• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.23 no.3
• /
• pp.270-276
• /
• 2001

The treatment of mandibular subcondylar fractures is a matter of controversy. The majority of mandibular subcondylar fracture are treated by closed reduction, but the displaced or dislocated mandibular subcondylar fractures may be treated by open reduction. The characteristics of open reduction are the anatomical reduction, the functional restoration, the rapid function, the maintenance of vertical ramus dimension, the better appearance and the less resultant TMJ problem etc. When an open reduction is considered, the wire, miniplate, lag screw and Kirschner wire are available with internal fixation. Of these, Kirschner wire is a simple method relatively and correct positioning of the wire achieves rigid fixation. But many open reduction methods for mandibular subcondylar fractures require extraoral approach. The extraoral approach has some problems, the facial scar and the risk of facial nerve injury. On the other hand, the intraoral approach eliminates the potency of the facial scar and the facial nerve injury, but is difficult to access the operation site. Since the intraoral approach was first described by Silverman (1925), the intraoral approach to the mandibular condyle has been developed with modifications. The purpose of this article is to describe the intraoral technique with the Kirschner wire on mandibular subcondylar fractures. Conclusion : The intraoral reduction with Kirschner wire on mandubular subcondylar fractures avoids the facial scar and facial nerve injury and is simple method to the extraoral approach. And it has minimal morbidity and better esthetics.

• Archives of Reconstructive Microsurgery
• /
• v.14 no.1
• /
• pp.37-41
• /
• 2005

Purpose: The purpose of this study was to evaluate the effectiveness of internal transport using Ilizarov apparatus with free flap surgery for infected tibial nonunion. Materials and Methods: We reviewed 8 patients of infected tibial nonunion treated with internal transport using Ilizarov apparatus and free flap surgery. Seven of eight patients were available for at least 1 year follow-up. All patients were male. The mean age at the time of the surgery was All fractures were Gustilo's type III B open fracture. The mean length of the bone defect was 8.5 cm. All used flaps for covering the soft tissue defect were free rectus abdominis muscle flap. We evaluated bone and functional results with use of the Paley and Catagni's classification. And we classified the complication with use of the Paley's classification. Results: Acceptable length and solid union of bone was achieved in all cases. The mean size of the bone length was 7.2 cm. The mean healing index was 69.5 days/cm. All but one case needed bone graft at docking site. All flaps were survived. There was no recurrence of infection. According to Paley and Catagni's classification, all cases showed excellent or good results. Complications were pin tract infection in 3 cases, persistent pain in 2 cases and limitation of joint motion in 2 cases. Conclusion: Simultaneous free-tissue transfer and Ilizarov distraction osteogenesis was thought to be an attractive treatment modality for infected nonunion of the tibia.

• 한국터널공학회:학술대회논문집
• /
• 2005.04a
• /
• pp.348-358
• /
• 2005

Although the evaluation of the mechanical properties and behavior of discontinuous rock masses is very important for the design of underground openings, it has always been considered the most difficult problem. One of the difficulties in describing the rock mass behavior is assigning the appropriate constitutive model. This limitation may be overcome with the progress in discrete element software such as PFC, which does not need the user to prescribe a constitutive model for rock mass. Instead, the micro-scale properties of the intact rock and joints are defined and the macro-scale response results from those properties and the geometry of the problem. In this paper, a $30m{\times}30m{\times}30m$ jointed rock mass of road tunnel site was analyzed. A discrete fracture network was developed from the joint geometry obtained from core logging and surface survey. Using the discontinuities geometry from the DFN model, PFC simulations were carried out, starting with the intact rock and systematically adding the joints and the stress-strain response was recorded for each case. With the stress-strain response curves, the mechanical properties of discontinuous rock masses were determined and compared to the results of empirical methods such as RMR, Q and GSI. The values of Young's modulus, Poisson's ratio and peak strength are almost similar from PFC model and Empirical methods. As expected, the presence of joints had a pronounced effect on mechanical properties of the rock mass. More importantly, the mechanical response of the PFC model was not determined by a user specified constitutive model.

