• Title/Summary/Keyword: Fracture defect

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Strut Support with Tricortical Iliac Allografts in Unstable Proximal Humerus Fractures: Surgical Indication and New Definition of Poor Medial Column Support

  • Lee, Seung-Jin;Hyun, Yoon-Suk;Baek, Seung-Ha
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.29-36
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    • 2019
  • Background: The execution of fibular allograft augmentation in unstable proximal humerus fractures (PHFs) was technically demanding. In this study, the authors evaluated the clinical and radiographic outcomes after tricortical iliac allograft (TIA) augmentation in PHFs. Methods: We retrospectively assessed 38 PHF patients treated with locking-plate fixation and TIA augmentation. Insertion of a TIA was indicated when an unstable PHF showed a large cavitary defect and poor medial column support after open reduction, regardless of the presence of medial cortical comminution in preoperative images. Radiographic imaging parameters (humeral head height, HHH; humeral neck-shaft angle, HNSA; head mediolateral offset, HMLO; and status of the union), Constant score, and range of motion were evaluated. Patients were grouped according to whether the medial column support after open reduction was poor or not (groups A and B, respectively); clinical outcomes were compared for all parameters. Results: All fractures healed radiologically (average duration to complete union, 5.8 months). At final evaluation, the average Constant score was 73 points and the mean active forward flexion was $148^{\circ}$. Based on the Paavolainen assessment method, 33 patients had good results and 5 patients showed fair results. The mean loss of reduction was 1.32 mm in HHH and 5.02% in HMLO. None of the parameters evaluated showed a statistically significant difference between the two groups (poor and not poor medial column support). Conclusions: In unstable PHFs, TIA augmentation can provide good clinical and radiological results when there are poor medial column support and a large cavitary defect after open reduction.

The Study on Improvement of Thermal Stress Breakage in Infrared Transmissive Glass for Aircraft Searchlight (항공기용 탐조등 적외선 투과 유리의 열응력 파손 현상 개선 연구)

  • Seo, Young-Jin;Jeong, Sang-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.332-337
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    • 2018
  • Aircraft searchlights are used in search or rescue missions when performing night missions, and provide infrared light to keep operations in concealment. During aircraft operation, the infrared ray transmission filter glass for generating infrared rays can break, resulting in problems such as loss of concealment ability and maintenance. In this paper, we describe the procedure for testing the operating conditions of the searchlight when the defect occurs and finding the cause of the defect. We also summarize various methods to improve the cause and process of making the improved filter prototype. In addition, we also describe the results of verifying the performance requirements of the searchlight. As a result of the test and verification, the damage of the filter was improved and the improved filter was applied to the aircraft.

Bone Regenerative Effects of Biphasic Calcium Phosphate Collagen, Bone Morphogenetic Protein 2, Mesenchymal Stem Cells, and Platelet-Rich Plasma in an Equine Bone Defect Model

  • Eun-bee Lee;Hyunjung Park;Jong-pil Seo
    • Journal of Veterinary Clinics
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    • v.40 no.2
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    • pp.85-92
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    • 2023
  • Fractures in the horse industry are challenging and a common cause of death in racehorses. To accelerate fracture healing, tissue engineering (TE) provides promising ways to regenerate bone tissues. This study aimed to evaluate the osteogenic effects of biphasic calcium phosphate collagen (BCPC) graft, bone morphogenetic protein 2 (BMP2), mesenchymal stem cell (MSC), and platelet-rich plasma (PRP) treatments in horses. Four thoroughbred horses were included in the study, and, in each horse, three cortical defects with a diameter of 5 mm and depth of 10 mm were formed in the third metacarpal bones (MC) and metatarsal bones (MT). The defects were randomly assigned to one of six treatment groups (saline, BCPC, BMP2, MSC, PRP, and control). Injections of saline, BMP2, PRP, or MSCs were made at 1, 3, and 5 weeks after defect surgery. Bone regeneration effects were assessed by radiography, quantitative computed tomography (QCT), micro-computed tomography (μCT), histopathological, and histomorphometric evaluation. The new bone ratio (%) in the histomorphometric evaluation was higher in the BMP2 group than in the control and saline groups. Radiographic and QCT values were significantly higher in the BCPC groups than in the other groups. QCT values of the BMP2 group were significantly higher than in the control and saline groups. The present study demonstrated that BCPC grafts were biologically safe and showed osteoconductivity in horses and the repeated injections of BMP2 without a carrier can be simple and promising TE factors for treating horses with bone fractures.

