• Title/Summary/Keyword: Fracture Site

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Anterior and Posterior Stabilization by One Stage Posterolateral Approach in the Unstable Fracture of Thoracolumbar and Lumbar Spine

  • Lee, Young-Min;Cho, Yang-Woon;Kim, Joon-Soo;Kim, Kyu-Hong;Lee, In-Chang;Bae, Sang-Do
    • Journal of Korean Neurosurgical Society
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    • v.40 no.1
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    • pp.22-27
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    • 2006
  • Objective : The purpose of this study is to investigate the clinical results of anterior and posterior stabilization by one stage posterolateral approach for the unstable fracture of thoracolumbar and lumbar spine. Methods : By posterolateral approach with curved skin incision, unilateral facet and pedicle were removed. Through this route, corpectomy was performed, and then this space was replaced with mesh cage filled up with autologous bone graft. Both side pedicle screw fixation was followed to upper and lower levels. Results : Six of seven patients of this study showed neurological improvement. The other one patient showed no neurological change. One patient had postoperative infection, another patient had postoperative kyphosis. The other patient had epidural hematoma on operation site after surgery. And all patinets on this study made to have spinal stability except one patient happened postoperative kyphosis. Conclusion : In the unstable fracture of thoracolumbar and lumbar spine, one stage anterior and posterior stabilization and fusion by posterolateral approach seems to be an effective procedure, if we have more care and supplementation.

Diagnostic Imaging and Treatment of Lumbar Vertebral Fracture in a Dog (개에서 발생한 요추골절의 영상진단과 치료 1례)

  • Kwon, Young-Hang;Lim, Soo-Ji;An, Ji-Young;Choi, Soo-Young;Lee, In;Ahn, Se-Joon;Choi, Ho-Jung;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.26 no.5
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    • pp.495-498
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    • 2009
  • A female, nine-month-old Rottweiler was presented with bilateral hind limbs lameness. Physical examination, survey radiography, computed tomography (CT) and magnetic resonance imaging (MRI) were performed. Oblique fracture of L6 vertebral body and abnormal alignment was observed in survey radiographs, CT, and MRI. No significant lesion was found in the intervertebral disc adjacent to fracture site. The patient was applied by bandage and medical management including corticosteroid administration was performed. The patient was able to walk after 4 weeks and prognosis was good.

Calcaneal Tuberosity Avulsion Fracture after Repair of Achilles Tendon Rupture: A Case Report (아킬레스건 파열 이후에 발생한 종골 결절의 견열골절: 증례 보고)

  • Lee, Sung Hyun;Yi, Young;Kim, Saintpee;Kang, Hong Je
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.216-219
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    • 2019
  • In clinical practice, recurrent Achilles ruptures have been noted to occurr at the original ruptured site. However, reports of new developed fresh rupture of the Achilles tendon in other sites are is extremely rare. Our report is about one uncommon case of a traumatic calcaneal tuberosity avulsion fracture following augmented repair, which was performed using the Krackow locking loop technique. We performed open reduction and intra-osseous fixation using a suture anchor. This procedure was done through the primary longitudinal incision for the calcaneal avulsion fracture fragment. After 6 months of follow-up, our patient has achieved a complete functional recovery and he can normally perform daily and work-related tasks without pain.

Surface Fracture Response of Glass Eabric/Epoxy Lamina-Bonded Glass Plates to Impact with a Small-Diameter Steel Ball (직물형 유리섬유/에폭시 복합재료로 피막된 판유리의 미소강구 충격에 의한 표면파괴거동)

  • 김형구;최낙삼
    • Composites Research
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    • v.13 no.4
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    • pp.75-82
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    • 2000
  • A small diameter steel-ball impact experiment was performed to study the impact resistance of the surface of glass plates bonded with glass fabric/epoxy lamina. Five kinds of materials were used in this study: soda-lime glass plates, glass/epoxy lamina(one layer)-bonded and unbonded glass plates, glass/epoxy lamina(three layers)-bonded and unbonded glass plates. The range of impact velocity was 40 120m/s. The maximum stress and absorbed fracture energy were measured on the back surface of glass plates. With increasing impact velocity, various types of surface cracks such as ring, cone, radial and lateral cracks took place in the interior near the impacted site of glass plates. The cracks drastically decreased with glass/epoxy lamina coating. The surface fracture behavior could be evaluated using the maximum stress and the absorbed fracture energy.

