• Clinics in Shoulder and Elbow
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• v.27 no.1
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• pp.32-38
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• 2024

Background: Open reduction and internal fixation (ORIF) with a locking plate is a popular surgical treatment for proximal humeral fractures (PHF). This study aimed to assess the occurrence of complications in elderly patients with PHF treated surgically using ORIF with a locking plate and to investigate the potential differences between patients treated by shoulder surgeons and non-shoulder surgeons. Methods: A retrospective study was conducted using a single-center database to identify patients aged ≥70 years who underwent ORIF for PHF between January 1, 2011, and December 31, 2021. Data on the Neer classification, follow-up, occurrence of avascular necrosis of the humeral head, implant failure, and revision surgery were also collected. Statistical analyses were performed to calculate the overall frequency of complications according to the Neer classification. Results: The rates of implant failure, avascular osteonecrosis, and revision surgery were 15.7%, 4.8%, and 15.7%, respectively. Complications were more common in patients with Neer three- and four-part fractures. Although the difference between surgeries performed by shoulder surgeons and non-shoulder surgeons did not reach statistical significance, the rate of complications and the need for revision surgery were nearly two-fold higher in the latter group. Conclusions: PHF are highly prevalent in the elderly population. However, the ORIF surgical approach, as demonstrated in this study, is associated with a considerable rate of complications. Surgeries performed by non-shoulder surgeons had a higher rate of complications and a more frequent need for revision surgery. Future studies comparing surgical treatments and their respective complication rates are crucial to determine the optimal therapeutic options. Level of evidence: III.

• Journal of the Korea Furniture Society
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• v.27 no.2
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• pp.104-110
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• 2016

The aim of this study is to develop and suggest the handle for lockers according to the design process which are used for keeping of student's personal stuffs such as books, writing implements and gym uniform in elementary, middle and high school and university as well. This includes the design development for ILGUMTUR which is specialized for office furniture, but does not own the intellectual property right yet. The design concept based on the domestic locker market survey is recessed handle at low- to intermediate price and it's material should be plastic what is solid and light. The lock system should be constructed by molding process and the name plate can be exchanged every time the owner of locker changes. Contrary to the right angle of it's external appearance, the handle of the locker is designed to be softly round and the simplicity is pursued for an easy production. On the basis of this design concept the sketch has been drawn and upgraded in full by 3D-rendering. Then the mock-up has been completed by 3D printer and ILGUMTUR has obtained a patent for the locking system based on the rotation of 2 circles.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.13 no.2
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• pp.209-220
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• 2000

For non-linear analysis of stiffened shell structures, the total Lagrangian formulation is presented based upon the degenerated shell element. Geometrically correct formulation is developed by updating the direction of normal vectors and taking into account second order rotational terms in the incremental displacement field. Assumed strain concept is adopted in order to overcome shear locking phenomena and to eliminate spurious zero energy mode. The post-buckling behaviors of stiffened shell structures are traced by modeling the stiffener as a shell element and considering general transformation between the main structure and the stiffener at the connection node. Numerical examples to demonstrate the accuracy and the effectiveness of the proposed shell element are presented and compared with references' results.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.10 no.3
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• pp.493-499
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• 2009

The assembled structures of pressure rice cooker are consisted of oven, top heater plate and locking ring. Since pressure is applied to the assembled structures, it should be necessary to check the safety. In this paper, structural analyses are performed from design and fracture point of view. For the design point of view, linear analysis is performed to assembled structure and for the fracture point of view, nonlinear analysis is performed to locking ring. From these results safety evaluation technique for the assembled structures of pressure rice cooker is proposed.

• Structural Engineering and Mechanics
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• v.40 no.2
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• pp.191-213
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• 2011

This paper presents an improved 8-node shell element for the analysis of plates and shells. The finite element, based on a refined first-order shear deformation theory, is further improved by the combined use of assumed natural strain method. We analyze the influence of the shell element with the different patterns of sampling points for interpolating different components of strains. Using the assumed natural strain method with proper interpolation functions, the present shell element generates neither membrane nor shear locking behavior even when full integration is used in the formulation. Further, a refined first-order shear deformation theory, which results in parabolic through-thickness distribution of the transverse shear strains from the formulation based on the third-order shear deformation theory, is proposed. This formulation eliminates the need for shear correction factors in the first-order theory. Numerical examples demonstrate that the present element perform better in comparison with other shell elements.

