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Search Results (824)

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Keywords = extension fracture

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21 pages, 2149 KiB  
Article
An Improved Optimal Cloud Entropy Extension Cloud Model for the Risk Assessment of Soft Rock Tunnels in Fault Fracture Zones
by Shuangqing Ma, Yongli Xie, Junling Qiu, Jinxing Lai and Hao Sun
Buildings 2025, 15(15), 2700; https://doi.org/10.3390/buildings15152700 (registering DOI) - 31 Jul 2025
Abstract
Existing risk assessment approaches for soft rock tunnels in fault-fractured zones typically employ single weighting schemes, inadequately integrate subjective and objective weights, and fail to define clear risk. This study proposes a risk-grading methodology that integrates an enhanced game theoretic weight-balancing algorithm with [...] Read more.
Existing risk assessment approaches for soft rock tunnels in fault-fractured zones typically employ single weighting schemes, inadequately integrate subjective and objective weights, and fail to define clear risk. This study proposes a risk-grading methodology that integrates an enhanced game theoretic weight-balancing algorithm with an optimized cloud entropy extension cloud model. Initially, a comprehensive indicator system encompassing geological (surrounding rock grade, groundwater conditions, fault thickness, dip, and strike), design (excavation cross-section shape, excavation span, and tunnel cross-sectional area), and support (initial support stiffness, support installation timing, and construction step length) parameters is established. Subjective weights obtained via the analytic hierarchy process (AHP) are combined with objective weights calculated using the entropy, coefficient of variation, and CRITIC methods and subsequently balanced through a game theoretic approach to mitigate bias and reconcile expert judgment with data objectivity. Subsequently, the optimized cloud entropy extension cloud algorithm quantifies the fuzzy relationships between indicators and risk levels, yielding a cloud association evaluation matrix for precise classification. A case study of a representative soft rock tunnel in a fault-fractured zone validates this method’s enhanced accuracy, stability, and rationality, offering a robust tool for risk management and design decision making in complex geological settings. Full article
(This article belongs to the Section Construction Management, and Computers & Digitization)
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19 pages, 7574 KiB  
Article
Effect of Natural Fiber Characteristics on Properties of Cementitious Composites: A Comparison of Recycled Pulp from Beverage Cartons, Bamboo, and Eucalyptus Fibers
by Phouthanouthong Xaysombath, Nattakan Soykeabkaew, Darunee Wattanasiriwech and Suthee Wattanasiriwech
Constr. Mater. 2025, 5(3), 50; https://doi.org/10.3390/constrmater5030050 (registering DOI) - 31 Jul 2025
Abstract
This study evaluates the influence of fiber type, geometry, and interfacial behavior on the physical and mechanical performance of cementitious composites reinforced with recycled pulp from beverage cartons (RPBC), bamboo fiber (BF), and eucalyptus fiber (EF) as the sole reinforcing agents. The BF [...] Read more.
This study evaluates the influence of fiber type, geometry, and interfacial behavior on the physical and mechanical performance of cementitious composites reinforced with recycled pulp from beverage cartons (RPBC), bamboo fiber (BF), and eucalyptus fiber (EF) as the sole reinforcing agents. The BF was rounded in shape and had the highest aspect ratio, while the ribbon-shaped EF exhibited the highest tensile strength index. The RPBC fibers were fibrillated and the shortest, with a ribbon shape. Flexural strength results showed that RPBCC achieved a maximum strength that was 47.6% higher than the control specimen (0% fiber), outperforming both BF- and EF-reinforced counterparts. This superior performance is attributed to the higher fibrillation level of the ribbon-shaped RPBC fibers, which promoted better fiber–matrix bonding. As the fiber content increased, the bulk density of EFC and BFC decreased linearly, while RPBC composites showed only a modest decrease in density. Porosity steadily increased in EFC and BFC, whereas a non-linear trend was observed in RPBCC, likely due to its unique morphology and fibrillation. Conversely, EFC exhibited significantly higher maximum fracture toughness (3600 J/m2 at 10 wt.%) compared to PBFCC (1600 J/m2 at 14 wt.%) and BFC (1400 J/m2 at 14 wt.%). This enhancement is attributed to extensive fiber pullout mechanisms and increased energy absorption during crack propagation. Overall, all composite types demonstrated flexural strength values above 4 MPa, placing them in the Grade I category. Those reinforced with 10–14% RPBC exhibited strengths of 11–12 MPa, categorizing them as Grade II according to ASTM C1186-02. Full article
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31 pages, 10410 KiB  
Article
Integrated Prospectivity Mapping for Copper Mineralization in the Koldar Massif, Kazakhstan
by Dinara Talgarbayeva, Andrey Vilayev, Elmira Serikbayeva, Elmira Orynbassarova, Hemayatullah Ahmadi, Zhanibek Saurykov, Nurmakhambet Sydyk, Aigerim Bermukhanova and Berik Iskakov
Minerals 2025, 15(8), 805; https://doi.org/10.3390/min15080805 - 30 Jul 2025
Abstract
This study developed a copper mineral prospectivity map for the Koldar massif, Kazakhstan, using an integrated approach combining geophysical and satellite methods. A strong spatialgenetic link was identified between faults and hydrothermal mineralization, with faults acting as key conduits for ore-bearing fluids. Lineament [...] Read more.
