• Title/Summary/Keyword: fracture system

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Surgical Treatment for Type 11 Distal Clavicle Fracture using Mersilene tape and K-wire (Mersilene tape와 K-강선을 이용한 제 II형 원위부 쇄골 골절의 수술적 치료)

  • Byun, Jae-Yong;Kim, Bo-Hyun;Kang, Shin-Taek;Whang, Chan-Ha;Hong, Chang-Wha;Lee, Bum-Sung
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.123-128
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    • 2006
  • Purpose: Surgical reconstruction is usually indicated for type II distal clavicle fracture due to high rate of nonunion and delayed union. We report the clinical outcome of a surgical technique for type II distal clavicle fracture using Mersilen tape and K-wire. Materials and Methods: From 1999 through 2003, this technique has been used on 11 patients with type II distal clavicle fracture. The procedure consist of fracture reduction with a Mersilene tape, repair of torn coracoclavicular ligament, and K-wire fixation of the fracture fragment. All patients with at least 12 months of complete postoperative follow-up were included for functional and radiographic evaluation. We used simple X-ray and UCLA scoring system and constant scoring system for evaluation at last follow up in OPD. Results: Solid union of the fracture could be achieved at 11 weeks after operation in all patients. All patients could return to the same level of preinjury activity. Good and excellent results were obtained in all patients according to UCLA system. Conclusion: This technique was simple procedure and allowed for stable fixation with early mobilization and early return to work and sports.

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Tool Condition Monitoring Technique Using Computer Vision and Pattern Recognition (컴퓨터 비젼 및 패턴인식기법을 이용한 공구상태 판정시스템 개발)

  • 권오달;양민양
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.17 no.1
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    • pp.27-37
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    • 1993
  • In unmanned machining, One of the most essential issue is the tool management system which includes controlling. identification, presetting and monitoring of cutting tools. Especially the monitoring of tool wear and fracture may be the heart of the system. In this study a computer vision based tool monitoring system is developed. Also an algorithm which can determine the tool condition using this system is presented. In order to enhance practical adaptability the vision system through which two modes of images are taken is located over the rake face of a tool insert. And they are analysed quantitatively and qualitatively with image processing technique. In fact the morphologies of tool fracture or wear are occurred so variously that it is difficult to predict them. For the purpose of this problem the pattern recognition is introduced to classify the modes of the tool such as fracture, crater, chipping and flank wear. The experimental results performed in the CNC turning machine have proved the effectiveness of the proposed system.

Development of Simple Prediction Method for Injury Severity and Amount of Traumatic Hemorrhage via Analysis of the Correlation between Site of Pelvic Bone Fracture and Amount of Transfusion: Pelvic Bleeding Score (골반골절 환자의 골절위치와 출혈량간의 상관관계 분석을 통한 대량수혈 필요에 대한 간단한 예측도구 개발: 골반골 출혈 지수)

  • Lee, Sang Sik;Bae, Byung Kwan;Han, Sang Kyoon;Park, Sung Wook;Ryu, Ji Ho;Jeong, Jin Woo;Yeom, Seok Ran
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.139-144
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    • 2012
  • Purpose: Hypovolemic shock is the leading cause of death in multiple trauma patients with pelvic bone fracures. The purpose of this study was to develop a simple prediction method for injury severity and amount of hemorrhage via an analysis of the correlation between the site of pelvic bone fracture and the amount of transfusion and to verify the usefulness of the such a simple scoring system. Methods: We analyzed retrospectively the medical records and radiologic examination of 102 patients who had been diagnosed as having a pelvic bone fracture and who had visited the Emergency Department between January 2007 and December 2011. Fracture sites in the pelvis were confirmed and re-classified anatomically as pubis, ilium or sacrum. A multiple linear regression analysis was performed on the amount of transfusion, and a simplified scoring system was developed. The predictive value of the amount of transfusion for the scoring system as verified by using the receiver operating characteristics (ROC). The area under the curve of the ROC was compared with the injury severity score (ISS). Results: From among the 102 patients, 97 patients (M:F=68:29, mean $age=46.7{\pm}16.6years$) were enrolled for analysis. The average ISS of the patients was $16.2{\pm}7.9$, and the average amount of packed RBC transfusion for 24 hr was $3.9{\pm}4.6units$. The regression equation resulting from the multiple linear regression analysis was 'packed RBC units=1.40${\times}$(sacrum fracture)+1.72${\times}$(pubis fracture)+1.67${\times}$(ilium fracture)+0.36' and was found to be suitable (p=0.005). We simplified the regression equation to 'Pelvic Bleeding Score=sacrum+pubis+ilium.' Each fractured site was scored as 0(no fracture) point, 1(right or left) point, or 2(both) points. Sacrum had only 0 or 1 point. The score ranged from 0 to 5. The area under the curve (AUC) of the ROC was 0.718 (95% CI: 0.588-0.848, p=0.009). For an upper Pelvis Bleeding Score of 3 points, the sensitivity of the prediction for a massive transfusion was 71.4%, and the specificity was 69.9%. Conclusion: We developed a simplified scoring system for the anatomical fracture sites in the pelvis to predict the requirement for a transfusion (Pelvis Bleeding Score (PBS)). The PBS, compared with the ISS, is considered a useful predictor of the need for a transfusion during initial management.

