• Hip & pelvis
• /
• v.35 no.3
• /
• pp.183-192
• /
• 2023

Purpose: This study aims to determine which intertrochanteric (IT) hip fracture and patient characteristics predict the necessity for adjunct reduction aides prior to prep and drape aiming for a more efficient surgery. Materials and Methods: Institutional fracture registries from two academic medical centers from 2017-2022 were analyzed. Data on patient demographics, comorbidities, fracture patterns identified on radiographs including displacement of the lesser trochanter (LT), thin lateral wall (LW), reverse obliquity (RO), subtrochanteric extension (STE), and number of fracture parts were collected, and the need for additional aides following traction on fracture table were collected. Fractures were classified using the AO/OTA classification. Regression analyses identified significant risk factors for needing extra reduction aides. Results: Of the 166 patients included, the average age was 80.84±12.7 years and BMI was 24.37±5.3 kg/m². Univariate regression revealed increased irreducibility risk associated with RO (odds ratio [OR] 27.917, P≤0.001), LW (OR 24.882, P<0.001), and STE (OR 5.255, P=0.005). Multivariate analysis significantly correlated RO (OR 120.74, P<0.001) and thin LW (OR 131.14, P<0.001) with increased risk. However, STE (P=0.36) and LT displacement (P=0.77) weren't significant. Fracture types 2.2, 3.2, and 3.3 displayed elevated risk (P<0.001), while no other factors increased risk. Conclusion: Elderly patients with IT fractures with RO and/or thin LW are at higher risk of irreducibility, necessitating adjunct reduction aides. Other parameters showed no significant association, suggesting most fracture patterns can be achieved with traction manipulation alone.

• Structural Engineering and Mechanics
• /
• v.72 no.2
• /
• pp.191-201
• /
• 2019

Finite element analysis is one of the most used tools for studying femoral neck fracture. Nerveless, consensus concerning either the choice of material characteristics, damage law and /or geometric models (linear on nonlinear) remains unreached. In this work, we propose a numerical quasi-brittle damage model to describe the behavior of the proximal femur associated with two methods to evaluate the Young modulus. Eight proximal femur finite elements models were constructed from CT scan data (4 donors: 3 women; 1 man). The numerical computations showed a good agreement between the numerical curves (load - displacement) and the experimental ones. A very encouraging result is obtained when a comparison is made between the computed fracture loads and the experimental ones ($R^2=0.825$, Relative error =6.49%). All specific numerical computation provided very fair qualitative matches with the fracture patterns for the sideway fall simulation. Finally, the comparative study based on 32 simulations adopting linear and nonlinear meshing led to the conclusion that the quantitatively results are improved when a nonlinear mesh is used.

• Tunnel and Underground Space
• /
• v.9 no.4
• /
• pp.315-327
• /
• 1999

Rock fracture mechanics has been widely applied to blasting, hydraulic fracturing, rock slope and many other practical problems in rock engineering. But a measuring method for the fracture toughness of rock, one of the mort important parameters in fracture mechanics as an intrinsic property of rock, has not been yet well established. To obtain mode I rock fracture toughness, the more favorable disc-typed specimens such as CCNBD, SCB, chevron-notched SCB and BDT were used in this study. Rock fracture toughness under mixed-mode and mode II conditions was measured by using the STCA applied to the CCNBD specimen. Size effects such as specimen thickness, diameter and notch length on fracture toughness were investigated. From the mixed-mode results, fracture envelops were obtained by applying various regression curves. The mixed-mode results were also compared with three mixed-mode failure criteria. In each fracture toughness test, acoustic emission was measured to get the data for determining the load levels of different crack propagation patterns.

• Economic and Environmental Geology
• /
• v.28 no.5
• /
• pp.503-512
• /
• 1995

Groundwater flow in fracture networks is simulated using a discrete fracture (DF) model which assume that groundwater flows only through the fracture network. This assumption is available if the permeability of rock matrix is very low. It is almost impossible to describe fracture networks perfectly, so a stochastic approach is used. The stochastic approach assumes that the characteristic parameters in fracture network have special distribution patterns. The stochastic model generates fracture networks with some characteristic parameters. The finite element method is used to compute fracture flows. One-dimensional line element is the element type of the finite elements. The simulation results are shown by dominant flow paths in the fracture network. The dominant flow path can be found from the simulated groundwater flow field. The model developed in this study provides the tool to estimate the influences of characteristic parameters on groundwater flow in fracture networks. The influences of some characteristic parameters on the frcture flow are estimated by the Monte Carlo simulation based on 30 realizations.

