• Title/Summary/Keyword: 고정판

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Internal Fixation of Proximal Humerus Fracture with Locking Compression Plate (잠김 압박 금속판을 이용한 근위 상완골 골절의 내고정술)

  • Park, Chul-Hyun;Park, Sung-Hyuk;Seo, Jae-Sung
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.44-52
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    • 2009
  • Purpose: We assessed the radiographic and clinical results of one surgeon's experience treating proximal humerus fractures with a locked proximal humeral plate. Materials and Methods: Twenty patients with unstable proximal humerus fractures were treated with a locking compression plate between February 2005 and September 2007. The average age of the patients was 60.6 years, and the average postoperative follow-up period was 22.3 months. The clinical results were evaluated using the Constant and DASH scores. The radiologic results were evaluated by the Paavolainen method, which measures the neck shaft angle and humeral head height. Results: At the last follow-up examination, the mean Constant score was 75.3 and 15 cases (75%) had excellent or good results; the mean DASH score was 16.4. The mean neck shaft angle was $137.1^{\circ}$, and 19 cases (95%) had good results by the Paavolainen method. There was one delayed union, malunion, and screw loosening. Conclusion: The patients treated with a locking compression plate had relatively good clinical and radiologic results, and a low complication rate. Moreover, the patients could exercise earlier due to good reduction and initial stability. Treatment of unstable proximal humerus fractures with a locking compression plate is a reliable method.

Finite Difference Stability Analysis of Anisotropic Plates with Free Edge (자유경계를 갖는 비등방성 판의 유한차분 안정성 해석)

  • Yoo, Yong Min;Lee, Sang Youl;Chang, Suk Yoon
    • Journal of Korean Society of Steel Construction
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    • v.12 no.2 s.45
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    • pp.221-230
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    • 2000
  • Checking the stability of anisotropic plates with free edges, it is impossible that buckling loads and modes are found via existing classical methods about various loads and boundary conditions. For solving this problems. finite difference method(FDM) is used to analyze the buckling behaviors for arbitrary boundary conditions. Using FDM, it is difficult to treat the fictitious points on free edges. So, this paper analyzes buckling behaviors of analytic models with one edge free and the other edges clamped and with opposite two edges free and other two edges clamped. The various buckling loads and mode characteristics through numerical results are given for buckling behaviors of anisotropic plates on free edges.

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Finite Difference Numerical Solutions for Isotropic Rectangular Thin Elastic Plates with Three Edges Clamped and the Other Free (등방성 직사각형의 3변 고정 1변 자유 얇은 탄성판에 대한 유한차분법의 수치해)

  • Seo Seung-Nam
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.18 no.3
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    • pp.225-240
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    • 2006
  • In order to calculate bending moments of rectangular plates with three edges clamped the other free subjected to both a uniform load and a triangular load, a finite difference equation for the non-dimensional governing equation are presented and numerical solutions with different aspect ratios and/or number of grid points are analyzed. The finite difference solutions are obtained by use of grid points up to 11,520 and the optimum grid points according to aspect ratios of the plate are presented as well. The obtained numerical solutions are shown to satisfy the given x moment boundary condition at the free edge, which can not be satisfied in Levy's analytical solutions and peculiar behaviour of the calculated moments is observed around the corners between the free edge and fixed ones. The numerical solutions of bending moments subjected to both a uniform load and a triangular load are compared with the corresponding analytical solutions which are shown in very good agreement on the solution domain except the neighborhood of the free edge.

Mechanical Performance Evaluation of a Top End Piece for Dual Cooled Fuels (이중냉각 핵연료 상단고정체의 기계적 성능평가)

  • Kim, Jae-Yong;Yoon, Kyung-Ho;Kim, Hyung-Kyu;Choi, Woo-Seok
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.4
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    • pp.417-424
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    • 2011
  • A fuel assembly consists of five major components, i.e., a top end piece (TEP), a bottom end piece (BEP), spacer grids (SGs), guide tubes (GTs) and an instrumentation tube (IT); in addition, it also includes fuel rods (FRs). The TEP/BEP should satisfy stress intensity limits according to the conditions A and B of ASME, Section III, Division 1-Subsection NB. In a dual-cooled fuel assembly, the array and position of fuel rods are different from those in a conventional PWR fuel assembly; these changes are necessary for achieving power uprating. The flow plates of the TEP and BEP have to be modified accordingly. The pattern and shape of the flow holes were newly designed. To verify the strength compatibility, the Tresca stress limit according to the ASME code was investigated in the case of an axial load of 22.241 kN. In this paper, the stress linearization procedure for strength evaluation of a newly designed TEP is presented.

