• Journal of Trauma and Injury
• /
• v.26 no.3
• /
• pp.229-232
• /
• 2013

Traumatic fracture-dislocations of the hip frequently result from high-energy injury, and hip dislocations are commonly associated with severe concomitant injuries. Sciatic nerve injury often accompanies traumatic fracture-dislocation of the hip, but neurologic examination at the time of injury is difficult in severely traumatized patients with decreased consciousness. We present such a case of multiple traumas with traumatic hip dislocation and sciatic nerve injury after reduction, and we found that magnetic resonance image (MRI) played an important role in developing a management plan.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.8 no.1
• /
• pp.39-45
• /
• 2009

Purpose: We intended to classify the pattern and to seek the cause of fractures and/or dislocations related to middle and high school Taekwondo athletes in competition and try to get the ways for preventing them. Materials and Methods: We studied 50 fractures and dislocations of the athletes in competition, which were surveyed in 2005-2007 national middle and high school Taekwondo tournament annually. We analyzed the type and the cause of the injury, performed survey at postinjury l year in 32 cases, sought proper treatments and methods for prevention. Results: The 26 cases (52%) of foot fracture, 15 cases (30%) of hand fracture and 9 cases (18%) of forearm fracture are occurred in this study. The 9 cases (28%) of satisfaction in treatment, 15 cases (47%) of average and 8 cases (25%) of dissatisfaction are surveyed in the 32 cases. The causes of dissatisfaction are lack of rest (7 cases), excessive training (5 cases), immoderate participation of match (6 cases) and the others. The athletes were returned to the match before complete recovery in 21 cases (67%). Conclusion: The causes of fractures and dislocations in middle and high school Taekwondo athletes were stroke on upper and lower extremities and high-speed hyperflexion injury that was occurred during spraining of great toe on the floor. We consider that the athletes need the development of effective protector, improvement of equipment in stadium and enough rest and education.

• Clinics in Shoulder and Elbow
• /
• v.10 no.2
• /
• pp.190-198
• /
• 2007

Purpose: The current study reports the clinical results of total elbow arthroplasties (TEA) which were Performed on patients with poor clinical and radiological results after initial surgeries for elbow fractures or dislocations. Materials and Methods: The clinical outcomes of twelve consecutive patients who underwent TEA after failed surgeries for elbow fractures or dislocations from january, 1995 to December, 2005 were evaluated. The initial diagnoses were distal humeral fractures in 8 cases and fracture-dislocations in 4 cases. The Mean period from the initial operations to the TEAs was 12 months. The mean folloow up period after TEA was 43 months. Results: The mean range of motion, in terms of active extension, activeflexion, supination, and pronation, improved from $14.2^{\circ}$, $96.7^{\circ}$, $50.8^{\circ}$ and $53.3^{\circ}$ to $5.4^{\circ}$, $122.1^{\circ}$, $63.3^{\circ}$ and $67.5^{\circ}$, respectively (p<0.05). RAdiolucent lines were found in 3 cases, which were 1 case of type 3, and 2 cases of type 4. All three loosening cases underwent revision TEAs. The mean postoperative Mayo elvow performance score was 79 point. There were 6 cases of excellent, 2 cases of good, and 4 cases in poor. Conclusion: Good clinical results were obtained after TEA performed in failed surgeries for elbow fractures of dislocations.

• Clinics in Shoulder and Elbow
• /
• v.22 no.1
• /
• pp.37-39
• /
• 2019

Irreducible dislocation of the elbow is an uncommon event. We present the case of a posterolateral elbow dislocation after a fall injury in a 67-year-old woman. A closed reduction performed in the emergency department was unsuccessful since the limited passive range of motion resulted in difficulty to perform longitudinal traction and flexion. Computed tomography images showed that the posterolateral aspect of the capitellum was impacted by the tip of the coronoid process, thus appearing similar to the Hill-Sachs lesion in the humeral head. Subsequent open reduction of the elbow revealed the dislocation to be irreducible since the tip of the coronoid process had wedged into a triangular Hill-Sachs-like lesion in the capitellum. The joint was reduced by providing distal traction on the forearm, and main fragments were disengaged using digital pressure. At the 3-month follow-up, the patient reported no dislocations, and had an acceptable range of motion. Thus, we propose that to avoid iatrogenic injury to the joint or other nearby structures, irreducible dislocations should not be subjected to repeated manipulation.

• Journal of Trauma and Injury
• /
• v.34 no.3
• /
• pp.170-176
• /
• 2021

Purpose: Traumatic sternal fractures are rare but quite disabling injuries. Timely fixation of sternal fractures reduces pain and prevents respiratory complications. However, the fixation technique should be simple, effective, and readily available in local circumstances. Methods: From January 2014 to March 2020, seven patients with sternal fracture/dislocation underwent steel wire fixation with the new "Timala" technique. In this technique, adjacent ribs are anchored with two steel wires to form an "X" in front of the fractured segment of the sternum. Patients were followed up clinically and radiologically. Results: Six of the patients were men and one was a female. Five of them had injuries due to falls and two were injured in road traffic accidents. Their age ranged from 18 years to 76 years, with a median age of 41 years. All seven patients experienced immediate recovery from pain and showed evidence of fracture healing on postoperative chest X-rays and clinical examinations. Conclusions: Anchoring ribs to fix the sternum with steel wire is a safe, effective, easily available, and reproducible method to fix sternal fractures or dislocations.

