• 제목/요약/키워드: Fracture index

검색결과 254건 처리시간 0.024초

흉(胸).요추압박골절(腰椎壓迫骨折)에 대한 봉약침(蜂藥鍼) 복합치료(複合治療) 효과(效果) (Effect of Bee Venom Acupuncture Complex Therapy of Thoracolumbar Compression Fracture)

  • 양가람;송호섭
    • Journal of Acupuncture Research
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    • 제25권3호
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    • pp.29-39
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    • 2008
  • Methods : We investigated 28 cases of patients with thoracolumbar compression fracture. We divided patients into two groups : We treated one group with complex oriental medical treatment focusing on Bee Venom Acupuncture therapy, and did the other group with complex oriental medical treatment focusing on acupuncture therapy. To investigate the effectiveness of treatment applied for two groups, we used Visual Analog Scale(VAS) and Oswestry Low-back Pain Disability Index(ODI). We compared the VAS score and ODI score of two groups statistically. Results : 1. Female is prominent in distribution of sex, the average age bracket is 70's, and the largest group was Faccidental fall in the distribution of cause. 2. In regard to level of injury, T12 was found to be most prominent, followed in turn by L1, L2. In regard to grade of clinical symptoms, Grade III was most prominent, followed by Grade IV, Grade II. 3. As a result of evaluation by using VAS score and ODI score, treatment score at final was significantly different from that at the baseline in each group. 4. After treatment, Bee Venom acupuncture therapy group showed significant difference on VAS score and ODI score compared with acupuncture therapy group. Conclusions : Bee Venom acupuncture therapy can be available for relieving symptoms related with thoracolumbar compression fracture.

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무릎뼈 골절 후 한방 재활치료의 임상적 효과: 증례 보고 (Clinical Effectiveness of Korean Medical Rehabilitation Treatment after Patellar Fracture: A Report of 4 Cases)

  • 금지혜;우현준;김종규;이정한
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.203-217
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    • 2020
  • The aim of this study was to propose our rehabilitation protocol involving Korean medicine for patients with patellar fracture and report its effectiveness. Further, for the same patellar fracture patients, we created different protocols for those who underwent surgical treatment and those who required conservative treatment. Among patients who received inpatient treatment at our hospital for three years from August 2017 to August 2020, we included three patients who underwent surgical treatment for patellar fracture and one patient who required conservative treatment for patellar fracture. The degree of improvement of the patients was evaluated using physical examination findings of the knee joint, numeric rating scale, pain disability index, Lysholm knee score, and walking state. After each treatments, we observed that the range of motion of the knee joint, numeric rating scale, pain disability index, Lysholm knee score, and walking state improved in the patient groups. Even with the same patellar fracture, we observed that different rehabilitation treatments involving Korean medicine should be applied to patients who underwent surgical treatment and those who required conservative treatment. However, further studies are needed to design a rehabilitation protocol involving Korean medicine.

경골 원위부 골절에서 최소 침습적 잠김 압박 금속판 고정술과 함께 최소 절개를 통한 골절편간 지연 나사 고정술을 시행한 경우의 치료 결과 (Clinical Outcomes of Combinations of Locking Compression Plate Fixation through Minimally Invasive Precutaneous Plate Osteosynthesis and Interfragmentary Screw Fixation in Distal Tibia Fracture)

  • 정형진;추지웅
    • 대한족부족관절학회지
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    • 제17권2호
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    • pp.136-142
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    • 2013
  • Purpose: To analyze the outcome of distal tibia fracture treated with the Distal Tibia LCP with combination of interfragmentary screw. Materials and Methods: Between January 2008 and March 2012, data of 34 patients with fracture of distal tibia treated with the Distal Tibia LCP with or without combination of interfragmentary screws were reviewed. There were 17 males and 17 females with an average age of 51.8 years (range, 18~77 years). Radiographic union time and time from surgery until ability to full weight bearing were measured and compared. Callus index was measured as quotient of callus thickness and diameter of corticalis both in AP and sagittal direction. Results: 12 fractures were treated with interfragmentary screws and 22 fractures were treated with bridging plate alone. In interfragmentary fixation group, time to full weight bearing was 14 weeks versus 15.75 weeks without screw. Callus index at bearing was not significantly lesser in patients with screw compated with those without, but callus index difference at posterative 4weeks was sigficant. Radiologic union time was 11.3 weeks in interfragmentary fixation group and 12.58 weeks without screw. Conclusion: The osteosynthesis with the Distal tibia LCP with combination of interfragmentary screw seems to be more stable in postoperative 4weeks than Distal tibia LCP alone, expecting to earlier ROM exercise and rehabilitation.

Clinical and Radiological Outcomes of Hook Plate Fixation in the Lateral End Fracture of the Clavicle and Acromioclavicular Dislocation

  • Min, Young Kyoung;Kim, Jung Han;Gwak, Heui Chul
    • Clinics in Shoulder and Elbow
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    • 제19권4호
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    • pp.209-215
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    • 2016
  • Background: The purpose of this study was to identify the clinical and radiological outcomes of hook plate fixation for lateral end fracture of the clavicle and acromioclavicular dislocation. Methods: There were a total of 20 cases with lateral end fracture of the clavicle and 16 cases with acromioclavicular dislocation. All patients were evaluated for range of motion, functional score by using Constant score, and American Shoulder and Elbow Surgeons shoulder index at just before implant removal and at final follow-up. Coracoclavicular distance was measured in acromioclavicular dislocation and bony union was evaluated in the lateral end fracture of the clavicle. Results: The clinical outcomes and range of motion were increased at the final follow-up compared with just before implant removal in both the lateral end fracture of the clavicle and acromioclavicular dislocation. In acromioclavicular dislocation, all cases-except one-showed maintenance of reduction after implant removal. Moreover, in the lateral end fracture of the clavicle, all cases-except one-showed bony union. Conclusions: Hook plate fixation in the lateral end fracture of the clavicle and acromioclavicular dislocation resulted in good clinical and radiological results.

