• Title/Summary/Keyword: hip fracture

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Effect of Microstructure on Evaluation of Fracture Toughness and Hardness of Cutting Tool Ceramics (절삭 공구용 세라믹의 소결조직에 따른 파괴인성과 경도의 평가)

  • 안동길;윤명진
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.9 no.6
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    • pp.170-177
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    • 2000
  • Dense $Al_2$O$_3$-30%TiC and Si$_3$N$_4$ ceramic tool materials with various grain size were produced by sintering-HIP treatment and by gas-pressure sintering. The fracture toughness was measured by indentation fracture and indentation strength method for both ceramics with various grain size. The effect of the grain size on the fracture toughness was evaluated, and the correlation between fracture toughness and mechanical properties such as hardness, Young\`s modulus and flexural strength of these ceramic were also investigated. The highest fracture toughness of around 6.7 MPa.m(sup)1/2 was obtained in Si$_3$N$_4$ ceramics with grain size of 1.58${\mu}{\textrm}{m}$. With a larger grain size of $Al_2$O$_3$-30%TiC and Si$_3$N$_4$ ceramics, the fracture toughness was generally increased. The increased fracture toughness of these ceramic also improved the flexural strength although the hardness decreased considerably. Similar results were obtained in grain size and mechanical properties on both $Al_2$O$_3$-30%TiC and Si$_3$N$_4$ ceramic tool materials.

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$^{99m}Tc-Tin$ Colloid Uptake Ratio of Femoral Head in Healthy Korean (정상 한국인 대퇴골두의 $^{99m}Tc-Tin$ Colloid 섭취율)

  • Zhi, Won-Hee;Sohn, Hyung-Sun;Kim, Choon-Yul;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.23 no.2
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    • pp.215-218
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    • 1989
  • Tc-99m-tin colloid distribution in the hip is studied in 76 patients with no hepatic and hip disorder, because knowledge of normal uptake pattern in the hip is important in evaluation of femoral head vasculature after a fracture. The uptake in femoral head is decreased or disappeared with increasing age due to conversion of red marrow to white marrow.

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Mechanical Properties of Carbon/Carbon Composites Densified by HIP Technique

  • Manocha, L.M.;Warrier, Ashish;Manocha, S.;Banerji, S.;Sathiyamoorthy, D.
    • Carbon letters
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    • v.6 no.1
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    • pp.6-14
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    • 2005
  • The study of mechanical properties and fracture behaviour of carbon/carbon composites is significant to its application and development. These are dependent on microstructure and properties of reinforcing fibers and matrix, fiber/matrix interface and porosity/cracks present in the composites. In the present studies high-density carbon/carbon composites have been prepared using PAN and various pitch based carbon fibers as reinforcements and pitch as matrix with repeated densification cycles using high-pressure impregnation and carbonization technique. Scanning electron microscopy has been used to study the fracture behaviour of the highly dense composites and correlated with structure of the composites. The geometry of reinforcement and presence of unfilled voids/cracks was found to influence the path of crack propagation and thereby the strength of composites. The type of stresses (tensile or compressive) accumulated also plays an important role in fracture of composites.

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Outcomes of Internal Fixation with Compression Hip Screws in Lateral Decubitus Position for Treatment of Femoral Intertrochanteric Fractures

  • Park, Cheon-Gon;Yoon, Taek-Rim;Park, Kyung-Soon
    • Hip & pelvis
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    • v.30 no.4
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    • pp.254-259
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    • 2018
  • Purpose: Internal fixation using compression hip screws (CHS) and traction tables placing patients in the supine position is a gold standard option for treating intertrochanteric fractures; however, at our institution, we approach this treatment with patients in a lateral decubitus position. Here, the results of 100 consecutive elderly (i.e., ${\geq}45$ years of age) patients who underwent internal fixation with CHS in lateral decubitus position are analyzed. Materials and Methods: Between March 2009 and May 2011, 100 consecutive elderly patients who underwent internal fixation with CHS for femoral intertrochanteric fracture were retrospectively reviewed. Clinical outcomes (i.e., Koval score, Harris hip score [HHS]) and radiographic outcomes (i.e., bone union time, amount of sliding of lag screw, tip-apex distance [TAD]) were evaluated. Results: Clinical assessments revealed that the average postoperative Koval score decreased from 1.4 to 2.6 (range, 0-5; P<0.05); HHS was 85 (range, 72-90); and mean bone union time was 5.0 (range, 2.0-8.2) months. Radiographic assessments revealed that anteroposterior average TAD was 6.95 (range, 1.27-14.63) mm; lateral average TAD was 7.26 (range, 1.20-18.43) mm; total average TAD was 14.21 (range, 2.47-28.66) mm; average lag screw sliding was 4.63 (range, 0-44.81) mm; and average angulation was varus $0.72^{\circ}$(range, $-7.6^{\circ}-12.7^{\circ}$). There were no cases of screw tip migration or nonunion, however, there were four cases of excessive screw sliding and six cases of varus angulation at more than $5^{\circ}$. Conclusion: CHS fixation in lateral decubitus position provides favorable clinical and radiological outcomes. This technique is advisable for regular CHS fixation of intertrochanteric fractures.

