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    Different coupling mechanisms for a novel modular plate in acetabular fractures : a comparison using a laparoscopic model
    (2024) Menger, Maximilian M.; Herath, Steven C.; Ellmerer, Andreas E.; Trulson, Alexander; Hoßfeld, Max; Leis, Artur; Ollig, Annika; Histing, Tina; Küper, Markus A.; Audretsch, Christof K.
    Introduction: Acetabular fractures are among the most challenging injuries in traumatology. The complex anatomy usually requires extensive surgical approaches baring the risk for iatrogenic damage to surrounding neurovascular structures. As a viable alternative, minimally invasive endoscopic techniques have emerged during the recent years. This paper reports on the feasibility of different coupling mechanisms for a novel suprapectineal plate especially designed for minimally invasive acetabular surgery. Methods: A total number of 34 participants contributed to the present study, who differed in their arthroscopic and surgical experience. A laparoscopic model was used to compare four different coupling mechanisms by the number of failed attempts, the time required for plate fixation, the influence of surgical experience as well as the learning success for each individual coupling mechanism. Moreover, the feasibility of each mechanism was evaluated by a questionnaire. Results: The results demonstrate that plates employing grooved and pressure-sliding coupling mechanisms exhibit fewer failed attempts and reduce trial times, especially in contrast to sole sliding mechanisms. Furthermore, our study revealed that proficiency in endoscopic procedures significantly influenced the outcome. Notably, the subjective evaluation of the participants show that the pressure base and pressure-slide base plate designs are the most supportive and feasible designs. Conclusions: In summary, the present study evaluates for the first-time different plate and coupling designs for minimal-invasive surgery, indicating a superior feasibility for plates with a grooved and pressure-sliding mechanism.
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    Challenges and state of the art in industrial FSW - pushing the limits by high speed welding of complex 3D contours
    (2018) Hoßfeld, Max; Hofferbert, Dave
    Over the last 25 years, Friction Stir Welding (FSW) has been gradually moving from research over first applications into mass production. Today, requirements for consistently high-quality welds occur in parallel with a demand for high throughput as well as production flexibility. This paper gives an insight to the state of the art of industrial FSW mass production, current trends, challenges and market demands as well as the potential of high speed complex contour welding on modern multi-axis FSW machinery with respect to process parameters, material properties, machinery requirements and control algorithms, and methods. The design strategy of complex 3D contours as a chance to maximize efficiency is introduced; challenges of its implementation with respect to the state of the art in FSW are described. This includes the importance of advanced force control methods, fixture design, clamping forces and methodology for sustaining high-quality welds as well as the management of distortions and residual stresses by thermal management and optimization of process parameters. Examples of successful weld performance are described. Steps to be taken that result in high-quality welds, as well as situations to be avoided, are discussed. The publication was written based on results of the DFG project RO 651/16-1 that was carried out at the University of Stuttgart.