• 제목/요약/키워드: fracture repair

검색결과 254건 처리시간 0.024초

삼두 근 견열 손상 - 3례 보고- (Avulsion of the Triceps Brachii - 3 cases report -)

  • 류인혁;정재익;서보건;김경철
    • Clinics in Shoulder and Elbow
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    • 제9권2호
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    • pp.216-221
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    • 2006
  • Avulsion of the triceps brachii is an uncommon injury. The usual mechanism of injury is fall onto an outstretched hand but can occur after direct contact injuries. Diagnosis is critical and dependent on history, physical examination, and radiological findings. Rupture of triceps brachii occurs most frequently at the tendo-osseous insertion and may be complete or partial, and could be associated with radial head fracture. Treatments include surgical repair of the complete rupture and immobilization of partial triceps rupture. We report 3 cases of triceps avulsion fractures treated by open surgical repair with literature reviews.

A new formulation of the J integral of bonded composite repair in aircraft structures

  • Serier, Nassim;Mechab, Belaid;Mhamdia, Rachid;Serier, Boualem
    • Structural Engineering and Mechanics
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    • 제58권5호
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    • pp.745-755
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    • 2016
  • A three-dimensional finite element method is used for analysis of repairing cracks in plates with bonded composite patch in elastic and elastic plastic analysis. This study was performed in order to establish an analytical model of the J-integral for repair crack. This formulation of the J-integral to establish models of fatigue crack growth in repairing aircraft structures. The model was developed by interpolation of numerical results. The obtained results were compared with those calculated with the finite element method. It was found that our model gives a good agreement of the J-integral. The arrow shape reduces the J integral at the crack tip, which improves the repair efficiency.

휨시험에 의한 에폭시 균열주입제의 변형특성에 관한 실험적 연구 (An Experimental Study on the Characteristics of Deformation of Repaired Epoxy Resin by Flexural Strength Test)

  • 김재성;배준영;김경덕;강석표;곽주호;김정환
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2005년도 봄학술 발표회 논문집(II)
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    • pp.269-272
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    • 2005
  • Epoxy resins are gradually becoming some of the most important and versatile polymers in modem civil engineering. Because epoxy resins have some unigue properties, such as toughness, versatility of viscosity and curing conditions, good handling characteristics, high adhesive strength, inertness, low shrinkage compared to most other thermo-setting resins and concrete, and resistance to chemicals, they have found many applications in construction castings, repair materials, road or bridge deck pavements, coatings, and as structural or non structural adhesives. In this applications, epoxy resins are widely used for polymer concretes, grouting materials, injection glues, and sealants. In this paper, characteristics of deformation of repair material after repaired have been investigated by viscosity of repair material and the width of crack. It is believed that flexural strength of epoxy resin with low viscosity is high because tensile strength is high and elongation at break is low, fracture energy is low.

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Traumatic Tricuspid Regurgitation Treated by the Minimally Invasive Double Orifice Technique

  • Lee, Chan Kyu;Jang, Jae Hoon;Lee, Na Hyeon;Song, Seunghwan
    • Journal of Chest Surgery
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    • 제54권1호
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    • pp.68-71
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    • 2021
  • A 37-year-old man was transferred to our level I trauma center after a road traffic accident, presenting with right acetabular fracture, multiple rib fractures, epidural hemorrhage, and liver contusion. Severe traumatic tricuspid regurgitation was also discovered during the work-up for surgery. Our initial attempt at acetabular surgery failed when the patient experienced near cardiac arrest during anesthetic induction. It was hence decided that tricuspid valve repair should precede orthopedic surgery. Minimally invasive tricuspid valve repair using the double orifice technique was successfully performed. Subsequently, acetabular surgery was performed and he was discharged 35 days post-trauma without any complications.

Comparison of the fracture resistances of glass fiber mesh- and metal mesh-reinforced maxillary complete denture under dynamic fatigue loading

  • Im, So-Min;Huh, Yoon-Hyuk;Cho, Lee-Ra;Park, Chan-Jin
    • The Journal of Advanced Prosthodontics
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    • 제9권1호
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    • pp.22-30
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    • 2017
  • PURPOSE. The aim of this study was to investigate the effect of reinforcing materials on the fracture resistances of glass fiber mesh- and Cr-Co metal mesh-reinforced maxillary complete dentures under fatigue loading. MATERIALS AND METHODS. Glass fiber mesh- and Cr-Co mesh-reinforced maxillary complete dentures were fabricated using silicone molds and acrylic resin. A control group was prepared with no reinforcement (n = 15 per group). After fatigue loading was applied using a chewing simulator, fracture resistance was measured by a universal testing machine. The fracture patterns were analyzed and the fractured surfaces were observed by scanning electron microscopy. RESULTS. After cyclic loading, none of the dentures showed cracks or fractures. During fracture resistance testing, all unreinforced dentures experienced complete fracture. The mesh-reinforced dentures primarily showed posterior framework fracture. Deformation of the all-metal framework caused the metal mesh-reinforced denture to exhibit the highest fracture resistance, followed by the glass fiber mesh-reinforced denture (P<.05) and the control group (P<.05). The glass fiber mesh-reinforced denture primarily maintained its original shape with unbroken fibers. River line pattern of the control group, dimples and interdendritic fractures of the metal mesh group, and radial fracture lines of the glass fiber group were observed on the fractured surfaces. CONCLUSION. The glass fiber mesh-reinforced denture exhibits a fracture resistance higher than that of the unreinforced denture, but lower than that of the metal mesh-reinforced denture because of the deformation of the metal mesh. The glass fiber mesh-reinforced denture maintains its shape even after fracture, indicating the possibility of easier repair.

