Single-Dose Intravenous Tranexamic Acid Does Not Increase Venous Thromboembolic Rate or Complication Rate During Hip Arthroscopy.

Purpose: To determine whether tranexamic acid (TXA) is safe to administer preoperatively in patients undergoing hip arthroscopy by comparing the venous thromboembolic rate and complication rate between patients who did and did not receive TXA preoperatively.

Methods: This was a multicenter consecutive-cohort series of patients who underwent arthroscopic hip surgery between 2014 and 2021. The 2 cohorts comprised patients who did and did not receive TXA preoperatively (single dose of 1-2 g), after a practice change.

Surface Evaluation of Gyroid Structures for Manufacturing Rubber-Textile Conveyor Belt Carcasses Using Micro-CT.

Gyroid structures are among the most widely used three-dimensional elements produced by various additive manufacturing technologies. This paper focuses on a metrological analysis of Flexfill 92A material specimens with a relative density (25 to 85%) using industrial computer tomography. The results show that for a given structure, the best method is to use surface determination with the closure of internal defects in the material.

Identification of the Natural Frequencies of Oscillations of Perforated Vibrosurfaces with Holes of Complex Geometry.

The reliability of perforated vibrosurfaces is one of the main parameters of the efficiency of their operation in many technological processes. Existing methods for studying vibrosurfaces with standard single holes and the corresponding results cannot be used to study the reliability of vibration surfaces with holes of complex geometric shapes. The proposed method is based on the experimental modal identification of the parameters of natural oscillations, the parallel creation of a numerical model using the finite element method, and the comparison of the results.

Not All Proximal Humerus Fractures Do Well Without Surgery: Anterior Translation Predicts the Need for Surgery.

Objectives: To evaluate the effect of translation on a large series of low-energy proximal humerus fractures initially treated nonoperatively.

Design: Retrospective multicenter analysis.

Setting: Five level-one trauma centers.

Early Outcomes of Proximal Humerus Fractures in Adults Treated With Locked Plate Fixation Compared with Nonoperative Treatment: An Age-, Comorbidity-, and Fracture Morphology-Matched Analysis.

Objectives: To compare patient-reported outcomes (PROs), range of motion (ROM), and complication rates for proximal humerus fractures managed nonoperatively or with open reduction internal fixation (ORIF).

Design: Retrospective cohort.

Setting: Academic level 1 trauma center.

Superior Outcomes With Reverse Shoulder Arthroplasty versus Nonoperative Management for Proximal Humerus Fractures: A Matched Cohort Analysis.

Objective: To evaluate early outcomes (within 1 year) for geriatric proximal humerus fractures managed nonoperatively or with reverse shoulder arthroplasty (RSA).

Design: Retrospective cohort.

Setting: Academic level 1 trauma center, level 2 trauma/geriatric fracture center.

Risk factors for loss of reduction following locked plate fixation of proximal humerus fractures in older adults.

Purpose: To identify characteristics associated with loss of reduction following open reduction and locked plate fixation (ORIF) of proximal humerus fractures in older adults and determine if loss of reduction affects patient reported outcomes (PROs), range of motion (ROM), and complication rates during the first postoperative year.

Methods: Patients >55 years old who underwent proximal humerus ORIF were reviewed. Patient and fracture characteristics were recorded.

Effects of Elastic Couplings in a Compressed Plate Element with Cut-Out.

Analytical calculations were performed on carbon fiber-reinforced polymer (CFRP) laminates in an asymmetrical configuration. The asymmetric configuration of composites was investigated, where extension-twisting and extension-bending couplings were used to obtain the elastic element. Analysis of the presence of elastic couplings was conducted according to Classical Laminate Theory (CLT).

Experimental and Numerical Research of Delamination Process in CFRP Laminates with Bending-Twisting Elastic Couplings.

This paper aims at experimental and numerical research of delamination process in carbon/epoxy composite laminates with different fiber orientation angles in stacking sequence exhibiting the bending-twisting elastic couplings. Experimental specimens were subjected to the double cantilever beam (DCB) tests according to the ASTM D5528 regulations. Values of the mode I strain energy release rates were calculated by using three different data reduction schemes: the modified beam theory, the compliance calibration method and the modified compliance calibration.

