• Archives of Plastic Surgery
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• 제42권4호
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• pp.424-430
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• 2015

Background Reconstruction of combined orbital floor and medial wall fractures with a comminuted inferomedial strut (IMS) is challenging and requires careful practice. We present our surgical strategy and postoperative outcomes. Methods We divided 74 patients who underwent the reconstruction of the orbital floor and medial wall concomitantly into a comminuted IMS group (41 patients) and non-comminuted IMS group (33 patients). In the comminuted IMS group, we first reconstructed the floor stably and then the medial wall by using separate implant pieces. In the non-comminuted IMS group, we reconstructed the floor and the medial wall with a single large implant. Results In the follow-up of 6 to 65 months, most patients with diplopia improved in the first-week except one, who eventually improved at 1 year. All patients with an EOM limitation improved during the first month of follow-up. Enophthalmos (displacement, 2 mm) was observed in two patients. The orbit volume measured on the CT scans was statistically significantly restored in both groups. No complications related to the surgery were observed. Conclusions We recommend the reconstruction of orbit walls in the comminuted IMS group by using the following surgical strategy: usage of multiple pieces of rigid implants instead of one large implant, sequential repair first of the floor and then of the medial wall, and a focus on the reconstruction of key areas. Our strategy of step-by-step reconstruction has the benefits of easy repair, less surgical trauma, and minimal stress to the surgeon.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.458-464
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• 2011

Purpose: Metacarpal fractures are common hand injury that may require operative intervention to ensure adequate reduction and stabilization. Traditionally, titanium miniplate was used for rigid fixation of bone fractures. However, the use of permanent plate lends itself to multiple complications such as infection, exposure of the hardware, tendon adhesions, tendon rupture, prolonged pain, bony atrophy and osteoporosis (stress shielding), metal sensitization, and palpation under the skin. This study evaluated the usefulness and stability of biodegradable plates and screws for treatment of metacarpal bone fractures. Methods: There was 17 patients who had surgery for metacarpal bone fracture from April 2007 to June 2010. All patients had open reduction and internal fixation. We used absorbable plates and screws (Inion CPS$^{(R)}$) for internal fixation. Postoperative results were assessed with x-ray. Stability of plates and screws, healing process and its complications were observed by clinical and radiographic assessment. Results: All patients were successfully reduced of bone fracture, and fixations with absorbable plates and screws were stable. The mean follow up period was 7.1 months. 2 patients complained postoperative pain, but they were relieved with analgesics. All patients experienced transient stiffness, but they were relieved with active assistive range of motion after removal of splint. No patients suffered complications which could be occurred by using metallic plate. Conclusion: There was no critical complications such as re-fracture or nonunion among patients. No patients suffered side effects related with metallic implants. Biodegradable implants can offer clinically stable and attractive alternative to metallic implants to stabilize metacarpal bone fractures in the hand.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2003년도 춘계학술대회
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• pp.381-388
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• 2003

The material deficiencies in the form of pre-existing defects can initiated cracks and fractures. The stress distribution and fatigue crack initiation life of engineering materials may be associated with the size, the shape and the relative location of defects contained in the component. The objective of this study is to investigate the effect of arbitrarily located hole defect around the rivet hole of a wing section in monolithic aluminum and Al/GFRP laminates under cyclic bending moment during a service load. The stress distribution and the fatigue crack initiation behavior near a rivet hole of on the relationships between stress concentration factor ($K_t$) and relative position of defects were considered. The test results indicated the features of different stress field. Therefore, the stress concentration factor ($K_t$) and the fatigue crack initiation behavior was illustrated different behavior according to each position of hole defect around the rivet hole in monolithic aluminum and Al/GFRP laminates.