골절 유발 Rat에 대한 혈부축어탕(血府逐瘀湯)의 전임상 연구 (The Preclinical Study of Hyeolbuchugeo-tang (Xuefuzhuyu-tang) on Bone Healing in Rats with Rib Fracture)

  • 허건;오민석
    • 한방재활의학과학회지
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    • 제30권3호
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    • pp.23-44
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    • 2020
  • Objectives The purpose of this study is to evaluate the healing effect of Hyeolbuchugeo-tang (HC) in rats with rib fracture. Methods Rats were randomly divided into 5 groups (naive, control, positive control, HC-L and HC-H). All groups except naive group were subjected to bone fracture of rib. Naive group received no treatment at all. Control group was fed with phosphate buffered saline. Positive control group was orally medicated with tramadol. Experimental group was orally medicated with HC extract (50 mg/kg for low concentration [HC-L], 100 mg/kg for high concentration [HC-H]). X-ray and micro-computed tomography (micro-CT) were conducted to assess the effect of HC. We analysed the level of 2) transforming growth factor-β1 (TGF-β1), Ki67, alkaline phosphatase (ALP), receptor activator of nuclear factor kappa-β, runt-related transcription factor 2 (Runx2) and tartrate resistant acid phosphatase (TRAP) on 7 and 14 days after fracture. ALP, alanine aminotransferase, aspartate aminotransferase, blood urea nitrogen, creatinine was measured for safety assessment. Results X-ray and micro-CT, showed HC enhance bone repair process. Callus formation was increased in experimental group at 7 days after fracture, but decreased at 14 days after fracture. 7 days after fracture, the level of TGF-β1 in experimental group was decreased. The level of Ki67, Runx2 in HC-H, TRAP in HC-L was increased. 14 days after fracture, the level of Ki67 in HC-L and HC-H was decreased. The level of ALP, Runx2, BUN in HC-L, TRAP in HC-L and HC-H was increased. Conclusions Taken together the results, HC promoted healing of bone fracture. In conclusion, HC has a potential to promote healing of bone fracture.

도홍사물탕(桃紅四物湯)이 골절 유합에 미치는 실험적 연구 (Experimental Study of Dohongsamul-tang (Taohongsiwu-tang) on Fracture Healing)

  • 하현주;오민석
    • 한방재활의학과학회지
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    • 제30권2호
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    • pp.47-66
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    • 2020
  • Objectives The purpose of this study is to evaluate the bone healing effect of Dohongsamul-tang (Taohongsiwu-tang; DH) on femur fractured mice. Methods Mice were randomly divided into 4 groups (naive, control, positive control and DH). All groups except naive group were subjected to bone fracture on both hind limb femurs. Naive group received no treatment at all. Control group was fed with normal saline, and positive control group was orally medicated with tramadol. DH-treated group was orally medicated with DH. We analysed the levels of BMP2, COX2, Col2a1, Sox9, Runx2, and Osterix genes on 3, 7 and 14 days after fracture. Alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, blood urea nitrogen, creatinine, total cholesterol, and triglyceride levels were measured for safety assessment. Results In morphological, histological analysis, callus formation process of DH-treated group was faster than the control group. BMP2, Sox9 gene expression were significantly increased at 7 days after fracture compared to the control group. COX2, Col2a1 gene expression were significantly increased at 14 days after fracture compared to the control group. Total cholesterol was significantly increased by DH at 3 days. Triglyceride was significantly decreased by DH at 3, 7 days after fracture compared to the control group. Conclusions Dohongsamul-tang promoted bone healing process after fracture by stimulating the bone regeneration factors. And DH shows no hepatotoxicity, nephrotoxicity and serum lipid abnormality. In conclusion, it seems that DH helps to promote fracture regeneration after bone fracture by regulating gene expressions related to bone repair.

상완골 간부 골절과 동반된 외상성 회전근 개 전층 파열 - 증례 보고 - (Traumatic full thickness rotator cuff tear accompanied by the humerus shaft fracture - A case report -)

  • 정웅교;박상원;이순혁;최근석
    • Clinics in Shoulder and Elbow
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    • 제9권2호
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    • pp.222-226
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    • 2006
  • Full-thickness rotator cuff tears are relatively uncommon in the young adults. One of the pathogenesis of such tear is thought to be closely related to the specific trauma event. Favorable outcome is expected in young patient rotator cuff tears when it is diagnosed early following prompt surgical repair. However, early detection is sometimes difficult when the acute rotator cuff tear is combined with other injuries especially around the shoulder joints such as ipsilateral humerus fractures. Authors report an uncommon case of acute traumatic rotator cuff tear accompanied by the midhumerus shaft fracture in young adult.

후두 분쇄 골절의 치료 (The Communited Fracture of Larynx)

  • 김형태;조승호;김민식;선동일;최재혁
    • 대한기관식도과학회지
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    • 제3권1호
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    • pp.174-180
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    • 1997
  • Acute laryngeal trauma is a rare injury, but it threatens both the quality and maintenance of life. The optimal goal of treatment for acute communited laryngeal fracture is restoration of the skeletal framework and epithelial lining of endolarynx. But though the diagnostic skill has been developed, decision making for treatment of laryngeal trauma such as operating tim, open exploration versus closed reduction and stenting is very difficult and controversial. Recently, the authors experienced two cases with severe communited fractures of laryngeal framework and endolaryngeal avulsion injuries who were treated successfully with open surgical repair without stenting. So we report these two cases with review of the literatures.

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