the five boreholes had almost no breakouts. The distribution of breakouts observed on the televiewer logs correlated closely with the incidence of core disking in some intervals, but the correlation was not always perfect, perhaps because of the differences in the specific fracture mechanisms involved. Borehole-wall breakouts were consistently located on the east and west sides of the boreholes. The orientation is consistent with previous estimates of the principal horizontal-stress field in south-central Washington, if breakouts are assumed to form along the azimuth of the least principal stress. The distribution of breakouts repeatedly indicated an interval of breakout-free rock at the top and bottom of flows. Because breakouts frequently terminate at major low-angle fractures, the data indicate that fracturing may have relieved some of the horizontal stresses near flow tops and bottoms. Unaltered and unfractured basalt appeared to have a uniform compressional velocity of 6.0 + or - 0.1 km/sec and a uniform shear velocity of 3.35 + or - 0.1 km/sec throughout flow interiors. Acoustics-waveform logs also indicated that borehole-wall breakouts did not affect acoustic propagation along the borehole; so fracturing associated with the formation of breakouts appeared to be confined to a thin annulus of stress concentration around the borehole. Televiewer logs obtained before and after hydraulic fracturing in these boreholes indicated the extent of induced fractures, and also indicated minor changes to pre-existing fractures that may have been inflated during fracture generation. (USGS)

Fracture control for the Oman India Pipeline

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

Bruno, T.V.

1996-12-31

This paper describes the evaluation of the resistance to fracture initiation and propagation for the high-strength, heavy-wall pipe required for the Oman India Pipeline (OIP). It discusses the unique aspects of this pipeline and their influence on fracture control, reviews conventional fracture control design methods, their limitations with regard to the pipe in question, the extent to which they can be utilized for this project, and other approaches being explored. Test pipe of the size and grade required for the OIP show fracture toughness well in excess of the minimum requirements.

Fracture patterns in the maxillofacial region: a four-year retrospective study

PubMed Central

2015-01-01

Objectives The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of maxillofacial fractures. The purpose of the current clinico-statistical study is to investigate the pattern of facial fractures over a 4-year period. Materials and Methods A retrospective analysis of 1,824 fracture sites was carried out in 1,284 patients admitted to SMG-SNU Boramae Medical Center for facial bone fracture from January 2010 to December 2013. We evaluated the distributions of age/gender/season, fracture site, cause of injury, duration from injury to treatment, hospitalization period, and postoperative complications. Results The ratio of men to women was 3.2:1. Most fractures occurred in individuals aged between teens to 40s and were most prevalent at the middle and end of the month. Fractures occurred in the nasal bone (65.0%), orbital wall (29.2%), maxillary wall (15.3%), zygomatic arch (13.2%), zygomaticomaxillary complex (9.8%), mandibular symphysis (6.5%), mandibular angle (5.9%), mandibular condyle (4.9%), and mandibular body (1.9%). The most common etiologies were fall (32.5%) and assault (26.0%). The average duration of injury to treatment was 6 days, and the average hospitalization period was 5 days. Eighteen postoperative complications were observed in 17 patients, mainly infection and malocclusion in the mandible. Conclusion This study reflects the tendency for trauma in the Seoul metropolitan region because it analyzes all facial fracture patients who visited our hospital regardless of the specific department. Distinctively, in this study, midfacial fractures had a much higher incidence than mandible fractures. PMID:26734557

Melt fracture revisited

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

Greenberg, J. M.

2003-07-16

In a previous paper the author and Demay advanced a model to explain the melt fracture instability observed when molten linear polymer melts are extruded in a capillary rheometer operating under the controlled condition that the inlet flow rate was held constant. The model postulated that the melts were a slightly compressible viscous fluid and allowed for slipping of the melt at the wall. The novel feature of that model was the use of an empirical switch law which governed the amount of wall slip. The model successfully accounted for the oscillatory behavior of the exit flow rate, typically referredmore » to as the melt fracture instability, but did not simultaneously yield the fine scale spatial oscillations in the melt typically referred to as shark skin. In this note a new model is advanced which simultaneously explains the melt fracture instability and shark skin phenomena. The model postulates that the polymer is a slightly compressible linearly viscous fluid but assumes no slip boundary conditions at the capillary wall. In simple shear the shear stress {tau}and strain rate d are assumed to be related by d = F{tau} where F ranges between F{sub 2} and F{sub 1} > F{sub 2}. A strain rate dependent yield function is introduced and this function governs whether F evolves towards F{sub 2} or F{sub 1}. This model accounts for the empirical observation that at high shears polymers align and slide more easily than at low shears and explains both the melt fracture and shark skin phenomena.« less

Does a minimal invasive approach reduce anterior chest wall numbness and postoperative pain in plate fixation of clavicle fractures?

PubMed

Beirer, Marc; Postl, Lukas; Crönlein, Moritz; Siebenlist, Sebastian; Huber-Wagner, Stefan; Braun, Karl F; Biberthaler, Peter; Kirchhoff, Chlodwig

2015-05-28

Fractures of the clavicle present very common injuries with a peak of incidence in young active patients. Recently published randomized clinical trials demonstrated an improved functional outcome and a lower rate of nonunions in comparison to non-operative treatment. Anterior chest wall numbness due to injury of the supraclavicular nerve and postoperative pain constitute common surgery related complications in plate fixation of displaced clavicle fractures. We recently developed a technique for mini open plating (MOP) of the clavicle to reduce postoperative numbness and pain. The purpose of this study was to analyze the size of anterior chest wall numbness and the intensity of postoperative pain in MOP in comparison to conventional open plating (COP) of clavicle fractures. 24 patients (mean age 38.2 ± 14.2 yrs.) with a displaced fracture of the clavicle (Orthopaedic Trauma Association B1.2-C1.2) surgically treated using a locking compression plate (LCP) were enrolled. 12 patients underwent MOP and another 12 patients COP. Anterior chest wall numbness was measured with a transparency grid on the second postoperative day and at the six months follow-up. Postoperative pain was evaluated using the Visual Analog Scale (VAS). Mean ratio of skin incision length to plate length was 0.61 ± 0.04 in the MOP group and 0.85 ± 0.06 in the COP group (p < 0.05). Mean ratio of the area of anterior chest wall numbness to plate length was postoperative 7.6 ± 5.9 (six months follow-up 4.7 ± 3.9) in the MOP group and 22.1 ± 19.1 (16.9 ± 14.1) in the COP group (p < 0.05). Mean VAS was 2.6 ± 1.4 points in the MOP group and 3.4 ± 1.6 points in the COP group (p = 0.20). In our study, MOP significantly reduced anterior chest wall numbness in comparison to a conventional open approach postoperative as well as at the six months follow-up. Postoperative pain tended to be lower in the MOP group, however this difference was not statistically significant. ClinicalTrials.gov NCT02247778 . Registered 21 September 2014.

Pseudoaneurysms occurring as a result of fractures giving rise to the appearance of pseudotumors: a short series.

PubMed

Farquharson, Finn; Haroon, Athar; Fleet, Mustafa

2007-01-01

Pseudoaneurysms are focal enlargements of the vascular lumen due to partial or complete disruption of the arterial wall. These are an uncommon complication of fractures. The presence of a pseudoaneurysm adjacent to a fracture fragment can cause a pressure effect. This pressure not only impairs fracture healing but sometimes can erode the adjacent bone, producing the appearance of a pseudotumor. We present two such cases and discuss the management of these patients.

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

Hammeschlag, S.B.; Hughes, S.; O'Reilly, G.V.

Orbital blow-out fractures were experimentally created in eight human cadavers. Each orbit underwent conventional radiographic studies, complex motion tomography, and computed tomographic examinations. A comparison of the three modalities was made. Anatomical correlation was obtained by dissecting the orbits. The significance of medial-wall fractures and enophthalmos is discussed. Limitation of inferior rectus muscle mobility is thought to be a result of muscle kinking associated with orbital fat-pad prolapse at the fracture site, rather than muscle incarceration. Blow-out fractures should be evaluated by computed tomographic computer reformations in the oblique sagittal plane.

Assessing mechanical deconstruction of softwood cell wall for cellulosic biofuels production

NASA Astrophysics Data System (ADS)

Jiang, Jinxue

Mechanical deconstruction offers a promising strategy to overcome biomass recalcitrance for facilitating enzymatic hydrolysis of pretreated substrates with zero chemicals input and presence of inhibitors. The goal of this dissertation research is to gain a more fundamental understanding on the impact of mechanical pretreatment on generating digestible micronized-wood and how the physicochemical characteristics influence the subsequent enzymatic hydrolysis of micronized wood. The initial moisture content of feedstock was found to be the key factor affecting the development of physical features and enzymatic hydrolysis of micronized wood. Lower moisture content resulted in much rounder particles with lower crystallinity, while higher moisture content resulted in the milled particles with larger aspect ratio and crystallinity. The enzymatic hydrolysis of micronized wood was improved as collectively increasing surface area (i.e., reducing particle size and aspect ratio) and decreasing crystallinity during mechanical milling pretreatment. Energy efficiency analysis demonstrated that low-moisture content feedstock with multi-step milling process would contribute to cost-effectiveness of mechanical pretreatment for achieving more than 70% of total sugars conversion. In the early stage of mechanical pretreatment, the types of cell fractures were distinguished by the initial moisture contents of wood, leading to interwall fracture at the middle lamella region for low moisture content samples and intrawall fracture at the inner cell wall for high moisture content samples. The changes in cell wall fractures also resulted in difference in the distribution of surface chemical composition and energy required for milling process. In an effort to exploit the underlying mechanism associated with the reduced recalcitrance in micronized wood, we reported the increased enzymatic sugar yield and correspondingly structural and accessible properties of micronized feedstock. Electronic microscopy analysis detailed the structural alternation of cell wall during mechanical process, including cell fracture and delamination, ultrastructure disintegration, and cell wall fragments amorphization, as coincident with the particle size reduction. It was confirmed with Simons' staining that longer milling time resulted in increased substrate accessibility and porosity. The changes in cellulose molecular structure with respect to degree of polymerization (DP) and crystallinity index (CrI) also benefited to decreasing recalcitrance and facilitating enzymatic hydrolysis of micronized wood.

Hydrologic effects of stress-relief fracturing in an Appalachian Valley

USGS Publications Warehouse

Wyrick, Granville G.; Borchers, James W.

1981-01-01

A hydrologic study at Twin Falls State Park, Wyoming County, West Virginia, was made to determine how fracture systems affect the occurrence and movement of ground water in a typical valley of the Appalachian Plateaus Physiographic Province. Twin Falls was selected because it is generally unaffected by factors that would complicate an analysis of the data. The study area was the Black Fork Valley at Twin Falls. The valley is about 3 miles long and 400 to 600 feet wide and is cut into massive sandstone units interbedded with thin coal and shale beds. The study was made to determine how aquifer characteristics were related to fracture systems in this valley, so that the relation could be applied to studies of other valleys. Two sites were selected for test drilling, pumping tests, and geophysical studies. One site is in the upper part of the valley, and the second is near the lower central part. At both sites, ground water occurs mainly in horizontal bedding-plane fractures under the valley floor and in nearly vertical and horizontal slump fractures along the valley wall. The aquifer is under confined conditions under the valley floor and unconfined conditions along the valley wall. The fractures pinch out under the valley walls, which form impermeable barriers. Tests of wells near the valley center indicated a change in storage coefficient as the cone of depression caused by pumping reached the confined-unconfined boundaries; the tests also indicated barrier-image effects when the cone reached the impermeable boundaries. Drawdown from pumping near the center of the valley affected water levels at both sites, indicating a hydraulic connection from the upper to the lower end of the valley. Stream gain-and-loss studies show that ground water discharges to the stream from horizontal fractures beneath Black Fork Falls, near the mouth of Black Fork. The fracture systems that constitute most of the transmissive part of the aquifer at Twin Falls are like those described as being formed from stress relief. As stress-relief fractures have been described in other valleys of the Appalachian Plateaus, the same aquifer conditions may exist in those valleys.

Mechanisms for Ductile Rupture - FY16 ESC Progress Report

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

Boyce, Brad L.; Carroll, Jay D.; Noell, Phillip

2017-01-01

Ductile rupture in metals is generally a multi-step process of void nucleation, growth, and coalescence. Particle decohesion and particle fracture are generally invoked as the primary microstructural mechanisms for room-temperature void nucleation. However, because high-purity materials also fail by void nucleation and coalescence, other microstructural features must also act as sites for void nucleation. Early studies of void initiation in high-purity materials, which included post-mortem fracture surface characterization using scanning electron microscopy (SEM) and high-voltage electron microscopy (HVEM) and in-situ HVEM observations of fracture, established the presence of dislocation cell walls as void initiation sites in high-purity materials. Direct experimentalmore » evidence for this contention was obtained during in-situ HVEM tensile tests of Be single crystals. Voids between 0.2 and 1 μm long appeared suddenly along dislocation cell walls during tensile straining. However, subsequent attempts to replicate these results in other materials, particularly α -Fe single crystals, were unsuccessful because of the small size of the dislocation cells, and these remain the only published in-situ HVEM observations of void nucleation at dislocation cell walls in the absence of a growing macrocrack. Despite this challenge, other approaches to studying void nucleation in high-purity metals also indicate that dislocation cell walls are nucleation sites for voids.« less

[Reconstruction of maxillary sinus superior wall fractures with calcium phosphate cement/recombinant human bonemorphogenetic protein 7 compound implanted material in rabbit].

PubMed

Zhang, Qunhui; Yu, Feng; Zhang, Haoliang; Gong, Huicheng; Lin, Ying

2015-11-01

To evaluate the osteogenetic character and repairing maxillary sinus superior wall fractures capability of calcium phosphate cement (CPC) before and after combined with recombinant human bone morphogenetie protein-7(rhBMP-7). A 10 mmX5 mm bone defect in the maxillary sinus superior wall was induced by surgery in all 24 New Zealand white rabbits. These 24 rabbits were randomly divided into two groups. The defects were repaired with CPC group (n = 12) and CPC/rhBMP-7 group (n = 12). The osteogenesis of bone defect was monitored by gro'ss observation, histological examination, observation under scanning electron microscope and measurement of ALP activity at 6 and 12 weeks after the implantation. In group CPC,new bone was found to form slowly and little by little. In group CPC/rhBMP-7, however, new bone was observed to form early and massively. The ALP activity in group CPC showed significant statistical difference with that of group CPC/rhBMP-7 (P < 0.05). The CPC/rhBMP-7 composite has osteoconductibility and osteoinductibility, comparing the use of CPC/rhBMP-7 with CPC for the repair of orbital fracture, the former show obvious advantage repairing ability in maxillary sinus superior wall defect.

Surveyed opinion of American trauma, orthopedic, and thoracic surgeons on rib and sternal fracture repair.

PubMed

Mayberry, John C; Ham, L Bruce; Schipper, Paul H; Ellis, Thomas J; Mullins, Richard J

2009-03-01

Rib and sternal fracture repair are controversial. The opinion of surgeons regarding those patients who would benefit from repair is unknown. Members of the Eastern Association for the Surgery of Trauma, the Orthopedic Trauma Association, and thoracic surgeons (THS) affiliated with teaching hospitals in the United States were recruited to complete an electronic survey regarding rib and sternal fracture repair. Two hundred thirty-eight trauma surgeons (TRS), 97 orthopedic trauma surgeons (OTS), and 70 THS completed the survey. Eighty-two percent of TRS, 66% of OTS, and 71% of THS thought that rib fracture repair was indicated in selected patients. A greater proportion of surgeons thought that sternal fracture repair was indicated in selected patients (89% of TRS, 85% of OTS, and 95% of THS). Chest wall defect/pulmonary hernia (58%) and sternal fracture nonunion (>6 weeks) (68%) were the only two indications accepted by a majority of respondents. Twenty-six percent of surgeons reported that they had performed or assisted on a chest wall fracture repair, whereas 22% of surgeons were familiar with published randomized trials of the surgical repair of flail chest. Of surgeons who thought rib fracture or sternal fracture repair was rarely, if ever, indicated, 91% and 95%, respectively, specified that a randomized trial confirming efficacy would be necessary to change their negative opinion. A majority of surveyed surgeons reported that rib and sternal fracture repair is indicated in selected patients; however, a much smaller proportion indicated that they had performed the procedures. The published literature on surgical repair is sparse and unfamiliar to most surgeons. Barriers to surgical repair of rib and sternal fracture include a lack of expertise among TRS, lack of research of optimal techniques, and a dearth of randomized trials.

Flow and fracturing of viscoelastic media under diffusion-driven bubble growth: An analogue experiment for eruptive volcanic conduits

NASA Astrophysics Data System (ADS)

Taddeucci, J.; Spieler, O.; Ichihara, M.; Dingwell, D. B.; Scarlato, P.

2006-03-01

To visualize the behavior of erupting magma in volcanic conduits, we performed shock tube experiments on the ductile-brittle response of a viscoelastic medium to diffusion-driven bubble expansion. A sample of shear-thinning magma analogue is saturated by gas Ar under high pressure. On rapid decompression, Ar supersaturation causes bubbles to nucleate, grow, and coalesce in the sample, forcing it to expand, flow, and fracture. Experimental variables include saturation pressure and duration, and shape and lubrication of the flow path. Bubble growth in the experiments controls both flow and fracturing, and is consistent with physical models of magma vesiculation. Two types of fractures are observed: i) sharp fractures along the uppermost rim of the sample, and ii) fractures pervasively diffused throughout the sample. Rim fractures open when shear stress accumulates and strain rate is highest at the margin of the flow (a process already inferred from observations and models to occur in magma). Pervasive fractures originate when wall-friction retards expansion of the sample, causing pressure to build-up in the bubbles. When bubble pressure overcomes wall-friction and the tensile strength of the porous sample, fractures open with a range of morphologies. Both types of fracture open normally to flow direction, and both may heal as the flow proceeds. These experiments also illustrate how the development of pervasive fractures allows exsolving gas to escape from the sample before the generation of a permeable network via other processes, e.g., bubble coalescence. This is an observation that potentially impact the degassing of magma and the transition between explosive and effusive eruptions.

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

Dunlap, Neal E.; Cai, Jing; Biedermann, Gregory B.

Purpose: To identify the dose-volume parameters that predict the risk of chest wall (CW) pain and/or rib fracture after lung stereotactic body radiotherapy. Methods and Materials: From a combined, larger multi-institution experience, 60 consecutive patients treated with three to five fractions of stereotactic body radiotherapy for primary or metastatic peripheral lung lesions were reviewed. CW pain was assessed using the Common Toxicity Criteria for pain. Peripheral lung lesions were defined as those located within 2.5 cm of the CW. A minimal point dose of 20 Gy to the CW was required. The CW volume receiving >=20, >=30, >=40, >=50, andmore » >=60 Gy was determined and related to the risk of CW toxicity. Results: Of the 60 patients, 17 experienced Grade 3 CW pain and five rib fractures. The median interval to the onset of severe pain and/or fracture was 7.1 months. The risk of CW toxicity was fitted to the median effective concentration dose-response model. The CW volume receiving 30 Gy best predicted the risk of severe CW pain and/or rib fracture (R{sup 2} = 0.9552). A volume threshold of 30 cm{sup 3} was observed before severe pain and/or rib fracture was reported. A 30% risk of developing severe CW toxicity correlated with a CW volume of 35 cm{sup 3} receiving 30 Gy. Conclusion: The development of CW toxicity is clinically relevant, and the CW should be considered an organ at risk in treatment planning. The CW volume receiving 30 Gy in three to five fractions should be limited to <30 cm{sup 3}, if possible, to reduce the risk of toxicity without compromising tumor coverage.« less

An improved two-dimensional depth-integrated flow equation for rough-walled fractures

NASA Astrophysics Data System (ADS)

Mallikamas, Wasin; Rajaram, Harihar

2010-08-01

We present the development of an improved 2-D flow equation for rough-walled fractures. Our improved equation accounts for the influence of midsurface tortuosity and the fact that the aperture normal to the midsurface is in general smaller than the vertical aperture. It thus improves upon the well-known Reynolds equation that is widely used for modeling flow in fractures. Unlike the Reynolds equation, our approach begins from the lubrication approximation applied in an inclined local coordinate system tangential to the fracture midsurface. The local flow equation thus obtained is rigorously transformed to an arbitrary global Cartesian coordinate system, invoking the concepts of covariant and contravariant transformations for vectors defined on surfaces. Unlike previously proposed improvements to the Reynolds equation, our improved flow equation accounts for tortuosity both along and perpendicular to a flow path. Our approach also leads to a well-defined anisotropic local transmissivity tensor relating the representations of the flux and head gradient vectors in a global Cartesian coordinate system. We show that the principal components of the transmissivity tensor and the orientation of its principal axes depend on the directional local midsurface slopes. In rough-walled fractures, the orientations of the principal axes of the local transmissivity tensor will vary from point to point. The local transmissivity tensor also incorporates the influence of the local normal aperture, which is uniquely defined at each point in the fracture. Our improved flow equation is a rigorous statement of mass conservation in any global Cartesian coordinate system. We present three examples of simple geometries to compare our flow equation to analytical solutions obtained using the exact Stokes equations: an inclined parallel plate, and circumferential and axial flows in an incomplete annulus. The effective transmissivities predicted by our flow equation agree very well with values obtained using the exact Stokes equations in all these cases. We discuss potential limitations of our depth-integrated equation, which include the neglect of convergence/divergence and the inaccuracies implicit in any depth-averaging process near sharp corners where the wall and midsurface curvatures are large.

Failure Analysis of T-38 Aircraft Burst Hydraulic Aileron Return Line

NASA Technical Reports Server (NTRS)

Martinez, J. E.; Figert, J. D.; Paton, R. M.; Nguyen, S. D.; Flint, A.

2012-01-01

During maintenance troubleshooting for fluctuating hydraulic pressures, a technician found that a right hand aileron return line, on the flight hydraulic side, was ruptured (Fig. 1, 2). This tubing is part of the Hydraulic Flight Control Aileron Return Reducer to Aileron Manifold and is suspected to be original to the T-38 Talon trainer aircraft. Ailerons are small hinged sections on the outboard portion of a wing used to generate rolling motion thereby banking the aircraft. The ailerons work by changing the effective shape of the airfoil of the outer portion of the wing [1]. The drawing, Northrop P/N 3-43033-55 (6/1960), specifies that the line is made from 0.375 inch OD, aluminum 5052-0 tubing with a 0.049 inch wall thickness. WW-T-787 requires the tube shall be seamless and uniform in quality and temper [2]. The test pressure for this line is 3000 psi, and the operational pressure for this line is estimated to be between 45 psi and 1500 psi based on dynamic loading during flight. Examination of the fracture surface found evidence of arrest bands originating on the inner diameter (Fig 3). Ductile dimples are observed on the tube fractures (Fig. 4). The etched cross-section revealed thinning and work-hardening in the burst region (Fig. 5). The wall thickness just outside the work-hardened fracture region measured 0.035". Barlow's Formula: P = 2St/D, where P is burst pressure, S is allowable stress, t is wall thickness and D is the outer diameter of tube. Using the ultimate tensile strength of 28 ksi and a measured wall thickness of 0.035 inches at burst, P = 5.2 ksi (burst pressure). Using the yield of 13 ksi (YS) for aluminum 5052-0, plastic deformation will happen at P = 2.4 ksi suggesting plastic deformation occurred at a proof pressure of 3.0 ksi. Conclusion: The burst resulted from high stress, low-cycle fatigue. Evidence of arrest bands originating on the inner diameter. Fracture is predominately shear dimples, characteristic of high load ductile fractures (Fig 6). Section wall reduction in the burst region. Plastic deformation and thinning of the out-of-specification tube wall likely happened during the initial proof testing years ago. Metallography of tubing away from rupture site confirmed tubing was seamless. Based on the tube microstructure, it is likely that the initial wall thickness was about 30 % thinner than the requirement of 0.049 inches. Fracture initiated on the ID and progressed to the OD (shear lip). The tube is made of the correct material of 5052-0 aluminum as verified using Optical Emission Spectroscopy (Table 2). The tubing hardness tested 77 HV100 (77 HRE). This hardness is slightly above the requirement for 70 HRE maximum for aluminum 5052-0 in AMS 2658C [3].

Chemical Signatures of and Precursors to Fractures Using Fluid Inclusion Stratigraphy

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

Lorie M. Dilley

Enhanced Geothermal Systems (EGS) are designed to recover heat from the subsurface by mechanically creating fractures in subsurface rocks. Open or recently closed fractures would be more susceptible to enhancing the permeability of the system. Identifying dense fracture areas as well as large open fractures from small fracture systems will assist in fracture stimulation site selection. Geothermal systems are constantly generating fractures (Moore, Morrow et al. 1987), and fluids and gases passing through rocks in these systems leave small fluid and gas samples trapped in healed microfractures. These fluid inclusions are faithful records of pore fluid chemistry. Fluid inclusions trappedmore » in minerals as the fractures heal are characteristic of the fluids that formed them, and this signature can be seen in fluid inclusion gas analysis. This report presents the results of the project to determine fracture locations by the chemical signatures from gas analysis of fluid inclusions. With this project we hope to test our assumptions that gas chemistry can distinguish if the fractures are open and bearing production fluids or represent prior active fractures and whether there are chemical signs of open fracture systems in the wall rock above the fracture. Fluid Inclusion Stratigraphy (FIS) is a method developed for the geothermal industry which applies the mass quantification of fluid inclusion gas data from drill cuttings and applying known gas ratios and compositions to determine depth profiles of fluid barriers in a modern geothermal system (Dilley, 2009; Dilley et al., 2005; Norman et al., 2005). Identifying key gas signatures associated with fractures for isolating geothermal fluid production is the latest advancement in the application of FIS to geothermal systems (Dilley and Norman, 2005; Dilley and Norman, 2007). Our hypothesis is that peaks in FIS data are related to location of fractures. Previous work (DOE Grant DE-FG36-06GO16057) has indicated differences in the chemical signature of fluid inclusions between open and closed fractures as well as differences in the chemical signature of open fractures between geothermal systems. Our hypothesis is that open fracture systems can be identified by their FIS chemical signature; that there are differences based on the mineral assemblages and geology of the system; and that there are chemical precursors in the wall rock above open, large fractures. Specific goals for this project are: (1) To build on the preliminary results which indicate that there are differences in the FIS signatures between open and closed fractures by identifying which chemical species indicate open fractures in both active geothermal systems and in hot, dry rock; (2) To evaluate the FIS signatures based on the geology of the fields; (3) To evaluate the FIS signatures based on the mineral assemblages in the fracture; and (4) To determine if there are specific chemical signatures in the wall rock above open, large fractures. This method promises to lower the cost of geothermal energy production in several ways. Knowledge of productive fractures in the boreholes will allow engineers to optimize well production. This information can aid in well testing decisions, well completion strategies, and in resource calculations. It will assist in determining the areas for future fracture enhancement. This will develop into one of the techniques in the 'tool bag' for creating and managing Enhanced Geothermal Systems.« less

Inferring biological evolution from fracture patterns in teeth.

PubMed

Lawn, Brian R; Bush, Mark B; Barani, Amir; Constantino, Paul J; Wroe, Stephen

2013-12-07

It is hypothesised that specific tooth forms are adapted to resist fracture, in order to accommodate the high bite forces needed to secure, break down and consume food. Three distinct modes of tooth fracture are identified: longitudinal fracture, where cracks run vertically between the occlusal contact and the crown margin (or vice versa) within the enamel side wall; chipping fracture, where cracks run from near the edge of the occlusal surface to form a spall in the enamel at the side wall; and transverse fracture, where a crack runs horizontally through the entire section of the tooth to break off a fragment and expose the inner pulp. Explicit equations are presented expressing critical bite force for each fracture mode in terms of characteristic tooth dimensions. Distinctive transitions between modes occur depending on tooth form and size, and loading location and direction. Attention is focussed on the relatively flat, low-crowned molars of omnivorous mammals, including humans and other hominins and the elongate canines of living carnivores. At the same time, allusion to other tooth forms - the canines of the extinct sabre-tooth (Smilodon fatalis), the conical dentition of reptiles, and the columnar teeth of herbivores - is made to highlight the generality of the methodology. How these considerations impact on dietary behaviour in fossil and living taxa is discussed. © 2013 Elsevier Ltd. All rights reserved.

Fracture development within a stratovolcano: The Karaha-Telaga Bodas geothermal field, Java volcanic arc

USGS Publications Warehouse

Nemcok, M.; Moore, J.N.; Allis, R.; McCulloch, J.

2004-01-01

Karaha-Telaga Bodas, a vapour-dominated geothermal system located in an active volcano in western Java, is penetrated by more than two dozen deep geothermal wells reaching depths of 3 km. Detailed paragenetic and fluid-inclusion studies from over 1000 natural fractures define the liquid-dominated, transitional and vapour-dominated stages in the evolution of this system. The liquid-dominated stage was initiated by ashallow magma intrusion into the base of the volcanic cone. Lava and pyroclastic flows capped a geothermal system. The uppermost andesite flows were only weakly fractured due to the insulating effect of the intervening altered pyroclastics, which absorbed the deformation. Shear and tensile fractures that developed were filled with carbonates at shallow depths, and by quartz, epidote and actinolite at depths and temperatures over 1 km and 300??C. The system underwent numerous cycles of overpressuring, documented by subhorizontal tensile fractures, anastomosing tensile fracture patterns and implosion breccias. The development of the liquidsystem was interrupted by a catastrophic drop in fluid pressures. As the fluids boiled in response to this pressure drop, chalcedony and quartz were selectively deposited in fractures that had the largest apertures and steep dips. The orientations of these fractures indicate that the escaping overpressured fluids used the shortest possible paths to the surface. Vapour-dominated conditions were initiated at this time within a vertical chimney overlying the still hot intrusion. As pressures declined, these conditions spread outward to form the marginal vapour-dominated region encountered in the drill holes. Downward migration of the chimney, accompanied by growth of the marginal vapour-dominated regime, occurred as the intrusion cooled and the brittle-ductile transition migrated to greater depths. As the liquids boiled off, condensate that formed at the top of the vapour-dominated zone percolated downward and low-salinity meteoric water entered the marginal parts of the system. Calcite, anhydrite and fluorite precipitated in fractures on heating. Progressive sealing of the fractures resulted in the downward migration of the cap rock. In response to decreased pore pressure in the expanding vapour zone, walls of the fracture system within the vapour-dominated reservoir progressively collapsed. It left only residual permeability in the remaining fracture volume, with apertures supported only by asperities or propping breccia. In places where normal stresses acting on the fracture walls exceeded the compressive strength of the wall rock, the fractures have completely collapsed. Fractures within the present-day cap rock include strike- and oblique-slip faults, normal faults and tensile fractures, all controlled by a strike-slip stress regime. The reservoir is characterized by normal faults and tensile fractures controlled by a normal-fault stress regime. The fractures show no evidence that the orientation of the stress field has changed since fracture propagation began. Fluid migration in the lava and pyroclastic flows is controlled by fractures. Matrix permeability controls fluid flow in the sedimentary sections of the reservoir. Productive fractures are typically roughly perpendicular to the minimum compressive stress, ??3, and are prone to slip and dilation within the modern stress regime. ?? The Geological Society of London 2004.

In Situ Splitting of a Rib Bone Graft for Reconstruction of Orbital Floor and Medial Wall.

PubMed

Uemura, Tetsuji; Yanai, Tetsu; Yasuta, Masato; Harada, Yoshimi; Morikawa, Aya; Watanabe, Hidetaka; Kurokawa, Masato

2017-06-01

In situ splitting of rib bone graft was conducted in 22 patients for the repair of orbital fracture with no other complicating fractures. A bone graft was harvested from the sixth or seventh rib in the right side. The repair of the orbital floor and medial wall was successful in all the cases. Ten patients had bone grafting to the orbital floor, eight had it done onto medial wall, and 4 onto both floor and wall after reduction. The mean length of in situ rib bone graft was 40.9 mm (range, 20-70 mm), the mean width of these was 14.9 mm (range, 8-20 mm). The bone grafting was done by one leaf for 15 cases and two leafs for 7 cases in size of defects. The technique of in situ splitting of a rib bone graft for the repair of the orbital floor and medial wall is a simple and safe procedure, easily taking out the in situ splitting of a rib, and less pain in donor site. It has proved to be an optimal choice in craniofacial reconstruction, especially the defects of orbital floor and medial wall.

Tectonic controls on large landslide complex: Williams Fork Mountains near Dillon, Colorado

USGS Publications Warehouse

Kellogg, K.S.

2001-01-01

An extensive (~ 25 km2) landslide complex covers a large area on the west side of the Williams Fork Mountains in central Colorado. The complex is deeply weathered and incised, and in most places geomorphic evidence of sliding (breakaways, hummocky topography, transverse ridges, and lobate distal zones) are no longer visible, indicating that the main mass of the slide has long been inactive. However, localized Holocene reactivation of the landslide deposits is common above the timberline (at about 3300 m) and locally at lower elevations. Clasts within the complex, as long as several tens of meters, are entirely of crystalline basement (Proterozoic gneiss and granitic rocks) from the hanging wall of the Laramide (Late Cretaceous to Early Tertiary), west-directed Williams Range thrust, which forms the western structural boundary of the Colorado Front Range. Late Cretaceous shale and sandstone compose most footwall rocks. The crystalline hanging-wall rocks are pervasively fractured or shattered, and alteration to clay minerals is locally well developed. Sackung structures (trenches or small-scale grabens and upslope-facing scarps) are common near the rounded crest of the range, suggesting gravitational spreading of the fractured rocks and oversteepening of the mountain flanks. Late Tertiary and Quaternary incision of the Blue River Valley, just west of the Williams Fork Mountains, contributed to the oversteepening. Major landslide movement is suspected during periods of deglaciation when abundant meltwater increased pore-water pressure in bedrock fractures. A fault-flexure model for the development of the widespread fracturing and weakening of the Proterozoic basement proposes that the surface of the Williams Range thrust contains a concave-downward flexure, the axis of which coincides approximately with the contact in the footwall between Proterozoic basement and mostly Cretaceous rocks. Movement of brittle, hanging-wall rocks through the flexure during Laramide deformation pervasively fractured the hanging-wall rocks. ?? 2001 Elsevier Science B.V. All rights reserved.

Fractal vein distributions within a fault-fracture mesh in an exhumed accretionary mélange, Chrystalls Beach Complex, New Zealand

NASA Astrophysics Data System (ADS)

Fagereng, Åke

2011-05-01

A well developed fault-fracture mesh is observed in the Chrystalls Beach Complex, an accretionary mélange within the Otago Schist on the South Island of New Zealand. In this study, an analysis of vein thicknesses and clustering of veins is presented. Both shear and extension veins have a power-law thickness distribution. Measures of vein spacing best fit a power-law distribution, but a small data set limits this interpretation to a small fractal range. Vein clustering varies from random to moderately clustered between outcrops, and is the greatest where a large proportion of relatively competent blocks occurs within the mélange. Fractures are distributed within the mélange matrix, and this localized deformation requires heterogeneity in rheology and/or fluid pressure distribution, whereas pervasive, distributed deformation occurs in relatively homogeneous rock. The overall trend of this deformation being mainly accommodated by thin veins required that new fractures formed preferentially over refracturing existing veins, which highlights the distributed nature of deformation within a fault-fracture mesh. The predominance of new fractures may result from vein material being stronger than the cleaved wall rock, such that wall rock failure occurred instead of reopening of pre-existing shear and extension veins.

Acquired simulated brown syndrome following surgical repair of medial orbital wall fracture.

PubMed

Hwang, Jong-uk; Lim, Hyun Taek

2005-03-01

Simulated Brown syndrome is a term applied to a myriad of disorders that cause a Brown syndrome-like motility. We encountered a case of acquired simulated Brown syndrome in a 41-year-old man following surgical repair of fractures of both medial orbital walls. He suffered from diplopia in primary gaze, associated with hypotropia of the affected eye. We performed an ipsilateral recession of the left inferior rectus muscle as a single-stage intraoperative adjustment procedure under topical anesthesia, rather than the direct approach to the superior oblique tendon. Postoperatively, the patient was asymptomatic in all diagnostic gaze positions.

Research on Crack Formation in Gypsum Partitions with Doorway by Means of FEM and Fracture Mechanics

NASA Astrophysics Data System (ADS)

Kania, Tomasz; Stawiski, Bohdan

2017-10-01

Cracking damage in non-loadbearing internal partition walls is a serious problem that frequently occurs in new buildings within the short term after putting them into service or even before completion of construction. Damage in partition walls is sometimes so great that they cannot be accepted by their occupiers. This problem was illustrated by the example of damage in a gypsum partition wall with doorway attributed to deflection of the slabs beneath and above it. In searching for the deflection which causes damage in masonry walls, fracture mechanics applied to the Finite Element Method (FEM) have been used. For a description of gypsum behaviour, the smeared cracking material model has been selected, where stresses are transferred across the narrowly opened crack until its width reaches the ultimate value. Cracks in the Finite Element models overlapped the real damage observed in the buildings. In order to avoid cracks under the deflection of large floor slabs, the model of a wall with reinforcement in the doorstep zone and a 40 mm thick elastic junction between the partition and ceiling has been analysed.

Rib fracture repair: indications, technical issues, and future directions.

PubMed

Nirula, Raminder; Diaz, Jose J; Trunkey, Donald D; Mayberry, John C

2009-01-01

Rib fracture repair has been performed at selected centers around the world for more than 50 years; however, the operative indications have not been established and are considered controversial. The outcome of a strictly nonoperative approach may not be optimal. Potential indications for rib fracture repair include flail chest, painful, movable rib fractures refractory to conventional pain management, chest wall deformity/defect, rib fracture nonunion, and during thoracotomy for other traumatic indication. Rib fracture repair is technically challenging secondary to the human rib's relatively thin cortex and its tendency to fracture obliquely. Nonetheless, several effective repair systems have been developed. Future directions for progress on this important surgical problem include the development of minimally invasive techniques and the conduct of multicenter, randomized trials.

Accuracy and predictability in use of AO three-dimensionally preformed titanium mesh plates for posttraumatic orbital reconstruction: a pilot study.

PubMed

Scolozzi, Paolo; Momjian, Armen; Heuberger, Joris; Andersen, Elene; Broome, Martin; Terzic, Andrej; Jaques, Bertrand

2009-07-01

The aim of this study was to prospectively evaluate the accuracy and predictability of new three-dimensionally preformed AO titanium mesh plates for posttraumatic orbital wall reconstruction.We analyzed the preoperative and postoperative clinical and radiologic data of 10 patients with isolated blow-out orbital fractures. Fracture locations were as follows: floor (N = 7; 70%), medial wall (N = 1; 1%), and floor/medial wall (N = 2; 2%). The floor fractures were exposed by a standard transconjunctival approach, whereas a combined transcaruncular transconjunctival approach was used in patients with medial wall fractures. A three-dimensional preformed AO titanium mesh plate (0.4 mm in thickness) was selected according to the size of the defect previously measured on the preoperative computed tomographic (CT) scan examination and fixed at the inferior orbital rim with 1 or 2 screws. The accuracy of plate positioning of the reconstructed orbit was assessed on the postoperative CT scan. Coronal CT scan slices were used to measure bony orbital volume using OsiriX Medical Image software. Reconstructed versus uninjured orbital volume were statistically correlated.Nine patients (90%) had a successful treatment outcome without complications. One patient (10%) developed a mechanical limitation of upward gaze with a resulting handicapping diplopia requiring hardware removal. Postoperative orbital CT scan showed an anatomic three-dimensional placement of the orbital mesh plates in all of the patients. Volume data of the reconstructed orbit fitted that of the contralateral uninjured orbit with accuracy to within 2.5 cm(3). There was no significant difference in volume between the reconstructed and uninjured orbits.This preliminary study has demonstrated that three-dimensionally preformed AO titanium mesh plates for posttraumatic orbital wall reconstruction results in (1) a high rate of success with an acceptable rate of major clinical complications (10%) and (2) an anatomic restoration of the bony orbital contour and volume that closely approximates that of the contralateral uninjured orbit.

Land-Surface Subsidence and Open Bedrock Fractures in the Tully Valley, Onondaga County, New York

USGS Publications Warehouse

Hackett, William R.; Gleason, Gayle C.; Kappel, William M.

2009-01-01

Open bedrock fractures were mapped in and near two brine field areas in Tully Valley, New York. More than 400 open fractures and closed joints were mapped for dimension, orientation, and distribution along the east and west valley walls adjacent to two former brine fields. The bedrock fractures are as much as 2 feet wide and over 50 feet deep, while linear depressions in the soil, which are 3 to 10 feet wide and 3 to 6 feet deep, indicate the presence of open bedrock fractures below the soil. The fractures are probably the result of solution mining of halite deposits about 1,200 feet below the land surface.

Petrophysical, Geochemical, and Hydrological Evidence for Extensive Fracture-Mediated Fluid and Heat Transport in the Alpine Fault's Hanging-Wall Damage Zone

NASA Astrophysics Data System (ADS)

Townend, John; Sutherland, Rupert; Toy, Virginia G.; Doan, Mai-Linh; Célérier, Bernard; Massiot, Cécile; Coussens, Jamie; Jeppson, Tamara; Janku-Capova, Lucie; Remaud, Léa.; Upton, Phaedra; Schmitt, Douglas R.; Pezard, Philippe; Williams, Jack; Allen, Michael John; Baratin, Laura-May; Barth, Nicolas; Becroft, Leeza; Boese, Carolin M.; Boulton, Carolyn; Broderick, Neil; Carpenter, Brett; Chamberlain, Calum J.; Cooper, Alan; Coutts, Ashley; Cox, Simon C.; Craw, Lisa; Eccles, Jennifer D.; Faulkner, Dan; Grieve, Jason; Grochowski, Julia; Gulley, Anton; Hartog, Arthur; Henry, Gilles; Howarth, Jamie; Jacobs, Katrina; Kato, Naoki; Keys, Steven; Kirilova, Martina; Kometani, Yusuke; Langridge, Rob; Lin, Weiren; Little, Tim; Lukacs, Adrienn; Mallyon, Deirdre; Mariani, Elisabetta; Mathewson, Loren; Melosh, Ben; Menzies, Catriona; Moore, Jo; Morales, Luis; Mori, Hiroshi; Niemeijer, André; Nishikawa, Osamu; Nitsch, Olivier; Paris, Jehanne; Prior, David J.; Sauer, Katrina; Savage, Martha K.; Schleicher, Anja; Shigematsu, Norio; Taylor-Offord, Sam; Teagle, Damon; Tobin, Harold; Valdez, Robert; Weaver, Konrad; Wiersberg, Thomas; Zimmer, Martin

2017-12-01

Fault rock assemblages reflect interaction between deformation, stress, temperature, fluid, and chemical regimes on distinct spatial and temporal scales at various positions in the crust. Here we interpret measurements made in the hanging-wall of the Alpine Fault during the second stage of the Deep Fault Drilling Project (DFDP-2). We present observational evidence for extensive fracturing and high hanging-wall hydraulic conductivity (˜10-9 to 10-7 m/s, corresponding to permeability of ˜10-16 to 10-14 m2) extending several hundred meters from the fault's principal slip zone. Mud losses, gas chemistry anomalies, and petrophysical data indicate that a subset of fractures intersected by the borehole are capable of transmitting fluid volumes of several cubic meters on time scales of hours. DFDP-2 observations and other data suggest that this hydrogeologically active portion of the fault zone in the hanging-wall is several kilometers wide in the uppermost crust. This finding is consistent with numerical models of earthquake rupture and off-fault damage. We conclude that the mechanically and hydrogeologically active part of the Alpine Fault is a more dynamic and extensive feature than commonly described in models based on exhumed faults. We propose that the hydrogeologically active damage zone of the Alpine Fault and other large active faults in areas of high topographic relief can be subdivided into an inner zone in which damage is controlled principally by earthquake rupture processes and an outer zone in which damage reflects coseismic shaking, strain accumulation and release on interseismic timescales, and inherited fracturing related to exhumation.

222Rn transport in a fractured crystalline rock aquifer: Results from numerical simulations

USGS Publications Warehouse

Folger, P.F.; Poeter, E.; Wanty, R.B.; Day, W.; Frishman, D.

1997-01-01

Dissolved 222Rn concentrations in ground water from a small wellfield underlain by fractured Middle Proterozoic Pikes Peak Granite southwest of Denver, Colorado range from 124 to 840 kBq m-3 (3360-22700 pCi L-1). Numerical simulations of flow and transport between two wells show that differences in equivalent hydraulic aperture of transmissive fractures, assuming a simplified two-fracture system and the parallel-plate model, can account for the different 222Rn concentrations in each well under steady-state conditions. Transient flow and transport simulations show that 222Rn concentrations along the fracture profile are influenced by 222Rn concentrations in the adjoining fracture and depend on boundary conditions, proximity of the pumping well to the fracture intersection, transmissivity of the conductive fractures, and pumping rate. Non-homogeneous distribution (point sources) of 222Rn parent radionuclides, uranium and 226Ra, can strongly perturb the dissolved 222Rn concentrations in a fracture system. Without detailed information on the geometry and hydraulic properties of the connected fracture system, it may be impossible to distinguish the influence of factors controlling 222Rn distribution or to determine location of 222Rn point sources in the field in areas where ground water exhibits moderate 222Rn concentrations. Flow and transport simulations of a hypothetical multifracture system consisting of ten connected fractures, each 10 m in length with fracture apertures ranging from 0.1 to 1.0 mm, show that 222Rn concentrations at the pumping well can vary significantly over time. Assuming parallel-plate flow, transmissivities of the hypothetical system vary over four orders of magnitude because transmissivity varies with the cube of fracture aperture. The extreme hydraulic heterogeneity of the simple hypothetical system leads to widely ranging 222Rn values, even assuming homogeneous distribution of uranium and 226Ra along fracture walls. Consequently, it is concluded that 222Rn concentrations vary, not only with the geometric and stress factors noted above, but also according to local fracture aperture distribution, local groundwater residence time, and flux of 222Rn from parent radionuclides along fracture walls.

Fluoride abundance and controls in fresh groundwater in Quaternary deposits and bedrock fractures in an area with fluorine-rich granitoid rocks.

PubMed

Berger, Tobias; Mathurin, Frédéric A; Drake, Henrik; Åström, Mats E

2016-11-01

This study focuses on fluoride (F(-)) concentrations in groundwater in an area in northern Europe (Laxemar, southeast Sweden) where high F(-) concentrations have previously been found in surface waters such as streams and quarries. Fluoride concentrations were determined over time in groundwater in the Quaternary deposits ("regolith groundwater"), and with different sampling techniques from just beneath the ground surface to nearly -700m in the bedrock (fracture) groundwater. A number of potential controls of dissolved F(-) were studied, including geological variables, mineralogy, mineral chemistry and hydrology. In the regolith groundwater the F(-) concentrations (0.3-4.2mg/L) were relatively stable over time at each sampling site but varied widely among the sampling sites. In these groundwaters, the F(-) concentrations were uncorrelated with sample (filter) depth and the water table in meters above sea level (masl), with the thicknesses of the groundwater column and the regolith, and with the distribution of soil types at the sampling sites. Fluoride concentrations were, however, correlated with the anticipated spatial distribution of erosional material (till) derived from a F-rich circular granite intrusion. Abundant release of F(-) from such material is thus suggested, primarily via dissolution of fluorite and weathering of biotite. In the fresh fracture groundwater, the F(-) concentrations (1.2-7.4mg/L) were generally higher than in the regolith groundwater, and were uncorrelated with depth and with location relative to the granite intrusion. Two mechanisms explaining the overall high F(-) levels in the fracture groundwater were addressed. First, weathering/dissolution of fluorite, bastnäsite and apophyllite, which are secondary minerals formed in the fractures during past hydrothermal events, and biotite which is a primary mineral exposed on fracture walls. Second, long water-residence times, favoring water-rock interaction and build-up of high dissolved F(-) concentrations. The findings are relevant in contexts of extraction of groundwater for drinking-water purposes. Copyright © 2016 Elsevier B.V. All rights reserved.

[Internal fixation treatment of multiple rib fractures with absorbable rib-connecting-pins under epidural anesthesia].

PubMed

Liu, Jinliang; Li, Keyao; Ju, Zhenlong; Bai, Yan

2011-03-01

To study the indications, methods and experience of absorbable rib-connecting-pins fixation in the treatment of multiple rib fractures. 52 cases with multiple rib fractures were performed internal fixation with absorbable rib-connecting-pins under epidural anesthesia. All cases were followed up for 1 to 12 months, with an average of 5 months. All fractures were achieved healing in 3 to 6 months after the operation and were not found chest wall deformity. Absorbable rib-connecting-pins fixation is a simple and effective method and worthies recommending to perform operation for the appropriate cases with multiple rib fractures.

Fracture patterns at lava-ice contacts on Kokostick Butte, OR, and Mazama Ridge, Mount Rainier, WA: Implications for flow emplacement and cooling histories

NASA Astrophysics Data System (ADS)

Lodge, Robert W. D.; Lescinsky, David T.

2009-09-01

Cooling lava commonly develop polygonal joints that form equant hexagonal columns. Such fractures are formed by thermal contraction resulting in an isotropic tensional stress regime. However, certain linear cooling fracture patterns observed at some lava-ice contacts do not appear to fit the model for formation of cooling fractures and columns because of their preferred orientations. These fracture types include sheet-like (ladder-like rectangular fracture pattern), intermediate (pseudo-aligned individual column-bounding fractures), and pseudopillow (straight to arcuate fractures with perpendicular secondary fractures caused by water infiltration) fractures that form the edges of multiple columns along a single linear fracture. Despite the relatively common occurrence of these types of fractures at lava-ice contacts, their significance and mode of formation have not been fully explored. This study investigates the stress regimes responsible for producing these unique fractures and their significance for interpreting cooling histories at lava-ice contacts. Data was collected at Kokostick Butte dacite flow at South Sister, OR, and Mazama Ridge andesite flow at Mount Rainier, WA. Both of these lava flows have been interpreted as being emplaced into contact with ice and linear fracture types have been observed on their ice-contacted margins. Two different mechanisms are proposed for the formation of linear fracture networks. One possible mechanism for the formation of linear fracture patterns is marginal bulging. Melting of confining ice walls will create voids into which flowing lava can deform resulting in margin-parallel tension causing margin-perpendicular fractures. If viewed from the ice-wall, these fractures would be steeply dipping, linear fractures. Another possible mechanism for the formation of linear fracture types is gravitational settling. Pure shear during compression and settling can result in a tensional environment with similar consequences as marginal inflation. In addition to this, horizontally propagating cooling fractures will be directly influenced by viscous strain caused by the settling of the flow. This would cause preferential opening of fractures horizontally, resulting in vertically oriented fractures. It is important to note that the proposed model for the formation of linear fractures is dependent on contact with and confinement by glacial ice. The influence of flow or movement on cooling fracture patterns has not been extensively discussed in previous modeling of cooling fractures. Rapid cooling of lava by the interaction with water and ice will increase the ability to the capture and preserve perturbations in the stress regime.

Analysis of a Floodplain I-Wall Embedded in Horizontally Stratified Soil Layers During Flood Events Using Corps I-Wall Software Version 1.0

DTIC Science & Technology

2016-07-01

and gap propagation engineering methodology implemented within the software (CI-Wall) makes use of a hydraulic fracturing criterion, as discussed in...moist unit weight). Soil unit weights: Because of the presence of the upper moist (i.e, non - saturated) region R01 clay layer that is immediately...from two series of complete soil-structure interaction (SSI) non - linear finite element studies for I-Walls at New Orleans and other locations

Structures Formed in Experimentally Sheared Artificial Fault Gouge: Precise Statistical Measurements

NASA Astrophysics Data System (ADS)

Dilov, T.; Yoshida, S.; Kato, A.; Nakatani, M.; Mochizuki, H.; Otsuki, K.

2004-12-01

The physical parameters governing earthquakes change with the ongoing formation and evolution of structures, formed in the course of a single or multiple earthquakes, within a particular fault zone or in a broad volume containing interacting tectonic faults. Our precise knowledge of these complex phenomena is still elusive. Especially, works considering geometrical evolution of shear structures under controlled conditions are rare. In order to gain some insights we accomplished a set of 12 laboratory experiments using a servo-controlled direct-shear apparatus, under room temperature and without controlling the air humidity. Two fault gouge layers (industrially produced quartz powder, average particle size of 5 μ m, and pre-shear thickness of 1.5, 2.0 and 3.0 mm,) were sandwiched between three granite blocks. The middle block was slid in order to create frictional structures within the simulated gouge. The total imposed shear strain varies between 0.14 and 11.80. The post-shear gouge layer thickness ranges from 0.99-2.11 mm. Each experiment was run under a constant normal stress (varying from 10-44 MPa through the experiments) and at a constant shear velocity (0.07, 0.7 and 7 μ m/s, through the experiments). Later, in cross-sections of solidified by epoxy glue gouge (parallel to the shear direction, normal to the gouge walls,) we quantified the numerous R-shears, according to their density distribution, fracture thickness (measured perpendicularly to the fracture walls), fracture angle and morphology, and fracture length. In gouge views parallel to the sliding blocks, we measured fracture length and along-strike R-shear morphology. Although the latter data are with lower quality, both observational sets provide precise statistical fracture data as well snapshots of evolving 3D structures. We observe shear localization with decreasing gouge layer thickness and with increasing normal stress. The average density of major fractures increases from 2.83 to 3.67 [fracture/cm] for decrease of the post-shear gouge layer thickness. This is at the expense of a considerable decrease of visible more diffusive minor fractures. On the other hand, the fractures formed at lower normal stress are more irregular and show average fracture density of 4.48 [fracture/cm]. The latter decreases down to 3.64 at higher normal stress, as the fracture morphology becomes more regular. The fracture density increases abruptly from zero, after a small total shear strain (0.15-0.50), and later the change is slower or none with the increase of the total shear strain; the fractures are already localized and they accommodate most of the brittle deformation. Also we observe weak polarity in fracture development in accordance to the sliding sense, especially in the subset of fractures starting from the gouge wall and dying out within the gouge layer. More such fractures are developed along the leading part of the sliding blocks. Our results throw new light over the formation and development of fault-related structures and their dependency on the earthquake-governing physical parameters.

Fracture modes in human teeth.

PubMed

Lee, J J-W; Kwon, J-Y; Chai, H; Lucas, P W; Thompson, V P; Lawn, B R

2009-03-01

The structural integrity of teeth under stress is vital to functional longevity. We tested the hypothesis that this integrity is limited by fracture of the enamel. Experiments were conducted on molar teeth, with a metal rod loaded onto individual cusps. Fracture during testing was tracked with a video camera. Two longitudinal modes of cracking were observed: median cracking from the contact zone, and margin cracking along side walls. Median cracks initiated from plastic damage at the contact site, at first growing slowly and then accelerating to the tooth margin. Margin cracks appeared to originate from the cemento-enamel junction, and traversed the tooth wall adjacent to the loaded cusp from the gingival to the occlusal surface. All cracks remained confined within the enamel shell up to about 550 N. At higher loads, additional crack modes--such as enamel chipping and delamination--began to manifest themselves, leading to more comprehensive failure of the tooth structure.

The Effects of Nuclear Weapons

DTIC Science & Technology

1977-01-01

stage the chamber expanded to form ity and it will have crushed or fractured a spherical cavity 62 feet in radius, much of the rock in the region it...negligible if the flied. A recommended simplification -s to loading is sufficient to fracture the glass. treat the loading a. an impulse, the For asbestos...MULTISTORY, STEEL-FRAME and fracture of beams, failure of col- BU!LDINGS umns, crushing of exterior wall paneis, 5.25 There was apparently only one and

Orbital Floor Fracture with Atypical Extraocular Muscle Entrapment Pattern and Intraoperative Asystole in an Adult

PubMed Central

Merali, Farhan I.; Grant, Michael P.; Mahoney, Nicholas R.

2015-01-01

Extraocular muscle entrapment in a nondisplaced orbital fracture, although a well-known entity in pediatric trauma, is atypical in adults. It can present with a triad of bradycardia, nausea, and in rare cases, syncope, and result in severe fibrosis of damaged and incarcerated muscle. We present a case of muscle entrapment in a partially nondisplaced two-wall orbital fracture with accompanying preoperative bradycardia and intraoperative asystole in an adult PMID:26576246

Coblation vertebroplasty for complex vertebral insufficiency fractures.

PubMed

Wilson, David J; Owen, Sara; Corkill, Rufus A

2013-07-01

Coblation to create a cavity in the affected vertebral body was performed for complex fractures and/or when there was a posterior wall defect. This permitted a low-pressure injection and potentially reduces the risk of extravasation of cement into the spinal canal. Prospective audit for outcome measures and complications allowed retrospective review of cases treated by coblation. A commercial wand inserted via a wide-bore vertebroplasty needle created a cavity before inserting cement. A visual analogue scale assessed pain and Roland Morris scoring assessed mobility. Thirty-two coblation procedures were performed. Primary diagnoses were myeloma, metastases, osteoporosis and trauma. Outcome measures were recorded with a 56 % success rate, 6 % no change and 32 % with mixed but mainly positive results; 6 % died before follow-up. No complications were observed; in particular no patient suffered neurological damage and none have developed subsequent fractures at the treated levels. This technique makes possible cementation of patients who would otherwise be unsuitable for vertebroplasty. The modest pain and disability improvement is partly due to our stringent criteria as well as fracture complexity. Further work will assess the efficacy of the method compared with conservative measures. • Treatment of vertebral compression fractures with possible posterior wall defects is controversial. • Coblation before vertebroplasty allows a low-pressure injection into fractured vertebrae. • This technique reduces risk of extravasation of cement. • No serious complication of our coblation procedures was observed.

Effects of aperture variability and wettability on immiscible displacement in fractures

NASA Astrophysics Data System (ADS)

Yang, Zhibing; Méheust, Yves; Neuweiler, Insa

2017-04-01

Fluid-fluid displacement in porous and fractured media is an important process. Understanding and controlling this process is key to many practical applications, such as hydrocarbon recovery, geological storage of CO2, groundwater remediation, etc. Here, we numerically study fluid-fluid displacement in rough-walled fractures. We focus on the combined effect of wettability and fracture surface topography on displacement patterns and interface growth. We develop a novel numerical model to simulate dynamic fluid invasion under the influence of capillary and viscous forces. The capillary force is calculated using the two principal curvatures (aperture-induced curvature and in-plane curvature) at the fluid-fluid interface, and the viscous force is taken into account by solving the fluid pressure distribution. The aperture field of a fracture is represented by a spatially correlated random field, which is described by a power spectrum for the fracture wall topography and a cutoff wave-length. We numerically produce displacement patterns ranging from stable displacement, capillary fingering, and viscous fingering, as well as the transitions between them. We show that both reducing the aperture variability and increasing the contact angle (from drainage to weak imbibition) stabilize the displacement due to the influence of the in-plane curvature, an effect analogous to that of the cooperative pore filling in porous media. Implications of these results will be discussed.

Rib fractures induced by coughing: an unusual cause of acute chest pain.

PubMed

De Maeseneer, M; De Mey, J; Debaere, C; Meysman, M; Osteaux, M

2000-03-01

We report three patients with stress fractures of the ribs induced by coughing. Standard radiographs of the chest and ribs did not reveal evidence of rib fractures in any of the patients. Bone scintigraphy, performed 1 to 2 weeks after initial onset of symptoms, showed a focal area of increased uptake along the chest wall in all cases. Thin section angulated helical CT directly visualized the subtle rib fractures. Initial diagnosis of a cough-induced fracture of the rib may be difficult because of the associated underlying disorder, and unnecessary examinations are commonly performed. Identification of a cough-induced fracture of the rib using helical CT may be clinically important to avoid unnecessary concern and additional examinations.

A Novel Fixation System for Acetabular Quadrilateral Plate Fracture: A Comparative Biomechanical Study

PubMed Central

Zha, Guo-Chun; Sun, Jun-Ying; Dong, Sheng-Jie; Zhang, Wen; Luo, Zong-Ping

2015-01-01

This study aims to assess the biomechanical properties of a novel fixation system (named AFRIF) and to compare it with other five different fixation techniques for quadrilateral plate fractures. This in vitro biomechanical experiment has shown that the multidirectional titanium fixation (MTF) and pelvic brim long screws fixation (PBSF) provided the strongest fixation for quadrilateral plate fracture; the better biomechanical performance of the AFRIF compared with the T-shaped plate fixation (TPF), L-shaped plate fixation (LPF), and H-shaped plate fixation (HPF); AFRIF gives reasonable stability of treatment for quadrilateral plate fracture and may offer a better solution for comminuted quadrilateral plate fractures or free floating medial wall fracture and be reliable in preventing protrusion of femoral head. PMID:25802849

The Bulging Behavior of Thick-Walled 6063 Aluminum Alloy Tubes Under Double-Sided Pressures

NASA Astrophysics Data System (ADS)

Cui, Xiao-Lei; Wang, Xiao-Song; Yuan, Shi-Jian

2015-05-01

To make further exploration on the deformation behavior of tube under double-sided pressures, the thick-walled 6063 aluminum alloy tubes with an outer diameter of 65 mm and an average thickness of 7.86 mm have been used to be bulged under the combined action of internal and external pressures. In the experiment, two ends of the thick-walled tubes were fixed using the tooth and groove match. Three levels of external pressure (0 MPa, 40 MPa, and 80 MPa), in conjunction with the internal pressure, were applied on the tube outside and inside simultaneously. The effect of external pressure on the bulging behavior of the thick-walled tubes, such as the limiting expansion ratio, the bulging zone profile, and the thickness distribution, has been investigated. It is shown that the limiting expansion ratio, the bulging zone profile, and the thickness distribution in the homogeneous bulging area are all insensitive to the external pressure. However, the external pressure can make the thick-walled tube achieve a thinner wall at the fracture area. It reveals that the external pressure can only improve the fracture limit of the thick-walled 6063 tubes, but it has very little effect on their homogeneous bulging behavior. It might be because the external pressure can only increase the magnitude of the hydrostatic pressure for the tube but has no effect on the Lode parameter.

Incidence of intracranial injury in orbital wall fracture patients not classified as traumatic brain injury.

PubMed

Lee, Hyung-Joo; Kim, Youn-Jung; Seo, Dong-Woo; Sohn, Chang Hwan; Ryoo, Seung Mok; Ahn, Shin; Lee, Yoon-Seon; Kim, Won Young; Lim, Kyoung Soo

2018-05-01

The detection of intracranial injury in patients with facial injury rather than traumatic brain injury (TBI) remains a challenge for emergency physicians. This study aimed to evaluate the incidence and risk factors of intracranial injury in patients with orbital wall fracture (OWF), who were classified with a chief complaint of facial injury rather than TBI. This retrospective case-control study enrolled adult OWF patients (age ≥18 years) who presented at the hospital between January 2004 and March 2016. Patients with definite TBI were excluded because non-contrast head computed tomography (CT) is recommended for such patients. A total of 1220 patients with OWF were finally enrolled. CT of the head was performed on 677 patients, and the incidence of concomitant intracranial injury was found to be 9% (62/677). Patients with definite TBI were excluded. Symptoms raising a suspicion of TBI, such as loss of consciousness, alcohol intoxication, or vomiting, were present in 347 of the patients, with 44 of these patients (13%) showing a concomitant intracranial injury. Of the 330 patients without such symptoms, 18 (6%) demonstrated a concomitant intracranial injury. In OWF patients, superior wall fracture (odds ratio [OR], 4.15; 95% confidence interval [CI], 2.06-8.34; P < 0.001), associated frontal bone fracture (OR, 4.38; 95% CI, 2.08-9.23; P < 0.001), and older age (decades) (OR, 1.03; 95% CI, 1.01-1.04; P = 0.002) were independent risk factors for concomitant intracranial injury. Emergency physicians should maintain a high degree of suspicion of TBI, even when their primary concern is facial trauma with OWF. Head CT is recommended for OWF patients with a superior OWF, frontal bone fracture, or increased age. Copyright © 2018 Elsevier Ltd. All rights reserved.

Fracture identification based on remote detection acoustic reflection logging

NASA Astrophysics Data System (ADS)

Zhang, Gong; Li, Ning; Guo, Hong-Wei; Wu, Hong-Liang; Luo, Chao

2015-12-01

Fracture identification is important for the evaluation of carbonate reservoirs. However, conventional logging equipment has small depth of investigation and cannot detect rock fractures more than three meters away from the borehole. Remote acoustic logging uses phase-controlled array-transmitting and long sound probes that increase the depth of investigation. The interpretation of logging data with respect to fractures is typically guided by practical experience rather than theory and is often ambiguous. We use remote acoustic reflection logging data and high-order finite-difference approximations in the forward modeling and prestack reverse-time migration to image fractures. First, we perform forward modeling of the fracture responses as a function of the fracture-borehole wall distance, aperture, and dip angle. Second, we extract the energy intensity within the imaging area to determine whether the fracture can be identified as the formation velocity is varied. Finally, we evaluate the effect of the fracture-borehole distance, fracture aperture, and dip angle on fracture identification.

Outcomes of Complete Versus Partial Surgical Stabilization of Flail Chest.

PubMed

Nickerson, Terry P; Thiels, Cornelius A; Kim, Brian D; Zielinski, Martin D; Jenkins, Donald H; Schiller, Henry J

2016-01-01

Rib fractures are common after chest wall trauma. For patients with flail chest, surgical stabilization is a promising technique for reducing morbidity. Anatomical difficulties often lead to an inability to completely repair the flail chest; thus, the result is partial flail chest stabilization (PFS). We hypothesized that patients with PFS have outcomes similar to those undergoing complete flail chest stabilization (CFS). A prospectively collected database of all patients who underwent rib fracture stabilization procedures from August 2009 until February 2013 was reviewed. Abstracted data included procedural and complication data, extent of stabilization, and pulmonary function test results. Of 43 patients who underwent operative stabilization of flail chest, 23 (53%) had CFS and 20 (47%) underwent PFS. Anterior location of the fracture was the most common reason for PFS (45%). Age, sex, operative time, pneumonia, intensive care unit and hospital length of stay, and narcotic use were the same in both groups. Total lung capacity was significantly improved in the CFS group at 3 months. No chest wall deformity was appreciated on follow-up, and no patients underwent additional stabilization procedures following PFS. Despite advances in surgical technique, not all fractures are amenable to repair. There was no difference in chest wall deformity, narcotic use, or clinically significant impairment in pulmonary function tests among patients who underwent PFS compared with CFS. Our data suggest that PFS is an acceptable strategy and that extending or creating additional incisions for CFS is unnecessary.

Preparation and characterization of functionalized single walled carbon nanotubes (fSWCNT)/ Hydroxyapatite (HAp)-Nylon hybridized composite biomaterial to study the mechanical properties

NASA Astrophysics Data System (ADS)

Khanal, Suraj; Leventouri, Theodora; Mahfuz, Hassan; Rondinone, Adam

2014-03-01

Synthetic hydroxyapatite (HAp) bears poor mechanical properties that limit its applicability in orthopedics. We study the possibility of overcoming such limitations by incorporating functionalized single walled carbon nanotubes (fSWCNT) in a biocompatible/bioactive nano-composite. We present results from synthesis and characterization of samples prepared under different processing parameters. Ultra sonication method was to disperse functionalized single walled carbon nanotubes (fSWCNT) in HAp followed by a simple hot assorting method to incorporate with polymerized ɛ-caprolactam. The fracture toughness of the composite materials was tested in compliance with the ASTM D-5045 standard. We have found that while the fracture toughness strongly depends on the processing parameters, a value comparable to the one for cortical bone is achieved. Mechanical properties, electron microscopy and crystal structure properties of the composite materials will be discussed.

Aspects of the Fracture Toughness of Carbon Nanotube Modified Epoxy Polymer Composites

NASA Astrophysics Data System (ADS)

Mirjalili, Vahid

Epoxy resins used in fibre reinforced composites exhibit a brittle fracture behaviour, because they show no sign of damage prior to a catastrophic failure. Rubbery materials and micro-particles have been added to epoxy resins to improve their fracture toughness, which reduces strength and elastic properties. In this research, carbon nanotubes (CNTs) are investigated as a potential toughening agent for epoxy resins and carbon fibre reinforced composites, which can also enhance strength and elastic properties. More specifically, the toughening mechanisms of CNTs are investigated theoretically and experimentally. The effect of aligned and randomly oriented carbon nanotubes (CNTs) on the fracture toughness of polymers was modelled using Elastic Plastic Fracture Mechanics. Toughening from CNT pull-out and rupture were considered, depending on the CNTs critical length. The model was used to identify the effect of CNTs geometrical and mechanical properties on the fracture toughness of CNT-modified epoxies. The modelling results showed that a uniform dispersion and alignment of a high volume fraction of CNTs normal to the crack growth plane would lead to the maximum fracture toughness enhancement. To achieve a uniform dispersion, the effect of processing on the dispersion of single walled and multi walled CNTs in epoxy resins was investigated. An instrumented optical microscope with a hot stage was used to quantify the evolution of the CNT dispersion during cure. The results showed that the reduction of the resin viscosity at temperatures greater than 100 °C caused an irreversible re-agglomeration of the CNTs in the matrix. The dispersion quality was then directly correlated to the fracture toughness of the modified resin. It was shown that the fine tuning of the ratio of epoxy resin, curing agent and CNT content was paramount to the improvement of the base resin fracture toughness. For the epoxy resin (MY0510 from Hexcel), an improvement of 38% was achieved with 0.3 wt.% of Single Walled CNT (SWNT). Finally, the CNT-modified epoxy resin was used to manufacture carbon fibre laminates by resin film infusion and prepreg technologies. The Mode I and Mode II delamination properties of the CNT-modified composite increased by 140% and 127%, respectively. In contrast, this improvement was not observed for the base CNT-modified polymers, used to manufacture the composite laminates. A qualitative analysis of the fractured surface using a Scanning Electron Microscope revealed a good dispersion in the composites samples, confirming the importance of processing to harness the full potential of carbon nanotubes for toughening polymer composites.

Multi-threshold de-noising of electrical imaging logging data based on the wavelet packet transform

NASA Astrophysics Data System (ADS)

Xie, Fang; Xiao, Chengwen; Liu, Ruilin; Zhang, Lili

2017-08-01

A key problem of effectiveness evaluation for fractured-vuggy carbonatite reservoir is how to accurately extract fracture and vug information from electrical imaging logging data. Drill bits quaked during drilling and resulted in rugged surfaces of borehole walls and thus conductivity fluctuations in electrical imaging logging data. The occurrence of the conductivity fluctuations (formation background noise) directly affects the fracture/vug information extraction and reservoir effectiveness evaluation. We present a multi-threshold de-noising method based on wavelet packet transform to eliminate the influence of rugged borehole walls. The noise is present as fluctuations in button-electrode conductivity curves and as pockmarked responses in electrical imaging logging static images. The noise has responses in various scales and frequency ranges and has low conductivity compared with fractures or vugs. Our de-noising method is to decompose the data into coefficients with wavelet packet transform on a quadratic spline basis, then shrink high-frequency wavelet packet coefficients in different resolutions with minimax threshold and hard-threshold function, and finally reconstruct the thresholded coefficients. We use electrical imaging logging data collected from fractured-vuggy Ordovician carbonatite reservoir in Tarim Basin to verify the validity of the multi-threshold de-noising method. Segmentation results and extracted parameters are shown as well to prove the effectiveness of the de-noising procedure.

Operative Fixation of Rib Fractures Indications, Techniques, and Outcomes.

PubMed

Galos, David; Taylor, Benjamin; McLaurin, Toni

2017-01-01

Rib fractures are extremely common injuries and vary in there severity from single nondisplaced fractures to multiple segmental fractures resulting in flail chest and respiratory compromise. Historically, rib fractures have been treated conservatively with pain control and respiratory therapy. However this method may not be the best treatment modality in all situations. Operative fixation of select rib fractures has been increasing in popularity especially in patients with flail chest and respiratory compromise. Newer techniques use muscle sparing approaches and precontoured locking plate technology to obtain stable fixation and allow improved respiration. Current reports shows that rib fracture fixation offers the benefits of improved respiratory mechanics and improved pain control in the severe chest wall injury with resultant improvement in patient outcomes by decreasing time on the ventilator, time in the intensive care unit, and overall hospital length of stay.

