• 제목/요약/키워드: Angle fracture

검색결과 635건 처리시간 0.028초

관절 내 종골 골절의 골절양상에 따른 수술적 치료 (Operative Treatment of Intraarticular Calcaneal Fracture According to the Fracture Type)

  • 라종득;박현수;임창석;장영수;박상원;정태원;전용수
    • 대한족부족관절학회지
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    • 제8권2호
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    • pp.176-181
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    • 2004
  • Purpose: We evaluated the clinical results of operative treatment of the intraarticular calcaneal fracture according to fracture classification. Materials and Methods: There were 25 cases (24 patients) which had at least one year follow up, 17 men and 7 women who were treated from June 1997 to March 2003. We have analysed the Bohler's angle, cruciate angle, width and posttraumatic osteoarthritis in radiological evaluation, and evaluated clinical results according to the Creighton-Nebraska health foundation score. Results: Excellent results were noted in 7 cases, good results in 6 cases, fair results in 4 cases and poor results in 8 cases. Radiological changes showed as follows: Bohler angle $17^{\circ}$, Crucial angle $0.1^{\circ}$, Width 6mm. Conclusion: Type II showed satisfactory results and type IV showed unsatisfactory results in Sanders classification. Proper evaluation of the intraarticular calcaneal fracture by X-ray and CT scan is necessory to predict prognosis and decise method of operative treatment.

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Hydraulic fracture initiation pressure of anisotropic shale gas reservoirs

  • Zhu, Haiyan;Guo, Jianchun;Zhao, Xing;Lu, Qianli;Luo, Bo;Feng, Yong-Cun
    • Geomechanics and Engineering
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    • 제7권4호
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    • pp.403-430
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    • 2014
  • Shale gas formations exhibit strong mechanical and strength anisotropies. Thus, it is necessary to study the effect of anisotropy on the hydraulic fracture initiation pressure. The calculation model for the in-situ stress of the bedding formation is improved according to the effective stress theory. An analytical model of the stresses around wellbore in shale gas reservoirs, in consideration of stratum dip direction, dip angle, and in-situ stress azimuth, has been built. Besides, this work established a calculation model for the stress around the perforation holes. In combination with the tensile failure criterion, a prediction model for the hydraulic fracture initiation pressure in the shale gas reservoirs is put forward. The error between the prediction result and the measured value for the shale gas reservoir in the southern Sichuan Province is only 3.5%. Specifically, effects of factors including elasticity modulus, Poisson's ratio, in-situ stress ratio, tensile strength, perforation angle (the angle between perforation direction and the maximum principal stress) of anisotropic formations on hydraulic fracture initiation pressure have been investigated. The perforation angle has the largest effect on the fracture initiation pressure, followed by the in-situ stress ratio, ratio of tensile strength to pore pressure, and the anisotropy ratio of elasticity moduli as the last. The effect of the anisotropy ratio of the Poisson's ratio on the fracture initiation pressure can be ignored. This study provides a reference for the hydraulic fracturing design in shale gas wells.

Numerical simulation of hydraulic fracturing in circular holes

  • Haeri, Hadi;Sarfarazi, Vahab;Hedayat, Ahmadreza;Zhu, Zheming
    • Computers and Concrete
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    • 제18권6호
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    • pp.1135-1151
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    • 2016
  • For investigating the effect of the pre-existing joints on the initiation pattern of hydraulic fractures, the numerical simulation of circular holes under internal hydraulic pressure with a different pattern of the joint distributions are conducted by using a finite element code, FRANC2D. The pattern of hydraulic fracturing initiation are scrutinized with changing the values of the joint length, joint offset angle. The hydraulic pressures with 70% of the peak value of borehole wall breakout pressure are applied at the similar models. The simulation results suggest that the opening-mode fracture initiated from the joint tip and propagated toward the borehole for critical values of ligament angle and joint offset angle. At these critical values, the crack grow length is influenced by joint ligament length. When the ligament length is less than 3 times the borehole diameter the crack growth length increases monotonically with increasing joint length. The opening-mode fracture disappears at the joint tip as the ligament length increases.

2차원절삭에서 공구이탈시 발생하는 버(Burr)와 파단에 관한 연구 (Study on the Burr Formation and Fracture at the Exit Stage in Orthogonal Cutting)

  • 고성림
    • 대한기계학회논문집
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    • 제17권5호
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    • pp.1172-1182
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    • 1993
  • 본 연구에서는 버형성중의 파단을 파단전의 소성변형의 과정이 파단에 영향을 미치는 연성파단(ductile fracture)으로 간주하여 McClintock의 연성파단에 관한 모델 을 이용하여 버형성중의 파단변형도를 얻었다. 이 파단변형도가 인장시험으로부터 얻 은 파단변형도와 커다란 오차가 없음을 확인하여 편의상 인장시험에서의 파단변형도를 버형성중의 파단발생 판정기준으로 사용하였다. 버형성이 시작된 이후에 공구인선부 에서의 피삭재의 변위의 발달에 관한 모델이 제시되었고 파단변형도와 최대변형량과의 비교로부터 파단위치와 각도가 결정된다.

