• Title/Summary/Keyword: Plateau fracture

검색결과 22건 처리시간 0.021초

역공학과 쾌속조형공정을 이용한 정형외과수술기법 개발에 관한 연구 (Investigation into the Development of Technology for Orthopeadic Surgery Utilizing Reverse Engineering and Rapid Prototyping Technology)

  • 안동규;이준영;양동열;한길영
    • 한국정밀공학회지
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    • 제21권6호
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    • pp.188-196
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    • 2004
  • The objective of this paper is to propose a new technology of the orthopaedic surgery using the combination of reverse engineering (RE) based on CT data and rapid prototyping (RP). The proposed technology utilizes symmetrical characteristics of the human body and capability of the combination of RE and RP, which rapidly manufactures three-dimensional parts from CT data. The original .stl data of injured extents are generated from the mirror transformation of .stl file fur uninjured extents. The physical shape before injuring is manufactured from RP using the original .stl data. Subsequently, pre-operative planning, such as a selection of proper implants, preforming of the implant, a decision of fixation locations and an insert position for the implant, an estimation of the invasive size, and pre-education of operators are performed using the physical shape. In order to examine the applicability and the efficiency of the proposed surgical technology, various case studies, such as a distal tibia commented fracture, a proximal tibia plateau fracture and an iliac wing fracture of pelvis, are carried out. From the results of case studies, it has been shown that the proposed technology is an effective surgical tool of the orthopaedic surgery reducing the operational time, the operational cost, the radiation exposure of the patient and operators, and morbidity. In addition, the proposed technology could improve the accuracy of operation and the speed of rehabilitation.

관절면을 침범한 경골 외측 고평부 골절에 대한 관절경을 이용한 정복 및 내고정술 (Arthroscopically-Assisted Reduction and Internal Fixation of Intra-Articular Fractures of the Lateral Tibial Plateau)

  • 김주한;김동휘;임재환;장현웅;김영욱
    • 대한정형외과학회지
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    • 제54권3호
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    • pp.227-236
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    • 2019
  • 목적: 경골 외측 고평부 골절에서 추가적인 피질골 창을 내지 않고 관절경을 이용한 정복술 및 골이식술 없이 내고정한 후 이에 따른 결과를 평가해 보았다. 대상 및 방법: 2009년 3월부터 2017년 3월까지 3차원 컴퓨터 단층촬영(computed tomography, CT)에서 관절면의 함몰 및 전위가 5 mm 이상이면서 Schatzker 분류상 II형에 해당하는 경골 외측 고평부 골절에 대해 관절경을 이용하여 수술적 치료를 하고 최소 18개월 이상 추시가 가능한 27예를 대상으로 하였다. 경골 피질골에 추가적인 창을 내지 않고 전외측 연골판하방 삽입구(inframeniscal portal)를 통해 골막거상기(freer elevator)를 이용하여 감입되어 있는 골편을 정복하여 관절면의 정복을 얻은 후 골이식 없이 5.0 mm 혹은 6.5 mm 유관나사를 이용하여 내고정술을 시행하였다. 결과 판정은 임상적 결과와 방사선적 결과로 나누어 Rasmussen의 방법을 이용하여 분석하였고 유관나사 제거술을 받은 13예의 환자에 한해서 관절경을 이용하여 2차 추시를 시행하였다. 결과: 최종 추시에서 모든 예에서 골유합을 얻었고, 평균 골유합 기간은 8.7주(8-12주)였다. Rasmussen 기준에 따라 방사선적 결과는 25예(92.6%)에서 우수 또는 양호의 만족스러운 결과를 얻었고 임상적 결과는 24예(88.9%)에서 우수 또는 양호의 결과를 얻었다. 2차 추시를 시행한 환자 13예에서 섬유연골로 잘 치유됨을 확인하였고 술 후 외래 추시 중 CT 촬영한 8예에서 골결손 부위 골이식 없이 유합된 소견을 확인하였다. 결론: 경골 외측 고평부 골절에서 추가적인 피질골 창을 내지 않고 관절경을 이용한 정복 및 골이식 없이 시행한 내고정술은 관절면을 정확히 정복할 수 있는 유용한 방법이며 임상적으로 양호한 결과를 얻을 수 있는 방법으로 생각된다.

