• Maxillofacial Plastic and Reconstructive Surgery
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• v.30 no.6
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• pp.513-517
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• 2008

Purpose: This study aimed to evaluate distribution and maximal value of mechanical stresses on the reconstruction plate, bridging mandibular symphysis defect, and to optimize the most appropriate locations of the plate to distribute the stress causing the fracture of the plate. Materials and methods: Four types of reconstruction were constructed by different number and location of the reconstruction plates on the 3 D finite element model (FEM) of a human edentulous mandible; Type I: one plate on the inferior border of the anterior mandible, Type II: one plate on the middle of the anterior mandible, Type III: one plate on the superior border of the anterior mandible, and Type IV: two plates on the inferior and superior border of the anterior mandible. Results: The results showed that the maximal stress of type I (234.29 Mpa) was lower than that of type II (260.91 Mpa) and type III (247.37 Mpa), but higher than that of type IV (186.64 Mpa). We could also observe that the stresses are tending to focus on the inner side and inferior part of the plate which connected proximal segment from the vertical load. Conclusions: On the basis of the findings, it was concluded that using a plate on the inferior border of mandible or two plates on the inferior and superior border of mandible are more favorable to distribute mechanical stresses, which could reduce the fracture of the plate.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.40 no.12
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• pp.1013-1019
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• 2016

CFRP is the composite material manufactured by the hybrid resin on the basis of carbon fiber. As this material has the high specific strength and the light weight, it has been widely used at various fields. Particularly, the unidirectional carbon fiber can be applied with the layer angle. CFRP made with layer angle has the strength higher than with no layer angle. In this paper, the property of crack growth due to each layer angle was investigated on the crack propagation and fracture behavior of the CFRP compact tension specimen due to the change of layer angle. The value of maximum stress is shown to be decreased and the crack propagation is slowed down as the layer angle is increased. But the limit according to the layer angle is shown as the stress is increased again from the base point of the layer angle of $60^{\circ}$. This study result is thought to be utilized with the data which verify the probability of fatigue fracture when the defect inside the structure at using CFRP of mechanical structure happens.

• Archives of Reconstructive Microsurgery
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• v.7 no.1
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• pp.15-19
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• 1998

Microsurgical free-tissue transfer has allowed surgeons to salvage injured limbs but choosing appropriate healthy recipient vessels has proved to be a difficult problem. Retrograde flow flaps are established in island flaps. Retrograde flow anastomosis could prevent the possible kinking and twisting of the arterial anastomosis. By not interrupting the proximal blood flow to the fracture or soft tissue defect site, the compromise of fracture or wound healing might be prevented. We wished to estabilish an animal model in rat for a retrograde arterial flow based free flap. Nembutal-anesthetized male rats; weighing 250 to 300 gm, were used. The femoral artery and common carotid artery were exposed and divided. The systemic and retrograde arterial pressure were quantified by utilizing a parallel tubing system connected with peripheral arterial line. In this study, the retrograde flow was not pulsatile and the retrograde arterial pressure was 64-65mmHg, with a mean arterial pressure of 106-109mmHg. An epigastiic skin flap, measuring $3{\times}3cm$, was raised with its vascular pedicle. The epigastric free flap was transfered in the same rat from femoral vessels to carotid vessels in end to end fashion. We anastomosed the donor arteries to the distal parts of the divided recipient arteries and the donor veins to the proximal parts of the recipient veins. Twelve experiments were performed and the transplantations succeeded in 75 percent of them. In the remaining 25 percent, the experiments failed due to thrombosis at the site of anastpmosis, or other causes. This animal model represents an excellent example of retrograde arterial flow free flap transfer that is reliable.

• Archives of Craniofacial Surgery
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• v.22 no.4
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• pp.177-182
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• 2021

Background: Although prompt surgery after an orbital fracture is preferable, the actual timing of surgery in real-world settings varies. Therefore, this study investigated the outcomes of implant surgery for inferior orbital wall fractures by comparing three groups according to the time interval between the injury and surgery. Methods: A retrospective review was conducted of patients' medical charts and initial computed tomography images from 2009 to 2020. The time to treatment was chosen by patients or their guardians based on the patients' comorbidities and the physician's explanation. The patients were divided into three groups according to the time of surgery (group 1: 3-7 days, group 2: 8-14 days, group 3: 15 or more days). Data were collected on age, the time interval until surgery, the dimensions of the defect, the operation time, the follow-up period, and the postoperative paresthesia score (ranging from 0 to 10). The outcomes were evaluated using a 4-point scale: 4=good (no complications), 3=fair (no subjective symptoms), 2=poor (remaining paresthesia), and 1=very poor (strabismus and/or enophthalmos). Results: The study included 85 patients with unilateral fractures who underwent surgery from 3 to 93 days after injury. The overall score distribution of the surgical outcomes was as follows: good=63, fair=7, poor=6, and very poor=9. The three groups showed no significant differences in the transverse dimension of the injury (p=0.110) or the anteroposterior dimension (p=0.144). In groups 1, 2, and 3, the postoperative outcome scores were 3.84±0.37, 3.63±0.87, and 2.93±1.33 (p=0.083), and the percentage of patients with good outcomes was 84%, 81.25%, and 57.14%, respectively. Conclusion: Performing surgery using an artificial implant within 2 weeks of the injury showed better outcomes and fewer postoperative complications than when treatment was delayed.

