Hydraulically equivalent fractures may show striking differences when a gas-migration experiment is performed because of the different correlations between transmissivity, pore volume and entry pressure. We numerically simulate gas migration between injection and extraction boreholes in a parallel plate fracture with a heterogeneous fault gouge, in a rough-walled fracture filled with homogeneous material, and in a rough-walled empty fracture. The parallel plate model and the empty model clearly show the existence of preferential paths; for high variance of the transmissivity field, gas flow takes place only in few discrete channels separated by water-saturated regions. In contrast, in the fracture filled with homogeneous fault gouge, the gas saturation is continuous and more uniformly distributed. It appears a fundamental issue to be able to discriminate in situ among conceptual models that can yield such a different gas-saturation distribution. As in practice, the saturation distribution cannot be directly observed, tracer experiments are performed to characterize a fracture. For these reasons, we simulate the transport of tracers, which are added to the gas phase as soon as quasi-steady saturation distribution and extraction rate are achieved, and we compare the breakthrough curves obtained assuming different models. Our numerical simulations suggest that discrimination among the models on the basis of single-tracer tests is unlikely. A better tool to investigate fracture properties is provided by a gas-tracer test, in which a cocktail of gases with different water solubility is employed. These gases behave as partitioning tracers and allow us to estimate the gas saturation in the fracture. Indeed, by comparison of the residence-time distributions of different gases, we are able to compute a streamline effective saturation, which is an excellent estimate of fracture saturation. In addition, the streamline effective saturation curve contains information that is useful to identify the conceptual model that more likely applies to the fracture.
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http://dx.doi.org/10.1016/j.jconhyd.2004.04.004 | DOI Listing |
Eur J Orthop Surg Traumatol
January 2025
Department of Orthopaedic Surgery, University of California San Diego, 200 West Arbor Drive MC 8894, San Diego, CA, 92103, USA.
Purpose: While treatment modalities for Maisonneuve fractures involving the proximal third of the fibula are established, no studies to date have reported outcomes associated with syndesmotic-only fixation of middle third fibular shaft fractures. The purpose of this study was to evaluate outcomes associated with syndesmotic-only fixation in the treatment of Maisonneuve fractures involving the middle third of the fibula.
Methods: A retrospective review was conducted on 257 cases of syndesmotic ankle instability with associated fibular fractures at a level 1 trauma center between 2013 and 2023.
Arch Orthop Trauma Surg
January 2025
Department of Orthopaedic Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Introduction: Ankle fractures represent a significant portion of orthopedic injuries, with fracture dislocations tending to have worse outcomes. Logsplitter fractures represent a subset of fracture dislocations in which the talus is axially wedged in the tibiofibular joint. We aim to comprehensively investigate and report on the complications and functional outcomes associated with ankle fracture-dislocations.
View Article and Find Full Text PDFArch Orthop Trauma Surg
January 2025
Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
Patients with unstable hemodynamics and unstable pelvic ring injuries are still demanding patients regarding initial treatment and survival. Several concepts were reported during the last 30 years. Mechanical stabilization of the pelvis together with hemorrhage control offer the best treatment option in these patients.
View Article and Find Full Text PDFEur J Orthop Surg Traumatol
January 2025
Department of Trauma Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Purpose: A prospective longitudinal cohort study was performed to gain insight into the course of recovery in terms of pain, opioid consumption, and mobility in patients with a lateral compression (LC) pelvic injury.
Methods: Adult patients with an LC injury, without any cognitive disorders or limited mobility and who could communicate in Dutch were asked to participate. Pain in terms of NRS (numeric rating scale, range 0-10), opioid use and mobility were recorded at eight time points: at hospital admission, and three days, one week, six weeks, three months, six months, one year and two years after the injury.
Arch Orthop Trauma Surg
January 2025
Department of Orthopedics and Traumatology, University Medical Center Mainz, Mainz, Germany.
Iliosacral screw osteosynthesis is a widely recognized technique for stabilizing unstable posterior pelvic ring injuries, offering notable advantages, including enhanced mechanical stability, minimal invasiveness, reduced blood loss, and lower infection rates. However, the procedure presents technical challenges due to the complex anatomy of the sacrum and the proximity of critical neurovascular structures. While conventional fluoroscopy remains the primary method for intraoperative guidance, precise preoperative planning using multiplanar reconstructions and three-dimensional volume rendering is crucial for ensuring accurate placement of iliosacral or transsacral screws.
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