• Clinics in Shoulder and Elbow
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• v.13 no.2
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• pp.230-236
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• 2010

Purpose: We wanted to evaluate the result of percutaneous, mini-open reduction for the treatment of Mason II or III radial head and neck fractures. Materials and Methods: 13 patients (8 male, 5 female) with Mason II or III radial head and neck fractures were treated by 1 cm percutaneous mini-open reduction under fluoroscopy. The average age of our subjects was 29 years. Follow up duration was 18 months. Results: Union was noted in all cases. Mean radial neck angulation was decreased from 33.2 degrees to 7.8 degrees. The mean change in angulation between the immediate post-operative and last follow-up was 0.7 degrees. The mean range of motion at the elbow joint was at last follow up, 133.1 degrees in flexion, 7.3 degrees in extension, 80 degrees in pronation and 84.3 degrees in supination. Postoperatively, mean Mayo Elbow Performance Index, American Shoulder and Elbow Surgeons elbow score, and Disabilities of the Arm, Shoulder and Hand score were 96.2, 97 and 1.2. Temporary posterior interosseous nerve palsy (1 case) and minimal cubitus valgus deformity (1 case) were noted. Conclusion: Selected Mason II or III radial head and neck fractures can be treated satisfactorily with percutaneous mini-open reduction.

• Clinics in Shoulder and Elbow
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• v.13 no.2
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• pp.260-265
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• 2010

Purpose: To report the clinical results of two cases of coronoid process fractures that were treated with volar plating through a medial approach. Materials and Methods: Two fractures of the coronoid process that needed to be fixed were managed with open reduction and internal fixation through a medial approach using 2.4 mm locking compression plates (Compact Hand set$^{(R)}$, Synthes, Switzerland). The patients were followed up for 14 months and 17 months and were evaluated using the Mayo Elbow Performance Score (MEPS). Results: The MEPS was 95 for Case 1 and 100 for Case 2. Active elbow joint motions were $5^{\circ}-120^{\circ}$ (Case 1) and $0^{\circ}-130^{\circ}$ (Case 2). Supination and pronation fully recovered. Conclusion: Satisfactory results can be obtained in cases of coronoid process fractures because volar plating through a medial approach allows sound fixation and early mobilization of the elbow joint.

• Clinics in Shoulder and Elbow
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• v.27 no.1
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• pp.72-78
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• 2024

Background: Clinical outcomes after fixation of distal humerus intraarticular fractures are directly related to the quality of reduction. The use of three-dimensional (3D)-printed fracture models can benefit preoperative planning to ensure good reduction. This review aims to determine if surgery performed with 3D printing assistance are faster and result in fewer complications and improved clinical outcomes than conventional methods. We also outline the benefits and drawbacks of this novel technique in surgical management of distal humerus fractures. Methods: A systematic literature search was carried out in various electronic databases. Search results were screened based on title and abstract. Data from eligible studies were extracted into spreadsheets. Meta-analysis was performed using appropriate computer software. Results: Three randomized controlled trials with 144 cases were included in the final analysis. The 3D-printed group had significantly shorter mean operating time (mean difference, 16.25 minutes; 95% confidence interval [CI], 12.74-19.76 minutes; P<0.001) and mean intraoperative blood loss (30.40 mL; 95% CI, 10.45-60.36 mL; P=0.005) compared with the conventional group. The 3D-printed group also tended to have fewer complications and a better likelihood of good or excellent outcomes as per the Mayo elbow performance score, but this did not reach statistical significance. Conclusions: Three-dimensional-printing-assisted surgery in distal humerus fractures has several benefits in reduced operating time and lower blood loss, indirectly decreasing other complications such as infection and anemia-related issues. Future good-quality studies are required to conclusively demonstrate the benefits of 3D printing in improving clinical outcomes.

