• Clinics in Shoulder and Elbow
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• v.9 no.2
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• pp.222-226
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• 2006

Full-thickness rotator cuff tears are relatively uncommon in the young adults. One of the pathogenesis of such tear is thought to be closely related to the specific trauma event. Favorable outcome is expected in young patient rotator cuff tears when it is diagnosed early following prompt surgical repair. However, early detection is sometimes difficult when the acute rotator cuff tear is combined with other injuries especially around the shoulder joints such as ipsilateral humerus fractures. Authors report an uncommon case of acute traumatic rotator cuff tear accompanied by the midhumerus shaft fracture in young adult.

• 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.

• Proceedings of the Korean Society for Technology of Plasticity Conference
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• 2005.10a
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• pp.198-201
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• 2005

Monobloc technology Provides a homogeneous material along the complete tubular shaft without any discontinuity between the interconnecting tube and the stems as is found when the tubes and stems have been Joined by welding. Cold tube drawing is a technique that can be applied for manufacturing of those monobloc tubular shafts with several advantages such as high productivity and cost reduction. The present study is concerned with the investigation about the process parameters related with tool configuration. In order to obtain successfully formed SIS(Steering Input Shaft) without any defects, advanced design of mandrel is presented and analyzed by the FEM and ductile fracture criterion in this paper.

• Clinics in Shoulder and Elbow
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• v.16 no.1
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• pp.27-32
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• 2013

Purpose: The purpose of this study is to evaluate the clinical and radiological outcomes of treatment of humerus shaft simple fracture by minimally invasive percutaneous osteosynthesis (MIPO) technique using locking compression plate (LCP). Materials and Methods: Six patients who were operated for humerus shaft simple fracture from August 2010 to May 2011 were enrolled for this study. We checked the cause of injury and the accompanying injuries and evaluated the operation time, the clinical and radiological period of union, postoperative range of motion of the shoulder and elbow joint, pain, activities in daily living, radiologic alignment, and other complications. Results: The clinical period of bone union was 7.2 weeks on average, and the radiologic period of bone union was 8 weeks on average. Follow-up period was more than 12 months in all cases. The angulation through postoperative alignment was 2.8 degrees in AP view and 2 degrees in lateral view. The postoperative range of motion was 167 degrees in forward flexion, 50 degrees in external rotation, and thoracic vertebra 12 level in internal rotation. The average value of visual analogue scale (VAS) was 1.2 and that of KSS was 91.3. The American Shoulder and Elbow Surgeons' score (ASES) was 26.5 and the UCLA score was 31.5. Conclusion: MIPO technique for the humerus shaft simple fracture showed good functional and radiological outcomes and may be considered as one of the treatment options for humerus shaft simple fracture.

• Journal of Biomedical Engineering Research
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• v.31 no.3
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• pp.199-209
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• 2010

The locking compression plates-distal femur(LCP-DF) are being widely used for surgical management of the extra-articular complex fractures of the distal femur. They feature locking mechanism between the screws and the screw holes of the plate to provide stronger fixation force with less number of screws than conventional compression bone plate. However, their biomechanical efficacies are not fully understood, especially regarding the number of the screws inserted and their optimal configurations. In this study, we investigated effects of various screw configurations in the shaft and the condylar regions of the femur in relation to structural stability of LCP-DF system. For this purpose, a baseline 3-D finite element (FE) model of the femur was constructed from CT-scan images of a normal healthy male and was validated. The extra-articular complex fracture of the distal femur was made with a 4-cm defect. Surgical reduction with LCP-DF and bone screws were added laterally. To simulate various cases of post-op screw configurations, screws were inserted in the shaft (3~5 screws) and the condylar (4~6 screws) regions. Particular attention was paid at the shaft region where screws were inserted either in clustered or evenly-spaced fashion. Tied-contact conditions were assigned at the bone screws-plate whereas general contact condition was assumed at the interfaces between LCP-DF and bone screws. Axial compressive load of 1,610N(2.3 BW) was applied on the femoral head to reflect joint reaction force. An average of 5% increase in stiffness was found with increase in screw numbers (from 4 to 6) in the condylar region, as compared to negligible increase (less than 1%) at the shaft regardless of the number of screws inserted or its distribution, whether clustered or evenly-spaced. At the condylar region, screw insertion at the holes near the fracture interface and posterior locations contributed greater increase in stiffness (9~13%) than any other locations. Our results suggested that the screw insertion at the condylar region can be more effective than at the shaft during surgical treatment of fracture of the distal femur with LCP-DF. In addition, screw insertion at the holes close to the fracture interface should be accompanied to ensure better fracture healing.