• Korean Journal of Materials Research
• /
• v.27 no.12
• /
• pp.643-651
• /
• 2017

Four types of high Mn TWIP(Twinning Induced Plasticity) steels were fabricated by varying the Mn and Al content, and the tensile properties were measured at various strain rates and temperatures. An examination of the tensile properties at room temperature revealed an increase in strength with increasing strain rate because mobile dislocations interacted rapidly with the dislocations in localized regions, whereas elongation and the number of serrations decreased. The strength decreased with increasing temperature, whereas the elongation increased. A martensitic transformation occurred in the 18Mn, 22Mn and 18Mn1.6Al steels tested at $-196^{\circ}C$ due to a decrease in the stacking fault energies with decreasing temperature. An examination of the tensile properties at $-196^{\circ}C$ showed that the strength of the non-Al added high Mn TWIP steels was high, whereas the elongation was low because of the martensitic transformation and brittle fracture mode. Although a martensitic transformation did not occur in the 18Mn1.9Al steel, the strength increased with decreasing temperature because many twins formed in the early stages of the tensile test and interacted rapidly with the dislocations.

• Clinics in Shoulder and Elbow
• /
• v.21 no.2
• /
• pp.95-100
• /
• 2018

Background: The purpose of this study was to evaluate the clinical outcomes and complications of hook plate fixation in acromioclavicular (AC) joint dislocations and distal clavicle fractures. Methods: We retrospectively reviewed a series of 60 consecutive patients with hook plate fixation for AC joint dislocation (group I) and distal clavicle fracture (group II). Groups I and II had 39 and 21 patients, respectively. Clinical results were evaluated using the pain visual analogue scale (VAS), simple shoulder test, and Constant-Murley scores. In addition, subacromial erosion and stiffness were evaluated as complications. Results: At the removal, the pain VAS was $2.69{\pm}1.30$ and $4.10{\pm}2.14$ in groups I and II, respectively, which were significantly different (p=0.003). The simple shoulder test score was $9.59{\pm}1.60$ and $7.81{\pm}2.67$ in groups I and II, respectively, which were also significantly different (p=0.002). Subacromial erosion was significantly more frequent in group II (14/21 patients, 66.7%) than in group I (15/39 patients, 38.5%) (p=0.037), and stiffness was also higher in group II (17/21 patients, 81.0%) than in group I (22/39 patients, 56.4%), but it was not significant. Conclusions: Hook plate fixation showed good clinical and functional results for the treatment of acute unstable AC joint dislocation and distal clavicle fracture. But, in distal clavicle fractures, there are more subacromial erosion and stiffness compare with acute unstable AC joint dislocation.

• Transactions of Materials Processing
• /
• v.6 no.3
• /
• pp.213-220
• /
• 1997

The microstructure of the inconel 690 alloy was varied by the solution treatment and the thermal treatment. The specimens having different microstructures were examined in order to understand the strengthening mechanism of the inconel 690. The level of supersaturation of carbon in the solid solution was increased by applying a longer solution treatment at 115$0^{\circ}C$. As increased carbon content in the solid solution, more carbides precipitated during the thermal treatment at $700^{\circ}C$. Since the carbides played a role of obstacle on the movement of dislocations, a higher tensile strength was obtained in the sample having a large number of carbider. The accumulation of dislocations at the grain boundary carbides caused the development of intergranular fracture which led to a lower elongation.

• Clinics in Shoulder and Elbow
• /
• v.24 no.4
• /
• pp.265-271
• /
• 2021

Four patients with shoulder problems that were traumatic in etiology presented to us with delays in seeking care ranging from 6 to 12 weeks due to the coronavirus disease 2019 (COVID-19) lockdown. The care of three cases (a 3-month-old neglected anterior shoulder dislocation with a greater tuberosity fracture in a 30-year old man, a 3-month-old neglected anterior shoulder dislocation in a 17-year old boy, and a 2-month-old neglected greater tuberosity fracture in a 31-year old man) was delayed due to the lockdown and the ensuing travel restrictions, while that of one case (a 6-week-old fracture-dislocation of the proximal humerus in a 55-year-old woman) was delayed because the patient was undergoing treatment for COVID-19 at the time of injury. This report intends to present the exceptional circumstances around these cases. The unique treatment challenges and their outcomes are also described to advise the surgeons of the nuances and difficulties in treating these injuries.

• Ceramist
• /
• v.9 no.6
• /
• pp.49-55
• /
• 2006

Intra-type alumina-based nanocomposites, in which second-phase nanoparticles are embedded within alumina grains, use dislocation activities to enhance strength and fracture toughness. The dislocations are generated around the nanoparticles by residual stresses during cooling process. In this paper, first, we explain strengthening and toughening mechanisms of alumina-based nanocomposites based on dislocation activities. Second, we propose a soaking method to construct the intra-type nanostructure and fabricate alumina/nickel and alumina/silver nanocomposites. The nanocomposites are then annealed in order to enhance the fracture toughness of the materials. Finally, we discuss the relation between the strength, fracture toughness, and critical frontal process zone size of the materials.