• Title/Summary/Keyword: fracture repair

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Fracture Analysis of Wild Birds in South Korea

  • Jang, Hyun-Kyu;Park, Jong-Moon;Ahmed, Sohail;Seok, Seong-Hoon;Kim, Ho-Su;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.36 no.4
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    • pp.196-199
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    • 2019
  • This study was conducted to evaluate and analyze fractures types, sites and surgical approach of wild birds in Korea. The study was conducted on data collected for fracture lesion sites, species, outcomes, surgical methods, treatments and medical records from wildlife centers in South Korea. All birds were subjected to clinical examination, followed by surgical invasion and post-operative care. Fractures were more common in adult non-raptor species (51.57%) as compared to raptors (48.43%). Of the 254 cases evaluated, maximum cases comprised ulnar fractures (29.70%), followed by radial (21.76%) and humeral fractures (17.35%). Treatment procedures at 340 fracture sites were maximally treated with figure-8 bandage (33.07%), external skeletal fixator-intramedullary pin (ESF+IM tie-in fixation) (20.86%), and other varied procedures. All birds were kept indoors till recovery. Treatment outcomes were dependent on the type of bone fractured and surgical method applied. Based on the surgical treatments and outcomes, birds were kept hospitalized, and released or euthanized. The findings of this study provide information for veterinarians regarding the fractures sites, basic database for the species and outcomes of fracture repair in wild birds.

Case Studies of Repair of Pathological Mandibular Fracture due to Periodontal Disease in Dogs (개에서 치주질환과 연관된 하악골절의 치료)

  • Shim, Kyung-Mi;Kim, Se-Eun;Yoo, Kyeong-Hoon;Bae, Chun-Sik;Choi, Seok-Hwa;Kang, Seong-Soo
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.653-657
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    • 2007
  • A 12-year-old, intact female Toy Poodle and a 10-year-old, intact male Yorkshire terrier were referred with bilateral mandibular fractures, severe periodontal disease and teeth loss. In the second case, mandibular fractures were repaired with periodontal disease treatment. After a fallow-up period of 1 year, fracture healing was successful in the second case, however in the first case, bone healing was not satisfactory because mandibular fractures were repaired without the treatment of diseased teeth within the fracture line. Nonunion and inflammation of fracture sites, oral malodor confirmed in the first case and normal union of fracture sites observed in the second case. It suggests that the treatment of diseased teeth within the fracture line is mandatory for successful fracture healing.

Fracture Morphology of Degraded Historic Silk Fibers Using SEM (SEM을 이용한 출토 견섬유의 손상 형태에 관한 연구)

  • Bae, Soon Wha;Lee, Mee Sik
    • Journal of the Korean Society of Clothing and Textiles
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    • v.37 no.5
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    • pp.667-675
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    • 2013
  • After analyzing excavated $17-18^{th}$ century silk fibers through a scanning electron microscopy, we discovered seven different kinds of fracture morphology. Using Morton & Hearle fiber fracture morphology, we classified the findings into four different categories. Type I is tensile failure resulting from brittle fracture, granular fracture, and ductile fracture. Type II is fatigue failure caused by tensile fatigue, flex fatigue, and axial split (fibrillation). Type III is bacterial deterioration discovered only in excavated artifacts. Type IV is a combination of the three above. Humid underground conditions and the infiltration of bacteria caused the fibers to swell and weaken its interfibrillar cohesion. Fractures occur when drying and processing an excavated artifact that is already in a fragile condition. Therefore, one must minimize damage through a prompt cleaning process and make sure that the least possible force is exerted on the fabric during any treatment for repair and exhibition.

A computational analysis of the scarf angle on a composites repair

  • Kim, Yun-Hae;Jo, Young-Dae;Murakami, Ri-Ichi
    • International Journal of Ocean System Engineering
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    • v.1 no.1
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    • pp.9-15
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    • 2011
  • This study examined the relationship between the scarf angle and stress distribution, and estimated the strength recovery via a finite element analysis. The following conclusions were drawn from this study. Resin will fracture due to a tensile load with a high scarf angle, which is similar to the patch repair method. An applied stress can be loaded to a repaired laminate if the scarf angle is $5^{\circ}$. The Von-Mises stress increases with decreasing scarf angle, with the exception of a scarf angle of $30^{\circ}$, where the scarf angle can indicate the rates of shear and normal stresses. Strength recovery can be better if the scarf angle is decreased to a lower angle. However, scarf machining requires more time, a high skill level and considerable expense. Therefore, a scarf angle of $5^{\circ}$ is the most effective for a repair. These results may provide a guide for engineers wishing to formulate a standard for repair. The scarf angle needs to be carefully managed for a more efficient composite repair.