Late avulsion of a free flap in a patient with severe psychiatric illness: Establishing a successful salvage strategy

  • Schaffer, Clara;Hart, Andrew;Watfa, William;Raffoul, Wassim;Summa, Pietro Giovanni di
    • Archives of Plastic Surgery
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    • v.46 no.6
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    • pp.589-593
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    • 2019
  • Post-traumatic defects of the distal third of the leg often require skipping a few steps of the well-established reconstructive ladder, due to the limited local reliable reconstructive options. In rare cases, the reconstructive plan and flap choice may encounter challenges when the patient has psychiatric illness affecting compliance with postoperative care. We describe a case of a patient with severe intellectual disability and an open fracture of the distal lower limb. After fracture management and debridement of devitalized tissues, the resultant soft tissue defect was covered with a free gracilis flap. On postoperative day 7, the patient ripped out the newly transplanted flap. The flap was too traumatized for salvage, so a contralateral free gracilis muscle flap was used. The patient showed good aesthetic and functional outcomes at a 1-year follow-up. When planning the postoperative management of patients with psychiatric illness, less complex and more robust procedures may be preferred over a long and complex surgical reconstruction requiring good compliance with postoperative care. The medical team should be aware of the risk of postoperative collapse, focus on the prevention of pain, and be wary of drug interactions. Whenever necessary, free tissue transfer should be performed despite potential compliance issues.

Development of Internet-based Cooperative System for Integrity Evaluation of Reactor Pressure Vessel (원자로 압력용기의 건전성평가를 위한 인터넷기반 협업시스템의 개발)

  • Kim, Jong-Choon;Choi, Jae-Boong;Kim, Young-Jin;Choi, Young-Hwan
    • Proceedings of the KSME Conference
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    • 2004.11a
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    • pp.166-171
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    • 2004
  • Since early 1950's fracture mechanics has brought significant impact on structural integrity assessment in a wide range of industries such as power, transportation, civil and petrochemical industries, especially in nuclear power plant industries. For the last two decades, significant efforts have been devoted in developing defect assessment procedures, from which various fitness-for-purpose or fitness-for-service codes have been developed. From another aspect, recent advances in IT (Information Technologies) bring rapid changes in various engineering fields. IT enables people to share information through network and thus provides concurrent working environment without limitations of working places. For this reason, a network system based on internet or intranet bas been appeared in various fields of business. Evaluating the integrity of structures is one of the most critical issues in nuclear industry. In order to evaluate the integrity of structures, a complicated and collaborative procedure is required including regular in-service inspection, fracture mechanics analysis, etc. And thus, experts in different fields have to cooperate to resolve the integrity problem. In this paper, an internet-based cooperative system for integrity evaluation system which adapts IT into a structural integrity evaluation procedure for reactor pressure vessel is introduced. The proposed system uses Virtual Reality (VR) technique, Virtual Network Computing (VNC) and agent programs. This system is able to support 3-dimensional virtual reality environment and to provide experts to cooperate by accessing related data through internet.

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The Treatment of Tibial Shaft Fractures by Interlocking Nailing (Interlocking Nail을 사용한 경골간부 골절의 치료)

  • Lee, Jae-Chang;Lee, Jae-Sung;Ahn, Myun-Whan;Kim, Sae-Dong;Ihn, Joo-Chul
    • Journal of Yeungnam Medical Science
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    • v.5 no.1
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    • pp.61-67
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    • 1988
  • The treatment of tibial shaft fracture has become one of the most controversial subjects in orthopedic surgery. Comminuted, segmental and rotationally unstable fractures or bone defect at fracture site have problems of the fixation. The interlocking nail solve these problems. We have experienced 8 cases of the tibial shaft fractures treated with interlocking nail from 1986 to 1988. Authors analysed these cases and our own clinical study. The results were as follows. 1. The average bone union rate was about 15 weeks. 2. The interval between operation and crutch walking was 4:3 weeks. 3. The merits of this operation were the short hospitalization and early adaptation of social activity. 4. The advantage is be able to do early ambulation without following muscular atrophy or joint stiffness. 5. The results were assessed on clinical examination and radiographic appearance by Hamza et al. An excellent results were 7 cases and good result was 1 case.

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Effect of Stress Ratio on Fatigue Fracture of a Shot Peening Marine Structural Steel (쇼트피닝 가공된 해양구조용강의 피로파괴에 미치는 응력비의 영향)

  • PARK KYOUNG-DONG;JIN YOUNG-BEOM;PARK HYOUNG-DONG
    • Journal of Ocean Engineering and Technology
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    • v.18 no.5
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    • pp.43-49
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    • 2004
  • The lightness of components required in the automobile and machine industry necessitates the use of high strength components. In particular, the fatigue failure phenomena, which occurs when using metal, increases the danger to human life and property. Therefore, antifatigue failure technology is an integral part of current industries. Currently, the shot peening is used for removing the defect from the surface of steel, while improving the fatigue strength on surface. Therefore, in this paper, the effect of compressive residual stress of spring steel(JISG SUP-9) by shot-peening on fatigue crack growth characteristics in a stress ratio(R=0.1, R=0.3, R=0.6) was investigated, giving consideration to fracture mechanics. By using the methods mentioned above, following conclusions are drawn: (1) The fatigue crack growth rate(da/dN) of the shot-peening material was lower than that of the un-peening material and in stage I, ΔKth, the threshold stress intensity factor of the shot-peen processed material is high in critical parts, unlike the un-peening material. Also m, fatigue crack growth exponent and number of cycle of the shot-peening material, was higher than that of the un-peening material, as concluded from effect of da/dN. (2) Fatigue life shows more improvement in the shot-peening material than in the un-peening material, and the compressive residual stress of surface on the shot-peen processed operate resistance of fatigue crack propagation.

