Torsional Forces Research Articles

Flexibility, Dispersion Property, and Giant Sunlight Absorption of Monolayer MX2 (M = Zr, Hf; X = S, Se) and Related Janus MXY (M = Zr, Hf; X = S, Y = Se)

IVB–VIA transition metal dichalcogenides (TMDs) MX2 (M = Zr, Hf; X = S, Se) and related Janus MXY (M = Zr, Hf; X = S, Y = Se) have garnered significant attention due to their unique optoelectronic properties. To further explore their potential in flexible photonics, their mechanical, band dispersion, and optical dielectric properties using orbital hybrid theory are investigated. The results reveal that the out‐of‐plane linear compression resistance of these materials is considerably lower than their in‐plane resistance, primarily because van der Waals interactions are much weaker compared to ionic bond interactions. This characteristic makes them less susceptible to external pressure and torsional forces, positioning them as promising candidates for flexible optoelectronic devices. Furthermore, the presence of multiple energy bands at the same momentum state suggests a tendency toward metal–insulator transitions. Notably, the materials exhibit a high photon flux, indicating robust photoelectric conversion capabilities, making them suitable for applications in photoelectric transducers. This study not only deepens the understanding of the optoelectronic and mechanical properties of IVB–VIA TMD materials, but also offers theoretical guidance for the development and application of flexible optoelectronic devices based on IVB‐VIA TMDs and related Janus materials.

Finite element analysis of the Fibula's contribution to lower extremity torsional stiffness

AimsThe purpose of this article is to investigate the effects of the fibula on the torsional stiffness of the lower limb. A comprehensive model of the lower limb was constructed, including the resected femur, patella, tibia, fibula, and foot, with tendons and ligaments. Two configurations were developed, with and without the presence of the fibula, to evaluate the resulting stress state and consequently determine the contribution of the fibula to the torsional stiffness of the lower limb. MethodsThe finite element method was used to analyse how the fibula affects the stress distribution in the lower extremity under body weight loading and torsional forces. A detailed three-dimensional solid model of the lower extremity with and without the fibula was constructed. Loading conditions were imposed simulating an axial compressive load of 700 N applied to the upper extremity of the resected femur and a torsional load of 6000 Nmm applied to the proximal femur, and a fixed constraint was imposed on the foot. ResultsRemoving the fibula results in an increase in stress on all the tendons and ligaments tested. The increases ranged from 4 % (patellar tendon) to 21 % (lateral retinaculum). This suggests that the fibula plays a significant role in the distribution of mechanical stress in the lower extremity. The most affected structures are the lateral retinaculum and the posterior cruciate ligament, both with a 21 % increase in stress, suggesting that these structures may compensate more for the absence of the fibula. ConclusionThe fibula plays a critical role in maintaining the structural integrity and biomechanical function of the lower extremity. It acts as a lateral strut, contributing to the stability of the ankle and knee by providing an attachment point for several muscles and ligaments that are essential for coordinating complex movements and providing stability during dynamic activities.

Deterministic fabrication of graphene hexagonal boron nitride moiré superlattices

The electronic properties of moiré heterostructures depend sensitively on the relative orientation between layers of the stack. For example, near-magic-angle twisted bilayer graphene (TBG) commonly shows superconductivity, yet a TBG sample with one of the graphene layers rotationally aligned to a hexagonal Boron Nitride (hBN) cladding layer provided experimental observation of orbital ferromagnetism. To create samples with aligned graphene/hBN, researchers often align edges of exfoliated flakes that appear straight in optical micrographs. However, graphene or hBN can cleave along either zig-zag or armchair lattice directions, introducing a [Formula: see text] ambiguity in the relative orientation of two flakes. By characterizing the crystal lattice orientation of exfoliated flakes prior to stacking using Raman and second-harmonic generation for graphene and hBN, respectively, we unambiguously align monolayer graphene to hBN at a near-[Formula: see text], not [Formula: see text], relative twist angle. We confirm this alignment by torsional force microscopy of the graphene/hBN moiré on an open-face stack, and then by cryogenic transport measurements, after full encapsulation with a second, nonaligned hBN layer. This work demonstrates a key step toward systematically exploring the effects of the relative twist angle between dissimilar materials within moiré heterostructures.

