• Title/Summary/Keyword: Screw plate

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Internal Fixation with Plate and Bone Graft of Mid-shaft Clavicle Nonunion (쇄골 간부 불유합의 자가골 이식술 및 금속판 내고정술)

  • Ko Sang-Hun;Cho Sung-Do;Park Moon-Soo;Woo Jong-Ken;Lee Chae-Chil;Jeong Ji-Young;Jung Kwang-Hwan
    • Clinics in Shoulder and Elbow
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    • v.8 no.1
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    • pp.19-22
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    • 2005
  • Purpose: The causes of twelve cases of the mid-shaft clavicle nonunion and the results of internal fixation with plate and bone graft were investigated. Materials and method: From August 1997 to March 2003, twelve cases of the mid-shaft clavicle nonunion were operated with internal fixation with plate and bone graft. The duration of follow-up was average 13 months. Results: The causes of the mid-shaft clavicle nonunion included severe associated injury, severe initial displacement of the fracture fragments and insecure fixation. All cases were operated with internal fixation with plate and bone graft. According to the factor for evaluations of results, using a rating scale of excellent (no apparent factors), good (one factor), fair (two factors), poor (more than three factors), the results showed 10 excellent, 1 good and 1 poor. Screw loosening was developed in only one case . Conclusion: The internal fixation with plate and bone graft of the mid-shaft clavicle nonunion after failed conservative treatment achieved excellent results and seemed to be the procedure of choice for mid-shaft clavicle nonunion.

Mini-open Treatment Using Plate of Clavicle Mid-shaft Fractures

  • Park, Yong-Geun;Kang, Hyunseong;Kim, Shinil;Bae, Jong-Hwan;Choi, Sungwook
    • Clinics in Shoulder and Elbow
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    • v.20 no.1
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    • pp.37-41
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    • 2017
  • Background: Increased frequency of comminuted clavicle mid-shaft fractures and importance of functional satisfaction through early joint exercise has resulted in higher emphasis on surgical treatments. This study aimed to evaluate the clinical radiological results of treatment of clavicle mid-shaft fractures by open reduction and internal fixation using a plate with a small incision. Methods: The subjects of this study were 80 clavicle mid-shaft fracture cases treated with internal fixation using a plate from October 2010 to July 2014. Clavicle mid-shaft fractures were internally fixated using anatomical plates or locking compression plates. Achievement of bone union, union period, and clavicle length shortening were evaluated radiologically, and clinical assessment was done by using Constant and University of California at Los Angeles (UCLA) scores. Results: All 80 cases were confirmed to have achieved bone union through radiographs with an average union period of 10.9 weeks (range: 7-18 weeks). The average clavicle length of shortening in the affected side was 1.8 mm (range: 0-17 mm). The average UCLA score and Constant score were 33.6 (range: 25-35) and 92.5 (range: 65-100), respectively. Regarding complications, four cases reported skin irritation by metal plates, and one case reported a screw insertion site fracture due to minor trauma history. Conclusions: We were able to induce successful bone union and obtain clinically satisfactory results in displaced mid-shaft fractures of the clavicle without major complications such as nonunion through treatment of internal fixation using a plate.

Clinical and Radiological Outcome of Distal Femoral Fracture in Elderly Patient Group (원위 대퇴골 골절에 대한 고령 환자군의 치료 결과 비교 -임상적, 방사선학적 비교-)

  • Park, Hee-Gon;Kim, Yeon-Jun;Jang, Ho-Seong
    • Journal of Trauma and Injury
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    • v.26 no.4
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    • pp.286-290
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    • 2013
  • Purpose: To report the postoperative Clinical and Radiological outcomes following distal femoral fractures in elderly patients compared with young patients. Methods: From March, 1996 to March, 2012, 83 patients who received surgical treatment for fractures of the distal femur were enrolled in this retrospective study. Ages more than 65 was named group A. Group A was 49 cases and mean age is 72.5 year(65~91year). Group B was 49 cases and mean age is 45.7 year(16~61 year). Surgical methods are retrograde IM nail, locking compression plate, cannulated screw and postoperative rehabilitation is no difference between two groups. Clinical results were evaluated using Neer scores, radiographic results and the presence of clinical complications. Results: The mean union period was 18.4(12-40) weeks in group A and 17(10-24) weeks in group B. Neer functional scores are no significant statistical difference between two groups. There are 5 cases metal breakage in group A and 1case in group B. There are 3 cases nonunion in group A and 1 case in group B. Conclusion: In the case of fractures of the distal femur in elderly patients, locking plate using minimally invasive percutaneous periosteal osteosynthesis (MIPPO) technique may be one of the most effective methods and preoperative bone stock evaluation in important.

