Article
Thermodynamics
R. Collignon, B. Stutz
Summary: In this study, a grooved plate is used to improve the wetting of the surface compared to a smooth plate. A numerical model is developed to characterize the heat transfer and evaporation rate of the system and is validated with experimental results. The aim is to develop a simple and light model to accurately describe the heat and mass transfer behavior of the falling film in the grooves of the evaporator plate.
INTERNATIONAL JOURNAL OF REFRIGERATION
(2023)
Article
Critical Care Medicine
Madeline C. MacKechnie, Michael J. Flores, Vincenzo Giordano, Michael J. Terry, Mario Garuz, Nicolas Lee, Luis G. Padilla Rojas, Michael A. MacKechnie, Fernando Bidolegui, Kelsey Brown, Jose Eduardo Quintero, Anthony Ding, Carlos G. Sanchez Valenciano, Horacio Tabares Neyra, Julio Segovia, Dino Aguilar, Esther M. M. van Lieshout, Michael H. J. Verhofstad, Theodore Miclau
Summary: This study investigated soft-tissue coverage techniques for open tibia fractures in Latin America. It found that most orthopaedic surgeons in the region have not received soft-tissue training and identified differences in access to plastic surgeons and expectations for flap type and timing to definitive coverage between high-income countries (HICs) and middle-income countries (MICs). The study also revealed limited access to necessary soft-tissue surgical resources. Further research is needed to explore the clinical outcomes related to different soft-tissue coverage methods and protocols, and to understand the importance of timing and access to specialists.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Review
Critical Care Medicine
Alexander T. Schade, Chetan Khatri, Henry Nwankwo, William Carlos, William J. Harrison, Andrew J. Metcalfe
Summary: The economic burden of open tibia fractures is significant for both hospitals and patients, with the majority of evidence coming from high-income countries, particularly the USA. Further research is needed to explore the costs of open tibia fractures in low-income countries using validated costing tools, in order to guide policy decisions.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Critical Care Medicine
Antti A. J. Ylitalo, Hanna Hurskainen, Jussi P. Repo, Juha Kiiski, Piia Suomalainen, Ilkka Kaartinen
Summary: Open tibia fracture (OTF) causes increased morbidity and complications compared to closed fractures, with fracture-related infection (FRI) being the most significant complication. A treatment protocol based on the BOAST 4 guideline was introduced at Tampere University Hospital (TAUH) and resulted in a significant reduction in FRI and reoperation rates for OTF patients. The implementation of such a treatment protocol is recommended in all major trauma centers, and complex OTF patients should be referred to specialized centers for BOAST 4 based treatment.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Thermodynamics
Arvind Kumar, B. K. Hardik
Summary: The impact of subatmospheric system pressure on subcooled flow boiling heat transfer is significant, with higher wall superheat activating more nucleation sites and increasing heat transfer coefficient. Gravity is suppressed at subatmospheric system pressure, resulting in earlier onset of nucleation in the axial direction, while mass flux has no significant effect on the heat transfer coefficient. Higher mass flux, higher heat flux, and lower subatmospheric system pressure lead to increased pressure drop and fluctuations.
APPLIED THERMAL ENGINEERING
(2024)
Article
Surgery
Nicole A. Zelenski, Anthony Archual, Jennifer Tangtiphaiboontana, Doga Kuruoglu, Maria Yan, Samyd Bustos-Hemer, Steven L. Moran
Summary: The purpose of this study was to compare the rates and time to union of open tibia fractures that underwent soft-tissue coverage. The results showed that flap type significantly affected time to union, with muscle flaps having shorter time to union than fasciocutaneous flaps. Moreover, patients who underwent an initial soft-tissue reconstruction with a local muscle flap were more likely to require a second flap.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Orthopedics
John C. Prather, Tyler Montgomery, Brent Cone, Jonathan H. Quade, Kenneth Fellows, Thomas L. Devine, Clay A. Spitler
Summary: This study aimed to compare the treatment outcomes of tibia fractures caused by different mechanisms. Ballistic tibia fractures required more surgeries and soft tissue reconstruction compared to closed fractures, but had similar rates of unplanned reoperation and infection compared to open fractures, with a higher incidence of compartment syndrome. Surgeons should be vigilant for compartment syndrome in ballistic tibia fractures and inform patients that these fractures behave similarly to an intermediate category between closed and open fractures sustained through blunt mechanisms.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Energy & Fuels
Behrouz Harimi, Mohammad Hossein Ghazanfari, Mohsen Masihi
Summary: A new model for predicting evaporation rate from a liquid bridge inside a horizontal fracture was developed and coupled with the Young-Laplace equation. The study also described the impact of volume, length, and contact angle changes on the evaporation rate, as well as analyzed the transient behavior of fracture capillary pressure for evaporating liquid bridges.
