• Title/Summary/Keyword: Radial fracture

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Comparative Analysis of the Result of Minimally Invasive Anterior Plating and Open Reduction and Internal Fixation in Humerus Shaft Simple Fracture

  • Ko, Sang-Hun;Choe, Chang-Gyu;Lee, Ju-Hyung
    • Clinics in Shoulder and Elbow
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    • v.18 no.2
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    • pp.75-79
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    • 2015
  • Background: This retrospective comparative study aims to evaluate the surgical outcomes and complications of two surgical methods for simple fractures of the humeral shaft; minimally invasive anterior plating and open reduction combined with internal fixation. Methods: A total of 26 patients with humeral shaft simple fractures, who had surgery between June 2009 and September 2013 and were followed-up at least 12 months, were included in our analysis. They were divided into two groups; group 1 comprised of 12 patients who underwent minimally invasive anterior plating and group 2 comprised of 14 patients who underwent an open reduction and internal fixation. The clinical outcomes, radiological results, and complications were compared and analyzed. Results: We found that bone union was achieved in all patients, and the mean union periods were $20.7{\pm}3.34$ and $20.3{\pm}3.91$ weeks for groups 1 and 2, respectively. In most patients, we found that shoulder and elbow functions were recovered. At 12 months post-operation, we found that the Korean Shoulder Scoring system, the University of California at Los Angeles score and Mayo elbow performance score were $91.4{\pm}7.97$, $33.4{\pm}1.15$, and $90.8{\pm}2.23$ for group 1, and $95.2{\pm}1.53$, $33.3{\pm}1.43$, and $90.17{\pm}1.85$ for group 2. In terms of complications, we found that 2 patients had radial nerve palsy after open reduction and internal fixation, but all cases spontaneously resolved within 6 months. Complications such as infection and loss of fixation were not reported. Conclusions: Both minimally invasive anterior plating and open reduction with internal fixation produced satisfactory outcomes in the treatment of simple fractures of the humeral shaft.

Mechanical Behavior of Directionally Solicified (Y2O3)ZrO2/Al2O3 Eurtctic Fibers

  • Park, Deok-Yong;Yang, Jenn-Ming
    • Journal of the Korean Ceramic Society
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    • v.41 no.1
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    • pp.1-8
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    • 2004
  • The microstructural features and mechanical behavior of directionally solidified $(Y_2O_3)ZrO_2/Al_2O_3$ eutectic fibers after extended beat treatment in oxidizing environment were investigated. The fiber was grown continuously by an Edge-defined Film-fed Growth (EFG) technique. The microstructure was characterized using X-Ray Diffraction (XRD) and Scanning Electron Microscopy(SEM). The microstructure of the fiber in the as-fabricated state consists of highly oriented colonv and fine lamellar microstructure along the fiber axis. Tensile strength of the $(Y_2O_3)ZrO_2/Al_2O_3$ eutectic fiber remained unchanged with heat treatment at temperatures between $1200^{\circ}C$ and $1500^{\circ}C$ up to 300h. The weibulls modulus remained fairly constant after extended thermal exposure. The fracture toughness and crack propagation behavior were investigated. The fracture toughness ($K_{1C}$) of the $(Y_2O_3)ZrO_2/Al_2O_3$ eutectic fiber in the as-fabricated state were measured to be 3.6 ${\pm}$ 0.5 MPa${\cdot}m^{1/2}$ by an indentation technique and 2.2 ${\pm}$ 0.2 MPa${\cdot}m^{1/2}$ by assuming elliptical flaw of a semi-infinite solid, respectively. The $(Y_2O_3)ZrO_2/Al_2O_3$ eutectic fiber showed a radial (Palmqvist) crack type and exhibited an orthotropic crack growth behavior under 100 g load.

