scholarly journals A Unique Mode of Failure in the Non-Contact Bridging Periprosthetic Plating System

2021 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Unique Mode ◽  
Mode Of Failure

Intraprosthetic Dislocation of Modular Dual-Mobility Total Hip Arthroplasty Components During Closed Reduction: A Report of Two Cases

2017 ◽  
Vol 01 (04) ◽  
pp. 205-210
Author(s):  
Ovninder Johal ◽  
Blake Eyberg ◽  
Russell Meldrum ◽  
J. Walker
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Closed Reduction ◽  
Hip Dislocation ◽  
Dual Mobility ◽  
Total Hip ◽  
Unique Mode ◽  
Mode Of Failure ◽  
Hip Disease ◽  
Intraprosthetic Dislocation

AbstractDual-mobility bearing total hip arthroplasty offers several advantages over traditional prosthesis designs in the treatment of degenerative hip disease. Over decades of use, they have shown proven benefits in both durability and stability. However, despite their practical and theoretical advantages, they present a unique mode of failure not seen with other implants. In this report, the authors present two patients who sustained intraprosthetic dislocation of their dual-mobility total hip arthroplasty components during closed reduction of a hip dislocation.

scholarly journals A Unique Mode of Failure in the Noncontact Bridging Periprosthetic Plating System

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Erin Stockwell ◽  
Matthew A. Mormino ◽  
Justin C. Siebler
Keyword(s):  
Unique Mode ◽  
Mode Of Failure

A Comparative Study of Fractographic Replicas

1974 ◽  
Vol 32 ◽  
pp. 566-567
Author(s):  
Loren Anderson ◽  
Pat Pizzo ◽  
Glen Haydon
Keyword(s):  
Electron Microscopy ◽  
Electron Microscopic Examination ◽  
Direct Examination ◽  
Electron Microscopic ◽  
Reliable Technique ◽  
Service Failures ◽  
Transmission Electron ◽  
Mode Of Failure ◽  
Scanning Electron Microscopic ◽  
Scanning Electron

Transmission electron microscopy of replicas has long been used to study the fracture surfaces of components which fail in service. Recently, the scanning electron microscope (SEM) has gained popularity because it allows direct examination of the fracture surface. However, the somewhat lower resolution of the SEM coupled with a restriction on the sample size has served to limit the use of this instrument in investigating in-service failures. It is the intent of this paper to show that scanning electron microscopic examination of conventional negative replicas can be a convenient and reliable technique for determining mode of failure.

scholarly journals Dynamics of the Ice-Crushing Process

1988 ◽  
Vol 34 (118) ◽  
pp. 318-326 ◽  
Author(s):  
Ian J. Jordaan ◽  
Garry W. Timco
Keyword(s):  
Ice Sheet ◽  
Load Cycle ◽  
Stored Energy ◽  
Indentation Process ◽  
Ice Particles ◽  
Mode Of Failure ◽  
Indentation Tests ◽  
Energy Exchanges ◽  
The Mean ◽  
Crushed Ice

Abstract During fast indentation tests on ice sheets at constant rates, crushing is commonly observed at appropriate combinations of speed and aspect ratio. An analysis is made of this mode of failure, using as a basis a recently conducted test on an ice sheet under controlled conditions. The variation of load with time is given special attention, and cyclic variation of load is associated with periodic crushing (pulverization) events, followed by clearing of the crushed ice particles. An analysis of the clearing process is summarized in the paper, treating the crushed ice as a viscous material. A detailed analysis of the energy exchanges during the indentation process is given. Elastic variations of stored energy in the indenter and in the ice sheet are calculated; these are relatively minor. The dissipation of energy during a typical load cycle (3 mm movement during 0.05 s) is about 8 J. The energy required to create surfaces of the crushed ice particles is small (0.006 J), as is the work of crushing based on mechanical testing (0.09 J). It is concluded that the process of viscous extrusion of crushed ice is the main seat of energy dissipation, basically as a frictional process. A relationship for the mean thickness of the crushed ice layer is developed, based on energy-balance considerations.