Outcomes for type C proximal humerus fractures in the adult population: comparison of nonoperative treatment, locked plate fixation, and reverse shoulder arthroplasty.

Background: This study compares patient-reported outcomes and range of motion (ROM) between adults with an AO Foundation/Orthopaedic Trauma Association type C proximal humerus fracture managed nonoperatively, with open reduction and internal fixation (ORIF), and with reverse shoulder arthroplasty (RSA).

Methods: This is a retrospective cohort study of patients >60 years of age treated with nonoperative management, ORIF, or RSA for AO Foundation/Orthopaedic Trauma Association type 11C proximal humerus fractures from 2015 to 2018. Visual analog scale pain scores, Patient-Reported Outcomes Measurement Information System (PROMIS) scores, ROM values, and complication and reoperation rates were compared using analysis of variance for continuous variables and chi square analysis for categorical variables.

Adaptation of Fracture Mechanics Methods for Quality Assessment of Tungsten Carbide Cutting Inserts.

Tungsten carbide (WC) is well known as one of the hardest materials widely used in machining, cutting and drilling, especially for cutting tools production. Knowing fracture toughness grants the opportunity to prevent catastrophic wear of a tool. Moreover, fracture toughness of WC-based materials may vary because of different material compositions, as well as a different way of production.

Thermoplastic Composites and Their Promising Applications in Joining and Repair Composites Structures: A Review.

Thermoset fiber reinforced composites, widely used in current structural applications, have complex repair procedures and generates significant amounts of scrap due to its recycling difficulties, which does not comply with the most recent environmental restrictions. These disadvantages may be overcome by using a thermoplastic matrix phase, which is very suitable to be joined and repaired by local melting, making the composite material fully recyclable. This work presents a literature review on the joining methods applicable to thermoplastic based composites and their potential applications to be used as repair procedures in structural elements.

Experimental Investigation of Delamination in Composite Continuous Fiber-Reinforced Plastic Laminates with Elastic Couplings.

This paper presents an experimental evaluation of influence of the elastic couplings on the fracture toughness as well as on delamination initiation and propagation in carbon/epoxy composite laminates. For this purpose the mode I double cantilever beam (DCB) tests according to the American Society for Testing and Materials (ASTM) D5528 Standard were performed on specimens with different delamination interfaces and specific lay-ups composition exhibiting the bending-twisting (BT) and the bending-extension (BE) couplings. The critical strain energy release rates (mode I c-SERR, ) were calculated by using the classical methods, namely: the modified beam theory (MBT), the compliance calibration (CCM) and the modified compliance calibration (MCC).

Total Knee Arthroplasty with Prior Ipsilateral Hip Arthrodesis.

Total knee arthroplasty (TKA) in the setting of previous hip fusion is rare with a paucity of evidence in the orthopaedic literature. Traditionally, TKA is performed supine, with the aid of knee-positioning devices allowing for hip flexion and range of motion of the knee to facilitate ease of surgical intervention. However, TKA using traditional positioning would not be possible in the presence of ipsilateral hip arthrodesis preventing hip motion.

Laboratory and Numerical Analysis of Steel Cold-Formed Sigma Beams Retrofitted by Bonded CFRP Tapes.

In this paper, the retrofitting method of thin-walled, cold-formed sigma beams using bonded carbon fibre reinforced polymer (CFRP) tapes is proposed. The effectiveness of the presented strengthening method is investigated by the means of laboratory tests and numerical analysis conducted on simply supported, single-span beams made of 200 × 70 × 2 profile by "Blachy Pruszyński" subjected to a four-point bending scheme. Special attention is paid to the evaluation of possibility to increase the load capacity with simultaneous limitation of beams displacements by appropriate location of CFRP tapes.

Stability and Load-Carrying Capacity of Thin-Walled FRP Composite Z-Profiles under Eccentric Compression.

This study investigates the effect of eccentric compressive load on the stability, critical states and load-carrying capacity of thin-walled composite Z-profiles. Short thin-walled columns made of carbon fiber-reinforced plastic composite material fabricated by the autoclave technique are examined. In experimental tests, the thin-walled structures were compressed until a loss of their load-carrying capacity was obtained.