Post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve in mandibular fracture: a prospective study

  • Yadav, Sunil;Mittal, Hitesh Chander;Malik, Sunita;Dhupar, Vikas;Sachdeva, Akash;Malhotra, Vijaylaxmy;Singh, Gurdarshan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제42권5호
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    • pp.259-264
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    • 2016
  • Objectives: We evaluated and recorded post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve (IAN) in mandibular fracture in order to identify associated risk factors. Materials and Methods: This was a prospective cohort study composed of 60 patients treated for mandibular fracture. The primary study variable was the change between the post-traumatic IAN neurosensory examination score and the score after fracture reduction. Risk factors were categorized as demographic, anatomic, fracture displacement, and treatment. Appropriate descriptive and bivariate statistics were computed. Results: Sixty patients with unilateral mandibular fracture reported within 24 hours of injury were evaluated over a one-year period. A post-traumatic neurosensory deficit was observed in 52 patients (86.7%), the percentage of which was reduced to 23.3% over the follow-up period. Abnormal postoperative neurosensory scores were significantly higher in angle fracture cases (33.3%) compared to body fracture cases (11.1%). When recovered and non-recovered neurosensory scores were compared by fracture location, 88.9% of body fracture cases showed significant recovery compared to 66.7% of mandibular angle fracture cases. Cases with less than 5 mm fracture displacement showed statistically significantly higher neurosensory recovery scores (90.6%) compared to those with more than 5 mm fracture displacement (60.7%). Conclusion: Use of a miniplate with mono-cortical screws does not play a role in increasing IAN post-traumatic neurosensory deficit. Early management can reduce the chances of permanent neurosensory deficit. Mandibular fracture displacement of 5 mm or more and fracture location were found to be associated with an increased risk of post-traumatic IAN neurosensory score worsening.

Distortion and Dilatatioin in the Tensie Failure of Paper

  • Park, Jong-Moon;James L. Thorpe
    • 펄프종이기술
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    • 제31권5호
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    • pp.73-85
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    • 1999
  • Yield and fracture are separated in the tensile failure of paper. Failure in the machine direction of photocopy paper is contrasted with failure in the cross-machine direction . The ratios of distortion (shape change) to dilatation (volume change) for individual elements at yield and fracture are described. The ratios of distortion to dilatation are measured and compared to predicted values of the strain energy density theory. To evaluate the effect of the angle from the principal material direction on the strain energy density theory. To evaluate the effect of the angle from the principal material direction on the strain energy density factor, samples are prepared from machine direction to cross-machine direction in 15 degree intervals. the strain energy density of individual elements are obtained by the integration of stress from finite element analysis with elastic plus plastic strain energy density theory. Poison's ratio and the angle from the principal material direction have a great effect ion the ratio fo distortion to dilatation in paper. During the yield condition, distortion prevails over dilatation . At fracture, dilatation is at a maximum.

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Simultaneous surgery for subcondylar fracture and prominent angle of the mandible

  • Jeong, Chang-Hwa;Ryu, Jae-Young;Lee, Woo-Yul;Kim, Hyeon-Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제37권
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    • pp.26.1-26.4
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    • 2015
  • We experienced a patient of subcondylar fracture who had a squared contour of the lower face with prominent angle of the mandible and masseter hypertrophy. Our patient was increasingly seeking esthetic improvement of the lower third of the face. But she did not want multi-stage operations. Thus, we decided and performed a one-stage mandibular angle ostectomy with fracture management. We have a stable and esthetic result simultaneously despite fractures of the fixation plates during follow-up period, so report a case.

부직포가 예각 적층판의 기계적 거동에 미치는 효과 (Effects of Non-Woven Tissue on the Mechanical Behavior of Angle-Ply Laminates)

  • 정성균
    • 한국공작기계학회논문집
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    • 제10권6호
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    • pp.109-115
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    • 2001
  • This paper investigates the mechanical characteristics of angle-ply laminates with non-woven carbon tissue. The lami- nates were made by inserting non-woven carbon tissue at the interface. Specimens were rounded near the tabs by grinding and polishing to reduce the stress concentration. Cyclic loads were applied to the specimens and the stress and fatigue life curves were obtained. The matrix crack density was also evaluated to check the effects of non-woven carbon tissue on the fracture resistance of composite laminates. C-Sean technique was used to evaluate the delamination, and SEM was used to understand the fracture mechanisms of the laminates. Experimental results show that the fatigue strength and life of composite laminates were increased by inserting non- woven carbon tissues. The results also show that the matrix crack density and delamination area were reduced by inserting non-woven carbon tissues.

