• Clinics in Shoulder and Elbow
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• v.20 no.4
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• pp.222-229
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• 2017

Background: The purpose of this study was to investigate the outcomes after fixation using a 3.5-mm locking compression plate (LCP) hook plate for isolated greater tuberosity (GT) fractures of the proximal humerus. Methods: We evaluated the postoperative radiological and clinical outcomes in nine patients who were followed up at least 1 year with isolated GT fractures. Using the deltopectoral approach, we fixed the displaced GT fragments with a 3.5-mm LCP hook plate (Synthes, West Chester, PA, USA). Depending on the fracture patterns, the hook plate was fixed with or without augmentation using either tension suture or suture anchor fixation. Results: All the patient showed successful bone union. The mean time-to-union was 11 weeks. The radiological and clinical outcomes at the final follow-up were generally satisfactory. The mean visual analogue scale for pain, the University of California at Los Angeles score, the American Shoulder and Elbow Surgeons score, and the subjective shoulder value were 1.4, 30.3, 84.3, and 82.2%, respectively. The mean active forward flexion, abduction, external rotation, and internal rotation of the shoulder were $156.7^{\circ}$, $152.2^{\circ}$, $61.1^{\circ}$, and the 10th thoracic vertebral level, respectively. Only one patient presented with a postoperative complication of shoulder stiffness. The patient was treated through arthroscopic capsular release on the 5th postoperative month. Conclusions: We conclude that fixation using 3.5-mm LCP hook plates for isolated GT fractures of the proximal humerus is a useful treatment method that provides satisfactory clinical and radiological outcomes.

• Proceeding of KASS Symposium
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• 2008.05a
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• pp.95-100
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• 2008

A 4-node assumed strain finite element based on higher order shear deformation theory is developed to investigate the behaviours of symmetric and unsymmetric laminated composite plates. The present element is based on Reddy's higher order shear deformation theory so that it can consider the parabolic distribution of shear deformation through plate thickness direction. In particular, assumed strain method is adopted to alleviate the shear locking phenomena inherited plate elements based on higher order shear deformation theory. The present finite element has seven degrees of freedom per node and denoted as HSA4. Numerical examples are carried out for symmetric and unsymmetric laminated composite plate with various thickness values. Numerical results are compared with reference solutions produced by other higher order shear deformation theories.

• Journal of Veterinary Clinics
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• v.29 no.4
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• pp.339-343
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• 2012

Three dogs were presented with diaphyseal fracture of the tibia following separate motor vehicle accidents. On physical and orthopedic examinations, the dogs were noted to have soft-tissue swelling and a closed fracture in these tibia sites. Radiographs revealed a simple, short oblique fracture (case 1), a comminuted, spiral fracture (case 2), and a simple, spiral fracture (case 3) in tibia. Minimally invasive percutaneous plate osteosynthesis (MIPO) using a veterinary cuttable plate or locking plate was applied for the treatment of these fractures. The surgery was successful, and the fractures healed without any complications by 7 weeks (case 1), 10 weeks (case 2) and 8 weeks (case 3) after surgery. Our patients showed fast bone healing times and early weight-bearing during the treatment of their tibia fractures. Therefore, MIPO was a useful procedure for diaphyseal fracture of the tibia in veterinary orthopedics.

• Clinics in Shoulder and Elbow
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• v.19 no.1
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• pp.2-7
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• 2016

Background: The purpose of this study is to compare the radiological and clinical outcomes after open reduction and plate fixation of midshaft clavicle fractures between patients who achieved successful anatomical reduction and those who had a remaining fracture gap even after open reduction and plate fixation, and were thus treated with additional demineralized bone matrix (DBM). Methods: This retrospective analysis was conducted on 56 consecutive patients who underwent open reduction and internal fixation using a locking compression plate for acute displaced midshaft clavicle fractures, and who underwent radiographic and clinical outcome evaluations at least 6 months postoperatively. The outcomes between those who achieved perfect anatomical reduction without remnant gap (n=32) and those who had a remaining fracture gap even after open reduction and plate fixation treated with additional DBM (n=24) were evaluated. Results: There were no differences in the use of lag screws or wiring and operation time (all p>0.05) between those with and without remnant gap. No difference in the average radiological union time and clinical outcomes (satisfaction and Constant score) was observed between the two groups (all p>0.05). However, significantly faster union time was observed for AO type A fracture compared with other types (p=0.012), and traffic accident showed association with worse clinical outcomes compared with other causes of injury. Conclusions: Surgical outcome of midshaft clavicle fracture was more affected by initial fracture type and event, and re-reduction and re-fixation of the fracture to obtain a perfect anatomical reduction spending time appears to be unnecessary if rigid fixation is achieved.

• Journal of the Korean Society for Railway
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• v.15 no.6
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• pp.588-596
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• 2012

This paper presents a new semi-analytical annular Mindlin plate element with which out-of-plane natural vibration of thick disks can be analyzed simply, efficiently, and accurately through FEM by including effects of rotary inertia and transverse shear deformation. Using static deformation modes which are exact solutions of equilibrium equations of annular Mindlin plate, the element interpolation functions, stiffness and mass matrices corresponding to each number of nodal diameters are derived. The element is capable of representing out-of-plane rigid-body motions exactly and free from shear locking. Natural frequencies of uniform and multi-step disks with or without concentric ring support are analyzed by applying the presented element. Such results are compared with theoretical predictions of previous works or FEA results obtained by using two-dimensional shell element to investigate the convergence and accuracy of the presented element.