• Journal of Hospice and Palliative Care
• /
• v.17 no.4
• /
• pp.207-215
• /
• 2014

Multiple bone metastases are common manifestation of many malignant tumors such as lung cancer, breast cancer, prostate cancer and renal cell carcinoma. Bone metastasis is secondary cancer in the bone, and it can lead to bone pain, fracture, and instability of the weight bearing bones, all of which may profoundly reduce physical activity and life quality. Treatment for bone metastasis is determined by multiple factors including pathology, performance status, involved site, and neurologic status. Treatment strategies for bone metastasis are analgesics, surgery, chemotherapy and radiotherapy. External beam radiotherapy has traditionally been an effective palliative treatment for localized painful bone metastasis. However, in some cases such as multiple bone metastases, especially osteoblastic bone metastasis originated from breast or prostate cancer, the radiopharmaceutical therapy using $^{89}Sr$, $^{186}Re$, $^{188}Re$, $^{153}Sm$ and $^{117m}Sn$ are also useful treatment option because of administrative simplicity (injection), few side effects, low risk of radiation exposure and high response rate. This article offers a concise explanation of the radiopharmaceutical therapy for multiple bone metastases.

• Journal of the Korean Society for Nondestructive Testing
• /
• v.23 no.1
• /
• pp.38-44
• /
• 2003

Performance demonstration with real flawed specimens has been strongly required for nondestructive evaluation of safety class components in nuclear power plant. Mechanical or thermal fatigue crack and intergranular stress corrosion cracking could be occured in the in-service nuclear power plant and mechanical fatigue crack was selected to study in this paper. Specimen was designed to produce mechanical fatigue flaw under tensile stress. The number of cycles and the level of stress were controlled to obtain the desired flaw roughness. After the accurate physical measurement of the flaw size and location, fracture surface was seal-welded in place to ensure the designed location and site. The remaining weld groove was then filled by using gas-tungsten are welding(GTAW) and flux-cored arc welding(FCAW). Results of radio graphic and ultrasonic testing showed that fatigue cracks were consistent with the designed size and location in the final specimens.

• Transactions of Materials Processing
• /
• v.18 no.4
• /
• pp.296-303
• /
• 2009

The effect of porosity on the high-cycle fatigue properties of Al-Si-Mg casting aluminum alloys was investigated in this study. Microstructure examination, tensile and high-cycle fatigue test were conducted on both Al-Si-Mg casted (F) and heat-treated (T6) conditions. Porosity characteristics on the fracture surfaces of fatigue-tested samples were examined using SEM and image analysis. The microstructure observation results showed that eutectic Si particles were homogeneously dispersed in the matrix of the Al-Si-Mg casting alloys, but there were porosities formed as cast defects. The high-cycle fatigue results indicated that the fatigue strength of the 356-T6 alloy was higher than that of the 356-F alloys because of the significant reduction in volume fraction of pores by heat treatment. The SEM fractography results showed that porosity affected detrimental effect on the fatigue life: 80% of all tested samples fractured as a result of porosity which acted as the main crack initiation site. It was found that fatigue life decreased as the size of the surface pore increased. A comparison was made between surface pore and inner pore for its effect on the fatigue behavior. The results showed that the fatigue strength with the inner pores was higher than that of the surface pore.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.8
• /
• pp.3537-3540
• /
• 2014

