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The failure analysis confirmed, through a comparison between fracture surfaces of the retrieved fractured implants (in vivo) and fracture surfaces of implants fractured in lab conditions (in vitro, exemplar testing), that the operating fracture mechanism was indeed metal fatigue, which obviously relates to the repetitive character of mastication loads.
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We operated fracture management and angle ostectomy simultaneously; then, we had a satisfactory result with the postoperative proper management.
We used the contrasting-groups method, and our greatest concern was whether the novices with no prior surgical experience in operating hip fractures would be able to pass.
To explore the reliability and validity of the test, we included 20 physicians in the study (10 novices who were orthopedic interns with no prior surgical experience in operating hip fractures (group 1), and 10 orthopedic surgeons (senior residents or specialists) with experience of more than 20 hip fractures (group 2)).
However, the results from this statistical experiment are rather unambiguous: after operating the fractures of the femoral neck with implant A or implant B and testing the constructs for fixation stability, the related sample correlation was 0.953 when using donor pairs.
In two recently published studies KOOS have been used in the follow-up after intramedullary nailing of tibial shaft fractures and operated patellar fractures showing comparable results as in the present study [ 75, 76].
"…his operating on simple fractures raised a storm of criticism and even abuse.
Matas, writing Lane's obituary forty years later, also emphasized the controversy surrounding Lane's advocacy of internal fixation: "…his operating on simple fractures raised a storm of criticism and even abuse.
Morphological patterns on fracture surfaces revealed that the mode II and the mixed mode I + II were dominating local crack tip fracture modes operating under both remote modes II and III.
Fracture mechanisms operating in the solder-controlled and IMC layer-controlled dynamic strength regimes are discussed.
When there are well-fixed components, the humerus is at risk of intraoperative fracture, longer operating time, and blood loss.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com