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Application of geophysical well logging to fracture identification and determination of in-situ dynamic elastic constants. (물리검층에 의한 파쇄대 인식과 동적 지반정수의 산출)

  • Hwang, Se-Ho;Lee, Sang-Kyu
    • 한국지구물리탐사학회:학술대회논문집
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    • 1999.08a
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    • pp.156-175
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    • 1999
  • Recently the application of geophysical well logging to geotechnical site investigation is increasing, because the merit that geophysical logs provide the high resolution and in-situ physical properties in volumes of rock surrounding the borehole. Geophysical well logs are used to identify lithologic boundaries and fracture, to determine the physical properties of rock(i.e., density, velocity etc.), and to detect permeable fracture zones that could be conduits for ground water movement through the rocks. The principle of heat-pulse meter, the calibration of gamma-gamma logging, and principles and data processing of full waveform sonic logging are briefly reviewed, and the case studies of geophysical logs are discussed. Correlation between velocity by sonic logging and rock mass classification such as RMR(Rock Mass Rating) value is considered.

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Oroantral fistula after a zygomaticomaxillary complex fracture

  • Ahn, Seung Ki;Wee, Syeo Young
    • Archives of Craniofacial Surgery
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    • v.20 no.3
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    • pp.212-216
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    • 2019
  • Zygomaticomaxillary complex (ZMC) fractures account for a substantial proportion of trauma cases. The most frequent complications of maxillofacial fracture treatment are infections and soft tissue flap dehiscence. Postoperative infections nearly always resolve in response to oral antibiotics and local wound care. However, a significant infection can cause a permanent fistula. A 52-year-old man visited our clinic to treat an oroantral fistula (OAF), which was a late complication of a ZMC fracture. Postoperatively, the oral suture site dehisced, exposing the absorbable plate. However, he did not seek treatment. After 5 years, an OAF formed with a $2.0{\times}2.0cm$ bony defect on the left maxilla. We completely excised the OAF, harvested a piece of corticocancellous bone from the iliac crest, inserted the harvested bone into the defect, and covered the soft tissue defect with a buccal mucosal transposition flap. Although it is necessary to excise OAFs, the failure rate is higher for large OAFs (> 5 mm in diameter) because of the extensive defect in the underlying bone that supports the overlying flap. Inappropriate management of postoperative wounds after a ZMC fracture can lead to disastrous outcomes, as in this case. Therefore, proper postoperative treatment and follow-up are essential.

Review of Quantification of Fracture Characteristics Based on Topological Analysis (위상기하 분석법을 이용한 단열계 특성 정량화의 소개)

  • Son, Hyorok;Kim, Young-Seog
    • The Journal of Engineering Geology
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    • v.31 no.1
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    • pp.1-17
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    • 2021
  • It is important to evaluate the fracture network in a rock volume because fractures control the ground conditions and fluid flow characteristics. Therefore, various attempts have been made to quantify fracture networks to better understand ground and flow conditions. The use of fracture density alone (a quantitative parameter based on geometric analysis) does not fully explain the evolution of fracture networks, or quantify the spatial relationship (e.g. connectivity) of fractures in a rock mass. Therefore, the need for fracture network characterization based on topological analysis has recently emerged. In Korea however, the topological analysis of fracture networks within a rock mass has rarely been studied. As such, the definition of the topological analysis of fracture networks and the graph theory related to the topological analysis are briefly summarized in this study. We also introduce an application method for these analyses to fracture characterization. If the topological method is used for the analysis of fracture networks, it can also be adopted to analyze fluid flow characteristics of groundwater, characterize petroleum reservoirs, and analyze the evolution of a fracture network. In addition, topological analysis can be useful for site selection of major facilities such as nuclear waste disposal sites because it can be used to evaluate the stability of the potential sites.