scholarly journals Increased Construct Stiffness With Meniscal Repair Sutures and Devices Increases the Risk of Cheese-Wiring During Biomechanical Load-to-Failure Testing

2021 ◽  
Vol 9 (6) ◽  
pp. 232596712110156
Author(s):  
Sebastian Müller ◽  
Tanja Schwenk ◽  
Michael de Wild ◽  
Dimitris Dimitriou ◽  
Claudio Rosso
Keyword(s):  
Characteristic Curve ◽  
Meniscal Repair ◽  
Suture Fixation ◽  
Contributing Factors ◽  
Mode Of Failure ◽  
Load To Failure ◽  
Pull Through ◽  
Optimal Stiffness ◽  
The Impact ◽  
Inside Out

Background: Cheese-wiring, the suture that cuts through the meniscus, is a well-known issue in meniscal repair. So far, contributing factors are neither fully understood nor sufficiently studied. Hypothesis/Purpose: To investigate whether the construct stiffness of repair sutures and devices correlates with suture cut-through (cheese-wiring) during load-to-failure testing. Study Design: Controlled laboratory study. Methods: In 131 porcine menisci, longitudinal bucket-handle tears were repaired using either inside-out sutures (n = 66; No. 0 Ultrabraid, 2-0 Orthocord, 2-0 FiberWire, and 2-0 Ethibond) or all-inside devices (n = 65; FastFix360, Omnispan, and Meniscal Cinch). After cyclic loading, load-to-failure testing was performed. The mode of failure and construct stiffness were recorded. A receiver operating characteristic curve analysis was performed to define the optimal stiffness threshold for predicting meniscal repair failure by cheese-wiring. The 2-tailed t test and analysis of variance were used to test significance. Results: Loss of suture fixation was the most common mode of failure in all specimens (58%), except for the Omnispan, which failed most commonly because of anchor pull-through. The Omnispan demonstrated the highest construct stiffness (30.8 ± 3.5 N/mm), whereas the Meniscal Cinch (18.0 ± 8.8 N/mm) and Ethibond (19.4 ± 7.8 N/mm) demonstrated the lowest construct stiffness. The Omnispan showed significantly higher stiffness compared with the Meniscal Cinch ( P < .001) and Ethibond ( P = .02), whereas the stiffness of the Meniscal Cinch was significantly lower compared with that of the FiberWire ( P = .01), Ultrabraid ( P = .04), and FastFix360 ( P = .03). While meniscal repair with a high construct stiffness more often failed by cheese-wiring, meniscal repair with a lower stiffness failed by loss of suture fixation, knot slippage, or anchor pull-through. Meniscal repair with a stiffness >26.5 N/mm had a 3.6 times higher risk of failure due to cheese-wiring during load-to-failure testing (95% CI, 1.4-8.2; P < .0001). Conclusion: Meniscal repair using inside-out sutures and all-inside devices with a higher construct stiffness (>26.5 N/mm) was more likely to fail through suture cut-through (cheese-wiring) than that with a lower stiffness (≤26.5 N/mm). Clinical Relevance: This is the first study investigating the impact of construct stiffness on meniscal repair failure by suture cut-through (cheese-wiring).

scholarly journals Adverse Events in Total Ankle Arthroplasty, Analysis of the FDA Medical and User Facility Device Experience Database

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0028
Author(s):  
Karim Mahmoud ◽  
Sreenivasulu Metikala ◽  
Kathryn O’Connor ◽  
Daniel Farber
Keyword(s):  
Adverse Events ◽  
Aseptic Loosening ◽  
Mandatory Reporting ◽  
Total Ankle Replacement ◽  
Total Ankle Arthroplasty ◽  
Ankle Arthritis ◽  
Ankle Arthroplasty ◽  
Ankle Replacement ◽  
Mode Of Failure ◽  
User Facility

