• 대한족부족관절학회지
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• 제16권3호
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• pp.175-180
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• 2012

Purpose: To evaluate the radiological and clinical results after open reduction and internal fixation with calcaneal F plate and locking calcaneal plate using lateral extensile approach in the treatment of intra-articular calcaneal fracture Materials and Methods: This study included 34 cases of 33 patients followed up for at least 6 months postoperatively. F plate was applied in 18 cases (Group 1), locking plate was used in 16 cases (Group 2) and compared radiological and clinical results between two groups. Results: Radiollogically, the mean Bohler angle was improved from $5.5^{\circ}$ preoperatively to $20.1^{\circ}$ postoperatively and $18.8^{\circ}$ at the last follow up in group 1 and $8.6^{\circ}$ preoperatively, $21.4^{\circ}$ postoperatively and $20.3^{\circ}$ at last follow up in group 2. Bone union was observed in all cases and 4 cases of screw loosening were noted in Group 1 with extended fracture to anterior process. At the last follow up, both groups showed clinical results in American orthopedic foot and ankle society ankle hindfoot score, 76(77 in Sanders type II and 75 in type III) in group 1 and 72(73 in type II and 70 in type III) in group 2. Conclusion: F plate and locking plate showed firm fixation and satisfactory clinical results in the treatment of intra-articular calcaneal fracture. We suggest applying locking plate in cases with extended fracture to anterior process, considering screw loosenings in those who were treated with F plate fixation.

• 대한정형외과학회지
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• 제56권3호
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• pp.224-233
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• 2021

목적: 종골 골절 후 발생하는 부정유합으로 인해 체부의 폭이 증가하면 후족부 외측의 통증이 발생한다. 외측벽 돌출을 줄이기 위해 저자들이 고안한 K-강선(Kirschner wire) 지지대의 정복 유지 효과를 임상 및 영상학적 결과로 후향적으로 평가해 보고자 하였다. 대상 및 방법: 2015년 1월부터 2017년 12월까지 전위된 관절 내 종골 골절 환자 중 정복 유지를 위해 K-강선 지지대를 사용한 환자 22명(A군)과 K-강선 지지대를 사용하지 않은 환자 중 A군 환자와 1:2로 짝지은 44명의 환자들(B군)을 대상으로 하였다. 모든 수술은 확장된 족근동 접근법으로 시행되었으며 유관나사와 Steinmann 핀, K-강선을 이용한 내고정술을 시행하였다. 술 후 임상적 평가로는 미국족부족관절학회의 족관절-후족부 수치와 수술 후 운동능력의 회복 정도를 비교하였다. 영상학적 결과는 Böhler 각, Gissane 각, 종골의 높이와 폭, 관절 내 함몰 정도와 종골 외측벽의 돌출 정도를 비교하였다. 또한 두 군의 환자에서 수술 후 발생한 합병증도 분석해 보았다. 결과: 임상적 결과는 두 군 간에 유의미한 차이가 없었다(p=0.924, p=0.961). 영상학적으로 Böhler 각, Gissane 각, 종골의 높이와 폭, 관절 내 함몰 정도에는 유의한 차이가 없었지만(p=0.170, p=0.441, p=0.230, p=0.266, p=0.400), 종골 외측벽의 돌출 정도는 A군이 평균 1.78 mm, B군이 4.95 mm로 유의한 차이가 있었다(p=0.017). B군에서 비복 신경 포착과 통증을 동반한 외골종의 빈도는 더 많았지만 통계적으로 유의한 차이가 없었다(p=0.293, p=0.655). 결론: 임상적 평가 및 영상학적 평가의 대부분과 두 군의 합병증 비교에서 유의한 차이는 없었으나 종골 외측벽의 돌출 정도에 있어서는 A군에서 우수한 결과를 보였다. 저자들이 고안한 K-강선 지지대 수술법은 전위된 관절 내 종골 골절에서 외측벽 돌출의 정복 유지에 효과적인 수술 방법이 될 수 있을 것이다.

