Showing posts with label Fracture. Show all posts
Showing posts with label Fracture. Show all posts

Tuesday, 2 September 2025

Regulated Nitrooxidation Process with the Formation of a Developed Diffusion Zone | Chapter 6 | Current Approaches in Engineering Research and Technology Vol. 5

 

In order to improve the physical and mechanical properties of cutting tools made of P6M5 steel, the article presents the results of a study of the possibility of using a combined method of nitrooxidation, consisting of nitriding in ammonia at the first stage and oxidation in water vapor at the second stage.

 

The formation of nitride-oxide coating compositions with the formation of a thin dense oxide film and a nitride layer under it, depending on the holding time, undergoes structural and phase transformations during the oxidation process with the transition of low nitrides doped with carbon and oxygen, as well as an internal nitriding zone following it.

 

It has been established that during the oxidation process, an oxide layer with a nitride sublayer or zones of internal nitriding with supersaturated nitrogen can be formed on the surface, allowing the production of stable nitrides of both the base metal and alloying elements.

 

By regulating the parameters of the nitrooxidation process on alloyed steels, compositions with different structural and phase states can be formed that have the best physical and mechanical properties than the nitride layer obtained by traditional nitriding methods.

 

For surface hardening of cutting tools, it is necessary to obtain a nitride-oxide layer with a thin oxide layer on the surface and a nitride sublayer consisting of low-nitrogen nitrides alloyed with carbon and oxygen with a developed sublayer of the internal nitriding zone.

 

The oxide layer, together with the subsequent arrangement of the nitride layer on the surface of the internal hardness nitriding zone, successfully provides a positive gradient of surface properties under external friction conditions and has the best ductility in terms of ensuring wear resistance.

 

 

Author(s) Details

Kholikul Eshkabilov

Karshi Engineering Economic Institute, 225, Mustaqillik Avenue, Karshi City-180100, Uzbekistan.

https://orcid.org/0009-0003-4538-9590

 

Please see the book here:- https://doi.org/10.9734/bpi/caert/v5/847

Saturday, 13 April 2024

A Case Report of Missed Femur Fractures in Pediatric Trauma Patient | Chapter 12 | Advancement and New Understanding in Medical Science Vol. 10

 Isolated paediatric non-displaced femoral fracture is common and can be missed due to many factors. These factors might be related to patient, clinical, technical and radiological misinterpretations. Careful listening to patient complaints and full physical examination is very important in every pediatric trauma. A careful and systematic approach in radiological evaluation by both treating orthopaedic surgeons and radiologists is an important factor in reducing missing a hidden fracture. In polytrauma, children always do a systematic and complete physical examination of the skeletal system. In suspected cases of unseen fractures, further studies might be indicated like bone scan or MRI. Never let a child go home if he/she can not walk or is having difficulty walking without a close follow-up. In this section, we discuss the non-displaced fracture of the femur in children and how to avoid missing a fracture.


Author(s) Details:

Ahmad N Boeisa,
Department of Orthopedic, King Fahad Hospital, Saudi Arabia.

Mohammed S Alhassan,
Department of Orthopedic, King Fahad Hospital, Saudi Arabia.

Ali AL Muslami,
Department of Orthopedic, King Fahad Hospital, Saudi Arabia.

Please see the link here: https://stm.bookpi.org/ANUMS-V10/article/view/13963


Sunday, 26 November 2023

Strength and Fatigue of Natural and Artificial Materials | Chapter 7 | Current Innovations in Chemical and Materials Sciences Vol. 3

 The understanding of the strength of the composite fabrics under different outside loads as well as the questions of the accumulation of defects with the understanding of large deformations of the material in the continuous and liquid states, which eventually bring about the destruction of the material, are deliberate. It is proposed that the ghost of liquid sap in the tree decides its extreme fatigue strength.

Author(s) Details:

Al. Al. Berlin,
Semenov Federal Research Center for Chemical Physics, Russian Academy of Sciences, Moscow, Russia.

Please see the link here: https://stm.bookpi.org/CICMS-V3/article/view/12596

Saturday, 18 November 2023

Intramedullary Fixation in Adolescent Humerus Fractures: An Overview | Chapter 10 | Advanced Concepts in Medicine and Medical Research Vol. 4