Category: Ankle Arthritis Introduction/Purpose: Total ankle replacement has become a popular treatment option for end stage ankle arthritis. Most of the reports of adverse events following total ankle replacement have been from high volume institutions and are subject to either observational or selection bias as well as potential under-reporting as they do not include the experience of community and lower volume centers and surgeons. The FDA’s Medical and User Facility Device Experience (MAUDE) Database provides a more complete scope of adverse events due to the mandatory reporting requirements by the FDA of implant manufactures. We reviewed the database to identify the common modes of failure and complications of total ankle implants Methods: We retrospectively reviewed reports of the MAUDE database from November 2011 to September 2018 regarding all total ankle implants. Each device in the MAUDE database is classified with a 3-letter code, we identified the 2 codes assigned to total ankle arthroplasty devices, and manually searched the FDA’s published Device Classification list for adverse events. All events were reviewed and classified. Data related to patient age or sex, surgeon, medical center location are not available in the database Results: We identified 1000 adverse reports in the period between November 2011 and September 2018. After exclusion of duplicate reports for single events or reports irrelevant to total ankle arthroplasty, a total of 697 adverse event reports were noted. The most common mode of failure was aseptic loosening (21%), followed by infection (16%), alignment and mechanical issues (instability, malalignment, malposition, stiffness, impingement) (15%), implantation issues (pin, screw or drill breakage, alignment guide problems) (9%), polyethylene related problems (wear, displaced or fractured implants) (7%), bony and soft tissue overgrowth (6%), and peri-prosthetic fractures (5%). Conclusion: Our analysis reveals that the most reported mode of failure was aseptic loosening followed by infection. However, it is notable that there are a significant number of issues with implant alignment and mechanics, complications during implantation and polyethylene component failure that are under-reported in the literature. Knowledge of these adverse events may help surgeons avoid similar complications as well as lead to improvement in component implantation and design

A COMPARATIVE BIOMECHANICAL STUDY OF THE LOOPED SQUARE SLIP KNOT AND THE SIMPLE SURGICAL KNOT

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 93-99 ◽  
Author(s):  
Surut Jianmongkol ◽  
Geoffrey Hooper ◽  
Weerachai Kowsuwon ◽  
Tala Thammaroj
Keyword(s):  
Ultimate Strength ◽  
Hand Surgery ◽  
Biomechanical Properties ◽  
Biomechanical Study ◽  
Skin Closure ◽  
Significant Difference ◽  
Mode Of Failure ◽  
Repetitive Loading ◽  
Slip Knot

The looped square slip knot was introduced as a technique for skin closure to avoid the use of sharp instruments in suture removal after hand surgery. We compared the biomechanical properties of this knot with the simple surgical square knot. The ultimate strength of the looped square slip knot was significantly (p = 0.015) higher than the simple surgical knot. There was no significant difference between the two knots in mode of failure. Knot slippage or suture breakage did not occur in any samples when testing security by repetitive loading. Therefore, the looped square slip knot is a safe and convenient alternative to the two-throw surgical knot for use in hand surgery.

Factored axial compressive resistance of schifflerized angles

1991 ◽  
Vol 18 (6) ◽  
pp. 926-932 ◽  
Author(s):  
Seshu Madhava Rao Adluri ◽  
Murty K. S. Madugula
Keyword(s):  
Key Words ◽  
Design Method ◽  
Design Criteria ◽  
Design Practice ◽  
Buckling Mode ◽  
Flexural Buckling ◽  
Mode Of Failure ◽  
Current Design ◽  
Similarities And Differences ◽  
Compressive Resistance

The concept of schifflerization of 90° equal-leg angle is presented and its application in triangular-base latticed steel towers is explained. The similarities and differences between schifflerized angles and regular 90° angles are discussed. The current design practice for schifflerized angles is reviewed and its limitation is highlighted. A design method which includes the effect of the torsional-flexural buckling mode of failure is proposed. For ready use of designers, the factored axial compressive resistances of schifflerized angles are tabulated for both the present and proposed design methods. Key words: buckling, compressive resistance, design criteria, schifflerized angles, stability, standards, steel, struts, towers, guyed towers.

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