複合組織鋼의 부식피로파괴에 미치는 3.5% NaCl水溶液의 pH와 母相粒徑의 效果 (Effect of pH in 3.5% NaCl aqueous solution and ferrite grain size on corrosion fatigue fracture of dual phase steel)

  • 오세욱;강호민
    • 대한기계학회논문집
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    • 제11권6호
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    • pp.867-876
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    • 1987
  • 본 연구에서는 보통강재인 SS 41 강을 열처리하여 얻은 M.E.F.복합조직강의 모상입경변화와 3.5% NaCl수용액의 pH변화 조건하에서 반복굽힘피로실험을 하여 부식 피로파괴에 미치는 영향에 대해 고찰하였다.

알루미나 입도가 (Y,Nb)-TZP/${Al_2}{O_3}$ 복합체의 R-curve 거동에 미치는 영향 (Effect of Alumina Particle Size on R-curve Behavior of (Y,Nb)-TZP/${Al_2}{O_3}$ Composites)

  • 이득용;김대준;김배연;송요승
    • 한국세라믹학회지
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    • 제38권10호
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    • pp.936-941
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    • 2001
  • 5.31 mol% ${Y_2}{O_3}$-4.45 mo1% ${Nb_2}{O_5}$-90.31 mo1% $ZrO_2$${Al_2}{O_3}$를 첨가한 복합체를 제조하여 알루미나 입도가 복합체의 균열 전파 저항성에 미치는 영향을 조사하였다. $ZrO_2/{Al_2}{O_3}$ 복합체에서는 R-cuve 거동이 관찰되었으며 0.2, $2.8{\mu}m$ ${Al_2}{O_3}$가 20 vol%가 첨가된 복합체의 인성값은 각각 7.9, $8.8MPam^{1/2}$이었다. 파괴인성값의 차이는 ${Al_2}{O_3}$ 입도 크기에 의존하는 $ZrO_2/{Al_2}{O_3}$ 복합체 내의 정방정 $ZrO_2$의 결정립 크기 차이에 의한 것으로 추정된다.

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800MPa급 고강도강 보 부재의 국부좌굴 및 비탄성 거동 (Local Buckling and Inelastic Behaviour of 800 MPa High-Strength Steel Beams)

  • 이철호;한규홍;김대경;박창희;김진호;이승은;하태휴
    • 한국강구조학회 논문집
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    • 제24권4호
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    • pp.479-490
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    • 2012
  • 본 연구에서는 고강도 강재의 플랜지 폭두께비가 강도 및 회전능력에 미치는 영향을 분석하고자 인장강도 800MPa급 고강도 강재인 HSB800, HSA800의 조립 H형강 보에 대해 실물대실험 연구를 수행하였다. 일반강재의 실험결과를 바탕으로 정립된 현행 기준의 폭두께비 규정을 고강도 강재에 그대로 확대 적용할 수 있는지의 여부를 평가하는 것을 연구의 주 목표로 하였다. 실험결과 고강도 휨부재는 강도측면에서 매우 만족스러운 성능을 발현하였으나, 회전능력측면에서는 일반강재 대비 부족한 성능을 발휘하였다. 이러한 고강도 강재의 부족한 회전능력은 항복참(yield plateau)의 부재와 높은 항복비를 갖는 고강도강의 재료적 특성과 관련됨을 입증하였다. 잔류응력 측정결과 잔류응력의 크기는 소재의 항복강도와 무관함을 재확인 할 수 있었다.

