• Clinics in Shoulder and Elbow
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• 제20권4호
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• pp.217-221
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• 2017

Background: The purpose of this study was to evaluate the clinical and radiographic outcomes of internal fixation with locking T-plates for osteoporotic fractures of the proximal humerus in patients aged 65 years and older. Methods: From January 2007 through to December 2015, we recruited 47 patients aged 65 years and older with osteoporotic fractures of the proximal humerus. All fractures had been treated using open reduction and internal fixation with a locking T-plate. We classified the fractures in accordance to the Neer classification system; At the final follow-up, the indicators of clinical outcome-the range of motion of the shoulder (flexion, internal rotation, and external rotation) and the presence of postoperative complications-and the indicators of radiographic outcome-the time-to-union and the neck-shaft angle of the proximal humerus-were evaluated. The Paavolainen method was used to grade the level of radiological outcome in the patients. Results: The mean flexion was $155.0^{\circ}$ (range, $90^{\circ}-180^{\circ}$), the mean internal rotation was T8 (range, T6-L2), and the mean external rotation was $66.8^{\circ}$ (range, $30^{\circ}-80^{\circ}$). Postoperative complications, such as plate impingement, screw loosening, and varus malunion were observed in five patient. We found that all patients achieved bone union, and the mean time-to-union was 13.5 weeks of the treatment. The mean neck-shaft angle was $131.4^{\circ}$ at the 6-month follow-up. According to the Paavolainen method, "good" and "fair" radiographic results each accounted for 38 and 9 of the total patients, respectively. Conclusions: We concluded that locking T-plate fixation leads to satisfactory clinical and radiological outcomes in elderly patients with proximal humeral fractures by providing a larger surface area of contact with the fracture and a more rigid fixation.

• Structural Engineering and Mechanics
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• 제26권1호
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• pp.69-86
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• 2007

A four-noded plate bending quadrilateral (PBQ4) and an eight-noded plate bending quadrilateral (PBQ8) element based on Mindlin plate theory have been adopted for modeling the thick plates on elastic foundations using Winkler model. Transverse shear deformations have been included, and the stiffness matrices of the plate elements and the Winkler foundation stiffness matrices are developed using Finite Element Method based on thick plate theory. A computer program is coded for this purpose. Various loading and boundary conditions are considered, and examples from the literature are solved for comparison. Shear locking problem in the PBQ4 element is observed for small value of subgrade reaction and plate thickness. It is noted that prevention of shear locking problem in the analysis of the thin plate is generally possible by using element PBQ8. It can be concluded that, the element PBQ8 is more effective and reliable than element PBQ4 for solving problems of thin and thick plates on elastic foundations.

• 한국임상수의학회지
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• 제36권5호
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• pp.282-284
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• 2019

A 8-year-old, intact female, 2.1 kg, yorkshire terrier dog was referred to Animal Medical Center, Chonbuk National University due to right hindlimb lameness. Orthopedic examinations revealed pain during extension and flexion on stifle joint, positive cranial drawer sign, positive tibial compression test and patella luxation. Radiography showed the cranial displacement of right tibia with mildly increasing the synovial volume. The surgical procedure involved radial osteotomy of the proximal tibia and fixation by 1.2 T-locking plate. At two weeks after surgery, the patient was able to weight-bearing and gait gradually improved. This case report describes circular Tibial Tuberosity Advancement (cTTA) surgical technique and the successful surgical repair of cranial cruciate ligament rupture a dog.

• Steel and Composite Structures
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• 제48권5호
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• pp.583-597
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• 2023

This paper introduces a novel approach to multi-material topology optimization (MTO) targeting in-plane bi-directional functionally graded (IBFG) non-uniform thickness Reissner-Mindlin plates, employing an alternative active phase approach. The mathematical formulation integrates a first shear deformation theory (FSDT) to address compliance minimization as the objective function. Through an alternating active-phase algorithm in conjunction with the block Gauss-Seidel method, the study transforms a multi-phase topology optimization challenge with multi-volume fraction constraints into multiple binary phase sub-problems, each with a single volume fraction constraint. The investigation focuses on IBFG materials that incorporate adequate local bulk and shear moduli to enhance the precision of material interactions. Furthermore, the well-established mixed interpolation of tensorial components 4-node elements (MITC4) is harnessed to tackle shear-locking issues inherent in thin plate models. The study meticulously presents detailed mathematical formulations for IBFG plates in the MTO framework, underscored by numerous numerical examples demonstrating the method's efficiency and reliability.

