• Title/Summary/Keyword: fracture location

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A vertically split fracture of the marginal tubercle of the zygoma in a 3-year-old boy: a case report

  • Chan Yeong, Lee;Chul Han, Kim
    • Archives of Craniofacial Surgery
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    • v.23 no.6
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    • pp.274-277
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    • 2022
  • Fractures of the zygoma are rarely encountered in pediatric patients. This report presents a case of a 3-year-old child who presented with a vertically split fracture of the marginal tubercle of the zygoma. The marginal tubercle, a bony portion present on the posterior border of the frontal process, assists in attaching the temporalis fascia. This patient was treated surgically with bony fixation using tissue glue. To the best of our knowledge, no cases of fracture of the marginal tubercle of the zygoma have been reported in the literature. Fractures of the marginal tubercle of the zygoma in pediatric patients may be overlooked because of their anatomic location and the musculoskeletal characteristics of these patients. Here, we discuss the clinical features of marginal tubercle fractures of the zygoma.

Effect of location of glass fiber pre-impregnated with light-curing resin on the fracture strength and fracture modes of a maxillary complete denture (광중합형 레진에 함침시킨 유리섬유의 위치가 상악 총의치의 파절강도와 파절양상에 미치는 영향)

  • Yoo, Hyun-Sang;Sung, Su-Jin;Jo, Jae-Young;Lee, Do-Chan;Huh, Jung-Bo;Jeong, Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.4
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    • pp.279-284
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    • 2012
  • Purpose: This study evaluated the effect of glass fiber pre-impregnated with light-curing resin on the fracture strength and fracture modes of a maxillary complete denture. Materials and methods: Maxillary acrylic resin complete dentures reinforced with glass fiber pre-impregnated with light-curing resin (SES MESH, INNO Dental Co., Yeoncheongun, Korea) and without reinforcement were tested. The reinforcing material was embedded in the denture base resin and placed different regions (Control, without reinforcement; Group A, center of anterior ridge; Group B, rugae area; Group C, center of palate; Group D, full coverage of denture base). The fracture strength and fracture modes of a maxillary complete denture were tested using Instron test machine (Instron Co., Canton, MA, USA) at a 5.0 mm/min crosshead speed. The flexure load was applied to center of denture with a 20 mm diameter ball attachment. When fracture occurred, the fracture mode was classified based on fracture lines. The data were analyzed with one-way ANOVA at the significance level of 0.05. Results: There were non-significant differences (P>.05) in the fracture strength among test groups. Group A showed anteroposterior fracture and posterior fracture mainly, group B, C and control group showed partial fracture on center area mostly. Most specimen of group D showed posterior fracture. Conclusion: The location and presence of the fiber reinforcement did not affect the fracture strength of maxillary complete denture. However, reinforcing acrylic resin denture with glass fiber has a tendency to suppress the crack.

Evaluation of Biomechanical Properties of Fractured Adjacent Soft Tissue Due to Fracture Site Spacing During Closed Reduction After Forearm Fracture: Finite Element Analysis (전완 골절 후 도수 정복 시 골절 부위 간격에 따른 골절 인접 연부 조직의 생체역학적 특성 평가: 유한요소해석)

  • Park, Jun-Sung;Lee, Sang Hyun;Song, Chanhee;Ro, Jung Hoon;Lee, Chiseung
    • Journal of Biomedical Engineering Research
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    • v.43 no.5
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    • pp.308-318
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    • 2022
  • The purpose of this study is to evaluate the biomechanical properties of fractured adjacent soft tissue during closed reduction after forearm fracture using the finite element method. To accomplish this, a finite element (FE) model of the forearm including soft tissue was constructed, and the material properties reported in previous studies were implemented. Based on this, nine finite element models with different fracture types and fracture positions, which are the main parameters, were subjected to finite element analysis under the same load and boundary conditions. The load condition simulated the traction of increasing the fracture site spacing from 0.4 mm to 1.6 mm at intervals of 0.4 mm at the distal end of the radioulnar bone. Through the finite element analysis, the fracture type, fracture location, and displacement were compared and analyzed for the fracture site spacing of the fractured portion and the maximum equivalent stress of the soft tissues adjacent to the fracture(interosseous membrane, muscle, fat, and skin). The results of this study are as follows. The effect of the major parameters on the fracture site spacing of the fractured part is negligible. Also, from the displacement of 1.2 mm, the maximum equivalent stress of the interosseous membrane and muscle adjacent to the fractured bone exceeds the ultimate tensile strength of the material. In addition, it was confirmed that the maximum equivalent stresses of soft tissues(fat, skin) were different in size but similar in trend. As a result, this study was able to numerically confirm the damage to the adjacent soft tissue due to the fracture site spacing during closed reduction of forearm fracture.