Improvement of the Elbow Function with Early Mobilization and Rigid Fixation of Coronoid Fracture by Tension Band Technique (압박 긴장대 방법을 이용한 구상 돌기 골절의 견고한 고정과 조기 운동을 통한 주관절 기능의 향상)

  • Rhyou, In-Hyeok;Suh, Bo-Gun;Kim, Hyung-Jin;Chung, Chae-Ik;Kim, Kyung-Chul
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.159-166
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    • 2009
  • Purpose: We wanted to evaluate the surgical results of early mobilization after rigid fixation of small coronoid fracture using the tension band technique Materials and Methods: Eight cases of coronoid fracture were fixed with the tension band technique and using K-wire and wire through the medial approach. All the cases were Regan-Morrey type 2. According to O'Driscoll, they were classified as 5 cases of the tip type (subtype 2) and 3 cases of the anteromedial type (1 case of subtype 2, and 2 case of subtype 3). The associated collateral ligament injuries (6 cases) and radial head/neck fractures (4 cases) were managed simultaneously. After immobilization for 5~7 days, active ROM exercise with a fitted hinge brace started and continued till postoperative 6 weeks. The patients were assessed for pain, ROM and functional disability using the Mayo elbow performance score (MEPS) at an average of 11 months (range: 6~28 months). The ulnar nerve symptoms were also investigated. Results: We observed solid union in all the coronoid fractures without hardware failure. An average of 2.2 wires (range: 2~4) were used. The mean extension was $3^{\circ}$(range: $0^{\circ}\sim25^{\circ}$), the mean flexion was $137^{\circ}$(range: $130^{\circ}\sim140^{\circ}$), the mean pronation was $69^{\circ}$(range: $45^{\circ}\sim90^{\circ}$) and the mean supination was $78^{\circ}$(range: $45^{\circ}\sim90^{\circ}$). The mean MEPS was 96 (range: 65~100). Ulnar nerve symptoms occurred at postoperative one day and persisted in one patient with the terrible triad of taking radial head excision and residual medial instability. Conclusion: The tension band technique uses easily obtained, economic K-wires and the wire was strong enough to permit early elbow ROM exercise and the technique might improve the elbow function. It was especially useful for fixation of multiple small fragments.

Physical Properties of Covered Stent in Gastric Acid Environment: In Vitro Study (위산 환경에서 피막형 스텐트의 물성 변화)

  • Park, Sung Chul;Park, Nark-Soon;Kim, Dong-Gon;Nah, Jae-Woon;Jeen, Yoon Tae;Cho, Hye Jin;Kim, Eun Sun;Keum, Bora;Seo, Yeon Seok;Lee, Hong Sik;Chun, Hoon Jai;Um, Soon Ho;Kim, Chang Duck;Ryu, Ho Sang
    • Polymer(Korea)
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    • v.38 no.3
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    • pp.351-357
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    • 2014
  • In membrane covered stent, occlusion and fracture from membrane degradation by gastric acid sometimes occurred. Therefore, we investigated the physical properties of membrane covered stent according to its ingredient and concentration in gastric acid environment. Membrane covered stents consisted of silicone and polyurethane with 15%, 18%, 20% concentrations were used. After incubating stents in a condition of pH 1.2, we checked any changes at every 3 weeks for 18 weeks. The changes of membrane surface, radial expansion and recovery force of stent were investigated. Coating thickness increased proportionally to an increase in ingredient concentration. Surface was evenly coated with silicone compared to the case with polyurethane and its homogeneity was excellent in a high concentration. Degradation was much severe in the case of polyurethane. The radial force of silicone was higher than polyurethane, and the decrease of radial and recovery force was higher in the case of polyurethane. In conclusion, high concentration of silicone membrane was more stable than polyurethane in acid environment of in vitro study.

