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The pencil-sized threshold opening marks the boundary between the initial fracture system and the evolving conduit system.
The mean duration between the initial fracture fixation and presentation was 16 months (range 8 36 months).
The simulation results show that the hydraulic fracture will deviate from its straight-ahead path if there is an angle (defined as the material angle) between the initial fracture direction and the material axes of orthotropy.
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Eight patients received intramedullary nailing between 4 weeks and 2 years after the initial fracture.
During the initial fracture closing, the relationship between w h and w is similar to that of an elastic rock.
These computed results reveal that the initial fracture pressure has complex distribution, and changes with variable occurrence of natural fracture.
Another patient in the same group had a small, incomplete longitudinal fracture proximal to the initial fracture.
This might be caused by (new) falls and, since the bone is already vulnerable due to the initial fracture, subsequent fractures mostly occur in this subgroup short-term after the initial fracture.
17 These included one patient with simultaneous bilateral femur fractures affecting the diaphysis, two patients with sequential subtrochanteric fractures and four patients in whom a contralateral subtrochanteric fracture was discovered after diagnosing the initial fracture.
For the double K fracture criterion, a cohesive fracture toughness in introduced to calculated the initial cracking fracture toughness.
Special emphasis will be given to the establishment of secondary prevention strategies (i.e., fracture liaison services) that are usually activated by secondary or tertiary referral centers and provide a link between the initial orthopedic treatment of major osteoporotic fractures (such as hip or vertebral fractures) and the initiation of therapy to prevent further fractures.
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