Mechanical safety evaluation of ceramic ball head for total hip replacement using finite element method (인공고관절 전치환술에서 세라믹 볼 헤드의 기계적 안정성 평가를 위한 유한요소 해석)

  • Han, Sung-Min;Chu, Jun-Uk;Chun, Heoung-Jae;Kim, Jung-Sung;Choi, Kui-Won;Youn, In-Chan
    • Journal of Biomedical Engineering Research
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    • v.31 no.6
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    • pp.449-455
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    • 2010
  • A ceramic articulating system in total hip replacement thought to be superior to metal-on-polyethylene due to its extremely low coefficient of friction and potential for high resistance to wear. But ceramic is brittle, which makes it mechanically and theoretically susceptible to fracture under certain mechanical conditions. In the current study, nine different models of ceramic ball heads were mechanically evaluated using 3D finite element(FE) analyses. It was found that the maximum stress in all ceramic models was lower than ceramic flexural strength, and it satisfied the requirements of the FDA Gaudience for artificial hip implant. Thus, ceramic ball head models introduced in the current study could be mechanically safe for clinical applications.

Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis

  • Yoo, Jun-Il;Cha, Yong-Han;Kim, Kap-Jung;Kim, Ha-Yong;Choy, Won-Sik;Hwang, Sun-Chul
    • Hip & pelvis
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    • v.30 no.4
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    • pp.241-253
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    • 2018
  • Purpose: This study was conducted to compare cemented and cementless bipolar hemiarthroplasty in elderly patients with unstable intertrochanteric fractures via meta-analysis and systematic review of relevant studies. Materials and Methods: Systematic review and meta-analysis were performed on 31 available clinical studies; 19 of these studies used cemented stems, 12 used cementless stems, one used both types of stems, and two studies involved a comparative analysis of both stem types. Results: There were statistically significant differences in rates of leg length discrepancy (LLD) greater than 1 cm between the cemented (event rate, 0.089) and cementless groups (event rate, 0.015 and 0.047; P=0.03). Conclusion: Cemented bipolar hemiarthroplasty and cementless bipolar hemiarthroplasty performed on elderly patients with unstable intertrochanteric fracture revealed similar mortality and complication rates; however, the rate of LLD greater than 1 cm was significantly higher in the cemented group compared with the cementless group.

Studies on the Fall Patterns for the Development of a Fracture Prevention System

  • Kim, Seong-Hyun;Kim, Gi-Beum;Kim, Young-Yook;Kwon, Tae-Kyu;Hong, Chul-Un;Kim, Nam-Gyun
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.2451-2454
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    • 2005
  • In recent years, the importance of the characterization of fall for a fracture prevention system keeps increasing since fracture from a fall can lead to serious health problems. Fall is one of the major sources which increase morbidity in elderly people. In terms of the cost and the influence to the quality of life, the most serious injury with hip fractures is caused by falls. The traditional methods in characterizing fall patterns have been mainly by the epidemiological surveys. With surveys, the exact data of fall patterns can not been acquired. In this paper, we measured and analyzed with the parameters related to fall pattern such as velocities and accelerations during the motion of falls using 3D motion capture program. We acquired the parameters of the fall pattern of intentional and unexpected fall. The result showed that the variation of velocity and acceleration during fall was very important in characterizing fall pattern, which of vital importance for the development of a fracture prevention system and for the safety of the elderly.

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Ceramic-Ceramic Wear Zirconia/Alumina Composites For The Application Of Total Hip Joint Implant (인공 고관절 골두용 세라믹 복합재료에 대한 세라믹-세라믹 접촉 마멸 특성 분석)

  • Kim H.;Lee K.Y.;Kim D. J.;Lee M. H.;Seo W. S.
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 2004.11a
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    • pp.355-361
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    • 2004
  • Ceramic femoral heads in the total hip replacement have been developed to reduce the polyethylene liner wear, Alumina and zirconia (3Y-TZP) having the excellent tribological properties are coupled against acetabular cups of polyethylene and are used in clinical application worldwide. However, alumina has a risk of catastrophic failure, and zirconia has the low temperature degradation in spite of enhanced fracture toughness. Recently, novel zirconia/alumina composite is very attractive due to the low temperature degradation (LTD)-free character and high fracture toughness. In the present study, we focus on the wear of ceramic on ceramic, which are able to be used as femoral heads and acetabular cups. Therefore, LTD-free zirconia/alumina composites with three compositions are made in a form of disk and cylinder, and the wear of the composites is performed on pin-on-disk type wear tester. The wear is conducted with or without lubricant. All the composites fabricated with the different composition show the good wear resistance.

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