• Computers and Concrete
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• v.31 no.3
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• pp.223-239
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• 2023

Geometric nonlinear performance simulation and analysis of complex modern buildings and industrial products require high-performance shell elements. Balancing multiple aspects of performance in the one geometric nonlinear analysis element remains challenging. We present a new shell element, flat shell DKMGQ-CR (Co-rotational Discrete Kirchhoff-Mindlin Generalized Conforming Quadrilateral), for linear and geometric nonlinear analysis of both thick and thin shells. The DKMGQ-CR shell element was developed by combining the advantages of high-performance membrane and plate elements in a unified coordinate system and introducing the co-rotational formulation to adapt to large deformation analysis. The effectiveness of linear and geometric nonlinear analysis by DKMGQ-CR is verified through the tests of several classical numerical benchmarks. The computational results show that the proposed new element adapts to mesh distortion and effectively alleviates shear and membrane locking problems in linear and geometric nonlinear analysis. Furthermore, the DKMGQ-CR demonstrates high performance in analyzing thick and thin shells. The proposed element DKMGQ-CR is expected to provide an accurate, efficient, and convenient tool for the geometric nonlinear analysis of shells.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.13 no.2
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• pp.151-160
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• 1993

This paper is concerned with formulations of the hierarchical $C^{\circ}$-plate element on the basis of Reissner-Mindlin plate theory. On reason for the development of the aforementioned element based on Integrals of Legendre shape functions is that it is still difficult to construct elements based on h-version concepts which are accurate and stable against the shear locking effects. An adaptive mesh refinement and selective p-distribution of the polynomial degree using hp-version of the finite element method are proposed to verify the superior convergence and algorithmic efficiency with the help of the simply supported L-shaped plate problems.

• Structural Engineering and Mechanics
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• v.54 no.3
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• pp.393-417
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• 2015

In this paper an 8-node quadrilateral assumed stress hybrid Mindlin plate element with $39{\beta}$ is presented. The formulation is based on complementary energy principle. The proposed element is free of shear locking and is capable of passing all the patch tests, especially the non-zero constant shear enhanced patch test. To accomplish this purpose, special attention is devoted to selecting boundary displacement interpolation and stress approximation in domain. The arbitrary order Timoshenko beam function is successfully used to derive the boundary displacement interpolation. According to the equilibrium equations, an appropriate stress approximation is rationally derived. Particularly, in order to improve element's accuracy, the assumed stress field is derived by employing $39{\beta}$ rather than conventional $21{\beta}$. The resulting element can be adopted to analyze both moderately thick and thin plates, and the convergence for the very thin case can be ensured theoretically. Excellent element performance is demonstrated by a wide of experimental evaluations.

• Structural Engineering and Mechanics
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• v.40 no.2
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• pp.257-277
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• 2011

In this paper the geometrically nonlinear continuum plate finite element model, hitherto not reported in the literature, is developed using the total Lagrange formulation. With the layerwise displacement field of Reddy, nonlinear Green-Lagrange small strain large displacements relations (in the von Karman sense) and linear elastic orthotropic material properties for each lamina, the 3D elasticity equations are reduced to 2D problem and the nonlinear equilibrium integral form is obtained. By performing the linearization on nonlinear integral form and then the discretization on linearized integral form, tangent stiffness matrix is obtained with less manipulation and in more consistent form, compared to the one obtained using laminated element approach. Symmetric tangent stiffness matrixes, together with internal force vector are then utilized in Newton Raphson's method for the numerical solution of nonlinear incremental finite element equilibrium equations. Despite of its complex layer dependent numerical nature, the present model has no shear locking problems, compared to ESL (Equivalent Single Layer) models, or aspect ratio problems, as the 3D finite element may have when analyzing thin plate behavior. The originally coded MATLAB computer program for the finite element solution is used to verify the accuracy of the numerical model, by calculating nonlinear response of plates with different mechanical properties, which are isotropic, orthotropic and anisotropic (cross ply and angle ply), different plate thickness, different boundary conditions and different load direction (unloading/loading). The obtained results are compared with available results from the literature and the linear solutions from the author's previous papers.

• Journal of Yeungnam Medical Science
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• v.14 no.1
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• pp.209-219
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• 1997

Objectives: Anterior approach to achieve arthrodesis of the cervical spine has become a widely accepted and often-used approach since its earliest reports by Bailey and Badgley, Smith and Robinson and Cloward. However, anterior interbody fusion in the presence of the posterior instability may be complicated by the bone graft dislodgement, kyphotic defomity or nonunion. As an attemp to prevent this undesirable complication, additional methods such as skeletal traction, halo appratus or even posterior fusion has been utilized. Therefore, The cervical spine locking plate(CSLP) with the anterior intervertebral body bone grafting provide immediate cervical stabilization and widely successful in achieving fusion. Material and methods: This study analysed 14 patients who underwent a single anterior procedure and application of CSLP for the treatment of the cervical spinal disorder. Eleven patients were disc herniations and three patients were traumatic lesion. The average age of the patient was 47 years and the mean follow up periods was 20 months ranging from 13 to 27 months. Results: Ambulation was started 2nd day after the operation with the aid of the Philadelpia orthoses. Bone union was observed 13 cases on average 12 weeks after operation. The one case was nonunion with plate breakage without clinical symptom. Conclusion: Anterior fusion with CSLP are thought to be a safe and valuable method for treating cervical spine disorder.