Prediction of the Damage Zone Induced by Rock Blasting Using a Radial Crack Model (방사균열 모델을 적용한 암반 발파에 의한 손상 영역 예측)

  • Sim, Young-Jong;Cho, Gye-Chun;Kim, Hong-Taek
    • Journal of the Korean Geotechnical Society
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    • v.22 no.11
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    • pp.55-64
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    • 2006
  • It is very Important to predict the damage zone of a rock mass induced by blasting for the excavation of an underground cavity such as a tunnel, as the damage zones incur mechanical and hydraulic instability of the rock mass potentially. Complicated blasting processes that can hinder the proper characterization of the damage zone can be effectively represented by two loading mechanisms. The first mechanism is the dynamic impulsive load-generating stress waves that radiate outwards immediately after detonation. This load creates a crushed annulus along with cracks around the blasthole. The second is the gas pressure that remains for an extended time after detonation. As the gas pressure reopens some arrested cracks and extends these, it contributes to the final structure of the damage zone induced by the blasting. This paper presents a simple method to evaluate the damage zone induced by gas pressure during rock blasting. The damage zone is characterized by analyzing crack propagations from the blasthole. To do this, a model of a blasthole with a number of radial cracks that are equal in length in a homogeneous infinite elastic plane is considered. In this model, crack propagation is simulated through the use of only two conditions: a crack propagation criterion and the mass conservation of the gas. The results show that the stress intensity factor of a crack decreases as the crack propagates from the blasthole, which determines the crack length. In addition, it was found that the blasthole pressure continues to decrease during crack propagation.

A Numerical Analysis on the Curved Bileaflet Mechanical Heart Valve (MHV): Leaflet Motion and Blood Flow in an Elastic Blood Vessel

  • Bang, Jin-Seok;Choi, Choeng-Ryul;Kim, Chang-Nyung
    • Journal of Mechanical Science and Technology
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    • v.19 no.9
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    • pp.1761-1772
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    • 2005
  • In blood flow passing through the mechanical heart valve (MHV) and elastic blood vessel, hemolysis and platelet activation causing thrombus formation can be seen owing to the shear stress in the blood. Also, fracture and deformation of leaflets can be observed depending on the shape and material properties of the leaflets which is opened and closed in a cycle. Hence, comprehensive study is needed on the hemodynamics which is associated with the motion of leaflet and elastic blood vessel in terms of fluid-structure interaction. In this paper, a numerical analysis has been performed for a three-dimensional pulsatile blood flow associated with the elastic blood vessel and curved bileaflet for multiple cycles in light of fluid-structure interaction. From this analysis fluttering phenomenon and rebound of the leaflet have been observed and recirculation and regurgitation have been found in the flow fields of the blood. Also, the pressure distribution and the radial displacement of the elastic blood vessel have been obtained. The motion of the leaflet and flow fields of the blood have shown similar tendency compared with the previous experiments carried out in other studies. The present study can contribute to the design methodology for the curved bileaflet mechanical heart valve. Furthermore, the proposed fluid-structure interaction method will be effectively used in various fields where the interaction between fluid flow and structure are involved.

Thermal Stress Analysis of Functuonally Graded Ceramic/Metal Composites(II) (경사기능성 세라믹/금속 복합재료의 열응력해석)

  • Lim, Jae-Kyoo;Song, Jun-Hee
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.21 no.10
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    • pp.1571-1579
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    • 1997
  • The development of a new material which should be continuously use under severe environment of very high temperature has been urgently requested. For the development of such super-heat resistant materials, the main problem is not only to make the superior thermal barrier properties but also to actively release thermal stress. So, a new concept of functionally graded material(FGM) has been proposed to overcome this problem. A composition and microstructure of FGM are varied continuously from place to place in ways designed to provide it with the maximum function of mitigating the induced thermal stress. So, FGM can be applied in the aerospace, the electronic and the medical field, etc.. In this study, thermal stress analysis of sintering PSZ/NiCrAlY graded material was conducted theoretically using a finite-element program. The temperature condition was sintering temperature assuming a cooling-down process up to room temperature. Fracture damage mechanism was anlayzed by the parameters of residual stress. It could be known that FGM provided with the function of mitigating the induced thermal stress.