Post-yielding tension stiffening of reinforced concrete members using an image analysis method with a consideration of steel ratios

  • Lee, Jong-Han;Jung, Chi-Young;Woo, Tae-Ryeon;Cheung, Jin-Hwan
    • Advances in concrete construction
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    • 제7권2호
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    • pp.117-126
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    • 2019
  • When designing reinforced concrete (RC) members, the rebar is assumed to resist all tensile forces, but the resistance of the concrete in the tension area is neglected. However, concrete can also resist tensile forces and increase the tensile stiffness of RC members, which is called the tension stiffening effect (TSE). Therefore, this study assessed the TSE, particularly after yielding of the steel bars and the effects of the steel ratio on the TSE. For this purpose, RC member specimens with steel ratios of 2.87%, 0.99%, and 0.59% were fabricated for uniaxial tensile tests. A vision-based non-contact measurement system was used to measure the behavior of the specimens. The cracks on the specimen at the stabilized cracking stage and the fracture stage were measured with the image analysis method. The results show that the number of cracks increases as the steel ratio increases. The reductions of the limit state and fracture strains were dependent on the ratio of the rebar. As the steel ratio decreased, the strain after yielding of the RC members significantly decreased. Therefore, the overall ductility of the RC member is reduced with decreasing steel ratio. The yielding plateau and ultimate load of the RC members obtained from the proposed equations showed very good agreement with those of the experiments. Finally, the image analysis method was possible to allow flexibility in expand the measurement points and targets to determine the strains and crack widths of the specimens.

열처리에 따른 다공성 알루미늄 합금 재료의 미세구조와 기계적 성질 변화 (Evolution of Microstructure and Mechanical Properties of Porous Al Alloy Under Various Heat Treatment)

  • 류관무;권영재;김준규;조원승;조남희;황진명;유연철
    • 소성∙가공
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    • 제12권6호
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    • pp.588-596
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    • 2003
  • The relationships between evolution of microstructure and mechanical properties of porous Al-3Si-2Mg-2Cu alloy after the foaming and various heat treating were investigated. The foamed alloy having various densities were manufactured by powder compact foaming and heat treated. Then compression test was performed with deformation rate of 0.5/s. The ultimate compression strength was not changed after solution heat treatment but the flow curve after ultimate strength showed very smooth and uniform plateau region. This change of flow curve means that the deformation mechanism is altered from brittle fracture to ductile deformation and the energy absorption property of Al foam is dramatically improved. The improvement of energy absorption without any detriment of mechanical properties is due to that the very brittle precipitation like Al-Cu and Al-Mg was uniformly dissolved in Al matrix after solution heat treatment. And various mechanical properties of Al alloy porous material were improved by 40% with aging of $200^{\circ}C$ and 50min. These improvements are ascribe to the various fine precipitates like $\Omega$ and $\theta$'.

Experimental and numerical investigations on reinforcement arrangements in RC deep beams

  • Husem, Metin;Yilmaz, Mehmet;Cosgun, Suleyman I.
    • Advances in concrete construction
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    • 제13권3호
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    • pp.243-254
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    • 2022
  • Reinforced concrete (RC) deep beams are critical structural elements used in offshore pile caps, rectangular cross-section water tanks, silo structures, transfer beams in high-rise buildings, and bent caps. As a result of the low shear span ratio to effective depth (a/d) in deep beams, arch action occurs, which leads to shear failure. Several studies have been carried out to improve the shear resistance of RC deep beams and avoid brittle fracture behavior in recent years. This study was performed to investigate the behavior of RC deep beams numerically and experimentally with different reinforcement arrangements. Deep beams with four different reinforcement arrangements were produced and tested under monotonic static loading in the study's scope. The horizontal and vertical shear reinforcement members were changed in the test specimens to obtain the effects of different reinforcement arrangements. However, the rebars used for tension and the vertical shear reinforcement ratio were constant. In addition, the behavior of each deep beam was obtained numerically with commercial finite element analysis (FEA) software ABAQUS, and the findings were compared with the experimental results. The results showed that the reinforcements placed diagonally significantly increased the load-carrying and energy absorption capacities of RC deep beams. Moreover, an apparent plastic plateau was seen in the load-displacement curves of these test specimens in question (DE-2 and DE-3). This finding also indicated that diagonally located reinforcements improve displacement ductility. Also, the numerical results showed that the FEM method could be used to accurately predict RC deep beams'behavior with different reinforcement arrangements.