• 한국전산구조공학회:학술대회논문집
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• 한국전산구조공학회 1999년도 봄 학술발표회 논문집
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• pp.234-241
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• 1999

In this study, an improved 8-node flat shell element is presented for the analysis of shell structure, by combining 8-node membrane element with drilling degree-of-freedom and 8-node plate bending element based on the recently presented technique. Firstly, 8-node membrane element designated as CLM8 is presented in this paper. The element has drilling degree-of.freedom in addition to transitional degree-of-freedom. Therefore the element possesses 3 degrees-of-freedom per each node which as well as the improvement of the element behavior, permits an easy connection to other element with rotational degree-of -freedom. Secondly. 8-node flat shell element was composed by adding 8-node Mindlin plate bending element to the membrane element. The behavior of the introduced plate bending element is further improved by combined use of nonconforming displacement modes, selectively reduced integration scheme and assumed shear strain fields. The element passes in the patch test, doesn't show spurious mechanism and doesn't produce shear locking phenomena. Finally, Numerical examples are presented to show the performance of flat shell element developed in the present study.

• Steel and Composite Structures
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• 제35권1호
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• pp.129-145
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• 2020

In typical, structural topology optimization plays a significant role to both increase stiffness and save mass of structures in the resulting design. This study contributes to a new numerical approach of topologically optimal design of Mindlin-Reissner plates considering Winkler foundation and mathematical formulations of multi-directional variable thickness of the plate by using multi-materials. While achieving optimal multi-material topologies of the plate with multi-directional variable thickness, the weight information of structures in terms of effective utilization of the material at the appropriate thickness location may be provided for engineers and designers of structures. Besides, numerical techniques of the well-established mixed interpolation of tensorial components 4 element (MITC4) is utilized to overcome a well-known shear locking problem occurring to thin plate models. The well-founded mathematical formulation of topology optimization problem with variable thickness Mindlin-Reissner plate structures by using multiple materials is derived in detail as one of main achievements of this article. Numerical examples verify that variable thickness Mindlin-Reissner plates on Winkler foundation have a significant effect on topologically optimal multi-material design results.

• Steel and Composite Structures
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• 제44권5호
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• pp.633-649
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• 2022

This paper is first implemented with the bending behavior of three-dimensional functionally graded (3DFG) plates in the framework of level set-based topology optimization (LS-based TO). Besides, due to the suitable properties of the current design domain, the thin-plate spline (TPS) is recognized as a RBF to construct the LS function. The overall mechanical properties of the 3DFG plate are assessed using a power-law distribution scheme via Mori-Tanaka micromechanical material model. The bending response is obtained using the first-order shear deformation theory (FSDT). The mixed interpolation of four elements of tensorial components (MITC4) is also implemented to overcome a well-known shear locking problem when the thickness becomes thinner. The Hamilton-Jacobi method is utilized in each iteration to enforce the necessary boundary conditions. The mathematical formulas are expressed in great detail for the LS-based TO using 3DFG materials. Several numerical examples are exhibited to verify the efficiency and reliability of the current methodology with the previously reported literature. Finally, the influences of FG materials in the optimized design are explained in detail to illustrate the behaviors of optimized structures.