Crustal Fractures of Ophir Planum

NASA Technical Reports Server (NTRS)

2002-01-01

(Released 29 April 2002) The Science This THEMIS image covers a tract of plateau territory called Ophir Planum. The most obvious features in this scene are the fractures (ranging from 1 to 5 km wide) running from the upper left to lower right. Localized rifting and deep-seated tension fracturing of the crust probably formed these cracks. The wall rock displayed in the upper part of the cliffs appears to be layered. The southwest-facing wall of the largest and uppermost fracture has classic spur and gully topography. This type of topography is created by differing amounts of erosion. Also seen in this image are some scattered impact craters and some dark wind streaks in the lower right. The Ophir Planum plateau separates two separate smaller canyon systems, not visible in this image, (Candor Chasma to the north and Melas Chasma to the south) in the Valles Marineris canyon complex. The whole Valles Marineris canyon system extends some 4,000 km across the equatorial realms of Mars. For comparison, this would stretch from New York City to San Francisco. The Story Plateaus and spurs might make you think of cowboys on the open plain. 'Spurs' in this context, however, are simply ridges that can be seen on the side of the southwest-facing wall of the large fracture that splits the terrain. Gullies stretch down this slope as well. Both of these features are caused by erosion, which is a mild force of change compared to whatever tension cracked the crust and ripped apart the land. The wall rock displayed in the upper part of the cliffs appears to be layered, suggesting that different kinds of rocks and minerals can be found in each banded zone. The Ophir Planum plateau separates two separate canyon systems in the Valles Marineris complex, the largest canyon in the solar system. If Valles Marineris were on Earth, it would stretch from New York City all the way to San Francisco. That will give you some idea of the geological forces that have acted upon the planet over time. Look for scattered impact craters and some dark wind streaks in the deep dark terrain (lower right) as well.

Nonlinear fracture mechanics-based analysis of thin wall cylinders

NASA Technical Reports Server (NTRS)

Brust, Frederick W.; Leis, Brian N.; Forte, Thomas P.

1994-01-01

This paper presents a simple analysis technique to predict the crack initiation, growth, and rupture of large-radius, R, to thickness, t, ratio (thin wall) cylinders. The method is formulated to deal both with stable tearing as well as fatigue mechanisms in applications to both surface and through-wall axial cracks, including interacting surface cracks. The method can also account for time-dependent effects. Validation of the model is provided by comparisons of predictions to more than forty full scale experiments of thin wall cylinders pressurized to failure.

Applications of 3D orbital computer-assisted surgery (CAS).

PubMed

Scolozzi, P

2017-09-01

The purpose of the present report is to describe the indications for use of 3D orbital computer-assisted surgery (CAS). We analyzed the clinical and radiological data of all patients with orbital deformities treated using intra-operative navigation and CAD/CAM techniques at the Hôpitaux Universitaires de Genève, Switzerland, between 2009 and 2016. We recorded age and gender, orbital deformity, technical and surgical procedure and postoperative complications. One hundred and three patients were included. Mean age was 39.5years (range, 5 to 84years) and 85 (87.5%) were men. Of the 103 patients, 96 had intra-operative navigation (34 for primary and 3 for secondary orbito-zygomatic fractures, 15 for Le Fort fractures, 16 for orbital floor fractures, 10 for combined orbital floor and medial wall fractures, 7 for orbital medial wall fractures, 3 for NOE (naso-orbito-ethmoidal) fractures, 2 for isolated comminuted zygomatic arch fractures, 1 for enophthalmos, 3 for TMJ ankylosis and 2 for fibrous dysplasia bone recontouring), 8 patients had CAD/CAM PEEK-PSI for correction of residual orbital bone contour following craniomaxillofacial trauma, and 1 patient had CAD/CAM surgical splints and cutting guides for correction of orbital hypertelorism. Two patient (1.9%) required revision surgery for readjustment of an orbital mesh. The 1-year follow-up examination showed stable cosmetic and dimensional results in all patients. This study demonstrated that the application of 3D orbital CAS with regards to intra-operative navigation and CAD/CAM techniques allowed for a successful outcome in the patients presented in this series. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Transport of Particle Swarms Through Fractures

NASA Astrophysics Data System (ADS)

Boomsma, E.; Pyrak-Nolte, L. J.

2011-12-01

The transport of engineered micro- and nano-scale particles through fractured rock is often assumed to occur as dispersions or emulsions. Another potential transport mechanism is the release of particle swarms from natural or industrial processes where small liquid drops, containing thousands to millions of colloidal-size particles, are released over time from seepage or leaks. Swarms have higher velocities than any individual colloid because the interactions among the particles maintain the cohesiveness of the swarm as it falls under gravity. Thus particle swarms give rise to the possibility that engineered particles may be transported farther and faster in fractures than predicted by traditional dispersion models. In this study, the effect of fractures on colloidal swarm cohesiveness and evolution was studied as a swarm falls under gravity and interacts with fracture walls. Transparent acrylic was used to fabricate synthetic fracture samples with either (1) a uniform aperture or (2) a converging aperture followed by a uniform aperture (funnel-shaped). The samples consisted of two blocks that measured 100 x 100 x 50 mm. The separation between these blocks determined the aperture (0.5 mm to 50 mm). During experiments, a fracture was fully submerged in water and swarms were released into it. The swarms consisted of dilute suspensions of either 25 micron soda-lime glass beads (2% by mass) or 3 micron polystyrene fluorescent beads (1% by mass) with an initial volume of 5μL. The swarms were illuminated with a green (525 nm) LED array and imaged optically with a CCD camera. In the uniform aperture fracture, the speed of the swarm prior to bifurcation increased with aperture up to a maximum at a fracture width of approximately 10 mm. For apertures greater than ~15 mm, the velocity was essentially constant with fracture width (but less than at 10 mm). This peak suggests that two competing mechanisms affect swarm velocity in fractures. The wall provides both drag, which slows the swarm, and a cohesive force that prevents swarm expansion and the corresponding decrease in particle density. For apertures >15mm, though the drag force is small, the loss of swarm cohesion dominates. In small apertures (<5mm), the drag from the wall dominates causing a loss in speed even though there is strong confinement. From a force-based particle interaction approach, the initial simulation did not capture the observed experimental behavior, i.e., the distinct peak in swarm velocities was not observed. For the funnel shaped aperture, the swarm was observed to bifurcate immediately upon reaching the intersection between the converging aperture and the uniform aperture portions of the fracture. Furthermore, converging apertures resulted in the deceleration of a swarm. Thus, the rate of transport of particle swarms is strongly affected by fracture aperture. Acknowledgment: The authors wish to acknowledge support of this work by the Geosciences Research Program, Office of Basic Energy Sciences US Department of Energy (DE-FG02-09ER16022).

[Pediatric orbital emphysema caused by a compressed-air pistol shot: a case report].

PubMed

Navarro-Mingorance, A; Reyes-Dominguez, S B; León-León, M C

2014-09-01

We report the case of a 2 year-old child with orbital emphysema secondary to a compressed-air gun shot in the malar region, with no evidence of orbital wall fracture. Conservative treatment was applied, and no complications were observed. Orbital emphysema in the absence of an orbital wall fracture is a rare situation. Orbital emphysema is usually seen in facial trauma associated with damage to the adjacent paranasal sinuses or facial bones. To our knowledge there have been very few reports of orbital emphysema caused by a compressed-air injury. Copyright © 2012 Sociedad Española de Oftalmología. Published by Elsevier Espana. All rights reserved.

The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).

PubMed

Joeris, Alexander; Lutz, Nicolas; Blumenthal, Andrea; Slongo, Theddy; Audigé, Laurent

2017-04-01

Background and purpose - To achieve a common understanding when dealing with long bone fractures in children, the AO Pediatric Comprehensive Classification of Long Bone Fractures (AO PCCF) was introduced in 2007. As part of its final validation, we present the most relevant fracture patterns in the upper extremities of a representative population of children classified according to the PCCF. Patients and methods - We included children and adolescents (0-17 years old) diagnosed with 1 or more long bone fractures between January 2009 and December 2011 at the university hospitals in Bern and Lausanne (Switzerland). Patient charts were retrospectively reviewed and fractures were classified from standard radiographs. Results - Of 2,292 upper extremity fractures in 2,203 children and adolescents, 26% involved the humerus and 74% involved the forearm. In the humerus, 61%, and in the forearm, 80% of single distal fractures involved the metaphysis. In adolescents, single humerus fractures were more often epiphyseal and diaphyseal fractures, and among adolescents radius fractures were more often epiphyseal fractures than in other age groups. 47% of combined forearm fractures were distal metaphyseal fractures. Only 0.7% of fractures could not be classified within 1 of the child-specific fracture patterns. Of the single epiphyseal fractures, 49% were Salter-Harris type-II (SH II) fractures; of these, 94% occurred in schoolchildren and adolescents. Of the metaphyseal fractures, 58% showed an incomplete fracture pattern. 89% of incomplete fractures affected the distal radius. Of the diaphyseal fractures, 32% were greenstick fractures. 24 Monteggia fractures occurred in pre-school children and schoolchildren, and 2 occurred in adolescents. Interpretation - The pattern of pediatric fractures in the upper extremity can be comprehensively described according to the PCCF. Prospective clinical studies are needed to determine its clinical relevance for treatment decisions and prognostication of outcome.

The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF)

PubMed Central

Joeris, Alexander; Lutz, Nicolas; Blumenthal, Andrea; Slongo, Theddy; Audigé, Laurent

2017-01-01

Background and purpose To achieve a common understanding when dealing with long bone fractures in children, the AO Pediatric Comprehensive Classification of Long Bone Fractures (AO PCCF) was introduced in 2007. As part of its final validation, we present the most relevant fracture patterns in the upper extremities of a representative population of children classified according to the PCCF. Patients and methods We included children and adolescents (0–17 years old) diagnosed with 1 or more long bone fractures between January 2009 and December 2011 at the university hospitals in Bern and Lausanne (Switzerland). Patient charts were retrospectively reviewed and fractures were classified from standard radiographs. Results Of 2,292 upper extremity fractures in 2,203 children and adolescents, 26% involved the humerus and 74% involved the forearm. In the humerus, 61%, and in the forearm, 80% of single distal fractures involved the metaphysis. In adolescents, single humerus fractures were more often epiphyseal and diaphyseal fractures, and among adolescents radius fractures were more often epiphyseal fractures than in other age groups. 47% of combined forearm fractures were distal metaphyseal fractures. Only 0.7% of fractures could not be classified within 1 of the child-specific fracture patterns. Of the single epiphyseal fractures, 49% were Salter-Harris type-II (SH II) fractures; of these, 94% occurred in schoolchildren and adolescents. Of the metaphyseal fractures, 58% showed an incomplete fracture pattern. 89% of incomplete fractures affected the distal radius. Of the diaphyseal fractures, 32% were greenstick fractures. 24 Monteggia fractures occurred in pre-school children and schoolchildren, and 2 occurred in adolescents. Interpretation The pattern of pediatric fractures in the upper extremity can be comprehensively described according to the PCCF. Prospective clinical studies are needed to determine its clinical relevance for treatment decisions and prognostication of outcome. PMID:27882802

Modeling Dynamic Fracture of Cryogenic Pellets

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

Parks, Paul

This work is part of an investigation with the long-range objective of predicting the size distribution function and velocity dispersion of shattered pellet fragments after a large cryogenic pellet impacts a solid surface at high velocity. The study is vitally important for the shattered pellet injection (SPI) technique, one of the leading technologies being implemented at ORNL for the mitigation of disruption damage on current tokamaks and ITER. The report contains three parts that are somewhat interwoven. In Part I we formulated a self-similar model for the expansion dynamics and velocity dispersion of the debris cloud following pellet impact againstmore » a thick (rigid) target plate. Also presented in Part I is an analytical fracture model that predicts the nominal or mean size of the fragments in the debris cloud and agrees well with known SPI data. The aim of Part II is to gain an understanding of the pellet fracturing process when a pellet is shattered inside a miter tube with a sharp bend. Because miter tubes have a thin stainless steel (SS) wall a permanent deformation (dishing) of the wall is produced at the site of the impact. A review of the literature indicates that most projectile impact on thin plates are those for which the target is deformed and the projectile is perfectly rigid. Such impacts result in “projectile embedding” where the projectile speed is reduced to zero during the interaction so that all the kinetic energy (KE) of the projectile goes into the energy stored in plastic deformation. Much of the literature deals with perforation of the target. The problem here is quite different; the softer pellet easily undergoes complete material failure causing only a small transfer of KE to stored energy of wall deformation. For the real miter tube, we derived a strain energy function for the wall deflection using a non-linear (plastic) stress-strain relation for 304 SS. Using a dishing profile identical to the linear Kirchkoff-Love profile (for lack of a rigorously derived profile) we derived the strain energy associated with the deflection and applied a virtual work principle to find a relationship between the impact (load) pressure to the measured wall deflection depth. The inferred impact pressure was in good agreement with the expected pressure for oblique cryogenic pellet impacts where the pellet shear stress causing cleavage fracture is well above the yield stress for pure shear. The section is concluded with additional discussion on how this wall deformation data lends further support to the analytical fracture model presented in Part I. In Part III we present three different size distribution models. A summary, with a few brief suggestions for a follow on study, is provided at the end of this report.« less

Hydraulic Properties of Closely Spaced Dipping Open Fractures Intersecting a Fluid-Filled Borehole Derived From Tube Wave Generation and Scattering

NASA Astrophysics Data System (ADS)

Minato, Shohei; Ghose, Ranajit; Tsuji, Takeshi; Ikeda, Michiharu; Onishi, Kozo

2017-10-01

Fluid-filled fractures and fissures often determine the pathways and volume of fluid movement. They are critically important in crustal seismology and in the exploration of geothermal and hydrocarbon reservoirs. We introduce a model for tube wave scattering and generation at dipping, parallel-wall fractures intersecting a fluid-filled borehole. A new equation reveals the interaction of tube wavefield with multiple, closely spaced fractures, showing that the fracture dip significantly affects the tube waves. Numerical modeling demonstrates the possibility of imaging these fractures using a focusing analysis. The focused traces correspond well with the known fracture density, aperture, and dip angles. Testing the method on a VSP data set obtained at a fault-damaged zone in the Median Tectonic Line, Japan, presents evidences of tube waves being generated and scattered at open fractures and thin cataclasite layers. This finding leads to a new possibility for imaging, characterizing, and monitoring in situ hydraulic properties of dipping fractures using the tube wavefield.

Biofilm-induced calcium carbonate precipitation: application in the subsurface

NASA Astrophysics Data System (ADS)

Phillips, A. J.; Eldring, J.; Lauchnor, E.; Hiebert, R.; Gerlach, R.; Mitchell, A. C.; Esposito, R.; Cunningham, A. B.; Spangler, L.

2012-12-01

We have investigated mitigation strategies for sealing high permeability regions, like fractures, in the subsurface. This technology has the potential to, for example, improve the long-term security of geologically-stored carbon dioxide (CO2) by sealing fractures in cap rocks or to mitigate leakage pathways to prevent contamination of overlying aquifers from hydraulic fracturing fluids. Sealing technologies using low-viscosity fluids are advantageous since they potentially reduce the necessary injection pressures and increase the radius of influence around injection wells. In this technology, aqueous solutions and suspensions are used to promote microbially-induced mineral precipitation which can be applied in subsurface environments. To this end, a strategy was developed to twice seal a hydraulically fractured, 74 cm (2.4') diameter Boyles Sandstone core, collected in North-Central Alabama, with biofilm-induced calcium carbonate (CaCO3) precipitates under ambient pressures. Sporosarcina pasteurii biofilms were established and calcium and urea containing reagents were injected to promote saturation conditions favorable for CaCO3 precipitation followed by growth reagents to resuscitate the biofilm's ureolytic activity. Then, in order to evaluate this process at relevant deep subsurface pressures, a novel high pressure test vessel was developed to house the 74 cm diameter core under pressures as high as 96 bar (1,400 psi). After determining that no impact to the fracture permeability occurred due to increasing overburden pressure, the fractured core was sealed under subsurface relevant pressures relating to 457 meters (1,500 feet) below ground surface (44 bar (650 psi) overburden pressure). After fracture sealing under both ambient and subsurface relevant pressure conditions, the sandstone core withstood three times higher well bore pressure than during the initial fracturing event, which occurred prior to biofilm-induced CaCO3 mineralization. These studies suggest biofilm-induced CaCO3 precipitation technologies may potentially seal and strengthen high permeability regions or fractures (either natural or induced) in the subsurface. Novel high pressure test vessel to investigate biogeochemical processes under relevant subsurface scales and pressures.

Fracture Development within the Karaha-Telaga Bodas Geothermal Field, Indonesia

USGS Publications Warehouse

Nemcok, M.; Moore, J.N.; Allis, R.; McCulloch, J.

2002-01-01

Karaha-Telaga Bodas is a partially vapor-dominated geothermal system located in an active volcano in western Java. More than 2 dozen geothermal wells have been drilled to depths of 3 km. Detailed paragenetic and fluid-inclusion studies have defined liquid-dominated, transitional and vapor-dominated stages in the evolution of this system. The liquid-dominated stage was initiated by shallow magma intrusion into the base of the volcanic cone. Lava and pyroclastic flows capped a geothermal system. The uppermost andesite flows were only weakly fractured due to the insulating effect of the intervening altered pyroclastics, which absorbed the deformation. Shear and tensile fractures were filled with carbonates at shallow depths and by quartz, epidote and actinolite at depths and temperatures over 1km and 300??C. The system underwent numerous local cycles of overpressuring, which are marked by subhorizontal tensile fractures, anastomosing tensile fractures and implosion breccias. The development of the liquid system was interrupted by a catastrophic drop in fluid pressures. As the fluids boiled in response to this pressure drop, chalcedony and quartz were deposited in fractures having the largest apertures and steep dips. The orientations of these fractures indicate that the escaping overpressured fluids used the shortest possible paths to the surface. Vapor-dominated conditions were initiated within a vertical chimney over the still hot intrusion. As pressures declined these conditions spread outward. Downward migration of the chimney occurred as the intrusion cooled and the brittle-ductile transition migrated to greater depths. Condensate that formed at the top of the vapor-dominated zone percolated downward and lowsalinity meteoric water entered the marginal parts of the system. Calcite, anhydrite, and fluorite precipitated in fractures upon heating. A progressive sealing of the fractures occurred, resulting in the downward migration of the cap rock. In response to decreasing pore pressures in the expanding vapor zone, the fracture system within the vapor-dominated reservoir progressively collapsed, leaving only residual permeability, with apertures supported by asperities or propping breccia. In places, the fractures have completely collapsed where normal stresses acting on the fracture walls exceeded the compressive strength of the wall rock.

Transport of Particle Swarms Through Variable Aperture Fractures

NASA Astrophysics Data System (ADS)

Boomsma, E.; Pyrak-Nolte, L. J.

2012-12-01

Particle transport through fractured rock is a key concern with the increased use of micro- and nano-size particles in consumer products as well as from other activities in the sub- and near surface (e.g. mining, industrial waste, hydraulic fracturing, etc.). While particle transport is often studied as the transport of emulsions or dispersions, particles may also enter the subsurface from leaks or seepage that lead to particle swarms. Swarms are drop-like collections of millions of colloidal-sized particles that exhibit a number of unique characteristics when compared to dispersions and emulsions. Any contaminant or engineered particle that forms a swarm can be transported farther, faster, and more cohesively in fractures than would be expected from a traditional dispersion model. In this study, the effects of several variable aperture fractures on colloidal swarm cohesiveness and evolution were studied as a swarm fell under gravity and interacted with the fracture walls. Transparent acrylic was used to fabricate synthetic fracture samples with (1) a uniform aperture, (2) a converging region followed by a uniform region (funnel shaped), (3) a uniform region followed by a diverging region (inverted funnel), and (4) a cast of a an induced fracture from a carbonate rock. All of the samples consisted of two blocks that measured 100 x 100 x 50 mm. The minimum separation between these blocks determined the nominal aperture (0.5 mm to 20 mm). During experiments a fracture was fully submerged in water and swarms were released into it. The swarms consisted of a dilute suspension of 3 micron polystyrene fluorescent beads (1% by mass) with an initial volume of 5μL. The swarms were illuminated with a green (525 nm) LED array and imaged optically with a CCD camera. The variation in fracture aperture controlled swarm behavior. Diverging apertures caused a sudden loss of confinement that resulted in a rapid change in the swarm's shape as well as a sharp increase in its velocity. Converging apertures caused swarms to decelerate rapidly and become trapped in the transition point between the converging and parallel regions for apertures less than 2.5 mm. In uniform aperture fractures, an optimal aperture range (5 mm to 15 mm) exists where swarm velocity was higher and the swarm maintained cohesion over a longer distance. For apertures below this range the swarms were strongly slowed due to drag from the wall, while for larger apertures the swarm velocity approached an asymptote due to the loss of the walls influence. The transport of particle swarms in fractures is strongly controlled by aperture distribution. While drag from the fracture does slow swarms, especially at small apertures, much of the interesting behavior (shape changes in diverging fracture, optimal aperture in parallel fracture) is best explained by fracture induced preferential confinement that controls the evolution of the swarm. When this confinement is suddenly changed, the swarm responds quickly and dramatically to its new environment. This has important implications for the understanding of contaminant dispersal in subsurface fracture networks because the type of aperture variation can exert a strong influence on particle swarm transport. Acknowledgment: The authors wish to acknowledge support of this work by the Geosciences Research Program, Office of Basic Energy Sciences US Department of Energy (DE-FG02-09ER16022).

The Evolution of Gully Features in Acidalia Planitia

NASA Image and Video Library

2017-10-23

This observation image from NASA's Mars Reconnaisance Orbiter (MRO) captures details regarding the evolution of gully features observed in a crater in Acidalia Planitia. A Context Camera image provides context for these gullies showing an approximately 7-kilometer diameter crater in which we see that the gullies occur exclusively on the northern wall. This is unlike most of the observed gully sites in the northern Martian hemisphere, which typically have gullies on their pole-facing slopes. Another unique observation of this set of gullies is that they start mid-way down the crater's wall rather than cutting directly into the upper crater wall or rim. The younger, more recently active fans are generally rougher than the older, smoother fans that are located near the base of the slope. Consistent with this interpretation, are a number of observed superposition and cross-cutting relationships. The rougher fans are always superimposed over the older, smoother ones. Discontinuous fractures are observed to cross-cut only older features, while the most recently active portions of the gullies, in this case the channels or fans, are not cut by the fractures, but in some cases even superimpose them. This suggests that the fractures formed prior to the last phase of gully activity. https://photojournal.jpl.nasa.gov/catalog/PIA22054

Gorgonum Chaos

NASA Technical Reports Server (NTRS)

2002-01-01

(Released 08 April 2002) This image shows the cratered highlands of Terra Sirenum in the southern hemisphere. Near the center of the image running from left to right one can see long parallel to semi-parallel fractures or troughs called graben. Mars Global Surveyor initially discovered gullies on the south-facing wall of these fractures. This image is located at 38oS, 174oW (186oE).

[Pathological and metabolic bone diseases: Clinical importance for fracture treatment].

PubMed

Oheim, R

2015-12-01

Pathological and metabolic bone diseases are common and relevant occurrences in orthopedics and trauma surgery; however, fractures are often treated as being the illness itself and not seen as the symptom of an underlying bone disease. This is why further diagnostics and systemic treatment options are often insufficiently considered in the routine treatment of fractures. This review focuses on osteoporosis, osteopetrosis, hypophosphatasia and Paget's disease of bone.In patients with osteoporotic vertebral or proximal femur fractures, pharmaceutical treatment to prevent subsequent fractures is an integral part of fracture therapy together with surgical treatment. Osteopetrosis is caused by compromised osteoclastic bone resorption; therefore, even in the face of an elevated bone mass, vitamin D3 supplementation is crucial to avoid clinically relevant hypocalcemia. Unspecific symptoms of the musculoskeletal system, especially together with stress fractures, are typically found in patients suffering from hypophosphatasia. In these patients measurement of alkaline phosphatase shows reduced enzyme activity. Elevated levels of alkaline phosphatase are found in Paget's disease of bone where bisphosphonates are still the treatment of choice.

Bicuspid Axial Wall Height Effect on CAD/CAM Crown Fracture Mode on Preparations Containing Advanced Total Occlusal Convergence.

PubMed

Miller, Matthew; DuVall, Nicholas; Brewster, John; Wajdowicz, Michael N; Harris, Ashley; Roberts, Howard W

2018-02-18

To evaluate bicuspid axial wall height effect on the fracture mode of adhesively luted, all-ceramic CAD/CAM crowns with a 20° total occlusal convergence (TOC). Recently extracted premolars were randomly divided into 4 groups (n = 12) with all-ceramic crown preparations accomplished using a high-speed handpiece inserted into a milling device. Specimens were prepared containing occlusogingival axial wall heights of 3, 2, and 1 mm as well as a group containing a flat preparation surface with no axial wall height. All preparations contained a 20° TOC. Completed preparation surface area was determined, and preparation features confirmed using a digital measuring microscope. Scanned preparations (CEREC) were fitted with milled and crystallized lithium disilicate full coverage restorations and luted with a self-etching adhesive resin cement after hydrofluoric acid etching and silanation. All manufacturer recommendations were followed. Specimens were stored at 37°C/98% humidity for 24 hours. Specimens were tested to failure at a 45° angle to the long axis of the tooth root on a universal testing machine. Failure load was converted to MPa using the available bonding surface area with mean data analyzed using Kruskal-Wallis/Dunn's (p = 0.05) RESULTS: The 3 mm preparation height specimens were similar to the 2 mm specimens, and both demonstrated significantly stronger failure load than the 1 mm axial wall height and flat preparation specimens. The flat preparation and 1 mm axial wall height specimens all failed adhesively, while the 2 mm and 3 mm specimens failed largely due to tooth fracture. Further evidence is provided that CAD/CAM adhesive techniques may compensate for less than ideal preparation features. Under the conditions of this study, bicuspid preparations with a 20° TOC restored with adhesively luted, CAD/CAM e.max CAD crowns require at least 2 mm of axial wall height, but further planned fatigue studies are necessary before definitive recommendations can be made. © 2018 by the American College of Prosthodontists.

Conduit margin heating and deformation during the AD 1886 basaltic Plinian eruption at Tarawera volcano, New Zealand.

PubMed

Schauroth, Jenny; Wadsworth, Fabian B; Kennedy, Ben; von Aulock, Felix W; Lavallée, Yan; Damby, David E; Vasseur, Jérémie; Scheu, Bettina; Dingwell, Donald B

During explosive eruptions, a suspension of gas and pyroclasts rises rapidly within a conduit. Here, we have analysed textures preserved in the walls of a pyroclastic feeder dyke of the AD 1886 Tarawera basaltic Plinian fissure eruption. The samples examined consist of basaltic ash and scoria plastered onto a conduit wall of a coherent rhyolite dome and a welded rhyolitic dome breccia. We examine the textural evidence for the response of the wall material, built of ∼75 vol.% glass and ∼25 vol.% crystals (pore-free equivalent), to mass movement in the adjacent conduit. In the rhyolitic wall material, we quantify the orientation and aspect ratio of biotite crystals as strain markers of simple shear deformation, and interpret juxtaposed regions of vesiculation and vesicle collapse as evidence of conduit wall heating. Systematic changes occur close to the margin: (1) porosity is highly variable, with areas locally vesiculated or densified, (2) biotite crystals are oriented with their long axis parallel to the margin, (3) the biotites have greater aspect ratios close to the margin and (4) the biotite crystals are fractured. We interpret the biotite phenocryst deformation to result from crystal fracture, rotation and cleavage-parallel bookcase translation. These textural observations are inferred to indicate mechanical coupling between the hot gas-ash jet and the conduit wall and reheating of wall rock rhyolite. We couple these observations with a simple 1D conductive heating model to show what minimum temperature the conduit wall needs to reach in order to achieve a temperature above the glass transition throughout the texturally-defined deformed zone. We propose that conduit wall heating and resulting deformation influences conduit margin outgassing and may enhance the intensity of such large basaltic eruptions.

Validation of a new classification for periprosthetic shoulder fractures.

PubMed

Kirchhoff, Chlodwig; Beirer, Marc; Brunner, Ulrich; Buchholz, Arne; Biberthaler, Peter; Crönlein, Moritz

2018-06-01

Successful treatment of periprosthetic shoulder fractures depends on the right strategy, starting with a well-structured classification of the fracture. Unfortunately, clinically relevant factors for treatment planning are missing in the pre-existing classifications. Therefore, the aim of the present study was to describe a new specific classification system for periprosthetic shoulder fractures including a structured treatment algorithm for this important fragility fracture issue. The classification was established, focussing on five relevant items, naming the prosthesis type, the fracture localisation, the rotator cuff status, the anatomical fracture region and the stability of the implant. After considering each single item, the individual treatment concept can be assessed in one last step. To evaluate the introduced classification, a retrospective analysis of pre- and post-operative data of patients, treated with periprosthetic shoulder fractures, was conducted by two board certified trauma surgery consultants. The data of 19 patients (8 male, 11 female) with a mean age of 74 ± five years have been analysed in our study. The suggested treatment algorithm was proven to be reliable, detected by good clinical outcome in 15 of 16 (94%) cases, where the suggested treatment was maintained. Only one case resulted in poor outcome due to post-operative wound infection and had to be revised. The newly developed six-step classification is easy to utilise and extends the pre-existing classification systems in terms of clinically-relevant information. This classification should serve as a simple tool for the surgeon to consider the optimal treatment for his patients.

Groin Injuries (Athletic Pubalgia) and Return to Play.

PubMed

Elattar, Osama; Choi, Ho-Rim; Dills, Vickie D; Busconi, Brian

2016-07-01

Groin pain is a common entity in athletes involved in sports that require acute cutting, pivoting, or kicking such as soccer and ice hockey. Athletic pubalgia is increasingly recognized as a common cause of chronic groin and adductor pain in athletes. It is considered an overuse injury predisposing to disruption of the rectus tendon insertion to the pubis and weakness of the posterior inguinal wall without a clinically detectable hernia. These patients often require surgical therapy after failure of nonoperative measures. A variety of surgical options have been used, and most patients improve and return to high-level competition. PubMed databases were searched to identify relevant scientific and review articles from January 1920 to January 2015 using the search terms groin pain, sports hernia, athletic pubalgia, adductor strain, osteitis pubis, stress fractures, femoroacetabular impingement, and labral tears. Clinical review. Level 4. Athletic pubalgia is an overuse injury involving a weakness in the rectus abdominis insertion or posterior inguinal wall of the lower abdomen caused by acute or repetitive injury of the structure. A variety of surgical options have been reported with successful outcomes, with high rates of return to the sport in the majority of cases. © 2016 The Author(s).

Managing the Pediatric Facial Fracture

PubMed Central

Cole, Patrick; Kaufman, Yoav; Hollier, Larry H.

2009-01-01

Facial fracture management is often complex and demanding, particularly within the pediatric population. Although facial fractures in this group are uncommon relative to their incidence in adult counterparts, a thorough understanding of issues relevant to pediatric facial fracture management is critical to optimal long-term success. Here, we discuss several issues germane to pediatric facial fractures and review significant factors in their evaluation, diagnosis, and management. PMID:22110800

Summary and interpretation of dye-tracer tests to investigate the hydraulic connection of fractures at a ridge-and-valley-wall site near Fishtrap Lake, Pike County, Kentucky

USGS Publications Warehouse

Taylor, Charles J.

1994-01-01

Dye-tracer tests were done during 1985-92 to investigate the hydraulic connection between fractures in Pennsylvanian coal-bearing strata at a ridge-and-valley-wall site near Fishtrap Lake, Pike County, Ky. Fluorescent dye was injected into a core hole penetrating near-surface and mining-induced fractures near the crest of the ridge. The rate and direction of migration of dye in the subsurface were determined by measuring the relative concentration of dye in water samples collected from piezometers completed in conductive fracture zones and fractured coal beds at various stratigraphic horizons within the ridge. Dye-concentration data and water-level measurements for each piezometer were plotted as curves on dye-recovery hydrographs. The dye-recovery hydrographs were used to evaluate trends in the fluctuation of dye concentrations and hydraulic heads in order to identify geologic and hydrologic factors affecting the subsurface transport of dye. The principal factors affecting the transport of dye in the subsurface hydrologic system were determined to be (1) the distribution, interconnection, and hydraulic properties of fractures; (2) hydraulic-head conditions in the near-fracture zone at the time of dye injection; and (3) subsequent short- and long-term fluctuations in recharge to the hydrologic system. In most of the dye-tracer tests, dye-recovery hydrographs are characterized by complex, multipeaked dye-concentration curves that are indicative of a splitting of dye flow as ground water moved through fractures. Intermittent dye pulses (distinct upward spikes in dye concentration) mark the arrivals of dye-labeled water to piezometers by way of discrete fracture-controlled flow paths that vary in length, complexity, and hydraulic conductivity. Dye injections made during relatively high- or increasinghead conditions resulted in rapid transport of dye (within several days or weeks) from near-surf ace fractures to piezometers. Injections made during relatively low- or decreasing-head conditions resulted in dye being trapped in hydraulically dead zones in water-depleted fractures. Residual dye was remobilized from storage and transported (over periods ranging from several months to about 2 years) by increased recharge to the hydrologic system. Subsequent fluctuations in hydraulic gradients, resulting from increases or decreases in recharge to the hydrologic system, acted to speed or slow the transport of dye along the fracture-controlled flow paths. The dye-tracer tests also demonstrated that mining-related disturbances significantly altered the natural fracture-controlled flow paths of the hydrologic system over time. An abandoned underground mine and subsidence-related surface cracks extend to within 250 ft of the principal dye-injection core hole. Results from two of the dye-tracer tests at the site indicate that the annular seal in the core hole was breached by subsurface propagation of the mining-induced fractures. This propagation of fractures resulted in hydraulic short-circuiting between the dye-injection zone in the core hole and two lower piezometer zones, and a partial disruption of the hydraulic connection between the injection core hole and downgradient piezometers on the ridge crest and valley wall. In addition, injected dye was detected in piezometers monitoring a flooded part of the abandoned underground mine. Dye was apparently transported into the mine through a hydraulic connection between the injection core hole and subsidence-related fractures.

Floor-Fractured Craters on Ceres and Implications for Internal Composition and Processes

NASA Astrophysics Data System (ADS)

Buczkowski, D.; Schenk, P.; Scully, J. E. C.; Park, R. S.; Preusker, F.; Raymond, C. A.; Russell, C. T.

2016-12-01

Several of the impact craters on Ceres have patterns of fractures on their floors. These fractures appear similar to those found within a class of lunar craters referred to as Floor-Fractured Craters (FFCs) [1]. Lunar FFCs are characterized by anomalously shallow floors cut by radial, concentric, and/or polygonal fractures, and have been classified into crater classes, Types 1 through 6, based on their morphometric properties [1,2]. Models for their formation have included both floor uplift due to magmatic intrusion below the crater or floor shallowing due to viscous relaxation. However, the observation that the depth versus diameter (d/D) relationship of the FFCs is distinctly shallower than the same association for other lunar craters supports the hypotheses that the floor fractures form due to shallow magmatic intrusion under the crater [2]. We have cataloged the Ceres FFCs according to the classification scheme designed for the Moon. Large (>50 km) Ceres FFCs are most consistent with Type 1 lunar FFCs, having deep floors, central peaks, wall terraces, and radial and/or concentric fractures. Smaller craters on Ceres are more consistent with Type 4 lunar FFCs, having less-pronounced floor fractures and v-shaped moats separating the wall scarp from the crater interior. An analysis of the d/D ratio for Ceres craters shows that, like lunar FFCs, the Ceres FFCs are anomalously shallow. This suggests that the fractures on the floor of Ceres FFCs may be due the intrusion of a low-density material below the craters that is uplifting their floors. While on the Moon the intrusive material is hypothesized to be silicate magma, this is unlikely for Ceres. However, a cryovolcanic extrusive edifice has been identified on Ceres [3], suggesting that cryomagmatic intrusions could be responsible for the formation of the Ceres FFCs. References: [1] Schultz P. (1976) Moon, 15, 241-273 [2] Jozwiak L.M. et al (2015) JGR 117, doi: 10.1029/2012JE004134 [3] Ruesch O. et al (2016) Science

An Approach to Estimate the Flow Through an Irregular Fracture

NASA Astrophysics Data System (ADS)

Liu, Q. Q.; Fan, H. G.

2011-09-01

A new model to estimate the flow in a fracture has been developed in this paper. This model used two sinusoidal-varying walls with different phases to replace the flat planes in the cubic law model. The steady laminar flow between non-symmetric sinusoidal surfaces was numerically solved. The relationships between the effective hydraulic apertures and the phase retardation for different amplitudes and wavelengths are investigated respectively. Finally, a formula of the effective hydraulic aperture of the fracture was carried out based on the numerical results.

Traumatic globe luxation associated with orbital fracture in a child: a case report and literature review.

PubMed

Amaral, Márcio Bruno Figueiredo; Carvalho, Matheus Furtado; Ferreira, André Baptista; Mesquita, Ricardo Alves

2015-03-01

Orbital fracture associated with traumatic globe luxation is rare, as it generally requires trauma with high energy for this to occur. The present case report focused on a child who had been hit by a motorcycle, leading to a globe luxation of the left eye and fractures of the superolateral orbital walls. The patient presented initial cosmetic and psychological benefits from the repositioning of the intact globe and the reduction of the orbital fractures. However, a subsequent evisceration of the globe was required due to persistent proptosis and pain. An ocular prosthesis was also implanted, thus recovering the patient's aesthetics. Thirty-four well-documented cases of traumatic globe luxation could be found in the English literature since 1970. The mean age of patients presenting traumatic globe luxation was 29.5 years. The male gender proved to be more prevalent, with traffic collisions representing the most common accident etiology. Direct orbital trauma with fractures of medial and floor walls displacing the globe into the maxillary sinus represented the most common injury mechanism (38.2 %), followed by an elongated object entering the orbit (26.5 %). Optical nerve avulsion is the most serious complication seen in association with traumatic globe luxation, with the repositioning of the initial globe, with no enucleation or evisceration, representing the main form of management.

[Correlation analysis of cement leakage with volume ratio of intravertebral bone cement to vertebral body and vertebral body wall incompetence in percutaneous vertebroplasty for osteoporotic vertebral compression fractures].

PubMed

Liang, De; Ye, Linqiang; Jiang, Xiaobing; Huang, Weiquan; Yao, Zhensong; Tang, Yongchao; Zhang, Shuncong; Jin, Daxiang

2014-11-01

To investigate the risk factors of cement leakage in percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fracture (OVCF). Between March 2011 and March 2012, 98 patients with single level OVCF were treated by PVP, and the clinical data were analyzed retrospectively. There were 13 males and 85 females, with a mean age of 77.2 years (range, 54-95 years). The mean disease duration was 43 days (range, 15-120 days), and the mean T score of bone mineral density (BMD) was -3.8 (range, -6.7- -2.5). Bilateral transpedicular approach was used in all the patients. The patients were divided into cement leakage group and no cement leakage group by occurrence of cement leakage based on postoperative CT. Single factor analysis was used to analyze the difference between 2 groups in T score of BMD, operative level, preoperative anterior compression degree of operative vertebrae, preoperative middle compression degree of operative vertebrae, preoperative sagittal Cobb angle of operative vertebrae, preoperative vertebral body wall incompetence, cement volume, and volume ratio of intravertebral bone cement to vertebral body. All relevant factors were introduced to logistic regression analysis to analyze the risk factors of cement leakage. All procedures were performed successfully. The mean operation time was 40 minutes (range, 30-50 minutes), and the mean volume ratio of intravertebral bone cement to vertebral body was 24.88% (range, 7.84%-38.99%). Back pain was alleviated significantly in all the patients postoperatively. All patients were followed up with a mean time of 8 months (range, 6-12 months). Cement leakage occurred in 49 patients. Single factor analysis showed that there were significant differences in the volume ratio of intravertebral bone cement to vertebral body and preoperative vertebral body wall incompetence between 2 groups (P < 0.05), while no significant difference in T score of BMD, operative level, preoperative anterior compression degree of operative vertebrae, preoperative middle compression degree of operative vertebrae, preoperative sagittal Cobb angle of operative vertebrae, and cement volume (P > 0.05). The logistic regression analysis showed that the volume ratio of intravertebral bone cement to vertebral body (P < 0.05) and vertebral body wall incompetence (P < 0.05) were the risk factors for occurrence of cement leakage. The volume ratio of intravertebral bone cement to vertebral body and vertebral body wall incompetence are risk factors of cement leakage in PVP for OVCF. Cement leakage is easy to occur in operative level with vertebral body wall incompetence and high volume ratio of intravertebral bone cement to vertebral body.

Fracture hydromechanical response measured by fiber optic distributed acoustic sensing at milliHertz frequencies

NASA Astrophysics Data System (ADS)

Becker, M. W.; Ciervo, C.; Cole, M.; Coleman, T.; Mondanos, M.

2017-07-01

A new method of measuring dynamic strain in boreholes was used to record fracture displacement in response to head oscillation. Fiber optic distributed acoustic sensing (DAS) was used to measure strain at mHz frequencies, rather than the Hz to kHz frequencies typical for seismic and acoustic monitoring. Fiber optic cable was mechanically coupled to the wall of a borehole drilled into fractured crystalline bedrock. Oscillating hydraulic signals were applied at a companion borehole 30 m away. The DAS instrument measured fracture displacement at frequencies of less than 1 mHz and amplitudes of less than 1 nm, in response to fluid pressure changes of less 20 Pa (2 mm H2O). Displacement was linearly related to the log of effective stress, a relationship typically explained by the effect of self-affine fracture roughness on fracture closure. These results imply that fracture roughness affects closure even when displacement is a million times smaller than the fracture aperture.

The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).

PubMed

Audigé, Laurent; Slongo, Theddy; Lutz, Nicolas; Blumenthal, Andrea; Joeris, Alexander

2017-04-01

Background and purpose - The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF) describes the localization and morphology of fractures, and considers severity in 2 categories: (1) simple, and (2) multifragmentary. We evaluated simple and multifragmentary fractures in a large consecutive cohort of children diagnosed with long bone fractures in Switzerland. Patients and methods - Children and adolescents treated for fractures between 2009 and 2011 at 2 tertiary pediatric surgery hospitals were retrospectively included. Fractures were classified according to the AO PCCF. Severity classes were described according to fracture location, patient age and sex, BMI, and cause of trauma. Results - Of all trauma events, 3% (84 of 2,730) were diagnosed with a multifragmentary fracture. This proportion was age-related: 2% of multifragmentary fractures occurred in school-children and 7% occurred in adolescents. In patients diagnosed with a single fracture only, the highest percentage of multifragmentation occurred in the femur (12%, 15 of 123). In fractured paired radius/ulna bones, multifragmentation occurred in 2% (11 of 687); in fractured paired tibia/fibula bones, it occurred in 21% (24 of 115), particularly in schoolchildren (5 of 18) and adolescents (16 of 40). In a multivariable regression model, age, cause of injury, and bone were found to be relevant prognostic factors of multifragmentation (odds ratio (OR) > 2). Interpretation - Overall, multifragmentation in long bone fractures in children was rare and was mostly observed in adolescents. The femur was mostly affected in single fractures and the lower leg was mostly affected in paired-bone fractures. The clinical relevance of multifragmentation regarding growth and long-term functional recovery remains to be determined.

Effective load transfer by a chromium carbide nanostructure in a multi-walled carbon nanotube/copper matrix composite

NASA Astrophysics Data System (ADS)

Cho, Seungchan; Kikuchi, Keiko; Kawasaki, Akira; Kwon, Hansang; Kim, Yangdo

2012-08-01

Multi-walled carbon nanotube (MWCNT) reinforced copper (Cu) matrix composites, which exhibit chromium (Cr) carbide nanostructures at the MWCNT/Cu interface, were prepared through a carbide formation using CuCr alloy powder. The fully densified and oriented MWCNTs dispersed throughout the composites were prepared using spark plasma sintering (SPS) followed by hot extrusion. The tensile strengths of the MWCNT/CuCr composites increased with increasing MWCNTs content, while the tensile strength of MWCNT/Cu composite decreased from that of monolithic Cu. The enhanced tensile strength of the MWCNT/CuCr composites is a result of possible load-transfer mechanisms of the interfacial Cr carbide nanostructures. The multi-wall failure of MWCNTs observed in the fracture surface of the MWCNT/CuCr composites indicates an improvement in the load-bearing capacity of the MWCNTs. This result shows that the Cr carbide nanostructures effectively transferred the tensile load to the MWCNTs during fracture through carbide nanostructure formation in the MWCNT/Cu composite.

Periprosthetic Occult Fractures of the Acetabulum Occur Frequently During Primary THA.

PubMed

Hasegawa, Kazuhiro; Kabata, Tamon; Kajino, Yoshitomo; Inoue, Daisuke; Tsuchiya, Hiroyuki

2017-02-01

Periprosthetic fractures of the acetabulum occurring during primary THA are rare. Periprosthetic occult fractures are defined as those not identified by the surgeon during the procedure which might be missed on a routine postoperative radiograph. However, it is unclear how frequently these fractures occur and whether their presence affects functional recovery. In this study, using routine CT scans that were obtained as part of another primary hip arthroplasty study protocol, we retrospectively assessed (1) the prevalence of occult fractures of the acetabulum occurring during primary THA, (2) the location of occult fractures of the acetabulum during THA, and (3) risk factors contributing to such occult fractures. Between 2004 and 2013, our institute performed 585 primary THAs (cementless or hybrid) in 494 patients with DICOM pre- and postoperative CT; during the period in question, all patients undergoing THA underwent CT before and after surgery. Preoperative CT images were taken as part of a CT-based three-dimensional templating software and navigation system. Postoperative CT images were taken an average of 1 week after surgery as part of a different protocol to evaluate cup position, restoration of leg length and offset, volume of postoperative hematoma to assess anticoagulation effects after THA, and fractures that were not found on routine postoperative radiographs (which we defined as occult fractures). Patients with a history of prior pelvic osteotomy, trauma, and infection were excluded (88 patients/99 hips); 406 patients (102 males and 304 females; 486 hips) form the basis of this report. The mean age of the patients was 60 ± 11 years, with a mean BMI of 23 ± 4 kg/m 2 . The mean followup of the patients with periprosthetic fracture of the acetabulum was 58 ± 28 months (range, 12-131 months). Potential risk factors for occult acetabular fracture including age, sex, BMI, preoperative diagnosis, additional dome screw fixation, composition and size of each cup, and acetabular design were examined in multivariate analysis. Acetabular component designs were categorized as true hemispheric, peripheral self-locking, and elliptical; during the period in question the indications for each cup design were based on the brand of stem used. Comparison between preoperative and postoperative CT images was done to detect the fractures. Patients with fractures identified during surgery were treated with additional dome screw fixation and a 3-week period of nonweightbearing. Patients with occult fractures in this series did not receive additional treatment as we had confirmed secure fixation of the cup during surgery. Occult fractures occurred in 41 hips (8.4%); periprosthetic fractures of the acetabulum were seen during surgery in an additional two hips (0.4%). The superolateral wall was the most frequent location for occult fractures of the acetabulum. After controlling for relevant confounding variables, only the use of peripheral self-locking cups was associated with an increased risk of occult fracture (odds ratio [OR], 2.6 compared with hemispheric cups; 95% CI, 1.2-5.6; p < 0.05). All patients with occult fractures showed bone ingrowth fixation at the final followup, without any additional surgical intervention. Periprosthetic occult fractures of the acetabulum may occur relatively frequently during press-fit impaction. We observed a higher rate of fractures associated with the use of peripheral self-locking components. Occult acetabular fractures not detected on routine postoperative plain films may be ignored if secure fixation of the cup has been confirmed during the operation. Level III, therapeutic study.

Managment of frontal sinus fracture: obliteration sinus with cancellous bone graft.

PubMed

Muminagic, Sahib; Masic, Tarik; Babajic, Emina; Asotic, Mithat

2011-01-01

Frontal sinus fractures make up about 2-15% of all facial fractures.This is relatively low frequency of occurrence, but it has a large potential of complication and may involve not only the frontal sinuse but more importantly the brain and the eyes. The management depends of the complexity. If anterior wall is fractured with grossly involved nasofrontal duct (NFD) in the injury it is paramount to occlude NFD. Very often, sinus obliteration is done at the same time. In our expirience autogenous cancellous bone graft is considered to be the best grafting material. It has the less short - or long-term complications and the donor site morbidity is insignificant.

The evolution of cave systems from the surface to subsurface

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

Loucks, R.G.; Handford, C.R.

1996-01-01

Many carbonate reservoirs are the result of cave-forming processes. The origin and recognition of fractures, breccias, and sediment fills associated with paleocaves were determined through the study of modern and paleocaves systems. Cave formation and destruction are the products of near-surface processes. Near-surface processes include solutional excavation, clastic and chemical sedimentation, and collapse of cave walls and ceilings. Cave sediment is derived from inside and/or outside the system. Depositional mechanisms include suspension, tractional, mass-flow and rock-fall. Collapse of ceilings and walls from chaotic breakdown breccias. These piles can be tens of meters thick and contain large voids and variable amountsmore » of matrix. Cave-roof crackle breccia forms from stress-and tension-related fractures in cave-roof strata. As the cave-bearing strata subside into the subsurface, mechanical compaction increases and restructures the existing breccias and remaining cavities. Fracture porosity increases and breccia and vug porosity decreases. Large cavities collapse forming burial chaotic breakdown breccias. Differentially compacted strata over the collapsed chamber fracture and form burial cave-roof crackle breccias. Continued burial leads to more extensive mechanical compaction causing previously formed clasts to fracture and pack closer together. The resulting product is a rebrecciated chaotic breakdown breccia composed predominantly of small clasts. Rebrecciated blocks are often overprinted by crackling. Subsurface paleocave systems commonly have a complex history with several episodes of fracturing and brecciation. The resulting collapsed-paleocave reservoir targets are not single collapsed passages of tens of feet across, but are homogenized collapsed-cave systems hundreds to several thousand feet across.« less

The evolution of cave systems from the surface to subsurface

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

Loucks, R.G.; Handford, C.R.

1996-12-31

Many carbonate reservoirs are the result of cave-forming processes. The origin and recognition of fractures, breccias, and sediment fills associated with paleocaves were determined through the study of modern and paleocaves systems. Cave formation and destruction are the products of near-surface processes. Near-surface processes include solutional excavation, clastic and chemical sedimentation, and collapse of cave walls and ceilings. Cave sediment is derived from inside and/or outside the system. Depositional mechanisms include suspension, tractional, mass-flow and rock-fall. Collapse of ceilings and walls from chaotic breakdown breccias. These piles can be tens of meters thick and contain large voids and variable amountsmore » of matrix. Cave-roof crackle breccia forms from stress-and tension-related fractures in cave-roof strata. As the cave-bearing strata subside into the subsurface, mechanical compaction increases and restructures the existing breccias and remaining cavities. Fracture porosity increases and breccia and vug porosity decreases. Large cavities collapse forming burial chaotic breakdown breccias. Differentially compacted strata over the collapsed chamber fracture and form burial cave-roof crackle breccias. Continued burial leads to more extensive mechanical compaction causing previously formed clasts to fracture and pack closer together. The resulting product is a rebrecciated chaotic breakdown breccia composed predominantly of small clasts. Rebrecciated blocks are often overprinted by crackling. Subsurface paleocave systems commonly have a complex history with several episodes of fracturing and brecciation. The resulting collapsed-paleocave reservoir targets are not single collapsed passages of tens of feet across, but are homogenized collapsed-cave systems hundreds to several thousand feet across.« less

A simplified model to evaluate the effect of fluid rheology on non-Newtonian flow in variable aperture fractures

NASA Astrophysics Data System (ADS)

Felisa, Giada; Ciriello, Valentina; Longo, Sandro; Di Federico, Vittorio

2017-04-01

Modeling of non-Newtonian flow in fractured media is essential in hydraulic fracturing operations, largely used for optimal exploitation of oil, gas and thermal reservoirs. Complex fluids interact with pre-existing rock fractures also during drilling operations, enhanced oil recovery, environmental remediation, and other natural phenomena such as magma and sand intrusions, and mud volcanoes. A first step in the modeling effort is a detailed understanding of flow in a single fracture, as the fracture aperture is typically spatially variable. A large bibliography exists on Newtonian flow in single, variable aperture fractures. Ultimately, stochastic modeling of aperture variability at the single fracture scale leads to determination of the flowrate under a given pressure gradient as a function of the parameters describing the variability of the aperture field and the fluid rheological behaviour. From the flowrate, a flow, or 'hydraulic', aperture can then be derived. The equivalent flow aperture for non-Newtonian fluids of power-law nature in single, variable aperture fractures has been obtained in the past both for deterministic and stochastic variations. Detailed numerical modeling of power-law fluid flow in a variable aperture fracture demonstrated that pronounced channelization effects are associated to a nonlinear fluid rheology. The availability of an equivalent flow aperture as a function of the parameters describing the fluid rheology and the aperture variability is enticing, as it allows taking their interaction into account when modeling flow in fracture networks at a larger scale. A relevant issue in non-Newtonian fracture flow is the rheological nature of the fluid. The constitutive model routinely used for hydro-fracturing modeling is the simple, two-parameter power-law. Yet this model does not characterize real fluids at low and high shear rates, as it implies, for shear-thinning fluids, an apparent viscosity which becomes unbounded for zero shear rate and tends to zero for infinite shear rate. On the contrary, the four-parameter Carreau constitutive equation includes asymptotic values of the apparent viscosity at those limits; in turn, the Carreau rheological equation is well approximated by the more tractable truncated power-law model. Results for flow of such fluids between parallel walls are already available. This study extends the adoption of the truncated power-law model to variable aperture fractures, with the aim of understanding the joint influence of rheology and aperture spatial variability. The aperture variation, modeled within a stochastic or deterministic framework, is taken to be one-dimensional and perpendicular to the flow direction; for stochastic modeling, the influence of different distribution functions is examined. Results are then compared with those obtained for pure power-law fluids for different combinations of model parameters. It is seen that the adoption of the pure power law model leads to significant overestimation of the flowrate with respect to the truncated model, more so for large external pressure gradient and/or aperture variability.

Orthopaedic traumatology: fundamental principles and current controversies for the acute care surgeon

PubMed Central

Pharaon, Shad K; Schoch, Shawn; Marchand, Lucas; Mirza, Amer

2018-01-01

Multiply injured patients with fractures are co-managed by acute care surgeons and orthopaedic surgeons. In most centers, orthopaedic surgeons definitively manage fractures, but preliminary management, including washouts, splinting, reductions, and external fixations, may be performed by selected acute care surgeons. The acute care surgeon should have a working knowledge of orthopaedic terminology to communicate with colleagues effectively. They should have an understanding of the composition of bone, periosteum, and cartilage, and their reaction when there is an injury. Fractures are usually fixed urgently, but some multiply injured patients are better served with a damage control strategy. Extremity compartment syndrome should be suspected in all critically injured patients with or without fractures and a low threshold for compartment pressure measurements or empiric fasciotomy maintained. Acute care surgeons performing rib fracture fixation and other chest wall injury reconstructions should follow the principles of open fracture reduction and stabilization. PMID:29766123

Orthopaedic traumatology: fundamental principles and current controversies for the acute care surgeon.

PubMed

Pharaon, Shad K; Schoch, Shawn; Marchand, Lucas; Mirza, Amer; Mayberry, John

2018-01-01

Multiply injured patients with fractures are co-managed by acute care surgeons and orthopaedic surgeons. In most centers, orthopaedic surgeons definitively manage fractures, but preliminary management, including washouts, splinting, reductions, and external fixations, may be performed by selected acute care surgeons. The acute care surgeon should have a working knowledge of orthopaedic terminology to communicate with colleagues effectively. They should have an understanding of the composition of bone, periosteum, and cartilage, and their reaction when there is an injury. Fractures are usually fixed urgently, but some multiply injured patients are better served with a damage control strategy. Extremity compartment syndrome should be suspected in all critically injured patients with or without fractures and a low threshold for compartment pressure measurements or empiric fasciotomy maintained. Acute care surgeons performing rib fracture fixation and other chest wall injury reconstructions should follow the principles of open fracture reduction and stabilization.

[Experience of systematization on the treatment of patients with upper jaws fractures, during the period 1991-2000].

PubMed

Khinkov, D

2005-01-01

A retrospecive analysis was done of the 128 patients with fractures in a upper jaw, treated during the period 1991-2000. The treatment of the patients with partial fractures in a alveolar part of maxilla and frontal wall of maxillary sinus, consist of debridement on the open wound, primery stiched and stabilization by arch bar of perspective teeth. In the cases with fractures of tuber maxilla and opening of maxillary sinus they tray to clouse it by Rhermann technique, with or without radical antrothomy by Caldwell-Luc technique. On the patients by total upper jaw fractures they try lead by princip of duble stage fixation: from one side-of intact upper bone structures and the other side-on a mandible. On the cases of upper jaw fractures, combine with barain traums. was treated conservativly - the specialize treatment of facial injures was postpoun until stabilization of brain status.

Combined Orbital Fractures: Surgical Strategy of Sequential Repair

PubMed Central

Hur, Su Won; Kim, Sung Eun; Chung, Kyu Jin; Lee, Jun Ho; Kim, Tae Gon

2015-01-01

Background Reconstruction of combined orbital floor and medial wall fractures with a comminuted inferomedial strut (IMS) is challenging and requires careful practice. We present our surgical strategy and postoperative outcomes. Methods We divided 74 patients who underwent the reconstruction of the orbital floor and medial wall concomitantly into a comminuted IMS group (41 patients) and non-comminuted IMS group (33 patients). In the comminuted IMS group, we first reconstructed the floor stably and then the medial wall by using separate implant pieces. In the non-comminuted IMS group, we reconstructed the floor and the medial wall with a single large implant. Results In the follow-up of 6 to 65 months, most patients with diplopia improved in the first-week except one, who eventually improved at 1 year. All patients with an EOM limitation improved during the first month of follow-up. Enophthalmos (displacement, 2 mm) was observed in two patients. The orbit volume measured on the CT scans was statistically significantly restored in both groups. No complications related to the surgery were observed. Conclusions We recommend the reconstruction of orbit walls in the comminuted IMS group by using the following surgical strategy: usage of multiple pieces of rigid implants instead of one large implant, sequential repair first of the floor and then of the medial wall, and a focus on the reconstruction of key areas. Our strategy of step-by-step reconstruction has the benefits of easy repair, less surgical trauma, and minimal stress to the surgeon. PMID:26217562

Snap, Crackle, Pop: Dilational fault breccias record seismic slip below the brittle-plastic transition

NASA Astrophysics Data System (ADS)

Melosh, Ben L.; Rowe, Christie D.; Smit, Louis; Groenewald, Conrad; Lambert, Christopher W.; Macey, Paul

2014-10-01

Off-fault dynamic tensile cracks form behind an earthquake rupture front with distinct orientation and spacing. These cracks explode the wall rock and create breccias, which we hypothesize will preserve a unique fingerprint of dynamic rupture. Identification of these characteristic breccias may enable a new tool for identifying paleoseismic slip surfaces in the rock record. Using previous experimental and theoretical predictions, we develop a field-based model of dynamic dilational breccia formation. Experimental studies find that secondary tensile fracture networks comprise closely spaced fractures at angles of 70-90° from a slip surface, as well as fractures that branch at angles of ∼ 30 ° from a primary mode I fracture. The Pofadder Shear Zone, in Namibia and South Africa, preserves breccias formed in the brittle-ductile transition zone displaying fracture patterns consistent with those described above. Fracture spacing is approximately two orders of magnitude less than predicted by quasi-static models. Breccias are clast-supported, monomict and can display an abrupt transition from fracture network crackle breccia to mosaic breccia textures. Brecciation occurs by the intersection of off-fault dynamic fractures and wall rock fabric; this is in contrast to previous models of fluid pressure gradient-driven failure ;implosion breccias;. This mechanism tends to form many similar sized clasts with particle size distributions that may not display self-similarity; where self-similarity is observed the distributions have relatively low D-values of 1.47 ± 0.37, similar to other studies of dynamic processes. We measure slip distances at dilational breccia stepovers, estimating earthquake magnitudes between Mw 2.8-5.8 and associated rupture lengths of 0.023-3.3 km. The small calculated rupture dimensions, in combination with our geologic observations, suggest that some earthquakes nucleated within the quartz-plastic transitional zone and potentially record deep seismic slip.

Scale Effects in the Flow of a Shear-Thinning Fluid in Geological Fractures

NASA Astrophysics Data System (ADS)

Meheust, Y.; Roques, C.; Le Borgne, T.; Selker, J. S.

2017-12-01

Subsurface flow processes involving non-Newtonian fluids play a major role in many engineering applications, from in-situ remediation to enhanced oil recovery. The fluids of interest in such applications (f.e., polymers in remediation) often present shear-thinning properties, i.e., their viscosity decreases as a function of the local shear rate. We investigate how fracture wall roughness impacts the flow of a shear-thinning fluid. Numerical simulations of flow in 3D geological fractures are carried out by solving a modified Navier-Stokes equation incorporating the Carreau viscous-shear model. The numerical fractures consist of two isotropic self-affine surfaces which are correlated with each other above a characteristic scale (thecorrelation length of Méheust et al. PAGEOPH 2003). Perfect plastic closing is assumed when the surfaces are in contact. The statistical parameters describing a fracture are the standard deviation of the wall roughness, the mean aperture, the correlation length, and the fracture length, the Hurst exponent being fixed (equal to 0.8). The objective is to investigate how varying the correlation length impacts the flow behavior, for different degrees of closure, and how this behavior diverges from what is known for Newtonian fluids. The results from the 3D simulations are also compared to 2D simulations based on the lubrication theory, which we have developed as an extension of the Reynolds equation for Newtonian fluids. These 2D simulations run orders of magnitude faster, which allows considering a significant statistics of fractures of identical statistical parameters, and therefore draw general conclusions despite the large stochasticity of the media. We also discuss the implications of our results for solute transport by such flows. References:Méheust, Y., & Schmittbuhl, J. (2003). Scale effects related to flow in rough fractures. Pure and Applied Geophysics, 160(5-6), 1023-1050.

Successful Surgical Stabilization of Rib Fractures Despite Candida Colonization of the Mediastinum.

PubMed

Ju, Tammy; Rivas, Lisbi; Sarani, Babak

2018-04-06

Pleural space or chest wall infection is a contraindication for surgical stabilization of rib fractures (SSRF) due to the risk of hardware infection. However, the exact degree of risk is uncertain. SSRF is associated with decreased need for mechanical ventilation and pneumonia. Here, we describe a poly-trauma patient with candida colonization of the mediastinum who successfully underwent SSRF. Copyright © 2018. Published by Elsevier Inc.

The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF)

PubMed Central

Audigé, Laurent; Slongo, Theddy; Lutz, Nicolas; Blumenthal, Andrea; Joeris, Alexander

2017-01-01

Background and purpose The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF) describes the localization and morphology of fractures, and considers severity in 2 categories: (1) simple, and (2) multifragmentary. We evaluated simple and multifragmentary fractures in a large consecutive cohort of children diagnosed with long bone fractures in Switzerland. Patients and methods Children and adolescents treated for fractures between 2009 and 2011 at 2 tertiary pediatric surgery hospitals were retrospectively included. Fractures were classified according to the AO PCCF. Severity classes were described according to fracture location, patient age and sex, BMI, and cause of trauma. Results Of all trauma events, 3% (84 of 2,730) were diagnosed with a multifragmentary fracture. This proportion was age-related: 2% of multifragmentary fractures occurred in school­children and 7% occurred in adolescents. In patients diagnosed with a single fracture only, the highest percentage of multifragmentation occurred in the femur (12%, 15 of 123). In fractured paired radius/ulna bones, multifragmentation occurred in 2% (11 of 687); in fractured paired tibia/fibula bones, it occurred in 21% (24 of 115), particularly in schoolchildren (5 of 18) and adolescents (16 of 40). In a multivariable regression model, age, cause of injury, and bone were found to be relevant prognostic factors of multifragmentation (odds ratio (OR) > 2). Interpretation Overall, multifragmentation in long bone fractures in children was rare and was mostly observed in adolescents. The femur was mostly affected in single fractures and the lower leg was mostly affected in paired-bone fractures. The clinical relevance of multifragmentation regarding growth and long-term functional recovery remains to be determined. PMID:27882814

Median sternotomy and ventral stabilisation using pins and polymethylmethacrylate for a comminuted T5 vertebral fracture in a Miniature Schnauzer.

PubMed

Guiot, L P; Allman, D A

2011-01-01

A 2.9 kg Miniature Schnauzer was referred to our clinic, the Emergency & Critical Care Medicine Service at the Michigan State University Veterinary Teaching Hospital, following a dog fight. Physical examination findings upon admission included multiple thoracic wounds, absence of hindlimb deep pain, and marked Schiff-Sherrington syndrome. Computed tomography imaging revealed thoracic wall penetration and a comminuted T5 vertebral fracture. Thoracic exploration and thoracic wall repair were performed through a median sternotomy. The vertebral fracture was exposed and stabilised intra-thoracically through the same approach using pins and polymethylmethacrylate. The pins were placed percutaneously into the vertebral bodies of the adjacent vertebrae. Recovery was uncomplicated and fracture healing was documented eight weeks postoperatively. Spinal trauma secondary to dog fights is relatively common. The presence of concurrent penetrating thoracic injury negatively affects prognosis and necessitates thoracic exploration as soon as feasible. The approach should allow complete thoracic exploration to repair parietal and visceral damage, thus indicating the need for median sternotomy rather than an intercostal approach. The present case report suggested that median sternotomy can be used to safely apply stabilisation devices for the treatment of concurrent spinal trauma. Direct visualisation of the vertebral bodies permitted optimal implant anchorage as compared to potentially more hazardous techniques such as dorsal pinning.

Something more to say about calcium homeostasis: the role of vitamin K2 in vascular calcification and osteoporosis.

PubMed

Flore, R; Ponziani, F R; Di Rienzo, T A; Zocco, M A; Flex, A; Gerardino, L; Lupascu, A; Santoro, L; Santoliquido, A; Di Stasio, E; Chierici, E; Lanti, A; Tondi, P; Gasbarrini, A

2013-09-01

Vascular calcification and osteoporosis share similar etiopathogenetic mechanisms. Vitamin K2 deficiency could be responsible of the so called "calcium paradox", that is the lack of calcium in the bone and its storage in the vessel wall. These events may have clinically relevant consequences, such as cardiovascular accidents, and bone fractures. To review the biological function of vitamin K2 metabolism, the main factors related to its deficiency and the consequent clinical significance. Vitamin K2 is essential for the function of several proteins, involved in the maintenance of the normal structure of arterial wall, osteoarticular system, teeth, and for the regulation of cell growth. It has been demonstrated to have a pivotal role in the inhibition of vascular foci of calcification, and in the regulation of calcium deposition in the bone. Vitamin K2 deficiency is often subclinic in a large part of healthy population. This deficiency is related to the interaction of various factors, such as the reduced dietary intake, the alteration of intestinal absorption or production, with a possible role of intestinal microbiota and the increased consumption at the vessel wall. Vitamin K2 deficiency has recently been recognized as a protagonist in the development of vascular calcification and osteoporosis. Data reported so far are promising and, dietary supplementation seems a useful tool to contrast these diseases. However, large studies or solid clinical correlations regarding vitamin K2 deficiency and its pathologic consequences are needed to confirm these preliminary experiences.

Dynamic Y stent fractures in crescentic tracheobronchomalacia.

PubMed

Popilevsky, Frida; Al-Ajam, Mohammad R; Ly, Vanthanh; Sanchez, Lisette Delgado; Cutaia, Michael

2012-07-01

Endobronchial stents have been used occasionally to treat benign conditions such as tracheobronchomalacia (TBM). This report describes a unique case of a patient with crescentic TBM in whom Dynamic Y stent was placed on 2 separate occasions to control symptoms and resulted in identical posterior wall stent fractures within a year of stent placement, both times. A silicone Y stent was substituted for the dynamic stent, and it has been effective in controlling symptoms for 9 months without complications. A literature review of cases of fractured Dynamic Y stents is made and factors affecting the choice of stent type for crescentic TBM are explored.

J-resistance curves for Inconel 690 and Incoloy 800 nuclear steam generators tubes at room temperature and at 300 °C

NASA Astrophysics Data System (ADS)

Bergant, Marcos A.; Yawny, Alejandro A.; Perez Ipiña, Juan E.

2017-04-01

The structural integrity of steam generator tubes is a relevant issue concerning nuclear plant safety. In the present work, J-resistance curves of Inconel 690 and Incoloy 800 nuclear steam generator tubes with circumferential and longitudinal through wall cracks were obtained at room temperature and 300 °C using recently developed non-standard specimens' geometries. It was found that Incoloy 800 tubes exhibited higher J-resistance curves than Inconel 690 for both crack orientations. For both materials, circumferential cracks resulted into higher fracture resistance than longitudinal cracks, indicating a certain degree of texture anisotropy introduced by the tube fabrication process. From a practical point of view, temperature effects have found to be negligible in all cases. The results obtained in the present work provide a general framework for further application to structural integrity assessments of cracked tubes in a variety of nuclear steam generator designs.

Open natural fractures in sandstone at 18,300 ft: Do they help or hinder production of gas?

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

Lorenz, J.C.; Billingsley, R.L.; Evans, L.W.

1996-06-01

Vertical core, from relatively undeformed Cretaceous (Frontier FM) sandstones at a depth of 18,300 ft in the Green River Basin, contains three sets of mineralized natural fractures. The earliest fractures opened in extension as the strata passed through the hydrocarbon window. Continued subsidence and the maturation of organic material created overpressured conditions, causing oil to be injected into the fractures. Only a carbon residue of the original oil remains in these fractures, suggesting continued burial and maturation. The residue seriously inhibits permeability along and across fractures. Oil residue is also present in oblique, unmineralized mare`s-tails at the ends of fractures,more » suggesting that the in situ stress orientations had changed slightly. Quartz crystals mineralized the fracture walls, growing over the oil residue or pushing it aside. A second set of extension fractures strikes 20-30 degrees oblique to the first set. These fractures are mineralized with calcite, which was also deposited over the quartz in the first fracture set. Continued tectonism reoriented the horizontal stresses by nearly 90 degrees, forming a third set of extension fractures and further degrading permeability by narrowing apertures along earlier fractures. Significant porosity remains along many of the fractures at this depth, yet the in situ stresses and oil residue have combined to degrade fracture permeability to uneconomic matrix values.« less

Open natural fractures in sandstone at 18,300 ft: Do they help or hinder production of gas?

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

Lorenz, J.C.; Billingsley, R.L.; Evans, L.W.

1995-06-01

Vertical core, from relatively undeformed Cretaceous (Frontier Fm) sandstones at a depth of 18,300 ft in the Green River Basin, contains three sets of mineralized natural fractures. The earliest fractures opened in extension as the strata passed through the hydrocarbon window. Continued subsidence and the maturation of organic material created overpressured conditions, causing oil to be injected into the fractures. Only a carbon residue of the original oil remains in these fractures, suggesting continued burial and maturation. The residue seriously inhibits permeability along and across fractures. Oil residue is also present in oblique, unmineralized mare`s-tails at the ends of fractures,more » suggesting that the in-situ stress orientations had changed slightly. Quartz crystals mineralized the fracture walls, growing over the oil residue or pushing it aside. A second set of extension fractures strikes 20-30 degrees oblique to the first set. These fractures are mineralized with calcite, which was also deposited over the quartz in the first fracture set. Continued tectonism reoriented the horizontal stresses by nearly 90 degrees, forming a third set of extension fractures and further degrading permeability by narrowing apertures along earlier fractures. Significant porosity remains along many of the fractures at this depth, yet the in situ stresses and oil residue have combined to degrade fracture permeability to uneconomic matrix values.« less

[One-stage operation for pelvis and acetabular fractures combined with Morel-Lavallée injury by internal fixation associated with vacuum sealing drainage].