• Structural Engineering and Mechanics
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• 제41권3호
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• pp.313-337
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• 2012

A three-dimensional formulation is proposed to analyze the lateral loading distribution of external actions in high-rise buildings. The method is extended to encompass any combination of bracings, including bracings with open thin-walled cross-sections, which are analyzed in the framework of Timoshenko-Vlasov's theory of sectorial areas. More in detail, the proposed unified approach is a tool for the preliminary stages of structural design. It considers infinitely rigid floors in their own planes, and allows to better understand stress and strain distributions in the different bearing elements if compared to a finite element analysis. Numerical examples, describing the structural response of tall buildings characterized by bracings with different cross-section and height, show the effectiveness and flexibility of the proposed method. The accuracy of the results is investigated by a comparison with finite element solutions, in which the bracings are modelled as three-dimensional structures by means of shell elements.

• Structural Engineering and Mechanics
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• 제16권6호
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• pp.675-693
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• 2003

In order to consider the modified seismic response of framed structures in the presence of masonry infills, proper models have to be formulated. Because of the complexity of the problem, a careful definition of a diagonal pin-jointed strut, able to represent the horizontal force-interstorey displacement cyclic law of the actual infill, may be a solution. In this connection the present paper shows a generalized criterion for the determination of the ideal cross-section of the strut mentioned before. The procedure is based on the equivalence between the lateral stiffness of the actual infilled frame scheme during the conventional elastic stage of the response and the lateral stiffness of the same frame stiffened by a strut at the same stage. Unlike the usual empirical approaches available in the literature, the proposed technique involves the axial stiffness of the columns of the frame more than their flexural stiffness. Further, the influence of the bidimensional behaviour of the infill is stressed and, consequently, the dependence of the dimensions of the equivalent pin-jointed strut on the Poisson ratio of the material constituting the infill is also shown. The proposed approach is extended to the case of infills with openings, which is very common in practical applications.

• Journal of Korean Neurosurgical Society
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• 제55권5호
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• pp.289-292
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• 2014

A case of total spondyloptosis of the cervical spine at C6-7 level with cord compression is described in a 51-year-old male. Because the bodies of C6 and 7 were tightly locked together, cervical traction failed. Then the patient was operated on by a posterior approach. Posterior stabilization and fusion were performed by C4-5 lateral mass and C7-T1 pedicle screw fixation and rod instrumentation with bridging both C4-5's rods to the C7-T1's extended ones. After C6 total laminectomy and foraminotomy, the C6 body was returned to its proper position. Secondly, anterior stabilization and fusion were performed by C6-7 discectomy with a screw-plate system. A postoperative lateral plain radiograph showed good realignment. In this case, we report the clinical presentation and discuss the surgical modalities of C6-7 total spondyloptosis and the failed close reduction.

• 대한조선학회지
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• 제17권1호
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• pp.1-10
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• 1980

The nonlinear analysis of ship plating with flat bar stiffners has been carried out by the finite element method based on the load incremental approach. The large deflection analysis has been done by using the Lagrangian description. The elastoplastic analysis has been performed by adopting the flow theory of plasticity and the von Mises yield condition. The layered elements are used to show the process of yielding through the plate thickness in the elasto-plastic analysis. The following results are obtained; 1) According to the large deflection analysis, it is shown that the small deflection theory to the plate is applicable in the range of the lateral deflection-the thickness ratio $w/h{\leqq}0.3$ and ship plating in the range of $w/h{\leqq}0.5$. 2) By means of the elasto-plastic analysis, it is found that the maximum load-carrying capacity of the plate increases as much as 1.8 times of the initial yield load in the case of the simply supported condition and 2.2 times in the clamped condition. It is also shown that the maximum load-carrying capacity of ship plating increase as much as 4.3 times in the simply supported condition and 4.2 times in the clamped condition. This method would be applied and extended to solve combined nonlinear problems which involve both material nonlinearity and geometric nonlinearity.

• Journal of Korean Neurosurgical Society
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• 제57권4호
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• pp.292-294
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• 2015

Vestibular schwannoma (VS) usually present the widening of internal auditory canal (IAC), and these bony changes are typically limited to IAC, not extend to temporal bone. Temporal bone invasion by VS is extremely rare. We report 51-year-old man who revealed temporal bone destruction beyond IAC by unilateral VS. The bony destruction extended anteriorly to the carotid canal and inferiorly to the jugular foramen. On histopathologic examination, the tumor showed typical benign schwannoma and did not show any unusual vascularity or malignant feature. Facial nerve was severely compressed and distorted by tumor, which unevenly eroded temporal bone in surgical field. Vestibular schwannoma with atypical invasion of temporal bone can be successfully treated with combined translabyrinthine and lateral suboccipiral approach without facial nerve dysfunction. Early detection and careful dissection of facial nerve with intraoperative monitoring should be considered during operation due to severe adhesion and distortion of facial nerve by tumor and eroded temporal bone.

