Pilon fractures involving distal tibia remain one of the most difficult therapeutic challenges that confront the orthopedic surgeons because of associated soft tissue injury is common. To introduce and describe the diagnosis, current treatment, results and complications of the pilon fractures. In initial assessment, the correct evaluation of the fracture type through radiographic checkup and examination of the soft tissue envelope is needed to decide appropriate treatment planning of pilon fractures. Even though Ruedi and Allgower reported 74% good and excellent results with primary open reduction and internal fixation, recently the second staged treatment of pilon fractures is preferred to orthopedic traumatologist because of the soft tissue problem is common after primary open reduction and internal fixation. The components of the first stage are focused primarily on stabilization of the soft tissue envelope. If fibula is fractured, fibular open reduction and internal fixation is integral part of initial management for reducing the majority of tibial deformities. Ankle-spanning temporary external fixator is used to restore limb alignment and displaced intraarticular fragments through ligamentotaxis and distraction. And the second stage, definitive open reduction and internal fixation of the tibial component, is undertaken when the soft tissue injury has resolved and no infection sign is seen on pin site of external fixator. The goals of definitive internal fixation should include absolute stability and interfragmentary compression of reduced articular segments, stable fixation of the articular segment to the tibial diaphysis, and restoration of coronal, transverse, and sagittal plane alignments. The location, rigidity, and kinds of the implants are based on each individual fractures. The conventional plate fixation has more advantages in anatomical reduction of intraarticular fractures than locking compression plate. But it has more complications as infection, delayed union and nonunion. The locking compression plate fixation provides greater stability and lesser wound problem than conventional implants. But the locking compression plate remains poorly defined for intraarticular fractures of the distal tibia. Active, active assisted, passive range of motion of the ankle is recommended when postoperative rehabilitation is started. Splinting with the foot in neutral is continued until suture is removed at the 2~3 weeks and weight bearing is delayed for approximately 12 weeks. The recognition of the soft tissue injury has evolved as a critical component of the management of pilon fractures. At this point, the second staged treatment of pilon fractures is good treatment option because of it is designed to promote recovery of the soft tissue envelope in first stage operation and get a good result in definitive reduction and stabilization of the articular surface and axial alignment in second stage operation.
Underground construction such as tunneling can induce damages on the surrounding rock mass, due to the stress concentration of in situ stresses and excessive energy input during construction sequence, such as blasting. The developed damage on the rock mass can have substantial influence on the mechanical and hydraulic behaviors of the rock masses around a tunnel. In this study, investigation on the generation of damage around an opening in a jointed rock model under biaxial compression condition was conducted. The joint dip angles employed are 30, 45, and 60 degrees to the horizontal, and the synthetic rock mass was made using early strength cement and water. From the biaxial compression test, initiation and propagation of tensile cracks at norm to the joint angle were found. The propagated tensile cracks eventually developed rock blocks, which were dislodged from the rock mass. Furthermore, the propagation process of the tensile cracks varies with joint angle: lower joint angle model shows more stable and progressive tensile crack propagation. The development of the tensile crack can be explained under the hypothesis that the rock segment encompassed by the joint set is subjected to the developing moment, which can be induced by the geometric irregularity around the opening in the rock model. The experiment results were simulated by using discrete element method PFC 2D. From the simulation, as has been observed from the test, a rock mass with lower joint angle produces wider damage region and rock block by tensile cracks. In addition, a rock model with lower joint angle shows progressive tensile cracks generation around the opening from the investigation of the interacted tensile cracks.
Proceedings of the Korean Institute of Information and Commucation Sciences Conference
/
2008.05a
/
pp.763-767
/
2008
In a speech coding system using excitation source of voiced and unvoiced, it would be involved a distortion of speech qualify in case coexist with a voiced and an unvoiced consonants in a frame. So, We proposed TS(Transition Segment) including unvoiced consonant searching and extraction method in order to uncoexistent with a voiced and unvoiced consonants in a frame. This research present a new method of TS approximate-synthesis by using Least Mean Square and frequency band division. As a result, this method obtain a high quality approximation-synthesis waveforms within TS by using frequency information of 0.547kHz below and 2.813kHz above. The important thing is that the maximum error signal can be made with low distortion approximation-synthesis waveform within TS. This method has the capability of being applied to a new speech coding of Voiced/Silence/TS, speech analysis and speech synthesis.