• International Journal of Oral Biology
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• 제49권2호
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• pp.27-33
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• 2024

Diabetes, a chronic hyperglycemic condition, is caused by insufficient insulin secretion or functional impairment. Long-term inadequate regulation of blood glucose levels or hyperglycemia can lead to various complications, such as retinopathy, nephropathy, and cardiovascular disease. Recent studies have explored the molecular mechanisms linking diabetes to bone loss and an increased susceptibility to fractures. This study reviews the characteristics and molecular mechanisms of diabetes-induced bone disease. Depending on the type of diabetes, changes in bone tissue vary. The molecular mechanisms responsible for bone loss in diabetes include the accumulation of advanced glycation end products (AGEs), upregulation of inflammatory cytokines, induction of oxidative stress, and deficiencies in insulin/IGF-1. In diabetes, alveolar bone loss results from complex interactions involving oral bacterial infections, host responses, and hyperglycemic stress in periodontal tissues. Therapeutic strategies for diabetes-induced bone loss may include blocking the AGEs signaling pathway, decreasing inflammatory cytokine activity, inhibiting reactive oxygen species generation and activity, and controlling glucose levels; however, further research is warranted.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2004년도 춘계학술발표회
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• pp.815-822
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• 2004

A knowledge of in situ stress state is important to design various engineering structures such as dams, tunnels and so on. There are about three wellknown indicators that is, borehole will breakouts, hydraulic fracturing, ellipsoidal cross section of borehole that have been attributed to the state of stress in the vicinity of borehole. Fortunately, Televiewer traveltime image can be used as a caliper log with 144 or 288 arms, which allows to determine the borehole shape. Televiewer amplitude image will give detailed information about the distribution and character of breakouts and hydraulic fracturing as well. For investigation purposes, a series of boreholes(total 195 boreholes: 12.239m) that have been logged all over the country during past 10 years are analyzed. The primary objective of this paper are to examnine the ability of a Televiewer to determine the shape of borehole, to present data inferred by stress indicators, to indicate their possible relationship with the anisotropic horizontal stresses. It is shown that in most cases the fracture orientation statistically estimated from observed fractures denotes an excellent correlation with the orientations inferred by stress indicators. Many intervals of breakouts are terminated at the intersection of oblique fracture with the borehole. The results from Televiewer data are further compared with those of hydraulic fracturing techniques.

• Biomaterials and Biomechanics in Bioengineering
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• 제5권1호
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• pp.37-50
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• 2020

Development of lightweight implant plates are important to reduce the stress shielding effect for a prosthesis of femur bone fractures. Stainless steel (SS-316L) is a widely used material for making implants. Stress shielding effect and other issues arise due to the difference in mechanical properties of stainless steel when compared with bone. To overcome these issues, composite materials seem to be a better alternative solution. The comparison is made between two biocompatible composite materials, namely Ti-hydroxyapatite and Ti-polypropylene. "Titanium (Ti)" is fiber material while "hydroxyapatite" and "polypropylene" are matrix materials. These two composites have Young's modulus closer to the bone than stainless steel. Besides the variety of bones, present paper constrained to femur bone analysis only. Being heaviest and longest, the femur is the most likely to fail among all bone failures in human. Modelling of the femur bone, screws, implant and assembly was carried out using CATIA and static analysis was carried out using ANSYS. The femur bone assembly was analyzed for forces during daily activities. Ti-hydroxyapatite and Ti-polypropylene composite implants induced more stress in composite implant plate, results less stress induced in bone leading to a reduction in shielding effect than stainless steel implant plate thus ensuring safety and quick healing for the patient.

