• Proceedings of the Computational Structural Engineering Institute Conference
• /
• 2003.10a
• /
• pp.473-478
• /
• 2003

The purpose of this study is to model the seismic behavior of Welded Unreinforced Flange and Bolted (WUF-B) connections with post-Northridge details and evaluate the system performance of the builidings with WUF-B connections. For this purpose, based on test results, mathematical model of the connections were developed and compared with test results. This connection model take into account both panel zone deformation and connection fractures. Then, SAC Phase II 3 and 9-story buildings were modeled using the connection model developed in this study. From nonlinear static pushover analysis of the buildings, maximum strength, maximum roof drift, and so forth are investigated for the buildings with post-Northridge details. Analysis results were compared with those of buildings with pre-Northridge details and ductile connections with no fractures.

• Proceedings of the KSR Conference
• /
• 2005.11a
• /
• pp.1223-1228
• /
• 2005

A lot of PSC railway bridges have been constructed in countries and, they are considered as cost-effective and less maintenance-demanded structures. However, recently several collapse of PSC bridges happened in Europe show that PSC bridges have some serious maintenance problems related to tendon corrosion and wire fractures. Furthermore, any reliable NDT method is not presented until recently. In this paper, AE techniques are investigated for detection of wire fractures in PSC beam. Using long-term monitoring AE techniques, two acoustic signals of wire fractures in a PSC beam are obtained. These data are compared to other noise signals. Based on the test results, the characteristics of the AE signals are classified and wire fracture signals are figured out among the other AE signals. As a result, AE techniques are certainly exposed to tendon fracture sound, and application of AE techniques are better than any other non-destructive method.

• Journal of Korean Foot and Ankle Society
• /
• v.17 no.4
• /
• pp.257-263
• /
• 2013

Open reduction and internal fixation is currently considered as a gold standard of treatment in most of the intra-articular calcaneal fractures. Among various different approaches, extensile lateral approach is the most popular since it provides good exposure to the subtalar joint. However, wide skin incision followed by extensive soft tissue dissection leading to increased risk of wound breakdown is the most serious drawback. Sinus tarsi approach, a minimal invasive technique to approach the subtalar joint and reduce the intra-articular calcaneal fractures, provides good clinical outcome and less wound complications compared to the extensile lateral approach. This article introduces the surgical technique and review of the literature regarding the sinus tarsi approach.

• Journal of Dental Anesthesia and Pain Medicine
• /
• v.18 no.3
• /
• pp.183-187
• /
• 2018

Complex cervical spine fractures are a serious complications of maxillofacial trauma and associated with high mortality and neurological morbidity. Strict vigilance in preventing further insult to the cervical spine is a crucial step in managing patients who are at risk for neurologic compromise. We report a rare case of a right transverse process of atlas fracture with right-sided vertebral artery injury that was associated with a comminuted fracture of the body and angle of the mandible, which restricted mouth opening. Airway management was performed by an awake fiber-optic nasotracheal intubation, where neck movement was avoided with a cervical collar. Vertebral artery injuries may have disastrous consequences, such as basilar territory infarction and death, and should be suspected in patients with head and neck trauma. After mandibular plating, the patient was on cervical collar immobilization for 12 weeks and anti-coagulant therapy.

• Journal of Trauma and Injury
• /
• v.34 no.3
• /
• pp.170-176
• /
• 2021

Purpose: Traumatic sternal fractures are rare but quite disabling injuries. Timely fixation of sternal fractures reduces pain and prevents respiratory complications. However, the fixation technique should be simple, effective, and readily available in local circumstances. Methods: From January 2014 to March 2020, seven patients with sternal fracture/dislocation underwent steel wire fixation with the new "Timala" technique. In this technique, adjacent ribs are anchored with two steel wires to form an "X" in front of the fractured segment of the sternum. Patients were followed up clinically and radiologically. Results: Six of the patients were men and one was a female. Five of them had injuries due to falls and two were injured in road traffic accidents. Their age ranged from 18 years to 76 years, with a median age of 41 years. All seven patients experienced immediate recovery from pain and showed evidence of fracture healing on postoperative chest X-rays and clinical examinations. Conclusions: Anchoring ribs to fix the sternum with steel wire is a safe, effective, easily available, and reproducible method to fix sternal fractures or dislocations.

