Background: Intertrochanteric fractures may occur in a bone with a wide medullary canal that may lead to significant mobility of a intramedullary nail, contrary to an extramedullary device. This study evaluates the Dynamic Hip Screw and the gamma nail in AO 31.A2.1 fractures in these circumstances. Methods: Synthetic femora with canals drilled to 18 mm were used. Five fixation types were examined: a 2-hole and a 4-hole Dynamic Hip Screw with a 2-hole plate, a standard gamma nail with dynamic and static distal locking and a long gamma nail. The specimens were tested with cyclic axial loading, from 500 N increasing of 50 N increments in each cycle. Force at failure, overall stiffness, stiffness at the fracture site, location and mode of failure were recorded. Findings: The short gamma nails dislocated into varus under preload because the nail migrated laterally. The Dynamic Hip Screw was initially stable, but some specimens rotated around the lag screw. The gamma nail was rotationally stable. Both implants failed through femur fracture. The long gamma nailed failed by screw cutout at forces lower than the ultimate force of the short gamma nail. Interpretation: This study shows that the gamma nail is unstable in a large medullary canal but offers better rotational stability of the proximal fragment. A modification of the nail design or the operative technique may be considered.

Considering the interplay between orbital bones and intraorbital soft tissues, commonly accepted patterns of the blow-out type of trauma within the human orbit require more thorough investigation to assess the minimal health-threatening impact value. Two different three-dimensional finite element method (FEM) models of the human orbital region were developed to simulate the pure “buckling” mechanism of orbital wall fracture in two variants: the model of orbital bone elements and the model of orbital bone, orbit and intraorbital tissue elements. The mechanical properties of the so-defined numerical skull fragment were applied to the model according to the unique laboratory tensile stress tests performed on small and fragile specimens of orbital bones as well as using the data available in the literature. The nonlinear transient analysis of the contact problem between bodies that differ substantially in terms of the Young’s modulus was carried out to investigate the interaction of different bodies within an instant injury. Potential damage areas were found within the lower orbital wall as well as the destructive load values for both FEM skull models (7,660 N and 8,520 N). Moreover, numerical simulations were validated by comparing them with computed tomography scans of real injuries.

The more we know about mechanisms of the human orbital blowout type of trauma, the better we will be able to prevent them in the future. As long as the buckling mechanism’s veracity is not in doubt, the hydraulic mechanism is not based on equally strong premises. To investigate the correctness of the hydraulic mechanism’s theory, two different methods of implementation of the hydraulic load to the finite element method (FEM) model of the orbit were performed. The intraorbital hydraulic pressure was introduced as a face load applied directly to the orbit in the first variant, while in the second one the load was applied to the orbit indirectly as a set of nodal forces transferred from the external surface of the eyeball via the intraorbital tissues to the orbital walls within the contact problem. Such an approach is aimed at a better understanding of the pattern for the formation of blowout fractures during the indirect load applied to the orbital bones. The nonlinear dynamic analysis of both numerical models showed that the potential fracture was observed in the second variant only, embracing a relatively large area: both medial and lower wall of the orbit. Interestingly, the pressure generated by the intraorbital entities transferred the energy of the impact to the orbital sidewalls mainly; thus, the nature of the mechanism known as the hydraulic was far from the expected hydraulic pressure. According to the eyeball’s deformation as well as the areas of the greatest Huber-Mises-Hencky (H-M-H) stress within the orbit, a new term of strut mechanism was proposed instead of the hydraulic mechanism as more realistic regarding the investigated phenomenon. The results of the current research may strongly influence the development of modern implantology as well as affect forensic medicine.

In this paper the coupled service (constructional tension) and environmental (sunlight, rainfalls, temperature variations) ageing influence on the polyester-reinforced polyvinyl chloride (PVC)-coated fabric VALMEX is studied. Two cases of the same fabric have been analyzed: one USED for 20 years on the real construction of the Forest Opera in Sopot (Poland), and one kept as a spare material (NOT USED). The following tests have been conducted: uniaxial tensile, biaxial tensile and long-term creep tests. The obtained results have been used for the parameter identification of the piecewise non-linear, Burgers and Bodner–Partom models. Next, the analysis of the influence of environmental conditions on the parameters of these models has been made. It has been concluded that some parameters are more and the others are less sensitive to the exposure to environmental and mechanical conditions. The change of material parameters for fill threads (due to larger deformation) is higher. The obtained results may be useful in the durability evaluation of the textile membranes reinforced with polyester threads and PVC coated. All the constitutive models with the identified parameters may be used for the numerical analysis of structures made of fabrics at the service beginning and after long-term usage.

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