This study developed a copper mineral prospectivity map for the Koldar massif, Kazakhstan, using an integrated approach combining geophysical and satellite methods. A strong spatialgenetic link was identified between faults and hydrothermal mineralization, with faults acting as key conduits for ore-bearing fluids. Lineament analysis and density mapping confirmed the high permeability of the Koldar massif, indicating its structural prospectivity. Hyperspectral and multispectral data (ASTER, PRISMA, WorldView-3) were applied for detailed mapping of hydrothermal alteration (phyllic, propylitic, argillic zones), which are critical for discovering porphyry copper deposits. In particular, WorldView-3 imagery facilitated the identification of new prospective zones. The transformation of magnetic and gravity data successfully delineated geological features and structural boundaries, confirming the fractured nature of the massif, a key structural factor for mineralization. The resulting map of prospective zones, created by normalizing and integrating four evidential layers (lineament density, PRISMA-derived hydrothermal alteration, magnetic, and gravity anomalies), is thoroughly validated, successfully outlining the known Aktogay, Aidarly, and Kyzylkiya deposits. Furthermore, new, previously underestimated prospective areas were identified. This work fills a significant knowledge gap concerning the Koldar massif, which had not been extensively studied using satellite methods previously. The key advantage of this research lies in its comprehensive approach and the successful application of high-quality hyperspectral imagery for mapping new prospective zones, offering a cost-effective and efficient alternative to traditional ground-based investigations. Full article
(This article belongs to the Section Mineral Exploration Methods and Applications)
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34 pages, 1156 KiB  
Systematic Review
Mathematical Modelling and Optimization Methods in Geomechanically Informed Blast Design: A Systematic Literature Review
by Fabian Leon, Luis Rojas, Alvaro Peña, Paola Moraga, Pedro Robles, Blanca Gana and Jose García
Mathematics 2025, 13(15), 2456; https://doi.org/10.3390/math13152456 - 30 Jul 2025
Abstract
Background: Rock–blast design is a canonical inverse problem that joins elastodynamic partial differential equations (PDEs), fracture mechanics, and stochastic heterogeneity. Objective: Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol, a systematic review of mathematical methods for geomechanically informed [...] Read more.
