• 대한두개안면성형외과학회지
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• 제14권2호
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• pp.111-114
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• 2013

The anterior maxillary sinus walls are the most frequently injured sites in midfacial fractures. The maxillary sinus is a difficult surgical site for reduction and fixation due to its narrow surgical field, and has a chance of developing sinusitis when sufficient treatment is not given. In this study, the methods developed by the authors for managing such are introduced. Two small openings were made on both sides of the fracture line, then a suture knot was tied instead of wiring for reduction and fixation. Then an absorbable mesh was applied on top of the fracture site, with a suture knot for additional fixation. This method was applied on an actual patient, and it was a convenient method despite the narrow surgical field that was provided. The authors believe that using suture knots to fixate fractured segments and absorbable mesh is relatively convenient and economically efficient when it comes to the reduction and fixation of the maxillary sinus wall fracture with several fragments.

• 대한약침학회지
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• 제9권1호
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• pp.109-113
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• 2006

Objective : This study is to report the effect of Scolopendrid Herbal Acupuncture on a patient suffering from the pain of Hip Adductors after operation for hip fracture. Methods : First we had treated the patient with the pain of Hip Adductors by acupuncture and herb medication(活絡湯), but we did't get remarkable improvement in condition of patient. So we added to treat his pain site with Scolopendrid Herbal Acupuncture. And then we evaluated his pain by VAS(Visual Analog Scale). Results : 1. Scolopendrid Herbal Acupuncture had a very excellent effect on relieving pain and inflammation of Hip Adductors after operation for hip fracture. 2. It appears that Scolopendrid Herbal Acupuncture is very effective against Trigger Point of muscle and pain site fixed.

• Clinical Pain
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• 제20권2호
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• pp.145-149
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• 2021

Ankylosing spondylitis (AS) is a chronic inflammatory disease presenting progressive spinal stiffness and sacroiliitis. Cervical spine fracture combined with AS should be treated with operation, but it is closely related with increased rates of surgical site infection, which are associated with an elevated erythrocyte sedimentation rate and elevated C-reactive protein. We report a case of delayed postoperative infection appeared in cervical paravertebral space, which was masked by laboratory findings and clinical characteristics represented in this rheumatic disease. A 53-year-old man who had medical history of AS got operation after cervical spine fracture. During hospitalization, he experienced aching pain originating from left posterior neck to shoulder, which was revealed out to be delayed postoperative infection, diagnostically obscured by elevated values of inflammatory markers. This case emphasizes detailed evaluation considering symptoms and comorbidity of the patient should be performed to apply proper management.

• 한국의학물리학회지:의학물리
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• 제21권1호
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• pp.52-59
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• 2010