Geotechnical performance of X-section cast-in-place concrete piles under torsion loads in clay soil – numerical study

ABSTRACT Deep foundations are inexorably subjected to torsional load due to eccentric lateral loads. The conventional piles face shortcoming under torsional loads due to its fair face. So, this study employed an innovative X-section cast in place concrete pile to improvement the torsional capacity of piles. PLAXIS 3D V20 Software was used to study the performance of XCC pile under torsional load, and combined torsional, and vertical loads in clay soil. The numerical results reflect that at the ratio of pile length to pile diameter (Lp/Dp) = 15, and the ratio of the open arc spacing to pile diameter (ap/Dp) = 0.14, open arc degrees (θ°) = 90, the torsional capacity can be improved by 3.96, 5.06, and 5.71 times of torsional capacity of conventional pile with the same cross-sectional area at clay cohesions of 70 KN/m2, 40 KN/m2, and 30 KN/m2, respectively. Also, The XCC pile recorded an increase ratio of 35% in the vertical capacity of piles compared to conventional pile with the same cross-sectional area. It can be concluded that XCC piles exhibit significant resistance to torsional forces due to their cross-sectional geometry which enhances soil-pile interaction.

Are different screw lengths associated with osteosynthesis quality in the region of the mental foramen?

AbstractIntroductionThe use of two monocortical malleable 04‐hole miniplates, placed above and below the mental foramen, has been indicated to prevent the adverse effects of tension and torsion forces on fracture healing. To obtain good fixation in the mandible's outer cortex screws, 5–8 mm long have been recommended. However, studies have shown thicknesses in the mental foramen region of up to 3 mm, meaning the length of the screw could be a risk to nerve or tooth root damage. The purpose of this study is to identify the influence of screw length on osteosynthesis quality in the region of the mental foramen.Materials and Methods10 synthetic polyurethane human lower jaw replicas were subjected to a linear loading test to evaluate fixation techniques with 5 and 10 mm of displacement. In the photoelastic analysis, 02 lower jaw models were made of photoelastic resin and subjected to linear loading in the fixation technique with 10 mm of displacement. Two 04‐hole miniplates in the region of the mental foramen either fixed completely with 4 mm screws (group 1) or with 5 mm screws in the tension zone and 8 mm screws in the compression zone (group 2). The variables were registered for peak load and peak displacement, and final load and final displacement. One‐way analysis of variance (ANOVA) was applied, followed by the Tukey test, with a significance of 5% (p = 0.05) for the comparisons between the means.ResultsConsidering 95% confidence intervals, the mechanical test showed no statistical differences in peak load between the fixations groups. In the photoelastic analysis, the fringes were concentrated on the distal segment of the fracture in both groups.ConclusionDue to the lack of statistical difference in the biomechanical and photoelastic tests, considering the methodologic limitation, our study indicates a tendency of advantage toward the treatment of fractures with two 04‐hole plates, fixed with 4 mm screws, to minimize complications like tooth or nerve damage. In vivo studies are needed to verify the convergence of the results of in vitro studies to evaluate the resistance and stability in real masticatory forces.

Pediatric Wrist.

Pediatric wrist injuries pose unique diagnostic challenges due to distinct bone characteristics in children and their diverse injury patterns. The dynamic development of the wrist, marked by changes in bone age and emerging ossification centers, is crucial to evaluate growth and identify potential pathologies. The skeletal composition, rich in cartilage, renders bones relatively weaker yet more elastic, impacting their susceptibility to fracture. Forearm fractures display diverse patterns influenced by torsional forces. Scaphoid fractures, less common in children, differ from those in adults. Conditions like Madelung's deformity and ulnar variance are more common wrist disorders in the pediatric population. In addition, the scarcity and nonspecificity of symptoms in those with tendon injuries and triangular fibrocartilage complex lesions can be diagnostically challenging. This article reviews pediatric wrist injuries, emphasizing ossification patterns, common fracture types, and developmental variants. Grasping these complexities in pediatric wrist development and associated pathologies is essential for precise diagnosis and treatment.