 This episode delves into the intricate management of humeral rod fractures in adolescents, a distinct and frequently challenging subdivision of pediatric fractures. While non-operative approaches have historically yielded superior results in children, adolescents present singular complexities due to their speedy growth. These challenges grant permission result in complications to a degree malalignment, angulation, and malrotation, necessitating operative mediations. The traditional approach of open reduction and within fixation with plates and screws, while productive, is not without allure limitations. Soft tissue thorough analysis, scarring, and complications pose concerns, making it authoritative to explore alternative techniques. This branch centers on one specific alternative—closed intramedullary K-wire obsession. The method employs without a stain steel K-wires introduced into the humeral rod through minimally invasive techniques, checking many drawbacks guide traditional open procedures. Through a inclusive examination of the closed intramedullary K-coil technique, this chapter outlines allure advantages and dispassionate outcomes. Notably, this technique minimizes ancestry loss, preserves the purity of soft tissues, and maintains the rupture hematoma, thereby promoting early bridging callus composition. The results of a study conducted at Jawaharlal Nehru Medical College & Hospital, AMU, Aligarh, between 2012 and 2014, are bestowed, demonstrating a 97.5% union rate and slightest complications. In conclusion, closed intramedullary K-cable fixation arises as a promising alternative for managing adolescent humeral rod fractures. The technique offers a safe, economical, and efficient approach, ensuring support while preserving easy tissue integrity. It allows early bridging callus composition, early initiation of physiotherapy, and optimal working outcomes, making it a valuable addition to the orthopedic physician's toolkit for addressing this questioning fracture type.

Author(s) Details:

Abdul Qayyum Khan,
Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India.

Mohammad Baqar Abbas,
Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India.

Please see the link here: https://stm.bookpi.org/ACMMR-V4/article/view/12479

Thursday, 5 October 2023

Computational Investigations of Glare Fatigue and Fracture Studies | Book Publisher International

 The book presents detailed theoretical and numerical studies for investigation of the mechanisms of crack tip stress amplification, shielding and fiber bridging in two possible variants of Mode I cracked fiber metal laminate (Glare), Type I and Type II. The influence of residual stresses, that are generated due to curing during fabrication of the laminates, is incorporated in the study. Crack tip stress amplification is noticed in Type I whereas crack tip shielding is observed in Type II laminate. The effects are quantified with the help of theoretical and finite element models.  The models are well substantiated by experiments.


Author(s) Details:

Sunil Bhat,
RV Institute of Technology and Management, Kothanur, 8th Phase, JP Nagar, Bangalore, Karnataka – 560076, India.

S. Narayanan,
Kalasalingam Academy of Research and Education, Krishnankoil, Tamil Nadu - 626126, India.

Please see the link here: https://stm.bookpi.org/CIGFFS/article/view/12057

Thursday, 20 July 2023

Management of Mandible Fractures in Dapaong, Togo | Chapter 1 | Current Progress in Medicine and Medical Research Vol. 2

 Mandibular fractures are prevalent injuries in maxillofacial trauma. They are frequently associated with harsh, life-threatening injuries. There is no unity on their management. This trouble and the inadequacy of the technical policy in certain underdeveloped countries further complicate the management of these harms. It is in this context that we transported this single center, backward-looking and descriptive study to describe the epidemiological, demonstrative and therapeutic facets of mandibular fractures in a hospital with restricted resources in Togo.

Author(s) Details:

Tamassi Bertrand Essobiyou,

General Surgery Department, Dapaong Regional Hospital Center, Dapaong, Togo.

Saliou Adam,

Department of Stomatology, Otorhinolaryngology, Maxillofacial, Head and Neck Surgery, Sylvanus Olympio University Hospital Center, Lome, Togo.

Michel Fabien Dargani,

Department of Maxillofacial Surgery and Stomatology, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso.

Solim Uziel Roselin Boko,

Department of Stomatology, Otorhinolaryngology, Maxillofacial, Head and Neck Surgery, Sylvanus Olympio University Hospital Center, Lome, Togo.

Geremie Ananidjin,

Department of Stomatology, Otorhinolaryngology, Maxillofacial, Head and Neck Surgery, Sylvanus Olympio University Hospital Center, Lome, Togo.

Alexandre Palissam Keheou,

General Surgery Department, Sylvanus Olympio University Hospital Center, Lome, Togo.

Mohamed Issa,

General Surgery Department, Sylvanus Olympio University Hospital Center, Lome, Togo.

 Haréfétéguéna Bissa,

Department of Stomatology, Otorhinolaryngology, Maxillofacial, Head and Neck Surgery, Sylvanus Olympio University Hospital Center, Lome, Togo.

Please see the link here: https://stm.bookpi.org/CPMMR-V2/article/view/11280

Saturday, 1 July 2023

An Epidemiological Profile and Management of Floating Knee at the Traumatology and Orthopedics Department (Section A) of Hassan II Hospital, Fez/Morocco | Chapter 3 | Current Innovations in Disease and Health Research Vol. 1