요추 압박 골절이 있는 환자를 대상으로 1.5 T MR 기기에서 b value의 변화를 이용한 확산강조영상에서 압박 골절이 있는 요추의 신호대 잡음비와 현성 확산 계수가 어떤 변화를 나타내는지 알아보고자 하였다. 2008년 1월부터 2009년 11월까지 요추 MRI를 촬영한 환자 중에서 만성 골다공증으로 척추 압박 골절을 보였던 환자 30명을 대상으로 1.5T MR scanner를 이용하여 b value를 400, 600, 800, 1000, $1200\;s/mm^2$으로 점차 증가시켜가면서 확산강조영상을 각각 획득하였다. 각각의 b value로 획득한 확산강조영상에서 1~5번의 요추체중 척추 압박 골절이 있는 부위와 골절이 있는 부위의 위, 아래 추간판등 세 부위에서 신호대 잡음비를 측정하였고 각각의 b value로 획득한 ADC map 영상에서는 세 부위의 신호대 잡음비와 현성 확산 계수를 측정 하였다. 정량적 분석방법으로 b value $400\;s/mm^2$으로 획득한 확산강조영상과 ADC map영상을 기준으로 각각의 b value로 획득한 영상과 비교하였다. 정성적인 분석방법은 b value $400\;s/mm^2$ 확산강조영상과 ADC map영상의 1~5번의 요추체중 척추 압박 골절이 있는 부위의의 신호강도를 분석하여 이를 기준으로 각각의 b value를 증가시켰을 때의 확산강조영상과 ADC map영상에서 신호강도가 상대적으로 어떻게 변화하는지 알아보았다. 영상의 정량적 분석에서는 확산강조영상에서 b value가 증가함에 따라 척추 압박 골절이 있는 부위와 골절이 있는 부위의 위, 아래 추간판등 세 부위 모두 신호대 잡음비가 상대적으로 감소했다. ADC map영상에서는 b value가 증가함에 따라 척추 압박 골절이 있는 부위와 골절이 있는 부위의 위, 아래 추간판등 세 부위 모두 신호대 잡음비가 상대적으로 감소했다. ADC map영상에서 b value에 따른 관심영역의 현성 확산 계수는 b value가 증가함에 따라 척추 압박 골절이 있는 부위와 골절이 있는 부위의 위, 아래 추간판등 세 부위 모두 현성 확산 계수가 상대적으로 감소했다. 영상의 정성적 분석에서 b value를 $400\;s/mm^2$ 이상으로 증가시킴에 따라 척추 압박 골절이 있는 부위와 골절이 있는 부위의 위, 아래 추간판등 세 부위 모두 신호강도가 점차 감소하였고 b value를 $1,000\;s/mm^2$ 이상으로 했을 때에는 세 부위 모두 영상의 잡음이 매우 심했다. 또한 척추 압박 골절이 있는 부위는 상대적으로 위, 아래 추간판 보다 높은 신호강도를 보였다. 확산강조영상에서 b value를 증가시킴에 따라 척추 압박 골절이 있는 부위와 골절이 있는 부위의 위, 아래 추간판 등 세부위 모두 신호대 잡음비와 현성확산계수가 점차 감소하는 결과를 얻었고 향후 확산강조영상 검사 시 Multi b value를 사용하여 신호의 변화를 인지함으로서 여러 가지 척추질환으로의 적용에 도움을 줄 것이라 사료된다.

• 한방재활의학과학회지
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• 제31권4호
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• pp.49-63
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• 2021

Objectives This study aimed to investigate the trend in treating fracture with acupuncture and to evaluate the quality of case reports. Methods All case reports of fractures treated with acupuncture were extracted from four Korean web databases. We classified these studies by five fracture sites and investigated frequently used meridian and acupoint, outcome measurements, treatment period. And we assessed the quality of the case reports by the STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) guidelines. Results A total of 33 case reports were included. The outcome measurements were divided into six categories, and the outcome measurements used in more than three studies showed improvement in patient symptoms. The mainly used meridians for each fracture site were as follows: chest and abdomen (GB, LR, CV), back (BL, GB), upper limb (LI, TE), lower Limb (GB, ST, BL, SP). The most commonly used acupoints for each fracture site were as follows: chest and abdomen (Ashi points, GB24, GB25, GB26, LR13, LR14, CV16, CV17, CV18, CV19), back (BL23, BL24, BL25, BL26, BL40, BL51, BL52, BL60, GB34), upper limb (LI4, LI10, LI11, TE3), lower limb (GB34, GB40). According to the STRICTA guidelines, more than 54.54% of the reports were found to be 'not reported' or 'not sufficient' in the following categories: 'response sought', 'description of participating acupuncturist', and 'number of needle insertions per subject per session'. Conclusions The meridians and acupuncture points frequently used for acupuncture treatment of fractures were near the fracture site. Future clinical studies involving acupuncture must be reported in accordance with the STRICTA guidelines to improve transparency and uniformity.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.555-558
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• 2011

Purpose: It is relatively unusual that infraorbital rim fracture is accompanied by nasal bone fracture. In order to correct effectively, subciliary approach and intranasal manipulation are applied simultaneously. But if reduction is not successful, intranasal manipulation may become aggressive and this often causes complications. We introduce a method using intermaxillary fixation screws for decreasing such complications and effective reduction of fracture. Methods: Total seven patients with fracture of frontal process of maxilla were treated with this method. The fracture site was exposed through the subciliary approach, and one or two screws were inserted into the displaced fracture fragment. During the traction of the screws using the wire, the fracture fragment was pushed upward from the intranasal side using an elevator supplementarily and fixed with a plate and the screws. Results: In all patients, the fracture fragment was reduced successfully and no complication occurred during one year's postoperative follow-up. Conclusion: When reduction cannot be attained through a bone hook or an elevator alone, reduction of fracture fragment can be done easily using intermaxillary fixation screws. This method is less likely to cause a mucosal injury because intranasal manipulation is not aggressive. Furthermore, as the screw can be inserted and removed easily, this method is considered effective not only for fracture of frontal process of maxilla but also for fractures in other regions.