The Leaf Wettability of Various Potato Cultivars.

Leaf wettability has an impact on a plant's ability to retain water on its leaf surface, which in turn has many environmental consequences. In the case of the potato leaf ( L.), water on the leaf surface may contribute to the development of a fungal disease.

Progressive Failure Analysis of Thin-Walled Composite Structures Verified Experimentally.

The subject of the presented research was a thin-walled composite column made of CFRP (carbon-epoxy laminate). The test sample had a top-hat cross-section with a symmetrical arrangement of laminate layers [90/-45/45/0]. The composite structure was subjected to the process of axial compression.

Mode I Interlaminar Fracture of Glass/Epoxy Unidirectional Laminates. Part I: Experimental Studies.

The paper presents experimental tests of unidirectional double cantilever beams made of a glass fiber reinforced (GFRP) laminate. The critical value of the strain energy release rate (c-SERR or ), i.e.

Mode I Interlaminar Fracture of Glass/Epoxy Unidirectional Laminates. Part II: Numerical Analysis.

The paper deals with numerical analysis of double cantilever beam (DCB) predefined to Mode I Interlaminar Fracture Tests of GRFP unidirectional laminates. The numerical analyses were performed in the ANSYS program based on the finite element. In geometrically nonlinear analysis, two algorithms, responsible for initiation and propagation of delamination front, were applied: Virtual Crack Closure Technique (VCCT) and Cohesive zone method (CZM).

Options for Failed Rotator Cuff Repair.

Failed rotator cuff repairs can pose a clinical challenge to the treating orthopedic surgeon. There are many nonsurgical and surgical options available to address the failed rotator cuff repair. Surgical options include revising the primary repair, partial or nonanatomic repair, tendon transfer, biological augmentation or use of tissue-engineered grafts for reconstruction, or total joint arthroplasty (typically with a modern reverse total shoulder arthroplasty system).

Preoperative Antibiotics in Wrist Arthroscopy.

Purpose: This study seeks to evaluate the need for preoperative antibiotics for wrist arthroscopy.

Methods: A retrospective review of 576 consecutive wrist arthroscopies was performed over a 10-year period at a single ambulatory surgery center. The chart of each included patient was reviewed for postoperative infections following the National Nosocomial Infections Surveillance criteria for diagnosis.

Evaluation of safety and efficacy of NexGen - an ultrathin strut and hybrid cell design cobalt-chromium bare metal stent implanted in a real life patient population - the Polish NexGen Registry.

Introduction: Despite the dominance of drug-eluting stents in modern interventional cardiology, there is still a niche for bare metal stents.

Aim: The aim of the Polish NexGen registry was to evaluate the safety and efficacy of a new generation cobalt-chromium NexGen stent in a real life patient population.

Material And Methods: A prospective multi-center registry was conducted in five clinical sites of American Heart of Poland.

A novel peritoneum derived vascular prosthesis formed on a latex catheter in an SDF-1 chemokine enriched environment: a pilot study.

Introduction: Although saphenous vein grafts are widely used conduits for coronary artery bypass graft surgery, their clinical value remains limited due to high failure rates. The aim of the study was to evaluate feasibility, safety, and biocompatibility of peritoneal derived vascular grafts (PDVG) formed on a silicone-coated, latex, Foley catheter in a stromal cell-derived factor (SDF-1)- enriched environment.

Methods: Foley catheters were implanted into the parietal wall of 8 sheep.

Safety and biocompatibility of a novel self-expanding nitinol carotid stent with hybrid cell design in a porcine model of neointimal hyperplasia.

Background: Stent design may influence the outcomes, suggesting that adverse event rates vary according to free cell area and cell design. Open cell design technology of self-expandable stents, dedicated for carotid revascularisation has better deliverability, although closed cell technology is expected to cause fewer thromboembolic events.

Aim: To evaluate the feasibility and vascular response of novel, hybrid cell, self-expandable nitinol stents (MER®, Balton, Poland) implanted into porcine carotid arteries.