• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.34 no.6
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• pp.644-648
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• 2008

Purpose: The aim of this study was to investigate the clinical cases of subcondylar fracture with intraoral approach. Material and Method: Fifteen patients with unilateral subcondylar fracture were treated in the department of oral and maxillofacial surgery, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University between 2006 and 2007. Each patients was examined by computed tomography(CT) and panorama. 3D-CT taken when fractured segment was displaced and comminuted. Patients was done intermaxillary fixation to occlusal stability and prevent displacement of fractured segment before general operation. Open reduction and internal fixation(ORIF) accomplished under general anesthesia and used to intraoral approach. We examinated the state of occlusion, maximum opening. Evaluation of the state of occlusion was divided in patient`s subjective evaluation that compare pre-traumatic occlusion with postoperative occlusion, and estimator`s objective evaluation that use articulating paper. Examination was done at 2 weeks, 1, 3, 6 month postoperative by follow up. Result: The ORIF through intraoral approach was good in all patients. In the state of occlusion, all patients recovered pre-traumatic occlusion in 6 month postoperation. Maximum opening was gradually increased. In 3 month postoperative, maximum opening was excessed 40mm. Conclusion: Our study indicate that the intraoral approach is a good technique for subcondylar fracture. Intraoral approach prevent complication that facial nerve damage, scar formation caused by extraoral approach. So, we recommend intraoral approach when subcondylar fracture.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.32 no.5
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• pp.474-481
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• 2006

The endoscopic assisted approach for the treatment of condylar fracture is a less invasive alternative treatment modality and is considered to be able to overcome the limited access to the operation field to obtain an accurate reduction and fixation. Six patients with condylar neck and subcondylar fracture underwent the endoscopic assisted open reduction and internal fixation through the transoral approach at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. The endoscope was inserted through an intraoral incision and the reduction of fracture fragment was performed via a transbuccal approach with two transcutaneous stab incisions. Five patients showed anatomic reduction without any complications. One patient, whose fracture site was fixed with a single plate, showed displacement of fractured condylar segment during the follow up period. No patient had any facial nerve damage.

• Journal of Korean Neurosurgical Society
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• v.57 no.5
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• pp.367-370
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• 2015

Bone cement augmentation procedures have been getting more position as a minimally invasive surgical option for osteoporotic spinal fractures. However, complications related to these procedures have been increasingly reported. We describe a case of bone cement dislodgement following cement augmentation procedure for osteoporotic spinal fracture by reviewing the patient's medical records, imaging results and related literatures. A 73-year-old woman suffering back and buttock pain following a fall from level ground was diagnosed as an osteoporotic fracture of the 11th thoracic spine. Percutaneous kyphoplasty was performed for this lesion. Six weeks later, the patient complained of a recurrence of back and buttock pain. Radiologic images revealed superior dislodgement of bone cement through the 11th thoracic superior endplate with destruction of the lower part of the 10th thoracic spine. Staged anterior and posterior fusion was performed. Two years postoperatively, the patient carries on with her daily living without any significant disability. Delayed bone cement dislodgement can occur as one of complications following bone cement augmentation procedure for osteoporotic spinal fracture. It might be related to the presence of intravertebral cleft, lack of interdigitation of bone cement with the surrounding trabeculae, and possible damage of endplate during ballooning procedure.

• Composites Research
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• v.16 no.5
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• pp.15-20
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• 2003

In this paper, the fracture strength of the surface damaged laminates was predicted by applying the fracture strengths of the unflawed and flawed laminates. For prediction, the theoretical equation about the fracture strength of laminates was simplified applying classical laminate theory and was applied to the surface damaged laminates. Lagace's and Tsai's experimental data were used for verifying the theoretical equation. Moreover, to verify the theoretical prediction, an experiment was performed. Surface unflawed laminate and flawed laminates were fabricated and the experiments were made and these results were compared with theoretical predictions. The specimens' fiber direction was same to the tensile direction and the theoretical predictions and the experimental results were showed good agreement. Therefore, by this equation, the fracture strength of structures made of composites will be able to be predicted when the surface of the structures was damaged.