Analysis of the Deformities of the Foot after Tibial Fracture and Outcome of the Surgical Treatment (경골 골절후 발생한 족부 변형들의 분석 및 치료 결과에 대한 분석)

  • Kim, Jung-Ryul;Kim, Young-Sin;Shin, Sung-Jin;Kim, Sang-Rim;Seo, Kyu-Bum
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.118-123
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    • 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.

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Perforation optimization of hydraulic fracturing of oil and gas well

  • Zhu, Hai Yan;Deng, Jin Gen;Chen, Zi Jian;An, Feng Chen;Liu, Shu Jie;Peng, Cheng Yong;Wen, Min;Dong, Guang
    • Geomechanics and Engineering
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    • v.5 no.5
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    • pp.463-483
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    • 2013
  • Considering the influences of fluid penetration, casing, excavation processes of wellbore and perforation tunnels, the seepage-deformation finite element model of oil and gas well coupled with perforating technique is established using the tensile strength failure criterion, in which the user-defined subroutine is developed to investigate the dynamic evolvement of the reservoir porosity and permeability. The results show that the increases of perforation angle and decreases of perforation density lead to a higher fracture initiation pressure, while the changes of the perforation diameter and length have no evident influences on the fracture initiation pressure. As for initiation location for the fracture in wellbore, it is on the wellbore face while considering the presence of the casing. By contrast, the fractures firstly initiate on the root of the tunnels without considering casing. Besides, the initial fracture position is also related with the perforation angle. The fracture initiation position is located in the point far away from the wellbore face, when the perforation angle is around $30^{\circ}$; however, when the perforation angle is increased to $45^{\circ}$, a plane fracture is initiated from the wellbore face in the maximum horizontal stress direction; no fractures was found around perforation tunnels, when the angel is close to $90^{\circ}$. The results have been successfully applied in an oilfield, with the error of only 1.1% comparing the fracture initiation pressure simulated with the one from on-site experiment.

Relationship between mandible fractures and third molars

  • Lee, Yunhae;Kim, Jeenam;Lee, Myungchul;Shin, Donghyeok;Choi, Hyungon
    • Archives of Craniofacial Surgery
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    • v.20 no.6
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    • pp.376-381
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    • 2019
  • Background: This study was conducted to determine the relationship between third molar (M3) and mandibular fracture. Methods: Patients with unilateral mandibular angle or condyle fractures between 2008 and 2018 were evaluated retrospectively. Medical records were reviewed regarding the location of fractures, and panoramic radiographs were reviewed to discern the presence and position of ipsilateral mandibular third molars (M3). We measured the bony area of the mandibular angle (area A) and the bony area occupied by the M3 (area B) to calculate the true mandibular angle bony area ratio (area A-B/area A×100). Results: The study consisted of 129 patients, of which 60 (46.5%) had angle fractures and 69 (53.5%) had condyle fractures. The risk of angle fracture was higher in the presence of M3 (odds ratio [OR], 2.2; p< 0.05) and the risk of condyle fracture was lower in the presence of M3 (OR, 0.45; p< 0.05), than in the absence of M3. The risk of angle fracture was higher in the presence of an impacted M3 (OR, 0.3; p< 0.001) and the risk of condyle fracture was lower in the presence of an impacted M3 (OR, 3.32; p< 0.001), than in the presence of a fully erupted M3. True mandibular angle bony area ratio was significantly lower in the angle fractures than in the condyle fractures (p= 0.003). Conclusion: Angle fractures had significantly lower true mandibular angle bony area ratios than condyle fractures. True mandibular angle bony area ratio, a simple and inexpensive method, could be an option to predict the mandibular fracture patterns.

The Function and Symptoms of Ankle Joint in the Distal Tibial Fractures Treated by Nailing (족관절 기능과 증상을 중심으로 평가한 경골 원위부 골절에서의 금속정 치료 결과)