Surgical Management of Comminuted Midshaft Clavicle Fractures Using Reconstruction Plate and Circumferential Wiring: Does the Circumferential Wiring Interfere with the Bone Union? (쇄골 간부 복합 골절에서 재건 금속판 및 환 강선을 이용한 수술적 치료: 환 강선이 골 유합을 방해하는가?)

  • Kim, Kyung-Tae;Shin, Chung-Shik;Park, Young-Chul;Kim, Dong-hyun;Kim, Min-Woo
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.245-252
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    • 2021
  • Purpose: This study examined the radiological and clinical outcomes of internal fixation using a reconstruction plate and 21G circumferential wire in comminuted midshaft clavicular fractures. Materials and Methods: A retrospective cohort study was performed on 51 patients between 2005 and 2019. Thirty-two patients underwent internal fixation with a reconstruction plate and a 21G circumferential wire with minimal soft tissue detachment, and 19 patients underwent surgery without a wire. The patients were assessed with the radiographic parameters, the University of California at Los Angeles (UCLA) score, and the visual analogue scale (VAS) pain score. Based on this, patients who operated without a circumferential wire were set as the control group, and the differences in bone union between the two groups were compared. Results: Thirty-two patients were followed-up for an average of 65 weeks, and 19 patients in the control group were followed-up for an average of 56 weeks. The radiological evaluation confirmed the anatomical reduction and bone union in all 32 patients. No case of nonunion was present. The UCLA score was 32.38 on average and 33.11 in the control group (p=0.395). The VAS score was 1.00 on average and 0.84 in the control group (p=0.668). A significant difference in the bony union time was observed between the group who underwent internal fixation with a reconstruction plate and a 21G circumferential wire with minimal soft tissue detachment, and the control group (p=0.015). On the other hand, there was no statistical significance when other variables were controlled (p=0.107). Conclusion: For displaced midshaft clavicular fractures, internal fixation using a reconstruction plate and 21G circumferential wire maintained accurate anatomical reduction. The satisfactory clinical and radiological results mean that internal fixation using a reconstruction plate and 21G circumferential wire may be a good option for surgical treatment.

Anchorage efficiency of mold-type anchorage for CFRP plates (CFRP판 긴장재를 위한 부착형 정착장치의 정착성능)

  • Park, Jong-Sup;Park, Young-Hwan;Jung, Woo-Tai
    • Proceedings of the Korea Concrete Institute Conference
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    • 2008.04a
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    • pp.169-172
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    • 2008
  • Carbon fiber reinforced polymer (CFRP) laminates can be used more efficiently in strengthening applications by applying prestress to the CFRP laminates. A key problem for prestressing with CFRP laminates is anchoring the laminates. These may include fracture to the CFRP laminates due to excessive gripping force or slippage of the CFRP laminates out of the anchorage zone caused by low friction between the anchor device and the lamiantes. The main objective of this study is the development of an applicative mold-type anchorage system for prestressed CFRP laminates through experimental study. The experimental parameters were the type of anchorage detail and the effect of surface treatment. The test results showed that the developed anchor assures 100% CFRP laminate strength.

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Arthroscopic Treatment of an Anterior Cruciate Ligament Avulsion Fracture: Physeal-Sparing, All-Inside Suture Bridge Repair (전방십자인대 견열 골절의 관절경적 치료: 성장판을 보존한 All-Inside 교량형 봉합술)

  • Park, Byeong-Mun;Lee, Seung-Hwan;Yang, Bong-Seok;Kim, Ji-Hyeon
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.444-449
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    • 2020
  • An anterior cruciate ligament (ACL) avulsion fracture is an uncommon injury that occurs predominantly in the pediatric and adolescent population. Accurate reduction and fixation of an avulsed fragment are necessary to restore and maintain the length of the ACL and normal knee biomechanics. Several techniques are available to repair an ACL avulsion fracture. On the other hand, treatment is controversial in skeletally immature patients due to risk of physeal injury. This paper reports a case of an ACL avulsed fracture in a skeletally immature patient treated with arthroscopic all-inside suture bridge repair, in which an excellent result and firm stability were obtained without physeal injury.