 Present study climaxes the epidemiological profile and administration of floating knee at the traumatology and Orthopedics area (section A) of Hassan II Hospital, Fez/Morocco. The buoyant knee is an union of ipsilateral femur and tibia fractures first expressed by BLAKE and MCBRYDE in 1974. The study retrospectively reviewed the cases of 32 inmates who were conducted between January 2009 and November 2018. We only included subjects with a buoyant knee. Staging and indexing two together used Frazer's classification. Open fractures were judged preoperatively for severity of accompanying injuries utilizing the Injury Severity Score and the Cauchoix-Duparc classification. Functional outcomes were determined use the Karlstrom and Olerud criteria. Young alive adults were ultimate affected accompanying a mean age of 28 years and a clear male predominance (90.62%). Road accidents were the main cause (93.75%).According to Fraser's categorization, 68.75% of cases were type I, type IIa (15.62 %), type IIb (9.37%) and type IIc (6.25%). Seventeen patients met with IM nailing of both leg part and tibia fractures. Four patients (12.5%) seen ORIF with DCP leg part plate; 3 patients (9.37%) experienced condylar plate bridging of the femur; inasmuch as 2 patients (6.25%) withstood ORIF of tibia accompanying DCP plate and 2 patients (6.25%) with T-buttress plate of the tibial land. The advent of various modes of transport accompanying the growth of the automobile manufacturing and especially the disobedience with the highway safety regulations are chiefly to blame for the surge attack traffic accidents. In Morocco, RTA’s are the main etiology of buoyant knees.The floating knee is a condition namely slowly extended over our side of the world and generally affects young, active family. Most typically, transmission-clinical disease is used. A skilled integrative team bear carry out administration because it is operational.

Author(s) Details:

Kamal Lahrach,
Department of Trauma and Orthopedics A, Hassan II Hospital, University Sidi Mohammed Ben Abdellah of Fez, Morocco.

Boubacar Soumaré,
Department of Trauma and Orthopedics A, Hassan II Hospital, University Sidi Mohammed Ben Abdellah of Fez, Morocco.

Saeed Abdul Razak,
Department of Trauma and Orthopedics A, Hassan II Hospital, University Sidi Mohammed Ben Abdellah of Fez, Morocco.

Bah Souleymane,
Department of Trauma and Orthopedics A, Hassan II Hospital, University Sidi Mohammed Ben Abdellah of Fez, Morocco.

Diarra Abdoul Salam,
Reference Health Center of Mopti,Mali.

Boutayeb Fawzi,
Department of Trauma and Orthopedics A, Hassan II Hospital, University Sidi Mohammed Ben Abdellah of Fez, Morocco.

Please see the link here: https://stm.bookpi.org/CIDHR-V1/article/view/11059


Wednesday, 22 February 2023

Rare Case of Bilateral Elbow Dislocation with Radial Head Fractures in a 33 Year Male | Chapter 7 | Perspective of Recent Advances in Medical Research Vol. 9

 A 33-period-old man bestowed with a infrequent case of bilateral elbow displacement with associated branching head fractures. Following road traffic casualty patient presented to the emergency, the elbow dislocations were treated skilled, the left branching head fracture was doctored conservatively for four weeks in an above elbow lump, and the right radial head and neck rupture was treated surgically accompanying Herbert screw obsession for the radial head break and buttress plating for the branching neck rupture. At the six-month examination, the patient reported no pain and great range of motion in two together flexion and extension, accompanying pronation and supination of the elbows reaching 50o and 40o for the right elbow and 60o and 45o for the abandoned, respectively. 

Author(s) Details:

A. Raviraj,
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India..

Vidyasagar Maalepati,
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

K. Abhishek Sugumar,
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

Vivek Kumar N. Savsani,
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

Viresh B. Murgodi,
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

F. N. P. Bianca E. Bullie,
VAMC, Jackson, USA.

Ashish Anand,
VA Medical Center, William Carey School of Osteopathic Medicine, Hattiesburg, University of Mississippi Medical Center, Jackson, MS, USA.

Please see the link here: https://stm.bookpi.org/PRAMR-V9/article/view/9594

Tuesday, 17 January 2023

The Fracture Behavior of Random Fiber-Reinforced Composite Specimens: Experimental Investigation| Chapter 4 | Techniques and Innovation in Engineering Research and Technology Vol. 5

 The aim concerning this work is to study the effect of pliable test on the fracture behavior of carelessly distributed texture composite specimens. Utilizing tightness tests, an experimental analysis of the break behavior of chance fiber-supported composites has been carried out. Continuous calculations of the COD were made while the used load was being applied. To construct the R-curves, the load-COD curves were employed (crack development resistance curves). There have been any analytical connections discovered utilizing the resulting R-curves. The fracture determination has been expected based on these equatings. The results obtained from the present work support a better understanding of the crack resistance traits of randomly delivered fiber composites. The results are very helpful to engineers and designers as they have immediately better insight concerning the fracture wonder of random fiber-supported composites.

Author(s) Details:

Mahmoud Nadim Nahas,
Mechanical Engineering Department, King Abdulaziz University, Jeddah, Saudi Arabia.