PubMed

Wei, Dan; Wang, Yue; Yuan, Jiabin; Tang, Xiaoming; Zhang, Bin; Lu, Bing; Tan, Bo

2014-01-01

To investigate the methods and effectiveness of one-stage operation for pelvis and acetabular fractures combined with Morel-Lavallée injury by internal fixation associated with vacuum sealing drainage (VSD). Between June 2008 and October 2012, 15 cases of pelvis and acetabular fractures combined with Morel-Lavallée injury were treated. There were 5 males and 10 females, aged from 18 to 67 years (mean, 36.8 years). Fractures were caused by traffic accident in 11 cases and crashing injury of heavy object in 4 cases. The time from injury to hospitalization was 3 hours to 9 days (mean, 5.4 days). Morel-Lavallée injury located in the above posterior superior iliac spine in 4 cases, greater trochanter in 7 cases, and anterior proximal thigh in 4 cases. In 10 cases complicated by pelvic fracture, there were 1 case of anteroposterior compression type, 3 cases of lateral compression type, 5 cases of vertical shear type, and 1 case of compound injury type; in 5 cases complicated by acetabular fracture, there were 1 case of transverse fracture, 1 case of posterior wall and posterior column fracture, 1 case of transverse acetabulum plus posterior wall fracture, and 2 cases of both columns fracture. Open reduction and internal fixation were used to treat pelvic and acetabular fractures, and VSD to treat Morel-Lavallée injury. When the drainage volume was less than 20 mL/d, interrupted wound suture or free skin grafting was performed. The hospitalization time was 16-31 days (mean, 20.8 days). Thirteen cases were followed up 4-16 months (mean, 7.8 months). The healing time of Morel-Lavallée injury was 16-36 days after operation (mean, 21.3 days). All the wounds had primary healing, and no infection occurred. The X-ray films showed that all fractures healed, with a mean healing time of 13.6 weeks (range, 11-18 weeks). At 6.5 months after operation, according to Majeed function scoring system in 8 cases of pelvic fracture, the results were excellent in 5 cases, good in 2 cases, and fair in 1 case; according to Harris hip scoring in 4 cases of acetabular fracture, the results were excellent in 2 cases, good in 1 case, and fair in 1 case. To pelvis-acetabular fractures combined with Morel-Lavallée injury, internal fixation treatment for fracture and VSD for Morel-Lavallée injury not only can cure merge Morel-Lavallée injury effectively, but also can guarantee the operation timing and incision safty of the pelvis-acetabular fractures.

An efficient method to prepare magnetic hydroxyapatite-functionalized multi-walled carbon nanotubes nanocomposite for bone defects.

PubMed

Afroze, J D; Abden, M J; Islam, M A

2018-05-01

Hydroxyapatite-functionalized multi-walled carbon nanotube (HA-fMWCNT) magnetic nanocomposite was successfully prepared using a novel slurry-compounding method. The prepared HA-fMWCNT nanocomposite with the addition of small amount (0.5 wt%) of fMWCNT exhibited much greater improvement in mechanical properties due to strong interfacial adhesion between acid-treated MWCNTs fillers and HA matrix, thus efficient stress transfer to nanotubes from the matrix. The nanocomposite exhibited excellent haemocompatibility. Fractographic analysis was performed in order to understand the fracture behavior and toughening mechanisms. The fracture mechanisms and micro-deformation were examined by studying the microstructure of arrested crack tips using field emission scanning electron microscopy (FESEM). The origination and formation of micro-cracks are the dominant fracture mechanisms and micro-deformation in the HA-fMWCNTs nanocomposite. The developed new method enables to the fabrication of magnetic HA-fMWCNTs nanocomposite with superior mechanical performance may be potential for application as high load-bearing bone implants in the biomedical field. Copyright © 2018 Elsevier B.V. All rights reserved.

The fracture and fragmentation behaviour of additively manufactured stainless steel 316L

NASA Astrophysics Data System (ADS)

Amott, Russell; Harris, Ernest; Winter, Ron; Stirk, Stewart; Chapman, David; Eakins, Daniel

2015-06-01

Expanding cylinder experiments using a gas gun technique allow investigations into the ductility of metals and the fracture and fragmentation mechanisms that occur during rapid tensile failure. These experiments allow the radial strain-rate of the expansion to be varied in the range 102 to 104 s-1. Presented here is a comparative study of the fracture and fragmentation behaviour of rapidly expanded stainless steel 316L cylinders manufactured from either wrought bar or by additive manufacturing techniques. The results show that in the strain-rate regime studied, an additively manufactured cylinder failed at a higher strain and produced larger fragment widths compared to cylinders manufactured from wrought bar. In addition, an investigation into the role of deliberate equispaced macroscopic voids introduced into a cylinder wall has been undertaken. Using the unique properties of additive manufacture, elongated voids were introduced to the cylinder wall at an angle of 45° to the cylinder radius, and the resulting fragment patterns will be discussed. A comparison of the expanding cylinder profiles with simulations using CTH will also be presented.

Mandibular fracture patterns consistent with posterior maxillary fractures involving the posterior maxillary sinus, pterygoid plate or both: CT characteristics.

PubMed

Imai, T; Sukegawa, S; Kanno, T; Fujita, G; Yamamoto, N; Furuki, Y; Michizawa, M

2014-01-01

The aim of this study was to determine the incidence of posterior maxillary fractures involving the posterior maxillary sinus wall, pterygoid plate or both, unrelated to major midface fractures in patients with mandibular fractures, and to characterize associated fractures. A CT study was performed in patients with mandibular fractures to identify posterior maxillary fractures. Patients aged under 16 years, those with mandibular fractures involving only dentoalveolar components and those with concurrent major midfacial fractures were excluded. 13 (6.7%) of 194 patients with mandibular fractures also had posterior maxillary fractures (case group). The injury pattern correlated with the external force directed to the lateral side of the mandible (p < 0.001), alcohol consumption (p = 0.049), the presence of multifocal fractures (p = 0.002) and the fracture regions in the symphysis/parasymphysis (p = 0.001) and the angle/ramus (p = 0.001). No significant difference between the case and non-case groups was seen for age, sex or cause of trauma. Non-displaced fractures in the ipsilateral posterior mandible occurred with significant frequency (p = 0.001) when the posterior maxillary fractures involved only the sinus. Mandibular fractures accompanied by posterior maxillary fractures are not rare. The finding of a unilateral posterior maxillary fracture on CT may aid the efficient radiological examination of the mandible based on possible patterns of associated fractures, as follows: in the ipsilateral posterior region as a direct fracture when the impact is a medially directed force, and in the symphysis/parasymphysis or contralateral condylar neck as an indirect fracture.

Long-Period Oscillations of Hydraulic Fractures: Attenuation, Scaling Relationships, and Flow Stability

NASA Astrophysics Data System (ADS)

Lipovsky, B.; Dunham, E. M.

2013-12-01

Long-period seismicity due to the excitation of hydraulic fracture normal modes is thought to occur in many geological systems, including volcanoes, glaciers and ice sheets, and hydrocarbon reservoirs. To better quantify the physical dimensions of fluid-filled cracks and properties of the fluid within them, we study wave motion along a thin hydraulic fracture waveguide. We present a linearized analysis that accounts for quasi-dynamic elasticity of the fracture wall, as well as fluid drag, inertia, and compressibility. We consider symmetric perturbations and neglect the effects of stratification and gravity. In the long-wavelength or thin-fracture limit, dispersive guided waves known as crack waves propagate with phase velocity cw=√(G*|k|w/ρ), where G* = G/(1-υ) for shear modulus G and Poisson ratio υ, w is the crack half-width, k is the wavenumber, and ρ is the fluid density. Restoring forces from elastic wall deformation drive wave motions. In the opposite, short-wavelength limit, guided waves are simply sound waves within the fluid and little seismic excitation occurs due to minimal fluid-solid coupling. We focus on long-wavelength crack waves, which, in the form of standing wave modes in finite-length cracks, are thought to be a common mechanism for long-period seismicity. The dispersive nature of crack waves implies several basic scaling relations that might be useful when interpreting statistics of long-period events. Seismic observations may constrain a characteristic frequency f0 and seismic moment M0~GδwR2, where δw is the change in crack width and R is the crack dimension. Resonant modes of a fluid-filled crack have associated frequencies f~cw/R. Linear elasticity provides a link between pressure changes δp in the crack and the induced opening δw: δp~G δw/R. Combining these, and assuming that pressure changes have no variation with crack dimension, leads to the scaling law relating seismic moment and oscillation frequency, M0~(Gwδp/ρ)f0-2. This contrasts with the well-known self-similar earthquake scaling M0∝f0-3. Attenuation of long-period crack waves is due to both drag within the fluid and radiative energy losses from excitation of seismic waves. Fluid drag may be characterized by either a turbulent or laminar viscous law. We present a thorough characterization of viscous damping that is valid at both low frequencies, where the flow is always fully developed, and at high frequencies, where fluid inertia becomes important. We have derived simple formulas for the quality factor due to viscous attenuation. Waves may become unstable for sufficiently fast background fluid velocity u0. This instability, first proposed by Julian (1994), was further investigated by Dunham and Ogden (2012), who determined the instability condition, u0>cw/2. We establish a more general result: that the stability condition is not only independent of viscosity, but also uninfluenced by fluid inertia, although both do alter growth rates. We also show that radiation damping (excitation of plane P waves normal to the crack walls) has only a stabilizing effect. This work suggests that under geologically relevant conditions, crack wave propagation is most likely stable, and the occurrence of long-period oscillations thus requires some additional excitation process.

Imaging hydraulic fractures at Median Tectonic Line, Japan using multiply generated and scattered tube waves in a shallow VSP experiment

NASA Astrophysics Data System (ADS)

Minato, Shohei; Ghose, Ranajit; Tsuji, Takeshi; Ikeda, Michiharu; Onishi, Kozo

2016-04-01

Tube waves are low frequency guided waves that propagate along a fluid-filled borehole. The analysis of tube waves is a promising approach to image and characterize hydraulic fractures intersecting a borehole. It exploits tube waves generated by an external seismic wavefield which compresses fractures and injects fluid into the borehole. It also utilizes the attenuation of tube waves due to fluid exchange between the fracture and the borehole, which creates scattered waves (reflection and transmission). Conventional approaches consider tube waves due to a single fracture. However, when the spacing between multiple fractures is short relative to the wavelength of the tube waves, the generated and scattered tube waves interfere with each other, making it difficult to isolate the effect of a single fracture. The analysis of closely spaced fractures is important in highly fractured areas, such as a fault zone. In this study, we explore the possibility of prediction and utilization of generated and scattered tube waves due to multiple fractures. We derive a new integral equation of the full tube wavefield using 1D wavefield representation theory incorporating nonwelded interfaces. We adapt the recent developments in modeling tube wave generation/scattering at a fracture. In these models, a fracture is represented as a parallel wall or a thin poloelastic layer. This allowed us to consider the effects of a dynamic fracture aperture with fracture compliances and the permeability. The representation also leads to a new imaging method for the hydraulic fractures, using multiply-generated and scattered tube waves. This is achieved by applying an inverse operator to the observed tube waves, which focuses the tube waves to the depth where they are generated and/or scattered. The inverse operator is constructed by a tube wave Green's function with a known propagation velocity. The Median Tectonic Line (MTL) is the most significant fault in Japan, extending NE-SW for over 1000 km across the Japanese Islands. We observed multiple tube waves in a P-wave VSP experiment in a 250 m deep, vertical borehole located on the MTL at Shikoku, Japan. The borehole televiewer and the core studies show that below 40 m depth, the Sambagawa metamorphic rocks contain highly fractured zones which consist of more than 100 open fractures and more than 30 cataclasites. We predict the full tube wavefield using the values of fracture depth and thickness known from the borehole televiewer. We model the open fractures as parallel-wall fractures and the cataclasites as thin poroelastic layers. Furthermore, we estimate the depth of the hydraulic fractures by applying the inverse operator. The results show that the tube waves could be generated and scattered at these permeable structures. Our preliminary results also indicate the possibility that the effect of the open fractures is more dominant in the generation and scattering of tube waves than that of the cataclasites in this field. The formulation and the results presented in this study and the following discussion will be useful in analysis of tube waves in highly fractured zones, in order to localize and characterize hydraulic fractures.

Floor-fractured craters on Ceres and implications for interior processes

NASA Astrophysics Data System (ADS)

Buczkowski, Debra; Schenk, Paul M.; Scully, Jennifer E. C.; Park, Ryan; Preusker, Frank; Raymond, Carol; Russell, Christopher T.

2016-10-01

Several of the impact craters on Ceres have patterns of fractures on their floors. These fractures appear similar to those found within a class of lunar craters referred to as Floor-Fractured Craters (FFCs) [Schultz, 1976].Lunar FFCs are characterized by anomalously shallow floors cut by radial, concentric, and/or polygonal fractures, and have been classified into crater classes, Types 1 through 6, based on their morphometric properties [Schultz, 1976; Jozwiak et al, 2012, 2015]. Models for their formation have included both floor uplift due to magmatic intrusion below the crater or floor shallowing due to viscous relaxation. However, the observation that the depth versus diameter (d/D) relationship of the FFCs is distinctly shallower than the same association for other lunar craters supports the hypotheses that the floor fractures form due to shallow magmatic intrusion under the crater [Jozwiak et al, 2012, 2015].FFCs have also been identified on Mars [Bamberg et al., 2014]. Martian FFCs exhibit morphological characteristics similar to the lunar FFCs, and analyses suggest that the Martian FCCs also formed due to volcanic activity, although heavily influenced by interactions with groundwater and/or ice.We have cataloged the Ceres FFCs according to the classification scheme designed for the Moon. Large (>50 km) Ceres FFCs are most consistent with Type 1 lunar FFCs, having deep floors, central peaks, wall terraces, and radial and/or concentric fractures. Smaller craters on Ceres are more consistent with Type 4 lunar FFCs, having less-pronounced floor fractures and a v-shaped moats separating the wall scarp from the crater interior.An analysis of the d/D ratio for Ceres craters shows that, like lunar FFCs, the Ceres FFCs are anomalously shallow. This suggests that the fractures on the floor of Ceres FFCs may be due the intrusion of a low-density material below the craters that is uplifting their floors. While on the Moon and Mars the intrusive material is hypothesized to be silicate magma, this is unlikely for Ceres. However, a cryovolcanic extrusive edifice has been identified on Ceres [Ruesch et al., 2016], suggesting that cryomagmatic intrusions could be responsible for the formation of the Ceres FFCs.

High prevalence of radiological vertebral fractures in HIV-infected males.

PubMed

Torti, Carlo; Mazziotti, Gherardo; Soldini, Pier Antonio; Focà, Emanuele; Maroldi, Roberto; Gotti, Daria; Carosi, Giampiero; Giustina, Andrea

2012-06-01

Age-related co-morbidities including osteoporosis are relevant in patients responding to combination antiretroviral therapy (cART). Vertebral fractures are common osteoporotic fractures and their diagnosis is useful for managing at-risk individuals. However, there are few data from HIV-infected patients. Therefore, the aim of this study was to determine the prevalence of and factors associated with vertebral fractures in a population of HIV-infected males. A cross-sectional study of 160 HIV-infected patients with available chest X-rays was conducted from 1998 to 2010. One hundred and sixty-three males with comparable age and with no history of HIV infection were recruited as controls. Semi-quantitative evaluation of vertebral heights in lateral chest X-rays and quantitative morphometry assessment of centrally digitized images using dedicated morphometry software were utilized to detect prevalent vertebral fractures. The result showed that the vertebral fractures were detected in 43/160 (26.9%) HIV-infected patients and in 21/163 (12.9%) controls (P = 0.002). In HIV-infected patients with fractures, 27 had two or more fractures and ten patients had severe fractures. The prevalence of any fractures and multiple fractures in HIV-infected patients receiving cART (29.6 and 20.0%) was slightly higher than in HIV-infected patients not exposed to cART (17.1 and 5.7%), but significantly higher than control subjects (12.9 and 3.7%). At multivariable analyses, body mass index and diabetes mellitus were independently correlated with vertebral fractures in HIV-infected patients. We concluded that a significant proportion of HIV-infected males receiving cART showed vertebral fractures. Furthermore, proactive diagnosis of vertebral fragility fractures is particularly relevant in patients who are overweight or suffer from diabetes.

Evolution of Friction and Permeability in a Propped Fracture under Shear

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

Zhang, Fengshou; Fang, Yi; Elsworth, Derek

We explore the evolution of friction and permeability of a propped fracture under shear. We examine the effects of normal stress, proppant thickness, proppant size, and fracture wall texture on the frictional and transport response of proppant packs confined between planar fracture surfaces. The proppant-absent and proppant-filled fractures show different frictional strength. For fractures with proppants, the frictional response is mainly controlled by the normal stress and proppant thickness. The depth of shearing-concurrent striations on fracture surfaces suggests that the magnitude of proppant embedment is controlled by the applied normal stress. Under high normal stress, the reduced friction implies thatmore » shear slip is more likely to occur on propped fractures in deeper reservoirs. The increase in the number of proppant layers, from monolayer to triple layers, significantly increases the friction of the propped fracture due to the interlocking of the particles and jamming. Permeability of the propped fracture is mainly controlled by the magnitude of the normal stress, the proppant thickness, and the proppant grain size. Permeability of the propped fracture decreases during shearing due to proppant particle crushing and related clogging. Proppants are prone to crushing if the shear loading evolves concurrently with the normal loading.« less

Evolution of Friction and Permeability in a Propped Fracture under Shear

DOE PAGES

Zhang, Fengshou; Fang, Yi; Elsworth, Derek; ...

2017-12-04

We explore the evolution of friction and permeability of a propped fracture under shear. We examine the effects of normal stress, proppant thickness, proppant size, and fracture wall texture on the frictional and transport response of proppant packs confined between planar fracture surfaces. The proppant-absent and proppant-filled fractures show different frictional strength. For fractures with proppants, the frictional response is mainly controlled by the normal stress and proppant thickness. The depth of shearing-concurrent striations on fracture surfaces suggests that the magnitude of proppant embedment is controlled by the applied normal stress. Under high normal stress, the reduced friction implies thatmore » shear slip is more likely to occur on propped fractures in deeper reservoirs. The increase in the number of proppant layers, from monolayer to triple layers, significantly increases the friction of the propped fracture due to the interlocking of the particles and jamming. Permeability of the propped fracture is mainly controlled by the magnitude of the normal stress, the proppant thickness, and the proppant grain size. Permeability of the propped fracture decreases during shearing due to proppant particle crushing and related clogging. Proppants are prone to crushing if the shear loading evolves concurrently with the normal loading.« less

The assembly of cellulose microfibrils in Valonia macrophysa Kütz.

PubMed

Itoh, T; Brown, R M

1984-03-01

The assembly of cellulose microfibrils was investigated in artificially induced protoplasts of the alga, Valonia macrophysa (Siphonocladales). Primary-wall microfibrills, formed within 72 h of protoplast induction, are randomly oriented. Secondary-wall lamellae, which are produced within 96 h after protoplast induction, have more than three orientations of highly ordered microfibrils. The innermost, recently deposited micofibrils are not parallel with the cortical microtubules, thus indicating a more indirect role of microtubules in the orientation of microfibrils. Fine filamentous structures with a periodicity of 5.0-5.5 nm and the dimensions of actin were observed adjacent to the plasma membrane. Linear cellulose-terminal synthesizing complexes (TCs) consisting of three rows, each with 30-40 particles, were observed not only on the E fracture (EF) but also on P fracture (PF) faces of the plasma membrane. The TC appears to span both faces of the bimolecular leaflet. The average length of the TC is 350 nm, and the number of TCs per unit area during primary-wall synthesis is 1 per μm(2). Neither paired TCs nor granule bands characteristic of Oocystis were observed. Changes in TC structure and distribution during the conversion from primary- to secondary-wall formation have been described. Cellulose microfibril assembly in Valonia is discussed in relation to the process among other eukaryotic systems.

Groin Injuries (Athletic Pubalgia) and Return to Play

PubMed Central

Elattar, Osama; Choi, Ho-Rim; Dills, Vickie D.; Busconi, Brian

2016-01-01

Context: Groin pain is a common entity in athletes involved in sports that require acute cutting, pivoting, or kicking such as soccer and ice hockey. Athletic pubalgia is increasingly recognized as a common cause of chronic groin and adductor pain in athletes. It is considered an overuse injury predisposing to disruption of the rectus tendon insertion to the pubis and weakness of the posterior inguinal wall without a clinically detectable hernia. These patients often require surgical therapy after failure of nonoperative measures. A variety of surgical options have been used, and most patients improve and return to high-level competition. Evidence Acquisition: PubMed databases were searched to identify relevant scientific and review articles from January 1920 to January 2015 using the search terms groin pain, sports hernia, athletic pubalgia, adductor strain, osteitis pubis, stress fractures, femoroacetabular impingement, and labral tears. Study Design: Clinical review. Level of Evidence: Level 4. Results and Conclusion: Athletic pubalgia is an overuse injury involving a weakness in the rectus abdominis insertion or posterior inguinal wall of the lower abdomen caused by acute or repetitive injury of the structure. A variety of surgical options have been reported with successful outcomes, with high rates of return to the sport in the majority of cases. PMID:27302153

Fall risk: the clinical relevance of falls and how to integrate fall risk with fracture risk.

PubMed

Peeters, G; van Schoor, Natasja M; Lips, Paul

2009-12-01

In old age, 5-10% percent of all falls result in a fracture, and up to 90% of all fractures result from a fall. This article describes the link between fall risk and fracture risk in community-dwelling older persons. Which factors attribute to both the fall risk and the fracture risk? Which falls result in a fracture? Which tools are available to predict falls and fractures? Directions for the use of prediction tools in clinical practice are given. Challenges for future research include further validation of existing prediction tools and evaluation of the cost-effectiveness of treatment after screening.

Three-Dimensional Behavior of a Central Core Dam.

DTIC Science & Technology

differences are primarily due to the effect of arching caused by the valley walls. A short discussion of stress conditions leading to conditions favorable to horizontal hydraulic fracturing is also given. (Author)

Decision Making in the Management of Extracapsular Fractures of the Proximal Femur - is the Dynamic Hip Screw the Prevailing Gold Standard?

PubMed

Jacob, Joshua; Desai, Ankit; Trompeter, Alex

2017-01-01

Currently, approximately half of all hip fractures are extracapsular, with an incidence as high as 50 in 100,000 in some countries. The common classification systems fail to explain the logistics of fracture classification and whether they all behave in the same manner. The Muller AO classification system is a useful platform to delineate stable and unstable fractures. The Dynamic hip screw (DHS) however, has remained the 'gold standard' implant of choice for application in all extracapsular fractures. The DHS relies on the integrity and strength of the lateral femoral wall as well as the postero-medial fragment. An analysis of several studies indicates significant improvements in design and techniques to ensure a better outcome with intramedullary nails. This article reviews the historical trends that helped to evolve the DHS implant as well as discussing if the surgeon should remain content with this implant. We suggest that the gold standard surgical management of extracapsular fractures can, and should, evolve.

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.

Kinetics of bed fracturing around mine workings

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

Veksler, Yu.A.

1988-03-01

A failure of the bed near the walls of the workings of a mine away from the face occurs gradually over time and in this paper the authors take a kinetic approach to evaluating its development. The influence of certain mine engineering factors on the pattern of bed fracturing is discussed. The effect of the depth of mining is shown. Cracking occurs in the portion of the seam at the face near the ground at some distance from it on the interface between soft and hard coal. The density of the fractured rocks and their response affect the bed fracturingmore » near the stope face.« less

Indications for surgical stabilization of rib fractures in patients without flail chest: surveyed opinions of members of the Chest Wall Injury Society.

PubMed

Pieracci, Fredric M; Agarwal, Suresh; Doben, Andrew; Shiroff, Adam; Lottenberg, Larwence; Whitbeck, Sarah Ann; White, Thomas W

2018-02-01

There are currently no evidence-based indications for surgical stabilization of rib fractures (SSRF) in patients without flail chest. The purpose of this survey was to identify patients for whom there is relative equipoise (operative vs. non-operative) in order to assist in designing a randomized clinical trial. Members of the Chest Wall Injury Society were sent an online survey, in which 18 patient scenarios were presented. The baseline patient had ≥ three displaced, contiguous fractures and had no other contraindications for surgery. This default scenario was then varied based upon patient age, degree of traumatic brain injury (TBI), fracture series location, and number of abnormal pulmonary physiologic variables (oxygen requirement, respiratory rate, incentive spirometry ability, cough, and numeric pain score). Thirty respondents provided a total of 540 answers. Overall, the majority of responses were in favor of SSRF (n = 413, 84.1%). Furthermore, the vast majority of responses indicated that some degree of pulmonary compromise was necessary to recommend SSRF (n = 44, 90.4%), with ≥ two abnormal parameters being the most common threshold (n = 156, 31.8%). Decision to recommend SSRF varied significantly by number of abnormal clinical variables, age, and degree of TBI, but not by fracture series location. Patients aged 85 years old and those with moderate TBI were the least likely to be recommended for SSRF, regardless of abnormal pulmonary physiologic variables. The most appropriate cutoff for equipoise appeared to be a patient aged 21-79 years old, with no or mild TBI, ≥ two abnormal pulmonary parameters, and regardless of fracture location (44.8% consensus for SSRF). SSRF was recommended for most patients with non-flail, displaced rib fractures. However, this recommendation was contingent upon patient age, degree of TBI, and pulmonary clinical status. Results of this survey may be used to inform inclusion criteria for a future randomized, clinical trial.

Mandibular fracture patterns consistent with posterior maxillary fractures involving the posterior maxillary sinus, pterygoid plate or both: CT characteristics

PubMed Central

Sukegawa, S; Kanno, T; Fujita, G; Yamamoto, N; Furuki, Y; Michizawa, M

2014-01-01

Objectives: The aim of this study was to determine the incidence of posterior maxillary fractures involving the posterior maxillary sinus wall, pterygoid plate or both, unrelated to major midface fractures in patients with mandibular fractures, and to characterize associated fractures. Methods: A CT study was performed in patients with mandibular fractures to identify posterior maxillary fractures. Patients aged under 16 years, those with mandibular fractures involving only dentoalveolar components and those with concurrent major midfacial fractures were excluded. Results: 13 (6.7%) of 194 patients with mandibular fractures also had posterior maxillary fractures (case group). The injury pattern correlated with the external force directed to the lateral side of the mandible (p < 0.001), alcohol consumption (p = 0.049), the presence of multifocal fractures (p = 0.002) and the fracture regions in the symphysis/parasymphysis (p = 0.001) and the angle/ramus (p = 0.001). No significant difference between the case and non-case groups was seen for age, sex or cause of trauma. Non-displaced fractures in the ipsilateral posterior mandible occurred with significant frequency (p = 0.001) when the posterior maxillary fractures involved only the sinus. Conclusions: Mandibular fractures accompanied by posterior maxillary fractures are not rare. The finding of a unilateral posterior maxillary fracture on CT may aid the efficient radiological examination of the mandible based on possible patterns of associated fractures, as follows: in the ipsilateral posterior region as a direct fracture when the impact is a medially directed force, and in the symphysis/parasymphysis or contralateral condylar neck as an indirect fracture. PMID:24336313

The Pathobiology of Diabetes Mellitus in Bone Metabolism, Fracture Healing, and Complications.

PubMed

Forslund, Johan M; Archdeacon, Michael T

2015-10-01

Complications and inferior outcomes of fractures in the setting of diabetes mellitus (DM) are well documented. The incidence of DM is increasing rapidly, particularly in an aging and obese population. Thus, the combination of DM and fracture is becoming a serious health problem worldwide. As many fractures are relatively uncomplicated in the healthy patient population, a concerted effort to improve outcomes of fractures in patients with DM is warranted. In this article, we review relevant studies and examine the pathobiological mechanisms influencing fracture outcomes, including complications related to bone and soft-tissue healing, and infection.

Ductile fracture of cylindrical vessels containing a large flaw

NASA Technical Reports Server (NTRS)

Erdogan, F.; Irwin, G. R.; Ratwani, M.

1976-01-01

The fracture process in pressurized cylindrical vessels containing a relatively large flaw is considered. The flaw is assumed to be a part-through or through meridional crack. The flaw geometry, the yield behavior of the material, and the internal pressure are assumed to be such that in the neighborhood of the flaw the cylinder wall undergoes large-scale plastic deformations. Thus, the problem falls outside the range of applicability of conventional brittle fracture theories. To study the problem, plasticity considerations are introduced into the shell theory through the assumptions of fully-yielded net ligaments using a plastic strip model. Then a ductile fracture criterion is developed which is based on the concept of net ligament plastic instability. A limited verification is attempted by comparing the theoretical predictions with some existing experimental results.

Penetrating cardiac injuries in blunt chest wall trauma.

PubMed

Kanchan, Tanuj; Menezes, Ritesh G; Sirohi, Parmendra

2012-08-01

The present photocase illustrates the possible mechanism of direct cardiac injuries from broken sharp jagged fractured ends of ribs in blunt force trauma to the chest in run over traffic mishaps. We propose that the projecting fractured ends of the ribs penetrate the underlying thoracic organs due to the transient phenomenon of deformation of chest cavity under pressure in run over traffic mishaps. Copyright © 2012 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Burrowing by small polychaetes - mechanics, behavior and muscle structure of Capitella sp.

PubMed

Grill, Susann; Dorgan, Kelly M

2015-05-15

Worms of different sizes extend burrows through muddy sediments by fracture, applying dorso-ventral forces that are amplified at the crack tip. Smaller worms displace sediments less than larger worms and therefore are limited in how much force they can apply to burrow walls. We hypothesized that small worms would exhibit a transition in burrowing mechanics, specifically a lower limit in body size for the ability to burrow by fracture, corresponding with an ontogenetic transition in muscle morphology. Kinematics of burrowing in a mud analog, external morphology and muscle arrangement were examined in juveniles and adults of the small polychaete Capitella sp. We found that it moves by peristalsis, and no obvious differences were observed among worms of different sizes; even very small juveniles were able to burrow through a clear mud analog by fracture. Interestingly, we found that in addition to longitudinal and circular muscles needed for peristaltic movements, left- and right-handed helical muscles wrap around the thorax of worms of all sizes. We suggest that in small worms helical muscles may function to supplement forces generated by longitudinal muscles and to maintain hydrostatic pressure, enabling higher forces to be exerted on the crack wall. Further research is needed, however, to determine whether surficial sediments inhabited by small worms fail by fracture or plastically deform under forces of the magnitudes applied by Capitella sp. © 2015. Published by The Company of Biologists Ltd.

Long boundary drainage as a source of lahars: Can big cracks make big floods?

NASA Astrophysics Data System (ADS)

Johnson, P. J.; Valentine, G.; Lowry, C.; Sonder, I.; Stauffer, P. H.; Santacoloma, C.; Pulgarín, B.; Adriana, A.

2016-12-01

Two phreatic eruptions in 2007 at Nevado del Huila Volcano, Colombia, were associated with the formation of very large (estimated 2,000 m long by 50 m wide) fracture systems at the summit of the volcano. Lahars with volumes up to 75 million m3 followed formation of these fissures, damaging villages downstream. Previous work suggested that water for these lahars was sourced at least in part by groundwater within the edifice that was rapidly expelled during the eruptions. The mechanisms for the rapid release of large volumes of water are unclear and cannot be uniquely constrained based on available data, leading to multiple conceptual models. We examine one conceptual model in which water discharge results primarily from gravity-driven drainage through the walls of the newly-opened fracture. The presence of a topographically low pour-point on the side of the edifice allows this leaking water to escape, forming a lahar. Steady state calculations and numerical modeling of transient-state fluid flow using the Finite Element Heat and Mass model (FEHM, https://fehm.lanl.gov) are used to estimate the resulting discharges. Our results show that a pulse of water is rapidly released through a new fracture, with discharge decreasing as the medium drains. Emitted water volumes depend on the dimensions of the crack and particularly sensitive to the height of the draining fracture wall and the magnitude of the permeability increase created during the fracturing event. Hazardous lahar events could be generated by this mechanism if large cracks form in water-bearing edifices elsewhere.

Comparison thoracic epidural and intercostal block to improve ventilation parameters and reduce pain in patients with multiple rib fractures.

PubMed

Hashemzadeh, Shahryar; Hashemzadeh, Khosrov; Hosseinzadeh, Hamzeh; Aligholipour Maleki, Raheleh; Golzari, Samad E J; Golzari, Samad

2011-01-01

Chest wall blunt trauma causes multiple rib fractures and will often be associated with significant pain and may compromise ventilator mechanics. Analgesia has great roll in rib fracture therapies, opioid are useful, but when used as sole agent may require such high dose that they produce respiratory depression, especially in elderly .the best analgesia for a severe chest wall injury is a continuous epidural infusion of local anesthetic. This provides complete analgesia allowing inspiration and coughing without of the risk of respiratory depression. sixty adult patients who with multiple rib fractures were enrolled in this study. They were divided into Group A or thoracic epidural with bupivacaine 0.125 % +1mg/5ml morphine and group B or intercostal block with 0.25% bupivacaine. The patients were assessed through ICU and hospital stay length, ventilation function tests. Pain score among the patients was measured with verbal rating scale, before and after administration of the analgesia. We found a significant improvement in ventilatory function tests during the 1st, 2nd, and 3rd days after epidural analgesia compared with the intercostal block (P < 0.004). Changes in the visual Analogue Scale were associated with marked improvement regarding pain at rest and pain caused by coughing and deep breathing in group A compared group B... ICU and hospital stay markedly reduced in Group A. thoracic epidural analgesia is superior to intercostals block regarding pain relief of rib fractures. Patients who received epidural analgesia had significantly lower pain scores at all studied times.

Analysis of orthopedic injuries in an airplane landing disaster and a suggested mechanism of trauma.

PubMed

Mirzatolooei, Fardin; Bazzazi, Amirmohammad

2013-04-01

Survival after an airplane disaster is rare. We describe the injuries of survivors of an airplane accident and present a common mechanism of trauma for victims. Descriptive data were gathered by interviews with patients, physical examination. Review of charts and patients X-ray films. Informations regarding the flight characteristics were obtained from Iran air safety board. All dead patients were clinically examined by legal medicine department. The suggested mechanism of trauma was established according to present knowledge of mechanism of fractures. From 105 passengers, 27 survived. There was no mortality during hospital course. Between dead passengers, lower extremity fractures were the most common followed by chest wall fractures. Among the survivors, neurosurgical help was needed only in one case for shunt application. Brain concussions and effusions and one hematoma managed conservatively. Two laparotomies were performed for one splenectomy and two hepatoraphy. One pelvic fracture and two femur fractures were occurred. Tibia fractures were the most common (17) followed by spine (14) fractures. Ten tibial fractures were open, and 15 were in distal third. All tibia fractures were fixed with IM locking nails or locking plates. Eight posterior instrumentations were applied for seven burst and two fracture-dislocations. In this landing accident, a combination of vertical loading along with deceleration force produced burst fractures of spine and distal leg fractures.

Rib fractures: comparison of associated injuries between pediatric and adult population.

PubMed

Kessel, Boris; Dagan, Jasmin; Swaid, Forat; Ashkenazi, Itamar; Olsha, Oded; Peleg, Kobi; Givon, Adi; Alfici, Ricardo

2014-11-01

Rib fractures are considered a marker of exposure to significant traumatic energy. In children, because of high elasticity of the chest wall, higher energy levels are necessary for ribs to fracture. The purpose of this study was to analyze patterns of associated injuries in children as compared with adults, all of whom presented with rib fractures. A retrospective cohort study involving blunt trauma patients with rib fractures registered in the National Trauma Registry was conducted. Of 6,995 trauma victims who were found to suffer from rib fractures, 328 were children and 6,627 were adults. Isolated rib fractures without associated injuries occurred in 19 children (5.8%) and 731 adults (11%). More adults had 4 or more fractured ribs compared with children (P < .001). Children suffered from higher rates of associated brain injuries (P = .003), hemothorax/pneumothorax (P = .006), spleen, and liver injury (P < .001). Mortality rate was 5% in both groups. The incidence of associated head, thoracic, and abdominal solid organ injuries in children was significantly higher than in adults suffering from rib fractures. In spite of a higher Injury Severity Score and incidence of associated injuries, mortality rate was similar. Mortality of rib fracture patients was mostly affected by the presence of extrathoracic injuries. Copyright © 2014 Elsevier Inc. All rights reserved.

Chest Wall Trauma.

PubMed

Majercik, Sarah; Pieracci, Fredric M

2017-05-01

Chest wall trauma is common, and contributes significantly to morbidity and mortality of trauma patients. Early identification of major chest wall and concomitant intrathoracic injuries is critical. Generalized management of multiple rib fractures and flail chest consists of adequate pain control (including locoregional modalities); management of pulmonary dysfunction by invasive and noninvasive means; and, in some cases, surgical fixation. Multiple studies have shown that patients with flail chest have substantial benefit (decreased ventilator and intensive care unit days, improved pulmonary function, and improved long-term functional outcome) when they undergo surgery compared with nonoperative management. Copyright © 2017 Elsevier Inc. All rights reserved.

Effect of Aperture Field Variability, Flow Rate, and Ionic Strength on Colloid Transport in Single Fractures: Laboratory-Scale Experiments and Numerical Simulation

NASA Astrophysics Data System (ADS)

Zheng, Q.; Dickson, S.; Guo, Y.

2007-12-01

A good understanding of the physico-chemical processes (i.e., advection, dispersion, attachment/detachment, straining, sedimentation etc.) governing colloid transport in fractured media is imperative in order to develop appropriate bioremediation and/or bioaugmentation strategies for contaminated fractured aquifers, form management plans for groundwater resources to prevent pathogen contamination, and identify suitable radioactive waste disposal sites. However, research in this field is still in its infancy due to the complex heterogeneous nature of fractured media and the resulting difficulty in characterizing this media. The goal of this research is to investigate the effects of aperture field variability, flow rate and ionic strength on colloid transport processes in well characterized single fractures. A combination of laboratory-scale experiments, numerical simulations, and imaging techniques were employed to achieve this goal. Transparent replicas were cast from natural rock fractures, and a light transmission technique was employed to measure their aperture fields directly. The surface properties of the synthetic fractures were characterized by measuring the zeta-potential under different ionic strengths. A 33 (3 increased to the power of 3) factorial experiment was implemented to investigate the influence of aperture field variability, flow rate, and ionic strength on different colloid transport processes in the laboratory-scale fractures, specifically dispersion and attachment/detachment. A fluorescent stain technique was employed to photograph the colloid transport processes, and an analytical solution to the one-dimensional transport equation was fit to the colloid breakthrough curves to calculate the average transport velocity, dispersion coefficient, and attachment/detachment coefficient. The Reynolds equation was solved to obtain the flow field in the measured aperture fields, and the random walk particle tracking technique was employed to model the colloid transport experiments. The images clearly show the development of preferential pathways for colloid transport in the different aperture fields and under different flow conditions. Additionally, a correlation between colloid deposition and fracture wall topography was identified. This presentation will demonstrate (1) differential transport between colloid and solute in single fractures, and the relationship between differential transport and aperture field statistics; (2) the relationship between the colloid dispersion coefficient and aperture field statistics; and (3) the relationship between attachment/detachment, aperture field statistics, fracture wall topography, flow rate, and ionic strength. In addition, this presentation will provide insight into the application of the random walk particle tracking technique for modeling colloid transport in variable-aperture fractures.

[Diagnosis of the scaphoid bone : Fractures, nonunion, circulation, perfusion].

PubMed

Kahl, T; Razny, F K; Benter, J P; Mutig, K; Hegenscheid, K; Mutze, S; Eisenschenk, A

2016-11-01

The clinical relevance of scaphoid bone fractures is reflected by their high incidence, accounting for approximately 60 % among carpal fractures and for 2-3 % of all fractures. With adequate therapy most scaphoid bone fractures heal completely without complications. Insufficient immobilization or undiagnosed fractures increase the risk of nonunion and the development of pseudarthrosis.X-ray examination enables initial diagnosis of scaphoid fracture in 70-80 % of cases. Positive clinical symptoms by negative x‑ray results require further diagnostics by multi-slice spiral CT (MSCT) or MRI to exclude or confirm a fracture. In addition to the diagnosis and description of fractures MSCT is helpful for determining the stage of nonunion. Contrast enhanced MRI is the best method to assess the vitality of scaphoid fragments.

Titanium-Oxygen Reactivity Study

NASA Technical Reports Server (NTRS)

Chafey, J. E.; Scheck, W. G.; Witzell, W. E.

1962-01-01

A program has been conducted at Astronautics to investigate the likelihood of occurrence of the catastrophic oxidation of titanium alloy sheet under conditions which simulate certain cases of accidental failure of the metal while it is in contact with liquid or gaseous oxygen. Three methods of fracturing the metal were used; they consisted of mechanical puncture, tensile fracture of welded joints, and perforation by very high velocity particles. The results of the tests which have been conducted provide further evidence of the reactivity of titanium with liquid and gaseous oxygen. The evidence indicates that the rapid fracturing of titanium sheet while it is in contact with oxygen initiates the catastrophic oxidation reaction. Initiation occurred when the speed of the fracture was some few feet per second, as in both the drop-weight puncture tests and the static tensile fracture tests of welded joints, as well as when the speed was several thousand feet per second, as in the simulated micrometeoroid penetration tests. The slow propagation of a crack, however, did not initiate the reaction. It may logically be concluded that the localized frictional heat of rapid fracture and/or spontaneous oxidation (exothermic) of minute particles emanating from the fracture cause initiation of the reaction. Under conditions of slow fracture, however, the small heat generated may be adequately dissipated and the reaction is not initiated. A portion of the study conducted consisted of investigating various means by which the reaction might be retarded or prevented. Providing a "barrier" at the titanium-oxygen interface consisting of either aluminum metal or a coating of a petroleum base corrosion inhibitor appeared to be only partially effective in retarding the reaction. The accidental puncturing or similar rupturing of thin-walled pressurized oxygen tanks on missiles and space vehicle will usually constitute loss of function, and may sometimes cause their catastrophic destruction by explosive decompression regardless of the type of material used for their construction. In the case of tanks constructed of titanium alloys the added risk is incurred of catastrophic burning of the tanks. In view of this it is recommended that thin-walled tanks constructed of titanium alloys should not be used to contain liquid or gaseous oxygen.

Spontaneous displacement of olecranon fracture through geode salvaged by elbow replacement.

PubMed

Jaiswal, Anuj; Thakur, Raman; Relwani, Jaikumar; Ogufere, Wallace

2010-04-01

We present a case of pathological fracture of olecranon through a giant geode. Fracture was initially undisplaced and was treated conservatively. It later progressed to a transolecranon dislocation as a result of a pseudarthrosis at the fracture site. The patient presented 4 years later when she developed symptoms of ulnar nerve palsy. She was treated by a total elbow arthroplasty with ulnar nerve transposition. The current report highlights this unusual case and reviews the relevant literature.

Seismic response monitoring of the Arno river masonry embankment during the conservation works after the Lungarno Torrigiani riverbank landslide (Florence - May 25, 2016)

NASA Astrophysics Data System (ADS)

Lotti, Alessia; Pazzi, Veronica; Chiara, Paolo; Lombardi, Luca; Nocentini, Massimiliano; Casagli, Nicola

2017-04-01

Geohazards are the most relevant processes that can damage or increase the risk of human beings, properties, critical and transport infrastructures, and environment itself. They also could involve the interruption of human activities. The concepts of disaster risk reduction and disaster risk management involve the development, improvement, and application of policies, strategies, and practices to minimize disaster risks throughout society. Since 1972 (UNESCO Convention) the identification, protection, and preservation of cultural and natural heritage has been recognized to be of outstanding value to humanity, and a key resource to build resilient societies. Nevertheless, world architectural wealth is accumulating damages and heavy losses because of both materials deterioration and exceptional natural or man-made events. The "health" of buildings/structures/infrastructures may be evaluate by its deterioration or damage level. Thus, structure dynamic characterization and microtremor analysis are considered powerful techniques, even thought seismic noise techniques in densely populated area are hardly to carry out because of the background noise due to the human activities. A wide bibliography about buildings/structures/infrastructures seismic dynamic characterization is counterposed to a missing one about their seismic response during conservation/safety works, even thought the seismic vibration monitoring (SVM) is widely used. On May 25, 2016 a riverbank landslide seriously damaged a portion roughly 100 m long of the Lungarno Torrigiani historical masonry embankment wall (left river bank of the Florence urban stretch of the Arno river, between Ponte alle Grazie e Ponte Vecchio). The street next to the embankment wall collapsed, and the earth fill material was fully retained by the embankment wall that did not collapse but seriously deformed towards the Arno river, fracturing itself in three main areas (a cusp roughly in the middle of the damaged wall, where is also concentrated the maximum landslide pressure, and two hinges). In this work we present the results of the SVM carried out during the conservation works. The SVM (sampling frequency 200 Hz) was carried out from August 14 to October 10, 2016 by means of three high gain triaxle velocimeters SS45 (own frequency 4.5 Hz), each one coupled with a SL06 24-bit digitiser, located onto the masonry embankment wall, in the three main fractured areas. The H/V results of the traces acquired to evaluate the resonance frequency of the masonry embankment wall showed that its main resonance frequency was between 4 Hz and 15 Hz, in agreement with the frequency range of roughly 10-meters-high, squat and monolithic structure. Moreover, the maximum peak component particle velocities substantially increased during the roto-percussion piling works, and clearly showed the works advancement. The spectra analysis showed that the NS component, perpendicular to the wall, was the most stressed until the end of the piling works. The SMV indicated that the piling works stressed more the embankment wall section between Ponte alle Grazie hinge and the cusp. Finally, the hinge zones seem to be more sensitive to the vibrations characterized by low-frequency content, while the cusp section (the most damaged one) was more sensitive to vibrations associated with on site works.

Injuries of the Medial Clavicle: A Cohort Analysis in a Level-I-Trauma-Center. Concomitant Injuries. Management. Classification.

PubMed

Bakir, Mustafa Sinan; Merschin, David; Unterkofler, Jan; Guembel, Denis; Langenbach, Andreas; Ekkernkamp, Axel; Schulz-Drost, Stefan

2017-01-01

Introduction: Although shoulder girdle injuries are frequent, those of the medial clavicle are widely unexplored. An applied classification is less used just as a standard management. Methods: A retrospective analysis of medial clavicle injuries (MCI) during a 5-year-term in a Level-1-Trauma-Center. We analyzed amongst others concomitant injuries, therapy strategies and the classification following the AO standards. Results: 19 (2.5%) out of 759 clavicula injuries were medial ones (11 A, 6 B and 2 C-Type fractures) thereunder 27,8% were displaced and thus operatively treated Locked plate osteosynthesis was employed in unstable fractures and a reconstruction of the ligaments at the sternoclavicular joint (SCJ) in case of their disruption. 84,2% of the patients sustained relevant concomitant injuries. Numerous midshaft fractures were miscoded as medial fracture, which limited the study population. Conclusions: MCI resulted from high impact mechanisms of injury, often with relevant dislocation and concomitant injuries. Concerning medial injury's complexity, treatment should occur in specialized hospitals. Unstable fractures and injuries of the SCJ ligaments should be considered for operative treatment. Midshaft fractures should be clearly distinguished from the medial ones in ICD-10-coding. Further studies are required also regarding a subtyping of the AO classification for medial clavicle fractures including ligamental injuries. Celsius.

Adherence to a Mediterranean-style diet and incident fractures: pooled analysis of observational evidence.

PubMed

Kunutsor, Setor K; Laukkanen, Jari A; Whitehouse, Michael R; Blom, Ashley W

2018-06-01

The Mediterranean diet is associated with decreased morbidity and mortality from various chronic diseases. Adherence to a Mediterranean-style diet has been suggested to have protective effects on bone health and decreases the incidence of bone fractures, but the evidence is not clear. We conducted a systematic review and meta-analysis of available observational studies to quantify the association between adherence to a Mediterranean-style diet, as assessed by the Mediterranean Diet Score (MDS), and the risk of fractures in the general population. Relevant studies were identified in a literature search of MEDLINE, EMBASE, Web of Science, and reference lists of relevant studies to October 2016. Relative risks (RRS) with 95% confidence intervals (CIs) were aggregated using random-effects models. Five observational studies with data on 353,076 non-overlapping participants and 33,576 total fractures (including 6,881 hip fractures) were included. The pooled fully adjusted RR (95% CI) for hip fractures per 2-point increment in adherence to the MDS was 0.82 (0.71-0.96). Adherence to the MDS was not associated with the risk of any or total fractures based on pooled analysis of only two studies. Limited observational evidence supports a beneficial effect of adherence to a Mediterranean-style diet on the incidence of hip fractures. Well-designed intervention studies are needed to elucidate the relationship between adherence to a Mediterranean-style diet and the risk of adverse bone health outcomes such as fractures.

Role of multiple cusps in tooth fracture.

PubMed

Barani, Amir; Bush, Mark B; Lawn, Brian R

2014-07-01

The role of multiple cusps in the biomechanics of human molar tooth fracture is analysed. A model with four cusps at the bite surface replaces the single dome structure used in previous simulations. Extended finite element modelling, with provision to embed longitudinal cracks into the enamel walls, enables full analysis of crack propagation from initial extension to final failure. The cracks propagate longitudinally around the enamel side walls from starter cracks placed either at the top surface (radial cracks) or from the tooth base (margin cracks). A feature of the crack evolution is its stability, meaning that extension occurs steadily with increasing applied force. Predictions from the model are validated by comparison with experimental data from earlier publications, in which crack development was followed in situ during occlusal loading of extracted human molars. The results show substantial increase in critical forces to produce longitudinal fractures with number of cuspal contacts, indicating a capacity for an individual tooth to spread the load during mastication. It is argued that explicit critical force equations derived in previous studies remain valid, at the least as a means for comparing the capacity for teeth of different dimensions to sustain high bite forces. Copyright © 2014 Elsevier Ltd. All rights reserved.

Delamination of Composite Cylinders

NASA Astrophysics Data System (ADS)

Davies, Peter; Carlsson, Leif A.

The delamination resistance of filament wound glass/epoxy cylinders has been characterized for a range of winding angles and fracture mode ratios using beam fracture specimens. The results reveal that the delamination fracture resistance increases with increasing winding angle and mode II (shear) fraction (GΠ/G). It was also found that interlaced fiber bundles in the filament wound cylinder wall acted as effective crack arresters in mode I loading. To examine the sensitivity of delamina-tion damage on the strength of the cylinders, external pressure tests were performed on filament-wound glass/epoxy composite cylinders with artificial defects and impact damage. The results revealed that the cylinder strength was insensitive to the presence of single delaminations but impact damage caused reductions in failure pressure. The insensitivity of the failure pressure to a single delamination is attributed to the absence of buckling of the delaminated sublaminates before the cylinder wall collapsed. The impacted cylinders contained multiple delaminations, which caused local reduction in the compressive load capability and reduction in failure pressure. The response of glass/epoxy cylinders was compared to impacted carbon reinforced cylinders. Carbon/epoxy is more sensitive to damage but retains higher implosion resistance while carbon/PEEK shows the opposite trend.

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

Brochard, J.; Charras, T.; Ghoudi, M.

Modifications to a computer code for ductile fracture assessment of piping systems with postulated circumferential through-wall cracks under static or dynamic loading are very briefly described. The modifications extend the capabilities of the CASTEM2000 code to the determination of fracture parameters under creep conditions. The main advantage of the approach is that thermal loads can be evaluated as secondary stresses. The code is applicable to piping systems for which crack propagation predictions differ significantly depending on whether thermal stresses are considered as primary or secondary stresses.

Mechanical Properties and Fracture Toughness Assessment of M795 and M549 155 mm Artillery Projectile Bodies Manufactured from HF-1 Steel

DTIC Science & Technology

1986-07-01

body, fracture toughness values determined using A(T) specimens agreed well with values reported elsewhere determined using Charpy - sized three point...values reported elsewhere determined using Charpy - sized three point bend (3PB) specimens. For the M795 body, however, good agreement was obtained for...the projectile wall, viz. the transverse and the longitudinal directions. Arc- tension, A(T), and pre-cracked Charpy three point bend, 3PB, specimens

Dentin-like versus Rigid Endodontic Post: 11-year Randomized Controlled Pilot Trial on No-wall to 2-wall Defects.

PubMed

Naumann, Michael; Sterzenbach, Guido; Dietrich, Thomas; Bitter, Kerstin; Frankenberger, Roland; von Stein-Lausnitz, Manja

2017-11-01

This is the first long-term randomized controlled trial to evaluate dentin-like glass fiber posts (GFPs) compared with rather rigid titanium posts (TPs) for post-endodontic restoration of severely damaged endodontically treated teeth with 2 or fewer remaining cavity walls. Ninety-one subjects in need of post-endodontic restorations were randomly assigned to receive either a tapered GFP (n = 45) or TP (n = 46). Posts were adhesively luted by using self-adhesive resin cement, followed by composite core build-up and preparation of 2-mm ferrule design. Primary end point was loss of restoration for any reason. Kaplan-Meier curves were constructed, and log-rank test was calculated (P < .05). After a follow-up of 132 months, 17 GFP and 20 TP restorations survived, and 19 failed (12 GFP, 7 TP). Failure modes for GFP were root fracture (n = 4), core fracture (n = 1), secondary caries (n = 1), endodontic failure (n = 2), extraction because of tooth mobility grade III associated with insufficient design of removable partial denture (n = 1), tooth fracture (n = 1), and changes in treatment plan (n = 2); failure modes for TP were endodontic failure (n = 5), root fracture (n = 1), and 1 extraction for other reasons. Cumulative survival probability was 58.7% for GFP and 74.2% for TP. When using self-adhesively luted prefabricated posts, resin composite core build-up, and 2-mm ferrule to reconstruct severely damaged endodontically treated teeth, tooth survival is not influenced by post rigidity. Survival decreased rapidly after 8 years of observation in both groups. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

2017 Status report-Tritium aging studies on stainless steel: Effect of hydrogen, tritium and decay helium on the fracture-toughness properties of stem, cup and block forgings

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

Morgan, Michael J.

The materials of construction of tritium reservoirs are forged stainless steels. During service, the structural properties of the stainless steel change over time because of the diffusion of tritium into the reservoir wall and its radioactive decay to helium-3. This aging effect can cause cracks to initiate and grow which could result in a tritium leak or delayed failure of a tritium reservoir. Numerous factors affect the tendency for crack formation and propagation and are being investigated in this program. The goal of the research is to provide relevant fracture mechanics data that can be used by the design agenciesmore » in their assessments of tritium reservoir structural integrity. In this status report, new experimental results are presented on the effects of tritium and decay helium on the cracking properties of specimens taken from actual tritium reservoir forgings instead of the experimental forgings of past programs. The properties measured are more representative of actual reservoir properties because the microstructure of the specimens tested are more like that of the actual tritium reservoirs. The program was designed to measure the effects of material variables on tritium compatibility and includes two stainless steels (Type 304L and 316L stainless steel), multiple yield strengths (360-500 MPa), and multiple forging shapes (Stem, Cup, and Block).« less

[Conventional X-Rays of Ankle Joint Fractures in Older Patients are Not Always Predictive].

PubMed

Jubel, A; Faymonville, C; Andermahr, J; Boxberg, S; Schiffer, G

2017-02-01

Background: Ankle fractures are extremely common in the elderly, with an incidence of up to 39 fractures per 100,000 persons per year. We found a discrepancy between intraoperative findings and preoperative X-ray findings. It was suggested that many relevant lesions of the ankle joint in the elderly cannot be detected with plain X-rays. Methods: Complete data sets and preoperative X-rays of 84 patients aged above 60 years with ankle fractures were analysed retrospectively. There were 59 women and 25 men, with a mean age of 69.9 years. Operation reports and preoperative X-rays were analysed with respect to four relevant lesions: multifragmentary fracture pattern of the lateral malleolus, involvement of the medial malleolus, posterior malleolar fractures and bony avulsion of anterior syndesmosis. Sensitivity, specificity, positive predictive value, negative predictive value, accuracy and prevalence were calculated. Results: The prevalence of specific ankle lesions in the analyzed cohort was 24 % for the multifragmentary fracture pattern of the lateral malleolus, 38 % for fractures of the medial malleolus, 25 % for posterior malleolar fractures and 22.6 % for bony avulsions of the anterior syndesmosis. Multifragmentary fracture patterns of the lateral malleolus (sensitivity 0 %) and bony avulsions of the anterior syndesmosis (sensitivity 5 %) could not be detected in plain X-rays of the ankle joint at all. Fractures of the medial malleolus and involvement of the dorsal tibial facet were detected with a sensitivity of 96.8 % and 76.2 %, respectively, and specificity of 100 % in both cases. Conclusions: This study confirms that complex fracture patterns, such as multifragmentary involvement of the lateral malleolus, additional fracture of the medial malleolus, involvement of the dorsal tibial facet or bony avulsion of the anterior syndesmosis are common in ankle fractures of the elderly. Therefore, CT scans should be routinely considered for primary diagnosis, in addition to plain X-rays. Georg Thieme Verlag KG Stuttgart · New York.

Low-frequency fluid waves in fractures and pipes

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

Korneev, Valeri

2010-09-01

Low-frequency analytical solutions have been obtained for phase velocities of symmetrical fluid waves within both an infinite fracture and a pipe filled with a viscous fluid. Three different fluid wave regimes can exist in such objects, depending on the various combinations of parameters, such as fluid density, fluid viscosity, walls shear modulus, channel thickness, and frequency. Equations for velocities of all these regimes have explicit forms and are verified by comparisons with the exact solutions. The dominant role of fractures in rock permeability at field scales and the strong amplitude and frequency effects of Stoneley guided waves suggest the importancemore » of including these wave effects into poroelastic theories.« less

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

Khanal, Suraj P.; Mahfuz, Hassan; Rondinone, Adam Justin

The potential of improving the fracture toughness of synthetic hydroxyapatite (HAp) by incorporating carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and polymerized ε-caprolactam (nylon) was researched. A series of HAp samples with CfSWCNTs concentrations varying from 0 to 1.5 wt.%, without, and with nylon addition was prepared. X-ray diffraction (XRD), Scanning Electron Microscopy (SEM), and Transmission Electron Microscopy (TEM) were used to characterize the samples. The three point bending test was applied to measure the fracture toughness of the composites. A reproducible value of 3.6 ± 0.3 MPa.√m was found for samples containing 1 wt.% CfSWCNTs and nylon. This valuemore » is in the range of the cortical bone fracture toughness. Lastly, the increase of the CfSWCNTs content results to decrease of the fracture toughness, and formation of secondary phases.« less

A Numerical Study on Small-Scale Permeability Creation Associated with Fluid Pressure Induced Inelastic Shearing

NASA Astrophysics Data System (ADS)

Vogler, D.; Amann, F.; Bayer, P.

2014-12-01

Anthropogenic perturbations in a rock mass at great depth cause a complex thermal-hydro-mechanical (THM) response. This is of particular relevance when dealing with enhanced geothermal systems (EGS) and unconventional oil and gas recovery utilizing hydraulic fracturing. Studying the key THM coupled processes associated with specific reservoir characteristics in an EGS are of foremost relevance to establish a heat exchanger able to achieve the target production rate.Many reservoirs are naturally low permeable, and the target permeability can only be achieved through the creation of new fractures or inelastic and dilatant shearing of pre-existing discontinuities. The latter process, which is considered to irreversibly increase the apertures of pre-existing discontinuities, has been shown to be especially important for EGS. Common constitutive equations linking the change in hydraulic aperture and the change in mechanical aperture are based on the basic formulation of the cubic law, which linearly relates the flow rate in a fracture to the pressure gradient. However, HM-coupled laboratory investigations demonstrate, that the relation between the mechanical and the hydraulic aperture as assumed in the cubic law, is not valid when dealing with very small initial apertures, which are likely to occur at great depth. In a current study, we investigate the relevance of this discrepancy for the early stage of permeability creation in an EGS, where massive fluid injections trigger largely irreversible in-elastic shearing of critically stressed discontinuities. Understanding small-scale effects in fractures in EGS during fluid injection is crucial to predict reservoir fluid production rates and seismic events.Our study aims to implement an empirical constitutive law in an existing discrete fracture code, and calibrate this against experimental data showing the irreversible shearing induced permeability changes. This empirical relation will later be used to quantify the relevance of uncertainties in reservoir characterisation such as discrete fracture networks (DFN) and in-situ state of stress.

Microstructural characterization of pipe bomb fragments

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

Gregory, Otto, E-mail: gregory@egr.uri.edu; Oxley, Jimmie; Smith, James

2010-03-15

Recovered pipe bomb fragments, exploded under controlled conditions, have been characterized using scanning electron microscopy, optical microscopy and microhardness. Specifically, this paper examines the microstructural changes in plain carbon-steel fragments collected after the controlled explosion of galvanized, schedule 40, continuously welded, steel pipes filled with various smokeless powders. A number of microstructural changes were observed in the recovered pipe fragments: deformation of the soft alpha-ferrite grains, deformation of pearlite colonies, twin formation, bands of distorted pearlite colonies, slip bands, and cross-slip bands. These microstructural changes were correlated with the relative energy of the smokeless powder fillers. The energy of themore » smokeless powder was reflected in a reduction in thickness of the pipe fragments (due to plastic strain prior to fracture) and an increase in microhardness. Moreover, within fragments from a single pipe, there was a radial variation in microhardness, with the microhardness at the outer wall being greater than that at the inner wall. These findings were consistent with the premise that, with the high energy fillers, extensive plastic deformation and wall thinning occurred prior to pipe fracture. Ultimately, the information collected from this investigation will be used to develop a database, where the fragment microstructure and microhardness will be correlated with type of explosive filler and bomb design. Some analyses, specifically wall thinning and microhardness, may aid in field characterization of explosive devices.« less

Experimental Investigation on the Basic Law of the Fracture Spatial Morphology for Water Pressure Blasting in a Drillhole Under True Triaxial Stress

NASA Astrophysics Data System (ADS)

Huang, Bingxiang; Li, Pengfeng

2015-07-01

The present literature on the morphology of water pressure blasting fractures in drillholes is not sufficient and does not take triaxial confining stress into account. Because the spatial morphology of water pressure blasting fractures in drillholes is not clear, the operations lack an exact basis. Using a large true triaxial water pressure blasting experimental system and an acoustic emission 3-D positioning system, water pressure blasting experiments on cement mortar test blocks (300 mm × 300 mm × 300 mm) were conducted to study the associated basic law of the fracture spatial morphology. The experimental results show that water pressure blasting does not always generate bubble pulsation. After water pressure blasting under true triaxial stress, a crushed compressive zone and a blasting fracture zone are formed from the inside, with the blasting section of the naked drillhole as the center, to the outside. The shape of the outer edges of the two zones is ellipsoidal. The range of the blasting fracture is large in the radial direction of the drillhole, where the surrounding pressure is large, i.e., the range of the blasting fracture in the drillhole radial cross-section is approximately ellipsoidal. The rock near the drillhole wall is affected by a tensile stress wave caused by the test block boundary reflection, resulting in more flake fractures appearing in the fracturing crack surface in the drillhole axial direction and parallel to the boundary surface. The flake fracture is thin, presenting a small-range flake fracture. The spatial morphology of the water pressure blasting fracture in the drillhole along the axial direction is similar to a wide-mouth Chinese bottle: the crack extent is large near the drillhole orifice, gradually narrows inward along the drillhole axial direction, and then increases into an approximate ellipsoid in the internal naked blasting section. Based on the causes of the crack generation, the blasting cracks are divided into three zones: the blasting shock zone, the axial extension zone, and the orifice influence zone. The explosion shock zone is the range that is directly impacted by the explosive shock waves. The axial extension zone is the axial crack area with uniform width, which is formed when the blasting fracture in the edge of the explosion shock zone extends along the drillhole wall. The extension of the orifice influence zone is very large because the explosion stress waves reflect at the free face and generate tensile stress waves. In the water pressure blasting of the drillhole, the sealing section should be lengthened to allow the drillhole blasting cracks to extend sufficiently under the long-time effect of the blasting stress field of quasi-hydrostatic pressure.

Effect of isolated fractures on accelerated flow in unsaturated porous rock

USGS Publications Warehouse

Su, Grace W.; Nimmo, John R.; Dragila, Maria I.

2003-01-01

Fractures that begin and end in the unsaturated zone, or isolated fractures, have been ignored in previous studies because they were generally assumed to behave as capillary barriers and remain nonconductive. We conducted a series of experiments using Berea sandstone samples to examine the physical mechanisms controlling flow in a rock containing a single isolated fracture. The input fluxes and fracture orientation were varied in these experiments. Visualization experiments using dyed water in a thin vertical slab of rock were conducted to identify flow mechanisms occurring due to the presence of the isolated fracture. Two mechanisms occurred: (1) localized flow through the rock matrix in the vicinity of the isolated fracture and (2) pooling of water at the bottom of the fracture, indicating the occurrence of film flow along the isolated fracture wall. These mechanisms were observed at fracture angles of 20 and 60 degrees from the horizontal, but not at 90 degrees. Pooling along the bottom of the fracture was observed over a wider range of input fluxes for low‐angled isolated fractures compared to high‐angled ones. Measurements of matrix water pressures in the samples with the 20 and 60 degree fractures also demonstrated that preferential flow occurred through the matrix in the fracture vicinity, where higher pressures occurred in the regions where faster flow was observed in the visualization experiments. The pooling length at the terminus of a 20 degree isolated fracture was measured as a function of input flux. Calculations of the film flow rate along the fracture were made using these measurements and indicated that up to 22% of the flow occurred as film flow. These experiments, apparently the first to consider isolated fractures, demonstrate that such features can accelerate flow through the unsaturated zone and should be considered when developing conceptual models.

The evolution of fracture surface roughness and its dependence on slip

NASA Astrophysics Data System (ADS)

Wells, Olivia L.

Under effective compression, impingement of opposing rough surfaces of a fracture can force the walls of the fracture apart during slip. Therefore, a fracture's surface roughness exerts a primary control on the amount of dilation that can be sustained on a fracture since the opposing surfaces need to remain in contact. Previous work has attempted to characterize fracture surface roughness through topographic profiles and power spectral density analysis, but these metrics describing the geometry of a fracture's surface are often non-unique when used independently. However, when combined these metrics are affective at characterizing fracture surface roughness, as well as the mechanisms affecting changes in roughness with increasing slip, and therefore changes in dilation. These mechanisms include the influence of primary grains and pores on initial fracture roughness, the effect of linkage on locally increasing roughness, and asperity destruction that limits the heights of asperities and forms gouge. This analysis reveals four essential stages of dilation during the lifecycle of a natural fracture, whereas previous slip-dilation models do not adequately address the evolution of fracture surface roughness: (1) initial slip companied by small dilation is mediated by roughness controlled by the primary grain and pore dimensions; (2) rapid dilation during and immediately following fracture growth by linkage of formerly isolated fractures; (3) wear of the fracture surface and gouge formation that minimizes dilation; and (4) between slip events cementation that modifies the mineral constituents in the fracture. By identifying these fundamental mechanisms that influence fracture surface roughness, this new conceptual model relating dilation to slip has specific applications to Enhanced Geothermal Systems (EGS), which attempt to produce long-lived dilation in natural fractures by inducing slip.

Comparison between results of detailed tectonic studies on borehole core vs microresistivity images of borehole wall from gas-bearing shale complexes, Baltic Basin, Poland.

NASA Astrophysics Data System (ADS)

Bobek, Kinga; Jarosiński, Marek; Pachytel, Radomir

2017-04-01

Structural analysis of borehole core and microresistivity images yield an information about geometry of natural fracture network and their potential importance for reservoir stimulation. Density of natural fractures and their orientation in respect to the maximum horizontal stress has crucial meaning for hydraulic fractures propagation in unconventional reservoirs. We have investigated several hundred meters of continuous borehole core and corresponding microresistivity images (mostly XRMI) from six boreholes in the Pomeranian part of the Early Paleozoic Baltic Basin. In general, our results challenge the question about representatives of statistics based on structural analyses on a small shale volume represented by borehole core or borehole wall images and credibility of different sets of data. Most frequently, fractures observed in both XRMI and cores are steep, small strata-bound fractures and veins with minor mechanical aperture (0,1 mm in average). These veins create an orthogonal joint system, locally disturbed by fractures associated with normal or by gently dipping thrust faults. Mean fractures' height keeps in a range between 30-50 cm. Fracture density differs significantly among boreholes and Consistent Lithological Units (CLUs) but the most frequent means falls in a range 2-4 m-1. We have also payed an attention to bedding planes due to their expected coupling with natural fractures and their role as structural barriers for vertical fracture propagation. We aimed in construction for each CLU the so-called "mean brick", which size is limited by an average distance between two principal joint sets and between bedding fractures. In our study we have found out a discrepancy between structural profiles based on XRMI and core interpretation. For some CLUs joint fractures densities, are higher in cores than in XRMI. In this case, numerous small fractures were not recorded due to the limits of XRMI resolution. However, the most veins with aperture 0,1 mm, cemented with calcite, were clearly visible in scanner image. We have also observed significantly lower density of veins in core than in the XRMI that occurs systematically in one formation enriched with carbonate and dolomite. In this case, veins are not fractured in core and obliterated for bare eye by dolomitization, but are still contrastive in respect of electric resistance. Calculated density of bedding planes per 1 meter reveals systematically higher density of fractures observed on core than in the XRMI (depicted automatically by interpretation program). This difference may come from additional fracking due to relaxation of borehole core while recovery. Comparison of vertical joint fractures density with thickness of mechanical beds shows either lack of significant trends or a negative correlation (greater density of bedding fractures correspond to lower density of joints). This result, obtained for shale complexes contradict that derived for sandstone or limestone. Boundary between CLUs are visible on both: joint and bedding fracture density profiles. Considering small-scale faults and slickensides we have obtained good agreement between results of core and scanner interpretation. This study in the frame of ShaleMech Project funded by Polish Committee for Scientific Research is in progress and the results are preliminary.

Modelling of Local Necking and Fracture in Aluminium Alloys

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

Achani, D.; Eriksson, M.; Hopperstad, O. S.

2007-05-17

Non-linear Finite Element simulations are extensively used in forming and crashworthiness studies of automotive components and structures in which fracture need to be controlled. For thin-walled ductile materials, the fracture-related phenomena that must be properly represented are thinning instability, ductile fracture and through-thickness shear instability. Proper representation of the fracture process relies on the accuracy of constitutive and fracture models and their parameters that need to be calibrated through well defined experiments. The present study focuses on local necking and fracture which is of high industrial importance, and uses a phenomenological criterion for modelling fracture in aluminium alloys. As anmore » accurate description of plastic anisotropy is important, advanced phenomenological constitutive equations based on the yield criterion YLD2000/YLD2003 are used. Uniaxial tensile tests and disc compression tests are performed for identification of the constitutive model parameters. Ductile fracture is described by the Cockcroft-Latham fracture criterion and an in-plane shear tests is performed to identify the fracture parameter. The reason is that in a well designed in-plane shear test no thinning instability should occur and it thus gives more direct information about the phenomenon of ductile fracture. Numerical simulations have been performed using a user-defined material model implemented in the general-purpose non-linear FE code LS-DYNA. The applicability of the model is demonstrated by correlating the predicted and experimental response in the in-plane shear tests and additional plane strain tension tests.« less

Similarity in Bilateral Isolated Internal Orbital Fractures.

