Background: This work investigated the differences in the biomechanical properties of open reduction and internal fixation (ORIF) and percutaneous minimally invasive fixation (PMIF) for the fixation of calcaneal fractures (Sanders type II and III calcaneal fractures as examples) through finite element analysis. Methods: Based on CT images of the human foot and ankle, according to the principle of three-point fixation, namely the sustentaculum tali, the anterior process and the calcaneal tuberosity were fixed. Three-dimensional finite element models of Sanders type II and III calcaneal fractures fixed by ORIF and PMIF were established. The proximal surfaces of the tibia, fibula and soft tissue were constrained, and ground reaction force and Achilles tendon force loads were added to simulate balanced standing. Results: The maximum stress was 80.54, 211.59 and 113.88 MPa for the calcaneus, screws and plates in the ORIF group and 70.02 and 209.46 MPa for the calcaneus and screws in the PMIF group, respectively; the maximum displacement was 0.26, 0.21 and 0.12 mm for the calcaneus, screws and plates in the ORIF group and 0.20 and 0.14 mm for the calcaneus and screws in the PMIF group, respectively. The values obtained from the simulation were within the permissible stress and elastic deformation range of the materials used in the model, and there was no significant stress concentration. The maximum stress and displacement of the calcaneus and implants were slightly lower in the PMIF group than in the ORIF group when fixing Sanders type II and III calcaneal fractures. Conclusions: This study may provide a reference for optimising the design of implants, the development of individualised preoperative plans and the choice of clinical surgical approach.

Bone conduction (BC) hearing devices have been used to improve hearing in patients with unilateral conductive hearing loss; however, the clinical results of improvement in the sound localization ability are still controversial. Transcranial transmission in BC may be an important factor affecting sound localization abilities. Transcranial or interaural attenuation, derived from energy attenuation during the BC process, is determined by the different transfer functions of multiple pathways and affected by the whole-head vibration modes. The purpose of this study is to analyze the frequency dependence of BC vibration modes of the whole head, the contribution of middle and inner ear pathways to BC hearing, and the relationship between transcranial attenuation results by dynamics measurement and hearing thresholds. Experimental studies of vibration modes and transcranial attenuation characteristics in BC are performed using scanning laser Doppler vibrometry (LDV) measurements on human cadaver heads. Differences in vibration modes between the excitation and contralateral sides are observed. Additionally, a multiscale human whole-head FE model, including the skull, bony outer ear, ossicular chains, and bony inner ear structures, is proposed to study the mechanism of BC in the human hearing system. After verifying the rationality of the FE model using mechanical impedance and frequency response data, the transcranial attenuation on the temporal bone surfaces and the middle ear structure is calculated in the FE model. Moreover, the vibration characteristics of bilateral ossicular chains and the cochlear bony wall are observed in the whole-head FM model to study their contributions to BC hearing. By analyzing the experimental and numerical results of the vibration modes and the frequency response of the whole head incorporating the ossicular chain and cochlear bony wall, the intrinsic relationship between the results of transcranial attenuation by 1D LDV, 3D LDV, and hearing threshold measurements is further investigated.

Objectives. The patient rehabilitation transfer device is a typical personnel transfer equipment, which is mainly composed of outriggers, support arm, lifting arms, hooks, handrails, hydraulic cylinders, and other components. The existing research on the device is mainly focused on the configuration design and transfer mode, and the research on its dynamic characteristics during the transfer process has not been thoroughly discussed. Methodology. Based on the existing research, a portable hydraulic rehabilitation patient transfer device has been developed. Then the multi-rigid body dynamic and finite element flexible body models were established. Next, the dynamic characteristic difference between the two models of the device was studied. Results. As shown in the results, the finite element multi-flexible body model has obvious flexible vibration in the lifting stage, and the amplitude reaches 16mm in the motion startup stage due to the influence of rigid-flexible coupling. The tip acceleration of the flexible body model was also influenced by the vibration, and the maximum acceleration value reaches 0.06m/s². According to the test results, the maximum acceleration of the terminal reaches 0.05m/s², which is close to the finite-element multi-flexible model simulation results. The experimentally measured natural frequency of the device is 3.1Hz, which is also close to 3.2Hz calculated by the simulation. Because the flexible component in the flexible model is only the lift arm, the natural frequency is slightly larger than the experimental value. Conclusion. According to the stress value of the finite element multi-body model motion process, the maximum stress appears at the moment when the motion reaches the top end, and the instantaneous stress reaches 206Mpa, which is in line with the allowable stress range of the material design. The data obtained in this study will provide help for the follow-up clinical rehabilitation and intelligent device research.