Please see the link here: https://stm.bookpi.org/TAIERT-V5/article/view/9055

Thursday, 7 July 2022

Cracks and Fractures in Teeth | Book Publisher International

When a crack develops in a tooth, it is referred to as a fractured tooth or cracked tooth syndrome (CTS). Sometimes the crack will be little and unharmful. Sometimes it might lead to the tooth splitting or breaking.

Although anybody can shatter a tooth, youngsters and the elderly are more prone to tooth fractures. Cracks might appear in the root or the crown. The root and the crown both have numerous layers:

Enamel: A rough, white exterior.

Dentin: The tooth's middle layer.

Pulp: Soft inner tissue that houses nerves and blood vessels.

Some or all of these layers may be impacted by tooth fractures. The location and degree of the fracture determine the course of treatment for a broken tooth. Even though some fractures go unnoticed, a fractured tooth may pain or feel sensitive. The likelihood of healing a fractured tooth rises with earlier treatment.

Author(s) Details:

Shahd Fawaz Alnojaidi
Dar Al Uloom University, Riyadh, Saudi Arabia and Massachusetts Central University, USA.

Ghadeer Fawaz Alnojaidi
Dar Al Uloom University, Riyadh, Saudi Arabia.

Rahaf Fawaz Alnojaidi
Dar Al Uloom University, Riyadh, Saudi Arabia.

Sawsan M. Alyousef
Intensive Care Consultant, King Fahad Medical City, Princess Noura University, Riyadh, Saudi Arabia.

Monday, 4 July 2022

Advanced Numerical Techniques to Design T-bonded Joints | Chapter 5 | Technological Innovation in Engineering Research Vol. 4

Adhesive bonds have become more popular in industrial settings as a result of their numerous benefits over other, more conventional bonding techniques (fastened, welded and riveted joints). Over time, there have become more methods for predicting the strength of adhesive junctions. Although it is rarely researched in relation to bonded joints, the eXtended Finite Element Method (XFEM) is a modern variation of the (Finite Element Method) FEM to simulate damage development in structures. Three T-joints made of an aluminium alloy that have been adhered together are the subject of an experimental and XFEM analysis in this study. With values ranging from 1 to 4 mm, the thickness of the curved adherends (tP2) is examined parametrically. The ability of XFEM prediction was evaluated using various damage start and propagation criteria. It was shown that if the modelling conditions are properly specified, accurate numerical results may be obtained.


Author(s) Details:

F. J. P. Moreira,
Departamento de Engenharia Mecânica, Instituto Superior de Engenharia do Porto, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, 431, 4200-072 Porto, Portugal.

R. D. S. G. Campilho,
Departamento de Engenharia Mecânica, Instituto Superior de Engenharia do Porto, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, 431, 4200-072 Porto, Portugal and INEGI – Pólo FEUP, Rua Dr. Roberto Frias, s/n, 4200-465 Porto, Portugal.

Thursday, 16 June 2022

Assessment of Landslide by Its Fracture System using Electric Resistivity Tomography and Pressure Probe Method | Chapter 4 | Current Advances in Geography, Environment and Earth Sciences Vol. 4

 The goal of this chapter was to investigate a slow-moving loess landslide in South Hungary. Unlike earlier efforts, we were able to pinpoint its fracture system. It appears to be the only option to learn about the landslide's structure and subsequent evolution due to the uniform nature of the loess. In addition to the well-known Electrical Resistivity Tomography, the Pressure Probe (PreP) method was utilised to analyse the apparently thick fracture structure (ERT). This approach was developed to discover and analyse mechanically weak zones that are not visible on the surface, such as those caused by landslides. The ERT has been very successful in locating fracture zones. allowing for the prediction of future rupture surfaces and, as a result, the designation of dangerous zones Both methodologies were successful in determining the location of a landslide's fracture system. The mass shifts that occurred around a year and a half after the observations supported geophysical predictions. For giving early danger alarms and averting damage to structures or compromising human life, the employment of the ERT and PreP techniques is strongly advised.


Author(s) Details:

K. Szokoli,
Institute of Earth Physics and Space Science, H-9401 Sopron POB 5, Hungary.

L. Szarka,
Institute of Earth Physics and Space Science, H-9401 Sopron POB 5, Hungary.

M. Metwaly,
Archaeology Department, College of Tourism and Archaeology, King Saud University, Saudi Arabia and National Research Institute of Astronomy and Geophysics (NRIAG), Cairo, Egypt.

J. Kalmar,
Institute of Earth Physics and Space Science, H-9401 Sopron POB 5, Hungary.

E. Pracser,
Institute of Earth Physics and Space Science, H-9401 Sopron POB 5, Hungary.

M. K. Baracza,
Research Institute of Applied Earth Sciences, University of Miskolc, Hungary.

P. Szucs,
University of Miskolc, Institute of Environmental Management, Hungary and MTA-ME Geoengineering Research Group, Miskolc, Hungary.

