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Open Physics
|
2011
|
vol. 9
|
issue 4
1090-1095
EN
Using Foreman’s method, the core structure and Peierls stress of dislocations in bubble rafts have been investigated within the framework of the modified Peierls-Nabarro (P-N) model in which the discrete lattice effect is taken into account. The core width obtained from the modified P-N model is much wider than that from the P-N model owing to the discrete lattice effect. It is found that the core width of dislocation increases with a decrease of the bubble radius. The elastic strain energy associated with the discrete effect is considered while calculating the Peierls stress. The new expression of the Peierls stress obtained in this paper is not explicitly dependent on the particular form of the restoring force law, which is only related to the core structure parameter and can be used expediently to predict the Peierls stress of dislocations. The Peierls stress decreases rapidly with the decrease of the bubble radius.
EN
We evaluated the long-term clinical results of acute complete acromioclavicular dislocations treated by reconstruction of the acromioclavicular and coracoclavicular ligament using trapezius muscle fascia. Open reduction and internal fixation was performed using the clavicular hook plate in 12 patients with acute complete acromioclavicular joint dislocation, and the acromioclavicular and coracoclavicular ligaments were reconstructed using trapezius muscle fascia. Radiographic evaluations were conducted postoperatively. We evaluated the functional results with constant scoring system and radiological results at the final follow-up visit. The mean Constant score at the final follow-up visit was 91.67 (range, 81 to 100). The results were excellent in eight patients (66.7%) and good in four patients (33.3%). Three patients with scores from 80 to 90 had mild pain during activity, but this did not affect the range of motion of the shoulder. All patients have returned to their preoperative work without any limitations. Compared with the contralateral side, radiography showed anatomical reposition in the vertical plane in all cases. The hook-plate fixation with ligament reconstruction was successful in treating AC dislocations. The acromioclavicular and coracoclavicular ligament were reconstructed by trapezius muscle fascia that keep the distal clavicle stable both vertically and horizontally after type III injuries.
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