Objective The aim of this study was to evaluate cyclic fatigue behaviour of a new pin with a thread run-out design in comparison with three other types of pins commonly used for equine transfixation pin casting. Materials and Methods Twenty-four pairs of equine cadaveric third metacarpal bones (MC3) equipped with one transfixation pin placed horizontally in the distal metaphysis were tested using a simplified model, mimicking the biomechanical situation of equine transfixation pin casting. A 6.3/8.0-mm Imex Duraface pin with thread run-out design (ITROP) was compared with a 6.1-mm smooth Steinmann pin (SSP), a Securos 6.2-mm, positive-profile pin (SPPP) and an Imex 6.3-mm, positive-profile pin (IPPP) under cyclic loading until failure in axial compression of MC3. Results All pins broke at clinically relevant load levels and cycle numbers. The SSP endured significantly (p = 0.0025) more cycles before failure (mean: 48685) than the ITROP (mean 25889). No significant differences in cycles to failure were observed comparing the SPPP versus ITROP, and the IPPP versus ITROP, respectively. Clinical Significance A thread run-out design does not necessarily lead to higher resistance against pin breakage under cyclic loading conditions. The SSP was most resistant against cyclic failure in these testing conditions, even though it was associated with more lateromedial displacement and cortical wear-out. This could outweigh reported disadvantages of the SSP such as reduced resistance to axial extraction and pin loosening.

Empa's research efforts in the 1990s provided evidence that a considerable increase of the fatigue strength of welded aluminum beams can be achieved by externally bonding pultruded carbon fiber reinforced polymer (CFRP) laminates using rubber-toughened epoxies over the fatigue-weak welding zone on their tensile flange. The reinforcing effect obtained is determined by the stiffness of the unidirectional CFRP laminate which has twice the elastic modulus of aluminum. One can therefore easily follow that an unstressed CFRP laminate reinforcement of welded beams made of steel will not lead to a substantial increase in fatigue strength of the steel structure. This consideration led to the idea of prestressing an external reinforcement of the welded zone. The present investigation describes experimental studies to identify the adhesive system suitable for achieving high creep and fatigue strength of the prestressed CFRP patch. Experimental results (Wöhler-fields) of shear-lap-specimens and welded steel beams reinforced with prestressed CFRP laminates are presented. The paper concludes by presenting a field application, the reinforcement of a steel pendulum by adhesively bonded prestressed CFRP laminates to the tensile flanges of the welded box girder. Inspections carried out periodically on this structure revealed neither prestress losses nor crack initiation after nine years of service.

Conventional press-fit technique for anterior cruciate ligament reconstruction (ACLR) is performed with extraction drilling of the femoral bone tunnel and manual shaping of the patellar bone plug. However, the disadvantages of this technique include variation in bone plug size and thus the strength of the press-fit fixation, bone loss with debris distribution within the knee joint, potential heat necrosis, and metal wear debris due to abrasion of the guide wire. To overcome these disadvantages, a novel technique involving punching of the femoral bone tunnel and standardized compression of the bone plug was introduced. In this study, the fixation strength was tested and compared to that of the gold-standard interference screw fixation technique in three flexion angle configurations (0°/ 45°/ 90°) in a porcine model. We hypothesized that the newly developed standardized press fit fixation would not be inferior to the gold standard method.Methods Sixty skeletally mature porcine knees (30 pairs) were used. Full-thickness central third patellar tendon strips were harvested, including a patellar bone cylinder of 9.5 mm in diameter. The specimens were randomly assigned to 10 pairs per loading angle (0°, 45°, 90°). One side of each pair was prepared with the press-fit technique, and the contra-lateral side was prepared with interference screw fixation. Equivalent numbers of left and right-sided samples were used for both fixation systems. A three-way multifactor ANOVA was carried out to check for the influence of a) fixation type, b) flexion angle, and c) side of the bone pair. ResultsThe primary fixation strength of femoral press-fit graft fixation with punched tunnels and standardized bone plug compression did not differ significantly from that of interference screw fixation (p=0.5128), which had mean loads to failure of 422.4±134.6 N and 445.4±135.8 N, respectively. The flexion angle had a significant influence on the maximal load to failure (p=0.0097). Load values were highest in 45° flexion for both fixations.The anatomical side R/L was not a statistically significant factor (p=0.7888). ConclusionThe primary fixation strength of femoral press-fit graft fixation with punched femoral tunnels and standardized bone plug compression is equivalent to that of interference screw fixation in a porcine model. Therefore, the procedure represents an effective method for ACL reconstruction with patellar or quadriceps tendon autografts including a patellar bone plug.