Hydrodynamic performance analysis of dual vertical axis turbine

Abstract This article adopts a biomimetic approach and uses the profile of the fastest sailfish in the ocean as the airfoil profile of a water turbine. Integrating centrifugal and axial flow turbines on one drive shaft can effectively integrate wave and current energy (wave current integration). The wake of a centrifugal turbine flows into the flow field of an axial flow turbine, and based on the Kantar effect, the energy harvesting coefficient of the axial flow turbine is improved. The five blades of the axial flow turbine and centrifugal turbine are subjected to uneven forces, resulting in torsional and radial forces on the drive shaft, causing periodic series motion of the turbine and reducing the overall lifespan of the machine.

A reconstruction method of stress fields, bending moments and wave parameters for floating nuclear power plants through regular wave identification

Floating nuclear power plants (FNPPs) have the potential to supply abundant electricity, hot water, and freshwater resources for offshore islands and offshore oil and gas extraction platforms. However, the consequences of a nuclear reactor accident can be extremely serious. In addition, there may be many uncertain factors in the actual operation of FNPPs. These factors lead to higher structural safety requirements. So， developing more scientific structural monitoring methods is an effective way to enhance the structural safety of FNPP. Traditional hull monitoring schemes can only track bending and torsional forces on specific cross-sections, failing to identify the overall stress field of the entire vessel structure. The paper proposes a reconstruction method for the stress field, bending moment distribution, and wave parameters of FNPP using regular wave identification. Initially, irregular waves are decomposed into a linear combination of multiple regular waves with different amplitudes and frequencies. Subsequently, the strains induced by these regular waves on the FNPP are utilized as basic functions to establish a mathematical model for reconstructing the stress field. The stress field, bending moment distribution, and wave parameters of the FNPP can be reconstructed by identifying the combination coefficients of the regular wave loads. The ill-posedness of the mathematical model for stress field reconstruction has the potential to significantly impact the accuracy of the stress field reconstruction, which was addressed by optimizing the sensor installation position in this study. Meanwhile, the optimization of the sensor installation position greatly reduces the dimensionality of mathematical models. Finally, a numerical study, i.e. FNPP being designed by China, was used to validate the accuracy of the proposed stress field reconstruction algorithm. The reconstructed stress field of the FNPP closely matched the original stress distribution under various irregular wave conditions.

Structural and computational insights into two completely unanticipated Cu(II) and Ni(II) complexes derived from a bifunctional salamo-type bis(pyridine)-arm ligand

A bifunctional Salamo-type bis(pyridine)-arm ligand H2L (4,4′-Methyl-6,6′-pyridinenitrilomethylidyne-2,2′-[ethylenedioxybis(nitrilomethylidyne)]diphenol) was designed and synthesized, which can react with Cu(II) and Ni(II) nitrates to hydrolyze & break the C = N double bonds of new ligand H2L′ (4,4′-Methyl-6,6′-formal-2,2′-[ethylenedioxybis(nitrilomethylidyne)]diphenol). The ligand reacted with Cu(II) and Ni(II) salts to form respectively complexes [Cu(L′)] (1) and [Ni2(L′)(H2O)2](NO3)2 (2). They were elucidated by single crystal X-ray method. Many important noncovalent interactions, such as intramolecular hydrogen bonding, intermolecular hydrogen bonding and π···π stacking interactions, can be observed in the crystal structures of the two complexes. IR & UV–Vis absorbent spectroscopic analysis showed that the ligand unit is involved in the coordination with copper(II) and nickel(II) atoms, and ultraviolet titration and fluorescence titration spectra verified that the coordinating radios of the two complexes formed in liquid phase are in accordance with those of single-crystal X-ray diffraction. Through DFT theoretical calculations and electrostatic potential analyses (MESP) of the ligand and its complexes, the configuration of the ligand at the lowest energy were deeply understood, and it was demonstrated that the coordination reaction at salamo sites requires a great torsional force, and the weak intermolecular interaction force and the energy gaps of HOMO-LUMO orbitals were profoundly discussed, and the Cu(II) and Ni(II) complexes exhibit anomalous fluorescence enhancement behaviors.

