Photo-and mechanoluminescent materials that exhibit tunable emission properties when subjected to external stimuli have a wide variety of applications. However, most mechanoresponsive materials have a mechanoinduced structural transition from crystalline to amorphous phase, and there are only few reports on the crystalline to crystalline transformation. This study reports an amide-linked dyad P1 containing spiropyran and naphthalimide chromophores with dual sensitivity of photochromism and mechanochromism. Under light and mechanical stimuli, P1 performs different color transition. With mechanical force, the morphologies of P1 change from microfiber to nanosphere and the amide group in P1 plays a vital role in these transition processes. Mechanical force can induce the morphology change of P1 through enhancing π-π stacking and destroying hydrogen bonds. These results demonstrate the feasibility of the design strategy for new mechanoresponsive switching materials: both π−π stacking and hydrogen bonding of the dyad contribute the mechano-induced crystalline/crystalline transformation.
Background
The objective of this study was to evaluate the efficacy of locking plates versus interlocking intramedullary nails in the treatment of proximal humerus fractures to provide clinical data support and theoretical guidance.
Methods
Patients with proximal humerus fracture from the Third hospital of Shijiazhuang city and Third hospital of Hebei medical university and from January 2017 to June 2019 were selected, included and divided into the locking plate group and the interlocking intramedullary nail group according to the intervention received. Information pertaining to the perioperative period (operation time, hospital stay, blood loss, etc.) of patients in both groups was collected. VAS pain scores, shoulder activity Constant-Murley scores and postoperative complications were documented. The perioperative data of the two groups were compared, and P < 0.05 was considered statistically significant.
Results
A total of 64 patients were enrolled, including 36 patients in the locking plate group, with a mean age of 61.3 ± 13.9 years, while the mean age of the interlocking intramedullary nail group was 65.6 ± 11.2 years. There was no statistical difference in gender, affected side, injury mechanism and Neer classification between the two groups (P > 0.05). However, the average operation time of the locking plate group was shorter than that of the interlocking nail group (84.9 ± 11.7 vs. 102.6 ± 22.1 min, P = 0.00), and the intraoperative blood loss of the locking plate group (137.4 ± 16.8 ml) was higher than that of the interlocking nail group (72.5 ± 10.5 ml, P = 0.00). There was no significant difference in the VAS score and Constant-Murley score between these two groups at the final follow-up.
Conclusion
Interlocking intramedullary nails are more minimally invasive than locking plates, but fracture reduction and fixation take longer. There was no significant difference in pain and shoulder function scores between the two internal fixation strategies for the treatment of proximal humerus fracture.
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