• 대한족부족관절학회지
• /
• 제13권2호
• /
• pp.118-123
• /
• 2009

Purpose: We wanted to evaluate the relating factors for deformities of the foot after tibial fracture and the outcome of respective surgical treatment. Materials and Methods: We studied thirty-two patients (thirty-five feet) who had foot deformities after tibia fracture. The age, gender, shape, location, concurrent soft tissue injury and operative treatment of tibial fracture were analysed and outcome of the surgical treatment was investigated. Results: Deformities of the foot mostly occurred in open fractures of Gustilo type 3 or closed fracture with severe soft tissue injury. Variable surgical treatments such as simple release, lengthening, Z-plasty and osteotomy were performed. The AOFAS ankle-hind foot scale was improved from average of 37.3 points preoperatively to an average of 77.2 points at the last follow up. The Maryland foot score was from 42.9 to 90.2 and AOFAS Lesser Toe Metatarso-phalangeal interphalangeal scale was from 42.9 to 90.5. Radiological correction was also improved from 21.9 degrees to 7.9 degrees (Meary angle), from 112.2 to 138.5 (Hibb's angle) and from 33.8 to 25.9 (Calcaneal pitch). Conclusion: We proposed that great care should be taken of treatment for the tibial fracture and early detection and proper management of the foot deformities are crucial.

• Steel and Composite Structures
• /
• 제21권5호
• /
• pp.1017-1029
• /
• 2016

When a welded circular hollow section (CHS) tubular joint is subjected to brace axial loading, failure position is located usually at the weld toe on the chord surface due to the weak flexural stiffness of the thin-walled chord. The failure mode is local yielding or buckling in most cases for a tubular joint subjected to axial load at the brace end. Especially when a cyclic axial load is applied, fracture failure at the weld toe may occur because both high stress concentration and welding residual stress along the brace/chord intersection cause the material in this region to become brittle. To improve the ductility as well as to increase the static strength, a tubular joint can be reinforced by increasing the chord thickness locally near the brace/chord intersection. Both experimental investigation and finite element analysis have been carried out to study the hysteretic behaviour of the reinforced tubular joint. In the experimental study, the hysteretic performance of two full-scale circular tubular T-joints subjected to cyclic load in the axial direction of the brace was investigated. The two specimens include a reinforced specimen by increasing the wall thickness of the chord locally at the brace/chord intersection and a corresponding un-reinforced specimen. The hysteretic loops are obtained from the measured load-displacement curves. Based on the hysteretic curves, it is found that the reinforced specimen is more ductile than the un-reinforced one because no fracture failure is observed after experiencing similar loading cycles. The area enclosed by the hysteretic curves of the reinforced specimen is much bigger, which shows that more energy can be dissipated by the reinforced specimen to indicate the advantage of the reinforcing method in resisting seismic action. Additionally, finite element analysis is carried out to study the effect of the thickness and the length of the reinforced chord segment on the hysteretic behaviour of CHS tubular T-joints. The optimized reinforcing method is recommended for design purposes.

• Archives of Reconstructive Microsurgery
• /
• 제3권1호
• /
• pp.81-89
• /
• 1994

Firstly the wrap-around free flap from the great toe was transferred successfully by Morrison and O'Brien in 1980 for reconstruction in chronic case of amputated thumb distal to the MP joint. Since then, significant bone peg resorption and grafted bone fracture have been reported in most of cases after operation. We have performed thumb reconstructions within 2 weeks after injury in 11 cases which included acute crushing injuries or failed replantation of thumb at Guro Hospital from September, 1983 to October, 1993. The results obtained from this study are as follows: 1. There were 8 males and 3 females and the mean age was 28.8 years old ranged from 3 years old to 50 years old. 2. The most common injury mechanism was machinary injury in 10 of 11 cases. 3. We have performed thumb reconstructions by using wrap-around free flap from the great toe without bone graft in 6 cases and with bone graft in 5 cases within 2 weeks after injury. 4. During 6 years and 1 month mean follow-up period, there were bone resorptions in 3, grafted bone fracture in 1, infections in 2 and soft tissue necrosis in 3 cases. 5. We obtained satisfactable results in respect of function and cosmesis and urged to use this flap for reconstruction in acute thumb injury.