Background: Rock–blast design is a canonical inverse problem that joins elastodynamic partial differential equations (PDEs), fracture mechanics, and stochastic heterogeneity. Objective: Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol, a systematic review of mathematical methods for geomechanically informed blast modelling and optimisation is provided. Methods: A Scopus–Web of Science search (2000–2025) retrieved 2415 records; semantic filtering and expert screening reduced the corpus to 97 studies. Topic modelling with Bidirectional Encoder Representations from Transformers Topic (BERTOPIC) and bibliometrics organised them into (i) finite-element and finite–discrete element simulations, including arbitrary Lagrangian–Eulerian (ALE) formulations; (ii) geomechanics-enhanced empirical laws; and (iii) machine-learning surrogates and multi-objective optimisers. Results: High-fidelity simulations delimit blast-induced damage with ≤0.2 m mean absolute error; extensions of the Kuznetsov–Ram equation cut median-size mean absolute percentage error (MAPE) from 27% to 15%; Gaussian-process and ensemble learners reach a coefficient of determination (R2>0.95) while providing closed-form uncertainty; Pareto optimisers lower peak particle velocity (PPV) by up to 48% without productivity loss. Synthesis: Four themes emerge—surrogate-assisted PDE-constrained optimisation, probabilistic domain adaptation, Bayesian model fusion for digital-twin updating, and entropy-based energy metrics. Conclusions: Persisting challenges in scalable uncertainty quantification, coupled discrete–continuous fracture solvers, and rigorous fusion of physics-informed and data-driven models position blast design as a fertile test bed for advances in applied mathematics, numerical analysis, and machine-learning theory. Full article
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14 pages, 2206 KiB  
Article
Numerical Simulation Study on the Fracture Process of CFRP-Reinforced Concrete
by Xiangqian Fan, Jueding Liu, Li Zou and Juan Wang
Buildings 2025, 15(15), 2636; https://doi.org/10.3390/buildings15152636 - 25 Jul 2025
Viewed by 166
Abstract
To investigate the crack extension mechanism in CFRP-reinforced concrete, this paper derives analytical expressions for the external load and crack opening displacement in the fracture process of CFRP concrete beams based on the crack emergence toughness criterion and the Paris displacement formula as [...] Read more.
To investigate the crack extension mechanism in CFRP-reinforced concrete, this paper derives analytical expressions for the external load and crack opening displacement in the fracture process of CFRP concrete beams based on the crack emergence toughness criterion and the Paris displacement formula as the theoretical basis. A numerical iterative method was used to computationally simulate the fracture process of CFRP-reinforced concrete beams and to analyze the effect of different initial crack lengths on the fracture process. The research results indicate that the numerical simulation results of the crack initiation load are in good agreement with the test results, and the crack propagation curves and the test results are basically consistent before the CFRP-concrete interface peels off. The numerical results of ultimate load are lower than the test results, but it is safe for fracture prediction in actual engineering. With the increase in the initial crack length, the effect of the initial crack length on the critical effective crack propagation length is more obvious. Full article
(This article belongs to the Section Building Materials, and Repair & Renovation)
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24 pages, 5866 KiB  
Article
Multiscale Characterization of Thermo-Hydro-Chemical Interactions Between Proppants and Fluids in Low-Temperature EGS Conditions
by Bruce Mutume, Ali Ettehadi, B. Dulani Dhanapala, Terry Palisch and Mileva Radonjic
Energies 2025, 18(15), 3974; https://doi.org/10.3390/en18153974 - 25 Jul 2025
Viewed by 213
Abstract
Enhanced Geothermal Systems (EGS) require thermochemically stable proppant materials capable of sustaining fracture conductivity under harsh subsurface conditions. This study systematically investigates the response of commercial proppants to coupled thermo-hydro-chemical (THC) effects, focusing on chemical stability and microstructural evolution. Four proppant types were [...] Read more.
Enhanced Geothermal Systems (EGS) require thermochemically stable proppant materials capable of sustaining fracture conductivity under harsh subsurface conditions. This study systematically investigates the response of commercial proppants to coupled thermo-hydro-chemical (THC) effects, focusing on chemical stability and microstructural evolution. Four proppant types were evaluated: an ultra-low-density ceramic (ULD), a resin-coated sand (RCS), and two quartz-based silica sands. Experiments were conducted under simulated EGS conditions at 130 °C with daily thermal cycling over a 25-day period, using diluted site-specific Utah FORGE geothermal fluids. Static batch reactions were followed by comprehensive multi-modal characterization, including scanning electron microscopy with energy-dispersive spectroscopy (SEM-EDS), X-ray diffraction (XRD), and micro-computed tomography (micro-CT). Proppants were tested in both granular and powdered forms to evaluate surface area effects and potential long-term reactivity. Results indicate that ULD proppants experienced notable resin degradation and secondary mineral precipitation within internal pore networks, evidenced by a 30.4% reduction in intragranular porosity (from CT analysis) and diminished amorphous peaks in the XRD spectra. RCS proppants exhibited a significant loss of surface carbon content from 72.98% to 53.05%, consistent with resin breakdown observed via SEM imaging. While the quartz-based sand proppants remained morphologically intact at the macro-scale, SEM-EDS revealed localized surface alteration and mineral precipitation. The brown sand proppant, in particular, showed the most extensive surface precipitation, with a 15.2% increase in newly detected mineral phases. These findings advance understanding of proppant–fluid interactions under low-temperature EGS conditions and underscore the importance of selecting proppants based on thermo-chemical compatibility. The results also highlight the need for continued development of chemically resilient proppant formulations tailored for long-term geothermal applications. Full article
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18 pages, 2695 KiB  
Article
Environmentally Sustainable Functionalized WS2 Nanoparticles as Curing Promoters and Interface Modifiers in Epoxy Nanocomposites
by Lyazzat Tastanova, Amirbek Bekeshev, Sultan Nurlybay, Andrey Shcherbakov and Anton Mostovoy
Nanomaterials 2025, 15(15), 1145; https://doi.org/10.3390/nano15151145 - 24 Jul 2025
Viewed by 308
Abstract
This study investigates the effect of the surface functionalization of tungsten disulfide (WS2) nanoparticles with aminoacetic acid (glycine) on the structure, curing behavior, and mechanical performance of epoxy nanocomposites. Aminoacetic acid, as a non-toxic, bio-based modifier, enables a sustainable approach to [...] Read more.