• Journal of Korean Foot and Ankle Society
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• v.17 no.2
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• pp.136-142
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• 2013

Purpose: To analyze the outcome of distal tibia fracture treated with the Distal Tibia LCP with combination of interfragmentary screw. Materials and Methods: Between January 2008 and March 2012, data of 34 patients with fracture of distal tibia treated with the Distal Tibia LCP with or without combination of interfragmentary screws were reviewed. There were 17 males and 17 females with an average age of 51.8 years (range, 18~77 years). Radiographic union time and time from surgery until ability to full weight bearing were measured and compared. Callus index was measured as quotient of callus thickness and diameter of corticalis both in AP and sagittal direction. Results: 12 fractures were treated with interfragmentary screws and 22 fractures were treated with bridging plate alone. In interfragmentary fixation group, time to full weight bearing was 14 weeks versus 15.75 weeks without screw. Callus index at bearing was not significantly lesser in patients with screw compated with those without, but callus index difference at posterative 4weeks was sigficant. Radiologic union time was 11.3 weeks in interfragmentary fixation group and 12.58 weeks without screw. Conclusion: The osteosynthesis with the Distal tibia LCP with combination of interfragmentary screw seems to be more stable in postoperative 4weeks than Distal tibia LCP alone, expecting to earlier ROM exercise and rehabilitation.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.9 no.4
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• pp.853-858
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• 2008

The structures of induction heating type pressure rice cooker are consisted of oven. top heater plate and locking ring. Because the pressure is applied to their structures, those should be necessary to do the safety evaluation. In this paper, structure analysis is performed for oven structures by using finite element method and as a results, optimal thickness is achieved. Especially, analysis fur anisotropic layered material is performed because oven is made of both stainless steel and aluminum. And both von Mises and Tsai-Wu failure criterion are applied for safety factor. Parametric method is used in order to get the optimal thickness for oven and top heater plate.

• Steel and Composite Structures
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• v.23 no.1
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• pp.41-51
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• 2017

A $C^0$ FE model developed based on an efficient higher order zigzag theory is used for hygrothermal analysis of laminated composite plates. The $C^0$ FE model satisfies the inter-laminar shear stress continuity at the interfaces and zero transverse shear stress conditions at plate top and bottom. In this model the first derivatives of transverse displacement have been treated as independent variables to circumvent the problem of $C^1$ continuity associated with the above plate theory. In the present theory the above mentioned $C^0$ continuity of the present element is compensated in the stiffness matrix formulation by using penalty parameter approach. In order to avoid stress oscillations observed in the displacement based finite element, the stress field derived from temperature/moisture fields (initial strains) must be consistent with total strain field. Special steps are introduced by field consistent approach (e.g., sampling at gauss points) to compensate this problem. A nine noded $C^0$ continuous isoparametric element is used in the proposed FE model. Comparison of present numerical results with other existing solutions shows that the proposed FE model is efficient, accurate and free of locking.

• Structural Engineering and Mechanics
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• v.65 no.3
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• pp.213-222
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• 2018

The purpose of this paper is to study free vibration analysis of thick plates resting on Winkler foundation using Mindlin's theory with shear locking free fourth order finite element, to determine the effects of the thickness/span ratio, the aspect ratio, subgrade reaction modulus and the boundary conditions on the frequency paramerets of thick plates subjected to free vibration. In the analysis, finite element method is used for spatial integration. Finite element formulation of the equations of the thick plate theory is derived by using higher order displacement shape functions. A computer program using finite element method is coded in C++ to analyze the plates free, clamped or simply supported along all four edges. In the analysis, 17-noded finite element is used. Graphs are presented that should help engineers in the design of thick plates subjected to earthquake excitations. It is concluded that 17-noded finite element can be effectively used in the free vibration analysis of thick plates. It is also concluded that, in general, the changes in the thickness/span ratio are more effective on the maximum responses considered in this study than the changes in the aspect ratio.

• Structural Engineering and Mechanics
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• v.6 no.1
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• pp.41-61
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• 1998

A state-of-the-art report on the new finite elements formulated by the addition of nonconforming displacement modes has been presented. The development of a series improved nonconforming finite elements for the analysis of plate and shell structures is described in the first part of this paper. These new plate and shell finite elements are established by the combined use of different improvement schemes such as; the addition of nonconforming modes, the reduced (or selective) integration, and the construction of the substitute shear strain fields. The improvement achieved may be attributable to the fact that the merits of these improvement techniques are merged into the formation of the new elements in a complementary manner. It is shown that the results obtained by the new elements give significantly improved solutions without any serious defects such as; the shear locking, spurious zero energy mode for the linear as well as nonlinear benchmark problems. Recent developments in the transition elements that have a variable number of mid-side nodes and can be effectively used in the adaptive mesh refinement are presented in the second part. Finally, the nonconforming transition flat shell elements with drilling degrees of freedom are also presented.