• Structural Engineering and Mechanics
• /
• 제52권5호
• /
• pp.889-901
• /
• 2014

Very long life fatigue tests were carried out on 16Mn steel base metal and its welded joint by using the ultrasonic fatigue testing technique. Specimen shapes (round and plate) were considered for both the base metal and welded joint. The results show that the specimens present different S-N curve characteristics in the region of $10^5-10^9$ cycles. The round specimens showed continuously decreasing tendency while plate specimens showed a steep decreasing step and an asymptotic horizontal one. The fatigue strength of round specimen was found higher than plate specimen. The fatigue strength of as-welded joint was 45.0% of the base material for butt joint and 40% for cruciform as-welded joint. It was found that fracture can still occur in butt joint beyond $5{\times}10^6$ cycles. The cruciform joint has a fatigue limit in the very long life fatigue regime ($10^7-10^9$ cycles). Fatigue strength of butt as-welded joint was much higher as compared to cruciform as-welded joint. Improvement in fatigue strength of welded joint was found due to UPT. The observation of fracture surface showed crack mainly initiated from welded toe at fusion areas or geometric discontinuity sites at the surface in butt joint and from welded toe in cruciform joint.

• 한국임상수의학회지
• /
• 제39권6호
• /
• pp.378-383
• /
• 2022

A 3-year-old, 24-kg intact female Border Collie was referred for a toe-touch weight-bearing stance, intermittent weight-bearing lameness, and moderate pain reaction of the right forelimb on physical examination and right humerus olecranon avulsion fracture on diagnostic imaging examination. Surgical repair was performed using tension band wiring to re-attach the triceps tendon and distal olecranon. Migration of the distal olecranon fragment was observed due to comminuted fracture of the fragment 5-days after surgery, and revision surgery was performed. The tension-relieving sutures were passed through the pre-drilled hole in the olecranon, and the polyester mesh was augmented to the suture region, covering the triceps tendon and olecranon drilling hole using the Krackow suture pattern. The elbow joint was immobilized using a type IA transarticular external fixator, which was removed 8 weeks after surgery. Fourteen weeks after surgery, no lameness was observed on gait evaluation. At follow-up after 7 months, the distal olecranon fragment had stabilized, and no lameness was observed.

• International Journal of Naval Architecture and Ocean Engineering
• /
• 제8권6호
• /
• pp.577-588
• /
• 2016

Due to the uncertainties related to the flaw assessment parameters, such as flaw size, fracture toughness, loading spectrum and so on, the probability concept is preferred over deterministic one in flaw assessment. In this study, efforts have been made to develop the reliability based flaw assessment procedure which combines the flaw assessment procedure of BS7910 and first-and second-order reliability methods (FORM/SORM). Both crack length and depth of semi-elliptical surface crack at weld toe were handled as random variable whose probability distribution was defined as Gaussian with certain means and standard deviations. Then the limit state functions from static rupture and fatigue perspective were estimated using FORM and SORM in joint probability space of crack depth and length. The validity of predicted limit state functions were checked by comparing it with those obtained by Monte Carlo simulation. It was confirmed that the developed methodology worked perfectly in predicting the limit state functions without time-consuming Monte Carlo simulation.

• 대한정형외과스포츠의학회지
• /
• 제6권2호
• /
• pp.99-104
• /
• 2007

목적: 성장기 태권도 선수들의 경기 손상을 분석하고 그 예 방법을 알아보고자 하였다. 대상 및 방법: 2005년 5월과 2006년 5월의 광주광역시에서 열린 전국 중 고교 태권도 대회에서 발생한 경기 손상 162예를 분석하였다. 결과: 경기 손상 162예에서 족부와 수부 손상이 많았고 골절 및 개방성 탈구, 개방성 골단판 골절 등의 심한 손상도 35예 있었다. 태권도 선수의 빠른 속도와 파괴력은 족부 무지가 접질릴 때 개방성 탈구를 가져 올 수 있고 가격 족부와 피격 상지에 골절을 가져 올 수 있다. 결론: 부상 선수들의 적절한 치료와 함께 훈련 손상 및 경기 손상이 누적되지 않도록 충분한 휴식이 요구되며, 경기 손상의 예방을 위해 경기장 매트, 발등 보호대 손 장갑의 보완과 팔꿈치 보호대의 착용 등이 필요할 것으로 사료된다.