S. Szalai,
Institute of Earth Physics and Space Science, H-9401 Sopron POB 5, Hungary.

Please see the link here: https://stm.bookpi.org/CAGEES-4/article/view/7115

Friday, 25 February 2022

Thickness and Fracture Toughness Relationship in Ceramic Partial Restorations | Chapter 15 | Issues and Developments in Medicine and Medical Research Vol. 8

 Concerns about the aesthetics and biocompatibility of dental restorations are growing. Ceramic materials were created in response to the growing need for tissue preservation, aesthetics, and fracture resistance. However, their high clinical failure rate in posterior sites is a significant disadvantage. The effect of thickness and material type on the resistant fracture of ultra-thin ceramic restorations is described in this work. The restorative portion of the procedure should not damage the remaining tooth structure any further. Traditional onlays and full crowns are being replaced with ultrathin restorations (veneers, onlays, and inlays). the technical requirements for the success and favourable prognosis of those novel restorative designs based on tooth preparation control with diagnostic wax-up, provisionalization, and the utilisation of CAD-CAM technology .


Author(S) Details


Imen Kalghoum
Department of Fixed Prosthodontics, Research Laboratory of Occlusodontics and Ceramic, University of Monastir, Monastir, Tunisia.

Zied Feddaoui
Department of Fixed Prosthodontics, Research Laboratory of Occlusodontics and Ceramic, University of Monastir, Monastir, Tunisia.

Yosra Farhat
Department of Fixed Prosthodontics, Research Laboratory of Occlusodontics and Ceramic, University of Monastir, Monastir, Tunisia.

Nouira Zohra
Department of Fixed Prosthodontics, Research Laboratory of Occlusodontics and Ceramic, University of Monastir, Monastir, Tunisia.

Belhssan Harzallah
Department of Fixed Prosthodontics, Research Laboratory of Occlusodontics and Ceramic, University of Monastir, Monastir, Tunisia.

Mounir Cherif
Department of Fixed Prosthodontics, Research Laboratory of Occlusodontics and Ceramic, University of Monastir, Monastir, Tunisia.

Dalenda Hadyaoui
Department of Fixed Prosthodontics, Research Laboratory of Occlusodontics and Ceramic, University of Monastir, Monastir, Tunisia.

View Book:- https://stm.bookpi.org/IDMMR-V8/article/view/5809


Wednesday, 1 December 2021

Dilemma for the Surgeon-A Three-part Broken Interlocking Femoral Nail: Novel Technique of Removal | Chapter 7 | Recent Developments in Medicine and Medical Research Vol. 14

 

It can be difficult to remove a segmentally fractured (three part) interlocking femoral nail with a broken interlocking screw. To treat the delayed union with exchange nailing, we present a unique approach for extracting a rare two-level fractured cannulated anterograde femoral nail.

The fractured hardware was removed without accessing the facture site or the knee in this case of a three-part broken intramedullary interlocking nail with broken distal locking screws. This method is straightforward and does not necessitate the use of specialised equipment. For mending the fracture and achieving the union, we employed a larger diameter and longer nail. The surgical technique is described, as well as a review of the literature.

Author(S) Details

A. Raviraj
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

K. Abhishek Sugumar
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

Vidyasagar Maalepati
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

H. A. Shivareddy
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

Ashish Anand
University of Mississippi Medical Center, Jackson, MS, USA and Staff Orthopedic Surgeon, VAMC, Jackson, USA.

View Book:- https://stm.bookpi.org/RDMMR-V14/article/view/4986


Tuesday, 10 August 2021

Study on Management of Comminuted Fractures of the Shaft of Femur by Interlocking Nailing at a Tertiary Level Hospital in India | Chapter 18 | Highlights on Medicine and Medical Science Vol. 15

 A femoral shaft fracture is one of the most common fractures observed in orthopaedic practise. In patients who have been exposed to high energy trauma, the fracture shaft of the femur is a leading cause of morbidity and mortality. This study looks at the epidemiology of patients who report with femur fractures at a tertiary level hospital in Navi Mumbai.

The goal of this study was to see how long it took for comminuted femur fractures to heal. 2) To determine the length of stay in the hospital, and 3) to investigate the issues that may arise. 4) It's time to go for a walk.

This prospective study was undertaken in a tertiary level hospital in Navi Mumbai from January 1, 2014 to July 31, 2015. All patients with a comminuted femur fracture who were treated with interlocking nailing were included in the study. Various clinical and radiological indicators were gathered during the course of treatment.