Triple Tibial Osteotomy (TTO) for Treatment of Cranial Cruciate Ligament Rupture in Small Breed Dogs

  • Kim, Tae-Hwan;Hong, Subin;Moon, Heesup;Shin, Jeong-In;Jang, Yun-Sul;Choi, Hyeonjong;Kim, In-Geun;Lee, Jae-hoon
    • 한국임상수의학회지
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    • 제34권1호
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    • pp.7-12
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    • 2017
  • Twelve dogs weighing less than 10 kg underwent unilateral TTO to stabilize the stifle joint with cranial cruciate ligament rupture. Surgical findings, intra-operative and post-operative complications were recorded. Radiographic examinations were performed for 8 weeks following surgery. Postoperative outcome was evaluated using a visual analogue lameness scoring system. Mean preoperative PTA (the angle created by the intersection of the tibial plateau extrapolation line and the patellar tendon) was 103.8 degrees. Mean tibial wedge angle was 16.6 degrees. Mean postoperative PTA was 92.1 degrees. Intraoperatively, fracture through the caudal tibial cortex occurred in all dogs, through the distal tibial crest cortex in 2 dogs, through the lateral tibial cortex in 2 dogs and through the fibula in 1 dog. Four-week postoperative radiographs demonstrated evidence of progressive bone union at osteotomy site and complete unions were identified at 8 week in 10 dogs. All dogs were healed in 11 weeks. Most of dogs revealed weak lameness in 4 weeks and normal ambulation in 8 weeks postoperatively except for only one dog returned in 11 weeks. Despite frequent minor complication, it appears that the TTO is an alternative procedure for management of cranial cruciate ligament rupture in small breed dogs.

한국인에 대한 새로운 관절주위 잠김금속판의 해부학적 적합성: 사체를 이용한 연구 (Anatomic Conformity of New Periarticular Locking Plates for Koreans: A Biomechanical Cadaveric Study)

  • 윤용철;오종건;김영우;김학준;문홍주;김남렬
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.163-169
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    • 2013
  • Purpose: This study was conducted to confirm the anatomic conformity of the new periarticular locking plates designed by Zimmer on Korean adult bones and to identify the structures at risk during the application of these implants. Methods: The study was performed on the humerus, radius, and tibia of 10 adult cadavers(6 males and 4 females) procured from the cadaveric lab of our hospital. Anteroposterior (AP) and lateral X-rays were taken to confirm that the cadavers were free of any unusual lesions or anatomic variations. We used the 3.5-mm proximal humerus plate, 2.7-mm distal radius plate, 3.5- and 5.0-mm proximal tibia plates, and 3.5-mm distal tibia plate developed by Zimmer, Inc. (Zimmer periarticular locking plate). The longest plate from each group was used to confirm anatomical conformity. Standard approaches were used for each area, and soft tissue was retracted in order to pass the plate beneath the muscle. The position of the plate was confirmed using standard AP and lateral view X-rays. After this procedure had been completed, the region was dissected along the length of the implant to determine the conformity of the implant to bone and the penetrations of screws into the articular surface or violations of any vital structures, such as nerves, blood vessels, or tendons. Results: Excellent anatomical conformity was observed with Zimmer periarticular locking plates for Korean adults. The tibial nerve and the posterior tibial artery were found to be structures at risk when applying a distal tibial plate. Conclusion: Additional posterolateral fixation is recommended when dealing with cases of tibial plateau fracture when the fracture line extends to the posterolateral cortex. We recommend taking proper views using 10~15 degrees of internal rotation to ensure correct screw length and, thus, avoid penetration of vital structures and tendons.