• Title/Summary/Keyword: comminution

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CT Classification and Treatment of Intraarticular Calcaneal Fractures - Conservative vs. Surgical Treatment by Prospective Study - (관절내 종골 골절의 전산화 단층 촬영에 따른 분류 및 치료)

  • Kang, Jae-Do;Kim, Hyung-Chun;Kim, Jin-Hyung
    • Journal of Korean Foot and Ankle Society
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    • v.5 no.1
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    • pp.35-42
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    • 2001
  • Purpose: To analyze the results of conservative or surgical treatment after computed tomograhy(CT) classification in intraarticular calcaneal fractures. Materials and methods: From January 1996 to May 1999, we prospectively analyze 23 cases of intraarticular calcaneal fractures who were treated conservatively or operated by open reduction and internal fixation by extensive L-shaped lateral approach after CT classification. Results: A functional scoring system of 0-100 points which was based upon the responses to AOFAS Ankle-Hindfoot Scale for the operative group was at 82.8, compared with 73.2 for the non-operative group, and these were meaningful statistically(P<0.05). Of type I fracture, in the operative group there were 2 excellent results and in the non-operative group there were 2 excellent results, 1 good result. or type II fractures, in the operative group there were 2 excellent results, 3 good results, 1 fair result and in the non-operative group there were 1 good result, 1 fair result, 2 poor results. Of type III fractures, in the operative group there were 2 fair results, 2 poor results and in the non-operative group there were 1 fair result, 3 poor results. Bohler angles of subtalar joint were changed from initial average $13.3^{\circ}$ to postoperative average $20.9^{\circ}$ for the operative group compared with from initial average $15.5^{\circ}$ to follow-up average $14.8^{\circ}$ of the non-operative group(P<0.01). Conclusions: Computed tomography in the evaluation of intraarticular calcaneal fractures is effective tool. We believed that open reduction and internal fixation in all Crosby & Fitzgibbons type II and according to degrees of comminution reducible type III for the intraarticular calcaneal fractures is more effective method than conservative treatment.

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Strut Support with Tricortical Iliac Allografts in Unstable Proximal Humerus Fractures: Surgical Indication and New Definition of Poor Medial Column Support

  • Lee, Seung-Jin;Hyun, Yoon-Suk;Baek, Seung-Ha
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.29-36
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    • 2019
  • Background: The execution of fibular allograft augmentation in unstable proximal humerus fractures (PHFs) was technically demanding. In this study, the authors evaluated the clinical and radiographic outcomes after tricortical iliac allograft (TIA) augmentation in PHFs. Methods: We retrospectively assessed 38 PHF patients treated with locking-plate fixation and TIA augmentation. Insertion of a TIA was indicated when an unstable PHF showed a large cavitary defect and poor medial column support after open reduction, regardless of the presence of medial cortical comminution in preoperative images. Radiographic imaging parameters (humeral head height, HHH; humeral neck-shaft angle, HNSA; head mediolateral offset, HMLO; and status of the union), Constant score, and range of motion were evaluated. Patients were grouped according to whether the medial column support after open reduction was poor or not (groups A and B, respectively); clinical outcomes were compared for all parameters. Results: All fractures healed radiologically (average duration to complete union, 5.8 months). At final evaluation, the average Constant score was 73 points and the mean active forward flexion was $148^{\circ}$. Based on the Paavolainen assessment method, 33 patients had good results and 5 patients showed fair results. The mean loss of reduction was 1.32 mm in HHH and 5.02% in HMLO. None of the parameters evaluated showed a statistically significant difference between the two groups (poor and not poor medial column support). Conclusions: In unstable PHFs, TIA augmentation can provide good clinical and radiological results when there are poor medial column support and a large cavitary defect after open reduction.

Trajectory Simulation of ASR Particles in Induction Electrostatic Separation (유도형 정전선별에서 ASR 입자의 궤적모사)

  • Kim, Beom-uk;Park, Chul-hyun
    • Resources Recycling
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    • v.28 no.6
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    • pp.96-105
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    • 2019
  • Automobile shredder residue (ASR) is the final waste produced when end-of-life vehicles (ELVs) are shredded. ASR can be separated using mineral-processing operations such as comminution, air classification, magnetic separation, and/or electrostatic separation. In this work, trajectory analyses of conductors (copper) and non-conductors (glass) in the ASR have been carried out using induction electrostatic separator for predicting or improving the ASR-separation efficiency. From results of trajectory analysis for conductors, the trajectories of copper wire by observation versus simulation for coarse particles of 0.5 and 0.25 mm showed consistent congruity. The observed 0.06 mm fine-particles trajectory was deflected toward the (-) attractive electrode owing to the charge-density effects due to the particle characteristics and relative humidity. In the case of non-conductors, the actual trajectory of dielectric glass deflected toward the (-) electrode, showing characteristics similar to those of conductive particles. The analyses of stereoscopic microscope and SEM & EDS found heterologous materials (fine ferrous particles and conductive organics) on the glass surface. This demonstrates the glass decreasing separation efficiency for non-ferrous metals during electrostatic separation for the recycling of ASR. Future work will require a pretreatment process for eliminating impurities from the glass and advanced trajectory-simulation processes.

