Background: At present, there is no consensus on an appropriate treatment modality for intertrochanteric fractures in the elderly with background diseases. The aim of the present study was to compare treatment outcomes of intertrochanteric fractures reduced with dynamic hip screws (DHS) and bipolar hemiarthroplasty in elderly patients with background medical conditions. Methods: In this randomi...

QUESTION Do dynamic splints reduce contracture following distal radial fracture? DESIGN Assessor-blinded, randomised controlled trial. PARTICIPANTS Forty outpatients with contracture following distal radial fracture. INTERVENTION The control group received routine care consisting of exercises and advice for 8 weeks. In addition to routine care, during the day the experimental group receiv...

We investigate the validity of the linear elastic fracture mechanics approach to dynamic fracture. We first test the predictions in a lattice simulation, using a formula of Eshelby for the time-dependent stress intensity factor. Excellent agreement with the theory is found. We then use the same method to analyze the experiment of Sharon and Fineberg. The data here are not consistent with the th...

We report the case of a 20-year-old patient with a C5 cervical spine fracture and an undetected ligamentous lesion between C1 and C2. Cervical spine lesion protocols and the rates of lesions that are not diagnosed with standard evaluation protocols are reviewed, with particular emphasis on comatose patients. Dynamic studies during the surgical procedure for fixation of the fracture are recommen...

Analysis of the dynamic evolution of multilevel structure during martensitic transformations provides kinetics-based constitutive relations for transformation plasticity. Application in numerical modeling of ductile fracture by microvoid-softening-induced shear localization, in conjunction with metallographic study of crack-tip processes, identifies transformation toughening mechanisms operatin...

A first mesomodelling, which allows us to describe the mechanical behaviour of an elementary ply within a SiC-SiC laminate under dynamic loading, is proposed. Questions related to its identification and its use for the prédiction of the dynamic fracture of laminated structures are discussed.

INTRODUCTION Hip fracture fixation surgery in patients with below-knee amputations poses a challenging problem to the surgeon in terms of obtaining traction for reduction of the fracture. The absence of the foot and part of the leg in these patients makes positioning on the fracture table difficult. We highlight this difficult problem and suggest techniques to overcome it. CASE PRESENTATION A...

The morphological control of the fracture has a great impact on the effectiveness of the hydraulic fracturing; the geostress difference between productive interval and barriers is one of controlling factors for the fracture height control. The propagation behavior of the hydraulic fracture was studied using the 3D physical simulation under conditions of the presence and absence of the interlami...