Torsional Behavior of Waste Fiber-Reinforced Concrete.

Factory made steel fiber and steel fiber derived from worn tires was used to develop cement concrete, which was subjected to torsional forces. A dedicated stand for torsion tests, allowing for the measurement of force, deflection, and torsion angle, was used. The test results showed that both the factory-made fiber and the waste steel fiber significantly improved torsional properties of the concrete matrix. The test results of specimens made with waste fiber were characterized by slightly worse results compared to factory-made fibers, but there was a significant improvement in torsional properties compared to samples without fibers. Taking into account the financial and environmental benefits, the application of waste steel fiber recovered from car tires could be an interesting alternative to using commercially sold steel fiber applied for the production of construction elements subjected to torsional forces.

Investigating mechanical properties of 3D printed porous titanium scaffolds for bone tissue engineering

Objective. Three-dimensional (3D) printed porous titanium scaffolds serve as a bone tissue engineering technology that offers a promising solution for addressing bone defects. The scaffold’s pore structure offers structural support and facilitates the proliferation of bone cells. Therefore, investigating the aperture and pore shape is of crucial for the development of 3D printed porous titanium scaffolds. Methods. Ti6Al4V scaffolds with the specified structure were fabricated using selective laser melting (SLM) technology. The scaffolds comprised fifteen cylindrical models measuring 20 mm in diameter and 20 mm in height. These models featured five scaffold shapes: imitation diamond-60°, imitation diamond-90°, imitation diamond-120°, regular tetrahedron and regular hexahedron. Each of these structural shapes was characterized by three different aperture sizes (400 μm, 600 μm and 800 μm). The porosity and mechanical properties of Ti6Al4V scaffolds were examined. Results. The measured porosity of Ti6Al4V scaffolds varied between 56.50% and 95.28%. The porosity increased with the size of the aperture. The mechanical properties tests revealed that, for identical apertures, the compressive strength and torsional strength were influenced by the configuration of the unit structure. Furthermore, the positive and lateral compressive strength as well as torsional strength of various unit structures exhibited distinct advantages and disadvantages. Within a uniform unit structure shape, the compressive strength and torsional strength were found to be correlated with the size of apertures, indicating that larger apertures result in decreased compressive and torsional strength. Conclusion. The configuration of the aperture and the shape of the pore were identified as significant factors that influenced the compressive strength. The compressive strength of Ti6Al4V scaffolds with various unit structure shapes exhibited both advantages and disadvantages when subjected to positive, lateral, and torsional forces. The enlarged aperture augmented the scaffold’s porosity while diminishing its compressive and torsional strength.

Displaced humeral shaft fractures: Assessment of fracture union and complications following dual plate fixation using an anterior approach

The humeral bone is subject to torsional forces. In case of displaced shaft fractures, internal fixation remains the standard of care. This retrospective two-center study assessed the fracture union rate and complications after dual 3.5 mm locking compression plate (LCP) fixation using an anterolateral approach. Over a 9-year period, 38 patients underwent surgery in two centers. They had a mean age of 53.7 years (15–97, ± standard deviation (SD) 26) and there were three open fracture cases (7.9 %). The dominant side was affected in 21 cases (55.3 %) and there were 11 polytrauma patients (29 %). Mean operative time was 78 min (40–124, ± 19.8 SD). Patients were treated with dual 3.5 mm LCP fixation (6 screws on either side of the fracture line, anterolateral approach without a tourniquet). The first two orthogonal views showing at least 3 cortical bridges out of 4 determined fracture healing, as assessed by two independent raters. Pre- and postoperative complications were tabulated. Clinical outcomes included range of motion (ROM) and return to activities, while functional outcomes were assessed with the Disability of the Arm Shoulder and Hand (DASH), the Constant score, the Subjective Shoulder Score (SSV) and the Mayo Elbow Performance Score (MEPS). Minimum follow-up was 1 year. Four patients were given a shoulder immobilizer to wear for 3 weeks; immediate mobilization was the standard of care for the other patients. Fracture union was achieved in all cases within a mean of 11.7 weeks (6–28 ± 7.1 SD) without any heterotopic ossification of the brachialis muscle. There were eight patients with preoperative radial nerve palsy and two cases of postoperative palsy. There was one surgical site infection (2.6 %). Return to work for active patients was possible in 87 % of cases within a mean of 23 weeks (6–72 ± 11 SD). The Constant score was 84.6 (35–100, ± 13.4 SD), the SSV score was 80.7 (60–100, ± 8.2 SD), the DASH score was 13.5 (0–38.3, ± 8.8 SD) and the MEPS score was 85 (55–100, ± 11.9 SD). Traditional fixation methods provide little control over torsional forces, leading to non-union rates between 3 % and 12 % and delayed union (12 to 20 weeks). The simplicity of the technique described here, and the short operative time, may help explain the low infection rate. Dual plate fixation makes it possible to use more screws and allows nerve exploration and decompression in case of preoperative nerve palsy. Dual plate fixation to treat humeral shaft fractures is a simple and reliable technique.