Hemiarthroplasty for the Comminuted Fracture of the Proximal Humerus (상완골 근위부 분쇄 골절에서의 상완골 두 치환술)

  • Seo Joong-Bae;Won Choong-Hee;Kim Yong-Min;Choi Eui-Seong;Lee Ho-Seung;Hong Yoon-Chul
    • Clinics in Shoulder and Elbow
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    • v.3 no.2
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    • pp.61-67
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    • 2000
  • Purpose: Most proximal humeral fractures are minimally displaced and can be treated satisfactorily with a conservative method. But in many comminuted fractures, hemiarthroplasty is usually done as a primary treatment. The authors evaluated how much functional improvement was achieved after hemiarthroplasty and which factors influence on the final functional results. Materials and Methods: Eleven hemiarthroplasties were performed for three- and four-part fractures(including fracture-dislocation) between April 1992 and June 1999. There were eight women and three men, and the mean age was 65 years. According to Neer classification, six was three-part fracture and five was four-part fracture. Six patients were injured on their right shoulder and five on the left shoulder. Among the five four-part fractures, three had axillary nerve injury and among the six three-part fractures, only one patient had axillary nerve injury. The average follow-up period was 2.4 years(1 year-7 years) after operation. The functional results were evaluated with the UCLA scoring system(Modification for hemiarthroplasty). In addition to the overall results, we compared the results according to the classification of the fracture, the cause of injury, and whether the axillary nerve was injured. Results: At the last follow-up, average total UCLA score was 18.2. The mean score for pain was 7.0, mean muscle power and motion score was 5.5 and 5.7 respectively. The pain relief was more satisfactory than any other functional results. The average score for three-part fractures was 22, and the average for four-part fractures was 13.6. The average score for the patients fractured by vehicle accidents was 15.3, and 19.3 for the patients fractured by slip-down injury. In patients without axillary nerve injury, the average score was 20, and with axillary nerve injury, the score was 15. Conclusion: Shoulder hemiarthroplasty, for the treatment of proximal humeral fractures, cannot restore the shoulder function to normal, but can achieve the functional result to some degree, especially for the activity of daily living. And as for pain, we think that it is relatively effective measure. And we think that the severer the comminution, the more the chance of axillary nerve injury, and the poorer the functional results. In conclusion, the severity of initial injury seems to be the major prognostic factor.

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The Properties of Aluminium Alloy Powder for Aluminothermy Process with $Mn_3O_4$ Waste Dust ($Mn_3O_4$ 분진의 Al 테르밋 반응용 Al 합금분말의 특성)

  • Kim, Youn-Che;Song, Youn-Jun;Park, Young-Koo
    • Journal of the Korean Applied Science and Technology
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    • v.30 no.1
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    • pp.71-77
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    • 2013
  • Aluminium powder as reductant in aluminothermy process needs a fine particle size under 200 mesh, but it is not easy economically to make that because of its high ductility and powder production cost. In order to reduce the production cost of fine aluminum powder as reductant of $Mn_3O_4$ waste dust, therefore, the properties of aluminium alloy powder were investigated. Aluminium alloy ingot containing large amount of manganese can be crushed easily because of its intermetallic compounds having brittle properties. The manganese is also main element in ferro-manganese. We can obtain economically Al-15%Mn alloy powder by mechanical comminution process. And the result of thermite reaction using Al-15% Mn alloy powder instead of pure Al powder showed the fact that can be obtained the ferro-manganese which have a high purity in case of using pure aluminium powder as reductant. The recovery of manganese from $Mn_3O_4$ waste dust with Al-15%Mn alloy powder was higher level of about 70% than about 65% in case of using aluminium powder, that is due to lower spatter loss.

Effect of Attrition Scrubbing on the Recovery of Platinum Group Metals from Spent Automobile Catalytic Converters (자동차(自動車) 폐촉매(廢觸媒)로부터 백금족(白金族) 회수(回收)를 위한 어트리션 스크러빙의 효과(效果))

  • Kim, Wan-Tae;Kim, Hyung-Seok;Cho, Sung-Baek;Lee, Jae-Chun;Kim, Sang-Bae
    • Resources Recycling
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    • v.17 no.5
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    • pp.28-36
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    • 2008
  • The effect of attrition scrubbing on the recovery of platinum group metals (PGMs) from automobile catalytic converters has been investigated. Catalytic converters were first crushed into particles less than 2 mm and attrition scrubbed in the range of 60 min, and then they were sieved with several screens. The catalyst layer, $\gamma$-alumina, was dislodged from the surface of the supporting matrix into fine particles less than $45{\mu}m$ by attrition scrubbing. The fraction of fine particles less than $45{\mu}m$ increased as the residence time for attrition scrubbing increased. The composition of the fine fraction obtained at a residence time of 40 min was $CeO_2$ 19.3%, $ZrO_2$ 1.9% and PGMs 419 ppm. In the fine fraction, the recovery of y-alumina increased proportionally to the residence time. Simultaneously, the recovery rates of $CeO_2$, $ZrO_2$ and PGMs increased to 82.9%, 78.7% and 78.9%, respectively. The production of the fine fraction less than $45{\mu}m$ and the recovery of $\gamma$-alumina increased when the solid concentration and initial feed size increased. Therefore, the attrition scrubbing as the comminution and separation process was concerned to be effective for the recovery of catalyst layer from ceramic supporting matrix by physical impact and shearing action between particles in the scrubbing vessel.