  • Kim, Byoung-Min;Bae, Su-Young;Roh, Jae-Young
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.1
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    • pp.86-92
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    • 2008
  • Purpose: To evaluate the safety and prognostic factors of intramedullary nailing of distal tibia fractures in terms of function and symptoms of the ankle joint. Materials and Methods: We retrospectively analyzed 22 distal tibial fractures with intramedullary nailing. The mean duration of follow-up was 43 months. We reviewed medical records to describe each case. We measured radiographic parameters such as fracture configuration, arthritic change of the ankle joint and status of reduction. We also assessed clinical results by AOFAS ankle hind foot scoring system, degree of pain by VAS and range of motion to find out prognostic factors for functional result of the ankle joint. Results: Bone healing was obtained in all cases without any wound complications. Mean AOFAS ankle score was 94. There were 4 cases with mild (VAS<3/10) ankle pain and 2 cases with mild limitation of ankle motion. The comminution of fracture had a significant relationship with delayed angular deformity of ankle joint (p=0.032). There was no other significant parameter affecting ankle joint function except the location of nail-end. Conclusion: Intramedullary nailing in distal tibia fracture is a safe and effective procedure. But further study may need to evaluate the relationship between the position of nail-end and the function of ankle joint.

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Design for Warm Forming of a Mg El-cover Part Using a Ductile Fracture Criterion (연성파괴이론에 의한 마그네슘 합금 EL-cover 부품 온간 성형 공정 설계)

  • Kim, S.W.;Lee, Y.S.
    • Transactions of Materials Processing
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    • v.23 no.4
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    • pp.238-243
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    • 2014
  • Recently, magnesium alloys have been widely used in the automotive, aerospace and electronics industries with the advantages of high specific strength, excellent machinability, high electrical conductivity, and high thermal conductivity. Deep drawn magnesium alloys not only meet the demands environmentally and the need for lighter products, but also can lead to remarkably improved productivity and more rapid qualification of the product The current study reports on a failure prediction procedure using finite element modeling (FEM) and a ductile fracture criterion and applies this procedure to the design of a deep drawing process. Critical damage values were determined from a series of uniaxial tensile tests and FEM simulations. They were then expressed as a function of strain rate and temperature. Based on the plastic deformation histories obtained from the FEM analyses of the warm drawing process and the critical damage value curves, the initiation time and location of fracture were predicted. The proposed method was applied to the process design for fabrication of a Mg automotive compressor case and verified with experimental results. The final results indicate that a Mg case part 39% lighter than an Al die casting part can be produced without any defects.

A case histories on the detection of weak zone using electrical resistivity and EM surveys in planned tunnel construction site (터널 건설 예정지구에서의 전기비저항 탐사와 전자탐사의 적용을 통한 연약대 탐지에 대한 사례 연구)

  • 권형석;송윤호;이명종;정호준;오세영;김기석
    • Proceedings of the Korean Geotechical Society Conference
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    • 2002.03a
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    • pp.63-70
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    • 2002
  • In tunnel construction, the information on the rock quality and the location of fault or fracture are crucial for economical design of support pattern and for safe construction of the tunnel. The grade of rock is commonly estimated through the observation with the naked eye of recovered cores in drilling or from physical parameters obtained by their laboratory test. Since drilling cost is quite expensive and terrains of planned sites for tunnel construction are rough in many cases, however, only limited information could be provided by core drilling Electrical resistivity and EM surveys may be a clue to get over this difficulty. Thus we have investigated electrical resistivity and EM field data providing regional Information of the rock Quality and delineating fault and fracture over a rough terrain. In this paper, we present some case histories using electrical resistivity and EM survey for the site investigation of tunnel construction. Through electrical resistivity and EM survey, the range and depth of coal seam was clearly estimated, cavities were detected in limestone area, and weak zones such as joint, fault and fracture have been delineated.

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Influence of sine material gradients on delamination in multilayered beams

  • Rizov, Victor I.
    • Coupled systems mechanics
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    • v.8 no.1
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    • pp.1-17
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    • 2019
  • The present paper deals with delamination fracture analyses of the multilayered functionally graded non-linear elastic Symmetric Split Beam (SSB) configurations. The material is functionally graded in both width and height directions in each layer. It is assumed that the material properties are distributed non-symmetrically with respect to the centroidal axes of the beam cross-section. Sine laws are used to describe the continuous variation of the material properties in the cross-sections of the layers. The delamination fracture is analyzed in terms of the strain energy release rate by considering the balance of the energy. A comparison with the J-integral is performed for verification. The solution derived is used for parametric analyses of the delamination fracture behavior of the multilayered functionally graded SSB in order to evaluate the effects of the sine gradients of the three material properties in the width and height directions of the layers and the location of the crack along the beam width on the strain energy release rate. The solution obtained is valid for two-dimensional functionally graded non-linear elastic SSB configurations which are made of an arbitrary number of lengthwise vertical layers. A delamination crack is located arbitrary between layers. Thus, the two crack arms have different widths. Besides, the layers have individual widths and material properties.