ABSTRACT
An original nanocomposite material was prepared by in-situ grafting of a PVK-PPV copolymer onto SWCNTs. The new composites were elaborated with various SWCNTs weight concentrations into homemade PVK-PPV copolymer. Different experimental analyses were performed to investigate their morphological features and their optical and vibrational spectroscopy behaviors as a function of the concentration of carbon nanotubes. Π-staking and covalent interactions and functionalization process between copolymer and SWCNT undergo dramatic effect in vibrational and photoemissives properties of copolymer matrix. Transmission (TEM) and scanning electron microscopy (SEM) were used. Then, resonant Raman scattering and steady-state and time-resolved photoluminescence (PL) and (TRPL) measurements were used to study the evolution of the spectroscopic characteristics and optical properties of PVK-PPV/SWCNTs composites. As results, we have observed PL quenching effect and a decrease of average life time. These indicated the processing of a charge transfer that leads to exciton dissociations to the SWCNTs matrix. Such results, also supported by modelling based on DFT method, have given a strong evidence of the functionalization and the charge transfer between the SWCNTs and the PVK-PPV copolymer and predicted a structure-properties correlation.
ABSTRACT
INTRODUCTION: Stable reconstruction of proximal femoral (PF) fractures is especially challenging due to the peculiarity of the injury patterns and the high load-bearing requirement. Since its introduction in 2007, the PF-locking compression plate (LCP) 4.5/5.0 has improved osteosynthesis for intertrochanteric and subtrochanteric fractures of the femur. This study reports our early results with this implant. METHODS: Between January 2008 and June 2010, 19 of 52 patients (12 males, 7 females; mean age 59 years, range 19-96 years) presenting with fractures of the trochanteric region were treated at the authors' level 1 trauma centre with open reduction and internal fixation using PF-LCP. Postoperatively, partial weight bearing was allowed for all 19 patients. Follow-up included a thorough clinical and radiological evaluation at 1.5, 3, 6, 12, 24, 36 and 48 months. Failure analysis was based on conventional radiological and clinical assessment regarding the type of fracture, postoperative repositioning, secondary fracture dislocation in relation to the fracture constellation and postoperative clinical function (Merle d'Aubigné score). RESULTS: In 18 patients surgery achieved adequate reduction and stable fixation without intra-operative complications. In one patient an ad latus displacement was observed on postoperative X-rays. At the third month follow-up four patients presented with secondary varus collapse and at the sixth month follow-up two patients had 'cut-outs' of the proximal fragment, with one patient having implant failure due to a broken proximal screw. Revision surgeries were performed in eight patients, one patient receiving a change of one screw, three patients undergoing reosteosynthesis with implantation of a condylar plate and one patient undergoing hardware removal with secondary implantation of a total hip prosthesis. Eight patients suffered from persistent trochanteric pain and three patients underwent hardware removal. CONCLUSIONS: Early results for PF-LCP osteosynthesis show major complications in 7 of 19 patients requiring reosteosynthesis or prosthesis implantation due to secondary loss of reduction or hardware removal. Further studies are required to evaluate the limitations of this device.