• Steel and Composite Structures
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• v.49 no.4
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• pp.441-456
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• 2023

Aiming at the development trend of light weight and high strength of engineering structures, this paper experimentally investigated the seismic performance of circular-in-square high-strength concrete-filled double skin steel tubular (HCFDST) stub columns with out-of-code width-to-thickness (B/t) ratios. Typical failure mode of HCFDST stub columns appeared with the infill material crushing, steel fracture and local buckling of outer tubes as well as the inner buckling of inner tubes. Subsequently, the detailed analysis on hysteretic curves, skeleton curves and ductility, energy dissipation, stiffness degradation and lateral force reduction was conducted to reflect the influences of hollow ratios, axial compression ratios and infill types, e.g., increasing hollow ratio from 0.54 to 0.68 and 0.82 made a slight effect on bearing capacity compared to the ductility coefficients; the higher axial compression ratio (e.g., 0.3 versus 0.1) significantly reduced the average bearing capacity and ductility; the HCFDST column SCFST-6 filled with concrete obviously displayed the larger initial secant stiffness with a percentage 34.20% than the column SCFST-2 using engineered cementitious composite (ECC); increasing hollow ratios, axial compression ratios could accelerate the drop speed of stiffness degradation. The out-of-code HCFDST stub columns with reasonable design could behave favorable hysteretic performance. A theoretical model considering the tensile strength effect of ECC was thereafter established and verified to predict the moment-resisting capacity of HCFDST columns using ECC. The reported research on circular-in-square HCFDST stub columns can provide significant references to the structural application and design.

• Journal of the Korea Concrete Institute
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• v.27 no.2
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• pp.157-167
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• 2015

Cement composites subjected to high-velocity projectile shows local failure and it can be suppressed by improvement of flexural toughness with reinforcement of fiber. Therefore, researches on impact resistance performance of cement composites are in progress and a number of types of fiber reinforcement are being developed. Since bonding properties of fiber with matrix, specific surface area and numbers of fiber are different by fiber reinforcement type, mechanical properties of fiber reinforced cement composites and improvement of impact resistance performance need to be considered. In this study, improvement of flexural toughness and failure reduction effect by impact of high-velocity projectile have been evaluated according to fiber type by mixing steel fiber, polyamide, nylon and polyethylene which are have different shape and mechanical properties. As results, flexural toughness was improved by redistribution of stress and crack prevention with bridge effect of reinforced fibers, and scabbing by high-velocity impact was suppressed. Since it is possible to decrease scabbing limit thickness from impact energy, thickness can be thinner when it is applied to protection. Scabbing of steel fiber reinforced cement composites was occurred and it was observed that desquamation of partial fragment was suppressed by adhesion between fiber and matrix. Scabbing by high-velocity impact of synthetic fiber reinforced cement composites was decreased by microcrack, impact wave neutralization and energy dispersion with a large number of fibers.

• Clinics in Shoulder and Elbow
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• v.11 no.2
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• pp.177-184
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• 2008

Purpose: The purpose of this study was to evaluate the results of eight cases of coronoid process fractures that were fixed with a plate. Materials and Methods: Eight coronoid process fractures were treated by plating and these cases were reviewed retrospectively. Six patients were men and two were women. The average age was 41 years (range: 22-79) at the time of injury. According to Regan's classification, there were five type 2 and three type 3. According to O'Driscoll's classification, there were five anteromedial type and three base type. Open reduction and internal fixation with a plate were performed through a medial approach by splitting of the two heads of the flexor carpi ulnaris. The patients were follow-up for a mean of 15.8 months (range: 6-25). We evaluated the clinical outcomes with using the Mayo Elbow Performance Score. Results: The average active motion of the elbow joint was $120^{\circ}$. The average Mayo Elbow Performance Score was 86.9. There were 5 excellent results, 1 good result and 2 fair results. Summary: Plating through a medial approach of the elbow provided stable fixation and satisfactory union for treating displaced coronoid process fractures with the unstable elbow.

• Computers and Concrete
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• v.21 no.3
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• pp.249-259
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• 2018

