Purpose: This study was conducted to evaluate the effect of the fixture abutment connection type and diameter on the screw joint stability in external butt joint for 2nd surgery and internal cone connected type implant system for 1st and 2nd surgery using ultimate fracture strength. Materials and Methods: USII system, SSII system and GSII system of Osstem Implant were used. Each system used the fixture with two different diameters and cement-retained abutments, and tungsten carbide / carbon coated abutment screws were used. Disc shaped stainless steel metal tube was attached using resin-based temporary cement. The experimental group was divided into seven subgroups, including the platform switching shaped specimen that uses a regular abutment in the fixture with a wide diameter in USII system. A static load was increased to the metal tube at 5mm deviated point from the implant central axis until it reached the compression bending strength at a rate of 1mm/min. Then the deformations and patterns of fracture in threaded connection were compared. Results and Conclusion: 1. In the comparison between the Regular diameter, compression bending strength of SSII system was higher than USII system and GSII system. There was no significant difference between USII system and GSII system. 2. In the comparison between wide diameter, compression bending strength was increased in the order of GSII system, USII system, and SSII system. 3. In comparison between the implant diameter, compression bending strength of the wide diameter was greater than the regular diameter in any system(P<0.05). 4. There was no significant difference between the platform switching (III group) and the regular diameter (I group) in USII system. 5. In USII system, fracture of abutment screw and deformation of both fixture and abutment were observed in I, II and III subgroups. 6. Failure pattern of SSII system, which was the fracture of abutment screw and deformation of the abutment and fixture, was observed in both IV and V subgroups. Fracture of some fixtures was observed in subgroup V. 7. Failure pattern of GSII system, which was the fracture of the abutment screw and deformation of the fixture and the abutment, was observed in both VI and VII subgroups. Apart from other subgroups, subgroup VII demonstrated no bending neither the fracture at the top of the fixture. The compressive deformation of internal slope in the fixture was the only thing observed in subgroup VII.
Kim, Hyeun-Sung;Kim, Sung-Hoon;Ju, Chang-Il;Kim, Seok-Won;Lee, Sung-Myung;Shin, Ho
Journal of Korean Neurosurgical Society
/
v.48
no.6
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pp.490-495
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2010
Objective : Bone cement augmentation procedures such as percutaneous vertebroplasty and balloon kyphoplasty have been shown to be effective treatment for acute or subacute osteoporotic vertebral compression fractures. The purpose of this study was to determine the efficacy of bone cement augmentation procedures for long standing osteoporotic vertebral compression fracture with late vertebral collapse and persistent back pain. Methods : Among 278 single level osteoporotic vertebral compression fractures that were treated by vertebral augmentation procedures at our institute, 18 consecutive patients were included in this study. Study inclusion was limited to initially, minimal compression fractures, but showing a poor prognosis due to late vertebral collapse, intravertebral vacuum clefts and continuous back pain despite conservative treatment for more than one year. The subjects included three men and 15 women. The mean age was 70.7 with a range from 64 to 85 years of age. After postural reduction for two days, bone cement augmentation procedures following intraoperative pressure reduction were performed. Imaging and clinical findings, including the level of the vertebra involved, vertebral height restoration, injected cement volume, local kyphosis, clinical outcome and complications were analyzed. Results : The mean follow-up period after bone cement augmentation procedures was 14.3 months (range 12-27 months). The mean injected cement volume was 4.1 mL (range 2.4-5.9 mL). The unipedicular approach was possible in 15 patients. The mean pain score (visual analogue scale) prior to surgery was 7.1, which decreased to 3.1 at 7 days after the procedure. The pain relief was maintained at the final follow up. The kyphotic angle improved significantly from $21.2{\pm}4.9^{\circ}$ before surgery to $10.4{\pm}3.8^{\circ}$ after surgery. The fraction of vertebral height increased from 30% to 60% after bone cement augmentation, and the restored vertebral height was maintained at the final follow up. There were no serious complications related to cement leakage. Conclusion : In the management of even long-standing osteoporotic vertebral compression fracture for over one year, bone cement augmentation procedures following postural reduction were considered safe and effective treatment in cases of non-healing evidence.