• Transactions of the Korean Society of Pressure Vessels and Piping
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• v.4 no.2
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• pp.13-19
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• 2008

In order to predict a remaining life of a plant, it is necessary to select the components that are critical to the plant life. The remaining life of those components shall be evaluated by considering the aging effect of materials used as well as numerous factors. However, when evaluating reliability of nuclear structural components, some problems are quite formidable because of lack of information such as operating history, material property change and uncertainty in damage models. Accordingly, if structural integrity and safety are evaluated by the deterministic fracture mechanics approach, it is expected that the results obtained are too conservative to perform a rational evaluation of plant life. The probabilistic fracture mechanics approaches are regarded as appropriate methods to rationally evaluate the plant life since they can consider various uncertainties such as sizes and shapes of cracks and degradation of material strength due to the aging effects. The objective of this study is to evaluate the structural integrity for a reactor pressure vessel under the small break loss of coolant accident by applying the deterministic and probabilistic fracture mechanics. The deterministic fracture mechanics analysis was performed using the three dimensional finite element model. The probabilistic integrity analysis was based on the Monte Carlo simulation. The selected random variables are the neutron fluence on the vessel inside surface, the content of copper, nickel, and phosphorus in the reactor pressure vessel material, and initial RTNDT.

• Journal of Korean Foot and Ankle Society
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• v.7 no.2
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• pp.250-257
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• 2003

Purpose: Pilon fracture is caused by high energy and axial compression forces, and it is often associated with severe comminution and soft tissue injury. Recently, limited internal fixation of this fracture may avoid the soft tissue complications associated with formal open reduction and internal fixation and avoid incongruity of joint margin associated with conservative treatment. We have treated Ovadia and Beals type II or III pilon fracture with limited internal fixation and the results were satisfactory. Materials and Methods: We analyzed 15 cases of Ovadia and Beals type II or III fractures who were treated by limited internal fixation(K-wire or screw fixation) from January 1995 to December 2000. The average follow up period was 20 months(range, 12 to 38 months). According to the Ovadia and Beals classification, seven cases were type II, and eight cases were type III. Radiographic results were assessed by Ovadia and Beals criteria. We also assessed the functional results by Mast and Teipner criteria. Results: Radiographic results showed good in 67% and fair in 33% of cases. Clinical results showed good in 73% and fair in 27% of cases. There were no complications such as wound infection and skin necrosis, but traumatic arthritis were 2 cases. Conclusion: Pilon fractures are high energy injuries with significantly associated soft tissue damage and traumatic arthritis. Limited internal fixation offers good solution to Ovadia and Beals type II or III fracture.

• Journal of Korean Foot and Ankle Society
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• v.26 no.1
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• pp.16-21
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• 2022

When an ankle lateral malleolar fracture is accompanied by a deltoid ligament rupture without a medial malleolar fracture, such an injury is called a bimalleolar equivalent fracture. This means that even if there is no bony injury on the medial side, there may be functional instability of the ankle joint due to damage to the deltoid ligament. Manual or gravity external rotational stress radiography is used to differentiate an ankle bimalleolar equivalent fracture from an isolated lateral malleolar fracture. If the medial joint gap is widened on the stress radiography, the deltoid ligament injury can be diagnosed, and surgical treatment for fibula fractures is recommended. After open reduction of the fibula fracture (with syndesmotic fixation if needed), a decision on the repair of the deltoid ligament is taken depending on the surgeons' preference and intraoperative findings. The deltoid ligament repair is performed by inserting a suture anchor (or anchors) in the medial malleolus and fixing the deep and superficial deltoid ligaments to the medial malleolus. The only randomized study to evaluate the utility of deltoid ligament sutures in ankle fractures did not support the deltoid ligament suture, but the study itself had many limitations. An appropriately powered, randomized, controlled trial of the deltoid ligament repair with both patient-reported outcome and radiographic outcome evaluation is needed in the future.

• The korean journal of orthodontics
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• v.28 no.6 s.71
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• pp.955-974
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• 1998