PubMed

Chen, Hung-Chang; Cox, Jacob T; Sanyal, Abanti; Mahoney, Nicholas R

2018-04-13

In evaluating patients sustaining bilateral isolated internal orbital fractures, the authors have observed both similar fracture locations and also similar expansion of orbital volumes. In this study, we aim to investigate if there is a propensity for the 2 orbits to fracture in symmetrically similar patterns when sustaining similar trauma. A retrospective chart review was performed studying all cases at our institution of bilateral isolated internal orbital fractures involving the medial wall and/or the floor at the time of presentation. The similarity of the bilateral fracture locations was evaluated using the Fisher's exact test. The bilateral expanded orbital volumes were analyzed using the Wilcoxon signed-rank test to assess for orbital volume similarity. Twenty-four patients with bilateral internal orbital fractures were analyzed for fracture location similarity. Seventeen patients (70.8%) had 100% concordance in the orbital subregion fractured, and the association between the right and the left orbital fracture subregion locations was statistically significant (P < 0.0001). Fifteen patients were analyzed for orbital volume similarity. The average orbital cavity volume was 31.2 ± 3.8 cm on the right and 32.0 ± 3.7 cm on the left. There was a statistically significant difference between right and left orbital cavity volumes (P = 0.0026). The data from this study suggest that an individual who suffers isolated bilateral internal orbital fractures has a statistically significant similarity in the location of their orbital fractures. However, there does not appear to be statistically significant similarity in the expansion of the orbital volumes in these patients.

Adhesion and interfacial fracture toughness between hard and soft materials

NASA Astrophysics Data System (ADS)

Rahbar, Nima; Wolf, Kurt; Orana, Argjenta; Fennimore, Roy; Zong, Zong; Meng, Juan; Papandreou, George; Maryanoff, Cynthia; Soboyejo, Wole

2008-11-01

This paper presents the results of a combined experimental and theoretical study of adhesion between hard and soft layers that are relevant to medical devices such as drug-eluting stents and semiconductor applications. Brazil disk specimens were used to measure the interfacial fracture energies between model parylene C and 316L stainless steel over a wide range of mode mixities. The trends in the overall fracture energies are predicted using a combination of adhesion theories and fracture mechanics concepts. The measured interfacial fracture energies are shown to be in good agreement with the predictions.

The Influence of Fracturing Fluids on Fracturing Processes: A Comparison Between Water, Oil and SC-CO2

NASA Astrophysics Data System (ADS)

Wang, Jiehao; Elsworth, Derek; Wu, Yu; Liu, Jishan; Zhu, Wancheng; Liu, Yu

2018-01-01

Conventional water-based fracturing treatments may not work well for many shale gas reservoirs. This is due to the fact that shale gas formations are much more sensitive to water because of the significant capillary effects and the potentially high contents of swelling clay, each of which may result in the impairment of productivity. As an alternative to water-based fluids, gaseous stimulants not only avoid this potential impairment in productivity, but also conserve water as a resource and may sequester greenhouse gases underground. However, experimental observations have shown that different fracturing fluids yield variations in the induced fracture. During the hydraulic fracturing process, fracturing fluids will penetrate into the borehole wall, and the evolution of the fracture(s) then results from the coupled phenomena of fluid flow, solid deformation and damage. To represent this, coupled models of rock damage mechanics and fluid flow for both slightly compressible fluids and CO2 are presented. We investigate the fracturing processes driven by pressurization of three kinds of fluids: water, viscous oil and supercritical CO2. Simulation results indicate that SC-CO2-based fracturing indeed has a lower breakdown pressure, as observed in experiments, and may develop fractures with greater complexity than those developed with water-based and oil-based fracturing. We explore the relation between the breakdown pressure to both the dynamic viscosity and the interfacial tension of the fracturing fluids. Modeling demonstrates an increase in the breakdown pressure with an increase both in the dynamic viscosity and in the interfacial tension, consistent with experimental observations.

Designing a monitoring network for contaminated ground water in fractured chalk

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

Nativ, R.; Adar, E.M.; Becker, A.

1999-01-01

One of the challenges of monitoring network design in a fractured rock setting is the heterogeneity of the rocks. This paper summarizes the activities and problems associated with the monitoring of contaminated groundwater in porous, low-permeability fractured chalk in the Negev Desert, Israel. Preferential flow documented in the study area required siting the monitoring boreholes in the predominant fracture systems. Lineaments traced from aerial photographs were examined in the field to sort out the large-extension, through-going, multilayer fracture systems crossing the study area. At each proposed drilling site, these fractures were exposed below the sediment cover using trenches. Slanted boreholesmore » were drilled at a distance from the fracture systems so that each borehole would intersect the targeted fracture plane below the water table. Based on their short recovery period and contaminated ground water, these newly drilled, fracture-oriented boreholes appeared to be better connected to preferential flowpaths crossing the industrial site than the old boreholes existing on site. Other considerations concerning the drilling and logging of monitoring boreholes in a fractured media were: (1) coring provides better documentation of the vertical fracture distribution, but dry augering is less costly and enables immediate ground water sampling and the sampling of vadose rock for contaminant analysis; (2) caliper and TV camera logs appear to provide only partial information regarding the vertical fracture distribution; and (3) the information gained by deepening the monitoring boreholes and testing fractures crossing their uncased walls has to be carefully weighed against the risk of potential cross-contamination through the monitoring boreholes, which is enhanced in fractured media.« less

Fragmentation of wall rock garnets during deep crustal earthquakes

PubMed Central

Austrheim, Håkon; Dunkel, Kristina G.; Plümper, Oliver; Ildefonse, Benoit; Liu, Yang; Jamtveit, Bjørn

2017-01-01

Fractures and faults riddle the Earth’s crust on all scales, and the deformation associated with them is presumed to have had significant effects on its petrological and structural evolution. However, despite the abundance of directly observable earthquake activity, unequivocal evidence for seismic slip rates along ancient faults is rare and usually related to frictional melting and the formation of pseudotachylites. We report novel microstructures from garnet crystals in the immediate vicinity of seismic slip planes that transected lower crustal granulites during intermediate-depth earthquakes in the Bergen Arcs area, western Norway, some 420 million years ago. Seismic loading caused massive dislocation formations and fragmentation of wall rock garnets. Microfracturing and the injection of sulfide melts occurred during an early stage of loading. Subsequent dilation caused pervasive transport of fluids into the garnets along a network of microfractures, dislocations, and subgrain and grain boundaries, leading to the growth of abundant mineral inclusions inside the fragmented garnets. Recrystallization by grain boundary migration closed most of the pores and fractures generated by the seismic event. This wall rock alteration represents the initial stages of an earthquake-triggered metamorphic transformation process that ultimately led to reworking of the lower crust on a regional scale. PMID:28261660

Pulverized granite at the brittle-ductile transition: An example from the Kellyland fault zone, eastern Maine, U.S.A.

NASA Astrophysics Data System (ADS)

Sullivan, Walter A.; Peterman, Emily M.

2017-08-01

Granite from a 50-200-m-wide damage zone adjacent to the brittle-ductile Kellyland Fault Zone contains healed fracture networks that exhibit almost all of the characteristics of dynamically pulverized rocks. Fracture networks exhibit only weak preferred orientations, are mutually cross-cutting, separate jigsaw-like interlocking fragments, and are associated with recrystallized areas likely derived from pervasively comminuted material. Fracture networks in samples with primary igneous grain shapes further indicate pulverization. Minimum fracture densities in microcline are ∼100 mm/mm2. Larger fractures in microcline and quartz are sometimes marked by neoblasts, but most fractures are optically continuous with host grains and only visible in cathodoluminescence images. Fractures in plagioclase are crystallographically controlled and typically biotite filled. Petrologic observations and cross-cutting relationships between brittle structures and mylonitic rocks show that fracturing occurred at temperatures of 400 °C or more and pressures of 200 MPa. These constraints extend the known range of pulverization to much higher temperature and pressure conditions than previously thought possible. The mutually cross-cutting healed fractures also provide the first record of repeated damage in pulverized rocks. Furthermore, pulverization must have had a significant but transient effect on wall-rock porosity, and biotite-filled fracture networks in plagioclase form weak zones that could accommodate future strain localization.

The association between Chance fractures and intra-abdominal injuries revisited: a multicenter review.

PubMed

Tyroch, Alan H; McGuire, Emmett L; McLean, Susan F; Kozar, Rosemary A; Gates, Keith A; Kaups, Krista L; Cook, Charles; Cowgill, Sarah M; Griswold, John A; Sue, Larry A; Craun, Michael L; Price, Jan

2005-05-01

The association between Chance fractures and intra-abdominal injuries is reported to be as high as 89 per cent. Because prior studies were small series or case reports, we conducted a multicenter review to learn the true association between Chance fractures and intra-abdominal injuries as well as diagnostic trends. Trauma registry data, medical records, and radiology reports from 7 trauma centers were used to characterize 79 trauma patients with Chance fractures. Initial methods of abdominal assessment were computed tomography (CT) scan (79%), clinical examination (16%), and diagnostic peritoneal lavage (DPL) (5%). Twenty-six (33%) patients had intraabdominal injuries of which hollow viscus injuries predominated (22%). Twenty patients (25%) underwent laparotomy. The presence of an abdominal wall contusion and automobile restraint use were highly predictive of intra-abdominal injury and the need for laparotomy. The association between a Chance fracture and intra-abdominal injury is not as high as previously reported. CT scan has become the primary modality to assess the abdominal cavity of patients with Chance fractures, whereas the role of DPL has diminished.

The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy.

PubMed

Durão, Carlos; Alves, Magda; Barros, André; Pedrosa, Frederico

2017-08-01

Hip fractures with unstable pelvic ring have great morbidity and mortality rates. These fractures result from high energy trauma such as falls from heights, road accidents and collapsing structures or other similar mechanisms of action. We report the case of a 63 years old man, construction worker, who stood inside a ditch during a wall construction when he was surprised by this collapse, which resulted in direct trauma to the right thigh and pelvis. The autopsy revealed diaphysis fracture of the right femur with an open book pelvic fracture with severe hemorrhagic infiltration and hematoma of the pelvic muscles without arterial injury. Bone bleeding and the vascular damage associated with disruption of the sacroiliac ligaments promote a very significant bleeding. Simple maneuvers such as sheet circumferential compression to promote pelvic ring closure are effective on stabilizing and closure of the sacroiliac joint. Hip manipulation of the fracture was performed during the necropsy to demonstrate and prove how a simple sheet contention can promote stabilization of the pelvic ring by closing the sacroiliac joints in open book fractures.

Decision Making in the Management of Extracapsular Fractures of the Proximal Femur – is the Dynamic Hip Screw the Prevailing Gold Standard?

PubMed Central

Jacob, Joshua; Desai, Ankit; Trompeter, Alex

2017-01-01

Currently, approximately half of all hip fractures are extracapsular, with an incidence as high as 50 in 100,000 in some countries. The common classification systems fail to explain the logistics of fracture classification and whether they all behave in the same manner. The Muller AO classification system is a useful platform to delineate stable and unstable fractures. The Dynamic hip screw (DHS) however, has remained the ‘gold standard’ implant of choice for application in all extracapsular fractures. The DHS relies on the integrity and strength of the lateral femoral wall as well as the postero-medial fragment. An analysis of several studies indicates significant improvements in design and techniques to ensure a better outcome with intramedullary nails. This article reviews the historical trends that helped to evolve the DHS implant as well as discussing if the surgeon should remain content with this implant. We suggest that the gold standard surgical management of extracapsular fractures can, and should, evolve. PMID:29290858

Analytical Solution for Transport with Bimolecular Reactions in Fracture-Matrix Systems with Application to In-Situ Chemical Oxidation

NASA Astrophysics Data System (ADS)

Rajaram, H.; Arshadi, M.

2016-12-01

In-situ chemical oxidation (ISCO) is an effective strategy for remediation of DNAPL contamination in fractured rock. During ISCO, an oxidant (e.g. permanganate) is typically injected through fractures and is consumed by bimolecular reactions with DNAPLs such as TCE and natural organic matter in the fracture and the adjacent rock matrix. Under these conditions, moving reaction fronts form and propagate along the fracture and into the rock matrix. The propagation of these reaction fronts is strongly influenced by the heterogeneity/discontinuity across the fracture-matrix interface (advective transport dominates in the fractures, while diffusive transport dominates in the rock matrix). We present analytical solutions for the concentrations of the oxidant, TCE and natural organic matter; and the propagation of the reaction fronts in a fracture-matrix system. Our approximate analytical solutions assume advection and reaction dominate over diffusion/dispersion in the fracture and neglect the latter. Diffusion and reaction with both TCE and immobile natural organic matter in the rock matrix are considered. The behavior of the reaction-diffusion equations in the rock matrix is posed as a Stefan problem where the diffusing oxidant reacts with both diffusing (TCE) and immobile (natural organic matter) reductants. Our analytical solutions establish that the reaction fronts propagate diffusively (i.e. as the square root of time) in both the matrix and the fracture. Our analytical solutions agree very well with numerical simulations for the case of uniform advection in the fracture. We also present extensions of our analytical solutions to non-uniform flows in the fracture by invoking a travel-time transformation. The non-uniform flow solutions are relevant to field applications of ISCO. The approximate analytical solutions are relevant to a broad class of reactive transport problems in fracture-matrix systems where moving reaction fronts occur.

Cough-induced rib fractures.

PubMed

Hanak, Viktor; Hartman, Thomas E; Ryu, Jay H

2005-07-01

To define the demographic, clinical, and radiological features of patients with cough-induced rib fractures and to assess potential risk factors. For this retrospective, single-center study, we identified all cases of cough-induced rib fractures diagnosed at the Mayo Clinic in Rochester, Minn, over a 9-year period between January 1, 1996, and January 31, 2005. Bone densitometry data from patients' medical records were analyzed, and T scores were used to classify patients into bone density categories. The mean +/- SD age of the 54 study patients at presentation was 55+/-17 years, and 42 patients (78%) were female. Patients presented with chest wall pain after onset of cough. Rib fracture was associated with chronic cough (> or =3 weeks' duration) in 85% of patients. Rib fractures were documented by chest radiography, rib radiography, computed tomography, or bone scan. Chest radiography had been performed in 52 patients and revealed rib fracture in 30 (58%). There were 112 fractured ribs in 54 patients. One half of patients had more than one fractured rib. Right-sided rib fractures alone were present in 17 patients (26 fractured ribs), left-sided in 23 patients (35 fractured ribs), and bilateral in 14 patients (51 fractured ribs). The most commonly fractured rib on both sides was rib 6. The fractures were most common at the lateral aspect of the rib cage. Bone densitometry was done in 26 patients and revealed osteopenia or osteoporosis in 17 (65%). Cough-induced rib fractures occur primarily in women with chronic cough. Middle ribs along the lateral aspect of the rib cage are affected most commonly. Although reduced bone density is likely a risk factor, cough-induced rib fractures can occur in the presence of normal bone density.

Transport and Clogging of Particulate Flow in Fracture Systems

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

Koplik, Joel

The aim of the project is to understand the effects of confinement in narrow rough-walled fractures on the transport behavior of fluids and suspended particles in subsurface hydro- carbon reservoirs. A key motivation for the study is that such fracture systems provide the highest throughput in oil and gas extraction and have been the focus of recent industrial activity. The scientific challenge is to understand how the confined geometry alters transport phenomena, and in particular its influence on (diagnostic) tracer transport and the effects of flow channeling and clogging on fluid motion. An important complicating feature of geological fractures ismore » the self-affine fractal nature of their surface roughness, leading to irregular but correlated fluid and particle motion. The key technique used is computer simulation, augmented by analytical calculations and collaboration with outside experimental colleagues when possible. The principal topics studied were fluid permeability, tracer dispersion, flow channeling and anisotropy, particle transport in narrow channels and particle trapping in tight fractures.« less

Micro- and macro-behaviour of fluid flow through rock fractures: an experimental study

NASA Astrophysics Data System (ADS)

Zhang, Zhenyu; Nemcik, Jan; Ma, Shuqi

2013-12-01

Microscopic and macroscopic behaviour of fluid flow through rough-walled rock fractures was experimentally investigated. Advanced microfluidic technology was introduced to examine the microscopic viscous and inertial effects of water flow through rock fractures in the vicinity of voids under different flow velocities, while the macroscopic behaviour of fracture flow was investigated by carrying out triaxial flow tests through fractured sandstone under confining stresses ranging from 0.5 to 3.0 MPa. The flow tests show that the microscopic inertial forces increase with the flow velocity with significant effects on the local flow pattern near the voids. With the increase in flow velocity, the deviation of the flow trajectories is reduced but small eddies appear inside the cavities. The results of the macroscopic flow tests show that the linear Darcy flow occurs for mated rock fractures due to small aperture, while a nonlinear deviation of the flow occurs at relatively high Reynolds numbers in non-mated rock fracture (Re > 32). The microscopic experiments suggest that the pressure loss consumed by the eddies inside cavities could contribute to the nonlinear fluid flow behaviour through rock joints. It is found that such nonlinear flow behaviour is best matched with the quadratic-termed Forchheimer equation.

QAPP for Hydraulic Fracturing (HF) Surface Spills Data Analysis

EPA Pesticide Factsheets

This QAPP provides information concerning the analysis of spills associated with hydraulic fracturing. This project is relevant to both the chemical mixing and flowback and produced water stages of the HF water cycle as found in the HF Study Plan.

Scanning electron microscopy fractography analysis of fractured hollow implants.

PubMed

Sbordone, Ludovico; Traini, Tonino; Caputi, Sergio; Scarano, Antonio; Bortolaia, Claudia; Piattelli, Adriano

2010-01-01

Fracture of the implant is one of the possible complications affecting dental implants; it is a rare event but of great clinical relevance. The aim of the present study was to perform a scanning electron microscopy (SEM) fractography evaluation of 7 International Team for oral Implantology (ITI) hollow implants removed because of fracture. The most common clinical risk factors, such as malocclusion, bruxism, and cantilevers on the prosthesis, were absent. Seven fractured ITI hollow implants were retrieved from 5 patients and were analyzed with the use of SEM. SEM analysis showed typical signs of a cleavage-type fracture. Fractures could be due to an association of multiple factors such as fatigue, inner defects, material electrochemical problems, and tensocorrosion.

A systematic review of models used in cost-effectiveness analyses of preventing osteoporotic fractures.

PubMed

Si, L; Winzenberg, T M; Palmer, A J

2014-01-01

This review was aimed at the evolution of health economic models used in evaluations of clinical approaches aimed at preventing osteoporotic fractures. Models have improved, with medical continuance becoming increasingly recognized as a contributor to health and economic outcomes, as well as advancements in epidemiological data. Model-based health economic evaluation studies are increasingly used to investigate the cost-effectiveness of osteoporotic fracture preventions and treatments. The objective of this study was to carry out a systematic review of the evolution of health economic models used in the evaluation of osteoporotic fracture preventions. Electronic searches within MEDLINE and EMBASE were carried out using a predefined search strategy. Inclusion and exclusion criteria were used to select relevant studies. References listed of included studies were searched to identify any potential study that was not captured in our electronic search. Data on country, interventions, type of fracture prevention, evaluation perspective, type of model, time horizon, fracture sites, expressed costs, types of costs included, and effectiveness measurement were extracted. Seventy-four models were described in 104 publications, of which 69% were European. Earlier models focused mainly on hip, vertebral, and wrist fracture, but later models included multiple fracture sites (humerus, pelvis, tibia, and other fractures). Modeling techniques have evolved from simple decision trees, through deterministic Markov processes to individual patient simulation models accounting for uncertainty in multiple parameters. Treatment continuance has been increasingly taken into account in the models in the last decade. Models have evolved in their complexity and emphasis, with medical continuance becoming increasingly recognized as a contributor to health and economic outcomes. This evolution may be driven in part by the desire to capture all the important differentiating characteristics of medications under scrutiny, as well as the advancement in epidemiological data relevant to osteoporosis fractures.

Viscoplastic crack initiation and propagation in crosslinked UHMWPE from clinically relevant notches up to 0.5mm radius.

PubMed

Sirimamilla, P Abhiram; Rimnac, Clare M; Furmanski, Jevan

2018-01-01

Highly crosslinked UHMWPE is now the material of choice for hard-on-soft bearing couples in total joint replacements. However, the fracture resistance of the polymer remains a design concern for increased longevity of the components in vivo. Fracture research utilizing the traditional linear elastic fracture mechanics (LEFM) or elastic plastic fracture mechanics (EPFM) approach has not yielded a definite failure criterion for UHMWPE. Therefore, an advanced viscous fracture model has been applied to various notched compact tension specimen geometries to estimate the fracture resistance of the polymer. Two generic crosslinked UHMWPE formulations (remelted 65kGy and remelted 100kGy) were analyzed in this study using notched test specimens with three different notch radii under static loading conditions. The results suggest that the viscous fracture model can be applied to crosslinked UHMWPE and a single value of critical energy governs crack initiation and propagation in the material. To our knowledge, this is one of the first studies to implement a mechanistic approach to study crack initiation and propagation in UHMWPE for a range of clinically relevant stress-concentration geometries. It is believed that a combination of structural analysis of components and material parameter quantification is a path to effective failure prediction in UHMWPE total joint replacement components, though additional testing is needed to verify the rigor of this approach. Copyright © 2017 Elsevier Ltd. All rights reserved.

Misdiagnosis of Talar Body or Neck Fractures as Ankle Sprains in Low Energy Traumas

PubMed Central

Young, Ki-Won; Kim, Jin-Su; Cho, Hun-Ki; Choo, Ho-Sik; Park, Jang-Ho

2016-01-01

Background The talus has a very complex anatomical morphology and is mainly fractured by a major force caused by a fall or a traffic accident. Therefore, a talus fracture is not common. However, many recent reports have shown that minor injuries, such as sprains and slips during sports activities, can induce a talar fracture especially in the lateral or posterior process. Still, fractures to the main parts of the talus (neck and body) after ankle sprains have not been reported as occult fractures. Methods Of the total 102 cases from January 2005 to December 2012, 7 patients had confirmed cases of missed/delayed diagnosis of a talus body or neck fracture and were included in the study population. If available, medical records, X-rays, computed tomography scans, and magnetic resonance imaging of the confirmed cases were retrospectively reviewed and analyzed. Results In the 7-patient population, there were 3 talar neck fractures and 4 talar body fractures (coronal shearing type). The mechanisms of injuries were all low energy trauma episodes. The causes of the injuries included twisting of the ankle during climbing (n = 2), jumping to the ground from a 1-m high wall (n = 2), and twisting of the ankle during daily activities (n = 3). Conclusions A talar body fracture and a talar neck fracture should be considered in the differential diagnosis of patients with acute and chronic ankle pain after a minor ankle injury. PMID:27583114

Design Guidance for Application of Permeable Barriers to Remediate Dissolved Chlorinated Solvents,

DTIC Science & Technology

1997-02-01

fill slurry composed of a reactive medium, such as iron powder and guar gum , can then be injected into the fracture to form a reactive treatment zone...slurry (Owaidat, 1996). The slurry, which is composed of powdered guar bean, acts to maintain the integrity of the trench walls during installation of...the cell. The guar gum will later biodegrade to mostly water after wall completion, and will have minimal effect on the permeability of the trench

Stent fracture in the superficial femoral and proximal popliteal arteries: literature summary and economic impacts.

PubMed

Neil, Nancy

2013-06-01

To summarize available evidence regarding stent fracture in the femoropopliteal region. We searched PubMed, 2000-2011, using MeSH search terms "stents," "popliteal artery," and "femoral artery." We identified 29 original studies reporting 0% to 65% incidence of stent fracture. Fracture-related repeat revascularization could be avoided in the absence of device failure. Recently published data suggest that even a 5% rate of fracture-related reintervention would generate $118.4 million in health care cost in the United States. These excess procedures would also result in major complications and deaths that might have been avoided in the absence of stent fracture. Reported incidence and clinical relevance of femoropopliteal stent fractures vary across studies. Stent fracture may lead to repeat revascularization. These reinterventions create considerable--and potentially avoidable--economic burden for patients and payers. Further, these costs are effectively invisible wherever stent fractures are not systematically documented as the reason for reintervention.

Comparison of the fracture resistance of dental implants with different abutment taper angles.

PubMed

Wang, Kun; Geng, Jianping; Jones, David; Xu, Wei

2016-06-01

To investigate the effects of abutment taper angles on the fracture strength of dental implants with TIS (taper integrated screwed-in) connection. Thirty prototype cylindrical titanium alloy 5.0mm-diameter dental implants with different TIS-connection designs were divided into six groups and tested for their fracture strength, using a universal testing machine. These groups consisted of combinations of 3.5 and 4.0 mm abutment diameter, each with taper angles of 6°, 8° or 10°. 3-Dimensional finite element analysis (FEA) was also used to analyze stress states at implant-abutment connection areas. In general, the mechanical tests found an increasing trend of implant fracture forces as the taper angle enlarged. When the abutment diameter was 3.5 mm, the mean fracture forces for 8° and 10° taper groups were 1638.9 N ± 20.3 and 1577.1 N ± 103.2, respectively, both larger than that for the 6° taper group of 1475.0 N ± 24.4, with the largest increasing rate of 11.1%. Furthermore, the difference between 8° and 6° taper groups was significant, based on Tamhane's multiple comparison test (P<0.05). In 4.0 mm-diameter abutment groups, as the taper angle was enlarged from 6° to 8° and 10°, the mean fracture value was increased from 1066.7 N ± 56.1 to 1241.4 N ± 6.4 and 1419.3 N ± 20.0, with the largest increasing rate of 33.1%, and the differences among the three groups were significant (P<0.05). The FEA results showed that stress values varied in implants with different abutment taper angles and supported the findings of the static tests. In conclusion, increases of the abutment taper angle could significantly increase implant fracture resistance in most cases established in the study, which is due to the increased implant wall thickness in the connection part resulting from the taper angle enlargement. The increasing effects were notable when a thin implant wall was present to accommodate wide abutments. Copyright © 2016 Elsevier B.V. All rights reserved.

[Use and versatility of titanium for the reconstruction of the thoracic wall].

PubMed

Córcoles Padilla, Juan Manuel; Bolufer Nadal, Sergio; Kurowski, Krzysztof; Gálvez Muñoz, Carlos; Rodriguez Paniagua, José Manuel

2014-02-01

Chest wall deformities/defects and chest wall resections, as well as complex rib fractures require reconstruction with various prosthetic materials to ensure the basic functions of the chest wall. Titanium provides many features that make it an ideal material for this surgery. The aim is to present our initial results with this material in several diseases. From 2008 to 2012, 14 patients were operated on and titanium was used for reconstruction of the chest wall. A total of 7 patients had chest wall tumors, 2 with sternal resection, 4 patients with chest wall deformities/defects and 3 patients with severe rib injury due to traffic accident. The reconstruction was successful in all cases, with early extubation without detecting problems in the functionality of the chest wall at a respiratory level. Patients with chest wall tumors including sternal resections were extubated in the operating room as well as the chest wall deformities. Chest trauma cases were extubated within 24h from internal rib fixation. There were no complications related to the material used and the method of implementation. Titanium is an ideal material for reconstruction of the chest wall in several clinical situations allowing for great versatility and adaptability in different chest wall reconstructions. Copyright © 2013 AEC. Published by Elsevier Espana. All rights reserved.

A Ceramic Fracture Model for High Velocity Impact

DTIC Science & Technology

1993-05-01

employ damage concepts appear more relevant than crack growth models for this application . This research adopts existing fracture model concepts and...extends them through applications in an existing finite element continuum mechanics code (hydrocode) to the prediction of the damage and fracture processes...to be accurate in the lower velocity range of this work. Mescall and Tracy 15] investigated the selection of ceramic material for application in armors

Stress and Pore Fluid Pressure Cycles Beneath the Seismogenic Layer Recorded by Veins

NASA Astrophysics Data System (ADS)

Nüchter, J. A.; Stöckhert, B.

2006-12-01

Metamorphic rocks approaching the crustal scale brittle-ductile transition (BDT) during exhumation are expected to become increasingly affected by short term stress fluctuations related to seismic activity in the overlying seismogenic layer, while still residing in a long-term viscous environment. The (micro-)structural record of monogenetic syntaxial quartz veins in metamorphic rocks from southern Evia, Greece, yields insight into the processes and conditions just beneath the long-term BDT at temperatures of about 300 to 350° C. The following features are characteristic: 1) The veins crosscut the foliation and all syn-metamorphic structures; 2) the veins have formed from tensile fractures, with a typical length on the order of 10-1 to 101 m; 3) some veins branch symmetrically with an aperture angle of 30°, which is interpreted to indicate high crack propagation rates similar to Raleigh wave speed; 4) the veins formed during a single sealing stage by mineral precipitation in open cavities; 5) the veins show a low aspect ratio of about 10 to 100 and a characteristic lenticular shape, controlled by distributed ductile deformation of the host rock, with vein-parallel shortening by typically less than 1 %; 6) the intensity of crystal plastic deformation in the vein quartz decreases from the vein walls towards the center; 7) fluid inclusions trapped in the vein quartz record a time series of pore fluid pressure (Pf) evolution during progressive sealing, with low Pf at the vein walls (early stage) to high Pf in the vein core (final stage). These features indicate: Opening of the fractures commenced immediately after crack arrest, controlled by ductile deformation of the host rock at temperatures between about 300 and 350° C. The crack opening rate exceeded the rate of sealing, so that the quartz crystals grew into an open cavity. For opening of cracks, the effective stress on the fracture walls must be tensile and the fluid pressure must be similar to that of the magnitude of the least principal stress Pf ≍ σ3. The evolution of Pf recorded by the fluid inclusions reflects the relaxation of stress during progressive opening and sealing of the vein. This is supported by the fact that the quartz crystals grown at the fracture walls, hence early in the opening and sealing history, record a more intense deformation compared to the crystals grown lately in the centre of the vein. The structural and microstructural record of these monogenetic veins reflects an isothermal switch from brittle failure to decelerating viscous creep. The total strain accumulated is low. The following scenario is inferred: Fracturing is proposed to be a consequence of co-seismic loading related to fault slip in the overlying upper crust. Within the underlying damage zone, fractures develop and dilation causes a drop in Pf. Subsequently, the fractures open controlled by viscous creep of the host rock with a concomitant rise in Pf during stress relaxation. Sealing of the fissures to become veins takes place continuously by precipitation of minerals from the pore fluid streaming through the evolving cavity. The lenticular monogenetic veins are therefore interpreted to record a short-term and episodic process. Such type of record of exhumed rocks provides insight into earthquake-related damage beneath the seismogenic layer and into the nature of transient crustal properties in the earthquake cycle.

Fractures of the manubrium sterni: treatment options and a possible classification of different types of fractures

PubMed Central

Krinner, Sebastian; Oppel, Pascal; Grupp, Sina; Schulz-Drost, Melanie; Hennig, Friedrich F.; Langenbach, Andreas

2018-01-01

Background Sternum fractures are mostly located on the sternal corpus, seldom on the manubrium. Fractures of the sternal manubrium are, however, more frequently associated with severe concomitant injuries of thoracic organs, and therefore deserve special attention. In addition, in its function as a capstone in between the anterior chest wall and the shoulder girdle, it is exposed to a multiplicity of forces. Therefore the questions arise what types of fractures are observed in today’s clinical practice, how to classify them and which treatment options are available. This study reports on different types of fractures which involve the manubrium sterni. Methods Between January 2012 and October 2014, data was collected from all severely injured patients (ISS ≥16), which received a CT scan of the thorax in our Level-I-Trauma Center and retrospectively analyzed concerning sternal fractures. Fracture type, collateral injuries, age, and information about the circumstances of the accident were noted. Results Of 890 evaluable patients, 154 (17.3%) had a fracture of the sternum and 23 (2.6%) of the manubrium. Fractures of the manubrium appeared in following types: A-type—transverse fracture (n=11) in 1st intercostal space by direct blunt trauma or flexion of the torso with sagittal instability; B-type—oblique fracture (n=9) by seat belt injury with rotatory instability; C-type—combined, more fragmentary fracture (n=3) by direct blunt trauma with simultaneous flexion of the torso and multi directional instability. Fractures only little dislocation were treated conservatively, and unstable fractures were surgically stabilized (n=10). Conclusions In summary, three main types of fractures could be found. A-type fractures were stabilized with a longitudinal plate osteosynthesis and B-type fractures with transverse positioned plates. To treat complex C-type fractures, plates with a T- or H-form could be a good solution. Level of evidence: Level III retrospective prognostic cohort study PMID:29707289

Poroelastic references

DOE Data Explorer

Morency, Christina

2014-12-12

This file contains a list of relevant references on the Biot theory (forward and inverse approaches), the double-porosity and dual-permeability theory, and seismic wave propagation in fracture porous media, in RIS format, to approach seismic monitoring in a complex fractured porous medium such as Brady?s Geothermal Field.

A review of pelvic fractures in adult pedestrians: experimental studies involving PMHS used to determine injury criteria for pedestrian dummies and component test procedures.

PubMed

Arregui-Dalmases, Carlos; Kerrigan, Jason R; Sanchez-Molina, David; Velazquez-Ameijide, Juan; Crandall, Jeff R

2015-01-01

Perform a systematic review for the most relevant pelvic injury research involving PMHS. The review begins with an explanation of the pelvic anatomy and a general description of pelvic fracture patterns followed by the particular case of pelvic fractures sustained in pedestrian-vehicle collisions. Field data documenting the vehicle, crash, and human risk factors for pedestrian pelvic injuries are assessed. A summary of full-scale PMHS tests and subsystem lateral pelvic tests is provided with an interpretation of the most significant findings for the most relevant studies. Based on the mechanisms of pedestrian pelvic injury, force, acceleration, and velocity and compression have been assessed as predictive variables by researchers although no consensus criterion exists.

Quantification of the Barkhausen noise method for the evaluation of time-dependent degradation

NASA Astrophysics Data System (ADS)

Kim, Dong-Won; Kwon, Dongil

2003-02-01

The Barkhausen noise (BN) method has long been applied to measure the bulk magnetic properties of magnetic materials. Recently, this important nondestructive testing (NDT) method has been applied to evaluate microstructure, stress distribution analysis, fatigue, creep and fracture characteristics. Until now the BN method has been used only qualitatively in evaluating the variation of BN with variations in material properties. For this reason, few NDT methods have been applied in industrial plants and laboratories. The present investigation studied the coercive force and BN while varying the microstructure of ultrafine-grained steels and SA508 cl.3 steels. This variation was carried out according to the second heat-treatment condition with rolling of ultrafine-grained steels and the simulated time-dependent degradation of SA 508 cl.3 steels. An attempt was also made to quantify BN from the relationship between the velocity of magnetic domain walls and the retarding force, using the coercive force of the domain wall movement. The microstructure variation was analyzed according to time-dependent degradation. Fracture toughness was evaluated quantitatively by measuring the BN from two intermediary parameters; grain size and distribution of nonmagnetic particles. From these measurements, the variation of microstructure and fracture toughness can be directly evaluated by the BN method as an accurate in situ NDT method.

CO2 injection into fractured peridotites: a reactive percolation experiment

NASA Astrophysics Data System (ADS)

Escario, S.; Godard, M.; Gouze, P.; Leprovost, R.; Luquot, L.; Garcia-Rios, M.

2017-12-01

Mantle peridotites have the potential to trap CO2 as carbonates. This process observed in ophiolites and in oceanic environments provides a long term and safe storage for CO2. It occurs as a part of a complex suite of fluid-rock reactions involving silicate dissolution and precipitation of hydrous phases, carbonates and minor phases that may in turn modify the hydrodynamic properties and the reactivity of the reacted rocks. The efficiency and lastingness of the process require the renewal of fluids at the mineral-fluid interface. Fractures are dominant flow paths in exhumed mantle sections. This study aims at better understanding the effect of CO2-enriched saline fluids on hydrodynamic and chemical processes through fractured peridotites. Experiments were performed using the reactive percolation bench ICARE Lab 3 - Géosciences Montpellier. It allows monitoring the permeability changes during experiments. Effluents are recurrently sampled for analysing cation concentration, pH and alkalinity. Reacted rock samples were characterized by high resolution X-ray microtomography (ESRF ID19, Grenoble, France) and SEM. Experiments consisted in injecting CO2-enriched brines (NaCl 0.5 M) at a rate of 6 mL.h-1 into artificially fractured cores (9 mm diameter × 20 mm length) of Oman harzburgites at T=170°C and Ptotal = 25 MPa for up to 2 weeks. Fractures are of few µm apertures with rough walls. Three sets of experiments were performed at increasing value of [CO2] (0, 0.1 and 1 mol/kg). All experiments showed a decrease in permeability followed by steady state regime that can be caused by a decrease in the roughness of fracture walls (dissolution dominated process), thus favouring fracture closing, or by the precipitation of secondary phases. Maximum enrichments in Mg, Fe and Ca of the effluent fluids occur during the first 2 hours of the experiments whereas Si displays a maximum enrichment at t = 20 h, suggesting extensive dissolution. Maximum enrichments are observed with the highest values of the [CO2]. After one day, effluent fluid concentrations decrease and become constant. By analysing both the permeability and the outlet fluid concentration one can investigate the coupling processes controlling the transport and the reaction mechanisms that in turn act at maintaining the circulation in the fractures.

Use of satellite pictures for determining major shield fractures relevant for ore prospecting, northern Finland

NASA Technical Reports Server (NTRS)

Tuominen, H. V.; Aarnisalo, J. (Principal Investigator)

1976-01-01

The author has identified the following significant results. A combined analysis of LANDSAT 1 imagery, aeromagnetic and other maps, and aerial photos has revealed a dense network of bedrock fractures in northern Finland. They form several fracturing zones, which obviously represent surficial manifestations of major fractures. The fractures follow, in general, the eight main trends of crustal shear characteristics of the Baltic Shield, but show distinct deviations from them in detail. The major fracture zones divide the bedrock into a mosaic of polygonal blocks, which in many cases coincide with the main rock units of the area and are characterized by different patterns of internal fracturing. Known mineralizations show a tendency to concentrate along the fracture zones. Optical filtering of original LANDSAT images might provide a rapid tool for the analysis of major structural trends in extensive areas such as shields or entire continents.

The early fracture hematoma and its potential role in fracture healing.

PubMed

Kolar, Paula; Schmidt-Bleek, Katharina; Schell, Hanna; Gaber, Timo; Toben, Daniel; Schmidmaier, Gerhard; Perka, Carsten; Buttgereit, Frank; Duda, Georg N

2010-08-01

Research regarding the potency and potential of the fracture hematoma has begun to receive increasing attention. However, currently there is a paucity of relevant literature on the capability and composition of the fracture hematoma. This review briefly summarizes the regenerative fracture healing process and the close interplay between the skeletal and immune systems. The role of immune cells in wound healing is also discussed to clarify their involvement in immunological processes during regeneration. We attempt to describe the current state of knowledge regarding the fracture hematoma as the initial stage of the regenerative process of fracture healing. The review discusses how a better understanding of immune reactions in the hematoma may have implications for bone tissue engineering strategies. We conclude the review by emphasizing how additional investigations of the initial phase of healing will allow us to better differentiate between deleterious and beneficial aspects of inflammation, thereby facilitating improved fracture treatment strategies.

Application of Viscoelastic Fracture Model and Non-uniform Crack Initiation at Clinically Relevant Notches in Crosslinked UHMWPE

PubMed Central

Sirimamilla, P. Abhiram; Furmanski, Jevan; Rimnac, Clare M.

2012-01-01

The mechanism of crack initiation from a clinically relevant notch is not well-understood for crosslinked ultra high molecular weight polyethylene (UHMWPE) used in total joint replacement components. Static mode driving forces, rather than the cyclic mode conditions typically associated with fatigue processes, have been shown to drive crack propagation in this material. Thus, in this study, crack initiation in a notched specimen under a static load was investigated. A video microscope was used to monitor the notch surface of the specimen and crack initiation time was measured from the video by identifying the onset of crack initiation at the notch. Crack initiation was considered using a viscoelastic fracture theory. It was found that the mechanism of crack initiation involved both single layer and a distributed multi-layer phenomenon and that multi-layer crack initiation delayed the crack initiation time for all loading conditions examined. The findings of this study support that the viscoelastic fracture theory governs fracture mechanics in crosslinked UHMWPE. The findings also support that crack initiation from a notch in UHMWPE is a more complex phenomenon than treated by traditional fracture theories for polymers. PMID:23127638

The incidence of secondary vertebral fracture of vertebral augmentation techniques versus conservative treatment for painful osteoporotic vertebral fractures: a systematic review and meta-analysis.

PubMed

Song, Dawei; Meng, Bin; Gan, Minfeng; Niu, Junjie; Li, Shiyan; Chen, Hao; Yuan, Chenxi; Yang, Huilin

2015-08-01

Percutaneous vertebroplasty (PVP) and balloon kyphoplasty (BKP) are minimally invasive and effective vertebral augmentation techniques for managing osteoporotic vertebral compression fractures (OVCFs). Recent meta-analyses have compared the incidence of secondary vertebral fractures between patients treated with vertebral augmentation techniques or conservative treatment; however, the inclusions were not thorough and rigorous enough, and the effects of each technique on the incidence of secondary vertebral fractures remain unclear. To perform an updated systematic review and meta-analysis of the studies with more rigorous inclusion criteria on the effects of vertebral augmentation techniques and conservative treatment for OVCF on the incidence of secondary vertebral fractures. PubMed, MEDLINE, EMBASE, SpringerLink, Web of Science, and the Cochrane Library database were searched for relevant original articles comparing the incidence of secondary vertebral fractures between vertebral augmentation techniques and conservative treatment for patients with OVCFs. Randomized controlled trials (RCTs) and prospective non-randomized controlled trials (NRCTs) were identified. The methodological qualities of the studies were evaluated, relevant data were extracted and recorded, and an appropriate meta-analysis was conducted. A total of 13 articles were included. The pooled results from included studies showed no statistically significant differences in the incidence of secondary vertebral fractures between patients treated with vertebral augmentation techniques and conservative treatment. Subgroup analysis comparing different study designs, durations of symptoms, follow-up times, races of patients, and techniques were conducted, and no significant differences in the incidence of secondary fractures were identified (P > 0.05). No obvious publication bias was detected by either Begg's test (P = 0.360 > 0.05) or Egger's test (P = 0.373 > 0.05). Despite current thinking in the field that vertebral augmentation procedures may increase the incidence of secondary fractures, we found no differences in the incidence of secondary fractures between vertebral augmentation techniques and conservative treatment for patients with OVCFs. © The Foundation Acta Radiologica 2014.

A method for the estimate of the wall diffusion for non-axisymmetric fields using rotating external fields

NASA Astrophysics Data System (ADS)

Frassinetti, L.; Olofsson, K. E. J.; Fridström, R.; Setiadi, A. C.; Brunsell, P. R.; Volpe, F. A.; Drake, J.

2013-08-01

A new method for the estimate of the wall diffusion time of non-axisymmetric fields is developed. The method based on rotating external fields and on the measurement of the wall frequency response is developed and tested in EXTRAP T2R. The method allows the experimental estimate of the wall diffusion time for each Fourier harmonic and the estimate of the wall diffusion toroidal asymmetries. The method intrinsically considers the effects of three-dimensional structures and of the shell gaps. Far from the gaps, experimental results are in good agreement with the diffusion time estimated with a simple cylindrical model that assumes a homogeneous wall. The method is also applied with non-standard configurations of the coil array, in order to mimic tokamak-relevant settings with a partial wall coverage and active coils of large toroidal extent. The comparison with the full coverage results shows good agreement if the effects of the relevant sidebands are considered.

A study of sports-related orbital fractures in Singapore.

PubMed

Lock, Jing Zhan; Hegde, Raghuraj; Young, Stephanie; Lim, Thiam Chye; Amrith, Shantha; Sundar, Gangadhara

2017-10-01

With an increased popularity of sport and active living worldwide, our study aims to explore the incidence and features of sports-related orbital fractures in Singapore. 1421 computer tomography (CT) imaging scans of the face and orbits done at the National University Hospital over a 24-month period from January 2013 and December 2014 were reviewed retrospectively for orbital fractures. We identified 483 orbital fractures of which sports injury was the fourth most common etiology (n = 65; 13.5%) after road traffic accident (n = 131; 27.1%), geriatric fall (n = 81; 16.8%) and workplace injury (n = 67; 13.9%). The three most common sport in orbital fractures were soccer (n = 20; 30.8%), bicycling (n = 11; 16.9%) and jogging (n = 8; 12.3%). The three most common fracture patterns were zygomatico-maxillary complex fractures (n = 24; 36.9%), isolated one wall blowout fractures (n = 19; 29.2%) and naso-orbito-ethmoid fractures (n = 7; 10.8%). Sports-related orbital fractures were associated with a low mean age of patients (45.9 years, range, 14-79 years), a higher proportion of males (n = 58; 89.2%) than that from geriatric falls (n = 37, 45.6%) (P < 0.01), a higher likelihood of unilaterality (n = 62; 95.4%) than that from traffic accidents (n = 99; 75.6%) (P < 0.01) and a lower likelihood of pan-facial involvement (n = 4; 6.15%) than that from traffic accident (n = 60; 45.8%) (P < 0.01). Sports-related orbital fractures are the fourth most common cause of orbital fractures. Though commonly seen in young male adults, in view of the aging population and people exercising more regularly, education of safety measures among sports users is paramount to preventing sports-related orbital fractures.

Biomechanical investigation of impact induced rib fractures of a porcine infant surrogate model.

PubMed

Blackburne, William B; Waddell, J Neil; Swain, Michael V; Alves de Sousa, Ricardo J; Kieser, Jules A

2016-09-01

This study investigated the structural, biomechanical and fractographic features of rib fractures in a piglet model, to test the hypothesis that fist impact, apart from thoracic squeezing, may result in lateral costal fractures as observed in abused infants. A mechanical fist with an accelerometer was constructed and fixed to a custom jig. Twenty stillborn piglets in the supine position were impacted on the thoracic cage. The resultant force versus time curves from the accelerometer data showed a number of steps indicative of rib fracture. The correlation between impact force and number of fractures was statistically significant (Pearson׳s r=0.528). Of the fractures visualized, 15 completely pierced the parietal pleura of the thoracic wall, and 5 had butterfly fracture patterning. Scanning electron microscopy showed complete bone fractures, at the zone of impact, were normal to the axis of the ribs. Incomplete vertical fractures, with bifurcation, occurred on the periphery of the contact zone. This work suggests the mechanism of rib failure during a fist impact is typical of the transverse fracture pattern in the anterolateral region associated with cases of non-accidental rib injury. The impact events investigated have a velocity of ~2-3m/s, approximately 2×10(4) times faster than previous quasi-static axial and bending tests. While squeezing the infantile may induce buckle fractures in the anterior as well as posterior region of the highly flexible bones, a fist punch impact event may result in anterolateral transverse fractures. Hence, these findings suggest that the presence of anterolateral rib fractures may result from impact rather than manual compression. Copyright © 2016 Elsevier Ltd. All rights reserved.

Outcome of limb fracture repair in rabbits: 139 cases (2007-2015).

PubMed

Sasai, Hiroshi; Fujita, Daisuke; Seto, Eiko; Denda, Yuki; Imai, Yutaro; Okamoto, Kanako; Okamura, Kensaku; Furuya, Masaru; Tani, Hiroyuki; Sasai, Kazumi

2018-02-15

OBJECTIVE To evaluate outcome of limb fracture repair in rabbits. DESIGN Retrospective case series. ANIMALS 139 client-owned rabbits with limb fractures treated between 2007 and 2015. PROCEDURES Medical records were reviewed for information on fracture location, fracture treatment, and time to fracture healing. RESULTS 25 rabbits had fractures involving the distal aspects of the limbs (ie, metacarpal or metatarsal bones, phalanges, and calcaneus or talus). Fractures were treated in 23 of these 25 rabbits (external coaptation, n = 17; external skeletal fixation, 4; and intramedullary pinning, 2) and healed in all 23, with a median healing time of 28 days (range, 20 to 45 days). One hundred ten rabbits had long bone fractures, and fractures were treated in 100 of the 110 (external skeletal fixation, n = 89; bone plating, 1; intramedullary pinning, 3; and external coaptation, 7). The percentage of fractures that healed was significantly lower for open (14/18) than for closed (26/26) tibial fractures and was significantly lower for femoral (19/26) and treated humeral (4/6) fractures than for radial (23/24) or closed tibial (26/26) fractures. Micro-CT was used to assess fracture realignment during external skeletal fixator application and to evaluate fracture healing. CONCLUSIONS AND CLINICAL RELEVANCE The prognosis for rabbits with limb fractures was good, with fractures healing in most rabbits following fracture repair (109/123). Micro-CT was useful in assessing fracture realignment and evaluating fracture healing.

Rib fractures and death from deletion of osteoblast βcatenin in adult mice is rescued by corticosteroids.

PubMed

Duan, JinZhu; Lee, Yueh; Jania, Corey; Gong, Jucheng; Rojas, Mauricio; Burk, Laurel; Willis, Monte; Homeister, Jonathon; Tilley, Stephen; Rubin, Janet; Deb, Arjun

2013-01-01

Ribs are primarily made of cortical bone and are necessary for chest expansion and ventilation. Rib fractures represent the most common type of non-traumatic fractures in the elderly yet few studies have focused on the biology of rib fragility. Here, we show that deletion of βcatenin in Col1a2 expressing osteoblasts of adult mice leads to aggressive osteoclastogenesis with increased serum levels of the osteoclastogenic cytokine RANKL, extensive rib resorption, multiple spontaneous rib fractures and chest wall deformities. Within days of osteoblast specific βcatenin deletion, animals die from respiratory failure with a vanishing rib cage that is unable to sustain ventilation. Increased bone resorption is also observed in the vertebrae and femur. Treatment with the bisphosphonate pamidronate delayed but did not prevent death or associated rib fractures. In contrast, administration of the glucocorticoid dexamethasone decreased serum RANKL and slowed osteoclastogenesis. Dexamethasone preserved rib structure, prevented respiratory compromise and strikingly increased survival. Our findings provide a novel model of accelerated osteoclastogenesis, where deletion of osteoblast βcatenin in adults leads to rapid development of destructive rib fractures. We demonstrate the role of βcatenin dependent mechanisms in rib fractures and suggest that glucocorticoids, by suppressing RANKL, may have a role in treating bone loss due to aggressive osteoclastogenesis.

Rib Fractures and Death from Deletion of Osteoblast βcatenin in Adult Mice Is Rescued by Corticosteroids

PubMed Central

Duan, JinZhu; Lee, Yueh; Jania, Corey; Gong, Jucheng; Rojas, Mauricio; Burk, Laurel; Willis, Monte; Homeister, Jonathon; Tilley, Stephen; Rubin, Janet; Deb, Arjun

2013-01-01

Ribs are primarily made of cortical bone and are necessary for chest expansion and ventilation. Rib fractures represent the most common type of non-traumatic fractures in the elderly yet few studies have focused on the biology of rib fragility. Here, we show that deletion of βcatenin in Col1a2 expressing osteoblasts of adult mice leads to aggressive osteoclastogenesis with increased serum levels of the osteoclastogenic cytokine RANKL, extensive rib resorption, multiple spontaneous rib fractures and chest wall deformities. Within days of osteoblast specific βcatenin deletion, animals die from respiratory failure with a vanishing rib cage that is unable to sustain ventilation. Increased bone resorption is also observed in the vertebrae and femur. Treatment with the bisphosphonate pamidronate delayed but did not prevent death or associated rib fractures. In contrast, administration of the glucocorticoid dexamethasone decreased serum RANKL and slowed osteoclastogenesis. Dexamethasone preserved rib structure, prevented respiratory compromise and strikingly increased survival. Our findings provide a novel model of accelerated osteoclastogenesis, where deletion of osteoblast βcatenin in adults leads to rapid development of destructive rib fractures. We demonstrate the role of βcatenin dependent mechanisms in rib fractures and suggest that glucocorticoids, by suppressing RANKL, may have a role in treating bone loss due to aggressive osteoclastogenesis. PMID:23393600

Periosteal infusion of bupivacaine/morphine post sternal fracture: a new analgesic technique.

PubMed

Duncan, Michael A; McNicholas, Walter; O'Keeffe, Declan; O'Reilly, Maeve

2002-01-01

Sternal fracture pain is severe and is difficult to alleviate due to the forces acting on the chest wall during respiration. We describe a continuous infusion regional analgesic technique for pain due to sternal fracture. A 47-year-old woman presented with a spontaneous sternal fracture, precluding effective coughing. Diclofenac and increasing doses of opioids did not give adequate pain relief and led to opioid toxicity. Two brief periods of analgesia were achieved with deep subcutaneous infiltration of bupivacaine. An epidural catheter was positioned periosteally, and an infusion of bupivacaine was commenced at 5 mL/h, achieving long-lasting analgesia. The bupivacaine concentration was reduced in a stepwise fashion from 0.5% to 0.25% and was changed to levobupivacaine after 3 days. Adding morphine (5 mg/60 mL levobupivicaine) permitted a reduction in infusion rate. The catheter was removed after 14 days because a local infection developed that resolved uneventfully with antibiotic therapy. Continuous infusion of local anesthetic and opioid to a sternal fracture site using a periosteally positioned catheter led to successful analgesia and hence improved respiratory function. Clinicians should consider placing a periosteal catheter when pain associated with sternal fracture cannot be adequately controlled with conventional methods.

Stabilization of multiple rib fractures in a canine model.

PubMed

Huang, Ke-Nan; Xu, Zhi-Fei; Sun, Ju-Xian; Ding, Xin-Yu; Wu, Bin; Li, Wei; Qin, Xiong; Tang, Hua

2014-12-01

Operative stabilization is frequently used in the clinical treatment of multiple rib fractures (MRF); however, no ideal material exists for use in this fixation. This study investigates a newly developed biodegradable plate system for the stabilization of MRF. Silk fiber-reinforced polycaprolactone (SF/PCL) plates were developed for rib fracture stabilization and studied using a canine flail chest model. Adult mongrel dogs were divided into three groups: one group received the SF/PCL plates, one group received standard clinical steel plates, and the final group did not undergo operative fracture stabilization (n = 6 for each group). Radiographic, mechanical, and histologic examination was performed to evaluate the effectiveness of the biodegradable material for the stabilization of the rib fractures. No nonunion and no infections were found when using SF-PCL plates. The fracture sites collapsed in the untreated control group, leading to obvious chest wall deformity not encountered in the two groups that underwent operative stabilization. Our experimental study shows that the SF/PCL plate has the biocompatibility and mechanical strength suitable for fixation of MRF and is potentially ideal for the treatment of these injuries. Copyright © 2014 Elsevier Inc. All rights reserved.

Application of the boundary elements method for modeling of the fracture of cylindrical bodies by hydraulic fracturing

NASA Astrophysics Data System (ADS)

Legan, M. A.; Blinov, V. A.; Larichkin, A. Yu; Novoselov, A. N.

2017-10-01

Experimental study of hydraulic fracturing of thick-walled cylinders with a central circular hole was carried out using the machine that creates a high oil pressure. Experiments on the compression fracture of the solid cylinders by diameter and rectangular parallelepipeds perpendicular to the ends were carried out with a multipurpose test machine Zwick / Roell Z100. Samples were made of GF-177 material based on cement. Ultimate stresses in the material under study were determined for three types of stress state: under compression, with a pure shear on the surface of the hole under frecking conditions and under a compound stress state under conditions of diametral compression of a solid cylinder. The value of the critical stress intensity factor of GF-177 material was obtained. The modeling of the fracturing process taking into account the inhomogeneity of the stress state near the hole was carried out using the boundary elements method (in the variant of the fictitious load method) and the gradient fracture criterion. Calculation results of the ultimate pressure were compared with values obtained analytically on the basis of the Lame solution and with experimental data.

Mechanical characterization of stomach tissue under uniaxial tensile action.

PubMed

Jia, Z G; Li, W; Zhou, Z R

2015-02-26

In this article, the tensile properties of gastric wall were investigated by using biomechanical test and theoretical analysis. The samples of porcine stomach strips from smaller and greater curvature of the stomach were cut in longitudinal and circumferential direction, respectively. The loading-unloading, stress relaxation, strain creep, tensile fracture tests were performed at mucosa-submucosa, serosa-muscle and intact layer, respectively. Results showed that the biomechanical properties of the porcine stomach depended on the layers, orientations and locations of the gastric wall and presented typical viscoelastic, nonlinear and anisotropic mechanical properties. During loading-unloading test, the stress of serosa-muscle layer in the longitudinal direction was 15-20% more than that in the circumferential direction at 12% stretch ratio, while it could reach about 40% for the intact layer and 50% for the mucosa-submucosa layer. The results of stress relaxation and strain creep showed that the variation degree was obviously faster in the circumferential direction than that in the longitudinal direction, and the ultimate residual values were also different for the different layers, orientations and locations. In the process of fracture test, the serosa-muscle layer fractured firstly followed by the mucosa-submucosa layer when the intact layer was tested, the longitudinal strips firstly began to fracture and the required stress value was about twice as much as that in the circumferential strips. The anisotropy and heterogeneity of mechanical characterization of the porcine stomach were related to its complicated geometry, structure and functions. The results would help us to understand the biomechanics of soft organ tissue. Copyright © 2015 Elsevier Ltd. All rights reserved.

Prospective clinical trial of surgical intervention for painful rib fracture nonunion.

PubMed

Fabricant, Loic; Ham, Bruce; Mullins, Richard; Mayberry, John

2014-06-01

We performed a prospective clinical trial of resection with or without plate fixation for symptomatic rib fracture nonunion three or more months postinjury with 6-month postoperative followup. The McGill Pain Questionnaire (MPQ) and RAND 36 Health Survey were administered and activity level (sedentary, ambulatory, moderately active, vigorous), functional status (disabled, nonphysical labor, physical labor), and work status (employed, unemployed, retired, student) were queried pre- and postoperatively. Twenty-four patients 4 to 197 months (median, 16 months) postinjury underwent surgical intervention for one to four rib fracture nonunions (median, two nonunions). Evidence of intercostal nerve entrapment was present in nine patients (38%). MPQ Present Pain Intensity and Pain Rating Index and RAND 36 Physical Functioning, Role Physical, Social Functioning, Role Social, Bodily Pain, Vitality, Mental Health, and General Health were significantly improved at six months compared with study entry (P < 0.05). Activity levels significantly improved (P < 0.0001) but functional and work status did not change. Twenty-four-hour morphine equivalent dosage of opioids at study entry was 20.3 ± 30.8 (mean ± standard deviation) and at study completion was 9.4 ± 17.5 (P = 0.054). Complications included one wound infection, two partial screw backouts, and one chest wall hernia at one year after resection of adjacent nonunions with significant gaps repaired with absorbable plates. Surgical intervention for rib fracture nonunion may improve chronic pain and disability but without change in functional or work status. Resection of adjacent nonunions with significant gaps may lead to chest wall hernia.

Volcanic conduit failure as a trigger to magma fragmentation

NASA Astrophysics Data System (ADS)

Lavallée, Y.; Benson, P. M.; Heap, M. J.; Flaws, A.; Hess, K.-U.; Dingwell, D. B.

2012-01-01

In the assessment of volcanic risk, it is often assumed that magma ascending at a slow rate will erupt effusively, whereas magma ascending at fast rate will lead to an explosive eruption. Mechanistically viewed, this assessment is supported by the notion that the viscoelastic nature of magma (i.e., the ability of magma to relax at an applied strain rate), linked via the gradient of flow pressure (related to discharge rate), controls the eruption style. In such an analysis, the physical interactions between the magma and the conduit wall are commonly, to a first order, neglected. Yet, during ascent, magma must force its way through the volcanic edifice/structure, whose presence and form may greatly affect the stress field through which the magma is trying to ascend. Here, we demonstrate that fracturing of the conduit wall via flow pressure releases an elastic shock resulting in fracturing of the viscous magma itself. We find that magma fragmentation occurred at strain rates seven orders of magnitude slower than theoretically anticipated from the applied axial strain rate. Our conclusion, that the discharge rate cannot provide a reliable indication of ascending magma rheology without knowledge of conduit wall stability, has important ramifications for volcanic hazard assessment. New numerical simulations are now needed in order to integrate magma/conduit interaction into eruption models.

Modular femoral neck fracture after primary total hip arthroplasty.

PubMed

Sotereanos, Nicholas G; Sauber, Timothy J; Tupis, Todd T

2013-01-01

The use of modular femoral stems in primary total hip arthroplasty has increased considerably in recent years. These modular components offer the surgeon the ability to independently alter version, offset, and length of the femoral component of a hip arthroplasty. This increases the surgeon's ability to accurately recreate the relevant anatomy but increases the possibilities of corrosion and fracture. Multiple case reports have highlighted fractures of these modular components. We present a case of a fracture of a modular design that has had no previously reported modular neck fractures. The patient was informed that data concerning the case would be submitted, and he consented. Copyright © 2013 Elsevier Inc. All rights reserved.

Evolution of fracture permeability of ultramafic rocks undergoing serpentinization at hydrothermal conditions: An experimental study

NASA Astrophysics Data System (ADS)

Farough, A.; Moore, D. E.; Lockner, D. A.; Lowell, R. P.

2016-01-01

We performed flow-through laboratory experiments on five cylindrically cored samples of ultramafic rocks, in which we generated a well-mated through-going tensile fracture, to investigate evolution of fracture permeability during serpentinization. The samples were tested in a triaxial loading machine at a confining pressure of 50 MPa, pore pressure of 20 MPa, and temperature of 260°C, simulating a depth of 2 km under hydrostatic conditions. A pore pressure difference of up to 2 MPa was imposed across the ends of the sample. Fracture permeability decreased by 1-2 orders of magnitude during the 200-330 h experiments. Electron microprobe and SEM data indicated the formation of needle-shaped crystals of serpentine composition along the walls of the fracture, and chemical analyses of sampled pore fluids were consistent with dissolution of ferro-magnesian minerals. By comparing the difference between fracture permeability and matrix permeability measured on intact samples of the same rock types, we concluded that the contribution of the low matrix permeability to flow is negligible and essentially all of the flow is focused in the tensile fracture. The experimental results suggest that the fracture network in long-lived hydrothermal circulation systems can be sealed rapidly as a result of mineral precipitation, and generation of new permeability resulting from a combination of tectonic and crystallization-induced stresses is required to maintain fluid circulation.

Hydraulic fracture development in granite during cyclic injection

NASA Astrophysics Data System (ADS)

Diaz, M.; Jung, S. G.; Nam, Y. J.; Yeom, S.; Zhuang, L.; Kim, K. Y.

2017-12-01

The concept of fatigue hydraulic fracturing was introduced by Zang et al. (2013) as an alternative stimulation scheme to mitigate seismicity during hydraulic stimulation. In situ experiments in hard rock, and laboratory tests in granite have shown a decrease in breakdown pressure during cyclic injection. However, little work has been done in relation to the study of fracture evolution with increasing number of injection cycles. This study uses cylindrical granite specimens to observe induced fractures under continuous injection and fracture development during cyclic injection, aided by X-ray CT technology and AE monitoring. The rock specimens have 30 mm in diameter, 48 mm in height, and a 5 mm diameter central borehole drilled along its axis. Each specimen was axially loaded with 10 MPa, and without confining pressure. The first specimen was continuously injected with water at a rate of 50 mm3/s. For the second specimen, the same injection rate was used, but it was stopped multiple times when the pressure reached a value of 4 MPa in order to create cycles. The time during each injection peak was 2 min. The results show how induced fractures are likely to initiate at the borehole wall and between grain mineral boundaries. Also, the fractures increase true length and height with increasing number of cycles, and mineral distribution affected fracture orientation during its development. These observations could shed light into the physics involved behind this process

Numerical Modelling of Extended Leak-Off Test with a Pre-Existing Fracture

NASA Astrophysics Data System (ADS)

Lavrov, A.; Larsen, I.; Bauer, A.

2016-04-01

Extended leak-off test (XLOT) is one of the few techniques available for stress measurements in oil and gas wells. Interpretation of the test is often difficult since the results depend on a multitude of factors, including the presence of natural or drilling-induced fractures in the near-well area. Coupled numerical modelling of XLOT has been performed to investigate the pressure behaviour during the flowback phase as well as the effect of a pre-existing fracture on the test results in a low-permeability formation. Essential features of XLOT known from field measurements are captured by the model, including the saw-tooth shape of the pressure vs injected volume curve, and the change of slope in the pressure vs time curve during flowback used by operators as an indicator of the bottomhole pressure reaching the minimum in situ stress. Simulations with a pre-existing fracture running from the borehole wall in the radial direction have revealed that the results of XLOT are quite sensitive to the orientation of the pre-existing fracture. In particular, the fracture initiation pressure and the formation breakdown pressure increase steadily with decreasing angle between the fracture and the minimum in situ stress. Our findings seem to invalidate the use of the fracture initiation pressure and the formation breakdown pressure for stress measurements or rock strength evaluation purposes.

Evolution of fracture permeability of ultramafic rocks undergoing serpentinization at hydrothermal conditions: An experimental study

USGS Publications Warehouse

Farough, Aida; Moore, Diane E.; Lockner, David A.; Lowell, R.P.

2016-01-01

We performed flow-through laboratory experiments on five cylindrically cored samples of ultramafic rocks, in which we generated a well-mated through-going tensile fracture, to investigate evolution of fracture permeability during serpentinization. The samples were tested in a triaxial loading machine at a confining pressure of 50 MPa, pore pressure of 20 MPa, and temperature of 260°C, simulating a depth of 2 km under hydrostatic conditions. A pore pressure difference of up to 2 MPa was imposed across the ends of the sample. Fracture permeability decreased by 1–2 orders of magnitude during the 200–330 h experiments. Electron microprobe and SEM data indicated the formation of needle-shaped crystals of serpentine composition along the walls of the fracture, and chemical analyses of sampled pore fluids were consistent with dissolution of ferro-magnesian minerals. By comparing the difference between fracture permeability and matrix permeability measured on intact samples of the same rock types, we concluded that the contribution of the low matrix permeability to flow is negligible and essentially all of the flow is focused in the tensile fracture. The experimental results suggest that the fracture network in long-lived hydrothermal circulation systems can be sealed rapidly as a result of mineral precipitation, and generation of new permeability resulting from a combination of tectonic and crystallization-induced stresses is required to maintain fluid circulation.

Thermal Effect on Fracture Integrity in Enhanced Geothermal Systems

NASA Astrophysics Data System (ADS)

Zeng, C.; Deng, W.; Wu, C.; Insall, M.

2017-12-01

In enhanced geothermal systems (EGS), cold fluid is injected to be heated up for electricity generation purpose, and pre-existing fractures are the major conduits for fluid transport. Due to the relative cold fluid injection, the rock-fluid temperature difference will induce thermal stress along the fracture wall. Such large thermal stress could cause the failure of self-propping asperities and therefore change the fracture integrity, which could affect the heat recovery efficiency and fluid recycling. To study the thermal effect on fracture integrity, two mechanisms pertinent to thermal stress are proposed to cause asperity contact failure: (1) the crushing between two pairing asperities leads to the failure at contact area, and (2) the thermal spalling expedites this process. Finite element modeling is utilized to investigate both failure mechanisms by idealizing the asperities as hemispheres. In the numerical analysis, we have implemented meso-scale damage model to investigate coupled failure mechanism induced by thermomechanical stress field and original overburden pressure at the vicinity of contact point. Our results have shown that both the overburden pressure and a critical temperature determine the threshold of asperity failure. Since the overburden pressure implies the depth of fractures in EGS and the critical temperature implies the distance of fractures to the injection well, our ultimate goal is to locate a region of EGS where the fracture integrity is vulnerable to such thermal effect and estimate the influences.

Developing a Fracture Model of the Granite Rocks Around the Research Tunnel at the Mizunami Underground Research Laboratory in Central Japan

NASA Astrophysics Data System (ADS)

Kalinina, E.; Hadgu, T.; Wang, Y.

2017-12-01

The Mizunami Underground Research Laboratory (MIU) is located in Tono area in Central Japan. It is operated by the Japan Atomic Energy Agency (JAEA) with the main purpose of providing scientific basis for the research and development of technologies needed for deep geological disposal of radioactive waste in fractured crystalline rocks. The current work is focused on the research and experiments in the tunnel located at 500 m depth. The data collected in the tunnel and exploratory boreholes were shared with the participants of the DEvelopment of COupled models and their VALidation against EXperiments (DECOVALEX), an international research and model comparison collaboration. This study describes the development of the fracture model representing granite rocks around the research tunnel. The model domain is 100x150x100m with the main experimental part of the tunnel, Closure Test Drift, located approximately in the center. The major input data were the fracture traces measured on the tunnel walls (total of 2,023 fractures), fractures observed in the horizontal borehole parallel to the tunnel, and the packer tests conducted in this borehole and one vertical borehole located within the modeling domain. 78 fractures (the ones with the inflow) in the tunnel were incorporated in the development of the fracture model. Fracture size was derived from the fracture trace analysis. It was shown that the fracture radius followed lognormal distributions. Fracture transmissivity was estimated from an analytical solution of inflow into the tunnel through an individual fracture and the total measured inflow into the tunnel. 16 fractures were incorporated in the model along the horizontal borehole. The packer test data in the different well intervals were used to estimate the range in fracture transmissivity. A relationship between the fracture transmissivity and fracture radius was developed. The fractures in the tunnel and borehole were used to derive fracture orientation and fracture intensity distributions. These distributions were used to generate stochastic fractures outside the tunnel and horizontal borehole. The fracture model was upscaled to an orthogonal continuum mesh with 1x1x1 m3 cell size using Oda's method.

Non-FOOSH Scaphoid Fractures in Young Athletes

PubMed Central

Johnson, Michael R.; Fogarty, Brian T.; Alitz, Curt; Gerber, John P.

2013-01-01

Context: The scaphoid is the most commonly fractured bone in the wrist and can often be difficult to treat and manage, making healing of this fracture problematic. Evidence Acquisition: A search of the entire PubMed (MEDLINE) database using the terms scaphoid fracture management and scaphoid fracture evaluation returned several relevant anatomic and imaging references. Results: Wrist fractures most commonly occur in the scaphoid, which is implicated approximately 60% of the time. The most common mechanism of injury leading to a scaphoid fracture is a fall on an outstretched hand (FOOSH), causing a hyperextension force on the wrist. The following 2 cases, which occurred within 3 months of each other, highlight the difficulty of managing patients with possible scaphoid fractures. Neither patient had a typical FOOSH-related mechanism of injury, and neither was initially tender over the scaphoid. Conclusion: Differential diagnoses should include a scaphoid fracture with any hyperextension traumatic injury (FOOSH or non-FOOSH), even in the absence of scaphoid tenderness and when initial radiographic findings are normal. PMID:24427388

Risk of Osteoporotic Fracture After Steroid Injections in Patients With Medicare.

PubMed

Carreon, Leah Y; Ong, Kevin L; Lau, Edmund; Kurtz, Steven M; Glassman, Steven D

To further evaluate the relationship between steroid injections and osteoporotic fracture risk, we analyzed Medicare administrative claims data on both large-joint steroid injections (LJSIs) into knee and hip and transforaminal steroid injections (TSIs), as well as osteoporotic hip and wrist fractures. Our hypothesis was that a systemic effect of steroid injections would increase fracture risk in all skeletal locations regardless of injection site, whereas a local effect would produce a disproportionate increased risk of spine fracture with spine injection. Patients treated with an LJSI, a TSI, or an epidural steroid injection (ESI) were identified from 5% Medicare claims data. Patients under age 65 years and patients with prior osteoporotic fracture were excluded. Analyses were performed to determine fracture risk (adjusted hazard ratio) for each type of injection. Analysis of the Medicare data revealed that ESIs were associated with decreased osteoporotic spine fracture risk, but the effect was small and might not be clinically relevant. ESIs did not influence osteoporotic hip or wrist fracture risk, but LJSIs reduced the risk.