Maisonneuve Fractures Treated with Percutaneous Screw Fixation (경피적 나사못 고정술로 치료한 Maisonneuve 골절)

  • Jung, Chol-Yong;Son, Young-Chan;Bae, Jun-Bum;Choi, Moon-Do
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.2
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    • pp.61-66
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    • 2000
  • Purpose: To evaluate the clinical validity of percutaneous screw fixation in Maisonneuve fracture. Material and Methods: Out of 5 Maisonneuve fracture patients hospitalized in the department of orthopedic surgery of Seigang hospital from February 1995 to May 1998, 4 patients were treated with percutaneous screw fixation and 1 patient was treated with percutaneous screw fixation and repair of deltoid ligament altogether. The results were evaluated on the clinical and radiological finding. Results: In all cases, the range of motion of ankle joint was normal, the complication such as postoperative pain and post-traumatic arthritis were not found. Widening of medial clear space or talar shift were not found in the follow up X-ray and tibiofibular distance, compared with normal ankle joint was same on follow up CT. Conclusion: Percutaneous screw fixation is simple, less invasive and more effective method in the treatment of Maisonneuve fracture.

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Effects of Yuhyangjeongtong-san on Fracture Healing in Rats

  • Kim, Ki-Tae;Jo, Na-Young
    • The Journal of Korean Medicine
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    • v.40 no.4
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    • pp.61-71
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    • 2019
  • Objectives: The purpose of this study is to determine the effect of Yuhyangjeongtong-san on the recovery of tibial fractures in rats. Methods: In this study, osteocalcin and Calcitonin, CTX-2, TGF-β and BMP-2, which are used as indicators of bone formation, were analyzed after hematologic fractures using experimental rats. In addition, the fracture union process was confirmed using X-rays. Results: Osteocalcin, Calcitonin and BMP-2 showed a significant increase compared with the control at 4 weeks. CTX-2 and TGF-β showed a significant increase compared with the control at 3 weeks. On X-ray, YJS treated group, as the experiment progressed, the boundary line became blurred, the bone outline was clearly visible, and the fracture recover was progressing. Conclusion: The findings suggest that YJS can play a significant role in the repair of fractures. Therefore YJS is likely to be used to treat fractures.

Results of Early Primary Repair for Acute Severe Ankle Sprains (급성 족관절 고도 염좌에 대한 조기 일차 봉합술 결과)

  • Jeong, Un-Seob;Park, Yong-Wook;Lee, Jae-Hyung
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.173-178
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    • 2006
  • Purpose: The purpose of this study is to assess the clinical and radiological results of the early primary repair for acute ankle sprains. Materials and Methods: From October 2002 to September 2005, nine patients with acute ankle sprain were analyzed. Among them, eight patients took the inversion stress X-ray at local clinics, and the mean talar tilting angle was 28 degrees. We observed avulsion fragment near lateral malleolus in the other. The average age at the time of operation was 24 years and average follow-up period was 29 months. We evaluated postoperative symptoms by Hasegawa's clinical rating system, postoperative complications, and compared the talar tilting angle and anterior draw distance between both ankles at the final follow-up X-rays. Results: Anterior talofibular ligament was ruptured at fibula in 4, at midsubstance in 3, at talus in 1 and at fibula and midsubstance simultaneously in 1. Calcaneofibular ligament was ruptured at fibula in 3 including a case of avulsion fracture, at midsubstance in 2, and at calcaneus in 4. And posterior talofibular ligament was ruptured at midsubstance in 2. Clinical results were rated as excellent in all. We did not find major postoperative complications except for one sural nerve irritation. Both (injured ankle/uninjured ankle) talar tilting angle averaged 6.8/8.2 degrees and anterior draw distance averaged 2.9/3.7 mm at final follow-up X-rays. Conclusion: Early primary repair is recommended for treating acute severe ankle sprains and in case found avulsion fracture in X-ray taken after ankle sprain.