The study included 50 patients, with 84 percent of them being men. 88 percent were under the age of 50. A car accident was the most common cause of injury, and 54 percent of patients had a fracture in the middle one-third of their femur. After 12 to 14 weeks, 52 percent of patients had clinical union, whereas radiological union was evident in the majority of patients after 16 to 18 weeks. In 10 weeks, 36% of patients started partial weight bearing, and in 16 weeks, 42% started complete weight bearing. The majority of patients were admitted for 10 to 14 days, and 66 percent of them had excellent functional outcomes as judged by Klemm and Borner criteria. Only six patients developed issues as a result of the procedure.

Conclusions: In our experience, interlocking nailing resulted in a low complication rate and a good functional outcome in two-thirds of comminuted femur fracture patients.

Author (s) Details

Aashay Kekatpure
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

Shikhar D. Singh
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

Sachin Kale
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

Prasad Chaudhari
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

Sanjay Dhar
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

View Book :- https://stm.bookpi.org/HMMS-V15/article/view/2479

Tuesday, 27 July 2021

Osteoporosis and Urinary N Telopeptide | Book Publisher Intenational

 Context: Osteoporosis is a terrible disease that causes bone loss and weakens bone tissue's structural integrity. Fractures caused by osteoporosis can occur in any area of the bone, although they are most common in the forearm, thoracic, and lumbar vertebrae, as well as the proximal femur. Hip fractures have a significant mortality and morbidity rate among them. Fragility hip fractures as a result of osteoporosis are becoming more common. There is a lot of current study in the field of orthopaedics because traditional radiography can't reliably detect bone loss, thus a non-invasive examination into measuring the bone mineral content of various sections of the skeleton has been developed. Because the existing ‘gold standard' DEXA test has substantial shortcomings, extensive research will be conducted to develop a better study to replace DEXA. Any new technology must be repeatable and capable of assisting in the evaluation of both quantity and quality, as well as being a good assessor of someone's fracture risk. N- Telopeptide (NTx) has been studied as a bone resorption measure that is both selective and sensitive. NTx is a stable degradation end product that may be detected in both serum and urine. Diet has little effect on urine excretion, hence there is less variance than with traditional markers. Because of the unique amino acid sequence and orientation of cross-linked alpha-2 [1] N Telopeptide, the NTx is particular to bone. The osteoclast is responsible for the production of the NTx molecule.


The goal of this study was to see if urine n telopeptide might be used as a diagnostic test for osteoporosis. The study's goal is to see if urinary n telopeptide levels can be used as a diagnostic tool for osteoporosis. The purpose of this study is to evaluate the utility of urine n telopeptide and to investigate its relationship with BMD. To determine the best cut-off point for osteoporosis classification using urinary n telopeptide levels.

Materials and Methods: This is a prospective study conducted at Chennai's Sri Ramachandra Institute Of Higher Education and Research (DU). The research took place between August 2014 and December 2019. Before collecting the samples, the SRIHER (DU) ethics committee gave its approval. Females aged 65 and above, females aged 60 and up with risk factors, postmenopausal young females with one or more risk factors, males aged 70 and up, males aged less than 50 with risk factors, and patients seen within 24 hours of minor fall fractures were all included. Patients with a BMI of less than twenty, Asian ethnicity, and a sedentary lifestyle were all risk factors. Family history of osteoporosis or fragility fractures, a sustained previous fracture or a recent fragility fracture, prolonged steroid use, more than two to three alcoholic drinks per day, early menopause before the age of forty-five years, vitamin D deficiency, testosterone hormone depletion in males, and neurological illness such as dementia that makes a person prone to fall. People with any pathological fracture, chronic or acute kidney illness, liver failure, tumour and malignancy, hyperthyroidism or hyperparathyroidism, and any medicines that alter bone metabolism were all excluded. Patients with probable osteoporosis who came to Sri Ramachandra Hospital as inpatients or outpatients were studied. All patients were given a thorough explanation of the study, and after receiving their agreement, they were enrolled in it. DEXA scan, urinary N-telopeptide, and biochemical tests such as blood calcium, serum phosphorus, alkaline phosphatase, 25-hydroxy vitamin D, and serum parathyroid were performed on all study participants. Patients were separated into cases and controls based on the results of a DEXA scan. After consultation with a statistician, the sample size for each group was determined to be 43.

The mean urine N telopeptide value was 182.5 in cases and 49.9 in controls, which is statistically significant. The receiver operating curve was created using the X axis for 1-specificity and the Y axis for sensitivity. According to the ROC curve, the cutoff was found to be 71. The sensitivity and specificity of the urine N telopeptide test were determined using a cutoff of 71 and found to be 85 percent sensitivity and 86 percent specificity.

