• Archives of Reconstructive Microsurgery
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• 제10권1호
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• pp.18-22
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• 2001

Purpose : The purpose of this study was to evaluate stress fracture of vascularized fibular grafts(VFG) by analyzing factors associated with stress fracture and the treatment results. Materials and Methods : From June 1985 to May 1998, 7 patients with stress fractures in the 38 patients with long bone defect who had vascularized fibular graft were evaluated with clinical and radiologic methods including grafted fibular length and hypertrophic index of de Boer. The average age of the patients was 35 years(range, $14{\sim}60$ years). The mean follow-up period was 20 months(range, $16{\sim}32$ months). Results: 7(18.4%) stress fractures occurred in 38 patients. Characteristics of the fractures were (1) all occurred at lower extremity of male patients treated with VFG for long bone defected caused by infected nonunion; (2) all occurred 10 months at the average(range, $4{\sim}17$ months) after VFG; and (3) the length and hypertrophic index of grafted fibula had no influence on the incidence of stress fracture. Union was obtained in 3 patients by conservative treatment. 4 patients obtained union by internal fixation; one at immediately onset of fracture; and three after failure of conservative treatment who had fracture around the knee joint. Conclusion : Stress fracture may occur during the first one year after vascularized fibular graft and more attention must be paid for prevention of it, especially in the cases of infected nonunion. Stress fracture around the knee joint was expected to lead to a good result of early union by operative treatment.

• 한국해양공학회지
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• 제3권2호
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• pp.601-601
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• 1989

The behavior of fatigue was studied by using low carbon steel bar with microhole(artificial small defect) under the condition of rotary bending stress which is made artificially at smooth surface and round notch root. The results obtained can be summerized; The behavior of non-propagating cracks which are produced at both tips of small defect occurred to dissymmetry, and it is found to be double size of small defect. For the range of l>lc, threshold stress intensity is constant. However, for the range of l

• 한국해양공학회지
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• 제3권2호
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• pp.101-107
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• 1989

The behavior of fatigue was studied by using low carbon steel bar with microhole(artificial small defect) under the condition of rotary bending stress which is made artificially at smooth surface and round notch root. The results obtained can be summerized; The behavior of non-propagating cracks which are produced at both tips of small defect occurred to dissymmetry, and it is found to be double size of small defect. For the range of l>lc, threshold stress intensity is constant. However, for the range of l

• 대한조선학회지
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• 제21권1호
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• pp.35-42
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• 1984

In the present study, rotating bending fatigue tests have been carried out in three kinds of carbon steel specimens; an annealed low carbon steel, an annealed high carbon steel and quenched-tempered high carbon steel; with a small artificial surface defect that might exist in real structures. Fatigue crack lengths have been observed by a method of replication in order to investigate the growth characteristic of fatigue crack in the viewpoints of strength of materials and fracture mechanics. The main results obtained are as follows: 1) The effect of a small surface defect upon the reduction of fatigue limit is considerably large, and the rate of fatigue limit reduction grows in the following order; annealed low carbon steel(mild steel), annealed high carbon steel, quenched-tempered high carbon steel. 2) When the growth rate of surface crack length(2a) was investigated in the viewpoints of fracture mechanics based upon $ ${\Delta}K_{\varepsilon}$, the dependence of stress level and of surface defect size disappear, and there exists a linear relationships between d(2a)/dN and ${\Delta}K_{{\varepsilon}t},\;\Delta_{{\varepsilon}t}\sqrt{{\pi}a}$, on log. plot, i.e, $d(2a)/dN={C{\cdot}{\Delta}K_{\varepsilon}}^3_t$, where ${\Delta}_{{\varepsilon}t}\sqrt{{\pi}a}$ a is the cyclic total strain intensity factor range.

• 동력기계공학회지
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• 제7권2호
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• pp.66-72
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• 2003

Recently, the steel parts used at the aerospace and automobile industries are required to be used light weight parts. Therefore, used material, steel have to be a high stress, which is an indispensable condition in this field. At the consideration of parts design, high hardness of the lightweight parts have an benefit of saving fuel and material. A high stress of metal has a point of difference according to the shape of design, external cyclic load and condition of vibration. A crack generates on the surface of metal or under yield stress by defect of inner metal defect or surface defect and slowly, this crack grow stable growth. Finally, rapidity failure phenomena is happen. Fatigue failure_phenomena, which happen in metal, bring on danger in human life and property therefor, anti-fatigue failure technology take an important part of current industries Currently, the shot peening is used for removing the defect from the surface of steel and improving the fatigue strength on surface. Therefore, this paper investigated the effect on frcature toughness using shot peening which is improve the resistance of crack growth and crack expansion rate by fatigue that make a compressive residual stress on surface.