Strength and Reliability of Porous Ceramics Measured by Sphere Indentation on Bilayer Structure

  • Ha, Jang-Hoon;Kim, Jong-Ho;Kim, Do-Kyung
    • Journal of the Korean Ceramic Society
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    • v.41 no.7
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    • pp.503-507
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    • 2004
  • The importance of porous ceramics has been increasingly recognized and adequate strength of porous ceramics is now required for structural applications. Porosities of porous ceramics act as flaws in inner volume and outer surface which result in severe strength degradation. The effect of pore structure, however, on strength and reliability of porous ceramics has not been clearly understood. We investigate the relationship between pore structure and mechanical properties using a sphere indentation on bilayer structure, porous ceramic top layer with soft polymer substrate. Porous alumina and silica were prepared to characterize the isolated pore structure and interconnected pore structure, respectively. The porous ceramic with 1mm thickness were bonded to soft polycarbonate substrate and then fracture strengths were estimated from critical loads for radial cracking of porous ceramics during sphere indentation from top surface. This simple and reproducible technique provides Weibull modulus of strength of porous ceramics with different pore structure. It shows that the porous ceramics with isolated pore structure have higher strength and higher Weibull modulus as well, than those with interconnected pore structure even with the same porosity.

Allowable peak heat-up cladding temperature for spent fuel integrity during interim-dry storage

  • Jang, Ki-Nam;Cha, Hyun-Jin;Kim, Kyu-Tae
    • Nuclear Engineering and Technology
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    • v.49 no.8
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    • pp.1740-1747
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    • 2017
  • To investigate allowable peak cladding temperature and hoop stress for maintenance of cladding integrity during interim-dry storage and subsequent transport, zirconium alloy cladding tubes were hydrogen-charged to generate 250 ppm and 500 ppm hydrogen contents, simulating spent nuclear fuel degradation. The hydrogen-charged specimens were heated to four peak temperatures of $250^{\circ}C$, $300^{\circ}C$, $350^{\circ}C$, and $400^{\circ}C$, and then cooled to room temperature at cooling rates of $0.3^{\circ}C/min$ under three tensile hoop stresses of 80 MPa, 100 MPa, and 120 MPa. The cool-down specimens showed that high peak heat-up temperature led to lower hydrogen content and that larger tensile hoop stress generated larger radial hydride fraction and consequently lower plastic elongation. Based on these out-of-pile cladding tube test results only, it may be said that peak cladding temperature should be limited to a level < $250^{\circ}C$, regardless of the cladding hoop stress, to ensure cladding integrity during interim-dry storage and subsequent transport.

Interference Effects on the Thickness of a Pulse Pressure Sensor Array Coated with Silicone (맥 센서 어레이(array)의 실리콘(silicone) 코팅 두께에 따른 센서 간 간섭효과)

  • Jun, Min-Ho;Jeon, Young Ju;Kim, Young-Min
    • Journal of Sensor Science and Technology
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    • v.25 no.1
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    • pp.35-40
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    • 2016
  • Pulse diagnosis is one of the representative diagnostic methods in Oriental medicine. In this study, a pulse pressure sensor array coated with silicone, which includes 6 piezo-resistive sensors and 1 thermistor, is fabricated for pulse measurement. It is necessary to coat the pulse sensor array with silicone to avoid the fracture or damage of pressure sensors when the sensor is in contact with the skin and a constant pressure is applied. However, the silicone coating on the pulse sensor array can cause signal interference among the sensors in the pulse sensor array. The interference number (IN), a calculation for expressing the degree of interference among channels, is changed according to the silicone thickness on the pulse sensor array. The IN is increased by a thick silicone coating, but the fabrication error, an important index for the mass production of the sensor array, is reduced by the thickness of the silicone coating. We propose that the thickness of the silicone on the pulse sensor array is an important consideration for the performance of the fabricated sensor and manufacturing repeatability.