Isolated Traumatic Bilateral First Rib Fracture: A Rare Entity

PubMed Central

Chatterjee, Souvik; Dey, Rajesh; Ray, Ramdip; Sinha, Santanu

2011-01-01

Since the first rib is protected very well by the overlying soft tissue and bones, its fracture is a major injury and a considerable force is required to do it. Therefore, an isolated fracture of this rib is unusual. A 28-year-old healthy female had an accident while crossing the road and a heavy object fell on her. She had severe pain behind her clavicle region and was immediately hospitalized and examined. Thorough clinical examination and different relevant investigations surprisingly disclosed isolated bilateral first rib fracture which is a very rare clinical condition. PMID:25191390

The clinical application of absorbable intramedullary nail and claw plate on treating multiple rib fractures.

PubMed

Chai, X; Lin, Q; Ruan, Z; Zheng, J; Zhou, J; Zhang, J

2013-08-01

The absorption intramedullary nail and claw plate indications and efficacy were investigated in the treatment of a life-threatening multiple rib fractures. A retrospective analysis of 248 surgically treated rib fracture patients was performed who admitted to our hospital from March 2007 to December 2012. Intramedullary nailing was performed in 28 cases, a claw-type bone plate was fixed in 141 cases, and a combination of both was fixed in 79 cases. All internal fixation patients were clinically cured except 1 patient died 14 days after a massive pulmonary embolism. The patients with flail chest and floating chest wall causing respiratory and circulatory disorders were promptly corrected. Routine follow-up was from 1 to 2 years, displaced fractures were in 2 cases, and there were 11 cases of internal fixation and extraction. Internal fixation is a simple and reliable method for the treatment of multiple rib fractures. Both internal fixation materials have their pros and cons but the claw bone plate is more robust. The actual selection of appropriate treatment options helps to improve the treatment efficacy.

Conduit enlargement in an eogenetic karst aquifer

NASA Astrophysics Data System (ADS)

Moore, Paul J.; Martin, Jonathan B.; Screaton, Elizabeth J.; Neuhoff, Philip S.

2010-11-01

SummaryMost concepts of conduit development have focused on telogenetic karst aquifers, where low matrix permeability focuses flow and dissolution along joints, fractures, and bedding planes. However, conduits also exist in eogenetic karst aquifers, despite high matrix permeability which accounts for a significant component of flow. This study investigates dissolution within a 6-km long conduit system in the eogenetic Upper Floridan aquifer of north-central Florida that begins with a continuous source of allogenic recharge at the Santa Fe River Sink and discharges from a first-magnitude spring at the Santa Fe River Rise. Three sources of water to the conduit include the allogenic recharge, diffuse recharge through epikarst, and mineralized water upwelling from depth. Results of sampling and inverse modeling using PHREEQC suggest that dissolution within the conduit is episodic, occurring only during 30% of 16 sampling times between March 2003 and April 2007. During low flow conditions, carbonate saturated water flows from the matrix to the conduit, restricting contact between undersaturated allogenic water with the conduit wall. When gradients reverse during high flow conditions, undersaturated allogenic recharge enters the matrix. During these limited periods, estimates of dissolution within the conduit suggest wall retreat averages about 4 × 10 -6 m/day, in agreement with upper estimates of maximum wall retreat for telogenetic karst. Because dissolution is episodic, time-averaged dissolution rates in the sink-rise system results in a wall retreat rate of about 7 × 10 -7 m/day, which is at the lower end of wall retreat for telogenetic karst. Because of the high permeability matrix, conduits in eogenetic karst thus enlarge not just at the walls of fractures or pre-existing conduits such as those in telogenetic karst, but also may produce a friable halo surrounding the conduits that may be removed by additional mechanical processes. These observations stress the importance of matrix permeability in eogenetic karst and suggest new concepts may be necessary to describe how conduits develop within these porous rocks.

The behaviour of post-retained core materials supported by coronal tooth structure in vitro.

PubMed

Russell, M D; Masood, M; Cunningham, L

1997-11-01

This study was designed to investigate the effect of retaining coronal tooth substance on the performance of post-retained core materials, and to compare the fracture resistance of the system with an intact tooth prepared to similar dimensions. Ten teeth restored with post-retained silver amalgam, and 10 teeth restored with silver-glass cermet, all with a retained single wall of coronal tooth substance, were compared with 10 unrestored teeth prepared to similar dimensions when subjected to a shearing load. The results showed no statistically significant difference between the unrestored teeth and those restored with a silver-glass cermet. Whilst the teeth restored with silver amalgam had a significantly higher fracture resistance (P > 0.01) there was greater tendency to root fracture.

The outcome of surgically treated traumatic unstable pelvic fractures by open reduction and internal fixation.

PubMed

Mardanpour, Keykhosro; Rahbar, Mahtab

2013-07-01

This study was performed to evaluate functional and radiological results of pelvic ring fractures treatment by open reduction and internal fixation. Thirty eight patients with unstable pelvic fractures, treated from 2002 to 2008 were retrospectively reviewed. The mean patients' age was 37 years (range 20 to 67). Twenty six patients were men (4 patients with type B and 22 patients with type C fracture) and 12 women (7 patients with type B and 5 patients with type C fracture). The commonest cause was a road traffic accident (N=37, about 97%). Internal fixation was done by plaque with ilioinguinal and Kocher-Langenbeek approaches for anterior, posterior pelvic wall and acetabulum fracture respectively. Quality of reduction was graded according to Majeed score system. There were 11 type-C and 27 type-B pelvic fractures according to Tile's classification. Thirty six patients sustained additional injuries. The commonest additional injury was lower extremity fracture. The mean follow-up was 45.6 months (range 16 to 84 months).The functional outcome was excellent in 66%, good in 15%, fair in 11% and poor in 7% of the patients with type B pelvic fractures and functional outcome was excellent in 46%, good in 27%, fair in 27% and poor in 0% of the patients with type C pelvic fractures. There were four postoperative infections. No sexual functional problem was reported. Neurologic problem like Lateral cutaneous nerve of thigh injury recovered completely in 2 patients and partially in 2 patients. There was no significant relation between functional outcome and the site of fracture (P greater than 0.005). Unstable pelvic ring fracture injuries should be managed surgically by rigid stabilization. It must be carried out as soon as the general condition of the patient permits, and even up to two weeks.

Analysis of stress-induced oval fractures in a borehole at Deep Sea Drilling Project Site 504, eastern equatorial Pacific

USGS Publications Warehouse

Morin, R.H.; Flamand, R.

1999-01-01

Deep Sea Drilling Project (DSDP) Hole 504B is located in the eastern equatorial Pacific Ocean and extends to a total depth of 2111 m beneath the seafloor (mbsf). Several acoustic televiewer logs have been obtained in this well during successive stages of drilling, and the resulting digital images have revealed numerous oval-shaped fractures seemingly etched into the borehole wall. A theoretical examination of these stress-induced features identifies a unique and ephemeral set of stress distributions and magnitudes that are necessary for their production. Consequently, the ovals provide a basis for quantifying the magnitudes and orientations of the maximum and minimum horizontal principal stresses, SH and Sh, at this site. Vertical, truncated breakouts and horizontal tensile fractures define the spatial boundaries of the ovals. Explicit criteria for their occurrence are combined with estimates for various physical properties of the rock to yield a range of possible values for the horizontal principal stresses. The conspicuous oval geometry is completed by a curved fracture that joins the vertical and horizontal components. Its degree of curvature is delineated by the modified Griffith failure criterion and is directly related to the principal stress difference (SH - Sh). Matching a series of type curves corresponding to specific values for (SH - Sh) with the actual undistorted well bore images allows the magnitude of the stress difference to be further constrained. With a value for (SH - Sh) of 45 ?? 5 MPa the individual magnitudes of SH and Sh are determined more precisely. Final estimates for the horizontal principal stresses in DSDP Hole 504B at a depth of 1200 mbsf are 141 MPa ??? SH ??? 149 MPa and 91 MPa ??? Sh ??? 109 MPa. Stress magnitudes derived from this approach rely heavily upon the values of a variety of physical properties, and complementary laboratory measurements performed on relevant rock samples provide critical information. Uncertainties in estimating these properties translate into less precise predictions of principal stresses. Copyright 1999 by the American Geophysical Union.

Geothermal Potential of Adak Island, Alaska

DTIC Science & Technology

1985-10-01

alteration of the Andrew Bay Hot Springs is essentially propylitic , with the introduction of pyrite and the conversion of magnetite to pyrite. This pyritic...features: Goethite coats the walls of a 1-mm fracture in this rock. Classification: Propylitically altered andesite porphyry breccia. 71 NWC TP 6676 Date: 20

A systematic review of current osteoporotic metaphyseal fracture animal models.

PubMed

Wong, R M Y; Choy, M H V; Li, M C M; Leung, K-S; K-H Chow, S; Cheung, W-H; Cheng, J C Y

2018-01-01

The treatment of osteoporotic fractures is a major challenge, and the enhancement of healing is critical as a major goal in modern fracture management. Most osteoporotic fractures occur at the metaphyseal bone region but few models exist and the healing is still poorly understood. A systematic review was conducted to identify and analyse the appropriateness of current osteoporotic metaphyseal fracture animal models. A literature search was performed on the Pubmed, Embase, and Web of Science databases, and relevant articles were selected. A total of 19 studies were included. Information on the animal, induction of osteoporosis, fracture technique, site and fixation, healing results, and utility of the model were extracted. Fracture techniques included drill hole defects (3 of 19), bone defects (3 of 19), partial osteotomy (1 of 19), and complete osteotomies (12 of 19). Drill hole models and incomplete osteotomy models are easy to perform and allow the study of therapeutic agents but do not represent the usual clinical setting. Additionally, biomaterials can be filled into drill hole defects for analysis. Complete osteotomy models are most commonly used and are best suited for the investigation of therapeutic drugs or noninvasive interventions. The metaphyseal defect models allow the study of biomaterials, which are associated with complex and comminuted osteoporotic fractures. For a clinically relevant model, we propose that an animal model should satisfy the following criteria to study osteoporotic fracture healing: 1) induction of osteoporosis, 2) complete osteotomy or defect at the metaphysis unilaterally, and 3) internal fixation. Cite this article : R. M. Y. Wong, M. H. V. Choy, M. C. M. Li, K-S. Leung, S. K-H. Chow, W-H. Cheung, J. C. Y. Cheng. A systematic review of current osteoporotic metaphyseal fracture animal models. Bone Joint Res 2018;7:6-11. DOI: 10.1302/2046-3758.71.BJR-2016-0334.R2. © 2018 Wong et al.

Sacral Fractures and Associated Injuries

PubMed Central

Kurd, Mark F.; Schroeder, Gregory D.; Kepler, Christopher K.; Krieg, James C.; Holstein, Jörg H.; Bellabarba, Carlo; Firoozabadi, Reza; Oner, F. Cumhur; Kandziora, Frank; Dvorak, Marcel F.; Kleweno, Conor P.; Vialle, Luiz R.; Rajasekaran, S.; Schnake, Klause J.; Vaccaro, Alexander R.

2017-01-01

Study Design: Literature review. Objective: The aim of this review is to describe the injuries associated with sacral fractures and to analyze their impact on patient outcome. Methods: A comprehensive narrative review of the literature was performed to identify the injuries associated with sacral fractures. Results: Sacral fractures are uncommon injuries that result from high-energy trauma, and that, due to their rarity, are frequently underdiagnosed and mistreated. Only 5% of sacral fractures occur in isolation. Injuries most often associated with sacral fractures include neurologic injuries (present in up to 50% of sacral fractures), pelvic ring disruptions, hip and lumbar spine fractures, active pelvic/ abdominal bleeding and the presence of an open fracture or significant soft tissue injury. Diagnosis of pelvic ring fractures and fractures extending to the lumbar spine are key factors for the appropriate management of sacral fractures. Importantly, associated systemic (cranial, thoracic, and abdominopelvic) or musculoskeletal injuries should be promptly assessed and addressed. These associated injuries often dictate the management and eventual outcome of sacral fractures and, therefore, any treatment algorithm should take them into consideration. Conclusions: Sacral fractures are complex in nature and often associated with other often-missed injuries. This review summarizes the most relevant associated injuries in sacral fractures and discusses on their appropriate management. PMID:28989838

Survival following fracture of strut from mitral prosthesis with disc translocation.

PubMed

McEnany, M T; Wheeler, E O; Austen, W G

1979-07-01

Mechanical complications of prosthetic valves are increasingly rare. The acute, catastrophic nature of the symptoms associated with massive transvalvular regurgitation preclude survival except with immediate operation. In the patient described herein, two weld fractures of a Björk-Shiley mitral prosthetic strut led to displacement of the valve occluder into the left atrium. The patient survived reoperation, following which the strut was detected radiologically in the left ventricular free wall. A slow, limited recovery resulted from his 5 preoperative hours of deep shock and coma. No complication attributable to the retained ventricular foreign body has been identified.

Drainage Asperities on Subduction Megathrusts

NASA Astrophysics Data System (ADS)

Sibson, R. H.

2012-12-01

Geophysical observations coupled with force-balance analyses suggest that the seismogenic shear zone interface of subduction megathrusts is generally fluid-overpressured to near-lithostatic values (λv = Pf/σv > 0.9) below the forearc hanging-wall, strongly modulating the profile of frictional shear resistance. Fluid sources include the accretionary prism at shallow levels and, with increasing depth, metamorphic dehydration of material entrained within the subduction shear zone together with progressive metamorphism of oceanic crust in the downgoing slab. Solution transfer in fine-grained material contained within the deeper subduction shear zone (150 < T < 350°C) likely contributes to hydrothermal sealing of fractures. A dramatic difference may therefore exist between low prefailure permeability surrounding the megathrust and high postfailure fracture permeability along the rupture zone and adjacent areas of aftershock activity. Observed postseismic changes in the velocity structure of the fore-arc hanging-wall led Husen and Kissling (2001) to propose massive fluid loss across the subduction interface following the 1995 Antofagasta, Chile, Mw8.0 megathrust rupture. Such trans-megathrust discharges represent a variant of 'fault-valve' action in which the subduction interface itself acts as a seal trapping overpressured fluids derived from metamorphic dehydration beneath. In low-permeability assemblages the maximum sustainable overpressure is limited by the activation or reactivation of brittle faults and fractures under the prevailing stress state. Highest overpressures tend to occur at low differential stress in compressional stress regimes. Loci for fluid discharge are likely determined by stress heterogeneities along the megathrust (e.g. the hangingwall of the rupture at its downdip termination). Discharge sites may be defined by swarm aftershocks defining activated fault-fracture meshes. However, fluid loss across a subduction interface will be enhanced when the stress-state in the forearc hanging-wall switches from compressional reverse-slip faulting before failure to extensional normal-slip faulting postfailure, as occurred during the 2011 Mw9.0 Tohoku megathrust rupture. Mean stress and fault-normal stress then change from being greater than vertical stress prefailure, to less than vertical stress postfailure. Postfailure reductions in overpressure are expected from a combination of poroelastic effects and fluid loss through fault-fracture networks, enhancing vertical permeability. Mineralised fault-fracture meshes in exhumed fore-arc assemblages (e.g. the Alaska-Juneau Au-quartz vein swarm) testify to the episodic discharge of substantial volumes of hydrothermal fluid (< tens of km3). Localized drainage from the subduction interface shear zone increases frictional strength significantly, giving rise to a postfailure strength asperities. Anticipated strength increases from such fluid discharge depends on the magnitude of the drop in overpressure but are potentially large (< hundreds of MPa). Time to the subsequent failure is then governed by reaccumulation of fluid overpressure as well as shear stress along the subduction interface.

Modeling Single Well Injection-Withdrawal (SWIW) Tests for Characterization of Complex Fracture-Matrix Systems

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

Cotte, F.P.; Doughty, C.; Birkholzer, J.

2010-11-01

The ability to reliably predict flow and transport in fractured porous rock is an essential condition for performance evaluation of geologic (underground) nuclear waste repositories. In this report, a suite of programs (TRIPOLY code) for calculating and analyzing flow and transport in two-dimensional fracture-matrix systems is used to model single-well injection-withdrawal (SWIW) tracer tests. The SWIW test, a tracer test using one well, is proposed as a useful means of collecting data for site characterization, as well as estimating parameters relevant to tracer diffusion and sorption. After some specific code adaptations, we numerically generated a complex fracture-matrix system for computationmore » of steady-state flow and tracer advection and dispersion in the fracture network, along with solute exchange processes between the fractures and the porous matrix. We then conducted simulations for a hypothetical but workable SWIW test design and completed parameter sensitivity studies on three physical parameters of the rock matrix - namely porosity, diffusion coefficient, and retardation coefficient - in order to investigate their impact on the fracture-matrix solute exchange process. Hydraulic fracturing, or hydrofracking, is also modeled in this study, in two different ways: (1) by increasing the hydraulic aperture for flow in existing fractures and (2) by adding a new set of fractures to the field. The results of all these different tests are analyzed by studying the population of matrix blocks, the tracer spatial distribution, and the breakthrough curves (BTCs) obtained, while performing mass-balance checks and being careful to avoid some numerical mistakes that could occur. This study clearly demonstrates the importance of matrix effects in the solute transport process, with the sensitivity studies illustrating the increased importance of the matrix in providing a retardation mechanism for radionuclides as matrix porosity, diffusion coefficient, or retardation coefficient increase. Interestingly, model results before and after hydrofracking are insensitive to adding more fractures, while slightly more sensitive to aperture increase, making SWIW tests a possible means of discriminating between these two potential hydrofracking effects. Finally, we investigate the possibility of inferring relevant information regarding the fracture-matrix system physical parameters from the BTCs obtained during SWIW testing.« less

The Relationship Between Fractures and DXA Measures of BMD in the Distal Femur of Children and Adolescents With Cerebral Palsy or Muscular Dystrophy

PubMed Central

Henderson, Richard C; Berglund, Lisa M; May, Ryan; Zemel, Babette S; Grossberg, Richard I; Johnson, Julie; Plotkin, Horacio; Stevenson, Richard D; Szalay, Elizabeth; Wong, Brenda; Kecskemethy, Heidi H; Harcke, H Theodore

2010-01-01

Children with limited or no ability to ambulate frequently sustain fragility fractures. Joint contractures, scoliosis, hip dysplasia, and metallic implants often prevent reliable measures of bone mineral density (BMD) in the proximal femur and lumbar spine, where BMD is commonly measured. Further, the relevance of lumbar spine BMD to fracture risk in this population is questionable. In an effort to obtain bone density measures that are both technically feasible and clinically relevant, a technique was developed involving dual-energy X-ray absorptiometry (DXA) measures of the distal femur projected in the lateral plane. The purpose of this study is to test the hypothesis that these new measures of BMD correlate with fractures in children with limited or no ability to ambulate. The relationship between distal femur BMD Z-scores and fracture history was assessed in a cross-sectional study of 619 children aged 6 to 18 years with muscular dystrophy or moderate to severe cerebral palsy compiled from eight centers. There was a strong correlation between fracture history and BMD Z-scores in the distal femur; 35% to 42% of those with BMD Z-scores less than −5 had fractured compared with 13% to 15% of those with BMD Z-scores greater than −1. Risk ratios were 1.06 to 1.15 (95% confidence interval 1.04–1.22), meaning a 6% to 15% increased risk of fracture with each 1.0 decrease in BMD Z-score. In clinical practice, DXA measure of BMD in the distal femur is the technique of choice for the assessment of children with impaired mobility. © 2010 American Society for Bone and Mineral Research PMID:19821773

The development of in situ fracture toughness evaluation techniques in hydrogen environment

DOE PAGES

Wang, John Jy-An; Ren, Fei; Tan, Tin; ...

2014-12-19

Reliability of hydrogen pipelines and storage tanks is significantly influenced by the mechanical performance of the structural materials exposed in the hydrogen environment. Fracture behavior and fracture toughness are of specific interest since they are relevant to many catastrophic failures. However, many conventional fracture testing techniques are difficult to be realized under the presence of hydrogen. Thus it is desired to develop novel in situ techniques to study the fracture behavior of structural materials in hydrogen environments. In this study, special testing apparatus were designed to facilitate in situ fracture testing in H 2. A torsional fixture was developed tomore » utilize an emerging fracture testing technique, Spiral Notch Torsion Test (SNTT). The design concepts will be discussed. Preliminary in situ testing results indicated that the exposure to H 2 significantly reduces the fracture toughness of 4340 high strength steels by up to 50 percent. Furthermore, SNTT tests conducted in air demonstrated a significant fracture toughness reduction in samples subject to simulated welding heat treatment using Gleeble, which illustrated the effect of welding on the fracture toughness of this material.« less

Construction and geometric stability of physiological flow rate wall-less stenosis phantoms.

PubMed

Ramnarine, K V; Anderson, T; Hoskins, P R

2001-02-01

Wall-less flow phantoms are preferred for ultrasound (US) because tissue-mimicking material (TMM) with good acoustical properties can be made and cast to form anatomical models. The construction and geometrical stability of wall-less TMM flow phantoms is described using a novel method of sealing to prevent leakage of the blood-mimicking fluid (BMF). Wall-less stenosis flow models were constructed using a robust agar-based TMM and sealed using reticulated foam at the inlet and outlet tubes. There was no BMF leakage at the highest flow rate of 2.8 L/min in 0%, 35% and 57% diameter reduction stenoses models. Failure of the 75% stenosis model, due to TMM fracture, occurred at maximum flow rate of 2 L/min (mean velocity 10 m/s within the stenosis). No change of stenosis geometry was measured over 4 days. The construction is simple and effective and extends the possibility for high flow rate studies using robust TMM wall-less phantoms.

Stress fracture of the pelvis and lower limbs including atypical femoral fractures-a review.

PubMed

Tins, Bernhard J; Garton, Mark; Cassar-Pullicino, Victor N; Tyrrell, Prudencia N M; Lalam, Radhesh; Singh, Jaspreet

2015-02-01

Stress fractures, that is fatigue and insufficiency fractures, of the pelvis and lower limb come in many guises. Most doctors are familiar with typical sacral, tibial or metatarsal stress fractures. However, even common and typical presentations can pose diagnostic difficulties especially early after the onset of clinical symptoms. This article reviews the aetiology and pathophysiology of stress fractures and their reflection in the imaging appearances. The role of varying imaging modalities is laid out and typical findings are demonstrated. Emphasis is given to sometimes less well-appreciated fractures, which might be missed and can have devastating consequences for longer term patient outcomes. In particular, atypical femoral shaft fractures and their relationship to bisphosphonates are discussed. Migrating bone marrow oedema syndrome, transient osteoporosis and spontaneous osteonecrosis are reviewed as manifestations of stress fractures. Radiotherapy-related stress fractures are examined in more detail. An overview of typical sites of stress fractures in the pelvis and lower limbs and their particular clinical relevance concludes this review. Teaching Points • Stress fractures indicate bone fatigue or insufficiency or a combination of these. • Radiographic visibility of stress fractures is delayed by 2 to 3 weeks. • MRI is the most sensitive and specific modality for stress fractures. • Stress fractures are often multiple; the underlying cause should be evaluated. • Infratrochanteric lateral femoral fractures suggest an atypical femoral fracture (AFF); endocrinologist referral is advisable.

Thrust-induced collapse of mountains-an example from the "Big Bend" region of the San Andreas Fault, western transverse ranges, California

USGS Publications Warehouse

Kellogg, Karl S.

2005-01-01

Mount Pinos and Frazier Mountain are two prominent mountains just south of the San Andreas fault in the western Transverse Ranges of southern California, a region that has undergone rapid Quaternary contraction and uplift. Both mountains are underlain, at least in part, by thrusts that place granitic and gneissic rocks over sedimentary rocks as young as Pliocene. Broad profiles and nearly flat summits of each mountain have previously been interpreted as relicts of a raised erosion surface. However, several features bring this interpretation into question. First, lag or stream gravels do not mantle the summit surfaces. Second, extensive landslide deposits, mostly pre?Holocene and deeply incised, mantle the flanks of both mountains. Third, a pervasive fracture and crushed?rock network pervades the crystalline rocks underlying both mountains. The orientation of the fractures, prominent in roadcuts on Mount Pinos, is essentially random. 'Hill?and?saddle' morphology characterizes ridges radiating from the summits, especially on Mount Pinos; outcrops are sparse on the hills and are nonexistent in the saddles, suggesting fractures are concentrated in the saddles. Latest movement on the thrusts underlying the two mountain massifs is probably early Quaternary, during which the mountains were uplifted to considerably higher (although unknown) elevations than at present. A model proposes that during thrusting, ground accelerations in the hanging wall, particularly near thrust tips, were high enough to pervasively fracture the hanging?wall rocks, thereby weakening them and producing essentially an assemblage of loose blocks. Movement over flexures in the fault surface accentuated fracturing. The lowered shear stresses necessary for failure, coupled with deep dissection and ongoing seismic activity, reduced gravitational potential by spreading the mountain massifs, triggering flanking landslides and producing broad, flat?topped mountains. This study developed from mapping in the western Transverse Ranges as part of the U.S. Geological Survey's Southern California Areal Mapping Project (SCAMP).

Effects of Atomic-Scale Structure on the Fracture Properties of Amorphous Carbon - Carbon Nanotube Composites

NASA Technical Reports Server (NTRS)

Jensen, Benjamin D.; Wise, Kristopher E.; Odegard, Gregory M.

2015-01-01

The fracture of carbon materials is a complex process, the understanding of which is critical to the development of next generation high performance materials. While quantum mechanical (QM) calculations are the most accurate way to model fracture, the fracture behavior of many carbon-based composite engineering materials, such as carbon nanotube (CNT) composites, is a multi-scale process that occurs on time and length scales beyond the practical limitations of QM methods. The Reax Force Field (ReaxFF) is capable of predicting mechanical properties involving strong deformation, bond breaking and bond formation in the classical molecular dynamics framework. This has been achieved by adding to the potential energy function a bond-order term that varies continuously with distance. The use of an empirical bond order potential, such as ReaxFF, enables the simulation of failure in molecular systems that are several orders of magnitude larger than would be possible in QM techniques. In this work, the fracture behavior of an amorphous carbon (AC) matrix reinforced with CNTs was modeled using molecular dynamics with the ReaxFF reactive forcefield. Care was taken to select the appropriate simulation parameters, which can be different from those required when using traditional fixed-bond force fields. The effect of CNT arrangement was investigated with three systems: a single-wall nanotube (SWNT) array, a multi-wall nanotube (MWNT) array, and a SWNT bundle system. For each arrangement, covalent bonds are added between the CNTs and AC, with crosslink fractions ranging from 0-25% of the interfacial CNT atoms. The SWNT and MWNT array systems represent ideal cases with evenly spaced CNTs; the SWNT bundle system represents a more realistic case because, in practice, van der Waals interactions lead to the agglomeration of CNTs into bundles. The simulation results will serve as guidance in setting experimental processing conditions to optimize the mechanical properties of CNT composites.

[Mechanobiology and bone metabolism: Clinical relevance for fracture treatment].

PubMed

Haffner-Luntzer, M; Liedert, A; Ignatius, A

2015-12-01

Mechanical stimuli are known to significantly influence bone metabolism and fracture healing. Various studies have demonstrated the involvement of complex molecular mechanotransduction pathways, such as the Wnt/beta-catenin, bone morphogenetic protein (BMP) and estrogen receptor signaling pathways in mechanotransduction. Mechanotransduction is influenced by aging and the comorbidities of the patient. Pharmacological modulation of signal transduction influences bone formation and the mechanosensitivity of skeletal tissue. The combination of pharmacological and biomechanical therapies may be useful for the treatment of fractures with impaired healing.

Enhancement of Fracture Toughness of Epoxy Nanocomposites by Combining Nanotubes and Nanosheets as Fillers

PubMed Central

Domun, Nadiim; Paton, Keith R.; Sainsbury, Toby; Zhang, Tao; Mohamud, Hibaaq

2017-01-01

In this work the fracture toughness of epoxy resin has been improved through the addition of low loading of single part and hybrid nanofiller materials. Functionalised multi-walled carbon nanotubes (f-MWCNTs) was used as single filler, increased the critical strain energy release rate, GIC, by 57% compared to the neat epoxy, at only 0.1 wt% filler content. Importantly, no degradation in the tensile or thermal properties of the nanocomposite was observed compared to the neat epoxy. When two-dimensional boron nitride nanosheets (BNNS) were added along with the one-dimensional f-MWCNTs, the fracture toughness increased further to 71.6% higher than that of the neat epoxy. Interestingly, when functionalised graphene nanoplatelets (f-GNPs) and boron nitride nanotubes (BNNTs) were used as hybrid filler, the fracture toughness of neat epoxy is improved by 91.9%. In neither of these hybrid filler systems the tensile properties were degraded, but the thermal properties of the nanocomposites containing boron nitride materials deteriorated slightly. PMID:29048345

Enhancement of Fracture Toughness of Epoxy Nanocomposites by Combining Nanotubes and Nanosheets as Fillers.

PubMed

Domun, Nadiim; Paton, Keith R; Hadavinia, Homayoun; Sainsbury, Toby; Zhang, Tao; Mohamud, Hibaaq

2017-10-19

In this work the fracture toughness of epoxy resin has been improved through the addition of low loading of single part and hybrid nanofiller materials. Functionalised multi-walled carbon nanotubes (f-MWCNTs) was used as single filler, increased the critical strain energy release rate, G IC , by 57% compared to the neat epoxy, at only 0.1 wt% filler content. Importantly, no degradation in the tensile or thermal properties of the nanocomposite was observed compared to the neat epoxy. When two-dimensional boron nitride nanosheets (BNNS) were added along with the one-dimensional f-MWCNTs, the fracture toughness increased further to 71.6% higher than that of the neat epoxy. Interestingly, when functionalised graphene nanoplatelets (f-GNPs) and boron nitride nanotubes (BNNTs) were used as hybrid filler, the fracture toughness of neat epoxy is improved by 91.9%. In neither of these hybrid filler systems the tensile properties were degraded, but the thermal properties of the nanocomposites containing boron nitride materials deteriorated slightly.

Castiglione (Oletta, Corsica): relationships between phenomena of calcification and tectonic fossiliferous fracture dating

NASA Astrophysics Data System (ADS)

Pereira, Elisabeth; Rouzaud, François; Salotti, Michelle; Dubois, Jean-Noël; Ferrandini, Jean; Ottaviani-Spella, Marie-Madeleine; Quinif, Yves

Six cavities have been discovered in the Oletta massif. The massif, today constitued of Schistes lustrés with several metres of calcareous layers above them, has undergone intense fracturing. The networks of cavities are organised along north-south and subequatorial directions, and form a narrow bayonnet-network. All the elements in the galleries appear to be karstic: stalagmites, stalactites and calcitic deposits along the walls; but no trace of dissolution or excavation was found. Thus, the origin of the galleries is only tectonic, while the calcitic deposits result from the dissolution of the old, thick calcareous layers above, which are no longer present. The thickness and the volume of the calcitic deposits, which is variable depending on the galleries, indicates the chronology of the different tectonic periods which have fractured the massif. Five tectonic and successsive events have been detected. Calcitic datings confirm the timing of successional fracturing, indicating also the variable age of the fossiliferous Middle Pleistocene deposits found in these cavities.

Major neurovascular complications of clavicle fracture surgery

PubMed Central

Clitherow, Harry DS

2014-01-01

Clavicle fracture fixation is becoming an increasingly common operation, with good clinical outcomes and a low rate of significant complications. However, there are several reports of rare but potentially life or limb threatening, neurovascular complications. Arterial injuries are usually pseudoaneurysms associated with prominent screws. These may be clinically silent for several years before presenting as subcritical upper limb ischaemia. Venous injuries are a result of tearing of the vessel wall by fracture manipulation, drills or implants. This produces intra-operative haemorrhage and potentially air embolism, which can be fatal if not rapidly recognized and managed. Brachial plexopathy is the result of traction on adherent plexus or impingement by fracture fragments or callus. It presents as severe arm pain and paralysis immediately postoperatively. Neurovascular injuries can be avoided by a combination of pre-operative planning, communication with anaesthetic staff and strategic surgical technique. The plane of the surgical exposure, release of the soft tissues, drill direction and depth and screw length are all important factors. PMID:27582950

Information on stress conditions in the oceanic crust from oval fractures in a deep borehole

USGS Publications Warehouse

Morin, R.H.

1990-01-01

Oval images etched into the wall of a deep borehole were detected in DSDP Hole 504B, eastern equatorial Pacific Ocean, from analysis of an acoustic televiewer log. A systematic inspection of these ovals has identified intriguing consistencies in appearance that cannot be explained satisfactorily by a random, coincidental distribution of pillow lavas. As an alternative hypothesis, Mohr-Coulomb failure criterion is used to account for the generation and orientation of similarly curved, stress-induced fractures. Consequently, these oval features can be interpreted as fractures and related directly to stress conditions in the oceanic crust at this site. The azimuth of the oval center corresponds to the orientation of maximum horizontal principal stress (SH), and the oval width, which spans approximately 180?? of the borehole, is aligned with the azimuth of minimum horizontal principal stress (Sh). The oval height is controlled by the fracture angle and thus is a function of the coefficient of internal friction of the rock. -from Author

Laboratory testing on infiltration in single synthetic fractures

NASA Astrophysics Data System (ADS)

Cherubini, Claudia; Pastore, Nicola; Li, Jiawei; Giasi, Concetta I.; Li, Ling

2017-04-01

An understanding of infiltration phenomena in unsaturated rock fractures is extremely important in many branches of engineering for numerous reasons. Sectors such as the oil, gas and water industries are regularly interacting with water seepage through rock fractures, yet the understanding of the mechanics and behaviour associated with this sort of flow is still incomplete. An apparatus has been set up to test infiltration in single synthetic fractures in both dry and wet conditions. To simulate the two fracture planes, concrete fractures have been moulded from 3D printed fractures with varying geometrical configurations, in order to analyse the influence of aperture and roughness on infiltration. Water flows through the single fractures by means of a hydraulic system composed by an upstream and a downstream reservoir, the latter being subdivided into five equal sections in order to measure the flow rate in each part to detect zones of preferential flow. The fractures have been set at various angles of inclination to investigate the effect of this parameter on infiltration dynamics. The results obtained identified that altering certain fracture parameters and conditions produces relevant effects on the infiltration process through the fractures. The main variables influencing the formation of preferential flow are: the inclination angle of the fracture, the saturation level of the fracture and the mismatch wavelength of the fracture.

Solute transport in crystalline rocks at Aspö--I: geological basis and model calibration.

PubMed

Mazurek, Martin; Jakob, Andreas; Bossart, Paul

2003-03-01

Water-conducting faults and fractures were studied in the granite-hosted Aspö Hard Rock Laboratory (SE Sweden). On a scale of decametres and larger, steeply dipping faults dominate and contain a variety of different fault rocks (mylonites, cataclasites, fault gouges). On a smaller scale, somewhat less regular fracture patterns were found. Conceptual models of the fault and fracture geometries and of the properties of rock types adjacent to fractures were derived and used as input for the modelling of in situ dipole tracer tests that were conducted in the framework of the Tracer Retention Understanding Experiment (TRUE-1) on a scale of metres. After the identification of all relevant transport and retardation processes, blind predictions of the breakthroughs of conservative to moderately sorbing tracers were calculated and then compared with the experimental data. This paper provides the geological basis and model calibration, while the predictive and inverse modelling work is the topic of the companion paper [J. Contam. Hydrol. 61 (2003) 175]. The TRUE-1 experimental volume is highly fractured and contains the same types of fault rocks and alterations as on the decametric scale. The experimental flow field was modelled on the basis of a 2D-streamtube formalism with an underlying homogeneous and isotropic transmissivity field. Tracer transport was modelled using the dual porosity medium approach, which is linked to the flow model by the flow porosity. Given the substantial pumping rates in the extraction borehole, the transport domain has a maximum width of a few centimetres only. It is concluded that both the uncertainty with regard to the length of individual fractures and the detailed geometry of the network along the flowpath between injection and extraction boreholes are not critical because flow is largely one-dimensional, whether through a single fracture or a network. Process identification and model calibration were based on a single uranine breakthrough (test PDT3), which clearly showed that matrix diffusion had to be included in the model even over the short experimental time scales, evidenced by a characteristic shape of the trailing edge of the breakthrough curve. Using the geological information and therefore considering limited matrix diffusion into a thin fault gouge horizon resulted in a good fit to the experiment. On the other hand, fresh granite was found not to interact noticeably with the tracers over the time scales of the experiments. While fracture-filling gouge materials are very efficient in retarding tracers over short periods of time (hours-days), their volume is very small and, with time progressing, retardation will be dominated by altered wall rock and, finally, by fresh granite. In such rocks, both porosity (and therefore the effective diffusion coefficient) and sorption K(d)s are more than one order of magnitude smaller compared to fault gouge, thus indicating that long-term retardation is expected to occur but to be less pronounced. Copyright 2002 Elsevier Science B.V.

Physical Activity and Hip Fracture Disability: A Review

PubMed Central

Marks, Ray

2011-01-01

Objective. The present paper examines pertinent literature sources published in the peer-reviewed English language between 1980 and November 1, 2010 concerning hip fractures. The aim was to highlight potential intervention points to offset the risk of incurring a hip fracture and its attendant disability. Methods. An in-depth search of the literature using the key terms: disability, epidemiology, hip fracture, prevention, and risk factors was conducted, along with data from the author's research base detailing the disability associated with selected hip fracture cases. All articles that dealt with these key topics were reviewed, and relevant data were tabulated and analyzed. Results. Hip fractures remain an important but potentially preventable public health problem. Among the many related remediable risk factors, low physical activity levels are especially important. Related determinants of suboptimal neuromuscular function also contribute significantly to hip fracture disability. Conclusion. Physical activity participation can help to reduce the prevalence and excess disability of hip fractures and should be encouraged. PMID:21584248

Clinical and economic burden of fractures in patients with renal osteodystrophy.

PubMed

Schumock, G T; Sprague, S M

2007-04-01

Renal osteodystrophy is a key cause of fractures in patients with chronic kidney disease (CKD). This article reviews the clinical and economic burden of fractures and explores the types of studies that need to be conducted in order to fully understand the impact of fractures in renal osteodystrophy. We also discuss the role that active vitamin D compounds and calcimimetics play in treating secondary hyperparathyroidism. Medline was searched for relevant articles on renal osteodystrophy and fractures. CKD-related fractures are the source of significant morbidity and costs. Extensive osteoporosis research has been utilized to guide fracture prevention and improve disease management, but further costs and outcomes analyses are needed for renal osteodystrophy. Recent research regarding newer, present-day treatment paradigms has suggested that distinct cost savings and improved patient outcomes are possible. In order to realize such economic and human benefits, the medical community must first have sufficient pathologic, pharmacoeconomic and epidemiologic data to properly understand, manage and prevent renal osteodystrophy and fractures.

Midshaft Clavicle Fractures: A Critical Review.

PubMed

Burnham, Jeremy M; Kim, Daniel C; Kamineni, Srinath

2016-09-01

The clavicle is the most commonly broken bone in the human body, accounting for up to 5% to 10% of all fractures seen in hospital emergency admissions. Fractures of the middle third, or midshaft, are the most common, accounting for up to 80% of all clavicle fractures. Traditional treatment of midshaft clavicle fractures is usually nonoperative management, using a sling or figure-of-eight bandage. The majority of adults treated nonoperatively for midshaft clavicle fractures will heal completely. However, newer studies have shown that malunion, pain, and deformity rates may be higher than previously reported with traditional management. Recent evidence demonstrates that operative treatment of midshaft clavicle fractures can result in better functional results and patient satisfaction than nonoperative treatment in patients meeting certain criteria. This article provides a review of relevant anatomy, classification systems, and injury mechanisms for midshaft clavicle fractures, as well as a comparison of various treatment options. [Orthopedics.2016; 39(5):e814-e821.]. Copyright 2016, SLACK Incorporated.

Self-Expandable Metallic Stent Placement in Malignant Gastric Outlet Obstruction: A Comparison Between 2 Brands of Stents.

PubMed

Ye, Bing-Wei; Lee, Kuei-Chuan; Hsieh, Yun-Cheng; Li, Chung-Pin; Chao, Yee; Hou, Ming-Chih; Lin, Han-Chieh

2015-07-01

Malignant gastric outlet obstruction is a late complication of intraabdominal malignancy. Self-expandable metallic stent placement has been a safe palliative treatment to relieve obstructive symptoms. We aimed to assess the efficacy and safety of metallic stents in our patients and analyzed the clinical outcome of different brands. Seventy-one patients with inoperable gastric outlet obstruction receiving WallFlex enteral stents (WallFlex group) or Bonastents (Bonastent group) since April 2010 were analyzed retrospectively. The overall technical and clinical success rates of stent placement were 100% and 93%, respectively. The baseline characteristics and clinical outcomes including procedure-related complications, restenosis, and reintervention rates were comparable between the 2 groups. However, the Bonastent group had a higher rate of stent fracture than the WallFlex group (13.3% vs 0%, P = 0.03). The mean duration of overall stent patency was 132.7 days. The mean duration of survival was 181.9 days. Resumption of regular diet or low residual diet at day 7 after stent insertion predicted stent patency (hazard ratio [HR]: 0.28, P = 0.01). Cancer with gastric origin (HR: 0.25, P = 0.045) and poststent chemotherapy (HR: 0.38, P = 0.006) predicted lower mortality; however, peritoneal carcinomatosis (HR: 3.09, P = 0.04) correlated with higher mortality. Metallic stent placement is a safe and effective method for relieving gastric outlet obstruction. Except higher rate of stent fracture in the Bonastent group, there is no significant difference in clinical outcomes between the Bonastent group and the WallFlex group.

Self-Expandable Metallic Stent Placement in Malignant Gastric Outlet Obstruction

PubMed Central

Ye, Bing-Wei; Lee, Kuei-Chuan; Hsieh, Yun-Cheng; Li, Chung-Pin; Chao, Yee; Hou, Ming-Chih; Lin, Han-Chieh

2015-01-01

Abstract Malignant gastric outlet obstruction is a late complication of intraabdominal malignancy. Self-expandable metallic stent placement has been a safe palliative treatment to relieve obstructive symptoms. We aimed to assess the efficacy and safety of metallic stents in our patients and analyzed the clinical outcome of different brands. Seventy-one patients with inoperable gastric outlet obstruction receiving WallFlex enteral stents (WallFlex group) or Bonastents (Bonastent group) since April 2010 were analyzed retrospectively. The overall technical and clinical success rates of stent placement were 100% and 93%, respectively. The baseline characteristics and clinical outcomes including procedure-related complications, restenosis, and reintervention rates were comparable between the 2 groups. However, the Bonastent group had a higher rate of stent fracture than the WallFlex group (13.3% vs 0%, P = 0.03). The mean duration of overall stent patency was 132.7 days. The mean duration of survival was 181.9 days. Resumption of regular diet or low residual diet at day 7 after stent insertion predicted stent patency (hazard ratio [HR]: 0.28, P = 0.01). Cancer with gastric origin (HR: 0.25, P = 0.045) and poststent chemotherapy (HR: 0.38, P = 0.006) predicted lower mortality; however, peritoneal carcinomatosis (HR: 3.09, P = 0.04) correlated with higher mortality. Metallic stent placement is a safe and effective method for relieving gastric outlet obstruction. Except higher rate of stent fracture in the Bonastent group, there is no significant difference in clinical outcomes between the Bonastent group and the WallFlex group. PMID:26200641

[Delayed endoscopic reconstruction of the anterior wall of the frontal sinus: Technical note].

PubMed

Mommers, X-A; Zwetyenga, N; Meningaud, J-P

2015-11-01

Reconstruction of the anterior wall of the frontal sinus usually requires a coronal incision. This extended approach may lead to paresthesia, unsightly scars, bruises and cicatricial alopecia. These complications encouraged several authors to endoscopic management of this kind of fractures. We present a delayed technique of reconstruction of the anterior wall of the frontal sinus by means of endoscopic hydroxyapatite filling. Two incisions were performed behind the hair line. Subperiosteal dissection using a periosteal elevator was performed. A 30° angled endoscope was used to visualize the depression. The latter was filled by Hydroset® (Stryker, USA) as a bone substitute. In the absence of contra-indication, the reconstruction of the anterior wall of the frontal sinus by means of endoscopic hydroxyapatite filling has many advantages including uneventful outcome, reduction of the hospital stay and a fast learning curve. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Exploring Tectonic Activity on Vesta and Ceres

NASA Astrophysics Data System (ADS)

Buczkowski, D.; Scully, J. E. C.; Raymond, C. A.; Russell, C. T.

2017-12-01

Images of Vesta and Ceres taken by the Dawn spacecraft revealed large-scale linear structural features on both asteroids. We evaluate their morphology to determine 1) what processes caused them to form and 2) what implications this has for the history of Vesta and Ceres as planetary bodies. The Divalia Fossae are wide troughs bounded by steep scarps that encircle Vesta roughly aligned with the equator. Fault plane analysis suggests that their formation was triggered by the impact event that formed the Rheasilvia basin. The Saturnalia Fossae extend from Divalia to the northern polar region; fault plane analysis ties their formation to the Veneneia basin impact event. Also, it has been suggested that the elongate hill Brumalia Tholus could have been formed as a magmatic intrusion utilizing the subsurface Albalonga fracture as a conduit to the surface, intruding into and deforming the rock above it. Kilometer-scale linear structures cross much of the eastern hemisphere of Ceres. Many structures appear to be radial to the large craters Urvara and Yalode, and likely formed due to impact processes. However, the Samhain Catenae do not have any obvious relationship to a crater and the lack of raised rims makes it unlikely that these are secondary impacts; they are also crosscut by linear features radial to Urvara and Yalode, indicating they are not fractures formed during those impact events. Instead, the morphology of these structures more closely resembles that of pit crater chains (buried normal faults), and show en echelon orientation and S-shaped linkages. Polygonal craters, which form where there is pervasive subsurface fracturing, are widespread on Ceres, and those polygonal craters proximal to the Samhain Catenae have straight crater rims aligned with the structures. Several craters on Ceres have fractured floors, similar to lunar floor-fractured craters (FFCs), which are theorized to form from floor uplift due to magmatic intrusion. Large (>50 km) Ceres FFCs can have both radial and concentric fractures at the crater center, and/or concentric fractures near the crater wall. Smaller craters have a v-shaped moat separating the wall scarp from the crater interior, but different interior morphologies. A depth vs. diameter analysis shows that the Ceres FFCs are unusually shallow, consistent with the magmatic intrusion models.

Concomitant intra-articular glenohumeral injuries in displaced fractures of the lateral clavicle.

PubMed

Beirer, Marc; Zyskowski, Michael; Crönlein, Moritz; Pförringer, Dominik; Schmitt-Sody, Marcus; Sandmann, Gunther; Huber-Wagner, Stefan; Biberthaler, Peter; Kirchhoff, Chlodwig

2017-10-01

To detect concomitant intra-articular glenohumeral injuries, in acute displaced fractures of the lateral clavicle, initially missed due to unfeasible clinical evaluation of the acutely injured shoulder. All patients suffering from an acute displaced lateral clavicle fracture with indication to surgical treatment underwent diagnostic shoulder arthroscopy prior to open reduction and internal fixation. In case of therapy-relevant intra-articular glenohumeral injuries, subsequent surgical treatment was performed. Intra-articular injuries were found in 13 of 28 patients (46.4 %) with initially suspected isolated lateral clavicle fracture. Additional surgical treatment was performed in 8 of 28 cases (28.6 %). Superior labral anterior-posterior (SLAP) lesions were observed in 4 of 28 patients (14.3 %; SLAP II a: 1; II b: 1; III: 1; and IV: 1). Lesions of the pulley system were found in 3 of 28 patients (10.7 %; Habermeyer III°). One partial articular supraspinatus tendon avulsion lesion (3.6 %) and one lesion of the subscapularis tendon (3.6 %; Fox and Romeo II°) were observed. Traumatic concomitant glenohumeral injuries in lateral clavicle fractures seem to be more frequent than expected in general. Subsequent surgical treatment of these formerly missed but therapy-relevant injuries may increase functional outcome and reduce complication rate. IV.

Geological and petrological considerations relevant to the disposal of radioactive wastes by hydraulic fracturing: an example at the US Department of Energy's Oak Ridge National Laboratory

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

Haase, C.S.

1983-01-01

At Oak Ridge National Laboratory the Pumpkin Valley Shale is used as a host formation for hydraulic fracturing waste disposal. Determination of the relationships between the distribution of different lithologies and porosity-permeability trends within this host formation allows these properties, important to hydraulic fracturing operations, to be related to measurable and mappable geological and petrological parameters. It also permits extrapolation of such patterns to little-studied portions of the Pumpkin Valley Shale. Such knowledge better allows for the satisfactory operation and assessment of the hydraulic fracturing at Oak Ridge National Laboratory.

Shale Gas Well, Hydraulic Fracturing, and Formation Data to Support Modeling of Gas and Water Flow in Shale Formations

NASA Astrophysics Data System (ADS)

Edwards, Ryan W. J.; Celia, Michael A.

2018-04-01

The potential for shale gas development and hydraulic fracturing to cause subsurface water contamination has prompted a number of modeling studies to assess the risk. A significant impediment for conducting robust modeling is the lack of comprehensive publicly available information and data about the properties of shale formations, shale wells, the process of hydraulic fracturing, and properties of the hydraulic fractures. We have collated a substantial amount of these data that are relevant for modeling multiphase flow of water and gas in shale gas formations. We summarize these data and their sources in tabulated form.

The use of broadband microseisms for hydraulic fracture mapping

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

Sleefe, G.E.; Warpinski, N.R.; Engler, B.P.

When a hydrocarbon reservoir is subjected to a hydraulic fracture treatment, the cracking and slipping of the formation results in the emission of seismic energy. The objective of this study was to determine the advantages of using broadband (100 Hz to 1500 M) microseismic emissions to map a hydraulic fracture treatment. A hydraulic fracture experiment was performed in the Piceance Basin of Western Colorado to induce and record broadband microseismic events. The formation was subjected to four processes; break-down/ballout, step-rate test, KCL mini-fracture, and linear-gel mini-fracture. Broadband microseisms were successfully recorded by a novel three-component wall-locked seismic accelerometer package, placedmore » in an observation well 211 ft (64 m) offset from the treatment well. During the two hours of formation treatment, more than 1200 significant microseismic events were observed. The occurrences of the events strongly correlated with the injection bore-bole pressures during the treatments. Using both hodogram analysis and time of arrival information, estimates of the origination point of the seismic events were computed. A map of the event locations yielded a fracture orientation estimate consistent with the known orientation of the field in the formation. This paper describes the technique for acquiring and analyzing broadband microseismic events and illustrate how the new broadband approach can enhance signal detectability and event location resolution.« less

Simulations of proppant transport in microfractures

NASA Astrophysics Data System (ADS)

Bancewicz, Mateusz; Poła, Jakub; Koza, Zbigniew

2017-04-01

During the hydraulic fracturing of oil and gas shales a mixture of fracking fluid and solid proppant is injected into the rock fractures. Since this process takes place under physically extreme conditions, a few kilometers under the earth surface, it is practically impossible to obtain detailed, in situ data about the actual proppant transport on the scale of individual fractures and proppant grains. One way to improve our understanding of this technologically critical phenomenon is through numerical simulations. We use two standard computational fluid dynamics (CFD) solvers, finite volume (FVM) and lattice-Boltzmann (LBM) methods, and couple them with the discrete element method (DEM) in a fully resolved manner [1, 2, 3] to track the fluid parameters and proppant trajectories. This approach allows us to simulate up to about a thousand proppant agents in an arbitrary 3D fracture geometry filled with a fluid, with proppant-proppant, proppant-fluid, and fluid-proppant interactions taken into account. In this report we focus on two problems crucial for efficient and sufficiently accurate numerical simulations of proppant transport and sedimentation. 1. Is rotation of proppant grains an important factor determining the final distribution of proppants during proppant sedimentation in a realistically narrow, wiggly fracture? 2. Is the lubrication force necessary for the proper reconstruction of collision events between particles and walls as well as between particles themselves [4]? Our preliminary results show that the answer to the first question is negative. Due to a large number of proppant-proppant and proppant-wall collisions, as well as because of the damping effect of the proppant-fluid coupling, the influence of the proppant rotation on the proppant sedimentation appears to be negligible. However, the answer to the second question is positive: the lubrication force plays an important role in the proper numerical recovery of collisions. References: [1] D. R. J. Owen, C. R. Leonardi, Y. T. Feng, An efficient framework for fluid-structure interaction using the lattice Boltzmann method and immersed moving boundaries, Int. J. Numer. Meth. Engng 2011, 87:66-95 (2010) [2] A. Hager, C. Kloss, S. Pirker, C. Goniva, Parallel Open Source CFD-DEM for Resolved Particle-Fluid Interaction, Journal of Energy and Power Engineering(Sep 2013): 1705. [3] P. Seil, S. Pirker, LBDEMcoupling: Open-Source Power for Fluid-Particle Systems, Proceedings of the 7th International Conference on Discrete Element Methods (pp. 679-686). Springer Singapore (2017). [4] E. Izard, T. Bonometti, L. Lacaze, Modelling the dynamics of a sphere approaching and bouncing on a wall in a viscous fluid, Journal of Fluid Mechanics, 747, pp. 422-446 (May 2014)

Ground-water hydrology and subsurface migration of radioisotopes at a low-level solid radioactive-waste disposal site, West Valley, New York

USGS Publications Warehouse

Prudic, David E.; Randall, Allan D.

1977-01-01

Burial trenches for disposal of solid radioactive waste at West Valley, N.Y., are excavated in till that has very low hydraulic conductivity (about 5 x 10 to the minus 8th power centimeters per second). Fractures and root tubes with chemically oxidized and (or) reduced soil in their walls extend to 3 to 4.5 meters below natural land surface. Preliminary simulations of pressure heads with a digital model suggest that hydraulic conductivity is an order of magnitude greater in the fractured till near land surface than at greater depth. Hydraulic gradients are predominantly downward, even beneath small valleys. The upper part of a body of underlying lacustrine silt is unsaturated; in the lower, saturated part, slow lateral flow may occur. In the older trenches, water began to build up in 1971, overflowed briefly in 1975, and was pumped out in 1975-76. Water levels rose abruptly during major rainstorms in mid-1975, indicating rapid infiltration through cracks in the cover material. The new trenches have maintained low, stable water levels, perhaps because of thicker, more compact cover and less waste settlement; pressure heads near these trenches are low, locally approaching zero, perhaps because of slight infiltration and limited near-surface storage. Peak tritium concentrations in test-hole cores (generally 0.00001 to 0.001 microcuries per milliliter) were found within 3 meters of land surface and are attributed to surface contamination. Concentrations declined rapidly with depth within the fractured till; secondary peaks found at about 9 meters in three holes are attributed to lateral migration from trenches. Other radioisotopes were detected only near land surface. Samples from the walls of shallow fractures revealed no accumulation of radioisotopes. (Woodard-USGS)

An analytical solution for transient flow of Bingham viscoplastic materials in rock fractures

USGS Publications Warehouse

Amadei, B.; Savage, W.Z.

2001-01-01

We present below an analytical solution to model the one-dimensional transient flow of a Bingham viscoplastic material in a fracture with parallel walls (smooth or rough) that is subjected to an applied pressure gradient. The solution models the acceleration and the deceleration of the material as the pressure gradient changes with time. Two cases are considered: A pressure gradient applied over a finite time interval and an applied pressure gradient that is constant over time. The solution is expressed in dimensionless form and can therefore be used for a wide range of Bingham viscoplastic materials. The solution is also capable of capturing the transition that takes place in a fracture between viscoplastic flow and rigid plug flow. Also, it shows the development of a rigid central layer in fractures, the extent of which depends on the fluid properties (viscosity and yield stress), the magnitude of the pressure gradient, and the fracture aperture and surface roughness. Finally, it is shown that when a pressure gradient is applied and kept constant, the solution for the fracture flow rate converges over time to a steady-state solution that can be defined as a modified cubic law. In this case, the fracture transmissivity is found to be a non-linear function of the head gradient. This solution provides a tool for a better understanding of the flow of Bingham materials in rock fractures, interfaces, and cracks. ?? 2001 Elsevier Science Ltd. All rights reserved.

Numerical Analysis of AHSS Fracture in a Stretch-bending Test

NASA Astrophysics Data System (ADS)

Luo, Meng; Chen, Xiaoming; Shi, Ming F.; Shih, Hua-Chu

2010-06-01

Advanced High Strength Steels (AHSS) are increasingly used in the automotive industry due to their superior strength and substantial weight reduction advantage. However, their limited ductility gives rise to numerous manufacturing issues. One of them is the so-called `shear fracture' often observed on tight radii during stamping processes. Since traditional approaches, such as the Forming Limit Diagram (FLD), are unable to predict this type of fracture, efforts have been made to develop failure criteria that can predict shear fractures. In this paper, a recently developed Modified Mohr-Coulomb (MMC) ductile fracture criterion[1] is adopted to analyze the failure behavior of a Dual Phase (DP) steel sheet during stretch bending operations. The plasticity and ductile fracture of the present sheet are fully characterized by the Hill'48 orthotropic model and the MMC fracture model respectively. Finite Element models with three different element types (3D, shell and plane strain) were built for a Stretch Forming Simulator (SFS) test and numerical simulations with four different R/t ratios (die radius normalized by sheet thickness) were performed. It has been shown that the 3D and shell element models can accurately predict the failure location/mode, the upper die load-displacement responses as well as the wall stress and wrap angle at the onset of fracture for all R/t ratios. Furthermore, a series of parametric studies were conducted on the 3D element model, and the effects of tension level (clamping distance) and tooling friction on the failure modes/locations were investigated.

Effective Wettability of Heterogenous Fracture Surfaces Using the Lattice-Boltzmann Method

NASA Astrophysics Data System (ADS)

E Santos, J.; Prodanovic, M.; Landry, C. J.

2017-12-01

Fracture walls in the subsurface are often structured by minerals of different composition (potentially further altered in contact with fluids during hydrocarbon extraction or CO2 sequestration), this yields in a heterogeneous wettability of the surface in contact with the fluids. The focus of our work is to study how surfaces presenting different mineralogy and roughness affect multiphase flow in fractures. Using the Shan-Chen model of the lattice-Boltzmann method (LBM) we define fluid interaction and surface attraction parameters to simulate a system of a wetting and a non-wetting fluid. In this work, we use synthetically created fractures presenting different arrangements of wetting and non-wetting patches, and with or without roughness; representative of different mineralogy, similar workflow can be applied to fractures extracted from X-ray microtomography images of fractures porous media. The results from the LBM simulations provide an insight on how the distribution of mineralogy and surface roughness are related with the observed macroscopic contact angle. We present a comparison between the published analytical models, and our results based on surface areas, spatial distribution and local fracture aperture. The understanding of the variables that affect the contact angle is useful for the comprehension of multiphase processes in naturally fractured reservoirs like primary oil production, enhanced oil recovery and CO2 sequestration. The macroscopic contact angle analytical equations for heterogeneous surfaces with variable roughness are no longer valid in highly heterogeneous systems; we quantify the difference thus offering an alternative to analytical models.

Management of pediatric mandible fractures.

PubMed

Goth, Stephen; Sawatari, Yoh; Peleg, Michael

2012-01-01

The pediatric mandible fracture is a rare occurrence when compared with the number of mandible fractures that occur within the adult population. Although the clinician who manages facial fractures may never encounter a pediatric mandible fracture, it is a unique injury that warrants a comprehensive discussion. Because of the unique anatomy, dentition, and growth of the pediatric patient, the management of a pediatric mandible fracture requires true diligence with a variance in treatment ranging from soft diet to open reduction and internal fixation. In addition to the variability in treatment, any trauma to the face of a child requires additional management factors including child abuse issues and long-term sequelae involving skeletal growth, which may affect facial symmetry and occlusion. The following is a review of the incidence, relevant anatomy, clinical and radiographic examination, and treatment modalities for specific fracture types of the pediatric mandible based on the clinical experience at the University of Miami/Jackson Memorial Hospital Oral and Maxillofacial Surgery program. In addition, a review of the literature regarding the management of the pediatric mandible fracture was performed to offer a more comprehensive overview of this unique subset of facial fractures.

Spiderweb-like Fractures in Occator Crater

NASA Image and Video Library

2018-01-30

This image shows a complex set of fractures found in the southwestern region of the floor of Occator Crater on Ceres. In this picture, north is at the top. The two intersecting fracture systems (roughly northwest-southeast and southwest-northeast) are part of a larger fault network that extends across Occator's floor. These fractures have been interpreted as evidence that material came up from below and formed a dome shape, as if a piston was pushing Occator's floor from beneath the surface. This may be due to the upwelling of material coming from Ceres' deep interior. An alternative hypothesis is that the deformation is due to volume changes inside a reservoir of icy magma in the shallow subsurface that is in the process of freezing, similar to the change in volume that a bottle of water experiences when put in a freezer. Another set of fractures can be seen parallel to the southwestern wall and is not connected to the Occator fracture network. Dawn took this image during its extended mission on August 17, 2016, from its low-altitude mapping orbit, at a distance of about 240 miles (385 kilometers) above the surface. The image resolution is 120 feet (35 meters) per pixel. The center coordinates are 16 degrees north in latitude and 237 east in longitude. https://photojournal.jpl.nasa.gov/catalog/PIA22091

Quantifying water flow and retention in an unsaturated fracture-facial domain

USGS Publications Warehouse

Nimmo, John R.; Malek-Mohammadi, Siamak

2015-01-01

Hydrologically significant flow and storage of water occur in macropores and fractures that are only partially filled. To accommodate such processes in flow models, we propose a three-domain framework. Two of the domains correspond to water flow and water storage in a fracture-facial region, in addition to the third domain of matrix water. The fracture-facial region, typically within a fraction of a millimeter of the fracture wall, includes a flowing phase whose fullness is determined by the availability and flux of preferentially flowing water, and a static storage portion whose fullness is determined by the local matric potential. The flow domain can be modeled with the source-responsive preferential flow model, and the roughness-storage domain can be modeled with capillary relations applied on the fracture-facial area. The matrix domain is treated using traditional unsaturated flow theory. We tested the model with application to the hydrology of the Chalk formation in southern England, coherently linking hydrologic information including recharge estimates, streamflow, water table fluctuation, imaging by electron microscopy, and surface roughness. The quantitative consistency of the three-domain matrix-microcavity-film model with this body of diverse data supports the hypothesized distinctions and active mechanisms of the three domains and establishes the usefulness of this framework.

[Surgical fixation of rib fractures with clips and titanium bars (STRATOS System). Preliminary experience].

PubMed

Moreno De La Santa Barajas, Pablo; Polo Otero, María Dolores; Delgado Sánchez-Gracián, Carlos; Lozano Gómez, Manuel; Toscano Novella, Alberto; Calatayud Moscoso Del Prado, Julia; Leal Ruiloba, Sonsoles; Choren Durán, Maria L

2010-09-01

Rib fractures are very common in closed chest injuries. The majority of these patients suffer significant pain with movement and cough. The purpose of this study is to assess the usefulness of titanium rib bars and clips in stabilising rib fractures. Twenty-two patients with rib fractures were treated with open reduction and internal fixation between 2008 and 2009. Indications for treatment were defined as; 1) Patients with unstable chest (13 patients), 2) Patients with pain or instability due to rib fractures (6 patients), and 3) Significant traumatic deformities of the chest wall (3 patients). Age, traumatic mechanism, chest and associated injuries, surgical data, complications and follow-up were prospectively analysed. The surgical technique is described. The majority of patients were extubated immediately after surgery. All patients with pain or instability showed a subjective improvement or disappearance of pain after the surgery. Four patients had a wound infection which had to be drained. After 3 months, 55% of the patients had returned to work or normal life. The results in each group are described. Open reduction with internal fixation of rib fractures is a good alternative. The use of titanium rib bars and clips give good clinical results, are easy to apply and have few complications. Copyright © 2010 AEC. Published by Elsevier Espana. All rights reserved.

Fractal characterization of a fractured chalk reservoir - The Laegerdorf case

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

Stoelum, H.H.; Koestler, A.G.; Feder, J.

1991-03-01

What is the matrix block size distribution of a fractured reservoir In order to answer this question and assess the potential of fractal geometry as a method of characterization of fracture networks, a pilot study has been done of the fractured chalk quarry in Laegerdorf. The fractures seen on the quarry walls were traced in the field for a total area of {approximately}200 {times} 45 m. The digitized pictures have been analyzed by a standard box-counting method. This analysis gave a fractal dimension of similarity varying from 1.33 for fractured areas between faults, to 1.43 for the fault zone, andmore » 1.53 for the highly deformed fault gouge. The amplitude showed a similar trend. The fractal dimension for the whole system of fractures is {approximately}1.55. In other words, fracture networks in chalk have a nonlinear, fractal geometry, and so matrix block size is a scaling property of chalk reservoirs. In terms of rock mechanics, the authors interpret the variation of the fractal dimension as follows: A small fractal dimension and amplitude are associated with brittle deformation in the elastic regime, while a large fractal dimension and amplitude are associated with predominantly ductile, strain softening deformation in the plastic regime. The interaction between the two regimes of deformation in the rock body is a key element of successful characterization and may be approached by seeing the rock as a non-Newtonian viscoelastic medium. The fractal dimension for the whole is close to a material independent limit that constrains the development of fractures.« less

Using borehole geophysics and cross-borehole flow testing to define hydraulic connections between fracture zones in bedrock aquifers

USGS Publications Warehouse

Paillet, Frederick L.

1993-01-01

Nearly a decade of intensive geophysical logging at fractured rock hydrology research sites indicates that geophysical logs can be used to identify and characterize fractures intersecting boreholes. However, borehole-to-borehole flow tests indicate that only a few of the apparently open fractures found to intersect boreholes conduct flow under test conditions. This paper presents a systematic approach to fracture characterization designed to define the distribution of fractures along boreholes, relate the measured fracture distribution to structure and lithology of the rock mass, and define the nature of fracture flow paths across borehole arrays. Conventional electrical resistivity, gamma, and caliper logs are used to define lithology and large-scale structure. Borehole wall image logs obtained with the borehole televiewer are used to give the depth, orientation, and relative size of fractures in situ. High-resolution flowmeter measurements are used to identify fractures conducting flow in the rock mass adjacent to the boreholes. Changes in the flow field over time are used to characterize the hydraulic properties of fracture intersections between boreholes. Application of this approach to an array of 13 boreholes at the Mirror Lake, New Hamsphire site demonstrates that the transient flow analysis can be used to distinguish between fractures communicating with each other between observation boreholes, and those that are hydraulically isolated from each other in the surrounding rock mass. The Mirror Lake results also demonstrate that the method is sensitive to the effects of boreholes on the hydraulic properties of the fractured-rock aquifer. Experiments conducted before and after the drilling of additional boreholes in the array and before and after installation of packers in existing boreholes demonstrate that the presence of new boreholes or the inflation of packers in existing boreholes has a large effect on the measured hydraulic properties of the rock mass surrounding the borehole array. ?? 1993.

Hydraulic fracture monitoring in hard rock at 410 m depth with an advanced fluid-injection protocol and extensive sensor array

NASA Astrophysics Data System (ADS)

Zang, Arno; Stephansson, Ove; Stenberg, Leif; Plenkers, Katrin; Specht, Sebastian; Milkereit, Claus; Schill, Eva; Kwiatek, Grzegorz; Dresen, Georg; Zimmermann, Günter; Dahm, Torsten; Weber, Michael

2017-02-01

In this paper, an underground experiment at the Äspö Hard Rock Laboratory (HRL) is described. Main goal is optimizing geothermal heat exchange in crystalline rock mass at depth by multistage hydraulic fracturing with minimal impact on the environment, that is, seismic events. For this, three arrays with acoustic emission, microseismicity and electromagnetic sensors are installed mapping hydraulic fracture initiation and growth. Fractures are driven by three different water injection schemes (continuous, progressive and pulse pressurization). After a brief review of hydraulic fracture operations in crystalline rock mass at mine scale, the site geology and the stress conditions at Äspö HRL are described. Then, the continuous, single-flow rate and alternative, multiple-flow rate fracture breakdown tests in a horizontal borehole at depth level 410 m are described together with the monitoring networks and sensitivity. Monitoring results include the primary catalogue of acoustic emission hypocentres obtained from four hydraulic fractures with the in situ trigger and localizing network. The continuous versus alternative water injection schemes are discussed in terms of the fracture breakdown pressure, the fracture pattern from impression packer result and the monitoring at the arrays. An example of multistage hydraulic fracturing with several phases of opening and closing of fracture walls is evaluated using data from acoustic emissions, seismic broad-band recordings and electromagnetic signal response. Based on our limited amount of in situ tests (six) and evaluation of three tests in Ävrö granodiorite, in the multiple-flow rate test with progressively increasing target pressure, the acoustic emission activity starts at a later stage in the fracturing process compared to the conventional fracturing case with continuous water injection. In tendency, also the total number and magnitude of acoustic events are found to be smaller in the progressive treatment with frequent phases of depressurization.

Contaminant behavior in fractured sedimentary rocks: Seeing the fractures that matter

NASA Astrophysics Data System (ADS)

Parker, B. L.

2017-12-01

High resolution spatial sampling of continuous cores from sites contaminated with chlorinated solvents over many decades was used as a strategy to quantify mass stored in low permeability blocks of rock between hydraulically active fractures. Given that core and geophysical logging methods cannot distinguish between hydraulically active fractures and those that do not transmit water, these samples were informed by careful logging of visible fracture features in the core with sample spacing determined by modelled diffusion transport distances given rock matrix properties and expected ages of contamination. These high resolution contaminant concentration profiles from long term contaminated sites in sedimentary rock showed evidence of many more hydraulically active fractures than indicated by the most sophisticated open-hole logging methods. Fracture density is an important attribute affecting fracture connectivity and influencing contaminant plume evolution in fractured porous sedimentary rock. These contaminant profile findings were motivation to find new borehole methods to directly measure hydraulically active fracture occurrence and flux to corroborate the long term "DNAPL tracer experiment" results. Improved sensitivity is obtained when boreholes are sealed using flexible fabric liners (FLUTeTM technology) and various sensor options are deployed in the static water columns used to inflate these liners or in contact with the borehole wall behind the liners. Several methods rely on high resolution temperature measurements of ambient or induced temperature variability such as temperature vector probes (TVP), fiber optic cables for distributed temperature sensing (DTS), both using active heat; packer testing, point dilution testing and groundwater flux measurements between multiple straddle packers to account for leakage. In all cases, numerous hydraulically active fractures are identified over 100 to 300 meters depth, with a large range in transmissivities and hydraulic apertures to inform discrete fracture flow and transport models. 3-D field mapping of decades-old contaminant plumes in sedimentary aquifers shows that numerous hydraulically active fractures are needed to reproduce observed plume concentration distributions and allow targeted monitoring and remediation.

Using "Rebar" to Stabilize Rigid Chest Wall Reconstruction.