The purpose of the present study was to seek bracket-adhesive combinations which have adequate bond strength with no enamel and bracket fracture. The shear bond strengths were measured, the sites of failure and the enamel damage were investigated and the peripheral sealing and adaptation between enamel surface, bonding adhesive and bracket were evaluated. 240 noncarious human premolars were divided into twenty four groups of ten teeth. Shear bond strengths of each group were determined in an universal testing machine after two days passed and the debonded specimens were inspected to determine the predominant bond failure sites. To evaluate peripheral sealing and adaption between enamel surface, adhesive and bracket, each specimen was cut longitudinally into two halves which included the midsection of the bracket, adhesive and enamel and exmined in scanning electron microscope. Six different types of brackets were bonded to the tooth with four different type of adhesives. Six different types of brackets were Image, Plastic, Crystaline, Fascination, Transcend 2000 and metal bracket and four different adhesives were No-mix, Light-Bond, OrthoLC and Superbond C&B. From this study, it may be concluded that (1) The mean shear bond strength varied from a high of 36.58 Kg (410.07 Kg/$cm^2$) with the Fascination-Light Bond combination group to a low of 8.93 Kg (75.51 Kg/$cm^2$) with theImage-OrthoLC combination group. When using OrthoLC as adhesive, the mean shear bond strength was significantly lower than that of other combination groups, (2) Regardless of adhesives, the mean shear bond strength of Fascination brackets was relatively high whereas Plastic and Image brackets had low shear bonding strength. The shear bond strength of Crystaline bracket and Transcend 2m was relatively equal to or lower than that of metal bracket, (3) There was a correlation between bond strength, enamel damage and bracket fracture. As the shear bond strength was increased, the rate of enamel damage and bracket fracture were increased, (4) The combination groups that use OrthoLC as adhesive were debonded in shear stress without enamel fracture and bracket fracture, whereas the combination groups that use Superbond C&B as adhesive experienced a relative high enamel fracture rate and bracket fracture rate, (5) Peripheral sealing and adaptation between enamel-adhesive-bracket were relatively good when using Light-Bond or No-mix as adhesive. Regardless of adhesives, adaptation between bracket-adhesive were relatively good in Ceramic brackets, (6) The combination groups which had adequate bonding strength with no enamel and bracket fracture were Crystaline-No mix, Crystaline-Light Bond, Crystaline-OrthoLC, metal-No mix, metal-Light Bond and metal-OrthoLC combination groups.

• The Journal of Engineering Geology
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• v.17 no.3
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• pp.455-469
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• 2007

The study area, Bonggil-ri, Gyeongju, SE Korea, is composed of Cretaceous sedimentary rocks, and Tertiary igneous rocks and dykes. A research on fracture developing history and density distribution was carried out on well exposed Tertiary granites. The fractures developed in this area have the following sequence; NW-SE trending duo-tile shear bands (set a), NNW-SSE trending extensional fractures (set d), WNW-ESE trending extensional or normal fractures (set b), NE-SW trending right-lateral fractures (set c), WNW-ESE trending reverse fault reactivated from normal faults (set e) and NW-SE trending left-lateral faults reactivated from shear bands (set a) under brittle condition. According to the result of fracture density analysis, the fracture density in this area depends on rock property rather than rock age, and also higher fracture density is observed around fault damage zones. However, this high fracture density may also be related to the cooling process associated with dyke intrusion as well as rock types and fault movement. Regardless of the reason of the high fracture density, high fracture density itself contributes to fluid flow and migration of chemical elements.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.26 no.5
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• pp.932-938
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• 2002

In structural applications, brittle materials such as soda-lime glasses and ceramics are usually subjected to multiaxial stress state. Brittle materials with cracks or damage by foreign object impacts are apt to fracture abruptly from cracks, because of their properities of very high strength and low fracture toughness. But in most cases, the residual strength of structural members with damage has been tested under uniaxial stress condition such as the 4-point bend test. Depending upon the crack pattern developed, the strength under multiaxial stress state might be different from the one under uniaxial. A comparative study was carried out to investigate the influence of stress state on the residual strength evaluation. In comparable tests, the residual strength under biaxial stress state by the ball-on-ring test was greater than that under the uniaxial one by the 4-point bend test, when a small size indendation crack was introduced. In the case that crack having an angle of 90deg. to the applied stress direction, the ratio of biaxial to uniaxial flexure strength was about 1.12. The residual strength was different from crack angles to loading direction when it was evaluated by the 4-point bend test. The ratio of residual strength of 45deg. crack to 90deg. one was about 1.20. In the case of specimen cracked by a spherical impact, it was shown that an overall decrease in flexure strength with increasing impact velocity, and the critical impact velocity for formation of a radial and/or cone crack was about 30m/s. In those cases that relatively large cracks were developed as compared with the case of indented cracks, the ratio of residual strength under biaxial stress state to one uniaxial became small.