The use of recycled aggregate in concrete is gaining much attention due to the growing need for sustainability in construction. In the present study, Self Compacting Concrete (SCC) is made using both natural and recycled aggregate (crushed recycled concrete aggregate from building demolished waste) and performance of recycled aggregate based SCC for the bond behaviour of reinforcement is evaluated. The major factors that influence the bond like concrete compressive strength (Mix-A, B and C), diameter of bar ($D_b=10$, 12 and 16 mm) and embedment length of bar ($L_d=2.5Db$, $5D_b$ and full depth of specimen) are the parameters considered in the present study in addition to type of aggregates (natural and recycled aggregates). The mix proportions of Natural Aggregate SCC (NASCC) are arrived based on the specifications of IS 10262. The mix proportions also satisfy the guidelines of EFNARC. In case of Recycled Aggregate SCC (RASCC), both the natural coarse and fine aggregates are replaced 100% by volume with that of recycled aggregates. These mixes are also evaluated for fresh properties as per EFNARC. The hardened properties like compressive strength, split tensile strength and flexural strength are also determined. The pull-out test is conducted as per the specifications of IS 2770 (Part-1) for determining the bond strength of reinforcement. Bond stress versus slip curves were plotted and a typical comparison of RASCC is made with NASCC. The fracture energy i.e., area under the bond stress slip curve is determined. With the use of recycled aggregates, reduction in maximum bond stress is noticed whereas, the normalised maximum bond stress is higher in case of recycled aggregates. Based on the experimental results, regression analysis is conducted and an equation is proposed to predict the maximum bond stress of RASCC. The equation is in good agreement with the experimental results. The available models in the literature are made use to predict the maximum bond stress and compare the present results.

• Tunnel and Underground Space
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• v.18 no.1
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• pp.10-19
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• 2008

Most of flooding cases in tunnels are associated with huge inrushes of water due to the fracture zone with very high water head. To find out the causes and countermeasures for flooding cases, a dozen of tunneling cases are studied. Case studies presented here show that if the flooding had been forecasted and pre-drained prior to the tunnel excavation, such accidents could have been prevented. From this observation, we suggest a new horizontal drainage system with pre-investigation and pre-drainage concept. Seepage analyses are performed to analyze the water head reduction effect on the tunnel face by drainage pipes during the construction of subsea tunnels. Drainage system analyses are performed to analyze performance of the drainage system. These analysis results show that the suggested horizontal pre-drainage system provides a clear drainage and water head reducing effect. Finally, the proposed system can be a new alternative to the present water controlling methods applied to subsea tunnels.

• Computers and Concrete
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• v.2 no.4
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• pp.249-266
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• 2005

In the present paper a transient three-dimensional thermo-mechanical model for concrete is presented. For given boundary conditions, temperature distribution is calculated by employing a three-dimensional transient thermal finite element analysis. Thermal properties of concrete are assumed to be constant and independent of the stress-strain distribution. In the thermo-mechanical model for concrete the total strain tensor is decomposed into pure mechanical strain, free thermal strain and load induced thermal strain. The mechanical strain is calculated by using temperature dependent microplane model for concrete (O$\check{z}$bolt, et al. 2001). The dependency of the macroscopic concrete properties (Young's modulus, tensile and compressive strengths and fracture energy) on temperature is based on the available experimental database. The stress independent free thermal strain is calculated according to the proposal of Nielsen, et al. (2001). The load induced thermal strain is obtained by employing the biparabolic model, which was recently proposed by Nielsen, et al. (2004). It is assumed that the total load induced thermal strain is irrecoverable, i.e., creep component is neglected. The model is implemented into a three-dimensional FE code. The performance of headed stud anchors exposed to fire was studied. Three-dimensional transient thermal FE analysis was carried out for three embedment depths and for four thermal loading histories. The results of the analysis show that the resistance of anchors can be significantly reduced if they are exposed to fire. The largest reduction of the load capacity was obtained for anchors with relatively small embedment depths. The numerical results agree well with the available experimental evidence.

• Transactions of the Korean Society of Automotive Engineers
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• v.13 no.5
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• pp.127-133
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• 2005

Rotary swaging is one of the incremental forming process which is a chipless process using the reduction of cross-sections of bars, tubes and wires. The TDS(Tube Drive Shaft) of monobloc used in automotive has been developed by the rotary swaging process. The mechanical characteristics of swaged parts such as the hardness, thickness and roughness are also estimated to conduct experimental analyses of rotary swaging process with the materials of 34Mn5 Furthermore the change in the vibration mode of TDS due to design parameters, which are the tube length, diameter and thickness, has been investigated and analysed. The weight of the TDS product is smaller by about $12.8\%$ than that of SDS with the same performance. It could be evidently found that the TDS is designed to be much lighter than SDS (Solid Drive Shaft). This advantage might give some possibility to improve the NVH (Noise-Vibration-Harshness) characteristics. A maximum torque and a total number of torsional repetitions for the TDS is checked and measured to know the torsional intensity and fatigue strength through the static torsion test and torsional durability test, respectively. A total number of the torsional repetitions up to the fracture for the TDS is greater than 250,000 times.