CHARACTERISTICS OF ROLLED H SECTION STEEL WELDS JOINTED BY NEWLY DEVELOPED FLASH WELDING SYSTEM

  • Kim, You-Chul;Oku, Kentaro;Umekuni, Akira;Fujii, Mitsuru
    • Proceedings of the KWS Conference
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    • 2002.10a
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    • pp.826-830
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    • 2002
  • In the civil engineering and architecture fields, welding for large sectional members, such as I section steel and H section steel, are usually performed. a flash welding system, by which large I section steel or H section steel can be welded for a short time, was newly developed. In order to know the basic characteristics of welded joints, the specimens were cut out from flash welded joints, and tensile and fatigue experiments were carried out. The joint efficiency of welded joints by flash welding is 100% for the specimens with reinforcements and 93% for without reinforcements. The fatigue strength of welded joints with reinforcement was about 50% of that of the base metal. Removing the reinforcement generated by flash welding, fatigue strength of flash welded joints became 75% of that of the base metal. In case of flash welded joints with reinforcements, after a couple of fatigue cracks had propagated, ductile fracture occurred at the toe. In flash welded joints without reinforcements, fracture occurred at the bond or at HAZ (Heat Affected Zone). In case of fracture at the bond, fracture was brittle, and in case at HAZ, fracture was ductile.

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Dynamic Fracture Toughness of Chevron-notch Ceramic Specimens measured in Split Hopkinson Pressure Bar

  • Lee, Yeon-Soo;Yoon, Young-Ki;Yoon, Hi-Seak
    • International Journal of Precision Engineering and Manufacturing
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    • v.3 no.3
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    • pp.69-75
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    • 2002
  • Measuring dynamic fracture toughness of brittle and small ceramic specimen is very difficult in a SHPB (Split Hopkinson Pressure Bar). As a countermeasure to this difficulty, a dynamic fracture toughness measuring method by the Chevron-notch ceramic specimen was proposed. Tested chevron specimens were of Chevron notch angles of 90$^{\circ}$, 100$^{\circ}$ and 110$^{\circ}$. Through finite element analysis, shape parameters of the Chevron-notch specimens according to notch angles were calculated. And the static fracture tough1ess of the Chevron-notch alumina specimen was measured as 3.8MPa√m similar to that of CT specimen with a precrack. Dynamic fracture toughness was 4.5MPa√m slightly higher than the static one. It was shown in this study that the proposed Chevron-notch specimens are valid to measure dynamic fracture toughness of extremely brittle materials such as ceramic.

Interlaminar Fracture Toughness of GFRP Composites for Insulating Structure of Magnet System (전자석 시스템의 절연 구조물용 유리섬유강화 복합재료의 층간 파괴인성)

  • Song, Jun Hee;Kim, Hak Kun;Kim, Yonjig
    • Korean Journal of Metals and Materials
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    • v.49 no.10
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    • pp.754-759
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    • 2011
  • In this study, the interlaminar fracture behaviors of laminated GFRP composites were investigated, and the results could be used for damage tolerance design based on fracture mechanics. Three types of laminated GFRP composites that can be used as high voltage insulating materials in magnet systems were fabricated in order to study the interlaminar fracture behavior according to the molding process. The values of interlaminar fracture toughness for the VPI, prepreg, and HPL laminate were $1.9MPa{\cdot}^{1/2}$, $1.7MPa{\cdot}^{1/2}$, and $2.2MPa{\cdot}^{1/2}$, respectively. HPL laminate showed the best fracture resistance. The failure modes of HPL and VPI were similar to that of an adhesive joint, and prepreg laminates showed partial cohesive failure mode due to internal voids.

Verification on the Fracture Size Estimation Using Forward Modeling Approach (순산 모델링 기법을 이용한 단열크기 추정방법 고찰)

  • 김경수;김천수;배대석;정지곤
    • The Journal of Engineering Geology
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    • v.8 no.1
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    • pp.1-12
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    • 1998
  • The fracture size among geometric parameters of the fracture system is treated as one of the most important factors in the geotechnical and hydrogeological analysis. However, several uncertainties in data acquisition and analysis pmcess about the fracture size are not clear yet. This study presents the current status on the estimation of the fracture size and verifies the estimating method using forward modeling approach. The factors considered are the variation of fracture intersection probabilities with different assumptions on the orientation of sampling planes and fracture size by using a simulated tleee dimensional fracture network model. If it is possible to analyze precisely the fracture intersection probabilities and the characteristics of probabilistic distnbution fiom cavern walls, outcrops or boreholes,the actual fracture size developed in rock rnass can be estimated confidently.