Nonlinear characteristics of torsional stiffness of a coilable mast with triangular section

With numerous applications coilable masts in high-precision astronomical observations, such as X-ray source observations, it is important to investigate mast stiffness. To date, there have been many studies on the bending stiffness of coilable masts, but few studies on their torsional stiffness, especially regarding the nonlinear characteristics of torsional stiffness of coilable masts under large torsional deformation. In this paper, a nonlinear analysis method is presented to examine the torsional stiffness of coilable masts with triangular sections. Based on the second-order bending buckling hypothesis of battens under large torsion deformation, the nonlinear relationship between torsional torque and torsional angle is obtained by analyzing torsional deformation and force of coilable masts. This method is used to analyze the torsional stiffness nonlinearity of a certain type of coilable mast which will be used in a practical application in the future and the results are verified by simulation and testing. The comparison results show that the error is within the acceptable range, which proves the effectiveness of the proposed method.

Impact and torsional behavior of additive layer-manufactured biopolymer: An advancement for orthopedic applications.

Distal ulna locking bone plates (DLBPs) are commonly employed in the treatment of distal ulna fractures. However, commercially available metallic bone plates experience stress shielding and lack corrosion resistance. Poly lactic acid (PLA) is highly favored biopolymer due to its biocompatible and bioabsorbable nature with human tissues. The use of additive layer manufacturing (ALM) is gaining attention for creating customized implants with intricate structures tailored to patient autonomy. ALM-based PLA bone plates must provide high resistance against impact and torsional forces, necessitating the adjustment of printing process parameters. This study focuses on examining the influence of key printing parameters, on the impact strength and torque-withstanding capability of DLBPs. Experimental results, along with microscopic images, reveal that an increase in infill density (IF) and wall thickness imparts strong resistance to layers against crack propagation under impact and torsional loads. On the contrary, an increase in layer height and printing speed leads to delamination and early fracture of layers during impact and torsional testing. IF significantly contributes to improving the impact strength and torque-withstanding capability of DLBPs by 70.53% and 80.65%, respectively. The study highlights the potential of the ALM technique in developing DLBPs with sufficient mechanical strength for biomedical applications.

Failure Mechanism of Rear Drive Shaft in a Modified Pickup Truck

This paper investigates the failure mechanism of the rear drive shaft in a modified pickup truck which had operated for about 3000 km. The investigation included macroscopic and microscopic evaluation to document the morphologies of the fracture surface, measurement of the material composition, metallographic preparation and examination, mechanical testing, and finite element modelling and calculations. The results obtained suggest that rotation-bending fatigue was the primary cause of the drive shaft failure. The crack initiation is located in the root of the machined threads on the drive shaft surface and expanded along the side of the machining line surface. The main cause of fatigue cracks is attributable to a high stress concentration owing to a large unilateral bending impact under overload. Meanwhile, the bidirectional torsional force also produces a higher stress concentration and thus accelerates the fatigue crack to expand radially along the surface. Furthermore, the hardness of the central section of the drive shaft was marginally below standard. This deficiency results in harm to the bearings and other mechanical components, as well as expediting the enlargement of cracks. Finite element analysis revealed significant contact stress between the bearing and drive shaft, with stress levels exceeding the fatigue limit stress of the parent material. This highlights the need for reevaluation of the heat treatment process and vehicle loading quality to enhance the drive shaft’s longevity.