BackgroundThe probability of in vivo failure of ceramic hip joint implants is very low (0.004-0.05%). In addition to material flaws and overloading, improper handling during implantation can induce fractures of the ceramic ball head in the long term. Identifying the causes of an in vivo fracture contributes to improved understanding and potentially to further reduction of the fracture probability for patients. Asymmetric metal markings on the cone surface of in vivo ball head fractures have been reported. The question, therefore, is whether asymmetric loading is the sole cause or whether additional factors, specifically contamination entrapped in the taper fit, also contribute or are even the main cause.MethodsThe influence of the asymmetric physiological load configuration on resulting metal markings in the cone surface of an alumina femoral ball head with and without biological contaminants was investigated. Static and cyclic tests on ball heads were carried out in a load configuration of 0° (axisymmetric) and 40° in a physiological environment. The analysis of the metal marking was carried out to gain a better understanding of the processes that contribute to the generation of metal marking. Fractography was carried out to determine the fracture initiation of failed ball heads.ResultsDifferent types and sizes of residuals entrapped in the conical surface are shown to yield strongly asymmetric metal marking patterns. All heads tested without contaminants exhibited an almost homogenous distribution of residual metal markings around the circumference of the ceramic cone surface at the proximal end of the bore hole. The failure of ball heads that contained entrapped contaminants revealed a common fracture pattern. The site of fracture initiation on two of the failed heads was in the entrance region of the bore hole on the superior half of the head.ConclusionAsymmetric metal markings observed on the ball heads tested in this investigation are most probably caused by the presence of contaminants entrapped in the taper fit. Homogenous metal mark distributions around the circumference indicate proper assembly of the ball head without entrapped contaminants. It should, however, be noted that different taper designs may possibly result in different marking patterns.

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Background Percutaneous transluminal coronary angioplasty (PTCA) balloon catheters must withstand high pressures required for the lesion treatment, pushing loads during insertion, and pulling loads during withdrawal. These loads pose a challenge especially for polymeric tubular shafts with small cross sections. In order to enable new design innovations and to better understand the mechanics of current catheter technologies, the tensile properties of polyamide (PA) 12 were investigated. PA 12 dog bone specimens and medical PA 12 tubes were either stored at ambient temperature and humidity or conditioned in water, and subjected to tensile loads at different temperatures. In addition, the effect on the tensile properties of the necking process, a forming process to reduce the wall thickness of the tubes, was determined. Results The tested tubes showed a reduction in both Young’s Modulus (− 41.5%) and yield stress (− 29.2%) compared to standardized specimens. Furthermore, an increase in temperature and water absorption softens the material and reduces the mechanical properties like the Young’s Modulus and the yield stress. It was found that the material strengthens during the necking process. Likely due to the orientation of the polymers chain molecules in load direction (Rösler et al., 2007), the Young’s Modulus of the material could be increased by 43.5%. Furthermore, the absence of a yield point after necking allows for a greater loading capacity of the material without unstable neck growth. Besides the strengthening, the ultimate strain is reduced by 50%. This indicates that the necking process induces plastic deformation. Conclusion The investigation showed that the environmental conditions like temperature and humidity can influence mechanical properties. It could also be shown that pre-forming processes such as necking can enhance the mechanical properties, such as the Young’s Modulus, while reducing the wall thickness. These findings suggest possible further development of catheters with a small cross section and higher mechanical strength and highlight the importance to account for the targeted operating temperature during the design process.

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Purpose Radio‐frequency ablation devices generating a local plasma are widely used as a safe and precise tool for tissue removal in arthroscopic surgeries. During this process, specific light emissions are generated. The aim of this study was to investigate the diagnostic potential of optical emission spectrum analysis for liquid and tissue characterization. Methods The emissions in different saline solutions and during porcine tendon, muscle, and bone tissue ablation were recorded and analyzed in the range of 200–1000 nm. Results Specific atomic lines (Na, K, Ca, H, O, W) and molecular bands (OH, CN, C2) were identified, originating from compounds in the liquids and tissues in contact with the probe. A linear correlation between the concentration of both Na and K in solution with the intensities of their spectral lines was observed (Na: R2 = 0.986, P < 0.001; K: R2 = 0.963, P < 0.001). According to the Wilcoxon rank‐sum test, the Ca‐ and K‐peak intensities between all three tissue samples and the CN‐peak intensities between muscle and bone and tendon and bone differed significantly (P < 0.05). Conclusions These findings prove the general feasibility of spectroscopic analysis as a tool for characterization of liquids and tissues ablated during radio‐frequency ablation. This method can potentially be further developed into an intraoperative, real‐time diagnostic feature aiding the surgical team in further optimizing the procedure.