Studies of Valve Lifer for Automotive Heavy Duty Diesel Engine by Ceramic Materials II. Development of SiC Valve Lifter by Injection Molding Method (Ceramic 재질을 이용한 자동차용 대형 디젤엔진 Valve Lifter 연구 II. 사출성형에 의한 탄화규소질 Valve Lifter 개발)

  • 윤호욱;한인섭;임연수;정윤중
    • Journal of the Korean Ceramic Society
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    • v.35 no.2
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    • pp.172-179
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    • 1998
  • Valve lifter namely tappet is supported by lifter hole which is located upper side of camshaft in cylinder block transforms rotatic mvement of camshaft into linear movement and helps to open and shut the en-gine valve as an engine parts. The face of valve lifter which is continuously contacting with camshaft brings about abnormal wears such as unfair wear and early wear because it is severely loaded in the valve train system. These wears act as a defect like over-clearance and cause imperfect combustion of fuel during the valve lifting in the combustion chamber. Consequently this imperfect combustion makes the engine out-put decrease and has cause on air pollution. To prevent these wears therefore The valve lifter cast in me-tal developed into SiC ceramics valve lifter which has an excellence in wear and impact resistance As a results the optimum process conditions like injection condition mixture ratio and debonding process could be established. After sintering fine-sinered dual microstructure in which prior ${\alpha}$-SiC matches well with new SiC(${\beta}$-SiC) produced by reaction among the ${\alpha}$-SiC carbon and silicon was obtained. Based on the study it is verified that mechanical properties of SiC valve lifter are excellent in Vickers hardness 1100-1200 bending strength (300-350 Pa) fracture toughness(1.5-1.7 Mpa$.$m1/2) Through engine dynamo test-ing SiC valve lifter and metal valve lifter are examined and compared into abnormal phenomena such as early fracture unfair and early wear. It is hoped that this research will serve as an important springboard for the future study of heavy duty diesel engine parts developed by ceramics which has a good wear resis-tance relaibility and lightability.

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Application of Operating Window to Robust Process Optimization of Sheet Metal Forming (기능창을 이용한 박판성형의 공정 최적화)

  • Kim, Kyungmo;Yin, Jeong Je;Suh, Yong S.
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.8 no.4
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    • pp.110-121
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    • 2009
  • It is essential to embed product quality in the design process to win the global competition. Many components found in many products including automobiles and electronic devices are fabricated using sheet metal forming processes. Wrinkle and fracture are two types of defects frequently found in the sheet metal forming process. Reducing such defects is a hard problem as they are affected by many uncontrollable factors. Attempts to solve the problem based on traditional deterministic optimization theories are often led to failures. Furthermore, the wrinkle and fracture are conflicting defects in such a way that reducing one defect leads to increasing the other. Hence, it is a difficult task to reduce both of them at the same time. In this research, a new design method for reducing the rates of conflicting defects under uncontrollable factors is presented by using operating window and a sequential search procedure. A new SN ratio is proposed to overcome the problems of a traditional SN ratio used in the operating window technique. The method is applied to optimizing the robust design of a sheet metal forming process. To show the effectiveness of the proposed method, a comparison is made between the traditional and the proposed methods using simulation software, applied to a design of particular sheet metal forming process problem. The results show that the proposed method always gives a more robust design that is less sensitive to noises than the traditional method.

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Joining Ability and Mechanical Properties of Friction Stir Lap Welded A5052-H112 Alloy (A5052-H112 합금의 겹치기 마찰교반접합 건전성)

  • Ko, Young-Bong;Choi, Jun-Woong;Park, Kyeung-Chae
    • Journal of Welding and Joining
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    • v.28 no.1
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    • pp.34-40
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    • 2010
  • In Friction Stir Lap Welding(FSLW), the movement of material within the weld was more important than the microstructure, due to the interface present between the sheets. Thus, The soundness of free defect, Effective Sheet Thickness(EST) and width of joint were most important factor of mechanical properties. Specimens by lap joint types that were 'A-type' and 'R-type' were made in this study. A-type tensile specimen was loaded at advancing side and R-type tensile specimen was loaded at retreating side. Macro-, micro-structural observation and mechanical properties of FSLW A5052-H112 alloy ware investigated under varying rotating and welding speed. The results were as follows: Material hook formed decreasing after sharply increasing was appeared at the end interface of joint area in advanced side, and material hook formed decreasing after smoothly increasing was observed at that in retreated side. Tensile load had no relation with defects. As rotating speed was higher, tensile strength was increasing and EST was decreasing regardless of joint types. joint efficiency was over 70%. In a result of fractography, fracture in A-type was partially occurred by dimple in SZ, and fracture in R-type was generally occurred by dimple in HAZ.