• Title/Summary/Keyword: Fracture & dislocation

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Fixation of Traumatic Sternal Fractures Using SternaLock Plating System

  • Park, Jong Bin;Lee, Han Pil;Yoo, Dong Gon;Kim, Jong Wook;Cho, Won Chul
    • Journal of Chest Surgery
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    • v.46 no.4
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    • pp.309-311
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    • 2013
  • A 43-year-old man experienced chest trauma due to a car accident. Compound sternal fractures with severe dislocation were seen on computed tomography of the chest. Using a SternaLock plating system with manual reduction, fixation of the sternal fracture was successfully performed. There were no complications related to the operation.

Thoracolumbar Spine Injury (흉요추부 손상)

  • Ahn, Myun-Whan
    • Journal of Yeungnam Medical Science
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    • v.19 no.2
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    • pp.73-91
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    • 2002
  • Method of management of the spine injury should be determined, based on the status of neurological injury as well as on the presence of traumatic instability. At the thoracic and lumbar spine, patterns of neurological injury are different from the cervical spine due to their neuro-anatomical characteristics. Especially, at the thoracolumbar junction, neurological injury patterns with their respective prognosis vary from the complete cord injury or conus medullaris syndrome to the cauda equina syndrome according to the injury level. The concept of Holdsworth's instability based on the posterior ligament complex theory has evolved into the current 3-column theory of Denis. Flexion-rotation injury and fracture-dislocation are well known to be unstable that surgical fixation is frequently needed for these injuries. However, there have been some controversies for the stability of burst fractures and their treatment, such as indirect or direct decompression and anterior or posterior approach. In this article, current concepts and management of traumatic instabilities at the thoracic and lumbar spine have been reviewed and summarized.

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A Study on Microstructures and Cryogenic Mechanical Properties of Electron Beam Welds between Cast and Forged Inconel 718 Superalloys for Liquid Rocket Combustion Head (액체로켓 연소기용 Inconel 718 주조 및 단조 합금의 전자빔 용접부 미세조직 및 극저온 특성)

  • Hong, Hyun-Uk;Bae, Sang-Hyun;Kwon, Soon-Il;Lee, Je-Hyun;Do, Jeong-Hyeon;Choi, Baig-Gyu;Kim, In-Soo;Jo, Chang-Yong
    • Journal of Welding and Joining
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    • v.31 no.6
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    • pp.50-57
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    • 2013
  • Characterization of microstructures and cryogenic mechanical properties of electro beam (EB) welds between cast and forged Inconel 718 superalloys has been investigated. Optimal EBW condition was found in the beam current range of 36~39 mA with the constant travel speed of 12 mm/s and arc voltage of 120 kV for 10 mm-thick specimens. Electron beam current lower than 25 mA caused to occur the liquation microfissuring in cast-side heat affected zone (HAZ) of EB welds. The HAZ liquation microfissure was found on the liquated grain boundaries with resolidified ${\gamma}/Laves$ and ${\gamma}/NbC$ eutectic constituents. EBW produced welds showing a fine dendritic structure with relatively discrete Laves phase due to fast cooling rate. After post weld aging treatment, blocky Laves phase and formation of ${\gamma}^{\prime}+{\gamma}^{{\prime}{\prime}}$ strengtheners were observed. Presence of primary strengthener and coarse Laves particles in PWHT weld may cause to reduce micro-plastic zone ahead of a crack, leading to a significant decrease in Charpy impact toughness at $-196^{\circ}C$. Fracture initiation and propagation induced by Charpy impact testing were discussed in terms of the dislocation structures ahead of crack arisen from the fractured Laves phase.

Delayed Diagnosis of Muculocutaneous Nerve Injury Associated with a Humerus Shaft Fracture - A Case Report - (상완골 간부 골절과 동반된 진단이 지연된 근피신경 손상 - 증례 보고 -)