PubMed

Robinson, Lary A; Grubbs, Deanna M

2016-04-01

After major chest wall resection, reconstruction of the bony defect with a rigid prosthesis is mandatory to protect the underlying thoracic organs, and to prevent flail chest physiology. Although many methods have been described for chest wall reconstruction, a commonly used technique employs a composite Marlex (polypropylene) mesh with methyl-methacrylate cement sandwiched between two layers of mesh (MMS), which is tailored to the defect size and shape. In building construction, steel "rebar" is used to strengthen and reinforce masonry structures. To avoid the initial residual motion of the rigid prosthesis used to reconstruct very large defects, particularly the sternum, we devised a simple technique of adding one or more Steinmann steel pins as "rebar" to strengthen and immediately stabilize the prosthesis to the surrounding ribs and sternum. For the very large defects, particularly over the heart and great vessels, titanium mesh may also be readily added into the sandwich construction for increased strength and to prevent late prosthetic fractures. Short- and long-term results of this inexpensive modification of the MMS reconstruction technique are excellent. This modified MMS tailor-made prosthesis is only one-third the cost of the recently popular prosthetic titanium systems, takes much less operative time to create and implant, and avoids the well-described complications of late titanium bar fracture and erosion/infection as well as loosening of screws and/or titanium bars. Georg Thieme Verlag KG Stuttgart · New York.

Failure load effect of molar axial wall height with CAD/CAM ceramic crowns with moderate occlusal convergence.

PubMed

Hoopes, Wyeth; Cushen, Sara; DuVall, Nicholas; Wajdowicz, Michael; Brewster, John; Roberts, Howard

2018-01-31

To evaluate the significance of axial wall height (AWH) in molar fracture resistance involving CAD/CAM adhesively bonded, all-ceramic full coverage restorations on preparations with moderate total occlusal convergence (TOC) (16°). 60 newly extracted maxillary third molars were divided into 5 groups (n = 12). Specimens were prepared for full-coverage, all ceramic restorations with occlusal cervical AWHs of 4, 3, 2, 1 as well as a flat preparation (0 mm AWH) with all preparations with AWH containing a moderate 16° TOC. Scanned preparations were fitted with a lithium disilicate restoration with a self-adhesive resin luting agent after intaglio surface preparation with hydrofluoric acid and silanation. Specimens were stored at 37°C/98% humidity for 24 hours and tested to failure at a 45° angle applied to the palatal cusp on a universal testing machine. Mean results were analyzed using ANOVA/Tukey's (P = .05). Preparations containing 2, 3, and 4 millimeters of AWH demonstrated similar and higher resistance to fracture than the 1 and zero millimeter AWH groups. Under the conditions of this study, results suggest that adhesive CAD/CAM technology may compensate for reduced axial wall height. However, more definitive results depend on fatigue testing. These in vitro results suggest that adhesive CAD/CAM technology may compensate for less than optimal AWH. © 2018 Wiley Periodicals, Inc.

Magma fracturing and degassing associated with obsidian formation: The explosive–effusive transition

USGS Publications Warehouse

Cabrera, Agustin; Weinberg, Roberto; Wright, Heather M.

2015-01-01

This paper explores the role of melt fracturing in degassing rhyolitic volcanic systems. The Monte Pilato-Rocche Rosse eruptions in Italy evolved from explosive to effusive in style, and H2O content in quenched glasses changed over time from relatively H2O-rich (~ 0.90 wt.%) to H2O-poor dense obsidian (~ 0.10–0.20 wt.%). In addition, healed fractures have been recorded in all different eruptive materials, from the glass of early-erupted tube pumice and rinds of breadcrusted obsidian pyroclasts, to the glass of late-erupted dense obsidian pyroclasts, and throughout the final effusive Rocche Rosse lava flow. These rocks show multiple fault sets, some with crenulated fault planes indicating resumption of viscous flow after faulting, complex obsidian breccias with evidence for post-brecciation folding and stretching, and centimetre- to metre-thick tuffisite preserved in pyroclasts and lava, representing collapsed foam due to fracturing of vesicle walls. These microstructural observations indicate that multiple fracturing and healing events occurred during both explosive and effusive eruptions. H2O content in glass decreases by as much as 0.14 wt.% towards healed fractures/faults and decreases in stretched obsidian breccias towards regions of intense brecciation. A drop in pressure and/or increase in temperature along fractures caused diffusive H2O migration through melt towards fracture surfaces. Repetitive and pervasive fracturing and healing thereby create conditions for diffusive H2O loss into fractures and subsequent escape through permeable paths. This type of progressive magma degassing provides a potential mechanism to explain the formation of dense obsidian and the evolution from explosive to effusive eruption style.

Characterization of fractures and flow zones in a contaminated shale at the Watervliet Arsenal, Albany County, New York

USGS Publications Warehouse

Williams, John H.; Paillet, Frederick L.

2002-01-01

Flow zones in a fractured shale in and near a plume of volatile organic compounds at the Watervliet Arsenal in Albany County, N. Y. were characterized through the integrated analysis of geophysical logs and single- and cross-hole flow tests. Information on the fracture-flow network at the site was needed to design an effective groundwater monitoring system, estimate offsite contaminant migration, and evaluate potential containment and remedial actions.Four newly drilled coreholes and four older monitoring wells were logged and tested to define the distribution and orientation of fractures that intersected a combined total of 500 feet of open hole. Analysis of borehole-wall image logs obtained with acoustic and optical televiewers indicated 79 subhorizontal to steeply dipping fractures with a wide range of dip directions. Analysis of fluid resistivity, temperature, and heat-pulse and electromagnetic flowmeter logs obtained under ambient and short-term stressed conditions identified 14 flow zones, which consist of one to several fractures and whose estimated transmissivity values range from 0.1 to more than 250 feet squared per day.Cross-hole flow tests, which were used to characterize the hydraulic connection between fracture-flow zones intersected by the boreholes, entailed (1) injection into or extraction from boreholes that penetrated a single fracture-flow zone or whose zones were isolated by an inflatable packer, and (2) measurement of the transient response of water levels and flow in surrounding boreholes. Results indicate a wellconnected fracture network with an estimated transmissivity of 80 to 250 feet squared per day that extends for at least 200 feet across the site. This interconnected fracture-flow network greatly affects the hydrology of the site and has important implications for contaminant monitoring and remedial actions.

Pneumocephalus Following Thoracic Surgery with Posterior Chest Wall Resection.

PubMed

Müller, Ina; Tönnies, Mario; Pfannschmidt, Joachim; Kaiser, Dirk

2015-12-01

Pneumocephalus can be seen after head injury with fracture of the skull-base or in cerebral neoplasm, infection, or after intracranial or spinal surgery. We report on a 69-year-old male patient with pneumocephalus after right-sided lobectomy and en bloc resection of the chest wall for non-small-cell lung cancer. Postoperatively, the patient showed a reduced vigilance level with no response to pain stimuli and anisocoria. The CCT scan revealed an extensive pneumocephalus; following which, the patient underwent neurosurgery with laminectomy and ligature of the transected nerve roots. After operation the patient returned to his baseline mental status.

Geological Mapping of the Ac-H-9 Occator Quadrangle of Ceres from NASA Dawn Mission

NASA Astrophysics Data System (ADS)

Buczkowski, Debra; Williams, David; Scully, Jennifer; Mest, Scott; Crown, David; Aileen Yingst, R.; Schenk, Paul; Jaumann, Ralf; Roatsch, Thomas; Preusker, Frank; Platz, Thomas; Nathues, Andreas; Hoffmann, Martin; Schaefer, Michael; Marchi, Simone; De Sanctis, M. Cristina; Raymond, Carol; Russell, Chris

2016-04-01

As was done at Vesta [1], the Dawn Science Team is conducting a geological mapping cam-paign at Ceres during the nominal mission, including iterative mapping using data obtained dur-ing each orbital phase. We are using geological mapping as a method to identify the geologic processes that have modified the surface of dwarf planet Ceres. We here present the geology of the Ac-H-9 Occator quadrangle, located between 22°S-22°N and 216-288°E. The Ac-H-9 map area is completely within the topographically high region on Ceres named Erntedank Planum. It is one of two longitudinally distinct regions where ESA Herschel space telescope data suggested a release of water vapor [2]. The quadrangle includes several other notable features, including those discussed below. Occator is the 92 km diameter crater that hosts the "Bright Spot 5" that was identified in Hubble Space Telescope data [3], which is actually comprised of multiple bright spots on the crater floor. The floor of Occator is cut by linear fractures, while circumferential fractures are found in the ejecta and on the crater walls. The bright spots are noticeably associated with the floor fractures, although the brightest spot is associated with a central pit [4]. Multiple lobate flows are observed on the crater floor; these appear to be sourced from the center of the crater. The crater has a scalloped rim that is cut by regional linear structures, displaying a cross-section of one structure in the crater wall. Color data show that the Occator ejecta have multiple colors, generally related to changes in morphology. Azacca is a 50 km diameter crater that has a central peak and bright spots on its floor and within its ejecta. Like Occator, Azacca has both floor fractures and circumferential fractures in its ejecta and crater walls. Also like Occator, the Azacca ejecta is multi-colored with variable morphology. Linear structures - including grooves, pit crater chains, fractures and troughs - cross much of the eastern hemisphere of Ceres. Some of these structures appear to be radial to the large basins Urvara and Yalode, and most likely formed due to impact processes. However, a set of regional linear structures (RLS) do not have any obvious relationship to impact craters and may represent internally driven tectonics [5]. In the Ac-H-9 map area, many of the longer RLS are comprised of smaller structures that have linked together, suggestive of en echelon fracturing. Also, many of the RLS are crosscut by the linear features radial to Urvara and Yalode, indicating they are not fractures formed due to stresses released during those impact events. Kirnis is a 115 km diameter crater with a degraded rim deformed by one of RLS pit crater chains. A dome-like feature on the floor of Kirnis might represent uplifting of the Ceres surface. References: [1] Yingst et al. (2014) PSS, 103, 2-23. [2] Küppers, M., et al. (2014) Nature, 505, 525-527. [3] Li J.Y. et al. (2006) Icarus, 182, 143-160. [4]Schenk, P. et al. (2015) EPSC2015-527. [5] Buczkowski D.L. et al. (2015) GSA, abstract #261709.

Does bone cement in percutaneous vertebroplasty act as a stress riser?

PubMed

Aquarius, René; van der Zijden, Astrid Maria; Homminga, Jasper; Verdonschot, Nico; Tanck, Esther

2013-11-15

An in vitro cadaveric study. To determine whether percutaneous vertebroplasty (PVP) with a clinically relevant amount of bone cement is capable of causing stress peaks in adjacent-level vertebrae. It is often suggested that PVP of a primary spinal fracture causes stress peaks in adjacent vertebrae, thereby leading to additional fractures. The in vitro studies that demonstrated this relationship, however, use bigger volumes of bone cement used clinically. Ten fresh-frozen vertebrae were loaded until failure, while registering force and displacement as well as the pressure under the lower endplate. After failure, the vertebrae were augmented with clinically relevant amounts of bone cement and then again loaded until failure. The force, displacement, and pressure under the lower endplate were again registered. Stress peaks were not related to the location of the injected bone cement. Both failure load and stiffness were significantly lower after augmentation. On the basis of our findings, we conclude that vertebral augmentation with clinically relevant amounts of bone cement does not lead to stress peaks under the endplate. It is therefore unlikely that PVP, in itself, causes detrimental stresses in the adjacent vertebrae, leading to new vertebral fractures. N/A.

Does colostomy prevent infection in open blunt pelvic fractures? A systematic review.

PubMed

Lunsjo, Karl; Abu-Zidan, Fikri M

2006-05-01

Open pelvic fracture is a rare injury. Our aim in this study is to systematically review the literature to define when diverting colostomy is indicated to protect the patient from infection in open blunt pelvic fractures. Papers studying open pelvic fractures and the use of colostomy were retrieved through MEDLINE and PUBMED. The papers were critically appraised regarding their methodology and conclusions. Relevant information was combined. The level of evidence for the use of colostomy in open pelvic fractures is very low. All reports are retrospective and no statistical methods have been used to support conclusions drawn. We found no difference in the overall infectious complication rate between the colostomy and noncolostomy groups. There is an assumption that patients with perineal wounds would benefit from colostomy; however, rectal involvement in these injuries was not detailed. The role of colostomy in open blunt pelvic fractures is unresolved and randomized multicenter trials are needed.

Antibiotic penetration into bone in relation to the immediate management of open fractures: a review.

PubMed

Hughes, S P

1992-01-01

Bone is a vascular structure, which is capable of responding to changes in the systemic circulation. Antibiotics carried within the systemic circulation reach the capillaries in bone, and depending on molecular size, pass through the capillary walls to enter the fluid space. Following an open fracture, contamination with pathogenic organisms can occur both at the moment of injury, but also in the hospital, which is a particular problem in grade III fractures in which extensive soft tissue damage can occur in combination with an exposed wound. Antibiotics administered intravenously can be measured in bone by both bioassay and radioactive isotope techniques and are shown to reach bone in effective concentrations. It is apparent that short-course high-dose antibiotic therapy is appropriate for open fractures, and need not be continued as long as the normal fracture-healing process continues. However if infection in bone develops, further surgery is important to remove new dead tissue to allow adequate antibiotic penetration into bone. Thus antibiotics are useful when combined with effective surgical management, but do not on their own offer the only answer to management of the patient.

The Effect of Loading Rate on Hydraulic Fracturing in Synthetic Granite - a Discrete Element Study

NASA Astrophysics Data System (ADS)

Tomac, I.; Gutierrez, M.

2015-12-01

Hydraulic fracture initiation and propagation from a borehole in hard synthetic rock is modeled using the two dimensional Discrete Element Method (DEM). DEM uses previously established procedure for modeling the strength and deformation parameters of quasi-brittle rocks with the Bonded Particle Model (Itasca, 2004). A series of simulations of laboratory tests on granite in DEM serve as a reference for synthetic rock behavior. Fracturing is enabled by breaking parallel bonds between DEM particles as a result of the local stress state. Subsequent bond breakage induces fracture propagation during a time-stepping procedure. Hydraulic fracturing occurs when pressurized fluid induces hoop stresses around the wellbore which cause rock fracturing and serves for geo-reservoir permeability enhancement in oil, gas and geothermal industries. In DEM, a network of fluid pipes and reservoirs is used for mathematical calculation of fluid flow through narrow channels between DEM particles, where the hydro-mechanical coupling is fully enabled. The fluid flow calculation is superimposed with DEM stress-strain calculation at each time step. As a result, the fluid pressures during borehole pressurization in hydraulic fracturing, as well as, during the fracture propagation from the borehole, can be simulated. The objective of this study is to investigate numerically a hypothesis that fluid pressurization rate, or the fluid flow rate, influences upon character, shape and velocity of fracture propagation in rock. The second objective is to better understand and define constraints which are important for successful fracture propagation in quasi-brittle rock from the perspective of flow rate, fluid density, viscosity and compressibility relative to the rock physical properties. Results from this study indicate that not only too high fluid flow rates cause fracture arrest and multiple fracture branching from the borehole, but also that the relative compressibility of fracturing fluid and rock plays a significant role in fracture propagation velocity. Fluid viscosity effects are similar to the loading rate effects, because in both cases the rapid buildup of the pressure in the wellbore in absence of the inflow of the fluid into initiated fracture causes induction of multiple simultaneous fracture branches at the wellbore wall.

Study on Hydroforming of Magnesium Alloy Tube under Temperature Condition

NASA Astrophysics Data System (ADS)

Wang, Xinsong; Wang, Shouren; Zhang, Yongliang; Wang, Gaoqi; Guo, Peiquan; Qiao, Yang

2018-01-01

First of all, under 100 °C, 150 °C, 200 °C, 250 °C, 300 °C and 350 °C, respectively do the test of magnesium alloy AZ31B temperature tensile and the fracture of SEM electron microscopic scanning, studying the plastic forming ability under six different temperature. Secondly, observe and study the real stress-strain curves and fracture topography. Through observation and research can concluded that with the increase of temperature, the yield strength and tensile strength of AZ31B was increased, and the elongation rate and the plastic deformation capacity are increased obviously. Taking into account the actual production, energy consumption, and mold temperature resistance, 250 °Cwas the best molding temperature. Finally, under the temperature condition of 250 °C, the finite element simulation and simulation of magnesium alloy profiled tube were carried out by Dynaform, and the special wall and forming limit diagram of magnesium alloy were obtained. According to the forming wall thickness and forming limit diagram, the molding experiment can be optimized continuously.

Potato tuber pectin structure is influenced by pectin methyl esterase activity and impacts on cooked potato texture.

PubMed

Ross, Heather A; Wright, Kathryn M; McDougall, Gordon J; Roberts, Alison G; Chapman, Sean N; Morris, Wayne L; Hancock, Robert D; Stewart, Derek; Tucker, Gregory A; James, Euan K; Taylor, Mark A

2011-01-01

Although cooked potato tuber texture is an important trait that influences consumer preference, a detailed understanding of tuber textural properties at the molecular level is lacking. Previous work has identified tuber pectin methyl esterase activity (PME) as a potential factor impacting on textural properties. In this study, tuber PME isoform and gene expression profiles have been determined in potato germplasm with differing textural properties as assessed using an amended wedge fracture method and a sloughing assay, revealing major differences between the potato types. Differences in pectin structure between potato types with different textural properties were revealed using monoclonal antibodies specific for different pectic epitopes. Chemical analysis of tuber pectin clearly demonstrated that, in tubers containing a higher level of total PME activity, there was a reduced degree of methylation of cell wall pectin and consistently higher peak force and work done values during the fracture of cooked tuber samples, demonstrating the link between PME activity, the degree of methylation of cell wall pectin, and cooked tuber textural properties.

Potato tuber pectin structure is influenced by pectin methyl esterase activity and impacts on cooked potato texture

PubMed Central

Ross, Heather A.; Wright, Kathryn M.; McDougall, Gordon J.; Roberts, Alison G.; Chapman, Sean N.; Morris, Wayne L.; Hancock, Robert D.; Stewart, Derek; Tucker, Gregory A.; James, Euan K.; Taylor, Mark A.

2011-01-01

Although cooked potato tuber texture is an important trait that influences consumer preference, a detailed understanding of tuber textural properties at the molecular level is lacking. Previous work has identified tuber pectin methyl esterase activity (PME) as a potential factor impacting on textural properties. In this study, tuber PME isoform and gene expression profiles have been determined in potato germplasm with differing textural properties as assessed using an amended wedge fracture method and a sloughing assay, revealing major differences between the potato types. Differences in pectin structure between potato types with different textural properties were revealed using monoclonal antibodies specific for different pectic epitopes. Chemical analysis of tuber pectin clearly demonstrated that, in tubers containing a higher level of total PME activity, there was a reduced degree of methylation of cell wall pectin and consistently higher peak force and work done values during the fracture of cooked tuber samples, demonstrating the link between PME activity, the degree of methylation of cell wall pectin, and cooked tuber textural properties. PMID:20855456

A rare case of severe third degree friction burns and large Morel-Lavallee lesion of the abdominal wall.

PubMed

Brown, Darnell J; Lu, Kuo Jung G; Chang, Kristina; Levin, Jennifer; Schulz, John T; Goverman, Jeremy

2018-01-01

Morel-Lavallee lesions (MLLs) are rare internal degloving injuries typically caused by blunt traumatic injuries and most commonly occur around the hips and in association with pelvic or acetabular fractures. MLL is often overlooked in the setting of poly-trauma; therefore, clinicians must maintain a high degree of suspicion and be familiar with the management of such injuries, especially in obese poly-trauma patients. We present a 30-year-old female pedestrian struck by a motor vehicle who sustained multiple long bone fractures, a mesenteric hematoma, and full-thickness abdominal skin friction burn which masked a significant underlying abdominal MLL. The internal degloving caused significant devascularization of the overlying soft tissue and skin which required surgical drainage of hematoma, abdominal wall reconstruction with tangential excision, allografting, negative pressure wound therapy, and ultimately autografting. MLL is a rare, often overlooked, internal degloving injury. Surgeons must maintain a high index of suspicion when dealing with third degree friction burns as they may mask underlying injuries such as MLL, and a delay in diagnosis can lead to increased morbidity.

Ipsilateral hip and knee dislocation: Case report and review of literature

PubMed Central

Sharma, Gaurav; Chahar, Deepak; Sreenivasan, Ravi; Verma, Nikhil; Pankaj, Amite

2016-01-01

Hip and knee dislocations are not uncommon but simultaneous ipsilateral dislocation of the hip and knee joint is rare; consequently, there is an inadequate amount of literature on the subject. We identified only 11 such cases reported in English literature. In the present report, we describe the case of a 23-year-old male patient who presented with ipsilateral hip and knee dislocation on the right side after being involved in a road traffic accident. The hip dislocation was associated with a posterior wall acetabular fracture. The hip as well as the knee joints was reduced in the emergency bay. The patient underwent an urgent fixation of the posterior wall acetabular fracture with delayed ligament reconstruction for the knee dislocation. At one-year follow-up, he had no pain in the hip or knee. There was grade 1 posterior sag but no symptoms of knee instability. Radiographs revealed no evidence of avascular necrosis or arthritis of the femoral head. The normal treatment protocol for individual injury is affected by the simultaneous occurrence of hip and knee dislocation. PMID:27182149

[Multidisciplinary approach of hip fractures based on Hungarian data].

PubMed

Juhász, Krisztina; Turchányi, Béla; Mintál, Tibor; Somogyi, Péter

2016-09-01

Hip fractures are described by increased mortality, loss of quality of life, functional decline and burden of diseases. They show a growing number worldwide. The aim of the present study is to summarise the existing data on the incidence, mortality, complications and rehabilitation of hip fractures, which relevance is reported only by few studies. To reduce mortality and complications of hip fractures the authors emphasize the importance of primary treatment within 12 hours, appropriate selection of surgical methods corresponding to the fracture type after the assessment of femoral head viability, vitamin D supplementation, same conditions for primary treatment during everyday of the week, and an adequate acute treatment and rehabilitation for patient's general health status. In the future integrated processing of multidisciplinary results of hip fractures based on Hungarian data can support the development of efficient treatment and prevention strategies, which can be advantageous for the patient, families, health care system, and the society, too, by the reduction of costly complications of hip fracture healing and mortality. Orv. Hetil., 2016, 157(37), 1469-1475.

Meso- and microscale vein structures in fore-arc basalts and boninites related to post-magmatic tectonic deformation in the outer Izu-Bonin-Mariana fore arc system: preliminary results from IODP Expedition 352

NASA Astrophysics Data System (ADS)

Quandt, Dennis; Micheuz, Peter; Kurz, Walter

2016-04-01

The International Ocean Discovery Program (IODP) Expedition 352 aimed to drill through the entire volcanic sequence of the Izu-Bonin-Mariana fore arc. Two drill sites are situated on the outer fore arc composed of fore arc basalts (FAB) whereas two more sites are located on the upper trench slope penetrating the younger boninites. First results from IODP Expedition 352 and preliminary post-cruise data suggest that FAB were generated by decompression melting during near-trench sea-floor spreading, and that fluids from the subducting slab were not involved in their genesis. Subduction zone fluids involved in boninite genesis appear to have been derived from progressively higher temperatures and pressures over time as the subducting slab thermally matured. Structures within the drill cores combined with borehole and site survey seismic data indicate that tectonic deformation in the outer Izu-Bonin-Mariana fore arc is mainly post-magmatic associated with the development of syn-tectonic sedimentary basins. Within the magmatic basement deformation was accommodated by shear along cataclastic fault zones and the formation of tension fractures, shear fractures and hybrid (tension and shear) fractures. Veins form by mineral filling of tension or hybrid fractures and show no or limited observable macroscale displacement along the fracture plane. (Low Mg-) Calcite and/or various types of zeolite are the major vein constituents, where the latter are considered to be alteration products of basaltic glass. Micrite contents vary significantly and are related to neptunian dikes. In boninites calcite develops mainly blocky shapes but veins with fibrous and stretched crystals also occur in places indicating antitaxial as well as ataxial growth, respectively. In FAB calcite forms consistently blocky crystals without any microscopic identifiable growth direction suggesting precipitation from a highly supersaturated fluid under dropping fluid pressure conditions. However, fluid pressure must have been high before calcite precipitation in order to fracture the host rock and to place host rock fragments within the vein. Cross-cutting relationships of veins and zonation consisting of blocky calcite and micritic calcite indicate multiple and probably chaotic fracturing and repeated mineral precipitation or emplacement of micrite, respectively. Hydrothermal fluids affected significantly the vein walls by forming selvages of asbestiform mineral bands and alteration halos along the vein-wall rock contact. Rock fragments show the same selvages as the vein walls. Moreover, volcanic glass can be completely altered to zeolite and/or palagonite. This hydrothermal activity took place shortly after magma cooling since vein frequency varies with depth but does not seem to correlate with the proximity to faults. With increasing depth, calcite grains in both sequences exhibit deformation microstructures more frequently than at shallower core intervals. These microstructures include thin twinning (type I twins), increasing in width with depth (type I and type II twins), slightly curved twins, and subgrain boundaries indicative of incipient plastic deformation. The differential stresses (≥ 50 MPa) that triggered vein deformation were presumably related to IBM forearc extension due to the retreating Pacific lower plate.

Incidence and risk factors for surgical site infection after open reduction and internal fixation of tibial plateau fracture: A systematic review and meta-analysis.

PubMed

Shao, Jiashen; Chang, Hengrui; Zhu, Yanbin; Chen, Wei; Zheng, Zhanle; Zhang, Huixin; Zhang, Yingze

2017-05-01

This study aimed to quantitatively summarize the risk factors associated with surgical site infection after open reduction and internal fixation of tibial plateau fracture. Medline, Embase, CNKI, Wanfang database and Cochrane central database were searched for relevant original studies from database inception to October 2016. Eligible studies had to meet quality assessment criteria according to the Newcastle-Ottawa Scale, and had to evaluate the risk factors for surgical site infection after open reduction and internal fixation of tibial plateau fracture. Stata 11.0 software was used for this meta-analysis. Eight studies involving 2214 cases of tibial plateau fracture treated by open reduction and internal fixation and 219 cases of surgical site infection were included in this meta-analysis. The following parameters were identified as significant risk factors for surgical site infection after open reduction and internal fixation of tibial plateau fracture (p < 0.05): open fracture (OR 3.78; 95% CI 2.71-5.27), compartment syndrome (OR 3.53; 95% CI 2.13-5.86), operative time (OR 2.15; 95% CI 1.53-3.02), tobacco use (OR 2.13; 95% CI 1.13-3.99), and external fixation (OR 2.07; 95% CI 1.05-4.09). Other factors, including male sex, were not identified as risk factors for surgical site infection. Patients with the abovementioned medical conditions are at risk of surgical site infection after open reduction and internal fixation of tibial plateau fracture. Surgeons should be cognizant of these risks and give relevant preoperative advice. Copyright © 2017. Published by Elsevier Ltd.

A partitioned model order reduction approach to rationalise computational expenses in nonlinear fracture mechanics

PubMed Central

Kerfriden, P.; Goury, O.; Rabczuk, T.; Bordas, S.P.A.

2013-01-01

We propose in this paper a reduced order modelling technique based on domain partitioning for parametric problems of fracture. We show that coupling domain decomposition and projection-based model order reduction permits to focus the numerical effort where it is most needed: around the zones where damage propagates. No a priori knowledge of the damage pattern is required, the extraction of the corresponding spatial regions being based solely on algebra. The efficiency of the proposed approach is demonstrated numerically with an example relevant to engineering fracture. PMID:23750055

Crack growth through the thickness of thin-sheet Hydrided Zircaloy-4

NASA Astrophysics Data System (ADS)

Raynaud, Patrick A. C.

In recent years, the limits on fuel burnup have been increased to allow an increase in the amount of energy produced by a nuclear fuel assembly thus reducing waste volume and allowing greater capacity factors. As a result, it is paramount to ensure safety after longer reactor exposure times in the case of design-basis accidents, such as reactivity-initiated accidents (RIA). Previously proposed failure criteria do not directly address the particular cladding failure mechanism during a RIA, in which crack initiation in brittle outer-layers is immediately followed by crack growth through the thickness of the thin-wall tubing. In such a case, the fracture toughness of hydrided thin-wall cladding material must be known for the conditions of through-thickness crack growth in order to predict the failure of high-burnup cladding. The fracture toughness of hydrided Zircaloy-4 in the form of thin-sheet has been examined for the condition of through-thickness crack growth as a function of hydride content and distribution at 25°C, 300°C, and 375°C. To achieve this goal, an experimental procedure was developed in which a linear hydride blister formed across the width of a four-point bend specimen was used to inject a sharp crack that was subsequently extended by fatigue pre-cracking. The electrical potential drop method was used to monitor the crack length during fracture toughness testing, thus allowing for correlation of the load-displacement record with the crack length. Elastic-plastic fracture mechanics were used to interpret the experimental test results in terms of fracture toughness, and J-R crack growth resistance curves were generated. Finite element modeling was performed to adapt the classic theories of fracture mechanics applicable to thick-plate specimens to the case of through-thickness crack growth in thin-sheet materials, and to account for non-uniform crack fronts. Finally, the hydride microstructure was characterized in the vicinity of the crack tip by means of digital image processing, so as to understand the influence of the hydride microstructure on fracture toughness, at the various test temperatures. Crack growth occurred through a microstructure which varied within the thickness of the thin-sheet Zircaloy-4 such that the hydrogen concentration and the radial hydride content decreased with increasing distance from the hydride blister. At 25°C, the fracture toughness was sensitive to the changes in hydride microstructure, such that the toughness KJi decreased from 39 MPa√m to 24 MPa√m with increasing hydrogen content and increasing the fraction of radial hydrides. The hydride particles present in the Zircaloy-4 substrate fractured ahead of the crack tip, and crack growth occurred by linking the crack-tip with the next hydride-induced primary void ahead of it. Unstable crack growth was observed at 25°C prior to any stable crack growth in the specimens where the hydrogen content was the highest. At 375°C as well as in most cases at 300°C, the hydride particles were resistant to cracking and the resistance to crack-growth initiation was very high. As a result, for this bend test procedure, crack extension was solely due to crack-tip blunting instead of crack growth in all tests at 375°C and in most cases at 300°C. The lower bound for fracture toughness at these temperatures, the parameter KJPmax, had values of K JPmax˜54MPa√m at both 300°C and 375°C. For cases where stable crack growth occurred at 300°C, the fracture toughness was K Ji˜58MPa√m and the tearing modulus was twice as high as that at 25°C. It is believed that the failure of hydrided Zircaloy-4 thin-wall cladding can be predicted using fracture mechanics analyses when failure occurs by crack growth. This failure mechanism was observed to occur in all cases at 25°C and in some cases at 300°C. However, at more elevated temperatures, such as 375°C, failure will likely occur by a mechanism other than crack growth, possibly by an imperfection-induced shear instability.

Geological and petrological considerations relevant to the disposal of radioactive wastes by hydraulic fracturing: an example at the US Department of Energy's Oak Ridge National Laboratory. [Pumpkin Valley shales

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

Haase, C.S.

1982-01-01

At Oak Ridge National Laboratory the Pumpkin Valley Shale is used as a host formation for hydraulic-fracturing waste disposal. Determination of the relationships between the distribution of different lithologies and porosity-permeability trends within this host formation allows these properties, important to hydraulic-fracturing operations, to be related to measurable and mappable geological and petrological parameters. It also permits extrapolation of such patterns to little-studied portions of the Pumpkin Valley Shale. Such knowledge better allows for the satisfactory operation and assessment of the hydraulic fracturing at Oak Ridge National Laboratory.

Analysis of bone healing in flail chest injury: do we need to fix both fractures per rib?

PubMed

Marasco, Silvana; Liew, Susan; Edwards, Elton; Varma, Dinesh; Summerhayes, Robyn

2014-09-01

Surgical rib fixation (SRF) for severe rib fracture injuries is generating increasing interest in the medical literature. It is well documented that poorly healed fractured ribs can lead to chronic pain, disability, and deformity. An unanswered question in SRF for flail chest injury is whether it is sufficient to fix one fracture per rib, on successive ribs, thus converting a flail chest injury into simple fractured ribs, or whether both ends of the floating segment of the chest wall should be fixed. This study aimed to analyze SRF in flail chest injury, assessing 3-month outcomes for nonfixed fractured rib ends in the flail segment. This is a retrospective review (2005-2013) of 60 consecutive patients who underwent SRF for flail chest injury admitted to the Alfred Hospital, Melbourne, Australia. Imaging by three-dimensional computed tomography (3D CT) of the chest at admission was compared with follow-up 3D CT at 3 months after injury. The 3-month CT scans were assessed for degree of healing and presence of residual deformity at the fracture fixation site. Follow-up CT was performed in 52 of the 60 patients. At 3 months after surgery, 86.5% of the patients had at least partial healing with good alignment and adequate fracture stabilization. Hardware failure was noted in five patients (9.6%) and occurred with the absorbable prostheses only. Six patients who had preoperative overlapping or displacement showed no improvement in deformity despite fixing the lateral fractures. Callus formation and bony bridging between adjacent ribs was often noted in the rib fractures not fixed (28 of 52 patients, 54%) This retrospective review of 3D CT chest at 3 months after rib fixation indicates that a philosophy of fixing only one fracture per rib in a flail segment does not avoid deformity and displacement, particularly in posterior rib fractures. Therapeutic study, level V; epidemiologic study, level V.

Effect of water on critical and subcritical fracture properties of Woodford shale

NASA Astrophysics Data System (ADS)

Chen, Xiaofeng; Eichhubl, Peter; Olson, Jon E.

2017-04-01

Subcritical fracture behavior of shales under aqueous conditions is poorly characterized despite increased relevance to oil and gas resource development and seal integrity in waste disposal and subsurface carbon sequestration. We measured subcritical fracture properties of Woodford shale in ambient air, dry CO2 gas, and deionized water by using the double-torsion method. Compared to tests in ambient air, the presence of water reduces fracture toughness by 50%, subcritical index by 77%, and shear modulus by 27% and increases inelastic deformation. Comparison between test specimens coated with a hydrophobic agent and uncoated specimens demonstrates that the interaction of water with the bulk rock results in the reduction of fracture toughness and enhanced plastic effects, while water-rock interaction limited to the vicinity of the propagating fracture tip by a hydrophobic specimen coating lowers subcritical index and increases fracture velocity. The observed deviation of a rate-dependent subcritical index from the power law K-V relations for coated specimens tested in water is attributed to a time-dependent weakening process resulting from the interaction between water and clays in the vicinity of the fracture tip.

In vivo effect of shock-waves on the healing of fractured bone.

PubMed

Augat, P; Claes, L; Suger, G

1995-10-01

In a controlled animal experiment we attempted to clarify the question of whether there is a stimulating effect of extracorporeal shock-waves on the repair process of fractured long bones. As a fracture model we used an osteotomy in the diaphysis of the ovine tibia and an external fixation device. Shock-wave treatment at two levels of intensity and with four different numbers of applied shocks was performed with an electromagnetic acoustic source. Healing of the osteotomized bone was evaluated by biomechanical and radiological investigations on the whole bone as well as on bone sections from areas of the fracture gap and the periosteal fracture callus. We found a non-significant tendency to deterioration of the fracture healing with increasing shock-wave intensities. The study of treatment parameters led neither to significantly different biomechanical outcomes nor to altered radiological results in comparison to the untreated control group. RELEVANCE:--While we cannot comment upon the effectiveness of extracorporeal shock-waves in the delayed treatment of fractures or pseudarthrosis, our results suggest that shock-waves have no beneficial effect in acute fracture repair.

Coupled Hydro-mechanical process of natural fracture network formation in sedimentary basin

NASA Astrophysics Data System (ADS)

Ouraga, zady; Guy, Nicolas; Pouya, amade

2017-04-01

In sedimentary basin numerous phenomenon depending on the geological time span and its history can lead to a decrease in effective stress and therefore result in fracture initiation. Thus, during its formation, under certain conditions, natural fracturing and fracture network formation can occur in various context such as under erosion, tectonic loading and the compaction disequilibrium due to significant sedimentation rate. In this work, natural fracture network and fracture spacing induced by significant sedimentation rate is studied considering mode I fracture propagation, using a coupled hydro-mechanical numerical methods. Assumption of vertical fracture can be considered as a relevant hypothesis in our case of low ratio of horizontal total stress to vertical stress. A particular emphasis is put on synthetic geological structure on which a constant sedimentation rate is imposed on its top. This synthetic geological structure contains defects initially closed and homogeneously distributed. The Fractures are modeled with a constitutive model undergoing damage and the flow is described by poiseuille's law. The damage parameter affects both the mechanical and the hydraulic opening of the fracture. For the numerical simulations, the code Porofis based on finite element modeling is used, fractures are taken into account by cohesive model and the flow is described by Poiseuille's law. The effect of several parameters is also studied and the analysis lead to a fracture network and fracture spacing criterion for basin modeling.

Best BETs from the Manchester Royal Infirmary. BET 3: does hydrotherapy help improve post ankle fracture symptoms?

PubMed

Hay, Laura

2013-09-01

A short-cut review was carried out to determine whether hydrotherapy is an effective treatment to reduce pain and improve function in patients recovering from an ankle fracture. Although 12 papers were found using the reported search, no studies were relevant to this three-part question. No evidence was found to support this treatment.

High rate of complications following volar plating of distal radius fractures.

PubMed

Knudsen, Roland; Bahadirov, Zafar; Damborg, Frank

2014-10-01

Fracture of the distal radius (DRF) is one of the most common fractures treated by orthopaedic surgeons. The most common operative treatments of these fractures are open reduction and internal fixation. The incidents and types of complications associated with the use of these operations have not been studied in detail. We performed a retrospective study documenting types of complications and their occurrence in a group of patients who received open reduction and internal fixation. Our definition of a complication was a case in which the patient had one or more complications which required an operation, or suffered from complex regional pain syndrome, or skin healing problems lasting more than four weeks from the operation. A total of 165 patients were included. In all, 39 complications in 30 wrists were registered: i.e. 18% had a minimum of one complication. Our finding that 18% suffer from a serious complication when treated using a volar locking plate must be taken into consideration when surgeons choose between conservative or operative treatment for DRF treatment. A few other studies have looked at the incidents of complications and have reported similar results. not relevant. not relevant.

Stress fractures: pathophysiology, clinical presentation, imaging features, and treatment options.

PubMed

Matcuk, George R; Mahanty, Scott R; Skalski, Matthew R; Patel, Dakshesh B; White, Eric A; Gottsegen, Christopher J

2016-08-01

Stress fracture, in its most inclusive description, includes both fatigue and insufficiency fracture. Fatigue fractures, sometimes equated with the term "stress fractures," are most common in runners and other athletes and typically occur in the lower extremities. These fractures are the result of abnormal, cyclical loading on normal bone leading to local cortical resorption and fracture. Insufficiency fractures are common in elderly populations, secondary to osteoporosis, and are typically located in and around the pelvis. They are a result of normal or traumatic loading on abnormal bone. Subchondral insufficiency fractures of the hip or knee may cause acute pain that may present in the emergency setting. Medial tibial stress syndrome is a type of stress injury of the tibia related to activity and is a clinical syndrome encompassing a range of injuries from stress edema to frank-displaced fracture. Atypical subtrochanteric femoral fracture associated with long-term bisphosphonate therapy is also a recently discovered entity that needs early recognition to prevent progression to a complete fracture. Imaging recommendations for evaluation of stress fractures include initial plain radiographs followed, if necessary, by magnetic resonance imaging (MRI), which is preferred over computed tomography (CT) and bone scintigraphy. Radiographs are the first-line modality and may reveal linear sclerosis and periosteal reaction prior to the development of a frank fracture. MRI is highly sensitive with findings ranging from periosteal edema to bone marrow and intracortical signal abnormality. Additionally, a brief description of relevant clinical management of stress fractures is included.

Development and application of new composite grouting material for sealing groundwater inflow and reinforcing wall rock in deep mine.

PubMed

Jinpeng, Zhang; Limin, Liu; Futao, Zhang; Junzhi, Cao

2018-04-04

With cement, bentonite, water glass, J85 accelerator, retarder and water as raw materials, a new composite grouting material used to seal groundwater inflow and reinforce wall rock in deep fractured rock mass was developed in this paper. Based on the reaction mechanism of raw material, the pumpable time, stone rate, initial setting time, plastic strength and unconfined compressive strength of multi-group proportion grouts were tested by orthogonal experiment. Then, the optimum proportion of composite grouting material was selected and applied to the grouting engineering for sealing groundwater inflow and reinforcing wall rock in mine shaft lining. The results show the mixing proportion of the maximum pumpable time, maximum stone rate and minimum initial setting time of grout are A K4 B K1 C K4 D K2 , A K3 B K1 C K1 D K4 and A K3 B K3 C K4 D K1 , respectively. The mixing proportion of the maximum plastic strength and unconfined compressive strength of grouts concretion bodies are A K1 B K1 C K1 D K3 and A K1 B K1 C K1 D K1 , respectively. Balanced the above 5 indicators overall and determined the optimum proportion of grouts: bentonite-cement ratio of 1.0, water-solid ratio of 3.5, accelerator content of 2.9% and retarder content of 1.45%. This new composite grouting material had good effect on the grouting engineering for sealing groundwater inflow and reinforcing wall rock in deep fractured rock mass.

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

Tanaka, T.; Shimizu, S.; Ogata, Y.

For the primary coolant piping of PWRs in Japan, cast duplex stainless steel which is excellent in terms of strength, corrosion resistance, and weldability has conventionally been used. The cast duplex stainless steel contains the ferrite phase in the austenite matrix and thermal aging after long term service is known to change its material characteristics. It is considered appropriate to apply the methodology of elastic plastic fracture mechanics for an evaluation of the integrity of the primary coolant piping after thermal aging. Therefore we evaluated the integrity of the primary coolant piping for an initial PWR plant in Japan bymore » means of elastic plastic fracture mechanics. The evaluation results show that the crack will not grow into an unstable fracture and the integrity of the piping will be secured, even when such through wall crack length is assumed to equal the fatigue crack growth length for a service period of up to 60 years.« less

Fracture Analysis of MWCNT/Epoxy Nanocomposite Film Deposited on Aluminum Substrate.

PubMed

Her, Shiuh-Chuan; Chien, Pao-Chu

2017-04-13

Multi-walled carbon nanotube (MWCNT) reinforced epoxy films were deposited on an aluminum substrate by a hot-pressing process. Three-point bending tests were performed to determine the Young's modulus of MWCNT reinforced nanocomposite films. Compared to the neat epoxy film, nanocomposite film with 1 wt % of MWCNT exhibits an increase of 21% in the Young's modulus. Four-point-bending tests were conducted to investigate the fracture toughness of the MWCNT/epoxy nanocomposite film deposited on an aluminum substrate with interfacial cracks. Based on the Euler-Bernoulli beam theory, the strain energy in a film/substrate composite beam is derived. The difference of strain energy before and after the propagation of the interfacial crack are calculated, leading to the determination of the strain energy release rate. Experimental test results show that the fracture toughness of the nanocomposite film deposited on the aluminum substrate increases with the increase in the MWCNT content.

Technology Transfer at Edgar Mine: Phase 1; October 2016

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

Augustine, Chad R.; Bauer, Stephen; Nakagawa, Masami

The objective of this project is to study the flow of fluid through the fractures and to characterize the efficiency of heat extraction (heat transfer) from the test rock mass in the Edgar Mine, managed by Colorado School of Mines in Idaho Springs, CO. The experiment consists of drilling into the wall of the mine and fracturing the rock, characterizing the size and nature of the fracture network, circulating fluid through the network, and measuring the efficiency of heat extraction from the 'reservoir' by monitoring the temperature of the 'produced' fluid with time. This is a multi-year project performed asmore » a collaboration between the National Renewable Energy Laboratory, Colorado School of Mines and Sandia National Laboratories and carried out in phases. This report summarizes Phase 1: Selection and characterization of the location for the experiment, and outlines the steps for Phase 2: Circulation Experiments.« less

Fracture mechanics of shear crack propagation and dissection in the healthy bovine descending aortic media.

PubMed

Haslach, Henry W; Siddiqui, Ahmed; Weerasooriya, Amanda; Nguyen, Ryan; Roshgadol, Jacob; Monforte, Noel; McMahon, Eileen

2018-03-01

This experimental study adopts a fracture mechanics strategy to investigate the mechanical cause of aortic dissection. Inflation of excised healthy bovine aortic rings with a cut longitudinal notch that extends into the media from the intima suggests that an intimal tear may propagate a nearly circumferential-longitudinal rupture surface that is similar to the delamination that occurs in aortic dissection. Radial and 45°-from-radial cut notch orientations, as seen in the thickness surface, produce similar circumferential crack propagation morphologies. Partial cut notches, whose longitudinal length is half the width of the ring, measure the influence of longitudinal material on crack propagation. Such specimens also produce circumferential cracks from the notch root that are visible in the thickness circumferential-radial plane, and often propagate a secondary crack from the base of the notch, visible in the intimal circumferential-longitudinal plane. Inflation of rings with pairs of cut notches demonstrates that a second notch modifies the propagation created in a specimen with a single notch. The circumferential crack propagation is likely a consequence of the laminar medial structure. These fracture surfaces are probably due to non-uniform circumferential shear deformation in the heterogeneous media as the aortic wall expands. The qualitative deformation morphology around the root of the cut notch during inflation is evidence for such shear deformation. The shear apparently results from relative slip in the circumferential direction of collagen fibers. The slip may produce shear in the longitudinal-circumferential plane between medial layers or in the radial-circumferential plane within a medial lamina in an idealized model. Circumferential crack propagation in the media is then a shear mechanical process that might be facilitated by disease of the tissue. An intimal tear of an apparently healthy aortic wall near the aortic arch is life-threatening because it may lead to full rupture or to wall dissection in which delamination of the medial layer extends around most of the aortic circumference. The mechanical events underlying dissection are not definitively established. This experimental fracture mechanics study provides evidence that shear rupture is the main mechanical process underlying aortic dissection. The commonly performed tensile strength tests of aortic tissue are not clinically useful to predict or describe aortic dissection. One implication of the study is that shear tests might produce more fruitful simple assessments of the aortic wall strength. A clinical implication is that when presented with an intimal tear, those who guide care might recommend steps to reduce the shear load on the aorta. Copyright © 2017 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

Gully formation in terrestrial simple craters: Meteor Crater, USA and Lonar Crater, India

NASA Astrophysics Data System (ADS)

Kumar, P.; Head, J. W.; Kring, D. A.

2007-12-01

Geomorphic features such as gullies, valley networks, and channels on Mars have been used as a proxy to understand the climate and landscape evolution of Mars. Terrestrial analogues provide significant insight as to how the various exogenic and endogenic processes might contribute to the evolution of these martian landscapes. We describe here a terrestrial example from Meteor Crater, which shows a spectacular development of gullies throughout the inner wall in response to rainwater precipitation, snow melting and groundwater discharge. As liquid water has been envisaged as one of the important agents of landscape sculpturing, Meteor Crater remains a useful landmark, where planetary geologists can learn some lessons. We also show here how the lithology and structural framework of this crater controls the gully distribution. Like many martian impact craters, it was emplaced in layered sedimentary rocks with an exceptionally well-developed centripetal drainage pattern consisting of individual alcoves, channels and fans. Some of the gullies originate from the rim crest and others from the middle crater wall, where a lithologic transition occurs. Deeply incised alcoves are well-developed on the soft sandstones of the Coconino Formation exposed on the middle crater wall, beneath overlying dolomite. In general, the gully locations are along crater wall radial fractures and faults, which are favorable locales of groundwater flow and discharge; these structural discontinuities are also the locales where the surface runoff from rain precipitation and snow melting can preferentially flow, causing degradation. Like martian craters, channels are well developed on the talus deposits and alluvial fans on the periphery of the crater floor. In addition, lake sediments on the crater floor provide significant evidence of a past pluvial climate, when groundwater seeped from springs on the crater wall. Caves exposed on the lower crater level may point to percolation of surface runoff and selective discharge through fractures on the crater wall. Similar relationships are seen at Lonar Crater, India. Although these hydrological processes continue at Meteor Crater today, conditions at the crater are much more arid than they were soon after impact, reflecting a climatic shift similar in direction to that inferred for Mars.

Variation in Treatment of Displaced Geriatric Acetabular Fractures Among 15 Level-I Trauma Centers.

PubMed

Manson, Theodore T; Reider, Lisa; OʼToole, Robert V; Scharfstein, Daniel O; Tornetta, Paul; Gary, Joshua L

2016-09-01

To document the initial treatment of displaced acetabular fractures among older adults across multiple trauma centers and to investigate the factors that influence the decision to operate and the choice of operative procedure [open reduction internal fixation (ORIF) vs. total hip arthroplasty (THA)]. Retrospective observational study. Fifteen US level-I trauma centers participating in the Major Extremity Trauma Research Consortium. Overall, 269 patients aged 60 years or older admitted for the treatment of a displaced acetabular fracture. None. Treatment. Sixty percent of fractures (n = 162) were treated operatively. Younger age (<80 years), injury from high-energy mechanism, fractures with femoral head impaction, and fractures without hip congruency were significantly associated with receiving operative treatment (P < 0.05). Significant site variation in operative versus nonoperative treatment occurred even after accounting for these factors (P = 0.0044). Among operatively treated patients, 88% (n = 142) received ORIF and 12% (n = 20) received THA as the initial treatment. Women were more likely to be treated with initial THA compared with men; of the known risk factors for poor outcomes with ORIF (ie, dome or roof impaction, femoral head impaction, or posterior wall involvement), only dome impaction was significantly associated with receiving initial THA (P < 0.05). Currently, no treatment guidelines exist for acetabular fractures in older adults, which likely explains the significant site variation in operative versus nonoperative treatment. This study identifies patient and injury factors that drive treatment decisions, which will be important in planning and designing future trials needed to determine the best treatment for these fractures.

Use of the Animal Trauma Triage Score, RibScore, Modified RibScore and Other Clinical Factors for Prognostication in Canine Rib Fractures.

PubMed

McCarthy, Daniel; Bacek, Lenore; Kim, Kyoung; Miller, George; Gaillard, Philippe; Kuo, Kendon

2018-06-11

 To characterize the clinical features among dogs sustaining rib fractures and to determine if age, type and severity of injury, entry blood lactate, trauma score and rib fracture score were associated with outcome.  A retrospective study was performed to include dogs that were presented with rib fractures. Risk factors evaluation included breed, age, body weight, diagnosis, presence of a flail chest, bandage use, puncture wound presence, rib fracture number, location of the fracture along the thoracic wall, hospital stay length, body weight, other fractures, pleural effusion, pulmonary contusions, pneumothorax and occurrence of an anaesthetic event. A retrospective calculation of an animal trauma triage (ATT) score, RibScore and Modified RibScore was assigned.  Forty-one medical records were collected. Motor vehicular trauma represented 56% of the rib fracture aetiology, 41% of patients sustained dog bites and one case was of an unknown aetiology. Significant correlations with risk factors were found only with the ATT score. All patients that died had an ATT score ≥ 5. The ATT score correlated positively with mortality ( p  < 0.05) with an ATT score ≥ 7 was 88% sensitive and 81% specific for predicting mortality. A 1-point increase in ATT score corresponded to 2.1 times decreased likelihood of survival. Mean hospital stay was 3 days longer for dog bite cases.  There was no increased mortality rate in canine patients that presented with the suspected risk factors. The only risk factor that predicted mortality was the ATT score. Schattauer GmbH Stuttgart.

Analysis of accuracy in photogrammetric roughness measurements

NASA Astrophysics Data System (ADS)

Olkowicz, Marcin; Dąbrowski, Marcin; Pluymakers, Anne

2017-04-01

Regarding permeability, one of the most important features of shale gas reservoirs is the effective aperture of cracks opened during hydraulic fracturing, both propped and unpropped. In a propped fracture, the aperture is controlled mostly by proppant size and its embedment, and fracture surface roughness only has a minor influence. In contrast, in an unpropped fracture aperture is controlled by the fracture roughness and the wall displacement. To measure fracture surface roughness, we have used the photogrammetric method since it is time- and cost-efficient. To estimate the accuracy of this method we compare the photogrammetric measurements with reference measurements taken with a White Light Interferometer (WLI). Our photogrammetric setup is based on high resolution 50 Mpx camera combined with a focus stacking technique. The first step for photogrammetric measurements is to determine the optimal camera positions and lighting. We compare multiple scans of one sample, taken with different settings of lighting and camera positions, with the reference WLI measurement. The second step is to perform measurements of all studied fractures with the parameters that produced the best results in the first step. To compare photogrammetric and WLI measurements we regrid both data sets onto a regular 10 μm grid and determined the best fit, followed by a calculation of the difference between the measurements. The first results of the comparison show that for 90 % of measured points the absolute vertical distance between WLI and photogrammetry is less than 10 μm, while the mean absolute vertical distance is 5 μm. This proves that our setup can be used for fracture roughness measurements in shales.

Single-incision video-assisted thoracoscopic evaluation and emergent surgery for severe lung and chest wall injury after thoracic trauma in a water park.

PubMed

Sesma, Julio; Alvarez, Melodie; Lirio, Francisco; Galvez, Carlos; Galiana, Maria; Baschwitz, Benno; Fornes, Francisca; Bolufer, Sergio

2017-08-01

Thoracic trauma is a challenging situation with potential severe chest wall and intrathoracic organ injuries. We present a case of emergent surgery in a 23-year-old man with hemorrhagic shock due to massive lung and chest wall injury after thoracic trauma in a water slide. We performed a SI-VATS approach in order to define intrathoracic and chest wall injuries, and once checked the extension of the chest wall injury, we added a middle size thoracotomy just over the affected area in order to stabilize rib fractures with Judet plates, that had caused massive laceration in left lower lobe (LLL) and injured the pericardium causing myocardical tear. After checking bronchial and vascular viability of LLL we suggested a lung parenchyma preserving technique with PTFE protected pulmonary primary suture in order to avoid a lobectomy. Chest tubes were removed on 3 rd postoperative day and patient was discharged on 14 th postoperative day. He has already recovered his normal activity 6 months after surgery.

Single-incision video-assisted thoracoscopic evaluation and emergent surgery for severe lung and chest wall injury after thoracic trauma in a water park

PubMed Central

Alvarez, Melodie; Lirio, Francisco; Galvez, Carlos; Galiana, Maria; Baschwitz, Benno; Fornes, Francisca; Bolufer, Sergio

2017-01-01

Thoracic trauma is a challenging situation with potential severe chest wall and intrathoracic organ injuries. We present a case of emergent surgery in a 23-year-old man with hemorrhagic shock due to massive lung and chest wall injury after thoracic trauma in a water slide. We performed a SI-VATS approach in order to define intrathoracic and chest wall injuries, and once checked the extension of the chest wall injury, we added a middle size thoracotomy just over the affected area in order to stabilize rib fractures with Judet plates, that had caused massive laceration in left lower lobe (LLL) and injured the pericardium causing myocardical tear. After checking bronchial and vascular viability of LLL we suggested a lung parenchyma preserving technique with PTFE protected pulmonary primary suture in order to avoid a lobectomy. Chest tubes were removed on 3rd postoperative day and patient was discharged on 14th postoperative day. He has already recovered his normal activity 6 months after surgery. PMID:28861425

Associations between vertebral fractures, increased thoracic kyphosis, a flexed posture and falls in older adults: a prospective cohort study.

PubMed

van der Jagt-Willems, Hanna C; de Groot, Maartje H; van Campen, Jos P C M; Lamoth, Claudine J C; Lems, Willem F

2015-03-28

Vertebral fractures, an increased thoracic kyphosis and a flexed posture are associated with falls. However, this was not confirmed in prospective studies. We performed a prospective cohort study to investigate the association between vertebral fractures, increased thoracic kyphosis and/or flexed posture with future fall incidents in older adults within the next year. Patients were recruited at a geriatric outpatient clinic. Vertebral fractures were evaluated on lateral radiographs of the spine with the semi-quantitative method of Genant; the degree of thoracic kyphosis was assessed with the Cobb angle. The occiput-to-wall distance was used to determine a flexed posture. Self-reported falls were prospectively registered by monthly phone contact for the duration of 12 months. Fifty-one older adults were included; mean age was 79 years (SD = 4.8). An increased thoracic kyphosis was independently associated with future falls (OR 2.13; 95% CI 1.10-4.51). Prevalent vertebral fractures had a trend towards significancy (OR 3.67; 95% CI 0.85-15.9). A flexed posture was not significantly associated with future falls. Older adults with an increased thoracic kyphosis are more likely to fall within the next year. We suggest clinical attention for underlying causes. Because patients with increased thoracic curvature of the spine might have underlying osteoporotic vertebral fractures, clinicians should be aware of the risk of a new fracture.

Stress-induced, time-dependent fracture closure at hydrothermal conditions

USGS Publications Warehouse

Beeler, N.M.; Hickman, S.H.

2004-01-01

Time-dependent closure of fractures in quartz was measured in situ at 22-530??C temperature and 0.1-150 MPa water pressure. Unlike previous crack healing and rock permeability studies, in this study, fracture aperture is monitored directly and continuously using a windowed pressure vessel, a long-working-distance microscope, and reflected-light interferometry. Thus the fracture volume and geometry can be measured as a function of time, temperature, and water pressure. Relatively uniform closure occurs rapidly at temperatures and pressures where quartz becomes significantly soluble in water. During closure the aperture is reduced by as much as 80% in a few hours. We infer that this closure results from the dissolution of small particles or asperities that prop the fracture open. The driving force for closure via dissolution of the prop is the sum of three chemical potential terms: (1) the dissolution potential, proportional to the logarithm of the degree of undersaturation of the solution; (2) the coarsening potential, proportional to the radius of curvature of the prop; and (3) the pressure solution potential, proportional to the effective normal stress at the contact between propping particles and the fracture wall. Our observations suggest that closure is controlled by a pressure solution-like process. The aperture of dilatant fractures and microcracks in the Earth that are similar to those in our experiments, such as ones generated from thermal stressing or brittle failure during earthquake rupture and slip, will decrease rapidly with time, especially if the macroscopic stress is nonhydrostatic.

Stress-induced, time-dependent fracture closure at hydrothermal conditions

NASA Astrophysics Data System (ADS)

Beeler, N. M.; Hickman, S. H.

2004-02-01

Time-dependent closure of fractures in quartz was measured in situ at 22-530°C temperature and 0.1-150 MPa water pressure. Unlike previous crack healing and rock permeability studies, in this study, fracture aperture is monitored directly and continuously using a windowed pressure vessel, a long-working-distance microscope, and reflected-light interferometry. Thus the fracture volume and geometry can be measured as a function of time, temperature, and water pressure. Relatively uniform closure occurs rapidly at temperatures and pressures where quartz becomes significantly soluble in water. During closure the aperture is reduced by as much as 80% in a few hours. We infer that this closure results from the dissolution of small particles or asperities that prop the fracture open. The driving force for closure via dissolution of the prop is the sum of three chemical potential terms: (1) the dissolution potential, proportional to the logarithm of the degree of undersaturation of the solution; (2) the coarsening potential, proportional to the radius of curvature of the prop; and (3) the pressure solution potential, proportional to the effective normal stress at the contact between propping particles and the fracture wall. Our observations suggest that closure is controlled by a pressure solution-like process. The aperture of dilatant fractures and microcracks in the Earth that are similar to those in our experiments, such as ones generated from thermal stressing or brittle failure during earthquake rupture and slip, will decrease rapidly with time, especially if the macroscopic stress is nonhydrostatic.

Length-scale and strain rate-dependent mechanism of defect formation and fracture in carbon nanotubes under tensile loading

NASA Astrophysics Data System (ADS)

Javvaji, Brahmanandam; Raha, S.; Mahapatra, D. Roy

2017-02-01

Electromagnetic and thermo-mechanical forces play a major role in nanotube-based materials and devices. Under high-energy electron transport or high current densities, carbon nanotubes fail via sequential fracture. The failure sequence is governed by certain length scale and flow of current. We report a unified phenomenological model derived from molecular dynamic simulation data, which successfully captures the important physics of the complex failure process. Length-scale and strain rate-dependent defect nucleation, growth, and fracture in single-walled carbon nanotubes with diameters in the range of 0.47 to 2.03 nm and length which is about 6.17 to 26.45 nm are simulated. Nanotubes with long length and small diameter show brittle fracture, while those with short length and large diameter show transition from ductile to brittle fracture. In short nanotubes with small diameters, we observe several structural transitions like Stone-Wales defect initiation, its propagation to larger void nucleation, formation of multiple chains of atoms, conversion to monatomic chain of atoms, and finally complete fracture of the carbon nanotube. Hybridization state of carbon-carbon bonds near the end cap evolves, leading to the formation of monatomic chain in short nanotubes with small diameter. Transition from ductile to brittle fracture is also observed when strain rate exceeds a critical value. A generalized analytical model of failure is established, which correlates the defect energy during the formation of atomic chain with aspect ratio of the nanotube and strain rate. Variation in the mechanical properties such as elastic modulus, tensile strength, and fracture strain with the size and strain rate shows important implications in mitigating force fields and ways to enhance the life of electronic devices and nanomaterial conversion via fracture in manufacturing.

[CT morphometry for calcaneal fractures and comparison of the Zwipp and Sanders classifications].

PubMed

Andermahr, J; Jesch, A B; Helling, H J; Jubel, A; Fischbach, R; Rehm, K E

2002-01-01

The aim of the study is to correlate the CT-morphological changes of fractured calcaneus and the classifications of Zwipp and Sanders with the clinical outcome. In a retrospective clinical study, the preoperative CT scans of 75 calcaneal fractures were analysed. The morphometry of the fractures was determined by measuring height, length diameter and calcaneo-cuboidal angle in comparison to the intact contralateral side. At a mean of 38 months after trauma 44 patients were clinically followed-up. The data of CT image morphometry were correlated with the severity of fracture classified by Zwipp or Sanders as well as with the functional outcome. There was a good correlation between the fracture classifications and the morphometric data. Both fracture classifying systems have a predictive impact for functional outcome. The more exacting and accurate Zwipp classification considers the most important cofactors like involvement of the calcaneo-cuboidal joint, soft tissue damage, additional fractures etc. The Sanders classification is easier to use during clinical routine. The Zwipp classification includes more relevant cofactors (fracture of the calcaneo-cuboidal-joint, soft tissue swelling, etc.) and presents a higher correlation to the choice of therapy. Both classification systems present a prognostic impact concerning the clinical outcome.

Stress magnitude and orientation in deep coalbed biosphere off Shimokita ~IODP Expedition337 drilling project

NASA Astrophysics Data System (ADS)

Wu, H. Y.; Lin, W.; Yamada, Y.

2015-12-01

One of IODP expedition (Borehole C0020A) is located in the forearc basin formed by the subducting between Pacific plate and Eurasian plate off Shimokita Peninsula. This ~2.5km deep scientific drilling collected the high-resolution wire-line resistivity logging, caliper data, Dipole Sonic waveforms; geophysical properties measurements and core samples. The riser drilling operations produced one good conditions borehole even this drilling operation was applied right after 311 Tohoku earthquake. Based on the high-resolutions Formation Micro Imager (FMI) images, both breakout and tensile fractures along the borehole wall indicating the in-situ stress orientation are detected in the unwrapped resistivity images. In this research, a reasonable geomechanical model based on the breakout width and physical properties is constructed to estimate the stress magnitude profile in this borehole. Besides, the openhole leak-off test revealed the information of Shmin magnitude. In general, stress direction along the borehole is slight rotated to east with drilling to the bottom of the borehole. Geomechanical model constarined the principal stresses in Strike-slip stress regime to satisfy the occurrences of borehole enlargements and tensile fractures. Some blank zones with no borehole wall failure and vertical fractures indicated the stress anomaly might be controlled by local lithological facies. Comparing to the JFAST drilling, this site is out of Japan trench slip zone and shows almost parallel stress direcion to the trench (~90 degree apart of Shmin with Site C0019).

Time-Dependent Changes in T1 during Fracture Healing in Juvenile Rats: A Quantitative MR Approach

PubMed Central

Baron, Katharina; Neumayer, Bernhard; Amerstorfer, Eva; Scheurer, Eva; Diwoky, Clemens; Stollberger, Rudolf; Sprenger, Hanna; Weinberg, Annelie M.

2016-01-01

Quantitative magnetic resonance imaging (qMRI) offers several advantages in imaging and determination of soft tissue alterations when compared to qualitative imaging techniques. Although applications in brain and muscle tissues are well studied, its suitability to quantify relaxation times of intact and injured bone tissue, especially in children, is widely unknown. The objective observation of a fracture including its age determination can become of legal interest in cases of child abuse or maltreatment. Therefore, the aim of this study is the determination of time dependent changes in intact and corresponding injured bones in immature rats via qMRI, to provide the basis for an objective and radiation-free approach for fracture dating. Thirty-five MR scans of 7 Sprague-Dawley rats (male, 4 weeks old, 100 ± 5 g) were acquired on a 3T MRI scanner (TimTrio, Siemens AG, Erlangen, Germany) after the surgical infliction of an epiphyseal fracture in the tibia. The images were taken at days 1, 3, 7, 14, 28, 42 and 82 post-surgery. A proton density-weighted and a T1-weighted 3D FLASH sequence were acquired to calculate the longitudinal relaxation time T1 of the fractured region and the surrounding tissues. The calculation of T1 in intact and injured bone resulted in a quantitative observation of bone development in intact juvenile tibiae as well as the bone healing process in the injured tibiae. In both areas, T1 decreased over time. To evaluate the differences in T1 behaviour between the intact and injured bone, the relative T1 values (bone-fracture) were calculated, showing clear detectable alterations of T1 after fracture occurrence. These results indicate that qMRI has a high potential not only for clinically relevant applications to detect growth defects or developmental alterations in juvenile bones, but also for forensically relevant applications such as the dating of fractures in cases of child abuse or maltreatment. PMID:27832068

Systematic review of spica casting for the treatment of paediatric diaphyseal femur fractures

PubMed Central

Tisherman, R. T.; Hoellwarth, J. S.; Mendelson, S. A.

2018-01-01

Purpose Paediatric femur fractures are commonly encountered and often successfully managed with spica casting. Despite spica casting’s long history there is little formal guidance for optimal outcomes and no consolidation of existing literature. The purpose of this study is to review the available literature regarding the use of spica casting for the management of paediatric diaphyseal femur fractures. Methods The PubMed database was queried for all research articles including the phrase “spica”. A total of 788 abstracts were reviewed for relevance to the current study. Data was extracted from all available research studies which specified tolerance for fracture angulation or shortening in the cast. Additionally, all articles describing alternative materials, methods for spica application, and complications of spica casting were reviewed. Results In all, 106 articles were found relevant to the management of diaphyseal femur fractures in the paediatric population. The aggregated, accepted fracture shortening decreased from 16 mm to 18 mm before age ten years to 12 mm to 14 mm after puberty. Aggregated, accepted angulation decreased from 14° to 16° varus/valgus and 18° to 22° pro/recurvatum before age two years, to 6° to 8° and 10° to 12° by puberty, respectively. The overall reported complication rate was 19.6%, with the most common complication being skin compromise in 8.2% of patients, followed by unacceptable angulation at the fracture site in 4.2% of patients and excessive limb shortening in 1.9% of patients. Conclusion This article reviews the available spica casting literature and compiles the available data. Spica casting offers a safe, effective means for definitive management of paediatric diaphyseal femur fractures. Future research identifying the rate and pattern of remodelling as it relates to angulation and shortening at various patient ages, particularly beyond the aforementioned norms, would be valuable to identify true biological tolerances versus accepted expert opinion. Level of evidence Level II Review of level II evidence PMID:29707052

Systematic review of spica casting for the treatment of paediatric diaphyseal femur fractures.

PubMed

Tisherman, R T; Hoellwarth, J S; Mendelson, S A

2018-04-01

Paediatric femur fractures are commonly encountered and often successfully managed with spica casting. Despite spica casting's long history there is little formal guidance for optimal outcomes and no consolidation of existing literature. The purpose of this study is to review the available literature regarding the use of spica casting for the management of paediatric diaphyseal femur fractures. The PubMed database was queried for all research articles including the phrase "spica". A total of 788 abstracts were reviewed for relevance to the current study. Data was extracted from all available research studies which specified tolerance for fracture angulation or shortening in the cast. Additionally, all articles describing alternative materials, methods for spica application, and complications of spica casting were reviewed. In all, 106 articles were found relevant to the management of diaphyseal femur fractures in the paediatric population. The aggregated, accepted fracture shortening decreased from 16 mm to 18 mm before age ten years to 12 mm to 14 mm after puberty. Aggregated, accepted angulation decreased from 14° to 16° varus/valgus and 18° to 22° pro/recurvatum before age two years, to 6° to 8° and 10° to 12° by puberty, respectively. The overall reported complication rate was 19.6%, with the most common complication being skin compromise in 8.2% of patients, followed by unacceptable angulation at the fracture site in 4.2% of patients and excessive limb shortening in 1.9% of patients. This article reviews the available spica casting literature and compiles the available data. Spica casting offers a safe, effective means for definitive management of paediatric diaphyseal femur fractures. Future research identifying the rate and pattern of remodelling as it relates to angulation and shortening at various patient ages, particularly beyond the aforementioned norms, would be valuable to identify true biological tolerances versus accepted expert opinion. Review of level II evidence.

Orbital fracture and eyeball rupture caused by golf-club injury.

PubMed

Hwang, Kun; Kim, Joo Ho

2014-05-01

We report a case of an orbital fracture and an eyeball rupture caused by a golf-club injury. A 75-year-old man was struck in his right eye by a golf club while watching behind his son swinging a hybrid-type golf club at his home. A 70-mm muscle-depth laceration was present in the infraorbital area with active bleeding. Computed tomographic imaging of the face revealed a rupture of the right eyeball; fractures in the superior, medial, lateral, and inferior wall of the right orbit; a fracture in the right zygomaticofrontal junction; and a small amount of pneumocephalus in the parafalx region. Under general anesthesia, evisceration of the right eyeball was performed. Not only golfers but also people just watching or passing by can be injured by an errantly struck golf ball or swung golf club. Elderly people as well as children should be instructed in technique and safety and also be supervised when playing golf. Also, the public should be educated about the risk of eye injuries and the benefits of wearing a protective eyewear.

The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).

PubMed

Joeris, Alexander; Lutz, Nicolas; Blumenthal, Andrea; Slongo, Theddy; Audigé, Laurent

2017-04-01

Background and purpose - To achieve a common understanding when dealing with long bone fractures in children, the AO Pediatric Comprehensive Classification of Long Bone Fractures (AO PCCF) was introduced in 2007. As part of its final validation, we present the most relevant fracture patterns in the lower extremities of a representative population of children classified according to the PCCF. Patients and methods - We included patients up to the age of 17 who were diagnosed with 1 or more long bone fractures between January 2009 and December 2011 at either of 2 tertiary care university hospitals in Switzerland. Patient charts were retrospectively reviewed. Results - More lower extremity fractures occurred in boys (62%, n = 341). Of 548 fractured long bones in the lower extremity, 25% involved the femur and 75% the lower leg. The older the patients, the more combined fractures of the tibia and fibula were sustained (adolescents: 50%, 61 of 123). Salter-Harris (SH) fracture patterns represented 66% of single epiphyseal fractures (83 of 126). Overall, 74 of the 83 SH patterns occurred in the distal epiphysis. Of all the metaphyseal fractures, 74 of 79 were classified as incomplete or complete. Complete oblique spiral fractures accounted for 57% of diaphyseal fractures (120 of 211). Of all fractures, 7% (40 of 548) were classified in the category "other", including 29 fractures that were identified as toddler's fractures. 5 combined lower leg fractures were reported in the proximal metaphysis, 40 in the diaphysis, 26 in the distal metaphysis, and 8 in the distal epiphysis. Interpretation - The PCCF allows classification of lower extremity fracture patterns in the clinical setting. Re-introduction of a specific code for toddler's fractures in the PCCF should be considered.