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FRACTURE TOUGHNESS OF SELF-CURING DENTURE BASE RESINS WITH DIFFERENT POLYMERIZING CONDITIONS (의치상용 자가중합레진의 중합조건에 따른 파괴인성)

  • Jeong Soo-Yang;Kim Ji-Hye;Yang Byung-Deok;Park Ju-Mi;Song Kwang-Yeob
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.1
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    • pp.52-60
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    • 2005
  • Purpose. The intent of this study was to evaluate the effects of curing conditions on self-curing denture base resins to find out proper condition in self-curing resin polymerization. Materials and methods, In this study, 3 commercial self-curing denture base resins are used Vertex SC, Tokuso Rebase and Jet Denture Repair Acrylic. After mixing the self curing resin, it was placed in a stainless steel mold(3$\times$6$\times$60mm). The mold containing the resin was placed under the following conditions: in air at 23$^{\circ}C$; or in water at 23$^{\circ}C$; or in water at 23$^{\circ}C$ under pressure(20psi); or in water at 37$^{\circ}C$ under pressure(20psi) or in water at 50$^{\circ}C$ under pressure(20psi) , or in water at 65$^{\circ}C$ under pressure(20psi), respectively. Also heat-curing denture base resin is polymerized according to manufactures' instructions as control. Fracture toughness was measured by a single edge notched beam(SENB) method. Notch about 3mm deep was carved at the center of the long axis of the specimen using a dental diamond disk driven by a dental micro engine. The flexural test was carried out at a crosshead speed 0.5mm/min and fracture surface were observed under measuring microscope. Results and conclusion . The results obtained were summarized as follows : 1. The fracture toughness value of self-curing denture base resins were relatively lower than that of heat-curing denture base resin. 2. In Vertex SC and Jet Denture Repair Acrylic, higher fracture toughness value was observed in the curing environment with pressure but in Tokuso Rebase, low fracture toughness value was observed but there was no statistical difference. 3. Higher fracture toughness value was observed in the curing environment with water than air but there was no statistical difference. 4. Raising the temperature in water showed the increase of fracture toughness.

Clinical Applications of Endoscopic-Assisted Open Reduction and Internal Fixation of Subcondylar Fractures (아래턱뼈 관절돌기밑 골절에서 내시경을 이용한 관혈적 정복술 및 내부고정술의 임상적 적용)

  • Han, Seung Youl;Kang, Seok Joo;Park, Jin Hyung
    • Archives of Plastic Surgery
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    • v.36 no.6
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    • pp.735-742
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    • 2009
  • Purpose: The management of fractures of mandibular subcondyle continues to be controversial between open and closed treatment. The purpose of this article is to explain the endoscopic assisted open reduction and internal fixation and minimize the controversy. Methods: Nine patients of mandibular subcondylar fracture were reduced and fixed by using intraoral endoscopic - assisted open reduction and internal fixation and were followed up for 14 ~ 24 months after surgery. Results: Eight patients of mandibular subcondylar fracture had been treated without significant complications. One patient, whose malocclusion had been remained, was recovered normal occlusion by maxillomandibular fixation using intermaxillary screws for 3 weeks. Conclusion: The advantages of endoscopic - assisted open reduction and internal fixation are direct visualization, accurate fracture repair, minimized scar, decreased morbidity. And maxillomandibular fixation is not needed when it is done by accurate reduction and rigid fixation with one miniplate in the region of subcondylar fracture. With the above consideration, endoscopic - assisted open reduction and internal fixation can be considered as one of the best treament for subcondylar fracture of the mandible.

Coracoclavicular Screw Fixation for AC Dislocation and Unstable Distal Clavicle Fracture (견봉 쇄골 탈구와 쇄골 외측단 골절에서 일시적 오구 쇄골간 나사못 고정술)

  • Kim Jin Sub;Jun Jin Ho;Chung Yung Khee
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.133-137
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    • 1999
  • Purpose: There are so many different methods with the their own advantages and disadvantages for acute AC dislocation and distal unstable clavicle fracture. We evaluated the usefulness of temporary Bosworth's coracoclavicular fixations using the cannulated screw and reviewed our clinical results. Materials and Methods: We evaluated 34 cases of temporary coracoclavicular fixations with cannulated screw and washer for acute AC dislocation(25cases in the Type V, Ⅲ) and distal unstable clavicle fracture(9cases in the Type ⅡB, Ⅱ+Ⅲ). All cases were fixed by the same techniques, guided cannulated screw under C-arm after the repair of the CC ligament within 1 week. Bases on the regular check, screws were removed at the 6-12 weeks under local anesthesia. The final clinical and radiological results(average 14 months follow-up) were rated with the UCLA scale. Results : All shoulders were gained nearly full ROM passively at the 3-4 weeks. The overall satisfactory resuIts(excellent or good) were achieved 88%(22/25) in the acute AC dislocation and all in the distal unstable clavicle fracture. There were no definite complications except three initial fixations loosening. Conclusion: Temporary Bosworth's coracoclavicular fixation using the cannulated screw with guided pin was simple precedure and provided enough initial stability for acute AC dislocation and distal unstable clavicle fracture.

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