Discussion: DEXA delivers a static image of the bones and does not discriminate whether or not bone loss is occurring. However, urine N -telopeptide is a dynamic indicator of what is going on in the bone at any one time. In the current investigation, the mean levels of urine N-telopeptide in the patients and controls were 182.5 and 49.8, respectively. Significant associations between bone turnover indicators and BMD at the lumbar spine and total hip of postmenopausal women were discovered on a regular basis. Discussion: DEXA delivers a static image of the bones and does not discriminate whether or not bone loss is occurring. However, urine N -telopeptide is a dynamic indicator of what is going on in the bone at any one time. In the current investigation, the mean levels of urine N-telopeptide in the patients and controls were 182.5 and 49.8, respectively. Significant associations between bone turnover indicators and BMD at the lumbar spine and total hip of postmenopausal women were discovered on a regular basis. In the postmenopausal age group, the typical reference value of urine N- telopeptide was up to 89 nmol bone collagen equivalents/nmol creatinine. The reference value was derived from the European population, but no reference figure for the Indian population was provided. If the cutoff is set at 89 and the sensitivity is determined, the result is 71, with an increase in false negatives. Thus, a new cut-off for the Indian population is required, and the study's cut-off of 71 for urinary N-telopeptide has good sensitivity, specificity, and accuracy. According to the findings of this study, 71 could be used as a cut-off point for diagnosing osteoporosis in order to distinguish between normal and osteopenic/osteoporotic patients. Any number greater than 71 indicates osteoporosis/osteopenia, whereas very elevated levels (>1.5-2) may suggest the presence of other bone diseases such as osteomalacia. DEXA is more expensive than assessing urinary N- telopeptides. A single area DEXA scan costs approximately 2500 rupees, while an urine N- telopeptide Elisa kit costs approximately 25000 rupees for 100 patients. If the urinary N-telopeptide test is performed more regularly and in greater numbers, the kit can be acquired at a lower cost. When we use a DEXA scan alone to diagnose osteoporosis, we may encounter several issues. Only bone resorption is directly proportional to the value of urinary N- telopeptide. Increased levels of bone resorption markers indicate a higher risk of fracture regardless of bone mineral density. The combination of the two diagnostic tests could help women at high risk be better identified.

Conclusion: Elevated urine N- telopeptide can be used to detect osteoporosis/osteopenia and could be used as a new osteoporosis diagnostic test. The test can also be used as a screening test because it is inexpensive, non-invasive, and straightforward. According to the current study's receiver operating characteristic curve, the cutoff for osteopenia/osteoporosis and normal categorization is 71. Vitamin D levels, PTH levels, and phosphorus levels show no link to osteoporosis. For suspected osteoporosis, a urine N-telopeptide test is recommended, with individuals who test positive (i.e. more than 71) being referred to the current ‘gold standard' DEXA scan. A combination of these two diagnostic tests could be utilised to identify those who are at high risk of fracture. Urinary N telopeptide has the potential to be utilised as both a screening and diagnostic test.

Author(s) Details

Ganesan G. Ram
Professor of Orthopaedics, Velammal Medical College, Madurai, Tamil Nadu, India.

View Book:- https://stm.bookpi.org/OUNT/article/view/2330

Wednesday, 11 November 2020

Studies on Improving the Reliability of Mechanical Components that have Failed in the Field Due to Repetitive Stress | Chapter 3 | Current Perspectives on Chemical Sciences Vol. 3

 A reliability technique for parametric accelerated life testing (ALT) is suggested to increase the reliability of mechanical parts that have failed in the field. It consists of: (1) a parametric ALT plan, (2) a load review, (3) a tailor-made set of action plan parametric ALTs, and (4) an assessment of the final designs to ensure that the design specifications are met. This parametric ALT can allow an engineer to replicate the fractured or failed parts in a repeated loaded product and correct the defective designs. The helix upper dispenser of a field-fractured refrigerator icemaker has been studied as a test case. Using a load analysis , we found that the fracture of the helix upper dispenser was due to repeated loads and a flawed design with a distance of 2 mm between the blade dispenser and the upper helix dispenser. We also proposed a reliability approach that includes: (1) a parametric ALT plan, (2) a load review, (3) a customised sequence of parametric ALTs with action plans, and (4) an assessment of the final design specifications of the mechanical part to ensure that the requirements are fulfilled, in order to increase the reliability of a mechanical part that fails in the field. The fracture in the helix upper dispenser was repeated during the first and second ALTs. The modes and mechanisms of failure observed were identical to those of the failed field sample. The configuration of the helix upper dispenser has been updated as an action plan, by removing the 2 mm gap and inserting implemented ribs. No issues existed in the third ALT. The reliability of the helix upper dispenser was assured after three rounds of parametric ALTs as a 10-year life with an accumulated failure rate of 1 percent. For other mechanical systems such as cars, aircraft, construction machinery, washing machines, vacuum cleaners and civil structures such as bridges, this reliability design approach should be appropriate.



Author(s) Details

Seongwoo Woo
Addis Ababa Science and Technology University, Addis Ababa, Ethiopia.


Dennis L. O’Neal

Department of Engineering and Computer Science, Baylor University, Waco, TX 76798-7356, USA.