• Journal of Korean Society of Disaster and Security
• /
• v.16 no.1
• /
• pp.91-103
• /
• 2023

This study aims to investigate the dynamic fracture characteristics of rocks and rock-like materials subjected to the Nonex Rock Cracker (NRC), a vapor pressure crushing agent that produces vapor pressure by instantaneously vaporizing a liquid mixture crystallized through the thermite reaction. Furthermore, the study seeks to develop an analytical technique for predicting the fracture pattern. A dynamic fracture test was performed on a PMMA block, an artificial brittle material, using the NRC. High-speed cameras and dynamic pressure gauges were employed to capture the moment of vapor pressure generation and measure the vapor pressure-time history, respectively. The 2-dimensional Dynamic Fracture Process Analysis (2D DFPA) was used to simulate the fracture process caused by the vapor pressure, with the applied pressure determined based on the vapor pressure-time history. The proposed analytical method was used to examine various fracture patterns with respect to granite material and high-performance explosives.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.28 no.1
• /
• pp.35-41
• /
• 2006

It is well known that concentration of C-reactive protein(CRP) in the serum increase as nonspecific reaction of the various tissue injury. The CRP, synthesized in the hepatocyte, is one of 'acute phase proteins' in the serum. The main signal patterns of this protein are regulated by synthesis of interleukin-I secreted from macrophage in the area of tissue injury. Many studies were performed for quantitative analysis for CRP according to various surgical operation, but the study for fracture patients associated with trauma, especially in mandible, are rare. The mandible fracture have intrinsic danger for infection in oral bacteria associated with open wound in oral cavity, and, are difficult for detection of tissue reaction between surgical swelling and infection by facial swelling. In this study, quantitative analysis for CRP associated tissue injury in mandibular fracture and surgical intervention was done, the results were as follows: 1. After initial mandibular trauma, the value of serum CRP diminished sequentially, most high value was presented in post-traumatic 2 days. 2. The CRP was diminished significantly 2 days after surgical intervention, and maintained normal value in 5 days after surgery. 3. The change of CRP are higher value in surgical intervention than initial trauma, it suggested that tissue injury from surgery was severe than trauma. 4. The high value of CRP was obtained in mandibular fracture combined soft tissue injury than no associated soft tissue injury. 5. In measurement of CRP according to surgical approach, highest serum value in patients of combined intra-oral and extra-oral approach was showed, and intra-oral approach, extra-oral approach, in sequential orders. 6. The CRP value are more higher in patient of 2 fracture site than only one fracture site. From the results obtained in this study, CRP has showed different values in mandibular fracture associated with severity of tissue injury and surgical intervention, and quantitative analysis of CRP value in serum can be applied to the clinical management of mandibular fracture.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.34 no.2
• /
• pp.230-236
• /
• 2008

Purpose: This study was performed to investigate the incidence, types of fracture, treatment, associated fracture and complications in patients with nasal bone fracture. Materials and methods: Clinical examination, patient's records and radiographic images were evaluated in 230 cases of nasal bone fractures who were treated at the Department of Oral and Maxillofacial Surgery, Chonnam National University Hospital for recent 5 years; from January 2002 to December 2006. Results: 1. The age of patient was ranged from 4 to 77 years (mean age=36.6 years); Males was 75.7% (n=174), and females 24.3% (n=56). 2. The cause of the nasal bone fracture in this study was a fall or slip down (28.8%, n=66), sports accident (26.0%, n=60), fighting (21.3%, n=49), traffic accident (9.6%, n=22), industrial trauma (7.8%, n=18), and the others (6.6%, n=15). 3. For the patterns of fracture, simple fracture without displacement occured in 10.4% (n=24). Simple fracture with displacement without septal bone fracture was found in 49.5% (n=114). Simple fracture with displacement in company with septal bone fracture showed in 32.6% (n=75). Commiuted fracture with severe depression was presented in 7.4% (n=17). 4. The reduction the displaced nasal bone was carried out in 2 to 10 days (mean 6.8 days) after the injury. 5. Nasal bone fracture associated with Le Fort I fracture (6.5%, n=6.5), Le Fort II fracture (7.4%, n=17), Le Fort III fracture (1.3%, n=3), NOE fracture (13.9%, n=32), ZMC fracture (17.4%, 40), maxillary bone fracture (8.3%, n=19), orbital blow-out fracture (15.7%, n=36), frontal bone fracture (1.3%, n=3) and alveolar bone fracture (10.9%, n=25). 6. The major type of treatment method was closed reduction in 90% (n=207), open reduction in 3% (n=7), and observation in 7% (n=16). 7. There were some complications such as ecchymosis, hyposmia, hypo esthesia and residual nasal deformity which are compatible. Open rhino-plasty was conducted for 3 patients who had residual nasal deformity. Conclusions: These results suggest that most of nasal bone fractures are occurred physically active aged groups(age 10-49 years) and could be treated successfully with closed reduction at 7 days after the injury.