• 한국해양공학회지
• /
• 제2권1호
• /
• pp.116-124
• /
• 1988

해양구조물의 원통조인트에 대한 피로 수명 산출이 전통적으로 실험적 방법에만 의존해 왔음은,원통조인트의 구조가 복잡하여 용접부위 균열의 응력확대 계수 계산이 거의 불가능 했든 것이 주 원인이었다. 최근에 유한요소 3차원 모델을 이용한 계산방법이 개발되어 심히 구조적으로 복잡한 표면 균열의 응력확대계수 산출이 용이하게 되었다. 해양 구조물의 원통조인트에 대한 피로 수명 산출법을 개발하기 위한 연속되는 3부작의 제1부로서 본 논문은 X형 원통 조인트 용접주위 표면 균열의 응력확대 계수 거동을 분석하고 있다. 분석결과를 이용하여 응력확대계수를 엄격한 방법에 의해 계산하였다. 계산된 응력확대계수를 구조적인 관점에서 해석하고 있다.

• 한국안전학회지
• /
• 제11권4호
• /
• pp.10-15
• /
• 1996

In studying the fatigue strength of fillet welded the section of pressure vessel pad, this study was to evaluate the effect of weld toe notch and to compare the results of numerical analysis with the results of fatigue experiments of fillet welded A5l6 grade 60 steel specimens. The fatigue life for the Bead welded specimen was about 1.4 times as much it as the 1Pad welded specimen. Also, The fatigue life for the 2Pad welded specimen was about 1.5 times as much it as the 1Pad welded specimen. In $da/dN-{\Delta}K$ curve, the fatigue crack growth rate for the 1Pad welded specimen appeared higher than that of the 2Pad welded specimen in the same initial region of ${\Delta}K$, had a similar Inclination In the stabled region.

• Archives of Reconstructive Microsurgery
• /
• 제2권1호
• /
• pp.46-52
• /
• 1993

Soft-tissue deficits over the plantar forefoot, plantar heel, Achilles tendon, and distal parts of lower leg are often troublesome to cover with a simple graft or local flap due to limited mobility of surrounding skin and poor circulation in these area. Soft-tissue reconstruction in these regions should provide tissue components similar to the original lost tissue, supply durability and minimal protective pressure sensation and result in a donor site that is well tolerated and treated. We analysed 7 cases that were treated with the Instep flap due to soft-tissue defects over these regions from July of 1990 to July of 1993. All flaps were viable and successful at follow-up. 1. The age ranged from 9 years to 60 years, and 6 cases were male and 1 case female. 2. The sites of soft-tissue loss were the plantar forefoot(1 case), plantar heel(3 cases), Achilles tendon(2 cases), and distal parts of lower leg(1 case). 3. The causes of soft-tissue loss were simple soft-tissue crushing injury(1 case), crushing injury of the 1st toe(1 case) and posttraumatic infection and necrosis(5 cases). 4. The associated injury were open distal tibio-fibula, fracture(2 cases), medial malleolar fracture of the ankle(1 case), Achilles tendon rupture(2 case) and 1st metatarso-phalangeal disarticulation(1 case). 5. The size of flap was from $3{\times}4cm$ to $5{\times}10cm$(average $4{\times}5.6cm)$. 6. In 7 cases, we were not to find post-operative necrosis and infection, non-viability, limitation of ankle joint, and gait disturbance caused by the Instep flap surgery. 7. This study demonstrates that the Instep flap should be considered as another valuable technique in reconstruction of these regions.