This study investigates the effect of the surface functionalization of tungsten disulfide (WS2) nanoparticles with aminoacetic acid (glycine) on the structure, curing behavior, and mechanical performance of epoxy nanocomposites. Aminoacetic acid, as a non-toxic, bio-based modifier, enables a sustainable approach to producing more efficient nanofillers. Functionalization, as confirmed by FTIR, EDS, and XRD analyses, led to elevated surface polarity and greater chemical affinity between WS2 and the epoxy matrix, thereby promoting uniform nanoparticle dispersion. The strengthened interfacial bonding resulted in a notable decrease in the curing onset temperature—from 51 °C (for pristine WS2) to 43 °C—accompanied by an increase in polymerization enthalpy from 566 J/g to 639 J/g, which reflects more extensive crosslinking. The SEM examination of fracture surfaces revealed tortuous crack paths and localized plastic deformation zones, indicating superior fracture resistance. Mechanical testing showed marked improvements in flexural and tensile strength, modulus, and impact toughness at the optimal WS2 loading of 0.5 phr and a 7.5 wt% aminoacetic acid concentration. The surface-modified WS2 nanoparticles, which perform dual functions, not only reinforce interfacial adhesion and structural uniformity but also accelerate the curing process through chemical interaction with epoxy groups. These findings support the development of high-performance, environmentally sustainable epoxy nanocomposites utilizing amino acid-modified 2D nanofillers. Full article
(This article belongs to the Section Synthesis, Interfaces and Nanostructures)
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20 pages, 5441 KiB  
Article
Acoustic Emission Monitoring Method for Multi-Strand Fractures in Post-Tensioned Prestressed Hollow Core Slab Bridges Using Waveguide Rods
by Wei Yan, Shiwei Niu, Wei Liu, Juan Li, Shu Si, Xilong Qi, Shengli Li, Nan Jiang, Shuhan Chen and Guangming Wu
Buildings 2025, 15(14), 2576; https://doi.org/10.3390/buildings15142576 - 21 Jul 2025
Viewed by 220
Abstract
Acoustic emission (AE) technology has been extensively applied in the damage assessment of steel strands; however, it remains inadequate in identifying and quantifying the number of strand fractures, which limits the accuracy and reliability of prestressed structure monitoring. In this study, a test [...] Read more.
