• Title/Summary/Keyword: Fracture

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Current Status of Hip Fracture amongthe Elderly in Pusan (부산지역 노인들의 고관절골절발생실태에 관한 연구)

  • Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.841-850
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    • 2001
  • This study was conducted to find out current status and characteristics, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. The data were coolected from 199 cases hospitalized in 4 university hospitals in Pusan during three years period from January, 1966 to December, 1998. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed with x2-test. The results were as follow: The mean age of elderly hip fractured cases was 75.7 years, and 61.8% were female. The average hospital stay of the cases was 30.8 days, and 73.9% survived. Femur neck fracture cases comprised 51.7% of the toral cases, while trochanteric fracture cases comprised 48.3%. The hip fracture occurred more frequently during the day, shown as 66.9%, and the most frequently due to trips(44.2%), followed by slips(322%), c1ash(14.6%), dizziness(7.5%), and 00 on. Femur neck fracture, however, occurred the most frequently due to trips(51.5%) and, on the other hand, trochanteric fracture due to slips(40.6%) and trips(36.5%). About two third of hip fracture(67.8%) occurred inside of the building. The most frequently mentioned location for hip fractures was rooms or floors(32.1%), followed by streets(24.1%), bathrooms(17.6%), stairways(13.1%), and so on. Trochanteric fracture, especially, more frequently occurred inside of the building(71.9%) as compared to femur neck fracture(64.1 %). The rate of independent indoor walking in femur neck fractured cases reduced from 88.3% to 74.8% after fracture incidences, while the rate reduced from 86.0% to 45.8% in trochanteric fracture cases. It indicated that trochanteric fractures affected the walking ability of the elderly more severely that femur neck fractures. In conclusion, hip fracture occurs as a combined result of aging characteristics, environmental factors, and health related characteristics. Future studies that investigaterisk factors of hip fracture in elderly are recommended.

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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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    • v.42 no.5
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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.

The usefulness of intermolar traction wiring for restoration of maxillary & mandibular dental arch in facial bone fracture (안면골 골절에서 상하악 치열궁 복원을 위한 양측 대구치간 철사견인술의 유용성)

  • Jeong, Jae Ho;Shin, Seung Kyu;Lee, Jun Ho;Kim, Yong Ha
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.56-60
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    • 2009
  • Purpose: Palatal fracture and mandible fracture result in instability of dental arch. Because they divide the maxillary and mandibular alveolus sagittally and / or transversely and comminute the dentition, they permit rotation of dental alveolar segments and significantly increase the potential for fracture malalignment, complicating fracture treatment. Previous treatment of palatal fracture consisted of palatal splint application and rigid palatal vault stabilization. This procedure result in patient's oral discomfort and removal of palate and screw. Mandible fracture often results in malocclusion due to widening of posterior aspect of dental arch. So we introduce more simple method using intermolar traction wiring, which can protect the widening of dental arch and rotation of dental alveolar segment. Methods: Arch bar and intermolar traction wiring with wire 1 - 0, or 2 - 0 was applied. After exposure of fracture line, neutrooclusion was maintained with intermaxillary fixation. And then open reduction & internal fixation on maxillary fracture line, commonly maxillary buttress, alveolar ridge, pyriform aperture except palatal vault or mandibular fracture line. After 1 week, intermolar traction wiring was removed. We checked occlusion and postoperative radiologic finding. Results: From June of 2007 to October of 2007, 10 patient, who have maxillary fracture with palatal fracture and mandible fracture, underwent open reduction & internal fixation with intermolar traction wiring. All have satisfactory occlusion and there were no complication, like gingiva disease, mouth opening impairment and nonunion. Conclusion: The intermolar traction wiring accompany open reduction and internal fixation can be alternative method for restoration of dental arch in facial bone fracture.

Flexural Fracture Behavior of Reinforced Concrete Beam Based on Fracture Mechanics Approach (파괴역학에 근거한 철근콘크리트 보의 휨 파괴거동)

  • 어석홍;최덕진;홍기호;김희성
    • Proceedings of the Korea Concrete Institute Conference
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    • 2002.10a
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    • pp.149-154
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    • 2002
  • An analytical fracture mechanics approach was used to investigate the fracture behavior of reinforced concrete beams. By use of this approach based on fracture mechanics concepts, the crack width and length as well as the strength and cracking stability of reinforced concrete beams were investigated. The results obtained from the analytical studies were also discussed in terms of the minimum reinforcement ratio and crack width specified in design code provisions. The analytical approach based on fracture mechanics concepts are very useful to predict the fracture behavior of reinforced concrete beams.