View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/318


Tuesday, 13 October 2020

Characterisation of Fractures and Fracture Zones in a Carbonate Aquifer Using Electrical Resistivity Tomography and Pricking Probe Methodes | Chapter 7 | International Research in Environment, Geography and Earth Science Vol. 6

 

In the carbonate aquifer, the goal was to determine the location, width and fragmentation degree of the fracture zones and the location, significance and characteristic distance of the fractures. These are fundamental parameters due to their role in the movements of subsurface water , e.g. in hydrogeological modelling of aquifers. However, defining small-scale fracture systems is a difficult task. Two methods proved to be applicable in the test area (Kádárta, Bakony Mts, Hungary) to obtain reasonable details on the fractures: Electrical Resistivity Tomography (ERT) and Pricking-Probe (PriP). PriP is a basic mechanical instrument that has been used successfully in archaeological studies. In this small-scale fracture analysis, ERT outcomes demonstrated its applicability. PriP proved to be a successful organisation, Verification method for both fracture zone mapping and fracture detection, but it provided distinct results in some areas than the ERT. Therefore, the applicability of this approach has yet to be checked, although its problems most likely derive from human activity that reorganises the distribution of the nearsurface debris. Both methods showed fracture zones, including a very characteristic one and a number of individual fractures, at the test site and calculated their characteristic distance and significance. Both methods have proven to be capable of even individually generating hydrogeologically important parameters, but their simultaneous application is recommended to reduce the potential discrepancies.

Author(s) Details

Sándor Szalai,
CSFK GGI, H-9401 Sopron POB 5, Hungary and Department of Geophysics, University of Miskolc, H-3515 MiskolcEgyetemváros, Hungary.

Dr. Mátyás Krisztián Baracza
Research Institute of Applied Earth Sciences, University of Miskolc, H-3515 Miskolc-Egyetemváros, Hungary.

Attila Kovács
Geological and Geophysical Institute of Hungary, 14 Stefánia út, Budapest, H-1143, Hungary.

Lukács Kuslits

CSFK GGI, H-9401 Sopron POB 5, Hungary.

Gábor Facskó
CSFK GGI, H-9401 Sopron POB 5, Hungary.


Katalin Gri-bovszki
CSFK GGI, H-9401 Sopron POB 5, Hungary

János Kalmár
CSFK GGI, H-9401 Sopron POB 5, Hungary.

László Szarka
CSFK GGI, H-9401 Sopron POB 5, Hungary.

View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/283

Friday, 25 September 2020

A Mini-open Reduction Technique for the Off-ended Paediatric Distal Radius Fracture | Chapter 9 | Research Trends and Challenges in Medical Science Vol. 5

 The off-ended paediatric forearm or distal radius fracture may challenge attempts at closed reduction and prompt open reduction. We describe a hybrid technique to achieve a functional reduction using a mini-open and minimally traumatic approach, as a quicker alternative to the traditional open approach with the potential for reduced blood loss, post-operative pain, swelling and scarring.


Author (s) Details

Mr. Divya Prakash,
Sandwell General Hospital, Birmingham, UK.

View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/264

Wednesday, 26 August 2020

Epidemiology of Fracture Dislocations | Chapter 12 | Current Topics in Medicine and Medical Research Vol.3

Introduction: Fractures and dislocations are a significant public health and economic burden but the

epidemiology of fracture dislocations is poorly understood. This study aimed to evaluate the
prevalence and distribution of various fracture dislocations.
Materials and Methods: Fracture dislocation cases who underwent closed reduction by a general
surgeon where no Orthopaedician was available were recorded. The inclusion criteria were all
patients admitted after trauma. The demographic details of the patients who reported to the hospital
were extracted and the type and site of fracture dislocations were classified according to their age and
gender groups.
Results: 63.82% were male as compared to 36.17% of female patients. The highest incidence of
27.65% occurred in the age group of 20-30 years. In males, the highest incidence of 33.33% occurred
in the age group of 20-30 years. In females, the highest incidence of 12.76% occurred in the age
group of 60-70 years. The highest number of fracture dislocations occurred in the month of February.
65.95% of fracture dislocation were right sided as compared to 34.04% on the left side. 29.78%
patients had fracture lower end of radius which was the most common fracture encountered.
Conclusion: Fracture lower end of radius was the most common fracture encountered; males
sustained higher incidence of fracture dislocations and the age group of 20-30 years was most
commonly involved. In females, the highest incidence occurred in the age group of 60-70 years. Right
sided fracture dislocations were commoner. The highest incidence occurred in the month of February.

Author (s) Details

Dr. Gurmeet Singh Sarla
Department of General Surgery, Military Hospital, Devlali Cantt, Nasik, Maharashtra, India.

View Book :-
https://bp.bookpi.org/index.php/bpi/catalog/book/232