The various total replacement artificial discs have developed because spinal fusion has shown a lesser mobility of an operated segment and an accelerated degeneration at adjacent discs. But almost artificial discs have not yet been reached on the substitute surgery of fusion because many problems such as those clinical success rates were not more than them of fusion have not solved. In this paper, vertically inserted assemble-screw fixture in vertebrae was proposed to improve the fixed capability of artificial disc. And also, to evaluate the design suitability of newly designed screw-type, including fixtures of commercial discs such as wedge and plate type, the 1/4 finite element model with a vertebra and various implanted fixtures were generated, and next, 3 bending motions such as flexion, bending and twisting under the moment of 10Nm and compression under the force of 1000N were considered, respectively and finally, FE analyses were performed. Results of three fixture types were compared, such as Range of Motion and maximal stress, and so on. For ROM, the screw type was average 58% less than the wedge type and was average 42% less than the plate type under all loading conditions. For average stress ratio at closer nodes between vertebra and each fixture, the wedge type was the lowest as minimum 0.02 in twisting, screw types were the highest as maximum 0.28 in compression. As the results of using cement material, it was predicted that the instability problem of the wedge type was better solved. The screw type which could be increased by implanting depth according to the number of assembling mid screws, showed that the decreased tendency of ROMs and maximal cancellous bone stresses. In further study, controlling the number of assembling screws that was suitable for a patient's bone quality, development of surgical tools and keeping on design supplementations, which will be able to develop the competitive artificial disc.
Journal of the Korea Institute of Information and Communication Engineering
/
v.13
no.2
/
pp.413-418
/
2009
In a speech coding system using excitation source of voiced and unvoiced, it would be involved a distortion of speech qualify in case coexist with a voiced and an unvoiced consonants in a frame. So, We proposed TS(Transition Segment) including unvoiced consonant searching and extraction method in order to uncoexistent with a voiced and unvoiced consonants in a frame. This research present a new method of TS approximate-synthesis by using Least Mean Square and frequency band division. As a result, this method obtain a high qualify approximation-synthesis waveforms within TS by using frequency information of 0.547kHz below and 2.813kHz above. The important thing is that the maximum error signal can be made with low distortion approximation-synthesis waveform within TS. This method has the capability of being applied to a new speech coding of Voiced/Silence/TS, speech analysis and speech synthesis.
The Journal of Korean Institute of Communications and Information Sciences
/
v.19
no.7
/
pp.1203-1212
/
1994
This paper proposes a variable block size vector quantization based on a biorthogonal wavelet transform for image compression. An image is first decomposed with the biorthogonal wavelet transform into multiresolution image and the wavelet coefficients of the middle frequency bands are segmented using the quadtree sturcture to extract the perceptually important regions in the middle frequency bands. A sedges of middle frequency bands exist the corresponding position of high frequency bands, the complicated quadtree structure of middle frequency bands is equally applied to the high frequency bands. Therefore the overhaed information of the quadtree codes needed to segment the high frequency bands can be reduced. The segmented subblocks are encoded with the codebook designed at the each scales and directions. The simulation results showed that the proposed methods could reproduce higher quality image with bit rate reduced about 20(%) than of the preceding VQ method and sufficiently reduce the bolck effect and the edge degradation.
Journal of the Korea Academia-Industrial cooperation Society
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v.11
no.1
/
pp.166-174
/
2010
SSDs are one of the best media to support portable and desktop computers' storage devices. Their features include non-volatility, low power consumption, and fast access time for read operations, which are sufficient to present flash memories as major database storage components for desktop and server computers. However, we need to improve traditional index management schemes based on B-Tree due to the relatively slow characteristics of flash memory operations, as compared to RAM memory. In order to achieve this goal, we propose a new index management scheme based on a compressed hot-cold clustering called CHC-Tree. CHC-Tree-based index management improves index operation performance by dividing index nodes into hot or cold segments and compressing pointers and keys in the index nodes and clustering the hot or cold segments. The offset compression techniques using unused free area in cold index node lead to reduce the number of slow erase operations in index node insert/delete processes. Simulation results show that our scheme significantly reduces the write and erase operation overheads, improving the index search performance of B-Tree by up to 26 percent, and the index update performance by up to 23 percent.