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Comparative Study on Various Ductile Fracture Models for Marine Structural Steel EH36

  • Park, Sung-Ju;Lee, Kangsu;Cerik, Burak Can;Choung, Joonmo
    • 한국해양공학회지
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    • 제33권3호
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    • pp.259-271
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    • 2019
  • It is important to obtain reasonable predictions of the extent of the damage during maritime accidents such as ship collisions and groundings. Many fracture models based on different mechanical backgrounds have been proposed and can be used to estimate the extent of damage involving ductile fracture. The goal of this study was to compare the damage extents provided by some selected fracture models. Instead of performing a new series of material constant calibration tests, the fracture test results for the ship building steel EH36 obtained by Park et al. (2019) were used which included specimens with different geometries such as central hole, pure shear, and notched tensile specimens. The test results were compared with seven ductile fracture surfaces: Johnson-Cook, Cockcroft-Latham-Oh, Bai-Wierzbicki, Modified Mohr-Coulomb, Lou-Huh, Maximum shear stress, and Hosford-Coulomb. The linear damage accumulation law was applied to consider the effect of the loading path on each fracture surface. The Swift-Voce combined constitutive model was used to accurately define the flow stress in a large strain region. The reliability of these simulations was verified by the good agreement between the axial tension force elongation relations captured from the tests and simulations without fracture assignment. The material constants corresponding to each fracture surface were calibrated using an optimization technique with the minimized object function of the residual sum of errors between the simulated and predicted stress triaxiality and load angle parameter values to fracture initiation. The reliabilities of the calibrated material constants of B-W, MMC, L-H, and HC were the best, whereas there was a high residual sum of errors in the case of the MMS, C-L-O, and J-C models. The most accurate fracture predictions for the fracture specimens were made by the B-W, MMC, L-H, and HC models.

C7 Fracture as a Complication of C7 Dome-Like Laminectomy : Impact on Clinical and Radiological Outcomes and Evaluation of the Risk Factors

  • Yang, Seung Heon;Kim, Chi Heon;Lee, Chang Hyun;Ko, Young San;Won, Youngil;Chung, Chun Kee
    • Journal of Korean Neurosurgical Society
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    • 제64권4호
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    • pp.575-584
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    • 2021
  • Objective : Cervical expansive laminoplasty is an effective surgical method to address multilevel cervical spinal stenosis. During surgery, the spinous processes of C2 and C7 are usually preserved to keep the insertion points of the cervical musculature and nuchal ligament intact. In this regard, dome-like laminectomy (undercutting of C7 lamina) instead of laminoplasty is performed on C7 in selected cases. However, resection of the lamina can weaken the C7 lamina, and stress fractures may occur, but this complication has not been characterized in the literature. The objective of the present study was to investigate the incidence and risk factors for C7 laminar fracture after C7 dome-like laminectomy and its impact on clinical and radiological outcomes. Methods : Patients who underwent cervical open-door laminoplasty combined with C7 dome-like laminectomy (n=123) were classified according to the presence of C7 laminar fracture. Clinical parameters (neck/arm pain score and neck disability index) and radiologic parameters (C2-7 angle, C2-7 sagittal vertical axis, and C7-T1 angle) were compared between the groups preoperatively and at postoperatively at 3, 6, 12, and 24 months. Risk factors for complications were evaluated, and a formula estimating C7 fracture risk was suggested. Results : C7 lamina fracture occurred in 32/123 (26%) patients and occurred at the bilateral isthmus in 29 patients and at the spinolaminar junction in three patients. All fractures appeared on X-ray within 3 months postoperatively, but patients did not present any neurological deterioration. The fracture spontaneously healed in 27/32 (84%) patients at 1 year and in 29/32 (91%) at 2 years. During follow-up, clinical outcomes were not significantly different between the groups. However, patients with C7 fractures showed a more lordotic C2-7 angle and kyphotic C7-T1 angle than patients without C7 fractures. C7 fracture was significantly associated with the extent of bone removal. By incorporating significant factors, the probability of C7 laminar fracture could be assessed with the formula 'Risk score = 1.08 × depth (%) + 1.03 × length (%, of the posterior height of C7 vertebral body)', and a cut-off value of 167.9% demonstrated a sensitivity of 90.3% and a specificity of 65.1% (area under the curve, 0.81). Conclusion : C7 laminar fracture can occur after C7 dome-like laminectomy when a substantial amount of lamina is resected. Although C7 fractures may not cause deleterious clinical outcomes, they can lead to an unharmonized cervical curvature. The chance of C7 fracture should be discussed in the shared decision-making process.