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By recording and analyzing complete wave profiles using the VISAR laser interferometer, measurements of the Hugoniot elastic limit and critical fracture stresses were carried out under the spalling conditions of the heat-resistant Inconel 718 alloy, additively manufactured by direct laser deposition, at shockwave loading up to ~6.5 GPa using a light-gas gun. For comparison, similar experiments were performed with the Inconel 718 alloy made by the traditional method of vacuum induction melting. The process of the delay of an elastic compression wave during its propagation through the sample and the dependence of the spall strength on the strain before fracture in the range 105–106 s−1 were investigated. To identify the anisotropy of the strength properties of the material under study, two series of experiments were carried out on loading additively manufactured samples along and perpendicular to the direction of the deposition. The measurements performed showed that the additively manufactured Inconel 718 alloy demonstrates weak anisotropy of strength properties for both the initial and thermal-treated samples. The thermal treatment leads to a noticeable increase in the Hugoniot elastic limit and the spall strength of the samples at low strain rates. For all types of samples, there is an increase in the spall strength with an increase in the strain rate. The spall strength measured for the cast alloy practically coincides with the strength of the as-received additive alloy and is noticeably lower than the strength of the thermal-treated additive alloy over the entire range of the strain rates. The process of the decay of the elastic precursor in the cast alloy occurs much faster than in the additive one, and the minimum values of the Hugoniot elastic limit are measured for thick samples in the cast alloy.

Background: Achilles tendinopathy (AT) is a common cause of overuse injury in both athletes and nonactive individuals, especially at older ages. Due to the limited number of direct comparisons among interventions, determining the best treatment option can be difficult. Purpose: To evaluate the comparative efficacy and tolerability of nonsurgical therapies for midportion AT. Study Design: Systematic review; Level of evidence, 1. Methods: PubMed, MEDLINE, EMBASE, and Google Scholar were searched from database inception through June 20, 2019. Randomized controlled trials investigating the effect of nonsurgical therapies for midportion AT using the Victorian Institute of Sports Assessment–Achilles (VISA-A) assessment were eligible for inclusion. Primary outcome was mean change in VISA-A score from baseline. Comparisons between interventions were made through use of random-effects network meta-analysis over the short term (≤3 months) and longer term (>3 to <12 months). A safety profile was defined for each intervention by rate of all-cause discontinuation (dropout) during follow-up. Relative ranking of therapies was assessed by the surface-under-the–cumulative ranking possibilities. Results: A total of 22 studies with 978 patients met the inclusion criteria. In short-term studies, high-volume injection with corticosteroid (HVI+C) along with eccentric exercise (ECC) significantly improved the change of VISA-A score compared with that of ECC alone (standardized mean difference [SMD], 1.08; 95% CI, 0.58-1.58). Compared with ECC, acupuncture showed benefits over both the short term (SMD, 1.57; 95% CI, 1.00-2.13) and longer term (SMD, 1.23; 95% CI, 0.69-1.76). In longer-term studies, the wait-and-see approach resulted in unfavorable outcomes compared with ECC (SMD, −1.51; 95% CI, −2.02 to −1.01). Improvement was higher when ECC was combined with HVI+C (SMD, 0.53; 95% CI, 0.05-1.02) and extracorporeal shockwave therapy (ESWT) (SMD, 0.99; 95% CI, 0.48-1.49). All interventions had a similar safety profile. Conclusion: From available high-level studies, HVI+C and ESWT may be possible interventions to add along with ECC to improve longer-term outcomes.