The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF)

PubMed Central

Joeris, Alexander; Lutz, Nicolas; Blumenthal, Andrea; Slongo, Theddy; Audigé, Laurent

2017-01-01

Background and purpose To achieve a common understanding when dealing with long bone fractures in children, the AO Pediatric Comprehensive Classification of Long Bone Fractures (AO PCCF) was introduced in 2007. As part of its final validation, we present the most relevant fracture patterns in the lower extremities of a representative population of children classified according to the PCCF. Patients and methods We included patients up to the age of 17 who were diagnosed with 1 or more long bone fractures between January 2009 and December 2011 at either of 2 tertiary care university hospitals in Switzerland. Patient charts were retrospectively reviewed. Results More lower extremity fractures occurred in boys (62%, n = 341). Of 548 fractured long bones in the lower extremity, 25% involved the femur and 75% the lower leg. The older the patients, the more combined fractures of the tibia and fibula were sustained (adolescents: 50%, 61 of 123). Salter-Harris (SH) fracture patterns represented 66% of single epiphyseal fractures (83 of 126). Overall, 74 of the 83 SH patterns occurred in the distal epiphysis. Of all the metaphyseal fractures, 74 of 79 were classified as incomplete or complete. Complete oblique spiral fractures accounted for 57% of diaphyseal fractures (120 of 211). Of all fractures, 7% (40 of 548) were classified in the category "other", including 29 fractures that were identified as toddler’s fractures. 5 combined lower leg fractures were reported in the proximal metaphysis, 40 in the diaphysis, 26 in the distal metaphysis, and 8 in the distal epiphysis. Interpretation The PCCF allows classification of lower extremity fracture patterns in the clinical setting. Re-introduction of a specific code for toddler’s fractures in the PCCF should be considered. PMID:27882811

Effects of pulp capping materials on fracture resistance of Class II composite restorations

PubMed Central

Kucukyilmaz, Ebru; Yasa, Bilal; Akcay, Merve; Savas, Selcuk; Kavrik, Fevzi

2015-01-01

Objective: The aim of this study was to investigate the effect of cavity design and the type of pulp capping materials on the fracture resistance of Class II composite restorations. Materials and Methods: Sixty freshly extracted, sound molar teeth were selected for the study. A dovetail cavity on the mesio-occlusal and a slot cavity on disto-occlusal surfaces of each tooth were prepared, and the teeth were divided 4 groups which one of them as a control group. The pulp capping materials (TheraCal LC, Calcimol LC, Dycal) applied on pulpo-axial wall of each cavity, and the restoration was completed with composite resin. The teeth were subjected to a compressive load in a universal mechanical testing machine. The surfaces of the tooth and restoration were examined under a stereomicroscope. The data were analyzed using factorial analysis of variance and Tukey's test. Results: For pulp capping materials, the highest fracture load (931.15 ± 203.81 N) and the lowest fracture load (832.28 ± 245.75 N) were calculated for Control and Dycal group, respectively. However, there were no statistically significant differences among all groups (P > 0.05). The fracture load of the dovetail groups was significantly higher than those of the slot cavity groups (P < 0.05). Conclusion: Dovetail cavity design shows better fracture resistance in Class II composite restorations, independent of used or not used pulp capping materials. PMID:26038653

Numerical Borehole Breakdown Investigations using XFEM

NASA Astrophysics Data System (ADS)

Beckhuis, Sven; Leonhart, Dirk; Meschke, Günther

2016-04-01

During pressurization of a wellbore a typical downhole pressure record shows the following regimes: first the applied wellbore pressure balances the reservoir pressure, then after the compressive circumferential hole stresses are overcome, tensile stresses are induced on the inside surface of the hole. When the magnitude of these stresses reach the tensile failure stress of the surrounding rock medium, a fracture is initiated and propagates into the reservoir. [1] In standard theories this pressure, the so called breakdown pressure, is the peak pressure in the down-hole pressure record. However experimental investigations [2] show that the breakdown did not occur even if a fracture was initiated at the borehole wall. Drilling muds had the tendency to seal and stabilize fractures and prevent fracture propagation. Also fracture mechanics analysis of breakdown process in mini-frac or leak off tests [3] show that the breakdown pressure could be either equal or larger than the fracture initiation pressure. In order to gain a deeper understanding of the breakdown process in reservoir rock, numerical investigations using the extended finite element method (XFEM) for hydraulic fracturing of porous materials [4] are discussed. The reservoir rock is assumed to be pre-fractured. During pressurization of the borehole, the injection pressure, the pressure distribution and the position of the highest flux along the fracture for different fracturing fluid viscosities are recorded and the influence of the aforementioned values on the stability of fracture propagation is discussed. [1] YEW, C. H. (1997), "Mechanics of Hydraulic Fracturing", Gulf Publishing Company [2] MORITA, N.; BLACK, A. D.; FUH, G.-F. (1996), "Borehole Breakdown Pressure with Drilling Fluids". International Journal of Rock Mechanics and Mining Sciences 33, pp. 39-51 [3] DETOURNAY, E.; CARBONELL, R. (1996), "Fracture Mechanics Analysis of the Breakdown Process in Minifrac or Leakoff Test", Society of Petroleum Engineers, Inc. [4] MESCHKE, G.; Leonhart, D. (2015), "A generalized finite element method for hydro-mechanically coupled analysis of hydraulic fracturing problems using space-time variant enrichment functions." Computer Methods in Applied Mechanics and Engineering, 290:438 - 465

Standardizing Failure, Success, and Survival Decisions in Clinical Studies of Ceramic and Metal-Ceramic Fixed Dental Prostheses

PubMed Central

Anusavice, Kenneth J.

2011-01-01

“Nothing worthwhile is ever without complications.”– Nora Roberts The recent increase in reports from clinical studies of ceramic chipping has raised the question of which criteria should constitute success or failure of total-ceramic prostheses. Terminology such as minor chipping[1], partial chipping, technical complications[2, 3], and biological complications have crept into the dental terminology and they have complicated our classification of success and failure of these crown and bridge restorations. Some journals have permitted the reporting of fractures as “complications” and they are not necessarily classified as failures in the study. One study has attempted to classify chipping fractures according to their severity and subsequent treatment.[4] This is a promising approach to resolve the challenges to the classification of chipping fracture. The term ‘chipping fracture’ is more descriptive than ‘chipping’ since the latter term tends to imply an event of minor consequence. Two types of statistics are reported routinely in these studies, i.e., percent success, which is a measure of restorations that survive without any adverse effects, and percent survival, which is a measure of all restorations that survive even though they may have exhibited chipping fracture or they may have been repaired. Why has this scenario occurred? One possible explanation is that many of these types of fractures are very small and do not affect function or esthetics. Another reason is that corporate sponsors prefer to use the term chipping since it does not connote failure in the sense that the term fracture does. In any event, we need to be more precise in our scientific observations of fracture and classifications of the various types of fracture including details on the location of fracture and the prosthesis design configuration. Because of the lack of standardized methods for describing chipping fractures, materials scientists are unable to properly analyze the effect of material properties and design factors on the time-dependent survival probability of ceramic fixed dental prostheses (FDPs). Based on the review of clinical trials and systematic reviews of these trials, the present study was designed to develop guidelines for classifying the functional performance, success, survival, and susceptibility to chipping fracture, and subsequent treatment of ceramic and metal-ceramic restorations. Objective To develop comprehensive descriptive guidelines and a clinical reporting form to assist dental scientists in their analyses of chipping fracture behavior of metal-ceramic and all-ceramic prostheses with particular emphasis on veneered-zirconia restorations. These guidelines are required to optimize the recording of fracture features that can be used to differentiate ceramic chipping fracture from bulk fracture and to assist dentists in identifying subsequent treatment that may minimize the need to replace affected restorations. A recording form for clinical fracture observations must be sufficiently clear and complete so that dental health professionals can translate the most relevant information in a context that allows their patients to fully understand the potential risks and benefits of treatment with ceramic restorations. It should clearly allow a clinician to determine whether or not a ceramic fracture constitutes a failure, which requires replacement of the prosthesis, or whether the fracture surface is relatively small or located in a nonfunctional area, i.e., one that is not contribute to occlusion, aesthetics, proximal contacts, or .food impaction. To accomplish this task, a review of the relevant publications of clinical trials was necessary to identify the variability in reporting of fracture events. The reviews were focused on clinical research studies of zirconia-based FDPs and PFM FDPs, which had been monitored through recall exams for three years or more. These reports and systematic reviews of all relevant publications were published in English dental journals between 2004 and 2010. The primary focus in this review was on the susceptibility to chipping fracture or bulk fracture of veneered zirconia-based fixed dental prostheses (FDPs) and metal-ceramic FDPs, which are also referred to in this paper as porcelain-fused-to-metal (PFM) FDPs. PMID:22192254

10 CFR 50.61 - Fracture toughness requirements for protection against pressurized thermal shock events.

Code of Federal Regulations, 2010 CFR

2010-01-01

... accounting for the effects of annealing and subsequent irradiation. (c) Calculation of RT PTS. RTPTS must be... shift, or change in RTNDT, due to irradiation, and must be calculated using Equation 3. Equation 3... irradiation temperature of the Charpy specimens in the capsule must equal the vessel wall temperature at the...

Numerical simulation of multiple-physical fields coupling for thermal anomalies before earthquakes: A case study of the 2008 Wenchuan Ms8.0 earthquake in southwest China

NASA Astrophysics Data System (ADS)

Deng, Z.

2017-12-01

It has become a highly focused issue that thermal anomalies appear before major earthquakes. There are various hypotheses about the mechanism of thermal anomalies. Because of lacking of enough evidences, the mechanism is still require to be further researched. Gestation and occurrence of a major earthquake is related with the interaction of multi-physical fields. The underground fluid surging out the surface is very likely to be the reason for the thermal anomaly. This study tries to answer some question, such as how the geothermal energy transfer to the surface, and how the multiple-physical fields interacted. The 2008 Wenchuan Ms8.0 earthquake, is one of the largest evens in the last decade in China mainland. Remote sensing studies indicate that distinguishable thermal anomalies occurred several days before the earthquake. The heat anomaly value is more than 3 times the average in normal time and distributes along the Longmen Shan fault zone. Based on geological and geophysical data, 2D dynamic model of coupled stress, seepage and thermal fields (HTM model) is constructed. Then using the COMSOL multi-physics filed software, this work tries to reveal the generation process and distribution patterns of thermal anomalies prior to thrust-type major earthquakes. The simulation get the results: (1)Before the micro rupture, with the increase of compression, the heat current flows to the fault in the footwall on the whole, while in the hanging wall of the fault, particularly near the ground surface, the heat flow upward. In the fault zone, heat flow upward along the fracture surface, heat flux in the fracture zone is slightly larger than the wall rock;, but the value is all very small. (2)After the occurrence of the micro fracture, the heat flow rapidly collects to the faults. In the fault zones, the heat flow accelerates up along the fracture surfaces, the heat flux increases suddenly, and the vertical heat flux reaches to the maximum. The heat flux in the 3 fracture zones is obviously larger than that in the non fracture zone. The high heat flux anomaly can continue several days to one month. The simulation results is consistent with the reality earthquake cases.

Heterogeneity in the Fault Damage Zone: a Field Study on the Borrego Fault, B.C., Mexico

NASA Astrophysics Data System (ADS)

Ostermeijer, G.; Mitchell, T. M.; Dorsey, M. T.; Browning, J.; Rockwell, T. K.; Aben, F. M.; Fletcher, J. M.; Brantut, N.

2017-12-01

The nature and distribution of damage around faults, and its impacts on fault zone properties has been a hot topic of research over the past decade. Understanding the mechanisms that control the formation of off fault damage can shed light on the processes during the seismic cycle, and the nature of fault zone development. Recent published work has identified three broad zones of damage around most faults based on the type, intensity, and extent of fracturing; Tip, Wall, and Linking damage. Although these zones are able to adequately characterise the general distribution of damage, little has been done to identify the nature of damage heterogeneity within those zones, often simplifying the distribution to fit log-normal linear decay trends. Here, we attempt to characterise the distribution of fractures that make up the wall damage around seismogenic faults. To do so, we investigate an extensive two dimensional fracture network exposed on a river cut platform along the Borrego Fault, BC, Mexico, 5m wide, and extending 20m from the fault core into the damage zone. High resolution fracture mapping of the outcrop, covering scales ranging three orders of magnitude (cm to m), has allowed for detailed observations of the 2D damage distribution within the fault damage zone. Damage profiles were obtained along several 1D transects perpendicular to the fault and micro-damage was examined from thin-sections at various locations around the outcrop for comparison. Analysis of the resulting fracture network indicates heterogeneities in damage intensity at decimetre scales resulting from a patchy distribution of high and low intensity corridors and clusters. Such patchiness may contribute to inconsistencies in damage zone widths defined along 1D transects and the observed variability of fracture densities around decay trends. How this distribution develops with fault maturity and the scaling of heterogeneities above and below the observed range will likely play a key role in understanding the evolution of fault damage, it's feedback into the seismic cycle, and impact on fluid migration in fault zones. The dataset from the Borrego Fault offers a unique opportunity to study the distribution of fault damage in-situ, and provide field observations towards improving fault zone models.

Structural and biochemical changes in dermis of sea cucumber (Stichopus japonicus) during autolysis in response to cutting the body wall.

PubMed

Liu, Yu-Xin; Zhou, Da-Yong; Liu, Zi-Qiang; Lu, Ting; Song, Liang; Li, Dong-Mei; Dong, Xiu-Ping; Qi, Hang; Zhu, Bei-Wei; Shahidi, Fereidoon

2018-02-01

The autolysis of sea cucumber body wall is caused by endogenous proteolysis of its structural elements. However, changes in collagen fibrils, collagen fibres and microfibrils, the major structural elements in sea cucumber body wall during autolysis are less clear. Autolysis of sea cucumber (S. japonicus) was induced by cutting the body wall, and the structural and biochemical changes in its dermis were investigated using electron microscopy, differential scanning calorimetry, infrared spectroscopy, electrophoresis, and chemical analysis. During autolysis, both collagen fibres and microfibrils gradually degraded. In contrast, damage to microfibrils was more pronounced. Upon massive autolysis, collagen fibres disaggregated into collagen fibril bundles and individual fibrils due to the fracture of interfibrillar bridges. Meanwhile, excessive unfolding of collagen fibrils occurred. However, there was only slight damage to collagen monomers. Therefore, structural damage in collagen fibres, collagen fibrils and microfibrils rather than monomeric collagen accounts for autolysis of S. japonicus dermis. Copyright © 2017 Elsevier Ltd. All rights reserved.

Tectonics of ridge-transform intersections at the Kane fracture zone

NASA Astrophysics Data System (ADS)

Karson, J. A.; Dick, H. J. B.

1983-03-01

The Kane Transform offsets spreading-center segments of the Mid-Atlantic Ridge by about 150 km at 24° N latitude. In terms of its first-order morphological, geological, and geophysical characteristics it appears to be typical of long-offset (>100 km), slow-slipping (2 cm yr-1) ridge-ridge transform faults. High-resolution geological observations were made from deep-towed ANGUS photographs and the manned submersible ALVIN at the ridge-transform intersections and indicate similar relationships in these two regions. These data indicate that over a distance of about 20 km as the spreading axes approach the fracture zone, the two flanks of each ridge axis behave in very different ways. Along the flanks that intersect the active transform zone the rift valley floor deepens and the surface expression of volcanism becomes increasingly narrow and eventually absent at the intersection where only a sediment-covered ‘nodal basin’ exists. The adjacent median valley walls have structural trends that are oblique to both the ridge and the transform and have as much as 4 km of relief. These are tectonically active regions that have only a thin (<200 m), highly fractured, and discontinuous carapace of volcanic rocks overlying a variably deformed and metamorphosed assemblage of gabbroic rocks. Overprinting relationships reveal a complex history of crustal extension and rapid vertical uplift. In contrast, the opposing flanks of the ridge axes, that intersect the non-transform zones appear to be similar in many respects to those examined elsewhere along slow-spreading ridges. In general, a near-axial horst and graben terrain floored by relatively young volcanics passes laterally into median valley walls with a simple block-faulted character where only volcanic rocks have been found. Along strike toward the fracture zone, the youngest volcanics form linear constructional volcanic ridges that transect the entire width of the fracture zone valley. These volcanics are continuous with the older-looking, slightly faulted volcanic terrain that floors the non-transform fracture zone valleys. These observations document the asymmetric nature of seafloor spreading near ridge-transform intersections. An important implication is that the crust and lithosphere across different portions of the fracture zone will have different geological characteristics. Across the active transform zone two lithosphere plate edges formed at ridge-transform corners are faulted against one another. In the non-transform zones a relatively younger section of lithosphere that formed at a ridge-non-transform corner is welded to an older, deformed section that initially formed at a ridge-transform corner.

Review of literature of radial nerve injuries associated with humeral fractures-an integrated management strategy.

PubMed

Li, YuLin; Ning, GuangZhi; Wu, Qiang; Wu, QiuLi; Li, Yan; Feng, ShiQing

2013-01-01

Radial nerve palsy associated with fractures of the shaft of the humerus is the most common nerve lesion complicating fractures of long bones. However, the management of radial nerve injuries associated with humeral fractures is debatable. There was no consensus between observation and early exploration. The PubMed, Embase, Cochrane Central Register of Controlled Trials, Google Scholar, CINAHL, International Bibliography of the Social Sciences, and Social Sciences Citation Index were searched. Two authors independently searched for relevant studies in any language from 1966 to Jan 2013. Thirty studies with 2952 humeral fractures participants were identified. Thirteen studies favored conservative strategy. No significant difference between early exploration and no exploration groups (OR, 1.03, 95% CI 0.61, 1.72; I(2) = 0.0%, p = 0.918 n.s.). Three studies recommend early radial nerve exploration in patients with open fractures of humerus with radial nerve injury. Five studies proposed early exploration was performed in high-energy humeral shaft fractures with radial nerve injury. The conservative strategy was a good choice for patients with low-energy closed fractures of humerus with radial nerve injury. We recommend early radial nerve exploration (within the first 2 weeks) in patients with open fractures or high-energy closed fractures of humerus with radial nerve injury.

The effect of screw tunnels on the biomechanical stability of vertebral body after pedicle screws removal: a finite element analysis.

PubMed

Liu, Jia-Ming; Zhang, Yu; Zhou, Yang; Chen, Xuan-Yin; Huang, Shan-Hu; Hua, Zi-Kai; Liu, Zhi-Li

2017-06-01

Posterior reduction and pedicle screw fixation is a widely used procedure for thoracic and lumbar vertebrae fractures. Usually, the pedicle screws would be removed after the fracture healing and screw tunnels would be left. The aim of this study is to evaluate the effect of screw tunnels on the biomechanical stability of the lumbar vertebral body after pedicle screws removal by finite element analysis (FEA). First, the CT values of the screw tunnels wall in the fractured vertebral bodies were measured in patients whose pedicle screws were removed, and they were then compared with the values of vertebral cortical bone. Second, an adult patient was included and the CT images of the lumbar spine were harvested. Three dimensional finite element models of the L1 vertebra with unilateral or bilateral screw tunnels were created based on the CT images. Different compressive loads were vertically acted on the models. The maximum loads which the models sustained and the distribution of the force in the different parts of the models were recorded and compared with each other. The CT values of the tunnels wall and vertebral cortical bone were 387.126±62.342 and 399.204±53.612, which were not statistically different (P=0.149). The models of three dimensional tetrahedral mesh finite element of normal lumbar 1 vertebra were established with good geometric similarity and realistic appearance. After given the compressive loads, the cortical bone was the first one to reach its ultimate stress. The maximum loads which the bilateral screw tunnels model, unilateral screw tunnel model, and normal vertebral model can sustain were 3.97 Mpa, 3.83 Mpa, and 3.78 Mpa, respectively. For the diameter of the screw tunnels, the model with a diameter of 6.5 mm could sustain the largest load. In addition, the stress distributing on the outside of the cortical bone gradually decreased as the thickness of the tunnel wall increased. Based on the FEA, pedicle screw tunnels would not decrease the biomechanical stability and strength of the vertebral body. A large diameter of screw tunnel and thick tunnel wall were helpful for the biomechanical stability of the vertebral body.

A Fundamental Study of Stretch-Drawing Process of Sheet Metals : Single and Double Operations

NASA Astrophysics Data System (ADS)

Gotoh, Manabu; Kim, Young-soo; Yamashita, Minoru

1998-05-01

Fundamental and informative data of axisymmetric stretch-drawing of several sheet metals with thichness of 0.7 1.0 mm are presented especially for single and double operations. Very small radius is applied to the die-profile (or -shoulder) in all operations to induce wall-thinning by the effect of bending-under-tension, from which the name `stretch-drawing' comes. It is clearly demonstrated that deeper cups could be formed by the single and double stretch-drawings from smaller cirlcular blanks due to such wall-thinning action than in the usual deep-drawing of larger blanks. From this fact, it is emphasized that the deep-drawability of a sheet metal is not evaluated simply by the conventional LDR (=limiting drawing ratio), but the depth of the drawn cup should also be taken into account. Many experimental data about various metals and thicknesses given in this paper offer a valueable information on this process for more general use which recommends to replace the conventional deep-drawing process by the stretch-drawing process both for single and double operations. In the single stretch-drawing, it is also confirmed that a deeper cup can be produced by raising the blank-holding force at later stage of operation. Fracturing is found to occur at the middle section of the wall part or at the die-profile other than at the punch profile common in the usual deep-drawing process. Numerical simulation of the single stretch-drawing process is also performed by use of DYNA-3D code to confirm that a satisfactory prediction especially in the depth of the drawn-cup can be done at least in a practical sense, although this kind of numerical analysis is very difficult because of the severity or localization of deformation around the die profile. The drawn cup of SUS304 among others fractures in a couple of weeks after the operation due to the residual circumferential tensile stress, whereas that of SUS304L does not. In the double stretch-drawing, it is confirmed that very deeper cups can be produced when compared to the usual re-drawing process, which assures typically the usefulness of this operation as a practical process. Fracture often takes place circumferentially or, very peculiarly, even in a spiral mode for SUS304 at the middle of the wall part of the cup.

Spatial arrangement of faults and opening-mode fractures

NASA Astrophysics Data System (ADS)

Laubach, S. E.; Lamarche, J.; Gauthier, B. D. M.; Dunne, W. M.; Sanderson, David J.

2018-03-01

Spatial arrangement is a fundamental characteristic of fracture arrays. The pattern of fault and opening-mode fracture positions in space defines structural heterogeneity and anisotropy in a rock volume, governs how faults and fractures affect fluid flow, and impacts our understanding of the initiation, propagation and interactions during the formation of fracture patterns. This special issue highlights recent progress with respect to characterizing and understanding the spatial arrangements of fault and fracture patterns, providing examples over a wide range of scales and structural settings. Five papers describe new methods and improvements of existing techniques to quantify spatial arrangement. One study unravels the time evolution of opening-mode fracture spatial arrangement, which are data needed to compare natural patterns with progressive fracture growth in kinematic and mechanical models. Three papers investigate the role of evolving diagenesis in localizing fractures by mechanical stratigraphy and nine discuss opening-mode fracture spatial arrangement. Two papers show the relevance of complex cluster patterns to unconventional reservoirs through examples of fractures in tight gas sandstone horizontal wells, and a study of fracture arrangement in shale. Four papers demonstrate the roles of folds in fracture localization and the development spatial patterns. One paper models along-fault friction and fluid pressure and their effects on fault-related fracture arrangement. Contributions address deformation band patterns in carbonate rocks and fault size and arrangement above a detachment fault. Three papers describe fault and fracture arrangements in basement terrains, and three document fracture patterns in shale. This collection of papers points toward improvement in field methods, continuing improvements in computer-based data analysis and creation of synthetic fracture patterns, and opportunities for further understanding fault and fracture attributes in the subsurface through coupled spatial, size, and pattern analysis.

The influence of local bone quality on fracture pattern in proximal humerus fractures.

PubMed

Mazzucchelli, Ruben A; Jenny, Katharina; Zdravkovic, Vilijam; Erhardt, Johannes B; Jost, Bernhard; Spross, Christian

2018-02-01

Bone mineral density and fracture morphology are widely discussed and relevant factors when considering the different treatment options for proximal humerus fractures. It was the aim of this study to investigate the influence of local bone quality on fracture patterns of the Neer classification as well as on fracture impaction angle in these injuries. All acute, isolated and non-pathological proximal humerus fractures admitted to our emergency department were included. The fractures were classified according to Neer and the humeral head impaction angle was measured. Local bone quality was assessed using the Deltoid Tuberosity Index (DTI). The distribution between DTI and fracture pattern was analysed. 191 proximal humerus fractures were included (61 men, mean age 59 years; 130 women, mean age 69.5). 77 fractures (40%) were classified as one-part, 72 (38%) were two-part, 24 (13%) were three- and four-part and 18 (9%) were fracture dislocations. 30 fractures (16%) were varus impacted, whereas 45 fractures (24%) were classified as valgus impacted. The mean DTI was 1.48. Valgus impaction significantly correlated with good bone quality (DTI ≥ 1.4; p = 0.047) whereas no such statistical significance was found for the Neer fracture types. We found that valgus impaction significantly depended on good bone quality. However, neither varus impaction nor any of the Neer fracture types correlated with bone quality. We conclude that the better bone quality of valgus impacted fractures may be a reason for their historically benign amenability to ORIF. On the other hand, good local bone quality does not prevent fracture comminution. Copyright © 2017 Elsevier Ltd. All rights reserved.

ONR Far East Scientific Bulletin. Volume 12, Number 3, July-September 1987,

DTIC Science & Technology

1987-09-01

populated, some- sediment transport. times right down to the beaches. Sea Wave data for a 5-year period walls have been built for the last 30 or have...The average wave power varies season that the sea walls just do not from 15.5 kW/m (i.e., 1.34 hp/m work. In order to combat the problems, parallel to...to 1980. Dr. Burt’s current interest is in air- sea interaction. P . N P nSN nM’lVa ME nMln n °. .’V 4,i 4 .4 ’% %’ " , * .., , STATUS OF FRACTURE

A high resolution electron microscopy investigation of curvature in carbon nanotubes

NASA Astrophysics Data System (ADS)

Weldon, D. N.; Blau, W. J.; Zandbergen, H. W.

1995-07-01

Evidence for heptagon inclusion in multi-walled carbon nanotubes was sought in arc-produced carbon deposits. Transmission electron microscopy revealed many curved nanotubes although their relative abundance was low. Close examination of the micrographs in the regions of expected heptagon inclusion shows that the curvature is accomplished by folding or fracture of the lattice planes. This observed phenomenon contradicts the theoretical modelling studies which predict stable structures with negative curvature accomplished by heptagon/pentagon pairs. A possible explanation for curvature in single-walled tubes is presented based on a molecular mechanics geometry optimisation study of spa inclusion in a graphite sheet.

Use of the high-resolution satellite images for detection of fractures related to the ore deposits

NASA Astrophysics Data System (ADS)

Cruz-Mondaca, M.; Soto-Pinto, C. A.; Arellano-Baeza, A. A.

2012-12-01

The Aster and GeoEye satellite high-resolution images were used to detect the structures related to the fracturing of the upper crust in the North of Chile. In particular, lineament analysis has been applied to detect the presence of epithermal fluids of low sulfurization associated with the Paleozoic ore deposits. These results have been compared with the location of the minerals altered by the presence of geothermal fluids detected using the spectral libraries. Later, the presence of fractures has been corroborated during recognition of fractures in situ and the geochemical analysis of samples of minerals altered by the presence of fluids. It was shown that the results obtained are relevant for the gold vein detection.

Phase I Project: Fiber Optic Distributed Acoustic Sensing for Periodic Hydraulic Tests

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

Becker, Matthew

The extraction of heat from hot rock requires circulation of fluid through fracture networks. Because the geometry and connectivity of these fractures determines the efficiency of fluid circulation, many tools are used to characterize fractures before and after development of the reservoir. Under this project, a new tool was developed that allows hydraulic connectivity between geothermal boreholes to be identified. Nanostrain in rock fractures is measured using fiber optic distributed acoustic sensing (DAS). This strain is measured in one borehole in response to periodic pressure pulses induced in another borehole. The strain in the fractures represents hydraulic connectivity between wells.more » DAS is typically used at frequencies of Hz to kHz, but strain at mHz frequencies were measured for this project. The tool was demonstrated in the laboratory and in the field. In the laboratory, strain in fiber optic cables was measured in response to compression due to oscillating fluid pressure. DAS recorded strains as small as 10 picometer/m in response to 1 cm of water level change. At a fractured crystalline rock field site, strain was measured in boreholes. Fiber-optic cable was mechanically coupled borehole walls using pressured flexible liners. In one borehole 30 m from the oscillating pumping source, pressure and strain were measured simultaneously. The DAS system measured fracture displacement at frequencies of less than 1 mHz (18 min periods) and amplitudes of less than 1 nm, in response to fluid pressure changes of less 20 Pa (2 mm of water). The attenuation and phase shift of the monitored strain signal is indicative of the permeability and storage (compliance) of the fracture network that connects the two wells. The strain response as a function of oscillation frequency is characteristic of the hydraulic structure of the formation. This is the first application of DAS to the measurement of low frequency strain in boreholes. It has enormous potential for monitoring geothermal reservoirs for purposes of understanding reservoir compliance and for assuring security of injection fluids. Periodic pressure pulses can be induced by oscillating injection or pumping during operation so the system could provide real time reservoir data. DAS cable may already be installed at a site as it is becoming increasingly used for seismic observation. Simulations conducted for this project indicate that strain should be propagated through borehole cements, so observations can be made outside of well casing. In uncased holes, the cable would need to be mechanically coupled to the borehole wall to provide measurements. One option would be to install fiber into cemented and abandoned boreholes to extend their utility.« less

Late peripheral stent thrombosis due to stent fracture, vigorous exercise and hyporesponsiveness to clopidogrel.

PubMed

Linnemann, Birgit; Thalhammer, Axel; Wolf, Zsuzsanna; Tirneci, Vanessa; Vogl, Thomas J; Edelgard Lindhoff-Last, And

2012-03-01

Late peripheral arterial stent thrombosis usually occurs due to haemodynamically relevant in-stent restenosis. However, late stent thrombosis may be multicausal. We report here the well-documented case of a 69-year-old man with acute thrombosis of the stented superficial femoral artery after a long-distance bicycle tour. Catheter-directed thrombolysis revealed a residual stenosis located at a stent fracture site. In addition, platelet function tests revealed an inadequate platelet response to clopidogrel. In conclusion, stent fracture, strenuous exercise and hyporesponsiveness to clopidogrel may have contributed to the development of late peripheral stent thrombosis.

Fracture Characterization in the Astor Pass Geothermal Field, Nevada

NASA Astrophysics Data System (ADS)

Walsh, D. C.; Reeves, D. M.; Pohll, G.; Lyles, B. F.; Cooper, C. A.

2011-12-01

The Astor Pass geothermal field, near Pyramid Lake, NV, is under study as a site of potential geothermal energy production. Three wells have been completed in the graben of this typical Basin and Range geologic setting. Lithologies include a layer of unconsolidated sediment (basin fill) underlain by various tertiary volcanic units and granodiorite and metavolcanic basement rock. Characterization of fractures within the relatively impermeable rock matrix is being conducted for the three wells. Statistical analysis of fracture orientation, densities, and spacing obtained from borehole imaging logs is used to determine stress orientation and to generate a statistically equivalent Discrete Fracture Network (DFN) model. Fractures at depth are compared to fracture data collected in nearby outcrops of the same lithologic stratigraphy. Fracture geometry and density is correlated to mechanically discrete layers within the stratigraphy to test whether variations in fracturing can be attributed to variations in Young's modulus. Correlation of fracture geometry and densities with spinner flowmeter logs and distributed temperature sensor records are made in an effort to identify potential flowing fracture zones intersecting the borehole. Mean fracture aperture is obtained from open fracture counts and reservoir-scale transmissivity values (computed from a 30 day pump test) in the absence of readily available aperture data. The goal of this thorough fracture characterization is to create a physically relevant model which may be coupled with a multipurpose fluid flow and thermal simulator for investigation of geothermal reservoir behavior, particularly at the borehole scale.

The influence of swarm deformation on the velocity behavior of falling swarms of particles

NASA Astrophysics Data System (ADS)

Mitchell, C. A.; Pyrak-Nolte, L. J.; Nitsche, L.

2017-12-01

Cohesive particle swarms have been shown to exhibit enhanced sedimentation in fractures for an optimal range of fracture apertures. Within this range, swarms travel farther and faster than a disperse (particulate) solution. This study aims to uncover the physics underlying the enhanced sedimentation. Swarm behavior at low Reynolds number in a quiescent unbounded fluid and between smooth rigid planar boundaries is investigated numerically using direct-summation, particle-mesh (PM) and particle-particle particle-mesh (P3M) methods - based upon mutually interacting viscous point forces (Stokeslet fields). Wall effects are treated with a least-squares boundary singularity method. Sub-structural effects beyond pseudo-liquid behavior (i.e., particle-scale interactions) are approximated by the P3M method much more efficiently than with direct summation. The model parameters are selected from particle swarm experiments to enable comparison. From the simulations, if the initial swarm geometry at release is unaffected by the fracture aperture, no enhanced transport occurs. The swarm velocity as a function of apertures increases monotonically until it asymptotes to the swarm velocity in an open tank. However, if the fracture aperture affects the initial swarm geometry, the swarm velocity no longer exhibits a monotonic behavior. When swarms are released between two parallel smooth walls with very small apertures, the swarm is forced to reorganize and quickly deform, which results in dramatically reduced swarm velocities. At large apertures, the swarm evolution is similar to that of a swarm in open tank and quickly flattens into a slow speed torus. In the optimal aperture range, the swarm maintains a cohesive unit behaving similarly to a falling sphere. Swarms falling in apertures less than or greater than the optimal aperture range, experience a level of anisotropy that considerably decreases velocities. Unraveling the physics that drives swarm behavior in fractured porous media is important for understanding particle sedimentation and contaminant spreading in the subsurface. Acknowledgment: This material is based upon work supported by the U.S. Department of Energy, Office of Science, Office of Basic Energy Sciences, Geosciences Research Program under Award Number (DE-FG02-09ER16022).

Room temperature crack growth rates and -20 deg F fracture toughness of welded 1 1/4 inch A-285 steel plate

NASA Technical Reports Server (NTRS)

Shannon, J. L., Jr.; Rzasnicki, W.

1977-01-01

Data are presented which were developed in support of a structural assessment of NASA-LEWIS' 10-foot by 10-foot supersonic wind tunnel, critical portions of which are fabricated from rolled and welded 1 1/4 inch thick A-285 steel plate. Test material was flame cut from the tunnel wall and included longitudinal and circumferential weld joints. Parent metal, welds, and weld heat affected zone were tested. Tensile strength and fracture toughness were determined at -20 F, the estimated lowest tunnel operating temperature. Crack growth rates were measured at room temperature, where growth rates in service are expected to be highest.

Nanostructured thermoplastic polyimide films

DOEpatents

Aglan, Heshmat

2015-05-19

Structured films containing multi-walled carbon nanotubes ("MWCNTs") have enhanced mechanical performance in terms of strength, fracture resistance, and creep recovery of polyimide ("PI") films. Preferably, the loadings of MWCNTs can be in the range of 0.1 wt % to 0.5 wt %. The strength of the new PI films dried at 60.degree. C. increased by 55% and 72% for 0.1 wt % MWCNT and 0.5 wt % MWCNT loadings, respectively, while the fracture resistance increased by 23% for the 0.1 wt % MWCNTs and then decreases at a loading of 0.5 wt % MWCNTs. The films can be advantageously be created by managing a corresponding shift in the annealing temperature at which the maximum strength occurs as the MWCNT loadings increase.

Seismic detection of a hydraulic fracture from shear-wave VSP data at Lost Hills Field, California

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

Meadows, M.A.; Winterstein, D.F.

1994-01-01

The authors describe the results of a geophysical experiment in which shear waves (S-waves) were used to detect the presence of a hydraulic fracture in a diatomite reservoir at the Lost Hills Field. They show evidence that transient S-waves recorded in a monitor well represent diffracted energy that disappears as the fracture closes. They also show how, using simple models, one can establish limits on fracture lengths and heights by accurately modeling the scattered wavefield. These limits are dependent upon both the recording geometry and the wavelength of the S-waves incident on the fracture. The principles of S-wave recording andmore » processing described here can provide important information about the geometry of induced fractures, which are becoming increasingly important for enhanced recovery. The paper presents background information about the Lost Hills Field and provide other details relevant for mapping induced fractures. The remainder of the paper treats the data processing and modeling of the experiment itself and discusses the implications for future experiments of this type.« less

[Periprosthetic knee fractures].

PubMed

Mittlmeier, T; Beck, M; Bosch, U; Wichelhaus, A

2016-01-01

The cumulative incidence of periprosthetic fractures around the knee is increasing further because of an extended indication for knee replacement, previous revision arthroplasty, rising life expectancy and comorbidities. The relevance of local parameters such as malalignment, osseous defects, neighbouring implants, aseptic loosening and low-grade infections may sometimes be hidden behind the manifestation of a traumatic fracture. A differentiated diagnostic approach before the treatment of a periprosthetic fracture is of paramount importance, while the physician in-charge should also have particular expertise in fracture treatment and in advanced techniques of revision endoprosthetics. The following work gives an overview of this topic. Valid classifications are available for categorising periprosthetic fractures of the femur, the tibia and the patella respectively, which are helpful for the selection of treatment. With the wide-ranging modern treatment portfolio bearing in mind the substantial rate of complications and the heterogeneous functional outcome, the adequate analysis of fracture aetiology and the corresponding transformation into an individualised treatment concept offer the chance of an acceptable functional restoration of the patient at early full weight-bearing and prolonged implant survival. The management of complications is crucial to the final outcome.

Risk Factors for Open Malleolar Fractures: An Analysis of the National Trauma Data Bank (2007 to 2011).

PubMed

Shibuya, Naohiro; Liu, George T; Davis, Matthew L; Grossman, Jordan P; Jupiter, Daniel C

2016-01-01

A limited number of studies have described the epidemiology of open fractures, and the epidemiology of open ankle fractures is not an exception. Therefore, the risk factors associated with open ankle fractures have not been extensively evaluated. The frequencies and proportions of open ankle fractures among all the recorded malleolar fractures in the US National Trauma Data Bank data set from January 2007 to December 2011 were analyzed. Clinically relevant variables captured in the data set were also used to evaluate the risk factors associated with open ankle fractures, adjusting for other covariates. The entire cohort was further subdivided into "lower" and "higher" energy trauma groups and the same analysis performed for each group separately. We found that a body mass index of >40 kg/m(2) and farm location were risk factors for open ankle fractures and impaired sensorium was protective against open ankle fractures. In the "lower energy" group, male gender, alcohol use, peripheral vascular disease, other injuries, and injury occurring at a farm location were risk factors for open fractures. In the "higher energy" group, female gender, work-related injury, and injury at a farm or industry location demonstrated statistically significantly associations with open fractures. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

What happens between pure hydraulic and buckling mechanisms of blowout fractures?

PubMed

Nagasao, Tomohisa; Miyamoto, Junpei; Shimizu, Yusuke; Jiang, Hua; Nakajima, Tatsuo

2010-06-01

The present study aims to evaluate how the ratio of the hydraulic and buckling mechanisms affects blowout fracture patterns, when these two mechanisms work simultaneously. Three-dimensional computer-aided-design (CAD)models were generated simulating ten skulls. To simulate impact, 1.2J was applied on the orbital region of these models in four patterns. Pattern 1: All the energy works to cause the hydraulic effect. Pattern 2: Two-thirds of the energy works to cause the hydraulic effect; one-third of the energy works to cause the buckling effect. Pattern 3: One-third of the energy works to cause the hydraulic effect; two-thirds of the energy works to cause the buckling effect. Pattern 4: The entire energy quantum works to cause the buckling effect. Using the finite element method, the regions where fractures were theoretically expected to occur were calculated and were compared between the four patterns. More fracture damage occurred for Pattern 1 than Pattern 2, and for Pattern 3 than for Pattern 4. The hydraulic and buckling mechanisms interact with one another. When these two mechanisms are combined, the orbital walls tend to develop serious fractures. Copyright (c) 2009 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Fracturing, fluid-rock interaction and mineralisation during the seismic cycle along the Alpine Fault

NASA Astrophysics Data System (ADS)

Williams, Jack N.; Toy, Virginia G.; Smith, Steven A. F.; Boulton, Carolyn

2017-10-01

The Alpine Fault has a <50 m wide geochemically distinct hanging-wall alteration zone. Using a combination of petrological and cathodoluminescence (CL) microscopy, Energy Dispersive Spectroscopy and X-ray diffraction, we document the habitat and mineralising phases of macro- and micro-fractures within the alteration zone using samples derived from outcrop and the Deep Fault Drilling Project. Veins predominantly contain calcite, chlorite, K-feldspar or muscovite. Gouge-filled fractures are also observed and reflect filling from mechanical wear and chlorite mineralisation. CL imaging suggests that each calcite vein was opened and sealed in one episode, possibly corresponding to a single seismic cycle. The thermal stability of mineralising phases and their mutually cross-cutting relationships indicates a cyclic history of fracture opening and mineralisation that extends throughout the seismogenic zone. Cataclasites contain intragranular veins that are hosted within quartzofeldspathic clasts, as well as veins that cross-cut clasts and the surrounding matrix. Intragranular calcite veins formed prior to or during cataclasis. Cross-cutting veins are interpreted to have formed by fracturing of relatively indurated cataclasites after near-surface slip localisation within the Alpine Fault's principal slip zone gouges (PSZs). These observations clearly demonstrate that shear strain is most localised in the shallowest part of the seismogenic zone.

Effect of far-field stresses and residual stresses incorporation in predicting fracture toughness of carbon nanotube reinforced yttria stabilized zirconia

NASA Astrophysics Data System (ADS)

Mahato, Neelima; Nisar, Ambreen; Mohapatra, Pratyasha; Rawat, Siddharth; Ariharan, S.; Balani, Kantesh

2017-10-01

Yttria-stabilized zirconia (YSZ) is a potential thermal insulating ceramic for high temperature applications (>1000 °C). YSZ reinforced with multi-walled carbon nanotubes (MWNTs) was processed via spark plasma sintering to produce dense, crack-free homogeneous sample and avoid any degradation of MWNTs when sintered using conventional routes. Despite porosity, the addition of MWNT has a profound effect in improving the damage tolerance of YSZ by allowing the retention of tetragonal phase. However, at some instances, the crack lengths in the MWNT reinforced YSZ matrices have been found to be longer than the standalone counterparts. Therefore, it becomes inappropriate to apply Anstis equation to calculate fracture toughness values. In this regard, a combined analytical cum numerical method is used to estimate the theoretical fracture toughness and quantitatively analyze the mechanics of matrix cracking in the reinforced composite matrices incorporating the effects of various factors (such as far-field stresses, volume fraction of MWNTs, change in the modulus and Poisson's ratio values along with the increase in porosity, and bridging and phase transformation mechanism) affecting the fracture toughness of YSZ-MWNT composites. The results suggest that the incorporation of far-field stresses cannot be ignored in estimating the theoretical fracture toughness of YSZ-MWNT composites.

The Influence of Socioeconomic Factors on the Epidemiology of Maxillofacial Fractures in Southern Italy.

PubMed

Sbordone, Carolina; Barca, Ida; Petrocelli, Marzia; Dell'Aversana Orabona, Giovanni; Vaira, Luigi Angelo; Colangeli, Walter; Cristofaro, Maria Giulia; Giudice, Mario; Giudice, Amerigo; Cassandro, Francesco Maria; Attanasi, Federica; Iaconetta, Giorgio; Califano, Luigi

2018-05-15

Maxillofacial fractures represent a serious public health problem. Their epidemiology is extremely variable and its analysis is crucial to establish effective treatment and prevention of these injuries. The aim of this multicentric retrospective study was to analyze causes, demographics, incidence, characteristics of 987 patients diagnosed with maxillofacial trauma between 2011 and 2015 at Complex Operative Unit of Maxillofacial Surgery of Federico II University of Naples and Magna Graecia University of Catanzaro, Italy; 657 male and 310 female patients were admitted in the study. The most frequently observed fracture involved the mandible (399 patients, 35.4%), followed by zygomatic complex (337 patients, 29.9%), orbital walls (160 patients, 14.2%), and nasal bones (129 patients, 11.4%). The most frequent cause of fracture was assaults (30.4%), followed by road traffic injuries (27.2%), falls (23.2%), sport accidents (15.4%), and others causes (2.6%). Significant variations of etiology have been detected between the 2 hospitals in relationship with different migration flow trends and cultural and socioeconomic features. Epidemiological analysis of maxillofacial fractures is crucial to identify the trauma burden and to help in developing a more efficient system to plan resource allocation and to deliver care and preventive measures establishing clinical and research priorities for effective treatment and prevention of these injuries.

Coupled transport, mixing and biogeochemical reactions in fractured media: experimental observations and modelling at the Ploemeur fractured rock observatory

NASA Astrophysics Data System (ADS)

Le Borgne, T.; Bochet, O.; Klepikova, M.; Kang, P. K.; Shakas, A.; Aquilina, L.; Dufresne, A.; Linde, N.; Dentz, M.; Bour, O.

2016-12-01

Transport processes in fractured media and associated reactions are governed by multiscale heterogeneity ranging from fracture wall roughness at small scale to broadly distributed fracture lengths at network scale. This strong disorder induces a variety of emerging phenomena, including flow channeling, anomalous transport and heat transfer, enhanced mixing and reactive hotspot development. These processes are generally difficult to isolate and monitor in the field because of the high degree of complexity and coupling between them. We report in situ experimental observations from the Ploemeur fractured rock observatory (http://hplus.ore.fr/en/ploemeur) that provide new insights on the dynamics of transport and reaction processes in fractured media. These include dipole and push pull tracer tests that allow understanding and modelling anomalous transport processes characterized by heavy-tailed residence time distributions (Kang et al. 2015), thermal push pull tests that show the existence of highly channeled flow with a strong control on fracture matrix exchanges (Klepikova et al. 2016) and time lapse hydrogeophysical monitoring of saline tracer tests that allow quantifying the distribution of transport length scales governing dispersion processes (Shakas et al. 2016). These transport processes are then shown to induce rapid oxygen delivery and mixing at depth leading to massive biofilm development (Bochet et al., in prep.). Hence, this presentation will attempt to link these observations made at different scales to quantify and model the coupling between flow channeling, non-Fickian transport, mixing and chemical reactions in fractured media. References: Bochet et al. Biofilm blooms driven by enhanced mixing in fractured rock, in prep. Klepikova et al. 2016, Heat as a tracer for understanding transport processes in fractured media: theory and field assessment from multi-scale thermal push-pull tracer tests, Water Resour. Res. 52Shakas et al. 2016, Hydrogeophysical characterization of transport processes in fractured rock by combining push-pull and single-hole ground penetrating radar experiments, Water Resour. Res. 52 Kang et al. 2015, Impact of velocity correlation and distribution on transport in fractured media : Field evidence and theoretical model, Water Resour. Res., 51

Do joints initiate as sharp mode I fractures or finite thickness dilatancy bands? Insights from laboratory experiments and field data

NASA Astrophysics Data System (ADS)

Petit, J.; Chemenda, A. I.; Jorand, C.

2011-12-01

Terminology on fracture and discontinuities in geological objects mainly relies on distinguishing between tabular and sharp forms of deformation localization/failure structures (Aydin et al, JSG 2006; Shultz and Fossen, AAPG, 2009). On this basis joints (considered as mode I fractures) and dilation bands (very rarely observed) are distinguished among extension discontinuities. The former propagate with the separation of the fracture walls due to strong stress concentration at the fracture tips. The plumose features or hackles typical of joints (these terms cover a wide variety of diverging fractographic features) are believed to result from the fracture front breakdown due to the loading mode change (the origin of this change remains unclear). This view is called into question by recent experimental results of extension tests conducted on a synthetic physical rock analogue (granular, frictional, cohesive and dilatant) material (GRAM1) and by field observations of embryonic (not yet open) joints in highly jointed dolomicrite Chemenda et al., JGR, 2011). The initial porosity and grain size of both materials are very different, but at SEM scale, both experimental and natural unopened discontinuities reveal a comparable dilatancy (dilation) band structure with a porosity increase over a width of several grains. This suggests that the distinction between tabular and sharp is a matter of observation scale. Both axisymetric and poly-axial extension tests show that dilatancy bands form at elevated mean stress and have plumose morphology. Mode I cracking occurs only at very low mean stres and the forming fractures do not bear plumose features. Thus the absence of plumose structures can be considered as the signature of mode I fracturing. Consequently, we propose that non- plumose bearing natural joints (provided their fractography is not eroded) could originate as mode I fractures and call them "mode I joints". We call the joints formed as closed dilatancy bands propagating at relatively high pressure (depth) conditions and generating the plumose fractography "dilatancy joints". These joints obtained in poly-axial experiments can be very tight as is also often observed in nature. Joint spacing was shown to depend on the loading conditions but not on the sample thickness, which is another argument against the mode I mechanism. There are two main reasons for which the dilatancy joints were not detected previously: (1) the dilatancy band tends to open during exhumation (it is a weakness zone) leading to the separation of the two walls with destruction of the dilatancy band texture and mineral infilling; (2) if no opening occurs, as soon as the band of increased permeability is formed, diagenetic/epigenetic processes can rapidly cancel the initial structure, the trace of the band appearing at great magnification as a tiny mineralized vein. Such transformation must be very frequent in sedimentary rocks, but it can be absent when the mineral solubility is limited, as for the dolomicrite example presented.

Proceedings of the Joint IAEA/CSNI Specialists` Meeting on Fracture Mechanics Verification by Large-Scale Testing held at Pollard Auditorium, Oak Ridge, Tennessee

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

Pugh, C.E.; Bass, B.R.; Keeney, J.A.

This report contains 40 papers that were presented at the Joint IAEA/CSNI Specialists` Meeting Fracture Mechanics Verification by Large-Scale Testing held at the Pollard Auditorium, Oak Ridge, Tennessee, during the week of October 26--29, 1992. The papers are printed in the order of their presentation in each session and describe recent large-scale fracture (brittle and/or ductile) experiments, analyses of these experiments, and comparisons between predictions and experimental results. The goal of the meeting was to allow international experts to examine the fracture behavior of various materials and structures under conditions relevant to nuclear reactor components and operating environments. The emphasismore » was on the ability of various fracture models and analysis methods to predict the wide range of experimental data now available. The individual papers have been cataloged separately.« less

Penile fracture at Tribhuvan University Teaching Hospital: a retrospective analysis.

PubMed

Athar, Z; Chalise, P R; Sharma, U K; Gyawali, P R; Shrestha, G K; Joshi, B R

2010-06-01

Fracture of the penis is rupture of the tunica albuginea and the usual cause is abrupt bending of the erect penis by blunt trauma. Trauma during sexual relation is responsible for approximately one third of all cases. The incidence of urethral injuries associated with this condition ranged from 2.0% to 38.0%. Twelve patients who presented to emergency over a period of 4 years with diagnosis of penile fracture were reviewed retrospectively. Patient's profile and all relevant data were noted from charts. The etiology of fracture was related to coital activity in 6 (50.0%) cases while other denied such act. Surgery was performed on all the patients and discharged from hospital on removal of urethral catheter. Follow up continued until restoration of normal penile function without complaint. So fracture of the penis is an injury that can be diagnosed clinically and needs emergency surgical correction for better result.

The relevance of gender in the care of hip fracture patients.

PubMed

Saletti-Cuesta, Lorena; Tutton, Liz; Wright, Julie

2016-08-01

As in many conditions, gender interplays with other social structures of inequality to impact upon women's and men's health and healthcare. This narrative review examines knowledge about sex, gender and hip fracture and suggests ways of highlighting the influence of gender in hip fracture healthcare. These will be considered in relation to two areas. Firstly the multifactorial dimension of hip fractures which identifies ethnicity, marital status, lifestyle, co-morbidities, environment in relation to falls and osteoporosis as important factors influencing the experience of hip fracture. Secondly the importance of acknowledging gender as a key element within research and management of care. Implications for practice are that we need a raised awareness of gender when we assess and care for patients, to ask critical questions about the gender bias in the evidence we use and reflect on how services and care practices may be biased towards gendered assumptions. Copyright © 2015 Elsevier Ltd. All rights reserved.

Management of thoracolumbar spine trauma: An overview

PubMed Central

Rajasekaran, S; Kanna, Rishi Mugesh; Shetty, Ajoy Prasad

2015-01-01

Thoracolumbar spine fractures are common injuries that can result in significant disability, deformity and neurological deficit. Controversies exist regarding the appropriate radiological investigations, the indications for surgical management and the timing, approach and type of surgery. This review provides an overview of the epidemiology, biomechanical principles, radiological and clinical evaluation, classification and management principles. Literature review of all relevant articles published in PubMed covering thoracolumbar spine fractures with or without neurologic deficit was performed. The search terms used were thoracolumbar, thoracic, lumbar, fracture, trauma and management. All relevant articles and abstracts covering thoracolumbar spine fractures with and without neurologic deficit were reviewed. Biomechanically the thoracolumbar spine is predisposed to a higher incidence of spinal injuries. Computed tomography provides adequate bony detail for assessing spinal stability while magnetic resonance imaging shows injuries to soft tissues (posterior ligamentous complex [PLC]) and neurological structures. Different classification systems exist and the most recent is the AO spine knowledge forum classification of thoracolumbar trauma. Treatment includes both nonoperative and operative methods and selected based on the degree of bony injury, neurological involvement, presence of associated injuries and the integrity of the PLC. Significant advances in imaging have helped in the better understanding of thoracolumbar fractures, including information on canal morphology and injury to soft tissue structures. The ideal classification that is simple, comprehensive and guides management is still elusive. Involvement of three columns, progressive neurological deficit, significant kyphosis and canal compromise with neurological deficit are accepted indications for surgical stabilization through anterior, posterior or combined approaches. PMID:25593358

"Blind spots" in forensic autopsy: improved detection of retrobulbar hemorrhage and orbital lesions by postmortem computed tomography (PMCT).

PubMed

Flach, P M; Egli, T C; Bolliger, S A; Berger, N; Ampanozi, G; Thali, M J; Schweitzer, W

2014-09-01

The purpose of this study was to correlate the occurrence of retrobulbar hemorrhage (RBH) with mechanism of injury, external signs and autopsy findings to postmortem computed tomography (PMCT). Six-teen subjects presented with RBH and underwent PMCT, external inspection and conventional autopsy. External inspection was evaluated for findings of the bulbs, black eye, raccoon eyes and Battle's sign. Fractures of the viscerocranium, orbital lesions and RBH were evaluated by PMCT. Autopsy and PMCT was evaluated for orbital roof and basilar skull fracture. The leading manner of death was accident with central regulatory failure in cases of RBH (31.25%). Imaging showed a high sensitivity in detection of orbital roof and basilar skull fractures (100%), but was less specific compared to autopsy. Volume of RBH (0.1-2.4ml) correlated positively to the presence of Battle's sign (p<0.06) and the postmortem interval. Ecchymosis on external inspection correlated with RBH. There was a statistical significant correlation between bulbar lesion and RBH. Orbital roof fracture count weakly correlated with the total PMCT derived RBH volume. Maxillary hemosinus correlated to maxillary fractures, but not to RBH. RBH are a specific finding in forensically relevant head trauma. PMCT is an excellent tool in detecting and quantifying morphological trauma findings particularly in the viscerocranium, one of the most relevant "blind spots" of classic autopsy. PMCT was superior in detecting osseous lesions, scrutinizing autopsy as the gold standard. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

High Incidence of Vertebral Fractures in Children with Acute Lymphoblastic Leukemia 12 Months After the Initiation of Therapy

PubMed Central

Alos, Nathalie; Grant, Ronald; Ramsay, Timothy; Halton, Jacqueline; Cummings, Elizabeth A.; Miettunen, Paivi M.; Abish, Sharon; Atkinson, Stephanie; Barr, Ronald; Cabral, David A.; Cairney, Elizabeth; Couch, Robert; Dix, David B.; Fernandez, Conrad V.; Hay, John; Israels, Sara; Laverdière, Caroline; Lentle, Brian; Lewis, Victor; Matzinger, MaryAnn; Rodd, Celia; Shenouda, Nazih; Stein, Robert; Stephure, David; Taback, Shayne; Wilson, Beverly; Williams, Kathryn; Rauch, Frank; Siminoski, Kerry; Ward, Leanne M.

2014-01-01

Purpose Vertebral fractures due to osteoporosis are a potential complication of childhood acute lymphoblastic leukemia (ALL). To date, the incidence of vertebral fractures during ALL treatment has not been reported. Patient and Methods We prospectively evaluated 155 children with ALL during the first 12 months of leukemia therapy. Lateral thoracolumbar spine radiographs were obtained at baseline and 12 months. Vertebral bodies were assessed for incident vertebral fractures using the Genant semi-quantitative method, and relevant clinical indices such as spine bone mineral density (BMD), back pain and the presence of vertebral fractures at baseline were analyzed for association with incident vertebral fractures. Results Of the 155 children, 25 (16%, 95% Confidence Interval (CI) 11% to 23%) had a total of 61 incident vertebral fractures, of which 32 (52%) were moderate or severe. Thirteen of the 25 children with incident vertebral fractures (52%) also had fractures at baseline. Vertebral fractures at baseline increased the odds of an incident fracture at 12 months by an odds ratio of 7.3 (95% CI 2.3 to 23.1, p = 0.001). In addition, for every one standard deviation reduction in spine BMD Z-score at baseline, there was 1.8-fold increased odds of incident vertebral fracture at 12 months (95% CI 1.2 to 2.7, p = 0.006). Conclusion Children with ALL have a high incidence of vertebral fractures after 12 months of chemotherapy, and the presence of vertebral fractures and reductions in spine BMD Z-scores at baseline are highly associated clinical features. PMID:22734031

Influence of diameter on particle transport in a fractured shale saprolite

USGS Publications Warehouse

Cumbie, D.H.; McKay, L.D.

1999-01-01

Experiments in an undisturbed, saturated column of weathered and fractured shale saprolite using fluorescent carboxylate-coated latex microspheres as tracers indicate that particle diameter plays a major role in controlling transport. In this study the optimum microsphere diameter for transport was approximately 0.5 ??m. Microspheres larger than the optimum size were present in the effluent at lower relative concentrations, apparently because of greater retention due to gravitational settling and/or physical straining. The smaller than optimum microspheres also experienced greater retention, apparently related to their higher rates of diffusion. Faster diffusion can lead to more frequent collisions with, and attachment to, fracture walls and may also lead to movement of particles into zones of relatively immobile pore water in the fractures or in the fine pore structure of the clay-rich matrix between fractures. Dismantling of the soil column and mapping of the distribution of retained microspheres indicated that there was substantial size-segregation of the microspheres between different fractures or in 'channels' within a fracture. Examination of small core samples showed that the smallest microspheres (0.05-0.1 ??m) were present in the fine pores of the matrix at distances of up to 3-4 mm from the nearest fracture, which supports the hypothesis that small particles can be retained by diffusion into the matrix. Calculations of settling velocity and diffusion rate using simple 1D approaches suggest that these processes could both cause significant retention of the larger and smaller particles, respectively, even for the fast advective transport rates (up to 32 m/day) observed during the experiments. Copyright (C) 1999 Elsevier Science B.V.

Laboratory Simulation of Flow through Single Fractured Granite

NASA Astrophysics Data System (ADS)

Singh, K. K.; Singh, D. N.; Ranjith, P. G.

2015-05-01

Laboratory simulation on fluid flow through fractured rock is important in addressing the seepage/fluid-in-rush related problems that occur during the execution of any civil or geological engineering projects. To understand the mechanics and transport properties of fluid through a fractured rock in detail and to quantify the sources of non-linearity in the discharge and base pressure relationship, fluid flow experiments were carried out on a cylindrical sample of granite containing a `single rough walled fracture'. These experiments were performed under varied conditions of confining pressures, σ 3 (5-40 MPa), which can simulate the condition occurring about 1,000 m below in the earth crust, with elevated base pressure, b p (up to 25 MPa) and by changing fracture roughness. The details of the methodologies involved and the observations are discussed here. The obtained results indicate that most of the data in the Q verses b p plot, fall on the straight line and the flow through the single fracture in granite obeys Darcy's law or the well-known "cubic law" even at high value of b p (=4 MPa) and σ 3 (=5 MPa) combination. The Reynolds number is quite sensitive to the b p, σ 3 and fracture roughness, and there is a critical b p, beyond which transition in flow occurs from laminar to turbulent. It is believed that such studies will be quite useful in identifying the limits of applicability of well know `cubic law', which is required for precise calculation of discharge and/or aperture in any practical issues and in further improving theoretical/numerical models associated with fluid flow through a single fracture.

Analysis of fractures intersecting Kahi Puka Well 1 and its relation to the growth of the island of Hawaii

USGS Publications Warehouse

Morin, R.H.; Paillet, Frederick L.

1996-01-01

As part of the Hawaii Scientific Drilling Project, Kahi Puka Well 1 penetrated about 275 m of Mauna Loa basalts overlying a sequence of Mauna Kea flow units as it was drilled and cored to a total depth of 1053 m below land surface. A borehole televiewer (BHTV) was run in most of the well in successive stages prior to casing in order to obtain magnetically oriented acoustic images of the borehole wall. A total of 283 individual fractures were identified from this log and characterized in terms of strike and dip. These data are divided into three vertical sections based upon age and volcanic source, and lower hemisphere stereographic plots identify two predominant, subparallel fracture subsets common to each section. Assuming that most of the steeply dipping fractures observed in the BHTV log are tensile features generated within basalt flows during deposition and cooling, this fracture information can be combined with models of the evolution of the island of Hawaii to investigate the depositional history of these Mauna Loa and Mauna Kea basalts over the past 400 kyr. The directions of high-angle fractures appear to be generally parallel to topography or to the coastline at the time of deposition, as is supported by surface mapping of modern flows. Consequently, an overall counterclockwise rotation of about 75?? in the strike of these fractures from the bottom to the top of the well represents a systematic change in depositional slope direction over time. We attribute the observed rotation in the orientations of the two predominant fracture subsets over the past 400 kyr to changes in the configurations of volcanic sources during shield building and to the structural interference of adjacent volcanoes that produces shifts in topographic patterns.

Analysis of fractures intersecting Kahi Puka Well 1 and its relation to the growth of the island of Hawaii

NASA Astrophysics Data System (ADS)

Morin, Roger H.; Paillet, Frederick L.

1996-05-01

As part of the Hawaii Scientific Drilling Project, Kahi Puka Well 1 penetrated about 275 m of Mauna Loa basalts overlying a sequence of Mauna Kea flow units as it was drilled and cored to a total depth of 1053 m below land surface. A borehole televiewer (BHTV) was run in most of the well in successive stages prior to casing in order to obtain magnetically oriented acoustic images of the borehole wall. A total of 283 individual fractures were identified from this log and characterized in terms of strike and dip. These data are divided into three vertical sections based upon age and volcanic source, and lower hemisphere stereographic plots identify two predominant, subparallel fracture subsets common to each section. Assuming that most of the steeply dipping fractures observed in the BHTV log are tensile features generated within basalt flows during deposition and cooling, this fracture information can be combined with models of the evolution of the island of Hawaii to investigate the depositional history of these Mauna Loa and Mauna Kea basalts over the past 400 kyr. The directions of high-angle fractures appear to be generally parallel to topography or to the coastline at the time of deposition, as is supported by surface mapping of modern flows. Consequently, an overall counterclockwise rotation of about 75° in the strike of these fractures from the bottom to the top of the well represents a systematic change in depositional slope direction over time. We attribute the observed rotation in the orientations of the two predominant fracture subsets over the past 400 kyr to changes in the configurations of volcanic sources during shield building and to the structural interference of adjacent volcanoes that produces shifts in topographic patterns.

Establishment of a Uniform Format for Data Reporting of Structural Material Properties for Reliability Analysis

DTIC Science & Technology

1994-06-30

tip Opening Displacement (CTOD) Fracture Toughness Measurement". 48 The method has found application in the elastic-plastic fracture mechanics ( EPFM ...68 6.1 Proposed Material Property Database Format and Hierarchy .............. 68 6.2 Sample Application of the Material Property Database...the E 49.05 sub-committee. The relevant quality indicators applicable to the present program are: source of data, statistical basis of data

Probabilistic Risk Assessment of Hydraulic Fracturing in Unconventional Reservoirs by Means of Fault Tree Analysis: An Initial Discussion

NASA Astrophysics Data System (ADS)

Rodak, C. M.; McHugh, R.; Wei, X.

2016-12-01

The development and combination of horizontal drilling and hydraulic fracturing has unlocked unconventional hydrocarbon reserves around the globe. These advances have triggered a number of concerns regarding aquifer contamination and over-exploitation, leading to scientific studies investigating potential risks posed by directional hydraulic fracturing activities. These studies, balanced with potential economic benefits of energy production, are a crucial source of information for communities considering the development of unconventional reservoirs. However, probabilistic quantification of the overall risk posed by hydraulic fracturing at the system level are rare. Here we present the concept of fault tree analysis to determine the overall probability of groundwater contamination or over-exploitation, broadly referred to as the probability of failure. The potential utility of fault tree analysis for the quantification and communication of risks is approached with a general application. However, the fault tree design is robust and can handle various combinations of regional-specific data pertaining to relevant spatial scales, geological conditions, and industry practices where available. All available data are grouped into quantity and quality-based impacts and sub-divided based on the stage of the hydraulic fracturing process in which the data is relevant as described by the USEPA. Each stage is broken down into the unique basic events required for failure; for example, to quantify the risk of an on-site spill we must consider the likelihood, magnitude, composition, and subsurface transport of the spill. The structure of the fault tree described above can be used to render a highly complex system of variables into a straightforward equation for risk calculation based on Boolean logic. This project shows the utility of fault tree analysis for the visual communication of the potential risks of hydraulic fracturing activities on groundwater resources.

Comparing the predictive value of the pelvic ring injury classification systems by Tile and by Young and Burgess.

PubMed

Osterhoff, Georg; Scheyerer, Max J; Fritz, Yannick; Bouaicha, Samy; Wanner, Guido A; Simmen, Hans-Peter; Werner, Clément M L

2014-04-01

Radiology-based classifications of pelvic ring injuries and their relevance for the prognosis of morbidity and mortality are disputed in the literature. The purpose of this study was to evaluate potential differences between the pelvic ring injury classification systems by Tile and by Young and Burgess with regard to their predictive value on mortality, transfusion/infusion requirement and concomitant injuries. Two-hundred-and-eighty-five consecutive patients with pelvic ring fractures were analyzed for mortality within 30 days after admission, number of blood units and total volume of fluid infused during the first 24h after trauma, the Abbreviated Injury Severity (AIS) scores for head, chest, spine, abdomen and extremities as a function of the Tile and the Young-Burgess classifications. There was no significant relationship between occurrence of death and fracture pattern but a significant relationship between fracture pattern and need for blood units/total fluid volume for Tile (p<.001/p<.001) and Young-Burgess (p<.001/p<.001). In both classifications, open book fractures were associated with more fluid requirement and more severe injuries of the abdomen, spine and extremities (p<.05). When divided into the larger subgroups "partially stable" and "unstable", unstable fractures were associated with a higher mortality rate in the Young-Burgess system (p=.036). In both classifications, patients with unstable fractures required significantly more blood transfusions (p<.001) and total fluid infusion (p<.001) and higher AIS scores. In this first direct comparison of both classifications, we found no clinical relevant differences with regard to their predictive value on mortality, transfusion/infusion requirement and concomitant injuries. Copyright © 2013 Elsevier Ltd. All rights reserved.

[Pharmacogenic osteoporosis beyond cortisone. Proton pump inhibitors, glitazones and diuretics].

PubMed

Kann, P H; Hadji, P; Bergmann, R S

2014-05-01

[corrected] There are many drugs which can cause osteoporosis or at least favor its initiation. The effect of hormones and drugs with antihormonal activity, such as glucocorticoids and aromatase inhibitors, on initiation of osteoporosis is well known. In addition, proton pump inhibitors, glitazones and diuretics also influence the formation of osteoporosis. The results of currently available studies on the correlation between proton pump inhibitors, glitazones and diuretics on formation of osteoporosis were evaluated and summarized. Proton pump inhibitors and glitazones increase the risk for osteoporotic fractures. Loop diuretics may slightly increase fracture risk, whereas thiazides were shown to be osteoprotective by reducing fracture probability on a relevant scale. Proton pump inhibitors should not be prescribed without serious consideration and then only as long as necessary. Alternatively, the administration of the less effective H2 antagonists should be considered when possible due to the reduction of acid secretion. Because the long-term intake of thiazides is associated with a clinically relevant reduction in the risk of fractures and they are economic and well-tolerated, prescription can be thoroughly recommended within the framework of differential diagnostic considerations in an appropriate clinical context. The briefly increased risk of falling immediately after starting diuretic therapy is the only point which needs to be considered.

Radiation-induced rib fracture after stereotactic body radiotherapy with a total dose of 54-56 Gy given in 9-7 fractions for patients with peripheral lung tumor: impact of maximum dose and fraction size.

PubMed

Aoki, Masahiko; Sato, Mariko; Hirose, Katsumi; Akimoto, Hiroyoshi; Kawaguchi, Hideo; Hatayama, Yoshiomi; Ono, Shuichi; Takai, Yoshihiro

2015-04-22

Radiation-induced rib fracture after stereotactic body radiotherapy (SBRT) for lung cancer has been recently reported. However, incidence of radiation-induced rib fracture after SBRT using moderate fraction sizes with a long-term follow-up time are not clarified. We examined incidence and risk factors of radiation-induced rib fracture after SBRT using moderate fraction sizes for the patients with peripherally located lung tumor. During 2003-2008, 41 patients with 42 lung tumors were treated with SBRT to 54-56 Gy in 9-7 fractions. The endpoint in the study was radiation-induced rib fracture detected by CT scan after the treatment. All ribs where the irradiated doses were more than 80% of prescribed dose were selected and contoured to build the dose-volume histograms (DVHs). Comparisons of the several factors obtained from the DVHs and the probabilities of rib fracture calculated by Kaplan-Meier method were performed in the study. Median follow-up time was 68 months. Among 75 contoured ribs, 23 rib fractures were observed in 34% of the patients during 16-48 months after SBRT, however, no patients complained of chest wall pain. The 4-year probabilities of rib fracture for maximum dose of ribs (Dmax) more than and less than 54 Gy were 47.7% and 12.9% (p = 0.0184), and for fraction size of 6, 7 and 8 Gy were 19.5%, 31.2% and 55.7% (p = 0.0458), respectively. Other factors, such as D2cc, mean dose of ribs, V10-55, age, sex, and planning target volume were not significantly different. The doses and fractionations used in this study resulted in no clinically significant rib fractures for this population, but that higher Dmax and dose per fraction treatments resulted in an increase in asymptomatic grade 1 rib fractures.

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

An investigation of the constituent elements and modes of fracture of in vivo fractured metallic posts.

PubMed

Fox, Kathryn; Wood, David J; Youngson, Callum C

2007-01-01

The objective of this investigation was to determine the materials used in metallic post and core construction and investigate and the modes of failure that occurred resulting in post fracture. Eighty-five fractured metal posts were clinically retrieved over a 5-year period. The tooth with the fractured post, and relevant clinical details were recorded. Investigation of the fractured posts was undertaken to determine their constituent elements and modes of fracture using scanning electron microscopy (SEM) and energy-dispersive X-ray analysis (EDX). The results showed that 77% of the posts were cast and 23% wrought. The modes of fracture were ductile (67%) or brittle (52%) although some posts exhibited both within the same specimen. In addition, evidence of fatigue was present in 20% of posts and porosity in 48%. A large variety of materials were used in the construction of post and cores although low-gold silver-palladium alloy most commonly encountered. Their failure was predominantly ductile in nature although a significant amount of brittle fracture was also noted. Porosity within castings also appeared to be a contributory factor in some cases and this was particularly evident in high-palladium castings. Evidence of fatigue was noted in a minority of posts.