  • Roh, Young-Hak;Kim, Seong-Wan;Chung, Moon-Sang;Baek, Goo-Hyun;Oh, Joo-Han;Lee, Young-Ho;Gong, Hyun-Sik
    • Archives of Reconstructive Microsurgery
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    • v.19 no.1
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    • pp.50-55
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    • 2010
  • Injury of the musculocutanous nerve can be associated with a proximal humeral fracture or shoulder dislocation, and injury of the brachial plexus. However, injury of this nerve associated with a humeral shaft fracture has rarely been reported. Diagnosis of the musculocutaneous nerve injury is difficult because its sensory loss is ill-defined, and examination of elbow flexion is difficult when it is associated with fractures. We report an unusual case of musculocutaneous nerve injury in a 27 years old woman who had multiple injuries including a humerus shaft fracture, an ipsilateral radius shaft fracture, and an associated radial nerve laceration. Diagnosis of the musculocutaneous nerve injury was delayed because combined fractures of the humerus and radius prevented proper examination of the elbow motion and nerve grafting of the radial nerve delayed early elbow motion exercise. Delayed exploration of the musculocutaneous nerve 6 months after trauma showed complete rupture of the nerve at its entry into the coracobrachialis muscle and the defect was successfully managed by sural nerve graft.

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Preparation and Properties of the Intra-type Al2O3Ag Nanocomposites (입내 분산형 Al2O3/Ag 나노복합체의 제조와 특성)

  • Cheon, Sung-Ho;Han, In-Sub;Awaji, Hideo
    • Journal of the Korean Ceramic Society
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    • v.44 no.4 s.299
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    • pp.208-213
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    • 2007
  • Alumina/silver ($Al_2O_3/Ag$) nanocomposites with Ag content up to 9 vol% were prepared from nanopowder by soaking method using ${\gamma}-Al_2O_3$ of needle type and spark plasma sintering (SPS). The mechanical properties of specimens were investigated three-point flexural strength and toughness as a function of the Ag contents. The maximum flexural strength of the alumina/silver nanocomposite was 850 MPa for the 1 vol% composite, and also higher than monolith alumina as about 800 MPa at 3, 5, and 7 vol% Ag contents. Fracture toughness by single edged V-notch beam (SEVNB) was $4.05MPa{\cdot}m^{1/2}$ for the 3 vol% composite and maintained about $4.00MPa{\cdot}m^{1/2}$ at 5, and 7 vol% Ag content. Microstructure of fracture surface for each fracture specimens was observed. Due to the inhibition effect of alumina grain growth, the average grain size of nanocomposites depends on the content of Ag nano particles. The fracture morphology of nanocomposite with dislocation (sub-grain boundary) by silver nano-particles of second phases in the alumina matrix also showed transgranular fracture-mode compare with intergranular of monolith alumina. Thermal conductivity of specimens at room temperature was about 40 W/mK for the 1 vol% Ag content.

Effect of Equal Channel Angular Pressing Temperature on the Fracture and Mechanical Properties of Magnesium (마그네슘의 등통로각압축 시 파괴 및 기계적 특성에 미치는 공정온도 효과)

  • Yoon, S.C.;Bok, C.H.;Kwak, E.J.;Jeong, Y.G.;Kim, T.S.;Kim, H.S.
    • Transactions of Materials Processing
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    • v.17 no.1
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    • pp.13-18
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    • 2008
  • Mg and Mg alloys are promising materials for light weight high strength applications. In this paper, grain refinement of pure Mg using severe plastic deformation was tried to enhance the mechanical properties of the hard-to-deform metallic material. The microstructure and the mechanical properties of Mg processed by equal channel angular pressing(ECAP) at various processing temperatures were investigated experimentally. ECAP with channel angle of $90^{\circ}$ and corner angle of $0^{\circ}$ was successful at $300^{\circ}C$ without fracture of the samples during the processing. The hardness of the ECAP processed Mg decreased with increasing ECAP processing temperature. The effect of temperature on the hardness and microstructure of the ECAP processed Mg were explained by the dislocation glide in the basal plane and non-basal slip systems and by the dynamic recrystallization and recovery.

Influences of Doping Methods on Microstructure and Fracture Toughness of Mo-La Alloys

  • Wang, Lin;Sun, Yuanjun;Luo, Jianhai;Zhu, Yongan;Niu, Pingwen
    • Proceedings of the Korean Powder Metallurgy Institute Conference
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    • 2006.09b
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    • pp.1327-1328
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    • 2006
  • Lanthanum oxide was introduced to molybdenum powder by liquid-liquid doping and liquid-solid doping respectively. Mo alloys were prepared by powder metallurgy technology. The size distribution and feature of dopant particles and the fractographs of Mo alloys were investigated by TEM and SEM respectively. The results indicated that liquid-liquid doping method is favorable for refining and dispersing $La_2O_3$ particles uniformly in matrix. Fracture toughness of Mo alloys prepared by liquid-liquid doping showed better results than that of liquid-solid doping. Furthermore, the influences of the size distribution of $La_2O_3$ on properties of Mo alloys was discussed by dislocation pile-up theory.