Absorbable Plate-Related Infection after Facial Bone Fracture Reduction

  • Choi, Seung Hyup;Lee, Jang Hyun
    • Archives of Craniofacial Surgery
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    • v.17 no.1
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    • pp.1-4
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    • 2016
  • Absorbable plates are used widely for fixation of facial bone fractures. Compared to conventional titanium plating systems, absorbable plates have many favorable traits. They are not palpable after plate absorption, which obviates the need for plate removal. Absorbable plate-related infections are relatively uncommon at less than 5% of patients undergoing fixation of facial bone fractures. The plates are made from a mixture of poly-L-lactic acid and poly-DL-lactic acid or poly-DL-lactic acid and polyglycolic acid, and the ratio of these biodegradable polymers is used to control the longevity of the plates. Degradation rate of absorbable plate is closely related to the chance of infection. Low degradation is associated with increased accumulation of plate debris, which in turn can increase the chance of infection. Predisposing factors for absorbable plate-related infection include the presence of maxillary sinusitis, plate proximity to incision site, and use of tobacco and significant amount of alcohol. Using short screws in fixating maxillary fracture accompanied maxillary sinusitis will increase the rate of infection. Avoiding fixating plates near the incision site will also minimize infection. Close observation until complete absorption of the plate is crucial, especially those who are smokers or heavy alcoholics. The management of plate infection is varied depending on the clinical situation. Severe infections require plate removal. Wound culture and radiologic exam are essential in treatment planning.

Characteristics of Pohang CO2 Geological Sequestration Test Site (포항 이산화탄소 지중저장 시험 사이트 특성)

  • Kim, Seon-Kyoung;Chang, Chandong;Shinn, Youngjae;Kwon, Yikyun
    • The Journal of Engineering Geology
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    • v.28 no.2
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    • pp.175-182
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    • 2018
  • We analyze geological, petrophysical and geomechanical characteristics of a $CO_2$ sequestration test site, Pohang. The target reservoir exists at a depth of 750 m, where porous and permeable sandstones/conglomerates prevail. The reservoir is underlain by thick mudstone formations. We estimate in situ stress conditions using an exploratory wellbore drilled through the target reservoir. The in situ stress condition is characterized by a strike-slip faulting favored stress regime. We discuss various aspects of reservoir fracture pressures and fault reactivation pressures based on the stress magnitudes.

Spectral Analysis of On-the-go Soil Strength Sensor Data (이동식 토양 강도 센서 데이터 주파수 분석)

  • Chung, Sun-Ok;Suduth, Kenneth A.;Tan, Jinglu
    • Journal of Biosystems Engineering
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    • v.33 no.5
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    • pp.355-361
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    • 2008
  • As agricultural machinery has become larger and tillage practices have changed in recent decades, compaction as a result of wheel traffic and tillage has caused increasing concern. If strategies to manage compaction, such as deep tillage, could be applied only where needed, economic and environmental benefits would result. For such site-specific compaction management to occur, compacted areas within fields must be efficiently sensed and mapped. We previously developed an on-the-go soil strength profile sensor (SSPS) for this purpose. The SSPS measures within-field variability in soil strength at five soil depths up to 50 cm. Determining the variability structure of SSPS data is needed for site-specific field management since the variability structure determines the required intensity of data collection and is related to the delineation of compaction management zones. In this paper, soil bin data were analyzed by a spectral analysis technique to determine the variability structure of the SSPS data, and to investigate causes and implications of this variability. In the soil bin, we observed a repeating pattern due to soil fracture with an approximate 12- to 19-cm period, especially at the 10-cm depth, possibly due to cyclic development of soil fracture on this interval. These findings will facilitate interpretation of soil strength data and enhance application of the SSPS.