• Structural Engineering and Mechanics
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• 제15권1호
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• pp.83-114
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• 2003

A new simple 3-node triangular flat-shell element with standard nodal DOF (6 DOF per node) is proposed for the linear and geometrically nonlinear analysis of very thin to thick plate and shell structures. The formulation of element GT9 (Long and Xu 1994), a generalized conforming membrane element with rigid rotational freedoms, is employed as the membrane component of the new shell element. Both one-point reduced integration scheme and a corresponding stabilization matrix are adopted for avoiding membrane locking and hourglass phenomenon. The bending component of the new element comes from a new generalized conforming Kirchhoff-Mindlin plate element TSL-T9, which is derived in this paper based on semiLoof constrains and rational shear interpolation. Thus the convergence can be guaranteed and no shear locking will happen. Furthermore, a simple hybrid procedure is suggested to improve the stress solutions, and the Updated Lagrangian formulae are also established for the geometrically nonlinear problems. Numerical results with solutions, which are solved by some other recent element models and the models in the commercial finite element software ABAQUS, are presented. They show that the proposed element, denoted as GMST18, exhibits excellent and better performance for the analysis of thin-think plates and shells in both linear and geometrically nonlinear problems.

• Structural Engineering and Mechanics
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• 제23권5호
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• pp.487-504
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• 2006

Several new versatile two-dimensional p-version finite elements are developed. The element matrices are integrated analytically to guarantee the accuracy and monotonic convergence of the predicted solutions of the proposed p-version elements. The analysis results show that the convergence rate of the present elements is very fast with respect to the number of additional Fourier or polynomial terms in shape functions, and their solutions are much more accurate than those of the linear finite elements for the same number of degrees of freedom. Additionally, the new p-version plate elements without the reduced integration can overcome the shear locking problem over the conventional h-version elements. Using the proposed p-version elements with fast convergent characteristic, the elasto-plastic impact of the structure attached with the absorber is simulated. Good agreement between the simulated and experimental results verifies the present p-version finite elements for the analyses of structural dynamic responses and the structural elasto-plastic impact. Further, using the elasto-plastic impact model and the p-version finite element method, the absorber of the T structure on the Qiantang River is designed for its collision protection.

• Clinics in Shoulder and Elbow
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• 제11권1호
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• pp.41-45
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• 2008

목적: 쇄골 원위부 불안정성 골절에 대하여 3.5 mm T형 잠김 금속판을 이용한 내고정을 시행한 후 임상적 결과를 보고하고자 한다. 대상 및 방법: 2005년 2월부터 2006년6월까지 3.5 mm T형 잠김 금속판을 이용하여 수술적 치료를 시행한 Neer 2형 원위 쇄골 골절 환자 중 1년 이상 추시가 가능하였던 10예를 대상으로 후향적 연구를 시행하였다. 남자가 6예 여자가 4예였으며, 평균 연령은 45.7세($32{\sim}62$)였다. 동반 손상은 다발성 골절이 1예가 있었으며, 비수술적 치료의 실패로 불유합이 발생하여 자가골 이식술을 동반한 수술적 치료를 시행한 예가 2예 있었다. 평균 추시 기간은 14.8개월($12{\sim}22$)이었으며, 골유합은 단순 방사선검사 소견으로 판정하였고, 임상적 결과는 UCLA점수와 관절 운동 범위 등으로 평가 하였다. 결과: 방사선학적 골유합은 평균 9주($6{\sim}12$주)에 얻을 수 있었으며, 최종 추시 시 UCLA 점수는 평균 33.4점($30{\sim}35$)으로 전예에서 양호 이상의 결과를 얻었고, 관절 운동 범위도 전예에서 정상으로 회복되었다. 합병증으로 1예에서 나사못의 이완소견이 관찰 되었고, 1예에서 견봉-쇄골 관절의 경도의 아탈구가 발생하였으나, 결과에 영향을 미치지는 않았다. 결론: 불안정성 원위 쇄골 골절에 사용한 3.5 mm T형 잠김 금속판을 이용한 내고정은 견봉 쇄골 관절에 영향을 주지 않으며, 견고한 고정을 얻을 수 있었고, 분쇄의 정도가 아주 심하지 않은 원위쇄골 골절의 치료 시 고려 할 수 있는 유용한 술기로 사료된다.