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For the first generation Puddu plate, the shear stress magnitudes were fluctuating and for both TomoFix plates this stress was initially slightly increasing with increased wedge sizes and then slightly decreasing towards the largest wedge size (Table 1).
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It is shown that the final crack length decreases with increasing wedge penetration rate and increasing density of surface porosities.
The energy transferred due to friction can be reduced by increasing wedge length, coefficient of friction or normal force or by reducing the cross-section area of the wedge.
It also offers three technical and three fundamental explanations for the increasing wedge between them.
The increase of relative displacement with an increasing wedge size can be physically anticipated.
For the TomoFix plate with bone graft all stresses were increasing with increasing wedge size.
With an increasing wedge size this displacement tended to increase for both Puddu plates and the TomoFix plate with bone graft.
For the first generation Puddu plate the magnitudes of compressive and shear stresses were fluctuating with increasing wedge size, but the tensile stresses were clearly increasing.
This might potentially explain the marginal decrease of the relative displacement of tibial fragments to each other with an increasing wedge size.
For the Puddu plate with LHS with an increasing wedge size the shear stresses tended to increase, compression stresses tended to decrease and tensile stresses tended to marginally decrease with one exception for the largest wedge size, in which the compressive and the tensile stress were the highest, respectively (Table 3).
This is evident with most NPE patients demonstrating increased pulmonary wedge pressure and reduced cardiac output or reduced left ventricular function [ 78].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com