• Geomechanics and Engineering
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• 제22권5호
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• pp.461-473
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• 2020

Natural rock mass contains defects of different shapes, usually filled with inclusions such as clay or gravel. The presence of inclusions affects the failure characteristics and mechanical properties of rock mass. In this study, the strength and failure characteristics of rock with inclusions were studied using the particle flow code under uniaxial compression. The results show that the presence of inclusions not only improves the mechanical properties of rock with defects but also increases the bearing capacity of rock. Circular inclusion has the most obvious effect on improving model strength. The inclusions affect the stress distribution, development of initial crack, change in crack propagation characteristics, and failure mode of rock. In defect models, concentration area of the maximum tensile stress is generated at the top and bottom of defect, and the maximum compressive stress is distributed on the left and right sides of defect. In filled models, the tensile stress and compressive stress are uniformly distributed. Failing mode of defect models is mainly tensile failure, while that of filled models is mainly shear failure.

• 대한두개안면성형외과학회지
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• 제21권5호
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• pp.276-282
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• 2020

Background: Orbital fractures are the most common pediatric facial fractures. Treatment is conservative due to the anatomical differences that make children more resilient to severe displacement or orbital volume change than adults. Although rarely, extensive fractures may result in enophthalmos, causing cosmetic problems. We aimed to establish criteria for extensive fractures that may result in enophthalmos. Methods: We retrospectively reviewed the charts of patients aged 0-15 years diagnosed with orbital fractures in our hospital from January 2010 to February 2019. Computed tomography images were used to classify the fractures into linear, trapdoor, and open-door types, and to estimate the defect size. Data on enophthalmos severity (Hertel exophthalmometry results) and fracture pattern and size at the time of injury were obtained from patients who did not undergo surgery during the follow-up and were used to identify the surgical indications for pediatric orbital fractures. Results: A total of 305 pediatric patients with pure orbital fractures were included-257 males (84.3%), 48 females (15.7%); mean age, 12.01±2.99 years. The defect size (p=0.002) and fracture type (p=0.017) were identified as the variables affecting the enophthalmometric difference between the eyes of non-operated patients. In the linear regression analysis, the variable affecting the fracture size was open-door type fracture (p<0.001). Pearson's correlation analysis demonstrated a positive correlation between the enophthalmometric difference and the bony defect size (p=0.003). Using receiver operating characteristic curve analysis, a cutoff value of 1.81 ㎠ was obtained (sensitivity, 0.543; specificity, 0.724; p=0.002). Conclusion: The incidence of enophthalmos in pediatric pure orbital fractures was found to increase with fracture size, with an even higher incidence when open-door type fracture was a cofactor. In clinical settings, pediatric orbital fractures larger than 1.81 ㎠ may be considered as extensive fractures that can result in enophthalmos and consequent cosmetic problems.

• 대한두개안면성형외과학회지
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• 제20권6호
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• pp.347-353
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• 2019

Most orbital surgeons believe that it's difficult to restore the primary orbital wall to its previous position and that the orbital wall is so thin that cannot be firmly its primary position. Therefore, orbital wall fractures generally have been reconstructed by replacing the bony defect with a synthetic implant. Although synthetic implants have sufficient strength to maintain their shape and position in the orbital cavity, replacement surgery has some drawbacks due to the residual permanent implants. In previous studies, the author has reported an orbital wall restoring technique in which the primary orbital wall fragment was restored to its prior position through a combination of the transorbital and transantral approaches. Simple straight and curved elevators were introduced transnasally to restore the orbital wall and to maintain temporary extraorbital support in the maxillary and ethmoid sinus. A transconjunctival approach provided sufficient space for implant insertion, while the transnasal approach enabled restoration of the herniated soft tissue back into the orbit. Fracture defect was reduced by restoring the primary orbital wall fragment to its primary position, making it possible to use relatively small size implant, furthermore, extraorbital support from both sinuses decreased the incidence of implant displacement. The author could recreate a natural shape of the orbit with the patient's own orbital bone fragments with this dual approach and effectively restored the orbital volume and shape. This procedure has the advantages for retrieving the orbital contents and restoring the primary orbital wall to its prior position.

• Archives of Plastic Surgery
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• 제50권5호
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• pp.523-528
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• 2023

The Gustilo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes long bone grafts, because the donor site is limited. We describe our experience using a set of chimeric ipsilateral vascularized fibula grafts with a thoracodorsal artery perforator free flap to reconstruct the traumatic tibia defects. A 66-year-old male suffered a severe comminuted tibia fracture and segmented fibula fracture with large soft tissue defects as a result of a traffic accident. He also had an open calcaneal fracture with soft tissue defects on the ipsilateral side. All the main vessels of the lower extremity were intact, and the cortical bone defect of the tibia was almost as large as the fractured fibula segment. We used an ipsilateral vascularized fibula graft to reconstruct the tibia and a thoracodorsal artery perforator flap to resurface the soft tissue, using the distal ends of peroneal vessels as named into sequential chimeric flaps. After 3 weeks, the calcaneal defect was reconstructed with second thoracodorsal artery perforator free flap. Reconstruction was successful and allowed rapid rehabilitation because of reduced donor site morbidity.

• Journal of Chest Surgery
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• 제27권5호
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• pp.422-426
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• 1994

Recently, we experienced one case of multiple ribs fracture with large chest wall defects. This patient was treated with internal fixation of ribs by use of Judet`s struts and reconstruction of chest wall defects by use of Teflon mesh. Postoperative outcome was satisfactory result and its advantages were reduced duration of operation, prevention of pulmonary herniation and reduced risk of postoperative infection.