Proximal Interphalangeal Joint (PIPJ) Arthrodesis for Treating PIPJ Osteoarthritis in a Horse

  • Seo, Jeeyoon;Park, Joon-Young;Lee, Minhyun;Cho, Young-Jae;Kim, Byung Hyun;Seo, Jong-Pil
    • Journal of Veterinary Clinics
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    • v.36 no.5
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    • pp.292-295
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    • 2019
  • A 2-year-old, 440 kg, thoroughbred gelding showed a lameness grade of 3 out of 5, as well as swelling and heating on the proximal interphalangeal joint (PIPJ). Periarticular new bones due to the arthritis were observed on performing radiography and ultrasonography. PIPJ arthrodesis was performed under general anesthesia. With the PIPJ open, the articular cartilage was removed by using curette, chisel, and mallet. Arthrodesis was performed with a PIP plate and two additional transarticular cortex screws inserted in lag fashion. A cast was placed over the limb distal from the proximal metatarsal bone. At 6 months after surgery, complete union of the PIPJ was confirmed by radiography, and the incision site was well closed. Based on the outcome, a PIP plate with two additional transarticular cortex screws inserted in lag fashion is recommended as a method for treating osteoarthritis of the PIPJ in horses.

A study of the cause of metal failure in treatment of femur shaft fracture - Fractographical and clinical analysis of metal failure- (대퇴골 간부 골절시 사용한 금속물의 금속부전(Metal failure)의 기전에 대한 연구)

  • Jeon, Chun-Bae;Seo, Jae-Sung;Ahn, Jong-Chul;Ahn, Myun-Whan;Ihn, Joo-Chyl
    • Journal of Yeungnam Medical Science
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    • v.7 no.1
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    • pp.81-93
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    • 1990
  • The author fractographically analyized the cause of metal failure(the first time this procedure has been used for this metal failure)and also analyized it clinically. In this study, I selected eight cases which have been analyized fractographically. In all these cases, the analysis was done after treatment of metal failure of implants internally fixed to femur shaft fractures at the Department of Orthopedic Surgery, Yeung-Nam University Hospital during the six year period from May 1983 to September 1989. 1. Metal failure occured in five dynamic-compression plates, one Jewett nail, one screw in Rowe plate, and one interlocking nail. 2. The clinical cause of metal failure was deficiency of medial butress in five cases, incorrect position of implant in one case, and incorrect selection of implant in two cases. 3. The time interval between internal fixation and metal failure was four months in one case, between five months to twelve months in six cases, three years in one case. 4. The fractographically analytical cause of metal failure was ; first, impact failure, one case, second, fatigue failure, six cases, machining mark(stress liser), four cases type : low consistent cyclic fatigue failure irregular cyclic fatigue failure third, stress corrosion crack, one case. 5. 316L Stainless Steel has good resistance to corrosion. However, when its peculiar surface film is destroyed by fretting, it shows pitting corrosion. This is, perhaps, the main cause of metal failure. 6. It is possible that mechanical injury occured in implants during the manufacturing of implants or that making a screw hole is the main cause of metal failure.

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Development of Air-jet Washer for the Agaricus Bisporus (공기분사에 의한 양송이 버섯 세척기 개발)

  • Park, H.M.;Cho, K.H.;Hong, S.G.;Lee, S.H.
    • Journal of Biosystems Engineering
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    • v.34 no.3
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    • pp.167-174
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    • 2009
  • This study was conducted to develop an agaricus bisporus washing machine which uses compressed air to remove foreign materials attached on the surface of agaricus bisporus. A prototype of the washing machine was constructed, and performance of removing foreign materials was tested. Research results are as follows: 1. Several transferring methods including PE roller rotation, brush roller rotation, PE screw rotation, vibration plate, and belt conveyor were evaluated. Roller, screw, and vibration methods caused damages on the surface of the products, but belt conveyor method caused the least damages. 2. For air jet, a stationary nozzle type and a rotational type were evaluated. The best air jet nozzle was the jet-type nozzle, and the rotational type was more effective than stationary type nozzle. 3. With the conveyer belt, box type moving method and the rotational air jet nozzle, the washing machine showed the best performance when higher than 5.4${\times}$105 Pa of air jet pressure and lower than 0.047 m/s of moving speed was used. Working performance of the system was 650 kg/h, and the damaging rate was 1.2 %.