• 지질공학
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• 제31권3호
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• pp.239-255
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• 2021

Kinematic analyses of magmatic intrusions and faults can provide useful information on stress conditions and chronological relationships between dike emplacement and brittle deformation events. We studied structures in rocks exposed on a coastal platform in Geoje Island off the southern Korean Peninsula because of its well-developed dikes and faults. The geology of the study area includes the Cretaceous Seongpo-ri Formation, which is composed mostly of shale, sandstone, and hornfels intruded by magmatic dikes. Most of the dikes are developed along pre-existing structural features (faults and fractures), indicating that their emplacements were structurally controlled. Because dikes commonly open along the direction of the minimum principal stress, the direction of this stress can be obtained from dike geometry and orientation through the matching of piercing points on either side of a dike. In addition, the deformed dikes can give information regarding later deformation. On the basis of the kinematic analyses, we identified five deformation events in the study area, which are kinematically related to changes of the regional maximum principal stress. Results indicate that the structures in the study area have been controlled predominantly by episodes of reactivation of the NNE-trending Yangsan strike-slip fault, located to the northeast of the study area, under different stress regimes. In a wider tectonic context, the brittle deformation of the rocks of Geoje Island was probably induced by interactions among the Philippine Sea, Pacific, and Eurasian plates, including changes in subduction parameters with respect to the latter two plates over time.

• Journal of Welding and Joining
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• 제14권5호
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• pp.95-105
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• 1996

Korea Gas Corporation has operated high pressure gas transmission line of about 600 kilometers and, therefore, a series of repair welding processes are required in order to cope with external defects such as dent, gouge, cracking usually due to mechanical attacks. Most of gas pipelines repair processes are performed after completely venting remaining gas. However, in some case, though it is very unusual, repairs require without venting gas. For instance, this case is that damaged pipeline is remedied with split sleeve by welding. In this paper, in an effort to confirm a safe application of the split sleeve welding, residual stress, strain and temperature distributions are evaluated by computer simulation and experiments. The results obtained are as follows : 1) Computer modelling is supposed to be reasonable because microstructure changes due to welding is simulated coincidently as compare to that of real condition. 2) The maximal temperature on inside surface of pipeline is 50$0^{\circ}C$ for the repair welding process. 3) The amount of residual stress is estimated as the stress corresponding to 0.8% strain. 4) The repair process employed is determined to be technically preferable because of its avoiding cracks and fractures in the course of welding.

• 한국임상수의학회지
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• 제35권3호
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• pp.83-87
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• 2018

The aim of this study was to evaluate the biomechanical behavior of xenogenic bone plate system (equine bone) using a three-dimensional finite element ulna fracture model. The model was used to calculate the Von Mises stress (VMS) and stress distribution in fracture healing periods with metallic bone plate and xenogenic bone plate systems, which are installed while the canine patient is standing. Bone healing rate (BHR) (0%) and maximum VMS of the xenogenic plate was similar to the yield strength of equine bone (125 MPa). VMS at the ulna and fracture zones were higher with the xenogenic bone plate than with the metallic bone plate at BHRs of 0% and 1%. Stress distributions in fracture zone were higher with the xenogenic bone plate than the metallic bone plate. This study results indicate that the xenogenic bone plate may be considered more beneficial for callus formation and bone healing than the metallic bon plate. Xeonogenic bone plate and screw applied in clinical treatment of canines may provide reduced stress shielding of fractures during healing.

• 대한족부족관절학회지
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• 제20권4호
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• pp.170-175
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• 2016

Purpose: The aim of this study is to evaluate the effectiveness of surgical treatment in adolescent patients suffering from navicular stress fracture. Materials and Methods: A total of 11 adolescent patients aged 14 to 19, who underwent an operation for navicular stress fracture between 2005 and 2008 were recruited. Clinical outcomes were evaluated by the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score and visual analogue scale (VAS) score. Results: The mean VAS score before the operation was 7.7. A score of 2.9 was confirmed at final follow up after the operation. The mean final follow-up period was 22.1 months. There was a statistically significant improvement in the VAS score between before and after the operation (p=0.01), and similarly, the AOFAS score also showed an improvement, from 46.5 to 80.7 (p=0.01). The pain that remained after the operation, according to the VAS score, was severe in three patients (27.3%), tolerable in seven patients (63.6%), and free of pain in one patient (9.1%). Conclusion: In navicular stress fracture in adolescents, careful selection of patients who could benefit from surgical treatment is recommended.