To examine among patients with vertebral compression fracture the extent to which signal-to-noise ratio (SNR) and Apparent Diffusion Coefficient (ADC) values at the lumbar vertebral compression fracture site vary on diffusion-weighted MR images according to varying b values on the 1.5T MR device. Diffusion-weighted MR images of 30 patients with compression fracture due to chronic osteoporosis who underwent vertebral MRI from Jan. 2008 to Nov. 2009 were respectively obtained using a 1.5-T MR scanner with the b values increased from 400, 600, 800, 1,000 to $1,200\;s/mm^2$. For diffusion-weighted MR images with different b values, the signal-to-noise ratio (SNR) was assessed at three sites: the site of compression fracture of the lumbar vertebral body at L1 to L5, and both the upper and lower discs of the said fracture site, while for ADC map images with different b values, the SNR and ADC were respectively assessed at those three sites. As a quantitative analysis, diffusion-weighted MR images and ADC map images with b value of $400\;s/mm^2$ (the base b values) were respectively compared with the corresponding images with each different b value. As far as qualitative analysis is concerned, for both diffusion-weighted MR and ADC map images with b value of $400\;s/mm^2$, the extent to which signal intensity values obtained at the site of compression fracture of the lumbar vertebral body at L1 to L5 vary according to the increasing b values were examined. The quantitative analysis found that for both diffusion-weighted MR and ADC map images, as the b values increased, the SNR were relatively lowered at all the three sites, compared to the base b value. Also, it was found that as the b values increased, ADC valueswere relatively lowered at all the three sites on ADC map images. On the other hand, the qualitative analysis found that as the b values increased to more than $400\;s/mm^2$, the signal intensity gradually decreased at all the sites, while at the levels of more than $1,000\;s/mm^2$, severe image noises appeared at all of the three sites. In addition, higher signal intensity was found at the site of compression fracture of the lumbar vertebral body than at the discs. Findings showed that with the b value being increased, both the signal-to-noise ratio (SNR) and Apparent Diffusion Coefficient (ADC) values gradually decreased at all the sites of the lumbar vertebral compression fracture and both the upper and lower discs of the fracture site, suggesting that there is a possibility of a wider range of applications to assessment of various vertebral pathologies by utilizing multi b values in the diffusion-weighted MRI examination.
Applications of fracture mechanics in the strength analysis of ceramic materials have been lately studied by many researchers. Various test specimens have been proposed in order to investigate the fracture resistance of cracked bodies under mixed mode conditions. Double Cleavage Drilled Compression (DCDC) specimen, with a hole offset from the centerline is a configuration that is frequently used in subcritical crack growth studies of ceramics and glasses. This specimen exhibits a strong crack path stability that is due to the strongly negative T-stress term. In this paper the maximum tensile stress (MTS) criterion is employed for investigating theoretically the initiation of brittle fracture in the DCDC specimen under mixed mode conditions. It is shown that the T-stress has a significant influence on the predicted fracture load and the crack initiation angle. The theoretical results suggest that brittle fracture in the DCDC specimen is controlled by a combination of the singular stresses (characterized by KI and KII) and the non-singular stress term, T-stress.
The mechanical behavior of rock is essential to estimate the capacity and long-term stability of $CO_2$ storage in deep saline aquifers. As the depth of reservoir increases, the pressure and temperature that applied on the rock increase. To answer the question of how the confining pressure and temperature influence the mechanical behavior of reservoir rock, triaxial compression experiments were carried out on brine-saturated sandstone at elevated temperature. The triaxial compressive strength of brine-saturated sandstone was observed to decrease with increasing testing temperature, and the temperature weakening effect in strength enhanced with the increase of confining pressure. Sandstone specimens showed single fracture failures under triaxial compression. Three typical regions around the main fracture were identified: fracture band, damaged zone and undamaged zone. A function was proposed to describe the evolution of acoustic emission count under loading. Finally, the mechanism of elevated temperature causing the reduction of strength of brine-saturated sandstone was discussed.
The present parametric study deals with the meso-scale modelling of concrete subjected to cyclic compression, which exhibits hysteresis loops during unloading and reloading. Concrete is idealised as a two-dimensional three-phase composite made of aggregates, mortar and interfacial transition zones (ITZs). The meso-scale modelling approach relies on the hypothesis that the hysteresis loops are caused by localised permanent displacements, which result in nonlinear fracture processes during unloading and reloading. A parametric study is carried out to investigate how aggregate density and size, amount of permanent displacements in the ITZ and the mortar, and the ITZ strength influence the hysteresis loops obtained with the meso-scale modelling approach.