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Tooth fracture during or after dental treatment (임상가를 위한 특집 3 - 치료 중 혹은 치료 후에 발생하는 치아의 파절)

  • Roh, Byoung-Duck
    • The Journal of the Korean dental association
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    • v.52 no.2
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    • pp.75-84
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    • 2014
  • During dental treatment, if a tooth were fractured suddenly by unnoticed tooth crack or vertical root fracture, it would be very embarrassing and frustrating experiences to dentists. But if it were once diagnosed as one of these teeth fracture, dentist should know about the etiology, course of fracture development, treatment modality to avoid argument with patient. In here cases and diagnostic skills, etiology and treatement methods of tooth fracture originated by internal stress and masticatory force were discussed to help dentists.

A study on detection of tool fracture and chipping using acoustic emission (Acoustic emission을 이용한 공구파손 및 chipping의 탐지에 관한 연구)

  • 강명순;한응교;최성주
    • Journal of the korean Society of Automotive Engineers
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    • v.8 no.3
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    • pp.28-36
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    • 1986
  • This study was investigated the feasibility of AE application on in-process detection of tool fracture and chipping. Carbon steel SM45C workpiece with longitudinal slots was turned interruptedly on a lathe. AE RMS signal at tool fracture was observed and also the tangential force and the feed observed at the time of tool fracture, the levels of tangential force and the feed force at the time of fracture decrease considerably. In chipping, high level AE signal was observed but there were no changes of cutting force. Peak AE RMS squared is proportional to the area of tool fracture and resultant force. Fracture model of tool fracture is proposed as $V_{p}$ = $C_{1}$ $E_{1}$F(.DELTA. A)$_{0.5}$ and peak AE RMS shows strong correlation with the fracture parameter F(.DELTA.A)$^{0.5}$.

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Determination of fracture toughness in concretes containing siliceous fly ash during mode III loading

  • Golewski, Grzegorz Ludwik
    • Structural Engineering and Mechanics
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    • v.62 no.1
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    • pp.1-9
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    • 2017
  • 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.

Autograft Surgery Using the Condylar Fragment for Implant Placement

  • Kim, Yeo-Gab;Kwon, Yong-Dae;Yoon, Byung-Wook;Choi, Byung-Joon;Yu, Yong-Jae;Lee, Baek-Soo
    • Journal of Korean Dental Science
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    • v.1 no.1
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    • pp.10-14
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    • 2008
  • The fracture of facial bone usually accompanies alveolar bone fracture and dislocation or fracture of teeth. Thus, aside from the reduction of fracture, the reconstruction of occlusion through the rehabilitation of lost teeth should be considered. The dislocation of tooth after trauma accompanying alveolar bone fracture needs bone grafting in case of implant treatment. Although autogenous bone graft shows good prognosis, it has the disadvantage of requiring a secondary surgery. This is a case of a mandibular condyle head fracture accompanied by alveolar bone fracture. The condylar head fragment removed during open reduction was grafted to the alveolar bone fracture site, thereby foregoing the need for secondary surgery.

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Fracture Toughness and Failure Behavior of WC-Co Composites by Fracture Surface Analysis (파괴표면분석을 통한 WC-Co복합재료의 Fracture Toughness측정방법과 Failure Behavior)

  • ;J.J Mecholsky, Jr.
    • Journal of the Korean Ceramic Society
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    • v.26 no.5
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    • pp.645-654
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    • 1989
  • Specimens of WC-Co were indented to measure the resulting crack size and unindented samples were fractured in 3-point flexure to obtain the strength and to measure characteristic features on the fracture surface. Fracture toughness was determined using fractography and compared to those determined using identation techniques. We show that principles of fracture mechanics can be applied WC-Co composites and can be used to analyze the fracture process. The fracture surfaces were examined by scanning electron microscopy and optical microscopy. Characteristic feature observed in glasses, single crystals and polycrystalline materials known as mirror, mist, hackle, and crack branching were identified for these composites. We discuss the importance of fracture surface analysis in determining the failure-initiating sources and the failure behaviorof WC-Co composites.

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A Study of Fiber Content Effect on the Fracture Behavior of Glass/Polypropylene Composites (유리섬유/폴리프로필렌 복합재에서 섬유 함유비가 파괴특성에 미치는 영향에 대한 연구)

  • 이경엽;신동혁;이중희
    • Transactions of the Korean Society of Automotive Engineers
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    • v.9 no.5
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    • pp.173-178
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    • 2001
  • This study investigates the effect of fiber content on the fracture behavior of thermoplastic composites (glass fiber/polypropylene). The fiber contents used were 20%, 30%, and 40% by weight. Fracture tests were performed using compact tension (CT) specimens made of composite sheets of three fiber contents (20%, 30%, 40%). The results showed that compliance, fracture load, and fracture toughness were affected by the fiber content. The compliance decreased with fiber content while the fracture load increased as the fiber content increased. The fracture toughness also increased as fiber content increased. Specifically, the fracture toughness increased 14% as the fiber content increased from 20% to 40%.

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