Background: Osteosarcomas are the most common solid malignancies of bone. In the last two decades there have been no concrete developments in their systemic treatment. In this trial we aimed to present our osteosarcoma patient clinical and demographic outcomes. Materials and Methods: Patients treated and followed up for osteosarcoma in Ankara Numune Education and Research Hospital from 2002 to 2012 were reviewed retrospectively. Results: A total of 21 patients (15 male, 6 female) were diagnosed with osteosarcoma. The disease was located at extremities in 76% and in 14% was metastatic at the time of diagnosis. Median disease free survival (DFS) was 36 months in non-metastatic patients and median progression free survival (PFS) was 2 months in metastatic patients (p<0.0001). Median overall survival (OS) was 80 months and 4 months, respectively (p=0.012). There were no survival differences in terms of presentation with pathological fracture, tumor size, tumor grade, alkaline phosphatase and lactate dehydrogenase level and type of chemotherapy regimen. Conclusions: Tumor site and stages are the most important prognostic factors for osteosarcoma. Extremity primary tumors have beter survival rates than non-extremity tumors. As a result of the use of effective chemotherapy the long term survival rates have improved from 10-20% to 60-70% in the last decades but we need more active agents, especially for metastatic cases.

• Journal of Advanced Marine Engineering and Technology
• /
• v.38 no.10
• /
• pp.1190-1199
• /
• 2014

As a considerable, experimental approach, an autocarriage type of $CO_2$ welding machine and a MIG(metal inert gas) welding robot in the inert gas atmosphere were utilized in order to realize Al 5083 welding to hull and relevant components of green leisure ships. This study aims at investigating the effect of welding conditions(current, voltage, welding speed, etc.) on thermal deformation that occurs as welding operation and tensile characteristics after welding, by using Al 5083, nonferrous material, applied to manufacturing of eco-environmental leisure ships. With respect to welding condition to minimize the thermal deformation, 150 A and 16 V at the wire-feed rate of 6 mm/sec were acquired in the process of welding Al 5083 through an auto carriage type of $CO_2$ welding feeder. As to tensile characteristics of Al 5083 welding through a MIG welding robot, most of tensile specimens showed the fracture behavior on HAZ(heat affected zone) located at the area joined with weld metal, except for some cases. Especially, for the case of the Al specimen with 5 mm thickness, 284.62 MPa of tensile strength and 11.41 % of elongation were obtained as an actual allowable tensile stress-strain value. Mostly, after acquiring the optimum welding condition, the relevant welding data and technical requirements might be provided for actual welding operation site and welding procedure specification (WPS).

• Ocean and Polar Research
• /
• v.25 no.4
• /
• pp.529-543
• /
• 2003

Deep-sea surface sediments, acquired from 1997 to 2002 in the Clarion-Clipperton fracture zone of the northeast equatorial Pacific, were analyzed for index and geotechnical properties to provide background information for the design of manganese nodule minor. The sediments were classified into 16 types based on the measured properties and evaluated in terms of miner maneuverabillity and potential environmental impacts arising from mining activities. It was found that the middle part of the study area covered with coarse siliceous sediments is more favorable to the commercial production than the northern part of pelagic red clay. In particular, Area B2 in the middle part is considered the best mining site since it shows the highest abundance as well as it consists mostly of normally to over consolidated (types B, C, D) coarse siliceous sediments that are appropriate for effective minor movement and accompany weak environmental impacts. Taking account of all the analyzed core logs, the average shear-strength values are proposed as a practical guideline fur movements of a manganese nodule miner: 6.0 kPa at 10cm and 7.0kPa at 40cm below the seabed.

• Journal of the Korean Society of Groundwater Environment
• /
• v.4 no.2
• /
• pp.61-72
• /
• 1997

With increasing activities for groundwater withdrawal and for the construction of underground cavern in the coastal areas, the seaward flow of groundwater has been disturbed or even reversed, resulting in seawater intrusion in aquifers. This phenomenon would be attributed to the freshwater contamination and the corrosion of steel materials. The hydrogeological and geochemical investigations have performed to characterize the seawater intrusion into the underground caverns located in the coastal area. Assumimg the inland aquifer as unconfined one, we have found out that the theoretical interface of freshwater-seawater is far different from the pathways identified. In the study site, the main pathways of seawater intrusion into the underground cavern are characterized as the sub-horizontal fractures (zones). The seawater intrusion in granitic terrane would depend mainly on the characteristics of conductive fracture system developed along the coastal area.