Management of Traumatic C6-7 Spondyloptosis with Cord Compression

  • Choi, Man-Kyu;Jo, Dae-Jean;Kim, Min-Ki;Kim, Tae-Sung
    • Journal of Korean Neurosurgical Society
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    • v.55 no.5
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    • pp.289-292
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    • 2014
  • A case of total spondyloptosis of the cervical spine at C6-7 level with cord compression is described in a 51-year-old male. Because the bodies of C6 and 7 were tightly locked together, cervical traction failed. Then the patient was operated on by a posterior approach. Posterior stabilization and fusion were performed by C4-5 lateral mass and C7-T1 pedicle screw fixation and rod instrumentation with bridging both C4-5's rods to the C7-T1's extended ones. After C6 total laminectomy and foraminotomy, the C6 body was returned to its proper position. Secondly, anterior stabilization and fusion were performed by C6-7 discectomy with a screw-plate system. A postoperative lateral plain radiograph showed good realignment. In this case, we report the clinical presentation and discuss the surgical modalities of C6-7 total spondyloptosis and the failed close reduction.

Treatment of Tibial Condyle Fracture (경골과 골절의 치료)

  • Lee, Dong-Chul;Shon, Oog-Jin;Park, Sung-Hyuk
    • Journal of Yeungnam Medical Science
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    • v.20 no.2
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    • pp.177-186
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    • 2003
  • Background: Clinical and radiological results based on fracture types and associated injuries after the treatment of tibial plateau fracture were evaluated for analyzing prognostic factors. Materials and Methods: From June 1997 to June 2002, 50 cases were followed for at least 1 year. Mean age was 47.4 years, and mean follow period was 30.0 months. Fracture classification was performed by the Schatzker method. Clinical and radiological evaluation were performed by the Porter and Rasmussen method. Evaluation was based on degree of reduction and associated injuries, etc. Results: The most common cause of injury was traffic accident (37 cases, 74%), The common fracture types by Schatzker classification were type II (14 cases) and VI (12 cases). Methods of treatment were screw fixation (15 cases), plate and screw (21 cases), external fixator (5 cases), and conservative treatment (9 cases). The most common associated injuries were ipsilateral fibular fracture (18 cases) and MCL (medial collateral ligament) injury (8 cases). Conclusion: Acceptable results after treatment of tibial plateau fracture were obtained from the anatomical reduction group, non-associated injury group, the young age group, and the early ROM (range of motion) beginning group.

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The Molecular and Crystal Structure of tricyclazole, $C_9H_7N_3S$ (Tricyclazole, $C_9H_7N_3S$ 의 분자 및 결정구조)

  • Keun Il Park;Young Kie Kim;Sung Il Cho;Man Hyung Yoo
    • Korean Journal of Crystallography
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    • v.13 no.3_4
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    • pp.152-157
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    • 2002
  • The molecular and crystal structure of Tricyclazole, C/sub9/H/sub7/N₃S, has been determined by single crystal x-ray diffraction study. Crystallographic data for title compound: Pca2₁, a=14.889(1) Å, b=7.444(1) Å, c=15.189(2) Å, V=1683.3(3) ų, Z= 8. The molecular structure model was solved by direct methods and refined by full-matrix least-squares. The final reliable factor, R, is 0.047 for 1533 independent reflections (F/sub o//sup 2/)). The asymmetry unit contains two molecules which are in plate conformation, parallel to each other and related by a pseudo four-fold screw on the b-direction.

Seismic behavior of steel cabinets considering nonlinear connections and site-response effects

  • Tran, Thanh-Tuan;Nguyen, Phu-Cuong;So, Gihwan;Kim, Dookie
    • Steel and Composite Structures
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    • v.36 no.1
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    • pp.17-29
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    • 2020
  • This paper presents experimental and numerical studies on the seismic responses of the steel cabinet facility considering the nonlinear behavior of connections and site-response effects. Three finite element (FE) models with differences of type and number of connections between steel plates and frame members have been developed to demonstrate adequately dynamic responses of structures. The screw connections with the bilinear force-deformation relationship are proposed to represent the inelastic behavior of the cabinet. The experiment is carried out to provide a verification with improved FE models. It shows that the natural frequencies of the cabinet are sensitive to the plate and frame connectors. The screw connections reduce the free vibration compared to the weld one, with decreased values of 2.82% and 4.87% corresponding to front-to-back and side-to-side directions. Additionally, the seismic responses are investigated for various geological configurations. Input time histories are generated so that their response spectrums are compatible with a required response spectrum via the time-domain spectral matching. The results indicate that both site effects and nonlinear behavior of connections affect greatly on the seismic response of structures.