• 한국마이크로전자및패키징학회:학술대회논문집
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• 한국마이크로전자및패키징학회 2004년도 국제표면실장 및 인쇄회로기판 생산기자재전:전자패키지기술세미나
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• pp.37-59
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• 2004

In the case of Ni/Au finished pad on the package side, the solder joint of SnAgCu system can bring brittle fracture under impact load such as drop test. Therefore, it's difficult to prevent the brittle fracture of lead-free solder, by controlling Cu content. The failure locus existing on the interface between $(Ni,Cu)_3Sn_4\;and\;(Cu,Ni)_6Sn_5$ IMC layers must be changed to other site in order to avoid brittle fracture due to impact load. It was not found any clear evidence that there were two IMC layers exist. But it was strongly assumed these were two layers which have different Cu-Ni composition. From the above analysis it was assumed that Cu atom in the solder alloy or substrate seemed to affect IMC composition and cause to IMC brittle fracture.

• 터널과지하공간
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• 제4권1호
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• pp.55-62
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• 1994

The hydraulic fracturing in a field site was performed for the measurement of in-situ stresses. For the estimation of the effect of a preexisting inclined fracture, the test on a preexisting fracture zone was also conducted. From the measurements at three shallow depths, the ratios of max. to min. horizontal stress showed the range of 1.19-1.56 and the K values showed the range of 2.62-3.86. In case of a preexisting fracture with the inclination of 15 degrees, the stresses calculated as upper bound values by considering it. It seemed from this that the inclination less than 15 degrees had small effect on the stress calculation.

• 한국소성가공학회:학술대회논문집
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• 한국소성가공학회 1998년도 제2회 박판성형심포지엄 논문집 박판성형기술의 현재와 미래
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• pp.74-82
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• 1998

The limit drawing ratio (LDR) is a major process parameter in the process design of deep drawing. If the actual drawing ratio is greater than the LDR for a particular stage, then an intermediate stage has to be added to the process sequence to avoid failure during the ratio. In this study, the optimal process design considering forming limit is performed for the first-drawing and redrawing by using finite element method combined with ductile fracture criterion. The LDR and the site of fracture initiation are predicted by means of the fracture criterion. From the results of finite element analysis, the optimal value of drawing ratio is obtained, which contributes to the more uniform distribution of thickness and the smaller values of the ductile fracture in final cup.

• 지질공학
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• 제20권2호
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• pp.121-126
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• 2010

현재 방사성폐기물 처분기술 개발을 위해 운영되고 있는 시설인 KURT는 부지특성조사의 일환으로 안정성 평가차원에서 확대하여 이뤄지고 있다. 본 연구는 KURT 주변지역의 구성된 지질모델을 기초로 하여 부지규모의 수리지질학적 유동특성에 대한 연구를 하였다. 연구지역에 분포된 시추공을 이용하여 스테레오 넷으로 도시한 결과 NS, NW, EW, 저경사 단열대군으로 구분할 수 있었으며 지질 모델의 구성요소로는 상부 토양층 및 풍화대, 저경사 단열대, 단열대로 구분되었다. 구분된 단 열대에 수리시험을 통하여 지하수가 대수층을 통해 이동할 수 있는 유동력을 제공하는 수리전도도 및 수리경사에 영향을 미치는 단열의 크기 와 방향성에 대한 정규분포 통계 분석을 수행함으로 연구지역 내 NS 방향의 단열이 우세함을 확인하였다. 또한, 저경사 단열대의 수리전도도의 값은 3.61E-07 m/s로 주요 단열대보다 큰 값을 가지며, 기반암이나 기반암에 존재하는 단열대와 수리학적 특성이 상이하다.