Acoustic emission (AE) technology has been extensively applied in the damage assessment of steel strands; however, it remains inadequate in identifying and quantifying the number of strand fractures, which limits the accuracy and reliability of prestressed structure monitoring. In this study, a test platform based on practical engineering was built. The AE monitoring method using a waveguide rod was applied to identify signals from different numbers of strand fractures, and their acoustic characteristics were analyzed using Fourier transform and multi-bandwidth wavelet transform. The propagation attenuation behavior of the AE signals in the waveguide rod was then analyzed, and the optimal parameters for field monitoring as well as the maximum number of plates suitable for series beam plates were determined. The results show that AE signals decrease exponentially with an increasing propagation distance, and attenuation models for various AE parameters were established. As the number of strand fractures increases, the amplitude of the dominant frequency increases significantly, and the energy distribution shifts towards higher-frequency bands. This finding introduces a novel approach for quantifying fractures in steel strands, enhancing the effectiveness of AE technology in monitoring and laying a foundation for the development of related technologies. Full article
(This article belongs to the Topic Nondestructive Testing and Evaluation)
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15 pages, 13057 KiB  
Article
Hydrogen Embrittlement and Cohesive Behavior of an Ultrahigh-Strength Lath Martensitic Steel of Tendon Bars for Structural Engineering
by Patricia Santos, Andrés Valiente and Mihaela Iordachescu
Appl. Sci. 2025, 15(14), 7998; https://doi.org/10.3390/app15147998 - 18 Jul 2025
Viewed by 182
Abstract
This paper assesses experimentally and theoretically the hydrogen-assisted cracking sensitivity of an ultrahigh-strength lath martensitic steel, recently used to manufacture tendon rods for structural engineering. The experimental values of the J-integral were obtained by tensile testing up to failure precracked SENT specimens in [...] Read more.
This paper assesses experimentally and theoretically the hydrogen-assisted cracking sensitivity of an ultrahigh-strength lath martensitic steel, recently used to manufacture tendon rods for structural engineering. The experimental values of the J-integral were obtained by tensile testing up to failure precracked SENT specimens in air, as an inert environment and in a thiocyanate aqueous solution, as a hydrogen-promoter medium. In parallel, the theoretical resources necessary to apply the Dugdale cohesive model to the SENT specimen were developed from the Green function in order to predict the J-integral dependency on the applied load and the crack size, with the cohesive resistance being the only material constant concerning fracture. The comparison of theoretical and experimental results strongly supports the premise that the cohesive crack accurately models the effect of the mechanisms by which the examined steel opposes crack propagation, both when in hydrogen-free and -embrittled conditions. The identification of experimental and theoretical limit values respectively involving a post-small-scale-yielding regime and unstable extension of the cohesive zone allowed for the value of the cohesive resistance to be determined, its condition as a material constant in hydrogen-free medium confirmed, and its strong decrease with hydrogen exposure revealed. Full article
(This article belongs to the Special Issue Application of Fracture Mechanics in Structures)
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33 pages, 167102 KiB  
Article
Influence of Mineralogical and Petrographic Properties on the Mechanical Behavior of Granitic and Mafic Rocks
by Muhammad Faisal Waqar, Songfeng Guo, Shengwen Qi, Malik Aoun Murtaza Karim, Khan Zada, Izhar Ahmed and Yanjun Shang
Minerals 2025, 15(7), 747; https://doi.org/10.3390/min15070747 - 17 Jul 2025
Viewed by 343
Abstract
This study investigates the impact of mineralogical and petrographic characteristics on the mechanical behavior of granitic and mafic rocks from the Shuangjiangkou (Sichuan Province) and Damiao complexes (Hebei Province) in China. The research methodology combined petrographic investigation, comprising optical microscopy and Scanning Electron [...] Read more.