Fractures in the form of micro cracks are commonly found in natural rocks. A rock behaves in a complex way due to fracture; in particular, the anisotropic strength of a rock material is significantly influenced by the presence of these fractures. Therefore, it is essential to understand the failure mechanism of a fractured rock. In this study, a fractured rock is formulated in terms of fabric tensor based on geometric and mechanical simplifications. In this way, position, density and shape of fractures can be determined by the fabric tensor so that rocks containing multi-fractures can successfully be modeled. Also an index to evaluate the degree of anisotropy of a fractured rock is proposed. Hence, anisotropic strength of a rock containing fractures under uniaxial compression condition is estimated through a series of numerical analyses for the multi-fractured model. Numerical investigations are carried out by varying the fracture angle from $0^{\circ}\;to\;90^{\circ}$ and relationship between uniaxial compression strength and the degree of anisotropy is investigated. By comparing anisotropic strength of numerical analysis with analytic solution, this study attempts to understand the failure mechanism of rock containing fractures.
Background: The purpose of this study was to review whether Korean medicine treatment was effective to maintain the spinal stability and to relieve spinal symptom by reviewing medical records of 18 vertebral compression fracture patients. Methods: The subjects were 18 thoracolumbar compression fracture patients who were taken more than two lateral view x-rays of fractured vertebra from Jan, 2010 to June, 2018. They were divided into two groups: the time admitted into Department of Acupuncture & Moxibustion Medicine, Pohang Korean Medical Hospital of Daegu Hanny University from onset (Research 1) and whether or not they have a past history of osteoporosis (Research 2). Then, they were follow-up observed and compared by compression ratio and numerical rating scale (NRS) and so on. Results: The amount of weekly compression rate increase of 18 patients was 1.76% per week. According to the result of Research 1, the patients group (14 patients) who were admitted into the hospital within 1-2 weeks from getting injury was 1.88% per week whereas the patients group(4 patients) who were admitted into the hospital within 3-4 weeks from getting injury was 1.22% per week. By Research 2 result, the patients group (7 patients) who had been diagnosed as an osteoporosis patient was 2.19% per week, and those (11 patients) who had not was 1.49% per week. There was a statistical significance in the change of the amount of compression rate increase in the case of Research 1, but there was not in the case of Research 2. NRS was decreased without significant difference regardless of the time admitted into the hospital and whether or not the patients had the past history of osteoporosis. Conclusion: Considering that there were more amount of compression rate increase at 1-4 weeks from onset, it is necessary to offer treatment more actively on early time from onset. Further research is needed into the increase of compression rate by the patients' having a past history of osteoporosis or not. Given that NRS decreased without significant difference, it is assumed that Korean medicine treatment has a meaningful effect on relieving subjective symptom of patients who are diagnosed as vertebral compression fractures.
This paper describes laboratory tests carried out to evaluate the influence of class F fly ash (FA) on fracture toughness of plain concretes, specified at the third model fracture. Composites with the additives of: 0%, 20% and 30% siliceous FA were analysed. Fracture toughness tests were performed on axial torsional machine MTS 809 Axial/Torsional Test System, using the cylindrical specimens with dimensions of 150/300 mm, having an initial circumferential notch made in the half-height of cylinders. The studies examined effect of FA additive on the critical stress intensity factor $K_{IIIc}$. In order to determine the fracture toughness $K_{IIIc}$ a special device was manufactured.The analysis of the results revealed that a 20% FA additive causes increase in $K_{IIIc}$, while a 30% FA additive causes decrease in fracture toughness. Furthermore, it was observed that the results obtained during fracture toughness tests are convergent with the values of the compression strength tests.
Journal of Korean Tunnelling and Underground Space Association
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v.15
no.6
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pp.547-557
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2013
The mode II fracture toughness and strength due to shear stress are important parameters in the stability of caprock and injection zone with application to geological sequestration of carbon dioxide. In this research, a short beam compression test has been used to determine the shear strength and the mode II fracture toughness for Coconino sandstone. The average value of the shear strength and mode II fracture toughness are estimated to be 23.53 MPa and 1.58 MPa${\surd}$m respectively. The stress intensity factor is suggested by finite element analysis using the displacement extrapolation method. The effect of biaxial stress and water saturation on the fracture toughness has also been investigated. The fracture toughness increases with confining stresses, but decreases by 11.4% in fully saturated condition.
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