A 49 years old male patient was admitted to our neuro-pain clinic with symptoms of left 11th intercostal neuralgic pain and low back pain that developed 2 months prior to admission. Upon initial physical examination, motor weakness or sensory deficit were absent. Intercostal neuralgic pain improved significantly after we performed thoracic root thermocoagulation. However on the afternoon of the procedure the patient started to experience voiding difficulty, saddle anesthesia and rapidly progressing motor weakness and hypoesthesia that involved the lower back area and the lower extremities for three days. Based on these symptoms spinal cord compression was suspected and subsequently plain T-L spine X-rays and T-L spine MRI were performed. A spinal tumor that appeared metastatic in origin was seen at the T11 and T12 level. Liver ultrasonography demonstrated the presence of a $4{\times}4cm$ sized ill defined mass in the posterior segment of the right lobe. The patient was diagnosed to have hepatocellular carcinoma after needle aspiration biopsy and cytologic studies. Further orthopedic surgery was recommended but as the patient rejected any further treatment and examination, it was not possible to confirm the primary focus of the tumor. However as metastasis of a primary liver tumor to the spine is a rare occurrence, some other primary focus of metastasis or even a malignant primary tumor of the spine is more likely to explain this patient's condition.
Recently, with the development of three-dimensional scanning devices and multi-dimensional array cameras, research is continuously conducted on techniques for handling three-dimensional data in application fields such as AR (Augmented Reality) / VR (Virtual Reality) and autonomous traveling. In particular, in the AR / VR field, content that expresses 3D video as point data has appeared, but this requires a larger amount of data than conventional 2D images. Therefore, in order to serve 3D point cloud content to users, various technological developments such as highly efficient encoding / decoding and storage, transfer, etc. are required. In this paper, V-PCC bit stream created using V-PCC encoder proposed in MPEG-I (MPEG-Immersive) V-PCC (Video based Point Cloud Compression) group, It is defined by the MPEG-DASH (Dynamic Adaptive Streaming over HTTP) standard, and provides to be composed of segments. Also, in order to provide the user with the information of the 3D coordinate system, the depth information parameter of the signaling message is additionally defined. Then, we design a verification platform to verify the technology proposed in this paper, and confirm it in terms of the algorithm of the proposed technology.
TBM concrete segment requires a higher level of material properties compared to general concrete structures due to difficulties in maintenance and uncertainty in ground conditions. In this regard, recently, as one of the methods to achieve enhancement effect on concrete strength, many researchers have been focusing on adding CNTs to concrete mixture. However, even CNTs do not compensate the weakness that concrete exhibits brittle behavior after cracking. Separately, over the past few decades, a number of studies have been conducted on fiber reinforced concrete which exhibits ductile behavior due to fibers bridging cracks. However, only limited studies have been conducted to employ the advantages of the both materials together. In this study, an experimental program has been conducted to investigate the effect of CNTs on the workability and the compressive behavior of PVA-ECC which exhibits ductile tensile behavior with well-distributed cracks even without a conventional rebar. In addition to the compression test, SEM analysis has been also conducted for detailed investigation in the microstructure. The variable was the CNTs mix ratio, which were set to 0.00, 0.25, and 0.50 wt.% to the binding materials. It was observed though the test results that as the CNTs mix ratio increased, the workability considerably decreased with the reduced slump and slump flow. From the compression test results, it was also investigated that the compressive behavior was improved since the compressive strength, the strain corresponding to the compressive strength, and the modulus of elasticity increased with an increase of CNTs mix ratio. The contents of this paper will be useful for relevant research areas such as fiber reinforced concrete with CNTs which might be applied for high performance TMB concrete segments.
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