This study investigates the impact of mineralogical and petrographic characteristics on the mechanical behavior of granitic and mafic rocks from the Shuangjiangkou (Sichuan Province) and Damiao complexes (Hebei Province) in China. The research methodology combined petrographic investigation, comprising optical microscopy and Scanning Electron Microscopy–Energy-Dispersive X-ray Spectroscopy (SEM-EDS) methods, with methodical geotechnical characterization to establish quantitative relationships between mineralogical composition and engineering properties. The petrographic studies revealed three lithologic groups: fine-to-medium-grained Shuangjiangkou granite (45%–60% feldspar, 27%–35% quartz, 10%–15% mica), plagioclase-rich anorthosite (more than 90% of plagioclase), and intermediate mangerite (40%–50% of plagioclase, 25%–35% of perthite). The uniaxial compressive strength tests showed great variations: granite (127.53 ± 15.07 MPa), anorthosite (167.81 ± 23.45 MPa), and mangerite (205.12 ± 23.87 MPa). Physical properties demonstrated inverse correlations between mechanical strength and both water absorption (granite: 0.25%–0.42%; anorthosite: 0.07%–0.44%; mangerite: 0.10%–0.25%) and apparent porosity (granite: 0.75%–0.92%; anorthosite: 0.20%–1.20%; mangerite: 0.29%–0.69%), with positive correlations to specific gravity (granite: 1.88–3.03; anorthosite: 2.67–2.90; mangerite: 2.43–2.99). Critical petrographic features controlling mechanical behavior include the following: (1) mica content in granite creating anisotropic properties, (2) extensive feldspar alteration through sericitization increasing microporosity and reducing intergranular cohesion, (3) plagioclase micro-fracturing and alteration to clinozoisite–sericite assemblages in anorthosite creating weakness networks, and (4) mangerite’s superior composition of >95% hard minerals with minimal sheet mineral content and limited alteration. Failure mode analysis indicated distinct patterns: granite experiencing shear-dominated failure (30–45° diagonal planes), anorthosite demonstrated tensile fracturing with vertical splitting, and mangerite showed catastrophic brittle failure with extensive fracture networks. These findings provide quantitative frameworks that relate petrographic features to engineering behavior, offering valuable insights for rock mass assessment and engineering design in similar crystalline rock terrains. Full article
(This article belongs to the Special Issue Characterization of Geological Material at Nano- and Micro-scales)
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25 pages, 3886 KiB  
Article
Amikacin Coated 3D-Printed Metal Devices for Prevention of Postsurgical Infections (PSIs)
by Chu Zhang, Ishwor Poudel, Nur Mita, Xuejia Kang, Manjusha Annaji, Seungjong Lee, Peter Panizzi, Nima Shamsaei, Oladiran Fasina, R. Jayachandra Babu and Robert D. Arnold
Pharmaceutics 2025, 17(7), 911; https://doi.org/10.3390/pharmaceutics17070911 - 14 Jul 2025
Viewed by 338
Abstract
Background/Objectives: Personalized 3D-printed (3DP) metallic implants delivery systems are being explored to repair bone fractures, allowing the customization of medical implants that respond to individual patient needs, making it potentially more effective and of greater quality than mass-produced devices. However, challenges associated [...] Read more.
Background/Objectives: Personalized 3D-printed (3DP) metallic implants delivery systems are being explored to repair bone fractures, allowing the customization of medical implants that respond to individual patient needs, making it potentially more effective and of greater quality than mass-produced devices. However, challenges associated with postsurgical infections caused by bacterial adhesion remain a clinical issue. To address this, local antibiotic therapies are receiving extensive attention to minimize the risk of implant-related infections. This study investigated the use of amikacin (AMK), a broad-spectrum aminoglycoside antibiotic, incorporated onto 3D-printed 316L stainless steel implants using biodegradable polymer coatings of chitosan and poly lactic-co-glycolic acid (PLGA). Methods: This research examined different approaches to coat 3DP implants with amikacin. Various polymer-based coatings were studied to determine the optimal formulation based on the characteristics and release profile. The optimal formulation was performed on the antibacterial activity studies. Results: AMK-chitosan with PLGA coating implants controlled the rate of drug release for up to one month. The 3DP drug-loaded substrates demonstrated effective, concentration-dependent antibacterial activity against common infective pathogens. AMK-loaded substrates showed antimicrobial effectiveness for one week and inhibited bacteria significantly compared to the uncoated controls. Conclusions: This study demonstrated that 3DP metal surfaces coated with amikacin can provide customizable drug release profiles while effectively inhibiting bacterial growth. These findings highlight the potential of combining 3D printing with localized delivery strategies to prevent implant-associated infections and advance the development of personalized therapies. Full article
(This article belongs to the Section Drug Delivery and Controlled Release)
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12 pages, 421 KiB  
Article
Function and Health in Adults with Dyskinetic Cerebral Palsy—A Follow-Up Study
by Kate Himmelmann and Meta N. Eek
J. Clin. Med. 2025, 14(14), 4909; https://doi.org/10.3390/jcm14144909 - 10 Jul 2025
Viewed by 268
Abstract
Background/Objectives: Dyskinetic cerebral palsy (DCP) often implies severe motor impairment and risk of health problems. Our aim was to follow up a group of young adults with DCP that we previously examined as children, to describe health, function, and living conditions. Methods [...] Read more.