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A Fibular Lengthening Osteotomy Combined with Calcaneal Osteotomy for Post-Traumatic Valgus Ankle Arthritis: A Case Report (족관절의 후외상성 외반관절염에 대한 비골연장술 및 종골 절골술: 증례 보고)

  • Lee, Gyu Heon;Suh, Jin Soo;Choi, Jun Young
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.3
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    • pp.143-147
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    • 2022
  • Past research has reported that the common causes of ankle arthritis include trauma, congenital deformity, and degeneration. Among them, fracture-induced post-traumatic arthritis is most common. For patients with ankle fractures, an anatomical reduction is performed through surgical treatment. However, insufficient reduction or malunion of the fracture site may change the alignment of the ankle joint, resulting in valgus or varus deformities. Currently, most operative options for valgus arthritis aim to either restore joint alignment and/or reduce the uneven load on the cartilage. In this report, we would like to share our clinical experience of a patient with posttraumatic valgus ankle arthritis caused by severely comminuted fracture and dislocation. A satisfactory outcome could be obtained with combined fibular lengthening osteotomy and medial displacement calcaneal osteotomy.

Fatigue Behavior of 23Cr26Ni Heat Resistant Steel (23Cr26Ni 내열강의 피로 특성)

  • Lee, H.W.;Kwun, S.I.
    • Journal of the Korean Society for Heat Treatment
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    • v.24 no.2
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    • pp.92-98
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    • 2011
  • The influence of the cooling condition after solution treatment on the high temperature fatigue resistance of 23Cr-26Ni heat resistant steel was investigated. Two different cooling conditions were applied to the steel after solution treatment at $1200^{\circ}C$ for 3 hours. One specimen was water quenched immediately after the solution treatment. The other one was furnace cooled at a rate of $0.5^{\circ}C/min$ down to $750^{\circ}C$ after the solution treatment. Then, both specimens were aged at $750^{\circ}C$ for 5 hours. Under two different heat treatment conditions, the low cycle fatigue (LCF) test was performed at $600^{\circ}C$ and room temperature (RT). Only cyclic hardening continued from the beginning until fracture at all strain amplitudes during LCF at $600^{\circ}C$. This phenomenon was attributed to the increase in the dislocation density due to cyclic deformation, which resulted in the interaction between the newly created dislocations and precipitates. Cyclic hardening followed by saturation and cyclic softening was observed at RT. Cyclic softening was attributed to the dislocation annihilation rate exceeding the dislocation generation rate. Other probable factor for cyclic softening was some cavities formed around grain boundaries after 20 cycles. WQ and FC have a similar LCF behavior at RT and $600^{\circ}C$ as shown in the cyclic stress response curves.

Anterior Dislocation of the Shoulder with Rotator Cuff tear Over the 5th Decades of Age (40대 이후 발생한 견관절 탈구와 회전근 개 파열)

  • Moon, Young-Lae;Lee, Sang-Hong;Kim, Jeoung-Ho
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.131-135
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    • 2002
  • Object : To evaluate the prognostic factors of the rotator cuff tear after anterior dislocation of the shoulder over the 5th decades of age. Methods : We evaluated twelve patients who had rotator cuff tears combined with primary anterior dislocation of the glenohumeral joint between May 1995 and October 1998. Their age were ranged from 42 to 67-years-old. Two of them were initially presumed to have an injury of the axillary nerve and associated with avulsion fracture of the greater tuberosity. Among twelve patients who had rotator cuff tears, 8 cases had massive, 3 cases had medium and one case had a small sized tear. Results : All the tears of the rotator cuff were repaired and the results were obtained by UCLA shoulder rating scale. Ten cases of them revealed more than good results except for 2 cases who had been unhappy triad of the shoulder injury. Conclusions : In the case of anterior dislocation of shoulder, it is necessary to check the injury of rotator cuff and axillary nerve in the middle age group. If these injuries are combined, proper rotator cuff repair and axillary nerve rehabilitation program would be asked for better results.

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