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A Study on the Evaluation of the Pipe Fracture Characteristic (실배관 파괴특성 평가에 관한 연구)

  • Park Jae-Sil;Kim Young-Jin;Seok Chang-Sung
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.29 no.1 s.232
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    • pp.107-114
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    • 2005
  • In order to analyze the elastic-plastic fracture behavior of a structure, the fracture resistance curve of the material should be known first. The standard CT specimen was used to obtain the fracture resistance curves of a piping system. However, it is known that the fracture resistance curve by the standard CT specimen is very conservative to evaluate the integrity of a structure. Also the fracture resistance curve is effected by the specimen geometry and the dimensions because of the constraint effect. The objective of this paper is to be certain the conservativeness of the fracture resistance curve by the standard CT specimen and to provide an additional safety margin. For these, the fracture tests using a real pipe specimen and the standard CT specimen test were performed. A 4-point bending jig was manufactured for the pipe test and the direct current potential drop method was used to measure the crack extension and the length for the pipe test. Also finite element analyses were performed with a CT specimen and a pipe in order to prove the additional safety margin. From the result of tests and analyses of the pipe and the standard CT specimen, it was observed that the fracture analysis with the standard CT specimen is conservative and the additional safety margin was proved.

FRACTURE STRENGTH AND MARGINAL FIT OF IN-CERAM, COPY-MILLED IN-CERAM, AND IPS EMPRESS 2 ALL-CERAMIC BRIDGES

  • Hwang Jung-Won;Yang Jae-Ho;Lee Sun-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.6
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    • pp.641-658
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    • 2001
  • All-ceramic restorations have become an attractive alternative to porcelain-fused-to-metal crowns. In-Ceram, and more recently IPS Empress 2 were introduced as a new all-ceramic system for single crowns and 3-unit fixed partial dentures. But their strength and marginal fit are still an important issue. This study evaluated the fracture resistance and marginal fit of three systems of 3 unit all-ceramic bridge fabricated on prepared maxillary anterior resin teeth in vitro. The 3 all-ceramic bridge systems were: (1) a glass-infiltrated, sintered alumina system (In-Ceram) fabricated conventionally, (2) the same system with copy-milled alumina cores (copy-milled In-Ceram), (3) a heat pressed, lithium disilicate reinforced glass-ceramic system (IPS Empress 2). Ten bridges of each system with standardized design of framework were fabricated. All specimens of each system were compressed at $55^{\circ}$ at the palatal surface of pontic until catastrophic fracture occurred. Another seven bridges of each system were fabricated with standard method. All of the bridge-die complexes were embedded in epoxy resin and sectioned buccolingually and mesiodistally. The absolute marginal discrepancy was measured with stereomicroscope at ${\times}50$ power. The following results were obtained: 1. There was no significant difference in the fracture strength among the 3 systems studied. 2. The Weibull modulus of copy-milled In-Ceram was higher than that of In-Ceram and IPS Empress 2 bridges. 3. Copy-milled In-Ceram($112{\mu}m$) exhibited significantly greater marginal discrepancy than In Ceram ($97{\mu}m$), and IPS Empress 2 ($94{\mu}m$) at P=0.05. 4. The lingual surfaces of the ceramic crowns showed smaller marginal discrepancies than mesial and distal points. There was no significant difference between teeth (incisor, canine) at P=0.05. 5. All-ceramic bridges of three systems appeared to exhibit sufficient initial strength and accept able marginal fit values to allow clinical application.

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Classification of the Lateral Orbital Wall Fracture and Its Clinical Significance (안와 외벽 골절의 분류와 임상적 의의)

  • Cho, Pil Dong;Kim, Hyung Suk;Shin, Keuk Shun
    • Archives of Plastic Surgery
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    • v.35 no.5
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    • pp.553-559
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    • 2008
  • Purpose: The lateral orbital wall fractures have been previously classified by some authors. As there are some limitations in applying in their own classifications, we hope to present a refined classification system of the lateral orbital wall fracture and to identify the correlation between the specific type of the fracture and clinical diagnosis. Methods: The facial bone CT scans and medical records of 78 patients with the lateral orbital wall fractures were reviewed in a retrospective manner. The classification is based on the CT scan. In type I, the fracture and its segments are away from the lateral rectus muscle and in type II, they are next to or slightly pushing the muscle in axial CT scan. In type III, the fracture segments compress and displace the longitudinal axis of the muscle or the optic nerve in axial view of CT scan. Type IV fracture includes multiple fractures found around the orbital apex or optic canal in coronal view of CT scans of the type I and type II fractures. Results: The most common fracture pattern was type I(43.6%), followed by type IV(29.5%), type II(20.5%), and type III(6.4%). As diplopia and restriction of extraocular muscles were found in type I and II fractures, severe ophthalmic complications such as superior orbital fissure syndrome, orbital apex syndrome, and traumatic optic neuropathy were found in type III and IV fractures almost exclusively. Conclusion: We propose an easy classification system of the lateral orbital wall fracture which correlates closely with ophthalmic complications and may help to make further treatment plan. In Type III and IV fractures, severe ophthalmic complications may ensue in higher rates, so early diagnosis and treatment should be performed.