Background/Objectives: Dyskinetic cerebral palsy (DCP) often implies severe motor impairment and risk of health problems. Our aim was to follow up a group of young adults with DCP that we previously examined as children, to describe health, function, and living conditions. Methods: Interviews regarding health issues, treatments, and living conditions, and quality of life (RAND-36) and fatigue questionnaires were completed. Gross and fine motor function, communication, and speech ability were classified, and weight, height, spasticity, and dystonia were assessed and compared to previous data. Joint range of motion (ROM) was compared to older adults with DCP. Results: Dystonia was present in all fifteen participants, and spasticity in all but two. A decrease was found mainly in those who received intrathecal baclofen (ITB). ROM limitations were most pronounced in shoulder flexion, abduction and inward rotation (while outward rotation was hypermobile), hip abduction, hamstrings, and knee extension. The majority had frequent contact with primary and specialist healthcare. Seven participants were underweight, eight had a gastrostomy, and seven had ITB. Upper gastrointestinal and respiratory problems were frequent. Orthopedic surgery for scoliosis was reported in five, and lower extremity in nine, while fractures were reported in six participants. RAND-36 revealed physical functioning, general health, and vitality as the greatest problem areas. Fatigue was significant in 64%. Eight participants lived with their parents. Participants at more functional levels completed tertiary education and lived independently. Conclusions: Most participants had severe impairment and many health issues, despite decreased dystonia and spasticity due to ITB. Sleep problems and pain were uncommon. Full article
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19 pages, 2467 KiB  
Systematic Review
Reconstruction of the Extensor Apparatus After Total Patellectomy in Orthopedic Oncology: A Systematic Literature Review
by Edoardo Ipponi, Fabrizia Gentili, Fabio Cosseddu, Antonio D’Arienzo, Paolo Domenico Parchi and Lorenzo Andreani
J. Clin. Med. 2025, 14(14), 4818; https://doi.org/10.3390/jcm14144818 - 8 Jul 2025
Viewed by 313
Abstract
Background: Patellar resection is recommended in cases of massive cortical bone disruption or malignancies. Modern literature lacks a consensus surgical reconstruction after total patellectomy. Our study reviews the surgical techniques described in the literature and summarizes the reported functional outcomes and complication [...] Read more.
Background: Patellar resection is recommended in cases of massive cortical bone disruption or malignancies. Modern literature lacks a consensus surgical reconstruction after total patellectomy. Our study reviews the surgical techniques described in the literature and summarizes the reported functional outcomes and complication rates. Materials: We systematically reviewed the existing literature, searching the PubMed, Embase, and Scopus databases for articles published between 1950 and 2024. We recorded age, diagnosis, tumor size, Lodwick classification, soft tissue involvement, and pre-operative fractures for each case or case series. We also recorded the reconstructive approaches. Complications, local recurrences, MSTS scores, and knee range of motion (ROM) were considered when reported. Results: Twenty-eight articles met our inclusion criteria. Among these, 4 were case series and 24 were case reports. A total of 47 cases treated with total patellectomy were reviewed. Reconstruction was performed with direct suture in 8 cases, while 17 had local augments, including allograft (10 cases), muscle flaps or transportations (4), autologous bone (1), or a composite (2). Reconstruction was not mentioned in 22 cases. ROM was reported for 17 cases, and the MSTS score was reported for 9 cases. Conclusions: In cases of relatively small tissue defects, a direct suture of the extensor apparatus can allow adequate functional recovery. In cases of larger gaps, surgeons should use muscle flaps, transfers, or soft tissue augments. Massive bone and tendon allografts should mainly be considered in cases where the neoplasm was not confined to the patella but extensively involved the patellar ligament or the quadriceps tendon. Full article
(This article belongs to the Special Issue Diagnosis and Treatment for Bone Tumor)
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12 pages, 3998 KiB  
Review
Bifocal Radial Fracture/Dislocation and Distal Ulnar Fracture—A Rare Case of Proximal Forearm Instability Not Yet Classified and Literature Review
by Michele Dario Gurzì, Giacomo Capece, Guido Bocchino, Alessandro El Motassime, Rocco Maria Comodo, Massimiliano Nannerini, Giulio Maccauro and Raffaele Vitiello
J. Clin. Med. 2025, 14(13), 4694; https://doi.org/10.3390/jcm14134694 - 2 Jul 2025
Viewed by 307
Abstract
Introduction: Monteggia fractures, first described by Giovanni Battista Monteggia, involve a fracture of the proximal ulna with anterior dislocation of the radial head. Bado’s 1967 classification divides these injuries into four types. Rare mixed patterns exist, overlapping with other forearm injuries such as [...] Read more.