Correlation between vortices and wall shear stress in a curved artery model under pulsatile flow conditions

NASA Astrophysics Data System (ADS)

Cox, Christopher; Plesniak, Michael W.

2017-11-01

One of the most physiologically relevant factors within the cardiovascular system is the wall shear stress. The wall shear stress affects endothelial cells via mechanotransduction and atherosclerotic regions are strongly correlated with curvature and branching in the human vasculature, where the shear stress is both oscillatory and multidirectional. Also, the combined effect of curvature and pulsatility in cardiovascular flows produces unsteady vortices. In this work, our goal is to assess the correlation between multiple vortex pairs and wall shear stress. To accomplish this, we use an in-house high-order flux reconstruction Navier-Stokes solver to simulate pulsatile flow of a Newtonian blood-analog fluid through a rigid 180° curved artery model. We use a physiologically relevant flow rate and generate results using both fully developed and uniform entrance conditions, the latter motivated by the fact that flow upstream to a curved artery may not be fully developed. Under these two inflow conditions, we characterize the evolution of various vortex pairs and their subsequent effect on several wall shear stress metrics. Supported by GW Center for Biomimetics and Bioinspired Engineering.

Abdominal Obesity and Risk of Hip Fracture: A Systematic Review and Meta-Analysis of Prospective Studies.

PubMed

Sadeghi, Omid; Saneei, Parvaneh; Nasiri, Morteza; Larijani, Bagher; Esmaillzadeh, Ahmad

2017-09-01

Data on the association between general obesity and hip fracture were summarized in a 2013 meta-analysis; however, to our knowledge, no study has examined the association between abdominal obesity and the risk of hip fracture. The present systematic review and meta-analysis of prospective studies was undertaken to summarize the association between abdominal obesity and the risk of hip fracture. We searched online databases for relevant publications up to February 2017, using relevant keywords. In total, 14 studies were included in the systematic review and 9 studies, with a total sample size of 295,674 individuals (129,964 men and 165,703 women), were included in the meta-analysis. Participants were apparently healthy and aged ≥40 y. We found that abdominal obesity (defined by various waist-hip ratios) was positively associated with the risk of hip fracture (combined RR: 1.24, 95% CI: 1.05, 1.46, P = 0.01). Combining 8 effect sizes from 6 studies, we noted a marginally significant positive association between abdominal obesity (defined by various waist circumferences) and the risk of hip fracture (combined RR: 1.36; 95% CI: 0.97, 1.89, P = 0.07). This association became significant in a fixed-effects model (combined effect size: 1.40, 95% CI: 1.25, 1.58, P < 0.001). Based on 5 effect sizes, we found that a 0.1-U increase in the waist-hip ratio was associated with a 16% increase in the risk of hip fracture (combined RR: 1.16, 95% CI: 1.04, 1.29, P = 0.007), whereas a 10-cm increase in waist circumference was not significantly associated with a higher risk of hip fracture (combined RR: 1.13, 95% CI: 0.94, 1.36, P = 0.19). This association became significant, however, when we applied a fixed-effects model (combined effect size: 1.21, 95% CI: 1.15, 1.27, P < 0.001). We found that abdominal obesity was associated with a higher risk of hip fracture in 295,674 individuals. Further studies are needed to test whether there are associations between abdominal obesity and fractures at other bone sites. © 2017 American Society for Nutrition.

Regenerative treatment of an immature, traumatized tooth with apical periodontitis: report of a case.

PubMed

Cotti, Elisabetta; Mereu, Manuela; Lusso, Daniela

2008-05-01

This case report describes the treatment of a necrotic immature permanent central incisor with complete crown fracture, suspected root fracture, and sinus tract, which was not treated with conventional apexification techniques. Instead, a regenerative approach based on the trauma literature's methods for revascularization was provided. The root canal was gently debrided of necrotic tissue with a sharp spoon excavator and irrigated for only one third of its length with NaOCl and then medicated with calcium hydroxide. After 15 days the sinus tract had healed, and the tooth was asymptomatic. The tooth was accessed, calcium hydroxide was removed, bleeding was stimulated to form an intracanal blood clot, and mineral trioxide aggregate was placed coronally to the blood clot. After 8 months, a coronal calcified barrier was radiographically evident and accompanied with progressive thickening of the root wall and apical closure. Two and a half years after treatment was initiated, the tooth remained asymptomatic, and the sinus tract had not reappeared. The progressive increase in the thickness of the dentinal walls and subsequent apical development suggest that appropriate biologic responses can occur with this type of treatment of the necrotic immature permanent tooth with sinus tract.

Numerical simulation based on core analysis of a single fracture in an Enhanced Geothermal System

NASA Astrophysics Data System (ADS)

Jarrahi, Miad; Holländer, Hartmut

2017-04-01

The permeability of reservoirs is widely affected by the presence of fractures dispersed within them, as they form superior paths for fluid flow. Core analysis studies the fractures characteristics and explains the fluid-rock interactions to provide the information of permeability and saturation of a hydraulic fracturing reservoir or an enhanced geothermal system (EGS). This study conducted numerical simulations of a single fracture in a Granite core obtained from a depth of 1890 m in borehole EPS1 from Soultz-sous-Forêts, France. Blaisonneau et al. (2016) designed the apparatus to investigate the complex physical phenomena on this cylindrical sample. The method of the tests was to percolate a fluid through a natural fracture contained in a rock sample, under controlled thermo-hydro-mechanical conditions. A divergent radial flow within the fracture occurred due to the injection of fluid into the center of the fracture. The tests were performed within a containment cell with a normal stress of 2.6, 4.9, 7.2 and 9.4 MPa loading on the sample perpendicular to the fracture plane. This experiment was numerically performed to provide an efficient numerical method by modeling single phase flow in between the fracture walls. Detailed morphological features of the fracture such as tortuosity and roughness, were obtained by image processing. The results included injection pressure plots with respect to injection flow rate. Consequently, by utilizing Hagen-Poiseuille's cubic law, the equivalent hydraulic aperture size, of the fracture was derived. Then, as the sample is cylindrical, to modify the Hagen-Poiseuille's cubic law for circular parallel plates, the geometric relation was applied to obtain modified hydraulic aperture size. Finally, intrinsic permeability of the fracture under each mechanical normal stress was evaluated based on modified hydraulic aperture size. The results were presented in two different scenarios, before and after reactive percolation test, to demonstrate the effect of chemical reactive flow. The fracture after percolation test showed larger equivalent aperture size and higher permeability. Additionally, the higher the normal stress, the lower permeability was investigated. This confirmed the permeability evolution due to chemical percolation and mechanical loading. All results showed good agreements with corresponding experimental results provided by Blaisonneau et al. (2016). Keyword: Core analysis, Hydraulic fracturing, Enhanced geothermal system, Permeability, Fluid-rock interactions.

The use of surface geophysical techniques to detect fractures in bedrock; an annotated bibliography

USGS Publications Warehouse

Lewis, Mark R.; Haeni, F.P.

1987-01-01

This annotated bibliography compiles references about the theory and application of surface geophysical techniques to locate fractures or fracture zones within bedrock units. Forty-three publications are referenced, including journal articles, theses, conference proceedings, abstracts, translations, and reports prepared by private contractors and U.S. Government agencies. Thirty-one of the publications are annotated. The remainder are untranslated foreign language articles, which are listed only as bibliographic references. Most annotations summarize the location, geologic setting, surface geophysical technique used, and results of a study. A few highly relevant theoretical studies are annotated also. Publications that discuss only the use of borehole geophysical techniques to locate fractures are excluded from this bibliography. Also excluded are highly theoretical works that may have little or no known practical application.

The effect of whole body vibration on fracture healing - a systematic review.

PubMed

Wang, J; Leung, K S; Chow, S K; Cheung, W H

2017-09-07

This systematic review examines the efficacy and safety of whole body vibration (WBV) on fracture healing. A systematic literature search was conducted with relevant keywords in PubMed and Embase, independently, by two reviewers. Original animal and clinical studies about WBV effects on fracture healing with available full-text and written in English were included. Information was extracted from the included studies for review. In total, 19 articles about pre-clinical studies were selected. Various vibration regimes are reported; of those, the frequencies of 35 Hz and 50 Hz show better results than others. Most of the studies show positive effects on fracture healing after vibration treatment and the responses to vibration are better in ovariectomised (OVX) animals than non-OVX ones. However, several studies provide insufficient evidence to support an improvement of fracture healing after vibration and one study even reports disruption of fracture healing after vibration. In three studies, vibration results in positive effects on angiogenesis at the fracture site and surrounding muscles during fracture healing. No serious complications or side effects of vibration are found in these studies. WBV is suggested to be beneficial in improving fracture healing in animals without safety problem reported. In order to apply vibration on fractured patients, more well-designed randomised controlled clinical trials are needed to examine its efficacy, regimes and safety.

Image-Guided Surgical Robotic System for Percutaneous Reduction of Joint Fractures.

PubMed

Dagnino, Giulio; Georgilas, Ioannis; Morad, Samir; Gibbons, Peter; Tarassoli, Payam; Atkins, Roger; Dogramadzi, Sanja

2017-11-01

Complex joint fractures often require an open surgical procedure, which is associated with extensive soft tissue damages and longer hospitalization and rehabilitation time. Percutaneous techniques can potentially mitigate these risks but their application to joint fractures is limited by the current sub-optimal 2D intra-operative imaging (fluoroscopy) and by the high forces involved in the fragment manipulation (due to the presence of soft tissue, e.g., muscles) which might result in fracture malreduction. Integration of robotic assistance and 3D image guidance can potentially overcome these issues. The authors propose an image-guided surgical robotic system for the percutaneous treatment of knee joint fractures, i.e., the robot-assisted fracture surgery (RAFS) system. It allows simultaneous manipulation of two bone fragments, safer robot-bone fixation system, and a traction performing robotic manipulator. This system has led to a novel clinical workflow and has been tested both in laboratory and in clinically relevant cadaveric trials. The RAFS system was tested on 9 cadaver specimens and was able to reduce 7 out of 9 distal femur fractures (T- and Y-shape 33-C1) with acceptable accuracy (≈1 mm, ≈5°), demonstrating its applicability to fix knee joint fractures. This study paved the way to develop novel technologies for percutaneous treatment of complex fractures including hip, ankle, and shoulder, thus representing a step toward minimally-invasive fracture surgeries.

Laboratory imaging of hydraulic fractures using microseismicity

NASA Astrophysics Data System (ADS)

Zeng, Zhengwen

2002-09-01

This dissertation starts with an investigation of the industry's needs for future research and development of hydraulic fracturing (HF) technology. Based on the investigation results of a questionnaire answered by some industrial experts, it was found that reliable hydraulic fracturing diagnostic techniques are in need. Further critical review showed that the microseismic method was one of the most promising techniques that needed further development. Developing robust algorithms and software for locating the coordinates of hydraulic fracturing-induced microseismic events, and for simulating the first motion of the induced waveforms were central tasks for this research. In addition, initiation and propagation characteristics of asymmetrical hydraulic fractures were investigated; a recent discovered tight gas sandstone was systematically characterized; a method for measuring Mode-I fracture toughness was upgraded; and the packer influence on the initiation of asymmetrical fractures was numerically simulated. By completing this research, the following contributions have been made: (1) Development of a simplex-based microseismic LOCATION program. This program overcame the shortcoming of ill-conditioning-prone conditions encountered in conventional location programs. (2) Development of a variance-based computer program, ArrTime, to automatically search the first arrival times from the full waveform data points. (3) Development of the first motion simulator of the induced microseismic waveforms. Using this program, the first motion waveform amplitude in any direction at any location induced from seismic sources at an arbitrary location in a known fracturing mode can be calculated. (4) Complete characterization of a newly discovered tight gas formation, the Jackfork sandstone. (5) Upgrade of a core sample-based method for the measurement of fracture toughness. Mode-I fracture toughness of common core samples in any direction can be measured using this method. (6) Discern of the packer influence on HF initiation. It is numerically shown that a properly functioning packer would transfer tensile stress concentrations from the sealed ends to the borehole wall in the maximum principal stress direction. In contrast, a malfunctioning packer would induce tensile stress concentrations at the sealed ends that, in turn, induces transverse fractures. (7) Image of dynamics of the asymmetrical hydraulic fracture initiation and propagation.

Multidisciplinary approach to chest wall resection and reconstruction for chest wall tumors, a single center experience

PubMed Central

Liparulo, Valeria; Pica, Alessandra; Guarro, Giuseppe; Alfano, Carmine; Puma, Francesco

2017-01-01

Background Chest wall resection and reconstruction (CWRR) is quite challenging in surgery, due to evolution in techniques. Neoplasms of the chest wall, primary or secondary, have been considered inoperable for a long time. Thanks to evolving surgical techniques, reconstruction after extensive chest wall resection is possible with good functional and aesthetic results. Methods In our single-center experience, seven cases of extensive CWRR for tumors were performed with a multidisciplinary approach by both thoracic and plastic surgeons. Patients have been retrospective analyzed. Results Acceptable clinical and aesthetical results have been recorded, with a smooth post-operative course and a low rate of post-surgical complications. Two early complications and one late complication (asymptomatic bone allograft fracture on the site of the bar implant) were recorded. Neither postoperative deaths nor local recurrences were registered after a median follow-up period of 13 months. Conclusions Surgical planning is most effective when it is tailored to the patient. Specifically, in the treatment of selected chest wall tumors, the multidisciplinary approach is considered mandatory when an extensive demolition is required. Indeed, here, the radical wide en-bloc resection can lead to good results provided that the extent of resection is not influenced by any anticipated problem in reconstruction. PMID:29312715

Phase Field Model of Hydraulic Fracturing in Poroelastic Media: Fracture Propagation, Arrest, and Branching Under Fluid Injection and Extraction

NASA Astrophysics Data System (ADS)

Santillán, David; Juanes, Ruben; Cueto-Felgueroso, Luis

2018-03-01

The simulation of fluid-driven fracture propagation in a porous medium is a major computational challenge, with applications in geosciences and engineering. The two main families of modeling approaches are those models that represent fractures as explicit discontinuities and solve the moving boundary problem and those that represent fractures as thin damaged zones, solving a continuum problem throughout. The latter family includes the so-called phase field models. Continuum approaches to fracture face validation and verification challenges, in particular grid convergence, well posedness, and physical relevance in practical scenarios. Here we propose a new quasi-static phase field formulation. The approach fully couples fluid flow in the fracture with deformation and flow in the porous medium, discretizes flow in the fracture on a lower-dimension manifold, and employs the fluid flux between the fracture and the porous solid as coupling variable. We present a numerical assessment of the model by studying the propagation of a fracture in the quarter five-spot configuration. We study the interplay between injection flow rate and rock properties and elucidate fracture propagation patterns under the leak-off toughness dominated regime as a function of injection rate, initial fracture length, and poromechanical properties. For the considered injection scenario, we show that the final fracture length depends on the injection rate, and three distinct patterns are observed. We also rationalize the system response using dimensional analysis to collapse the model results. Finally, we propose some simplifications that alleviate the computational cost of the simulations without significant loss of accuracy.

Delay in weight bearing in surgically treated tibial shaft fractures is associated with impaired healing: a cohort analysis of 166 tibial fractures.

PubMed

Houben, I B; Raaben, M; Van Basten Batenburg, M; Blokhuis, T J

2018-04-09

The relation between timing of weight bearing after a fracture and the healing outcome is yet to be established, thereby limiting the implementation of a possibly beneficial effect for our patients. The current study was undertaken to determine the effect of timing of weight bearing after a surgically treated tibial shaft fracture. Surgically treated diaphyseal tibial fractures were retrospectively studied between 2007 and 2015. The timing of initial weight bearing (IWB) was analysed as a predictor for impaired healing in a multivariate regression. Totally, 166 diaphyseal tibial fractures were included, 86 cases with impaired healing and 80 with normal healing. The mean age was 38.7 years (range 16-89). The mean time until IWB was significantly shorter in the normal fracture healing group (2.6 vs 7.4 weeks, p < 0.001). Correlation analysis yielded four possible confounders: infection requiring surgical intervention, fracture type, fasciotomy and open fractures. Logistic regression identified IWB as an independent predictor for impaired healing with an odds ratio of 1.13 per week delay (95% CI 1.03-1.25). Delay in initial weight bearing is independently associated with impaired fracture healing in surgically treated tibial shaft fractures. Unlike other factors such as fracture type or soft tissue condition, early resumption of weight bearing can be influenced by the treating physician and this factor therefore has a direct clinical relevance. This study indicates that early resumption of weight bearing should be the treatment goal in fracture fixation. 3b.

Are Carotid Stent Fractures Clinically Significant?

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

Garcia-Toca, Manuel; Rodriguez, Heron E.; Naughton, Peter A.

2012-04-15

Purpose: Late stent fatigue is a known complication after carotid artery stenting (CAS) for cervical carotid occlusive disease. The purpose of this study was to determine the prevalence and clinical significance of carotid stent fractures. Materials and Methods: A single-center retrospective review of 253 carotid bifurcation lesions treated with CAS and mechanical embolic protection from April 2001 to December 2009 was performed. Stent integrity was analyzed by two independent observers using multiplanar cervical plain radiographs with fractures classified into the following types: type I = single strut fracture; type II = multiple strut fractures; type III = transverse fracture; andmore » type IV = transverse fracture with dislocation. Mean follow-up was 32 months. Results: Follow-up imaging was completed on 106 self-expanding nitinol stents (26 closed-cell and 80 open-cell stents). Eight fractures (7.5%) were detected (type I n = 1, type II n = 6, and type III n = 1). Seven fractures were found in open-cell stents (Precise n = 3, ViVEXX n = 2, and Acculink n = 2), and 1 fracture was found in a closed-cell stent (Xact n = 1) (p = 0.67). Only a previous history of external beam neck irradiation was associated with fractures (p = 0.048). No associated clinical sequelae were observed among the patients with fractures, and only 1 patient had an associated significant restenosis ({>=}80%) requiring reintervention. Conclusions: Late stent fatigue after CAS is an uncommon event and rarely clinically relevant. Although cell design does not appear to influence the occurrence of fractures, lesion characteristics may be associated risk factors.« less

[One case report: removal of foreign body in ethmoidal sinus-medial orbital wall through nose assisted by endoscope].

PubMed

Yang, Zeyin; Yang, Xiaohong

2013-07-01

The patient was male, 20 years old, and complained of pain, bleeding and decreased vision after the right eye was injured by nail for an hour. right exophthalmos, conjunctival edema, skin laceration at the lower eyelid of right eye, limitation of eye movement, asymmetric eyes and weak light-reflecting. X-ray showed: metallic foreign body shadow in the right orbit, 0.5 cm x 0.4 cm approximately. Orbit and paranasal sinus CT showed: 1 hematoma of the right eye and inside. 2 high density foreign body embedded in the bone wall of the inside of right orbit and ethmoid. 3 medial wall fracture of right eye orbit. 4 bilateral maxillary sinus and right ethmoidal sinus effusion. 5 slightly left side of nasal septum. The patient was initially diagnosed as foreign body in right ethmoidal sinus, skin laceration of right lower eyelid, retrobulbar hematoma.

Quantitative Analysis of Thermal Anomalies in the DFDP-2B Borehole, New Zealand

NASA Astrophysics Data System (ADS)

Janků-Čápová, Lucie; Sutherland, Rupert; Townend, John

2017-04-01

The DFDP-2B borehole, which was drilled in the Whataroa Valley, South Island, New Zealand in late 2014, provides a unique opportunity to study the conditions in the hanging wall of a plate boundary fault, the Alpine Fault, which is late in its seismic cycle. High geothermal gradient of > 125°C/km encountered in the borehole drew attention to the thermal structure of the valley, as well as of the Alpine Fault's hanging wall as a whole. A detailed analysis of temperature logs measured during drilling of the DFDP-2B borehole, reveals two distinct portions of the signal containing information on different processes. The long-wavelength portion of the temperature signal, i.e. the overall trend (hundreds of metres), reflects the response of the rock environment to the disturbance caused by drilling and permits an estimation of the thermal diffusivity of the rock based on the rate of temperature recovery. The short-wavelength (tens of metres to tens of centimetres) signal represents the local anomalies caused by lithological variations or, more importantly, by fluid flow into or out of the borehole along fractures. By analysing these distinct features, we can identify anomalous zones that manifest in other wireline data (resistivity, BHTV) and are likely attributable to permeable fractures. Here we present a novel method of quantitative analysis of the short-wavelength temperature anomalies. This method provides a precise and objective way to determine the position, width and amplitude of temperature anomalies and facilitates the interpretation of temperature logs, which is of a particular importance in estimation of flow in a fractured aquifer.

Carbon nanotubes play an important role in the spatial arrangement of calcium deposits in hydrogels for bone regeneration.

PubMed

Cancian, Giulia; Tozzi, Gianluca; Hussain, Amirul Ashraf Bin; De Mori, Arianna; Roldo, Marta

2016-08-01

Age related bone diseases such as osteoporosis are considered among the main causes of reduced bone mechanical stability and bone fractures. In order to restore both biological and mechanical function of diseased/fractured bones, novel bioactive scaffolds that mimic the bone structure are constantly under development in tissue engineering applications. Among the possible candidates, chitosan-based thermosensitive hydrogel scaffolds represent ideal systems due to their biocompatibility, biodegradability, enhanced antibacterial properties, promotion of osteoblast formation and ease of injection, which makes them suitable for less invasive surgical procedures. As a main drawback, these chitosan systems present poor mechanical performance that could not support load-bearing applications. In order to produce more mechanically-competent biomaterials, the combined addition of hydroxyapatite and carbon nanotubes (CNTs) is proposed in this study. Specifically, the aim of this work is to develop thermosensitive chitosan hydrogels containing stabilised single-walled and multi-walled CNTs, where their effect on the mechanical/physiochemical properties, calcium deposition patterns and ability to provide a platform for the controlled release of protein drugs was investigated. It was found that the addition of CNTs had a significant effect on the sol-gel transition time and significantly increased the resistance to compression for the hydrogels. Moreover, in vitro calcification studies revealed that CNTs played a major role in the spatial arrangements of newly formed calcium deposits in the composite materials studied, suggesting that they may have a role in the way the repair of fragile and/or fractured bones occurs in vivo.

A Trigger Mechanism for Volcanic Low-Frequency Seismic Events on Montserrat

NASA Astrophysics Data System (ADS)

Neuberg, J. W.; Tuffen, H.; Jolly, A.; Green, D.

2003-12-01

Seismic observations of low-frequency earthquake swarms on Montserrat point to a non-destructive, repeatable source mechanism in a confined area inside or near the conduit. While the seismic wave propagation pattern of the subsequent resonance in and around the conduit is well studied, the trigger mechanism has remained elusive. In this contribution we suggest a trigger mechanism based on new field evidence for fracture and healing of magma in volcanic conduits, together with seismic observations from Montserrat and finite element modelling of magma deformation during conduit flow. As a seismic trigger we suggest a stick-slip motion of highly-viscous magma in the glass transition, that periodically generates networks of seismogenic shear fractures a few metres in length. These fractures are rapidly filled by fine-grained material [cataclasite] that is generated by friction processes on the fracture surfaces, such as corner abrasion, and is locally redeposited by gas flowing within the fracture system. Filled fractures are then swiftly healed as reloading leads to annealing and a return to cohesive viscous deformation. Such a fast healing process, probably on the order of tens of seconds, leads to a repeatable trigger mechanism. Due to a strong lateral viscosity gradient in the conduit, highly-viscous magma near the conduit walls, which can exhibit brittle behaviour, co-exists with low-viscosity, fluid magma in the conduit centre; such that brittle failure provides the seismic trigger mechanism while the fluid part can still act as a seismic resonator.

Improving the mechanical properties of nano-hydroxyapatite

NASA Astrophysics Data System (ADS)

Khanal, Suraj Prasad

Hydroxyapatite (HAp) is an ideal bioactive material that is used in orthopedics. Chemical composition and crystal structure properties of HAp are similar to the natural bone hence it promotes bone growth. However, its mechanical properties of synthetic HAp are not sufficient for major load-bearing bone replacement. The potential of improving the mechanical properties of synthetic hydroxyapatite (HAp) by incorporating carboxyl functionalized single walled carbon nanotubes (CfSWCNT) and polymerized epsilon-caprolactam (nylon) is studied. The fracture toughness, tensile strength, Young's modulus, stiffness and fracture energy were studied for a series of HAp samples with CfSWCNT concentrations varying from 0 to 1.5 wt. % without, and with nylon addition. X-ray diffraction (XRD), Scanning Electron Microscopy (SEM), Transmission Electron Microscopy (TEM) and Differential Scanning Calorimetry (DSC) were used to characterize the samples. The fracture toughness and tensile test was performed under the standard protocol of ASTM D5045 and ASTM D638-02a respectively. Reproducible maximum values of (3.60 +/- 0.3) MPa.m1/2 for fracture toughness and 65.38 MPa for tensile strength were measured for samples containing 1 wt. % CfSWCNT and nylon. The Young's modulus, stiffness and fracture energy of the samples are 10.65 GPa, 1482.12 N/mm, and 644 J/m2 respectively. These values are comparable to those of the cortical bone. Further increase of the CfSWCNT content results to a decreased fracture toughness and tensile strength and formation of a secondary phase.

Seismic behavior of outrigger truss-wall shear connections using multiple steel angles

NASA Astrophysics Data System (ADS)

Li, Xian; Wang, Wei; Lü, Henglin; Zhang, Guangchang

2016-06-01

An experimental investigation on the seismic behavior of a type of outrigger truss-reinforced concrete wall shear connection using multiple steel angles is presented. Six large-scale shear connection models, which involved a portion of reinforced concrete wall and a shear tab welded onto a steel endplate with three steel angles, were constructed and tested under combined actions of cyclic axial load and eccentric shear. The effects of embedment lengths of steel angles, wall boundary elements, types of anchor plates, and thicknesses of endplates were investigated. The test results indicate that properly detailed connections exhibit desirable seismic behavior and fail due to the ductile fracture of steel angles. Wall boundary elements provide beneficial confinement to the concrete surrounding steel angles and thus increase the strength and stiffness of connections. Connections using whole anchor plates are prone to suffer concrete pry-out failure while connections with thin endplates have a relatively low strength and fail due to large inelastic deformations of the endplates. The current design equations proposed by Chinese Standard 04G362 and Code GB50011 significantly underestimate the capacities of the connection models. A revised design method to account for the influence of previously mentioned test parameters was developed.

Discussion of comparison study of hydraulic fracturing models -- Test case: GRI Staged Field Experiment No. 3

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

Cleary, M.P.

This paper provides comments to a companion journal paper on predictive modeling of hydraulic fracturing patterns (N.R. Warpinski et. al., 1994). The former paper was designed to compare various modeling methods to demonstrate the most accurate methods under various geologic constraints. The comments of this paper are centered around potential deficiencies in the former authors paper which include: limited actual comparisons offered between models, the issues of matching predictive data with that from related field operations was lacking or undocumented, and the relevance/impact of accurate modeling on the overall hydraulic fracturing cost and production.

Giant adsorption of microswimmers: Duality of shape asymmetry and wall curvature

NASA Astrophysics Data System (ADS)

Wysocki, Adam; Elgeti, Jens; Gompper, Gerhard

2015-05-01

The effect of shape asymmetry of microswimmers on their adsorption capacity at confining channel walls is studied by a simple dumbbell model. For a shape polarity of a forward-swimming cone, like the stroke-averaged shape of a sperm, extremely long wall retention times are found, caused by a nonvanishing component of the propulsion force pointing steadily into the wall, which grows exponentially with the self-propulsion velocity and the shape asymmetry. A direct duality relation between shape asymmetry and wall curvature is proposed and verified. Our results are relevant for the design microswimmer with controlled wall-adhesion properties. In addition, we confirm that pressure in active systems is strongly sensitive to the details of the particle-wall interactions.

Posttraumatic Intracranial Tuberculous Subdural Empyema in a Patient with Skull Fracture

PubMed Central

Kim, Jiha; Kim, Choonghyo; Ryu, Young-Joon

2016-01-01

Intracranial tuberculous subdural empyema (ITSE) is extremely rare. To our knowledge, only four cases of microbiologically confirmed ITSE have been reported in the English literature to date. Most cases have arisen in patients with pulmonary tuberculosis regardless of trauma. A 46-year-old man presented to the emergency department after a fall. On arrival, he complained of pain in his head, face, chest and left arm. He was alert and oriented. An initial neurological examination was normal. Radiologic evaluation revealed multiple fractures of his skull, ribs, left scapula and radius. Though he had suffered extensive skull fractures of his cranium, maxilla, zygoma and orbital wall, the sustained cerebral contusion and hemorrhage were mild. Eighteen days later, he suddenly experienced a general tonic-clonic seizure. Radiologic evaluation revealed a subdural empyema in the left occipital area that was not present on admission. We performed a craniotomy, and the empyema was completely removed. Microbiological examination identified Mycobacterium tuberculosis (M. tuberculosis). After eighteen months of anti-tuberculous treatment, the empyema disappeared completely. This case demonstrates that tuberculosis can induce empyema in patients with skull fractures. Thus, we recommend that M. tuberculosis should be considered as the probable pathogen in cases with posttraumatic empyema. PMID:27226867

Phase field modeling of brittle fracture for enhanced assumed strain shells at large deformations: formulation and finite element implementation

NASA Astrophysics Data System (ADS)

Reinoso, J.; Paggi, M.; Linder, C.

2017-06-01

Fracture of technological thin-walled components can notably limit the performance of their corresponding engineering systems. With the aim of achieving reliable fracture predictions of thin structures, this work presents a new phase field model of brittle fracture for large deformation analysis of shells relying on a mixed enhanced assumed strain (EAS) formulation. The kinematic description of the shell body is constructed according to the solid shell concept. This enables the use of fully three-dimensional constitutive models for the material. The proposed phase field formulation integrates the use of the (EAS) method to alleviate locking pathologies, especially Poisson thickness and volumetric locking. This technique is further combined with the assumed natural strain method to efficiently derive a locking-free solid shell element. On the computational side, a fully coupled monolithic framework is consistently formulated. Specific details regarding the corresponding finite element formulation and the main aspects associated with its implementation in the general purpose packages FEAP and ABAQUS are addressed. Finally, the applicability of the current strategy is demonstrated through several numerical examples involving different loading conditions, and including linear and nonlinear hyperelastic constitutive models.

The Effects of Fracture Origin Size on Fatigue Properties of Ductile Cast Iron with Small Chill Structures

NASA Astrophysics Data System (ADS)

Sameshima, Daigo; Nakamura, Takashi; Horikawa, Noritaka; Oguma, Hiroyuki; Endo, Takeshi

Reducing the weight of a machine structure is an increasingly important consideration both for the conservation of resources during production and for the energy saving during operation. With these objectives in mind, thin-walled ductile cast iron has recently been developed. Because rapid cooling could result in brittle microstructure of cementite (chill) in this cast iron, it is necessary to investigate the effect of cementite on the fatigue properties. Therefore, fatigue tests were carried out on a ductile cast iron of block castings which contained a relatively small amount of cementite. Fracture surface observation indicated that the fracture origins were located at graphite clusters and cast shrinkage porosity, not at cementite. It appears that when the size of the cementite is smaller than that of the graphite, the cementite does not affect the fatigue properties of ductile cast iron. Not surprisingly, the fatigue lives were found to increase with decrease in the size of the fatigue fracture origin. The threshold initial stress intensity factor range ΔKini,th for fatigue failure was found to be about 3-4MPa√m, independent of microstructure.

[Application of three-dimensional printing personalized acetabular wing-plate in treatment of complex acetabular fractures via lateral-rectus approach].

PubMed

Mai, J G; Gu, C; Lin, X Z; Li, T; Huang, W Q; Wang, H; Tan, X Y; Lin, H; Wang, Y M; Yang, Y Q; Jin, D D; Fan, S C

2017-03-01

Objective: To investigate reduction and fixation of complex acetabular fractures using three-dimensional (3D) printing technique and personalized acetabular wing-plate via lateral-rectus approach. Methods: From March to July 2016, 8 patients with complex acetabular fractures were surgically managed through 3D printing personalized acetabular wing-plate via lateral-rectus approach at Department of Orthopedics, the Third Affiliated Hospital of Southern Medical University. There were 4 male patients and 4 female patients, with an average age of 57 years (ranging from 31 to 76 years). According to Letournel-Judet classification, there were 2 anterior+ posterior hemitransverse fractures and 6 both-column fractures, without posterior wall fracture or contralateral pelvic fracture. The CT data files of acetabular fracture were imported into the computer and 3D printing technique was used to print the fractures models after reduction by digital orthopedic technique. The acetabular wing-plate was designed and printed with titanium. All fractures were treated via the lateral-rectus approach in a horizontal position after general anesthesia. The anterior column and the quadrilateral surface fractures were fixed by 3D printing personalized acetabular wing-plate, and the posterior column fractures were reduction and fixed by antegrade lag screws under direct vision. Results: All the 8 cases underwent the operation successfully. Postoperative X-ray and CT examination showed excellent or good reduction of anterior and posterior column, without any operation complications. Only 1 case with 75 years old was found screw loosening in the pubic bone with osteoporosis after 1 month's follow-up, who didn't accept any treatment because the patient didn't feel discomfort. According to the Matta radiological evaluation, the reduction of the acetabular fracture was rated as excellent in 3 cases, good in 4 cases and fair in 1 case. All patients were followed up for 3 to 6 months and all patients had achieved bone union. According to the modified Merle D'Aubigné and Postel scoring system, 5 cases were excellent, 2 cases were good, 1 case was fair. Conclusions: Surgical management of complex acetabular fracture via lateral-rectus approach combine with 3D printing personalized acetabular wing-plate can effectively improve reduction quality and fixation effect. It will be truly accurate, personalized and minimally invasive.

Particle Swarms in Fractures: Open Versus Partially Closed Systems

NASA Astrophysics Data System (ADS)

Boomsma, E.; Pyrak-Nolte, L. J.

2014-12-01

In the field, fractures may be isolated or connected to fluid reservoirs anywhere along the perimeter of a fracture. These boundaries affect fluid circulation, flow paths and communication with external reservoirs. The transport of drop like collections of colloidal-sized particles (particle swarms) in open and partially closed systems was studied. A uniform aperture synthetic fracture was constructed using two blocks (100 x 100 x 50 mm) of transparent acrylic placed parallel to each other. The fracture was fully submerged a tank filled with 100cSt silicone oil. Fracture apertures were varied from 5-80 mm. Partially closed systems were created by sealing the sides of the fracture with plastic film. The four boundary conditions study were: (Case 1) open, (Case 2) closed on the sides, (Case 3) closed on the bottom, and (Case 4) closed on both the sides and bottom of the fracture. A 15 μL dilute suspension of soda-lime glass particles in oil (2% by mass) were released into the fracture. Particle swarms were illuminated using a green (525 nm) LED array and imaged with a CCD camera. The presence of the additional boundaries modified the speed of the particle swarms (see figure). In Case 1, enhanced swarm transport was observed for a range of apertures, traveling faster than either very small or very large apertures. In Case 2, swarm velocities were enhanced over a larger range of fracture apertures than in any of the other cases. Case 3 shifted the enhanced transport regime to lower apertures and also reduced swarm speed when compared to Case 2. Finally, Case 4 eliminated the enhanced transport regime entirely. Communication between the fluid in the fracture and an external fluid reservoir resulted in enhanced swarm transport in Cases 1-3. The non-rigid nature of a swarm enables drag from the fracture walls to modify the swarm geometry. The particles composing a swarm reorganize in response to the fracture, elongating the swarm and maintaining its density. Unlike a drop or solid sphere, fracture boundaries do not exclusively decelerate swarm motion but instead produce enhanced swarm transport. Acknowledgments: This material is based upon work supported by the U.S. Department of Energy, Office of Science, Office of Basic Energy Sciences, Geosciences Research Program under Award Number (DE-FG02-09ER16022).

Numerical and Experimental Studies of Particle Settling in Real Fracture Geometries

NASA Astrophysics Data System (ADS)

Roy, Pratanu; Du Frane, Wyatt L.; Kanarska, Yuliya; Walsh, Stuart D. C.

2016-11-01

Proppant is a vital component of hydraulic stimulation operations, improving conductivity by maintaining fracture aperture. While correct placement is a necessary part of ensuring that proppant performs efficiently, the transport behavior of proppant in natural rock fractures is poorly understood. In particular, as companies pursue new propping strategies involving new types of proppant, more accurate models of proppant behavior are needed to help guide their deployment. A major difficulty with simulating reservoir-scale proppant behavior is that continuum models traditionally used to represent large-scale slurry behavior loose applicability in fracture geometries. Particle transport models are often based on representative volumes that are at the same scale or larger than fractures found in hydraulic fracturing operations, making them inappropriate for modeling these types of flows. In the absence of a first-principles approach, empirical closure relations are needed. However, even such empirical closure relationships are difficult to derive without an accurate understanding of proppant behavior on the particle level. Thus, there is a need for experiments and simulations capable of probing phenomena at the sub-fracture scale. In this paper, we present results from experimental and numerical studies investigating proppant behavior at the sub-fracture level, in particular, the role of particle dispersion during proppant settling. In the experimental study, three-dimensional printing techniques are used to accurately reproduce the topology of a fractured Marcellus shale sample inside a particle-flow cell. By recreating the surface in clear plastic resin, proppant movement within the fracture can be tracked directly in real time without the need for X-ray imaging. Particle tracking is further enhanced through the use of mixtures of transparent and opaque proppant analogues. The accompanying numerical studies employ a high-fidelity three-dimensional particle-flow model, capable of explicitly representing the particles, the fracture surface and the interstitial fluid flow. Both studies reveal large-scale vortex motion during particle settling. For the most part, this behavior is independent of the fracture topology, instead driven by interactions between the sinking particles and the upwelling interstitial fluid. This motion results in large amounts of particle dispersion, significantly greater than might be expected from traditional slurry models. The competition between the particles and the fluid also results in a redistribution of particles toward the fracture walls, which has significant implications for the transport of proppant along the fracture.

Development of technical means for directional hydraulic fracturing with shearing loading of borehole walls

NASA Astrophysics Data System (ADS)

Rybalkin, LA; Patutin, AV; Patutin, DV

2018-03-01

During the process of mineral deposits’ mining one of the most important conditions for safe and economically profitable work of a mining enterprise is obtaining timely information on the stress state of the developed massif. One of the most common methods of remote study of the geomechanical state of the rock massif is hydraulic fracturing of the formation. Directional hydraulic fracturing is a type of the method employed to form cracks across production wells. This technology was most widely used in the gas industry to extract gas from shale formations. In mining, this technology is used to set up filtration screens, to integrate degassing, to soften the hard roof of coal seams. Possible practical appliance is the expansion of the application field of this technology to intensify the production of viscous oil, to leach non-ferrous metals, to create in the rock massif anti-filtration screens for various purposes, as well as to measure stresses acting along the wells.

Acoustic emission analysis of crack resistance and fracture behavior of 20GL steel having the gradient microstructure and strength

NASA Astrophysics Data System (ADS)

Nikulin, S.; Nikitin, A.; Belov, V.; Rozhnov, A.; Turilina, V.; Anikeenko, V.; Khatkevich, V.

2017-07-01

The crack resistances as well as fracture behavior of 20GL steel quenched with a fast-moving water stream and having gradient microstructure and strength are analyzed. Crack resistance tests with quenched and normalized flat rectangular specimens having different cut lengths loaded by three-point bending with acoustic emission measurements have been performed. The critical J-integral has been used as the crack resistance parameter of the material. Quenching with a fast moving water stream leads to gradient (along a specimen wall thickness) strengthening of steel due to highly refined gradient microstructure formation of the troostomartensite type. Quenching with a fast-moving water stream increases crack resistance Jc , of 20GL steel by a factor of ∼ 1.5. The fracture accrues gradually with the load in the normalized specimens while the initiated crack is hindered in the variable ductility layer and further arrested in the more ductile core in the quenched specimens.

Prevention of longitudinal crack propagation around a femoral prosthesis: a study of cerclage wire fixation.

PubMed

Difazio, F A; Incavo, S J; Howe, J D

1993-09-01

This study examined the effect of single versus triple-wrap cerclage fixation techniques in preventing propagation of a longitudinal fracture around a cementless femoral prosthesis. A proximal filling femoral component was implanted in 14 matched pairs of fresh-frozen bovine femora, following placement of a 45-mm longitudinal crack in the anteromedial cortical wall of the proximal femur. In one group of seven pairs, a single cerclage wire was applied to one specimen of each pair. A triple-wrap of a single cerclage wire was similarly placed in one specimen of each of the other seven pairs. All specimens were axially loaded on a materials testing system machine and the force required to propagate the fracture of the proximal femur was recorded. A triple-wrap cerclage technique required a significant increase in the force to propagate a proximal femur fracture around a non-cemented prosthesis when compared to a single cerclage wire. Copyright © 1993. Published by Elsevier Ltd.

A simple model for enamel fracture from margin cracks.

PubMed

Chai, Herzl; Lee, James J-W; Kwon, Jae-Young; Lucas, Peter W; Lawn, Brian R

2009-06-01

We present results of in situ fracture tests on extracted human molar teeth showing failure by margin cracking. The teeth are mounted into an epoxy base and loaded with a rod indenter capped with a Teflon insert, as representative of food modulus. In situ observations of cracks extending longitudinally upward from the cervical margins are recorded in real time with a video camera. The cracks appear above some threshold and grow steadily within the enamel coat toward the occlusal surface in a configuration reminiscent of channel-like cracks in brittle films. Substantially higher loading is required to delaminate the enamel from the dentin, attesting to the resilience of the tooth structure. A simplistic fracture mechanics analysis is applied to determine the critical load relation for traversal of the margin crack along the full length of the side wall. The capacity of any given tooth to resist failure by margin cracking is predicted to increase with greater enamel thickness and cuspal radius. Implications in relation to dentistry and evolutionary biology are briefly considered.

AISI/DOE Technology Roadmap Program: Cold Work Embrittlement of Interstitial Free Steel

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

John T Bowker; Pierre Martin

2002-10-31

This work addresses the issues of measurement of secondary cold work embrittlement (SCWE) of an IF steel in deep-drawn parts using laboratory tests, and its correlation with real part fracture. It aimed at evaluating the influence of the steel chemistry and processing condition, microstructure, and test conditions, on SCWE as well as the effect of SCWE on fatigue properties. Size 6-in. cups produced with various draw ratios or trimmed at different heights were tested to determine the ductile-to-brittle-transition temperature (DBTT) as a function of strain. The 2-in. cup/expansion test, bend test and fracture of notched specimens were also used tomore » generate information complementary to that provided by the 6-inch cup/expansion test. The relationship between laboratory tests and fracture in real parts was established by testing large-scale parts. The fatigue behavior was investigated in the as-rolled and deep drawn (high stain) conditions, using prestrained specimens taken from the wall of a formed part.« less

Observational Constraints on the Identification of Shallow Lunar Magmatism: Insights from Floor-Fractured Craters

NASA Technical Reports Server (NTRS)

Jozwiak, L. M.; Head, J. W., III; Neumann, G. A.; Wilson, L.

2016-01-01

Floor-fractured craters are a class of lunar crater hypothesized to form in response to the emplacement of a shallow magmatic intrusion beneath the crater floor. The emplacement of a shallow magmatic body should result in a positive Bouguer anomaly relative to unaltered complex craters, a signal which is observed for the average Bouguer anomaly interior to the crater walls. We observe the Bouguer anomaly of floor-fractured craters on an individual basis using the unfiltered Bouguer gravity solution from GRAIL and also a degree 100-600 band-filtered Bouguer gravity solution. The low-magnitude of anomalies arising from shallow magmatic intrusions makes identification using unfiltered Bouguer gravity solutions inconclusive. The observed anomalies in the degree 100-600 Bouguer gravity solution are spatially heterogeneous, although there is spatial correlation between volcanic surface morphologies and positive Bouguer anomalies. We interpret these observations to mean that the spatial heterogeneity observed in the Bouguer signal is the result of variable degrees of magmatic degassing within the intrusions.

The fracture and fragmentation behaviour of additively manufactured stainless steel 316L

NASA Astrophysics Data System (ADS)

Amott, R.; Harris, E. J.; Winter, R. E.; Stirk, S. M.; Chapman, D. J.; Eakins, D. E.

2017-01-01

Expanding cylinder experiments using a gas gun technique allow investigations into the ductility of metals and the fracture and fragmentation mechanisms that occur during rapid tensile failure. These experiments allow the radial strain-rate of the expansion to be varied in the range 102 to 104 s-1. Presented here is a comparative study of the fracture and fragmentation behaviour of rapidly expanded stainless steel 316L cylinders manufactured from either a wrought bar or additive manufacturing techniques. The results show that in the strain-rate regime studied, an additively manufactured cylinder failed at a higher strain and produced larger fragment widths when compared to cylinders manufactured from a wrought bar. In addition, an investigation into the role of macroscopic elongated voids that were introduced into the cylinder wall, at an angle of 45° to the cylinder radius, was undertaken. A comparison between experimental and simulated results (using the Eulerian hydrocode CTH) was also completed.

Measurement of fracture stress for 6000-series extruded aluminum alloy tube using multiaxial tube expansion testing method

NASA Astrophysics Data System (ADS)

Nagai, Keisuke; Kuwabara, Toshihiko; Ilinich, Andrey; Luckey, George

2018-05-01

A servo-controlled tension-internal pressure testing machine with an optical 3D digital image correlation system (DIC) is used to measure the multiaxial deformation behavior of an extruded aluminum alloy tube for a strain range from initial yield to fracture. The outer diameter of the test sample is 50.8 mm and wall thickness 2.8 mm. Nine linear stress paths are applied to the specimens: σɸ (axial true stress component) : σθ (circumferential true stress component) = 1:0, 4:1, 2:1, 4:3, 1:1, 3:4, 1:2, 1:4, and 0:1. The equivalent strain rate is approximately 5 × 10-4 s-1 constant. The forming limit curve (FLC) and forming limit stress curve (FLSC) are also measured. Moreover, the average true stress components inside a localized necking area are determined for each specimen from the thickness strain data for the localized necking area and the geometry of the fracture surface.

Coupled THM processes in EDZ of crystalline rocks using an elasto-plastic cellular automaton

NASA Astrophysics Data System (ADS)

Pan, Peng-Zhi; Feng, Xia-Ting; Huang, Xiao-Hua; Cui, Qiang; Zhou, Hui

2009-05-01

This paper aims at a numerical study of coupled thermal, hydrological and mechanical processes in the excavation disturbed zones (EDZ) around nuclear waste emplacement drifts in fractured crystalline rocks. The study was conducted for two model domains close to an emplacement tunnel; (1) a near-field domain and (2) a smaller wall-block domain. Goodman element and weak element were used to represent the fractures in the rock mass and the rock matrix was represented as elasto-visco-plastic material. Mohr-Coulomb criterion and a non-associated plastic flow rule were adopted to consider the viscoplastic deformation in the EDZ. A relation between volumetric strain and permeability was established. Using a self-developed EPCA2D code, the elastic, elasto-plastic and creep analyses to study the evolution of stress and deformations, as well as failure and permeability evolution in the EDZ were conducted. Results indicate a strong impact of fractures, plastic deformation and time effects on the behavior of EDZ especially the evolution of permeability around the drift.

Open reduction and internal fixation of osteoporotic acetabular fractures through the ilio-inguinal approach: use of buttress plates to control medial displacement of the quadrilateral surface.

PubMed

Peter, Robin E

2015-01-01

The number of acetabular fractures in the geriatric population requiring open reduction and internal fixation is increasing. Fractures with medial or anterior displacement are the most frequent types, and via the ilio-inguinal approach buttress plates have proved helpful to maintain the quadrilateral surface or medial acetabular wall. Seven to ten hole 3.5 mm reconstruction plates may be used as buttress plates, placed underneath the usual pelvic brim plate. This retrospective study presents our results with this technique in 13 patients at a minimum follow-up of 12 months (average, 31 months). 85% of the patients had a good result. The early onset of post-traumatic osteoarthritis necessitated total hip arthroplasty in two patients (15%) at 12 and 18 months follow-up, respectively. This treatment option should be considered in the surgeon's armamentarium when fixing these challenging cases. Copyright © 2015 Elsevier Ltd. All rights reserved.

Capture the Fracture: a Best Practice Framework and global campaign to break the fragility fracture cycle.

PubMed

Akesson, K; Marsh, D; Mitchell, P J; McLellan, A R; Stenmark, J; Pierroz, D D; Kyer, C; Cooper, C

2013-08-01

The International Osteoporosis Foundation (IOF) Capture the Fracture Campaign aims to support implementation of Fracture Liaison Services (FLS) throughout the world. FLS have been shown to close the ubiquitous secondary fracture prevention care gap, ensuring that fragility fracture sufferers receive appropriate assessment and intervention to reduce future fracture risk. Capture the Fracture has developed internationally endorsed standards for best practice, will facilitate change at the national level to drive adoption of FLS and increase awareness of the challenges and opportunities presented by secondary fracture prevention to key stakeholders. The Best Practice Framework (BPF) sets an international benchmark for FLS, which defines essential and aspirational elements of service delivery. The BPF has been reviewed by leading experts from many countries and subject to beta-testing to ensure that it is internationally relevant and fit-for-purpose. The BPF will also serve as a measurement tool for IOF to award 'Capture the Fracture Best Practice Recognition' to celebrate successful FLS worldwide and drive service development in areas of unmet need. The Capture the Fracture website will provide a suite of resources related to FLS and secondary fracture prevention, which will be updated as new materials become available. A mentoring programme will enable those in the early stages of development of FLS to learn from colleagues elsewhere that have achieved Best Practice Recognition. A grant programme is in development to aid clinical systems which require financial assistance to establish FLS in their localities. Nearly half a billion people will reach retirement age during the next 20 years. IOF has developed Capture the Fracture because this is the single most important thing that can be done to directly improve patient care, of both women and men, and reduce the spiralling fracture-related care costs worldwide.

Fracture mode during cyclic loading of implant-supported single-tooth restorations.

PubMed

Hosseini, Mandana; Kleven, Erik; Gotfredsen, Klaus

2012-08-01

Fracture of veneering ceramics in zirconia-based restorations has frequently been reported. Investigation of the fracture mode of implant-supported ceramic restorations by using clinically relevant laboratory protocols is needed. This study compared the mode of fracture and number of cyclic loads until veneering fracture when ceramic and metal ceramic restorations with different veneering ceramics were supported by implants. Thirty-two implant-supported single-tooth restorations were fabricated. The test group was composed of 16 ceramic restorations of zirconia abutment-retained crowns with zirconia copings veneered with glass-ceramics (n=8) and feldspathic ceramics (n=8). The control group was composed of 16 metal ceramic restorations of titanium abutment-retained crowns with gold alloy copings veneered with glass (n=8) and feldspathic ceramics (n=8). The palatal surfaces of the crowns were exposed to cyclic loading of 800 N with a frequency of 2 Hz, which continued to 4.2 million cycles or until fracture of the copings, abutments, or implants. The number of cycles and the fracture modes were recorded. The fracture modes were analyzed by descriptive analysis and the Mann-Whitney test (α=.05). The differences in loading cycles until veneering fracture were estimated with the Cox proportional hazards analysis. Veneering fracture was the most frequently observed fracture mode. The severity of fractures was significantly more in ceramic restorations than in metal ceramic restorations. Significantly more loading cycles until veneering fracture were estimated with metal ceramic restorations veneered with glass-ceramics than with other restorations. The metal ceramic restorations demonstrated fewer and less severe fractures and resisted more cyclic loads than the ceramic restorations, particularly when the metal ceramic crowns were veneered with glass-ceramics. Copyright © 2012 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.

Reduced bone mineral density in postmenopausal women self-reporting premenopausal wrist fractures.

PubMed

Fiorano-Charlier, C; Ostertag, A; Aquino, J P; de Vernejoul, M-C; Baudoin, C

2002-07-01

Postmenopausal fractures are associated with low bone mass; however, the role of low peak bone mass in young adults in determining subsequent osteoporosis suggests that premenopausal fractures may also be relevant. We therefore sought to determine whether a self-reported previous history of premenopausal wrist and nonwrist fractures could also be associated with bone density and therefore be used to predict osteoporosis. We recruited 453 volunteer women with a median age of 64 years (range 50-83 years), with no metabolic bone disease, previous femoral neck fracture, or prevalent vertebral fracture. Bone density at the femoral neck (FN) and lumbar spine (LS) was measured using a Lunar DPX-L. As expected, the 319 women who did not report any fracture had a higher T score at LS (-0.93 +/- 1.44) than the 134 women who reported a previous fracture at any site and at any age (T score -1.60 +/- 1.21, p < 0.001). The findings for the FN were similar. Compared with fracture-free women, the women who reported a first wrist fracture before menopause now had a lower LS T score (-1.77 +/- 1.20, n = 15, p < 0.05), whereas those who reported a nonwrist fracture showed no significant decrease in their LS T score (-1.26 +/- 1.00, n = 36). When both wrist and nonwrist fractures had occurred after menopause, the T score was significantly lower. Twenty percent of the fracture-free women were osteoporosis patients. After adjusting for body weight, age, hormonal replacement therapy (HRT), and hip fracture in the family, the relative risk (RR) of osteoporosis for premenopausal wrist fractures was 2.7 (95% confidence interval 1.4-4.3) vs. 1.2 (0.7-2.4) for women with premenopausal nonwrist fractures. We conclude that self-reported premenopausal wrist fractures, but no other fractures occurring before menopause, are likely to be associated with osteoporosis at 65 years of age, and therefore constitute strong grounds for screening.

Transconjunctival orbital emphysema caused by compressed air injury: a case report.

PubMed

Mathew, Sunu; Vasu, Usha; Francis, Febson; Nazareth, Colin

2008-01-01

Orbital emphysema following conjunctival tear in the absence of orbital wall fracture, caused by air under pressure is rare. Usually orbital emphysema is seen in facial trauma associated with damage to the adjacent paranasal sinuses or facial bones. To the best of our knowledge, there have been only eight reports of orbital emphysema following use of compressed air during industrial work. The air under pressure is pushed through the subconjunctival space into the subcutaneous and retrobulbar spaces. We present here a rare cause of orbital emphysema in a young man working with compressed air gun. Although the emphysema was severe, there were no orbital bone fracture and the visual recovery of the patient was complete without attendant complications.

Transconjunctival orbital emphysema caused by compressed air injury: A case report

PubMed Central

Vasu, Usha; Francis, Febson; Nazareth, Colin

2008-01-01

Orbital emphysema following conjunctival tear in the absence of orbital wall fracture, caused by air under pressure is rare. Usually orbital emphysema is seen in facial trauma associated with damage to the adjacent paranasal sinuses or facial bones. To the best of our knowledge, there have been only eight reports of orbital emphysema following use of compressed air during industrial work. The air under pressure is pushed through the subconjunctival space into the subcutaneous and retrobulbar spaces. We present here a rare cause of orbital emphysema in a young man working with compressed air gun. Although the emphysema was severe, there were no orbital bone fracture and the visual recovery of the patient was complete without attendant complications. PMID:18417833

Spark plasma sintering of ceramic matrix composite based on alumina, reinforced by carbon nanotubes

NASA Astrophysics Data System (ADS)

Leonov, A. A.; Khasanov, A. O.; Danchenko, V. A.; Khasanov, O. L.

2017-12-01

Alumina composites reinforced with 3 vol.% multi-walled carbon nanotubes (MWCNTs) were prepared by spark plasma sintering (SPS). The influence of sintering temperature (1400-1600 °C) on the composites microstructure and mechanical properties was investigated. Microstructure observations of the composite shows that some CNTs site along alumina grains boundary, while others embed into the alumina grains and shows that CNTs bonded strongly with the alumina matrix contributing to fracture toughness and microhardness increase. MWCNTs reinforcing mechanisms including CNT pull-out and crack deflection were directly observed by scanning electron microscope (SEM). For Al2O3/CNT composite sintered at 1600 °C, fracture toughness and microhardness are 4.93 MPa·m1/2 and 23.26 GPa respectively.

Molecular dynamics simulations of intergranular fracture in UO2 with nine empirical interatomic potentials

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

Yongfeng Zhang; Paul C Millett; Michael R Tonks

The intergranular fracture behavior of UO2 was studied using molecular dynamics simulations with a bicrystal model. The anisotropic fracture behavior due to the different grain boundary characters was investigated with the View the MathML source symmetrical tilt S5 and the View the MathML source symmetrical tilt S3 ({1 1 1} twin) grain boundaries. Nine interatomic potentials, seven rigid-ion plus two core–shell ones, were utilized to elucidate possible potential dependence. Initiating from a notch, crack propagation along grain boundaries was observed for most potentials. The S3 boundary was found to be more prone to fracture than the S5 one, indicated bymore » a lower energy release rate associated with the former. However, some potential dependence was identified on the existence of transient plastic deformation at crack tips, and the results were discussed regarding the relevant material properties including the excess energies of metastable phases and the critical energy release rate for intergranular fracture. In general, local plasticity at crack tips was observed in fracture simulations with potentials that predict low excess energies for metastable phases and high critical energy release rates for intergranular fracture.« less

Effect of Peat on Physicomechanical Properties of Cemented Brick

PubMed Central

Hashim, Roslan; Kurnia, Ryan

2014-01-01

The popularity of low cost, lightweight, and environmentally affable masonry unit in building industry carries the need to investigate more flexible and adaptable brick component as well as to retain the requirements confirmed in building standards. In this study, potential use of local materials used as lightweight building materials in solving the economic problems of housing has been investigated. Experimental studies on peat added bricks have been carried out. It demonstrates the physicomechanical properties of bricks and investigates the influence of peat, sand, and cement solid bricks to the role of various types of constructional applications. The achieved compressive strength, spitting strength, flexural strength, unit weight, and ultrasonic pulse velocity are significantly reduced and the water absorption is increased with percentage wise replacement of peat as aggregate in the samples. The maximum 20% of (% mass) peat content meets the requirements of relevant well-known international standards. The experimental values illustrate that, the 44% volumetric replacement with peat did not exhibit any sudden brittle fracture even beyond the ultimate loads and a comparatively smooth surface is found. The application of peat as efficient brick substance shows a potential to be used for wall and a viable solution in the economic buildings design. PMID:24982941

Fluid Characteristics and Evolution of Chelungpu fault of Taiwan

NASA Astrophysics Data System (ADS)

Song, S. R.

2017-12-01

We analyzed geochemical characteristics, such as hydrogen and oxygen isotopes, and ionic concentrations, of fluid samples retrieved from various depth along boreholes of the Hole A and Hole B of Taiwan Chelungpu fault Drilling Project(TCDP) to trace the fluid sources. The results show that the source of fluid in the Hole B is mainly the tap water, while there are two probable sources in the Hole A owing to the abrupt shift of ionic concentrations at the depth of 200-300 m. The shallower fluid might be from the leakage above the depth of 300 m and is characteristic of lower ionic concentrations and the isotopic ratios are close to those of adjacent river water. However, the deeper fluid should be the thermal water from Kueichulin formation because of high ionic concentrations, especially HCO3-, and higher oxygen isotope, which suggests higher temperature and more isotope exchange. Two sources of fluid of the Hole A are representative of the fluid systems in the hanging wall and foot wall respectively. The characteristics of fluids in the Hole A imply that the fault zone serves as a barrier in the inter-seismic period, resulting in distinctly different fluid between the Hanging wall and the foot wall. The frequent occurrence and the distribution of calcite veins provide the evidence of the upwelling of HCO3-rich fluid of Kueichulin formation and indicate that the fault served as fluid conduit during faulting and allowed the fluid flow across the fault zone to precipitate calcite veins in fractures of the hanging wall. Thus, we can deduce the mechanism of local groundwater flow during different stages of fault development by evidences such as calcite veins distribution, regional groundwater geology, and fluids characteristics in boreholes of the Hole-A and Hole B. During inter-seismic period, groundwater flows below and above the fault zone are separated by the impermeable fault gouge layer. In co-seismic time, faulting breaks the gouge layer, providing openings that let the over-pressured thermal water which contained high concentration of bicarbonate ion to surge up. After co-seismic period, the gouge layer is sealed again, residual thermal water which contained high concentration of bicarbonate ion in the hanging wall gradually precipitated calcite in fractures and the closer precipitation took place, the more calcite veins.

Fracture behaviors of ceramic tissue scaffolds for load bearing applications

NASA Astrophysics Data System (ADS)

Entezari, Ali; Roohani-Esfahani, Seyed-Iman; Zhang, Zhongpu; Zreiqat, Hala; Dunstan, Colin R.; Li, Qing

2016-07-01

Healing large bone defects, especially in weight-bearing locations, remains a challenge using available synthetic ceramic scaffolds. Manufactured as a scaffold using 3D printing technology, Sr-HT-Gahnite at high porosity (66%) had demonstrated significantly improved compressive strength (53 ± 9 MPa) and toughness. Nevertheless, the main concern of ceramic scaffolds in general remains to be their inherent brittleness and low fracture strength in load bearing applications. Therefore, it is crucial to establish a robust numerical framework for predicting fracture strengths of such scaffolds. Since crack initiation and propagation plays a critical role on the fracture strength of ceramic structures, we employed extended finite element method (XFEM) to predict fracture behaviors of Sr-HT-Gahnite scaffolds. The correlation between experimental and numerical results proved the superiority of XFEM for quantifying fracture strength of scaffolds over conventional FEM. In addition to computer aided design (CAD) based modeling analyses, XFEM was conducted on micro-computed tomography (μCT) based models for fabricated scaffolds, which took into account the geometric variations induced by the fabrication process. Fracture strengths and crack paths predicted by the μCT-based XFEM analyses correlated well with relevant experimental results. The study provided an effective means for the prediction of fracture strength of porous ceramic structures, thereby facilitating design optimization of scaffolds.

Epidemiology and social costs of hip fracture.

PubMed

Veronese, Nicola; Maggi, Stefania

2018-04-20

Hip fracture is an important and debilitating condition in older people, particularly in women. The epidemiological data varies between countries, but it is globally estimated that hip fractures will affect around 18% of women and 6% of men. Although the age-standardised incidence is gradually falling in many countries, this is far outweighed by the ageing of the population. Thus, the global number of hip fractures is expected to increase from 1.26 million in 1990 to 4.5 million by the year 2050. The direct costs associated with this condition are enormous since it requires a long period of hospitalisation and subsequent rehabilitation. Furthermore, hip fracture is associated with the development of other negative consequences, such as disability, depression, and cardiovascular diseases, with additional costs for society. In this review, we show the most recent epidemiological data regarding hip fracture, indicating the well-known risk factors and conditions that seem relevant for determining this condition. A specific part is dedicated to the social costs due to hip fracture. Although the costs of hip fracture are probably comparable to other common diseases with a high hospitalisation rate (e.g. cardiovascular disease), the other social costs (due to onset of new co-morbidities, sarcopenia, poor quality of life, disability and mortality) are probably greater. Copyright © 2018 Elsevier Ltd. All rights reserved.

Radionuclide Transport in Fracture-Granite Interface Zones

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

Hu, Q; Mori, A

In situ radionuclide migration experiments, followed by excavation and sample characterization, were conducted in a water-conducting shear zone at the Grimsel Test Site (GTS) in Switzerland to study diffusion paths of radionuclides in fractured granite. In this work, we employed a micro-scale mapping technique that interfaces laser ablation sampling with inductively coupled plasma-mass spectrometry (LA/ICP-MS) to measure the fine-scale (micron-range) distribution of actinides ({sup 234}U, {sup 235}U, and {sup 237}Np) in the fracture-granite interface zones. Long-lived {sup 234}U, {sup 235}U, and {sup 237}Np were detected in flow channels, as well as in the adjacent rock matrix, using the sensitive, feature-basedmore » mapping of the LA/ICP-MS technique. The injected sorbing actinides are mainly located within the advective flowing fractures and the immediately adjacent regions. The water-conducting fracture studied in this work is bounded on one side by mylonite and the other by granitic matrix regions. These actinides did not penetrate into the mylonite side as much as the relatively higher-porosity granite matrix, most likely due to the low porosity, hydraulic conductivity, and diffusivity of the fracture wall (a thickness of about 0.4 mm separates the mylonite region from the fracture) and the mylonite region itself. Overall, the maximum penetration depth detected with this technique for the more diffusive {sup 237}Np over the field experimental time scale of about 60 days was about 10 mm in the granitic matrix, illustrating the importance of matrix diffusion in retarding radionuclide transport from the advective fractures. Laboratory tests and numerical modeling of radionuclide diffusion into granitic matrix was conducted to complement and help interpret the field results. Measured apparent diffusivity of multiple tracers in granite provided consistent predictions for radionuclide transport in the fractured granitic rock.« less

On thermohydrologic conditions near high-level nuclear wastes emplaced in partially saturated fractured tuff: 1. Simulation studies with explicit consideration of fracture effects

NASA Astrophysics Data System (ADS)

Pruess, K.; Wang, J. S. Y.; Tsang, Y. W.

1990-06-01

We have performed modeling studies on the simultaneous transport of heat, liquid water, vapor, and air in partially saturated, fractured porous rock. Formation parameters were chosen as representative of the potential nuclear waste repository site in the Topopah Spring unit of the Yucca Mountain tuffs. The presence of fractures makes the transport problem very complex, both in terms of flow geometry and physics. The numerical simulator used for our flow calculations takes into account most of the physical effects believed to be important in multiphase fluid and heat flow. It has provisions for handling the extreme nonlinearities that arise in phase transitions, component disappearances, and capillary discontinuities at fracture faces. We model a region around an infinite linear string of nuclear waste canisters, taking into account both the discrete fractures and the porous matrix. Thermohydrologic conditions in the vicinity of the waste packages are found to depend strongly on relative permeability and capillary pressure characteristics of the fractures, which are unknown at the present time. If liquid held on the rough walls of drained fractures is assumed to be mobile, strong heat pipe effects are predicted. Under these conditions the host rock will remain in two-phase conditions right up to the emplacement hole, and formation temperatures will peak near 100°C. If it is assumed that liquid cannot move along drained fractures, the region surrounding the waste packages is predicted to dry up, and formation temperatures will rise beyond 200°C. A substantial fraction of waste heat can be removed if emplacement holes are left open and ventilated, as opposed to backfilled and sealed emplacement conditions. Comparing our model predictions with observations from in situ heater experiments reported by Zimmerman and coworkers, some intriguing similarities are noted. However, for a quantitative evaluation, additional carefully controlled laboratory and field experiments will be needed.

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

The Shock and Vibration Digest. Volume 16, Number 3

DTIC Science & Technology

1984-03-01

Fluid-induced Statistical Energy Analysis Method excitation, Wind tunnel testing V.R. Miller and L.L. Faulkner Flight Dynamics Lab., Air Force...84475 wall by the statistical energy analysis (SEA) method. The fuselage structure is represented as a series of curved, iso- Probabilistic Fracture...heavy are demonstrated in three-dimensional form. floor, a statistical energy analysis (SEA) model is presented. Only structural systems (i.e., no

Evaluation of a new mid-scala cochlear implant electrode using microcomputed tomography.

PubMed

Frisch, Christopher D; Carlson, Matthew L; Lane, John I; Driscoll, Colin L W

2015-12-01

To investigate electrode position, depth of insertion, and electrode contact using an electrode array with a mid-scala design following round window (RW) and cochleostomy insertion. Eight fresh-frozen cadaveric bones were implanted; half via a RW approach and half through an anteroinferior cochleostomy using a styleted mid-scala electrode design. Microcomputed tomography was used to acquire oblique coronal and oblique axial reformations. Individual electrode positions along each array, insertional depth, and electrode contact were determined using National Institutes of Health Image J software. All electrodes were inserted without significant resistance. The average angular depth of insertion was 436.5° for the RW group and 422.7° for the cochleostomy group. All electrodes acquired a perimodiolar position in the proximal segment and a lateral wall position at the basal turn, regardless of approach. Electrodes distal to the basal turn demonstrated a variable location, with 78% mid scala. One cochleostomy array fractured through the interscalar partition (ISP), acquiring a scala vestibuli position. The odds ratio for either abutting the modiolus, ISP, lateral wall or floor, or fracturing through the ISP were 2.7 times more likely following a cochleostomy insertion (P = .032). The styleted mid-scala electrode design acquires a proximal perimodiolar position, a lateral wall location, as it traverses the basal turn, and most commonly a mid-scala position in the distal array. Interscalar excursion occurred in one of the cochleostomy insertions. Cochleostomy insertion is more likely to result in ultimate final electrode position adjacent to critical intracochlear structures. NA. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

Microchemical evidence for episodic growth of antitaxial veins during fracture-controlled fluid flow

NASA Astrophysics Data System (ADS)

Barker, Shaun L. L.; Cox, Stephen F.; Eggins, Stephen M.; Gagan, Michael K.

2006-10-01

The mechanism by which syntectonic hydrothermal veins form is widely debated, with some workers suggesting that certain vein textures are related to specific fluid flow regimes. Central to the debate is whether vein formation involves advective fluid flow, or occurs by local diffusion of material from the surrounding wall rock. To address this issue, we integrated textural observations and microchemical analyses of a hydrothermal vein from the Lachlan Orogen, southeast Australia, to reveal information about vein growth history, changes in fluid chemistry, and the evolution of fluid flow pathways during vein growth. The study area is part of a regional-scale fault-fracture network in an interbedded limestone-shale sequence, which formed at depths of ˜ 5-10 km (˜ 150-200 °C) during late Devonian crustal shortening. This integrated approach demonstrates that the zonation of textures, Sr isotopes, stable isotopes (C, O), and trace and rare earth elements is distinctly asymmetrical about the median growth-line of the vein. δ 18O values in vein calcite (17.0-18.8‰, VSMOW) are lower than those in surrounding unaltered limestones (23-25‰, VSMOW), and vary systematically across the vein. In contrast, δ 13C values are relatively constant across most of the vein, but become markedly depleted ( ca. 4‰) immediately adjacent to the wall rock. This strong depletion in δ 13C was probably caused by the influx of more oxidised fluids during the latest stages of vein growth. Strontium isotope ratios ( 87Sr/ 86Sr) vary between 0.70912 and 0.70931 across the vein. Abrubt changes in 87Sr/ 86Sr, δ 18O, Ce/Ce *, Eu/Eu * and trace element concentrations indicate that vein growth was accompanied by stepwise changes in the fluid flow pathway and consequent variations in fluid chemistry. Taken together, our findings are not consistent with growth of fibrous antitaxial veins by diffusional transfer of material from the surrounding wall rock. Instead, they suggest that externally sourced fluids migrated along episodically changing fracture-controlled flow pathways. This has implications for the dynamics of crustal permeability and mineralisation.

Thoracic wall trauma—misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging

PubMed Central

Facenda, Catherine; Vaz, Nuno; Castañeda, Edgar Augusto; del Amo, Montserrat; Garcia-Diez, Ana Isabel; Pomes, Jaime

2017-01-01

Blunt injuries to the chest wall are an important chapter on emergency room (ER) departments, being the third most common injuries in trauma patients which ominous complications could appear. This article describes different types of traumatic events affecting the chest wall, which maybe misdiagnosed with conventional X-ray. Special emphasis has been done in computed tomography (CT) and multidetector CT (MDCT) imaging. This technique is considered the “gold-standard” for those traumatic patients, due to its fast acquisition covering the whole area of interest in axial plane, reconstructing multiplanar (2D, 3D) volume-rendered images with a superb quality and angiographic CT capabilities for evaluating vascular damage. Complementary techniques such as ultrasonography (US) and magnetic resonance imaging (MRI) may improve the diagnostic accuracy due to its great capacity in visualising soft-tissue trauma (muscle-tendinous tears) and subtle fractures. All these imaging methods have an important role in quantifying the severity of chest wall trauma. The findings of this study have been exposed with cases of our archives in a didactic way. PMID:28932697