• Clinics in Shoulder and Elbow
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• v.16 no.2
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• pp.107-114
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• 2013

Purpose: This study is designed to evaluate the clinical and radiographical results for the displacement of fracture fragments after interlocking intramedullary nailing in humeral shaft fractures. Materials and Methods: We retrospectively reviewed the results of 8 cases of humeral shaft fractures that have displacements of over 10 mm and under 20 mm after interlocking intramedullary nailing between July 2004 and August 2011. The mean age was 54.1 years (range, 43 to 70 years) and there were 3 male and 5 female patients. Radiographically, the time to bony union, change of displacement and angulation of the fracture site, and degree of improvement of these two factors were measured. Clinically, the range of motion of shoulder and elbow joints, postoperative pain and complications were evaluated. Results: All cases showed complete bony union in last follow-up. The mean time to bony union was 16.1 weeks. At the last follow-up, almost all cases had normal range of motion of shoulder and elbow joints. But, one case had stiffness of shoulder joint. Therefore, arthroscopic capsular release and manipulation was performed. One case had transient shoulder pain and the other case had transient elbow pain. In the two cases, pull-out of proximal interlocking screw were noted, but they finally had bony union. Conclusion: Although considerable displacement of fracture fragments after interlocking intramedullary nailing in humeral shaft fractures was present, we had excellent radiographical and clinical outcomes. Therefore, an additional procedure, such as open reduction or another fixation for the fracture site, was not necessary.

• Transactions of the Korean Society of Automotive Engineers
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• v.16 no.2
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• pp.74-79
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• 2008

The fracture strength of cross groove type constant velocity joint is largely determined by the fracture strength of the cage having window-like pockets for retaining the torque transmitting balls. A stress distribution acting on the cage is influenced by rigidities of the rim portion and of the column members, therefore requires a calculation such as FEA. To analyze fracture strength of cage, a 3-D elasto-plastic finite element analysis and a submodeling technique are used to achieve both computational efficiency and accuracy. The results are in reasonably good agreement with experiment.

• Advances in materials Research
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• v.5 no.4
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• pp.299-318
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• 2016

Analytical investigations were performed of a longitudinal crack representing a cylindrical surface in circular shafts loaded in torsion with taking into account the non-linear material behavior. Both functionally graded and multilayered shafts were analyzed. It was assumed that the material is functionally graded in radial direction. The mechanical behavior of shafts was modeled by using non-linear constitutive relations between the shear stresses and shear strains. The fracture was studied in terms of the strain energy release rate. Within the framework of small strain approach, the strain energy release rate was derived in a function of the torsion moments in the cross-sections ahead and behind the crack front. The analytical approach developed was applied to study the fracture in a clamped circular shaft. In order to verify the solution derived, the strain energy release rate was determined also by considering the shaft complimentary strain energy. The effects were evaluated of material properties, crack location and material non-linearity on the fracture behavior. The results obtained can be applied for optimization of the shafts structure with respect to the fracture performance. It was shown that the approach developed in the present paper is very useful for studying the longitudinal fracture in circular shafts in torsion with considering the material non-linearity.

• Journal of the Korean Society of Safety
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• v.23 no.1
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• pp.12-17
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• 2008

The earn shaft is very important for the safety of automobiles. The earn shaft needs a surface hardening process by high frequency induction to have both strength and toughness. It is required for safety of automobile to consider how the characteristics of tensile strength and toughness are changed according to the condition of surface hardness. In this study, we prepared surface hardened SM53C which is used as cam shaft materials. We examined the tensile strengths according to the depth of surface hardening and the effect of tempering. We also investigated the fracture toughnesses according to the depth of surface hardening(1mm, 2mm).

• Journal of the Korean Society for Precision Engineering
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• v.33 no.7
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• pp.559-564
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• 2016

The objectives of this paper are to develop a finite element analysis model to analyze press-fitted and bending load conditions in a press-fitted assembly, and propose a hub shape optimization method to minimize contact pressure near the shaft contact edge. Numerical asymmetric-axisymmetric finite element models have been developed to predict contact stress on press-fitted shafts. The global optimization method, genetic algorithm, local optimization method, and sequential quadratic programming were applied to a press-fitted assembly to optimize the hub contact edge geometry. The results showed that the maximum contact pressure with the optimized hub shape decreased more than 60 % compared to conventional hubs and the maximum contact stress affecting fatigue life was reduced about 47 %. Hub shape optimization can be useful to increase the load capability of press fits in terms of wear and fatigue behavior.