Introduction: Monteggia fractures, first described by Giovanni Battista Monteggia, involve a fracture of the proximal ulna with anterior dislocation of the radial head. Bado’s 1967 classification divides these injuries into four types. Rare mixed patterns exist, overlapping with other forearm injuries such as Galeazzi and Essex–Lopresti lesions. These complex fractures/dislocations pose significant diagnostic and therapeutic challenges and are not adequately represented in current classification systems. Methods and Case Presentation: We report the case of a 56-year-old woman with a complex forearm injury sustained from a fall, presenting with radial head fracture/dislocation, mid-shaft radial fracture, distal ulna fracture, and ulnar collateral ligament rupture. Intraoperative imaging confirmed DRUJ stability and partial interosseous membrane disruption. Surgical management included radial head prosthesis implantation, radial shaft fixation with an anatomical locking plate, intramedullary nailing of the distal ulna, and ligament reconstruction. At two-year follow-up, the patient demonstrated full recovery of elbow flexion–extension and satisfactory forearm function. A narrative literature review was also conducted, focusing on hybrid injury variants. Results: Intraoperative examination under anesthesia revealed good elbow stability with 130° flexion, 15° extension lag, and forearm pronation/supination of 70°/60°. An initial Mayo Elbow Performance Score (MEPS) of 65 was recorded, limited by range of motion and stability. Pain during passive mobilization was mild, with a Visual Analogue Scale (VAS) score of 3/10. Postoperative recovery included 15 days of immobilization followed by structured rehabilitation. At two years, the patient regained full elbow flexion–extension but had residual deficits in pronation–supination, attributed to pre-existing conditions. Conclusions: This case illustrates a previously unreported hybrid Monteggia variant, combining features of Monteggia, Galeazzi, and Essex–Lopresti injuries. It highlights the limitations of current classification systems and supports the need for an expanded diagnostic framework. Successful management required a multidisciplinary surgical approach tailored to the injury’s complexity. Further studies are warranted to refine classification and treatment strategies for these rare combined injuries. Full article
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16 pages, 4039 KiB  
Review
Management of Acetabular Fractures with Total Hip Replacement: A Narrative Literature Review
by Domenico Tigani, Luigigiuseppe Lamattina, Andrea Assenza, Giuseppe Melucci, Alex Pizzo and Cesare Donadono
J. Pers. Med. 2025, 15(7), 282; https://doi.org/10.3390/jpm15070282 - 1 Jul 2025
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Abstract
Open reduction and internal fixation (ORIF) is widely regarded as the primary treatment for acetabular fractures, but limitations arise in complex cases, leading to non-anatomical reductions and increased risk of post-traumatic osteoarthritis. Given the high incidence of secondary arthritis (12–57%) following ORIF, total [...] Read more.
Open reduction and internal fixation (ORIF) is widely regarded as the primary treatment for acetabular fractures, but limitations arise in complex cases, leading to non-anatomical reductions and increased risk of post-traumatic osteoarthritis. Given the high incidence of secondary arthritis (12–57%) following ORIF, total hip arthroplasty (THA) is often necessitated, particularly in scenarios unsuitable for ORIF, such as extensive comminution or combined femoral head and neck fractures. The surgical landscape has shifted from a traditional “fix or replace” to a more integrated “fix and replace” approach, especially beneficial in managing elderly patients with osteoporotic bones. THA is applied across various timelines, including acute (0–3 weeks), delayed (3 weeks to 3 months), and late (beyond 3 months), each presenting distinct challenges and requiring specific strategies to optimize outcomes. The importance of precise bone defect classifications and the role of dual mobility cups in reducing dislocation risks are highlighted, alongside the use of modern surgical and fixation techniques to improve stability and patient outcomes. Enhanced recovery protocols and meticulous postoperative management are critical to addressing complications, such as infections and hardware interference, tailoring treatment approaches to each patient’s needs, and advancing care for complex acetabular fractures. Full article
(This article belongs to the Special Issue Orthopedic Trauma: New Perspectives and Innovative Techniques)
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