Finite element analysis of modified Slongo's external fixation in the treatment of supracondylar humeral fractures in older children.

Older children over 8 years old are at higher risk of elbow joint stiffness after treatment of supracondylar humeral fractures. The objective of this study was to improve the Slongo's external fixation system for treating supracondylar humeral fractures in older children. This would be achieved by increasing fixation strength and providing a theoretical basis through finite element analysis and mechanical testing. A 13-year-old female patient with a history of previous fracture was selected for CT data processing to create a three-dimensional model of the distal humerus fracture. Two internal fixation models were established, using the Slongo's external fixation method with Kirschner wire (Group A) and modifying the Slongo's external fixation (Kirschner wire tail fixation) (Group B). The fracture models were then subjected to mechanical loading analysis using Finite Element Analysis Abaqus 6.14 software to simulate separation, internal rotation, and torsion loads. A PVC humeral bone model was used to create a supracondylar fracture model, and the A and B internal fixation methods were applied separately. The anterior-posterior and torsional stresses were measured using the Bose Electroforce3510 testing system, followed by a comparative analysis. The finite element simulation results showed that under the same tensile, torsion, and inversion forces, the osteotomy model fixed with Kirschner wire at the distal end in Group B exhibited smaller tensile stress and deformation compared to the unfixed osteotomy model in Group A. This indicated that the fixation strength of Group B was superior to that of Group A. According to the test results of the Bose Electroforce3510 testing system, a simple linear regression analysis was conducted using SPSS software. The K values of rotation angle-torque tests and front and rear displacement-stress tests were calculated for Groups A and B, with Group B showing higher values than Group A. The results of this study supported the significantly enhanced biomechanical reliability and stability of fracture fixation in Group B, which utilized the modified Slongo's external fixation (Kirschner wire tail fixation). This optimized method provides a new choice for the clinical treatment of supracondylar humeral fractures in older children, backed by both clinical evidence and theoretical basis.

EXPERIMENTAL FAILURE OF HIP ARTHROPLASTY UNDER TORSION LOADING

Polymethylmethacrylate (PMMA) bone cement is strong in compression, however it tends to fail under torsion. Sufficient pressurisation and subsequent interdigitation between cement and bone are critical for the mechanical interlock of cemented orthopaedic implants, and an irregular surface on the acetabular cup is necessary for reasonable fixation at the cup-cement interface. There is limited literature investigating discrepancies in the failure mechanisms of cemented all-polyethylene acetabular cups with and without cement spacers, under torsional loading.In vitro experimental comparison of three groups of polyethylene acetabular prosthesis (PAP) cemented into prepared sawbone hemipelvises:* PAP without PMMA spacers maintaining an equal cement mantle circumferentially. (Group 1 n=3)* PAP without PMMA spacers cemented deliberately ‘bottoming-out’ the implant within the acetabulum. (Group 2 n=3)* PAP with PMMA spacers. (Group 3 n=3)The constructs were tested to torstional failure on a custom designed setup, and statistical analysis done by a one-way ANOVA and Tukey-Welsh test.Group 3 demonstrated superior torsional resistance with a statistically significant torque of 145Nm (SD±12Nm) at failure, compared to group 2 (109Nm, SD±7Nm) and group 1 (99Nm, SD±8Nm). Group 3 experienced failure predominantly at the bone-cement interface, in contrast, Groups 1 and 2 exhibited failure predominantly at the cup-cement interface. There was no significant difference between Group 1 and 2. Qualitative analysis of the failure mode indicates the efficient redistribution of stress throughout the cement mantle, consistent with the greater uniformity of cement.PMMA spacers increase the resistance to torsional failure at the implant-cement interface. Acetabular components without spacers (Groups 1 and 2) failed at the implant-cement interface before the cement-bone interface, at a statistically significantly lower level of torque to failure. Although the PMMA spacers may reduce cement interdigitation at the cement-bone interface the torsional forces required to fail are likely supraphysiological.

