Aims: In this study, we aimed to explore surgical variations in the Femoral Neck System (FNS) used for stable fixation of Pauwels type III femoral neck fractures. Methods: Finite element models were established with surgical variations in the distance between the implant tip and subchondral bone, the gap between the plate and lateral femoral cortex, and inferior implant positioning. The models were subjected to physiological load. Results: Under a load of single-leg stance, Pauwels type III femoral neck fractures fixed with 10 mm shorter bolts revealed a 7% increase of the interfragmentary gap. The interfragmentary sliding, compressive, and shear stress remained similar to models with bolt tips positioned close to the subchondral bone. Inferior positioning of FNS provided a similar interfragmentary distance, but with 6% increase of the interfragmentary sliding distance compared to central positioning of bolts. Inferior positioning resulted in a one-third increase in interfragmentary compressive and shear stress. A 5 mm gap placed between the diaphysis and plate provided stability comparable to standard fixation, with a 7% decrease of interfragmentary gap and sliding distance, but similar compressive and shear stress. Conclusion: Finite element analysis with FNS on Pauwels type III femoral neck fractures revealed that placement of the bolt tip close to subchondral bone provides increased stability. Inferior positioning of FNS bolt increased interfragmentary sliding distance, compressive, and shear stress. The comparable stability of the fixation model with the standard model suggests that a 5 mm gap placed between the plate and diaphysis could viably adjust the depth of the bolt. Cite this article: Bone Joint Res 2022;11(2):102–111.

Although sandblasting is mainly used to improve bonding between dental zirconia and resin cement, the details on the in-depth damages are limited. The aim of this study was to evaluate phase transformations and subsurface changes after sandblasting in three different dental zirconia (3, 4, and 5 mol% yttria-stabilized zirconia; 3Y-TZP, 4Y-PSZ, and 5Y-PSZ). Zirconia specimens (14.0 × 14.0 × 1.0 mm³) were sandblasted using different alumina particle sizes (25, 50, 90, 110, and 125 µm) under 0.2 MPa for 10 s/cm². Phase transformations and residual stresses were investigated using X-ray diffraction and the Williamson-Hall method. Subsurface damages were evaluated with cross-sections by a focused ion beam. Stress field during sandblasting was simulated by the finite element method. The subsurface changes after sandblasting were the emergence of a rhombohedral phase, micro/macro cracks, and compressive/tensile stresses depending on the interactions between blasting particles and zirconia substrates. 3Y-TZP blasted with 110-µm particles induced the deepest transformed layer with the largest compressive stress. The cracks propagated parallel to the surface with larger particles, being located up to 4.5 µm under the surface in 4Y- or 5Y-PSZ subgroups. The recommended sandblasting particles were 110 µm for 3Y-TZP and 50 µm for 4Y-PSZ or 5Y-PSZ for compressive stress-induced phase transformations without significant subsurface damages.

The development of 3D printing technologies using composite materials has revolutionized additive manufacturing. Using these technologies, various products can be fabricated with strengths beyond the limits of the strength of the polymer used. However, although parts manufactured using carbon fiber reinforced plastic (CFRP) 3D printing have excellent characteristics, research on their durability is lacking, making their application difficult in the real industry. In this study, an ultrasonic fatigue test was conducted on a CFRP material manufactured by 3D printing to evaluate fatigue performance. Because of the characteristics of CFRP, the strength varies depending on the orientation angle of the carbon fiber, and the durability also varies. Therefore, an experiment on three types of specimens mixed in the bi-direction and uni-direction of 0° and 90° was conducted. For the ultrasonic fatigue test, a specimen design with a special shape is required according to the resonance frequency and dynamic modulus of the material. To this end, a specimen was designed based on measurements of the physical properties of the material according to the angle of the fiber, which were verified by Finite element method (FEM) modal analysis, and the fatigue life was estimated through an actual experiment. The fatigue failure life was simulated by FEM fatigue analysis considering the measured fatigue test results and the derived anisotropic properties simultaneously. Additionally, based on the advantages of CFRP 3D printing, which adjusts the fiber pattern, we fabricated a specimen with a concentric pattern to derive the fatigue life and calculate the actual life improvement. Based on the results of this study, the specific rigidity of the CFRP parts can be optimized by adjusting the fiber pattern. Additionally, the results of this study can aid in the analysis of the fatigue characteristics of 3D-printed CFRP materials.

Cha Y, et al. Clin Orthop Surg. 2024 Dec;17:e2. https://doi.org/10.4055/cios24194

With the growing concerns over global warming and abnormal weather patterns, the development of eco-friendly technologies has emerged as a critical research area in the transportation industry. In particular, the global automotive market, one of the most widely used sectors, has witnessed a surge in research on electric vehicles (EVs) in line with these trends. Compared to traditional internal combustion engine vehicles, EVs require components with high strength and durability to achieve optimal performance. This study focuses on the development of a constant velocity (CV) joint, a critical component for reliably transmitting the maximum output of an electric vehicle motor. Unlike conventional numerical methods, the proposed thermo-mechanical coupled analysis simultaneously accounts for thermal and mechanical interactions, providing more realistic operational performance predictions. This analysis, conducted using the thermal modules of Ls-Dyna and ANSYS Mechanical, effectively simulated field operation scenarios. Prototype testing under simulated conditions showed a 6% discrepancy compared to numerical predictions, validating the high accuracy and reliability of the proposed method. This robust thermo-mechanical coupled analysis is expected to improve the durability and reliability of CV joint designs, advancing electric vehicle component development.

Colonoscopy has a limited field of view because it relies solely on a small camera attached to the end of the scope and a screen displayed on a monitor. Consequently, the quality and safety of diagnosis and treatment depend on the experience and skills of the gastroenterologist. When a novice attempts to insert the colonoscope during the procedure, excessive pressure can sometimes be applied to the colon wall. This pressure can cause a medical accident known as colonic perforation, which the physician should prevent. We propose an assisting device that senses the pressure applied to the colon wall, analyzes the risk of perforation, and warns the physician in real time. Flexible pressure sensors are attached to the surface of the colonoscope shaft. These sensors measure pressure signals during a colonoscopy procedure. A simple signal processor is used to collect and process the pressure signals. In the experiment, a colonoscope equipped with the proposed device was inserted into a simulated colon made from a colon extracted from a pig. The processed data were visually communicated to the gastroenterologist via displays and light-emitting diodes (LEDs). The device helps the physician continuously monitor and prevent excessive pressure on the colon wall. In this experiment, the device appropriately generated and delivered warnings to help the physicians prevent colonic perforation. In the future, the device is to be improved, and more experiments will be performed in live swine models or humans to confirm its efficacy and safety.