JOURNAL OF PETROLEUM SCIENCE AND ENGINEERING
(2021)
Article
Orthopedics
Avi D. Goodman, Jacob M. Modest, Joey P. Johnson, Roman A. Hayda
Summary: The study demonstrated that a simple antibiotic prophylaxis initiative effectively reduced the time to antibiotic administration for patients with open fractures, and the effect was durable. Patients were more likely to receive antibiotics within 60 minutes after implementation and in the retention cohort two years later.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2021)
Article
Dermatology
Peng Luo, Yingying Zhang, Xingyu Wang, Jianshun Wang, Hua Chen, Leyi Cai
Summary: The purpose of this study was to identify risk factors for skin necrosis after open reduction and internal fixation (ORIF) for tibia fracture and construct a predictive model. Through retrospective analysis of clinical data, limb swelling, time until the operation, operation time, distance from fracture end to the skin, and soft tissue injury (Tscherne classification type 3) were found to be independent risk factors for skin necrosis. The nomogram model developed in this study may help identify high-risk patients and reduce the incidence of skin necrosis through early interventions.
INTERNATIONAL WOUND JOURNAL
(2022)
Article
Critical Care Medicine
Matilda F. R. Powell-Bowns, Joseph E. Littlechild, Liam Z. Yapp, Alastair C. Faulkner, Timothy O. White, Margaret M. McQueen, Andrew D. Duckworth
Summary: This study aimed to compare outcomes in patients with tibial diaphyseal fractures who underwent continuous compartment pressure monitoring (CCPM) versus those who did not. Results showed no significant difference in short-term complication rates between the two groups. Patients undergoing CCPM had a trend towards shorter time to fasciotomy and reduced rate of split skin grafting for wound closure.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Critical Care Medicine
A. Tucker, A. R. Norrish, S. Fendius, C. Uzoho, T. Thorne, E. del Hoyo, J. Nightingale, A. Taylor, B. J. Ollivere
Summary: This study aimed to evaluate the outcomes of high energy open tibial fractures treated with a Taylor Spatial Frame (TSF) and a combined orthoplastic approach. The results showed a high re-operation rate and deteriorated patient-reported outcomes for open tibial fractures.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Review
Orthopedics
Khalid Al-Hourani, Richard Donovan, Michael T. Stoddart, Clary J. Foote, Michael B. Kelly, Paul Tornetta
Summary: The study suggests that in the treatment of open tibial shaft fractures, unreamed intramedullary nailing (UN) carries a lower risk of unplanned reoperation compared to external fixation (EF), with a better effect in Gustilo type III open fractures. However, the risk of reoperation with UN is lower compared to reamed intramedullary nailing but does not show a clear advantage.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Critical Care Medicine
Anthony M. Padgett, Timothy W. Torrez, Ezan A. Kothari, Michael J. Conklin, Kevin A. Williams, Shawn R. Gilbert, Philip Ashley
Summary: This study aimed to investigate whether Gustilo-Anderson type I tibia fractures can be safely treated nonoperatively. A retrospective review found that in a small group of children treated with bedside debridement and antibiotics, no infections occurred, and similar rates of non-infectious complications were observed compared to operative debridement.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Thermodynamics
Pape Sene, Florine Giraud, Mamadou Lamine Sow, Brice Tremeac
Summary: This paper aims to provide correlations to estimate water pool boiling and falling film evaporation heat transfer coefficient under subatmospheric pressure, with experimental studies conducted in specific pressure ranges and development of two methodical correlations. These correlations are important for the sizing and optimization of two-phase heat exchangers design.
APPLIED THERMAL ENGINEERING
(2022)