• Archives of Reconstructive Microsurgery
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• v.9 no.2
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• pp.114-119
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• 2000

The soft tissue defects including the Achilles tendon are complex and very difficult to reconstruct. Recently, several free composite flaps including the tendon have been used to reconstruct large defects in this area in an one-stage effort. Our case presents a patient reconstructed with free composite dorsalis pedis flap along with the extensor digitorum longus and superficial peroneal nerve for extensive defects of the Achilles tendon and surrounding soft tissue. A 36-year-old-man sustained an open injury to the Achilles tendon. He was referred to our department with gross infection of the wound and complete rupture of the tendon associated with loss of skin following reduction of distal tibial bone fracture. After extensive debridement, $6{\times}8cm$ of skin loss and 8cm of tendon defect was noted. Corresponding to the size of the defect, the composite dorsalis pedis flap was raised as a neurosensory unit including the extensor digitorum longus to provide tendon repair and sensate skin for an one-stage reconstruction. One tendon slip was sutured to the soleus musculotendinous portion, the other two were sutured to the gastrocnemius musculotendinous portion with 2-0 Prolene. The superficial peroneal nerve was then coaptated to the medial sural cutaneous nerve. The anterior tibial artery and vein were anastomosed to the posterior tibial artery and accompanying vein in an end to end fashion. After 12 months of follow-up, 5 degrees of dorsiflexion due to the checkrein deformity and 58 degrees of plantar flexion was achieved. The patient was able to walk without crutches. Twopoint discrimination and moving two-point discrimination were more than 1mm at the transferred flap site. The donor site healed uneventfully. Of the various free composite flaps for the Achilles tendon reconstruction when skin coverage is also needed, we recommand the composite dorsalis pedis flap. The advantages such as to control infection, adequate restoration of ankle contour for normal foot wear, transfer of the long tendinous portion, and protective sensation makes this flap our first choice for reconstruction of soft tissue defect including the Achilles tendon.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.26 no.5
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• pp.795-802
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• 2002

For assessing significance of a defect in a component operating at high (creeping) temperatures, accurate estimation of fracture mechanics parameter, $C^{*}$-integral, is essential. Although the J estimation equation in the GE/EPRl handbook can be used to estimate the $C^{*}$-integral when the creep -deformation behavior can be characterized by the power law creep, such power law creep behavior is a very poor approximation for typical creep behaviors of most materials. Accordingly there can be a significant error in the $C^{*}$-integral. To overcome problems associated with GE/EPRl approach, the reference stress approach has been proposed, but the results can be sometimes unduly conservative. In this paper, a new method to estimate the $C^{*}$-integral for deflective components is proposed. This method improves the accuracy of the reference stress approach significantly. The proposed calculations are then validated against elastic -creep finite element (FE) analyses for four different cracked geometries following various creep -deformation constitutive laws. Comparison of the FE $C^{*}$-integral values with those calculated from the proposed method shows good agreements.greements.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.7
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• pp.3121-3126
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• 2013

The integrity evaluation of pipes in nuclear power plant are essential for the safety of reactor vessel, and integrity must be assured when flaws are found. Accurate stress intensity analyses and crack growth rate data of surface-cracked components are needed for reliable prediction of their fatigue life and fracture strengths. Fatigue design and life assessment are the essential technologies to design the structures such as pipe, industrial plant equipment and so on. The effect of crack spacing on stress intensity factor K values was studied using three-dimensional finite element method (FEM). For the case of cylinder under internal pressure, a significant increase in K values observed at the deepest point of the surface crack. Also, this paper describes the fatigue analysis for cracked structures submitted to bending loads.

• Journal of Welding and Joining
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• v.35 no.1
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• pp.55-60
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• 2017

There are many Industry Code and Standard (ICS) for Structural Integrity Assessment (SIA) on welded structure with defect. The general ICSs, such as R6, BS 7910 and API 579-1/ASME FFS-1, provide equations to determine the upper bound residual stress profiles based on collections from many literatures. However, these residual stress profiles used in the SIA cause the conservative design for welded structures. In this study, the structural integrity assessment for girth weld in pipeline has been conducted based on fracture mechanics. In addition, thermo-elastic plastic FE analysis was performed for evaluating the residual stress of girth weld in pipeline. The weight function solution is used to determine the stress intensity factor using the residual stress profile obtained by the FE analysis. This approach can account for redistribution and relaxation of residual stress as the defects grow. In order to the evaluate quantitative comparison between BS 7910 and weight function solution, structural integrity assessment determining allowable crack size on cracked pipe was performed with failure assessment diagram.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.24 no.1 s.173
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• pp.52-61
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• 2000

The role of quantitative nondestructive evaluation of defects is becoming more important to assure the reliability and the safety of structure, which can eventually be used for residual life evaluation of structure on the basis of fracture mechanics approach. Although ultrasonic technique is one of the most widely used techniques for application of practical field test among the various nondestructive evaluation technique, there are still some problems to be solved in effective extraction and classification of ultrasonic signal from their noisy ultrasonic waveforms. Therefore, crack size determination through a neural network based on the back-propagation algorithm using back-scattered ultrasonic signals is established in this study. For this purpose, aluminum plate containing vertical or inclined surface breaking crack with different crack length was used to receive the back-scattered ultrasonic signals by pulse echo method. Some features extracted from these signals and sizes of cracks were used to train neural network and the neural network's output of the crack size are compared with the true answer.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.18 no.3
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• pp.378-387
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• 1996

We performed costochondral grafting in mmandibular reconstruction including condyle replacement in 5 patients which have 4 cases of ameloblastoma, 1 case of resorption of left condyle due to osteomyelitis. We harvested the 6 th costochondral cartilage of unaffected side. No specific complications were appeared with unexpected fracture of costochondral junction and infection of operation site, These patients show 30-45mm at month opening, near normal of affected side, near normal or normal of unaffected side at lateral excursion. Postoperative coureses was uneventful with improved cosmetic and functional results. Our report is indicated that the costochondral graft is satisfactory to reconstruct mandibular defect including condyle replacement, especially in growing patients.