Publications by authors named "Zhongjian Tang"

Objective: Given the recent application of two new types of intramedullary nail devices in the treatment of comminuted femoral intertrochanteric fractures (CFIFs), there is still a lack of deep understanding and comparative evaluation of their biomechanical properties. Therefore, this study aims to systematically compare the advantages and disadvantages of these two new devices with traditional proximal femoral nail antirotation (PFNA) and InterTan nails in the fixation of CFIFs through finite element analysis.

Methods: Based on the validated finite element model, this study constructed an accurate CFIFs model.

View Article and Find Full Text PDF
Article Synopsis
  • This study compares the biomechanical properties of new intramedullary nail devices with traditional ones for treating basal femoral neck fractures (BFNF) using finite element analysis.
  • Researchers tested PFNA, InterTan, PFBN (proximal femoral biomimetic nail), and NIS (novel intramedullary system) under a vertical load to assess their displacement and stress distribution.
  • Results showed that PFBN had the best performance for load-bearing and stability, while the NIS also improved stability, indicating both devices are promising for clinical use in BFNF treatment.
View Article and Find Full Text PDF

Objective: We analyzed the influence of the location of the upper and lower cement on the sandwich vertebrae (SV) by computer finite element analysis.

Materials And Methods: A finite element model of the spinal segment of T11-L1 was constructed and 6 mL of cement was built into T11 and L1 simultaneously. According to the various distributions of bone cement at T11 and L1, the following four groups were formed: (i) Group B-B: bilateral bone cement reinforcement in both T11 and L1 vertebral bodies; (ii) Group L-B: left unilateral reinforcement in T11 and bilateral reinforcement in L1; (iii) Group L-R: unilateral cement reinforcement in both T11 and L1 (cross); (iv) Group L-L: unilateral cement reinforcement in both T11 and L1 (ipsilateral side).

View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on analyzing the biomechanical pros and cons of a biplanar double support screw (BDSF) internal fixation device for femoral neck fractures.
  • Two different femoral neck fracture models (30° and 70° angles) were created and tested with various screw configurations to evaluate how well they distribute stress and displacement.
  • Results show that the BDSF device offers better stability and lower displacement compared to other internal fixation methods, particularly when using a 165° angle for screw insertion.
View Article and Find Full Text PDF

Purpose: This study aimed to compare the biomechanical effects of different bone cement distribution methods on osteoporotic vertebral compression fractures (OVCF).

Patients And Methods: Raw CT data from a healthy male volunteer was used to create a finite element model of the T12-L2 vertebra using finite element software. A compression fracture was simulated in the L1 vertebra, and two forms of bone cement dispersion (integration group, IG, and separation group, SG) were also simulated.

View Article and Find Full Text PDF

Objective: The aim of this study was to investigate the biomechanical stress of sandwich vertebrae (SVs) and common adjacent vertebrae in different degrees of spinal mobility in daily life.

Materials And Methods: A finite element model of the spinal segment of T10-L2 was developed and validated. Simultaneously, T11 and L1 fractures were simulated, and a 6-ml bone cement was constructed in their center.

View Article and Find Full Text PDF

Objective: Bone cement leakage is a major complication of percutaneous vertebroplasty (PVP) while treating Kümmell's disease and it is a focus of close attention during the surgical procedure. The study aimed to investigate whether pre-injecting a composite of bone cement and gelatine sponge (the "bone cement-gelatine sponge composite") before injecting bone cement during PVP aids in lowering the leakage rate in stage I and II Kümmell's disease.

Methods: This prospective analysis evaluated 74 patients with stage I and II Kümmell's disease who underwent PVP treatment at our hospital from December 2019 to December 2021.

View Article and Find Full Text PDF

Hospital sewage plays a key role in the dissemination of antibiotic-resistant genes (ARGs) by serving as an environmental antimicrobial resistance reservoir. In this study, we aimed to characterize the cephalosporin- and carbapenem-resistant isolates from hospital sewage and receiving rivers. The results showed that ESBL () and carbapenemase genes ( and ) were widely detected in a number of different bacterial species.

View Article and Find Full Text PDF