Case Study of ITB Cirebon GOR Building Beam Structure Checking Against Torsion Loads

In this analytical study, a building structure planning analysis will be carried out as well as checking the beam structure for torsional loads at the ITB Sports Arena (GOR) Building located in Cirebon. Analysis and planning refer to SNI 1726:2019, SNI 2847:2019 and SNI 2020. Modeling analysis and checking of torsion beams using the SAP2000 program as well as manual calculation analysis. Torque is almost the same as design for bending and shearing when the factored torsional moment load applied to a section exceeds the torsional resistance that can be provided by the concrete section itself. The results of the analysis and calculation of the beam structure using the SAP2000 program were obtained: from reinforcement calculations and analysis using SAP2000 software on the beam structure, as well as checking the beam for torsion, the value was taken with the largest torsion force of 91.3673 KN for beam B1A (600 x 450): Top reinforcement with supports 5D22, field 3D22, Support 3D22 ; Bottom reinforcement with support 4D22, Field 4D22, Support 4D22; Web reinforcement with support 4D16, Field 4D16, Support 4D16; using 3 foot stirrups with support D13-100, Field D13-150, Support 13-100.

Navigating complexity: The Supera's triumph in femoropopliteal lesions.

The femoropopliteal sector endovascular treatment is particularly challenging due to its high tortuosity and torsional forces. Better results are still needed to ensure the long-term patency of stenting in this area. The Supera stent appears to change this paradigm. This single-center retrospective cohort study aims to evaluate the efficacy and safety of femoropopliteal stenting with Supera in a real-world population. Seventy-nine patients were treated between January 2015 and December 2020, and the results are reported with a median follow-up of 28 months. Indications for revascularization were chronic limb-threatening ischemia with tissue loss (73.6%) or ischemic rest pain (17.7%) and claudication (7.6%). Thirty-six patients (45.6%) were classified as GLASS stage III according to the Global Limb Anatomic Staging System, with 65.8% and 30.4% in grades 3 and 4 of femoropopliteal and infrapopliteal sectors, respectively. The 36-month primary, primary-assisted, and secondary patency rates were 68.6%, 72.0%, and 79.0%, respectively, with an amputation-free survival rate of 86.6%. There was no significant difference between primary patency rates in GLASS stages I-II compared with GLASS stage III (36-month primary patency rates of 72% vs 63% respectively, p = 0.342) nor in amputation-free survival (88% vs 84%, p = 0.877). After adjusting for potential confounders, only the stent conformation significantly affected the primary patency rates, with a higher hazard of reintervention for the elongated (HR = 3.179; p = 0.36; CI 1.081-9.347) and the compressed (HR = 3.014; p = 0.42; CI 1.039-8.746) forms. The 36-month patency of the Supera stents in our real-world cohort was similar to other reported series. The GLASS stage did not interfere with the stent patency, proving it is a good choice even in the most adverse anatomy patients. Only the non-nominal stent conformation affected the primary patency rates in our patients.

Математическое моделирование и визуализация сложнонапряженного состояния при переломе диафиза бедренной кости

The purpose of this work is to establish the possibility of using the finite element analysis method to study complex stress states in case of a femur fracture with subsequent data visualization. Experimental data were obtained on a solid-state mathematical parametric model of the femur, created on the basis of computer tomogram data, and repeating studies on native biological objects. As a result of mathematical modeling, oblique transverse and helical fractures of the diaphysis of the femur with elements of helical deformation were studied. The application of finite element analysis made it possible to visualize and predict the stresses arising in bone tissue under the impact of a blunt solid object in a complex stress state and the morphological features of femoral shaft fractures under different torsional loading forces of the proximal part of the femur. The data on the mechanism and morphology of the femoral shaft fracture obtained during modeling are confirmed by the results of original full-scale experiments.