• Transactions of the Korean Society of Machine Tool Engineers
• /
• v.16 no.2
• /
• pp.14-22
• /
• 2007

In this paper, the acoustic emission(AE) behaviors were investigated with single-and 2-spot resistance spot welded SPCC specimens. Test specimens were welded horizontally and/or vertically according to the rolling direction of base netal in 2-spot welding. In the case of 2-spot welding, when tensile-shear test has below amplitudes: crack initiation $50{\sim}60dB;$ tear fracture $40{\sim}50dB$. And when cross tensile test has below amplitudes: early stage $75{\sim}85dB;$ yielding point $65{\sim}75dB;$ post yielding $40{\sim}60dB;$ plug fracture $70{\sim}80dB\;or\;90{\sim}100dB$. Also, from the b-value that is slope of AE amplitude, we knew that there are lots of low amplitudes if b-value is big(i.e., tensile-shear $specimen{\rightarrow}tear$ fracture or shear fracture), and there are lots of high amplitudes if b-value is small(i.e.. cross tensile $specimen{\rightarrow}plug$ fracture). As the results of fiacture mechanism analyses through AE amplitude distributions, change of the b-value represented fracture patterns of materials. Correspondingly, low amplitude signals appeared in crack initiation, and high amplitude signals appeared in base metal fracture. We confirmed that these amplitude distributions represented the change or degradation of materials.

• Restorative Dentistry and Endodontics
• /
• v.29 no.3
• /
• pp.267-272
• /
• 2004

The purpose of this in vitro study was to evaluate the effect of surface defects and cross-sectional configuration of NiTi rotary files on the fatigue life under cyclic loading. Three NiTi rotary files ($K3^{TM},{\;}ProFile^{\circledR},{\;}and{\;}HERO{\;}642^{\circledR}$) with ＃30/.04 taper were evaluated. Each rotary file was divided into 2 subgroups : control (no surface defects) and experimental group (artificial surface defects), A total of six groups of each 10 were tested. The NiTi rotary files were rotated at 300rpm using the apparatus which simulated curved canal (40 degree of curvature) until they fracture. The number of cycles to fracture was calculated and the fractured surfaces were observed with a scanning electron microscope. The data were analyzed statistically. The results showed that experimental groups with surface defects had lower number of cycles to fracture than control group but there was only a statistical significance between control and experimental group in the $K3^{TM}$ (p<0.05), There was no strong correlation between the cross-sectional configuration area and fracture resistance under experimental conditions. Several of fractured files demonstrated characteristic patterns of brittle fracture consistent with the propagation of pre-existing cracks. This data indicate that surface defects of NiTi rotary files may significantly decrease fatigue life and it may be one possible factor for early fracture of NiTi rotary files in clinical practice.

• Tunnel and Underground Space
• /
• v.20 no.1
• /
• pp.65-72
• /
• 2010

Crack-controlled blasting method which utilizes notched charge hole has been proposed in order to achieve smooth fracture plane and minimize the excavation damage zone. In this study, the blast models, which have a notched charge hole, were analyzed using dynamic fracture process analysis software to investigate the effect of the geometry of a notched charge hole and decoupling indexes of the charge hole on crack growth control in blasting. As a result, crack extension increased and damage crack decreased with the notch length. Ultimately, stress increment factors and resultant fracture patterns with different notch length and width were analyzed in order to examine the effect factors on the crack growth controlling in rock blasts using a notched charge hole.