Comparative Numerical Analysis of Elastic Modulus according to Distribution and Content of Breccia in Fault Core (수치해석을 이용한 단층핵 내 각력의 배열 형태 및 함량에 따른 탄성계수의 비교·분석)

  • Yun, Hyun-Seok;Song, Gyu-Jin;Moon, Seong-Woo;Kim, Chang-Yong;Seo, Yong-Seok
    • The Journal of Engineering Geology
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    • v.25 no.3
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    • pp.387-393
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    • 2015
  • Fault breccia, produced by fracturing and comminution of host rock during fault activity, is a common component within fault cores. Fault breccia may display a preferred orientationin accordance with the sense of motion on the fault. Here we use a numerical analysis technique to study the effects of the distribution and content of breccia in fault core on the elastic moduli. The analytical models are grouped into those in which breccias display a preferred orientation within fault core and those in which breccias are randomly oriented. The breccia compositions considered here are granite and shale, and the breccia contents are 10 wt%, 20 wt%, and 30 wt%. Our results show that for all the cases considered, differences in the deformation moduli fall within the range 0.1%~1.1% and differences in the elastic moduli fall within the range 0.02~0.4 MPa. Thus, the distribution and content of fault breccia have almost no effect on the elastic moduli.

Preparation of Amino Acid Copolymers/water-insoluble Drug Nanoparticles: Polymer Properties and Processing Variables (아미노산 공중합체/난용성 약물 나노입자의 제조: 고분자 특성 및 가공변수)

  • Yoo Ji Youn;Lee Soo-Jeong;Ahn Cheol-Hee;Choi Ji-Yeun;Lee Jonghwi
    • Polymer(Korea)
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    • v.29 no.5
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    • pp.440-444
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    • 2005
  • An increase in the surface area of drugs by reducing particle sizes from microns to nanometers has been known as an efficient method to improve the bioavailability of water-insoluble drugs. To prevent drug nanoparticles from aggregation during the processes of drug formulation, a limited number of pharmaceutical inactive ingredients such as hydroxypropyl cellulose has been employed as stabilizers or dispersants. In this study, copolymers of hydrophilic and hydrophobic amino acids were synthesized by the ring opening polymerization of their N-carboxyanhydride monomers and evaluated as novel candidates to stabilize the nanoparticles of a water insoluble drug, naproxen. Naproxen nanoparticles stabilized by synthesized amino acid copolymers were successfully prepared in the size of $200\~500nm$ in 60 min by a wet comminution process. Particle size analysis showed that the effective stabilization performance of copolymers required the hydrophobic moiety content to be higher than $10 mol\%$. However, the molecular weight and morphology of copolymers was not the critical parameters in determining the particle size reduction. Their particle size was found to be stable up to 14 days without significant aggregation.

Limited Open Reduction and Internal Fixation of the Tibial Pilon Fractures (제한 절개를 통한 관혈적 정복 및 내고정술을 이용한 경골 Pilon 골절의 치료)

  • Kang, Chung-Nam;Kim, Jong-Oh;Kim, Dong-Wook;Koh, Young-Do;Ko, Sang-Hun;Yoo, Jae-Doo;Hwang, Jun-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.1 no.2
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    • pp.102-111
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    • 1997
  • The tibial Pilon fracture, which is defined as a comminuted intraarticular fracture of the distal tibia, is difficult to manage because high axial compression and rotational forces to the ankle joint result in impaction, severe comminution, metaphyseal disruption and soft tissue damage. There are variable methods of treatment such as manipulation and cast, calcaneal traction and cast, external fixation, pin and plaster, limited open reduction and external fixation, and open reduction and rigid internal fixation. Though most of authors reported better result after a surgical treatment. than that of conservative treatment, many complications such as posttraumatic arthritis and soft tissue problem still remain troublesome. We have reviewed 19 cases of the tibial Pilon fractures in 18 patients which were treated with limited open reduction and internal fixation from September 1993 to May 1996. The results were as follows: 1. The fractures were classified into five types according to the system of Ovadia and Beals, and the most frequent type was type 3 (53%). The most common cause of injury was traffic accident (47%). 2. All of the cases of type 1 and 2, in which the injury of the ankle joint was less severe, revealed good or excellent clinical results. But in type 4 and 5, because the injury is much severe and accurate reduction is difficult, the clinical results were unsatisfaetory. 3. The most frequent complication was posttraumatic osteoarthritis, and which developed in second frequent complication, was developed m the three cases of type 3 in which the radiographic results were less than fair, but there were no correlation with the clinical results. 4. We could markedly reduce the complications related to the soft tissue problem of Pilon fracture by treatment with limited open reduction and internal fixation, and consider that this is a good method of treatment of Pilon fracture when the injury is less severe and accurate reduction is possible.

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