• Journal of Radiation Protection and Research
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• 제49권1호
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• pp.50-64
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• 2024

Background: The reference dose coefficients (DCs) of the International Commission on Radiological Protection (ICRP) have been widely used to estimate organ doses of individuals for risk assessments. This approach has been well accepted because individual anatomy data are usually unavailable, although dosimetric uncertainty exists due to the anatomical difference between the reference phantoms and the individuals. We attempted to quantify the individual variation of organ doses for photon external exposures by calculating and comparing organ DCs for 30 individuals against the ICRP reference DCs. Materials and Methods: We acquired computed tomography images from 30 patients in which eight organs (brain, breasts, liver, lungs, skeleton, skin, stomach, and urinary bladder) were segmented using the ImageJ software to create voxel phantoms. The phantoms were implemented into the Monte Carlo N-Particle 6 (MCNP6) code and then irradiated by broad parallel photon beams (10 keV to 10 MeV) at four directions (antero-posterior, postero-anterior, left-lateral, right-lateral) to calculate organ DCs. Results and Discussion: There was significant variation in organ doses due to the difference in anatomy among the individuals, especially in the kilovoltage region (e.g., <100 keV). For example, the red bone marrow doses at 0.01 MeV varied from 3 to 7 orders of the magnitude depending on the irradiation geometry. In contrast, in the megavoltage region (1-10 MeV), the individual variation of the organ doses was found to be negligibly small (differences <10%). It was also interesting to observe that the organ doses of the ICRP reference phantoms showed good agreement with the mean values of the organ doses among the patients in many cases. Conclusion: The results of this study would be informative to improve insights in individual-specific dosimetry. It should be extended to further studies in terms of many different aspects (e.g., other particles such as neutrons, other exposures such as internal exposures, and a larger number of individuals/patients) in the future.

• Steel and Composite Structures
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• 제20권4호
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• pp.777-799
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• 2016

One of the major components for performance based seismic design is accurate estimation of critical seismic demand parameters. While nonlinear seismic analysis is the most appropriate analysis method for estimation of seismic demand parameters, this method is very time consuming and complex. Single mode pushover analysis method, N2 method and multi-mode pushover analysis method, modal pushover analysis (MPA) are two nonlinear static methods that have recently been used for seismic performance evaluation of few lateral load-resisting systems. This paper further investigates the applicability of N2 and MPA methods for estimating the seismic demands of ductile unstiffened steel plate shear walls (SPSWs). Three different unstiffened SPSWs (4-, 8-, and 15-storey) designed according to capacity design approach were analysed under artificial and real ground motions for Vancouver. A comparison of seismic response quantities such as, height-wise distribution of floor displacements, storey drifts estimated using N2 and MPA methods with more accurate nonlinear seismic analysis indicates that both N2 and MPA procedures can reasonably estimates the peak top displacements for low-rise SPSW buildings. In addition, MPA procedure provides better predictions of inter-storey drifts for taller SPSW. The MPA procedure has been extended to provide better estimate of base shear of SPSW.

• Structural Engineering and Mechanics
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• 제5권4호
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• pp.415-431
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• 1997

Stability equations that evaluate the elastic critical axial load of stepped columns under extreme and intermediate concentrated axial loads in any type of construction with sidesway totally inhibited, partially inhibited and uninhibited are derived in a classical manner. These equations can be utilized in the stability analysis of framed structures (totally braced, partially braced, and unbraced) with stepped columns with rigid, semirigid, and simple connetions. The proposed column classification and the corresponding stability equations overcome the limitations of current methods which are based on a classification of braced and unbraced columns. The proposed stability equations include the effects of: 1) semirigid connections; 2) step variation in the column cross section at the point of application of the intermediate axial load; and 3) lateral and rotational restraints at the intermediate connection and at the column ends. The proposed method consists in determining the eigenvalue of a $2{\times}2$ matrix for a braced column at the two ends and of a $3{\times}3$ matrix for a partially braced or unbraced column. The stability analysis can be carried out directly with the help of a pocket calculator. The proposed method is general and can be extended to multi-stepped columns. Various examples are include to demonstrate the effectiveness of the proposed method and to verify that the calculated results are exact. Definite minimum bracing criteria for single stepped columns is also presented.