• Journal of Veterinary Clinics
• /
• v.35 no.6
• /
• pp.269-272
• /
• 2018

A 4-year-old, 6.1 kg intact female dachshund was referred to the Animal Medical Center with acute right hind limb lameness. Radiographs revealed fractures of iliac body and tibia in the right limb. In addition, the dog exhibited tricuspid valve regurgitation and moderate heartworm infection in the right ventricle and main pulmonary artery on echocardiogram. To obtain stable anesthetic conditions for operation, an adult heartworm removal procedure was previously followed by repair of the complex fractures. All surgical procedures were done without complication and with stable patient conditions. At a one month postoperative follow-up, the dog was doing well with normal ambulation and no tricuspid valve regurgitation as well.

• Archives of Craniofacial Surgery
• /
• v.20 no.4
• /
• pp.219-222
• /
• 2019

The purpose of this study is to discuss several approaches to addressing naso-orbito-ethmoidal (NOE) fracture. Orbital fracture, especially infraorbital fracture, can be treated through the transconjunctival approach easily. However, in more severe cases, for example, fracture extending to the medial orbital wall or zygomatico-frontal suture line, only transconjunctival incision is insufficient to secure good surgical field. And, it also has risk of tearing the conjunctiva, which could injure the lacrimal duct. Also, in most complex types of facial fracture such as NOE fracture or panfacial fracture, destruction of the structure often occurs, for example, trap-door deformity; a fracture of orbital floor where the inferiorly displaced blowout facture recoils to its original position, or vertical folding deformity; fractured fragments are displaced under the other fragments, causing multiple-packed layers of bone.

• Archives of Plastic Surgery
• /
• v.46 no.2
• /
• pp.171-175
• /
• 2019

Forearm fractures are common injuries in childhood. Median nerve entrapment is a rare complication of forearm fractures, but several cases have been reported in the literature. This case report discusses the diagnosis and management of median nerve entrapment in a 13-year-old male who presented acutely with a both-bone forearm fracture and numbness in the median nerve distribution. Following the delayed diagnosis, surgical exploration revealed complete nerve entrapment and a nerve graft was performed.

• Clinics in Shoulder and Elbow
• /
• v.22 no.2
• /
• pp.106-109
• /
• 2019

Acromial fractures are well-documented complications subsequent to reverse shoulder arthroplasty (RSA), and most appear as stress fractures with no history of single trauma. To date, no study has reported the occurrence of acute displaced acromial fracture due to sudden strong deltoid contraction during heavy work. Displacement of the fracture results in a challenging surgery since it is difficult to obtain adequate fixation in thin and osteoporotic bones. We report a rare case of acute displaced acromial fracture after successful RSA treatment, using a novel technique of open reduction and internal fixation, applying two 4.5 mm cannulated screws and lateral clavicle precontoured plate.

• Clinics in Shoulder and Elbow
• /
• v.22 no.2
• /
• pp.113-117
• /
• 2019

Treating distal humerus fractures, especially those involving intra-articular lesions, is complex and often technically demanding. Although there still exist many controversial issues, the goal of treatment is to establish anatomical stable fixation by restoring the two columns and the articular surface. Universally, a posterior midline incision is applied, and the approach varies according to the further management of the triceps or olecranon. Evidence supports dual plate fixation as the optimal fixation method, and debates regarding appropriate plating configuration are still ongoing. As multiple clinical studies comparing results of parallel and perpendicular plate fixation have shown no actual difference, it is important to place the plates according to the fracture configuration.