Stress corrosion index of Kumamoto andesite estimated from two types of testing method

  • Jeong Hae-Sik;Nara Yoshitaka;Obara Yuzo;Kaneko Katsuhiko
    • 한국지구물리탐사학회:학술대회논문집
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    • 한국지구물리탐사학회 2003년도 Proceedings of the international symposium on the fusion technology
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    • pp.221-228
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    • 2003
  • The stress corrosion index of Kumamoto andesite are evaluated by two types of testing method. One is the uniaxial compression test under various water vapor pressures, and the other is the double torsion (DT) test under a constant water vapor pressure. For the uniaxial compression tests, the uniaxial compressive strength increases linearly with decreasing water vapor pressure on the double logarithmic coordinates. As the results, the stress corrosion index obtained is estimated 44. On the other hand, in the DT test, the relaxation (RLX) test and the constant displacement rate (CDR) test were conducted. For the CDR test, as the displacement rate of loading point increases, the crack velocity increases. However, the fracture toughness is constant regardless of the change in displacement rate and the average fracture toughness is evaluated $2.07MN/m^{3/2}$. For the RLX test, the crack velocity-stress intensity factor curves are smooth and linear. The stress corrosion index estimated from the curves is 37. Comparing stress corrosion indexes in the uniaxial compression test and the DT test, there is no significant difference in these values, and they are considered to be in coincident each other regardless of testing methods. Therefore, it is concluded that stress corrosion is one of material constants of rock.

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노인 안면골 골절 123례에 대한 임상적 고찰 (Clinical Study of 123 Facial Bone Fractures in Elderly)

  • 최찬;김용하
    • Archives of Plastic Surgery
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    • 제34권4호
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    • pp.455-460
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    • 2007
  • Purpose: Aging society was realized after persons over 65 was rated above 7% in 2000. It is inevitable fact that society gets older. Few study about facial bone fracture in elderly was reported until now. This study provides a retrospective statistical analysis of facial bone fracture and reports of some demographical information from medical records. Methods: From January 2000 to December 2005, 123 cases of facial bone fracture in above 55 year-old persons were reviewed and analysed. Statistic data was related to distribution, age, sex, causes, occupations, occurrence, time, incidence of facial bone fracture, treatment and it's complications. Results: Facial bone fractures in elderly tend to increase and rated to 4.7%. Facial bone fractures in elderly were most frequently occurred in farmers, cultivator accidents and zygoma fractures. A few minor complications were checked, but easily improved. Conclusion: Facial bone fractures in elderly have small proportion of the whole facial bone fractures, but gradually have been increased. This study was observed trends in changes of facial bone fracture in elderly for 5 years and expected to provide statistical index to prevent facial bone fracture in elderly.

고관절 잠행 골절로 진단된 환자의 임상적 특징 (Characteristics of Patients with Occult Hip Fracture after Hip Trauma)

  • 유욱현;김혜진;조석진;오성찬;강태경;최승운;류석용
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.125-130
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    • 2013
  • Purpose: This study was undertaken in order to identify the characteristics of patients diagnosed with occult an hip fracture after hip trauma. Methods: We retrospectively reviewed the medical records and radiology reports of all patients who underwent hip skeletal computed tomography (CT) for suspected hip fractures but had normal initial X-rays after hip trauma between August 2006 and January 2012. The variables evaluated included age, gender, body mass index (BMI), accident mechanism, previous fracture, independence, late presentation, ability to bear weight, pain on passive rotation, tenderness of the groin area, diagnosis and treatment. Patients were divided into two groups, with hip fracture (occult hip fracture group) and without hip fracture (no fracture group) to evaluate the characteristics associated with an occult hip fracture. Results: The patients, a total of 139, had a mean age of 58.3 years and included 72 male patients(51.8%). The occult hip fracture group included 43 patients(30.9%). Of those 43, 21 patients(48.8%) had intertrochanteric or trochanteric fractures, 8 patients(18.6%) had femur neck fractures and 14 patients(32.6%) had acetabular fractures. Of the 43, 15 patients(34.9%) needed operative treatment. Age was higher in the occult hip fracture group than it was in the no fracture group($64.4{\pm}19.1$ years vs. $55.5{\pm}23.6$ years, p=0.021). A previous fracture was associated with the presence of a new fracture (p=0.014; OR=3.971, 95% CI=1.314-11.997). Conclusion: Further evaluation of patients who are older or have history of fractures is prudent, even though the initial X-rays are normal.

Numerical modeling and prediction of adhesion failure of adhesively bonded composite T-Joint structure

  • Panda, Subhransu K;Mishra, Pradeep K;Panda, Subrata K
    • Structural Engineering and Mechanics
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    • 제74권6호
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    • pp.723-735
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    • 2020
  • This study is reported the adhesion failure in adhesive bonded composite and specifically for the T-joint structure. Three-dimensional finite element analysis has been performed using a commercial tool and the necessary outcomes are obtained via an eight noded solid element (Solid 185-element) from the library of ANSYS. The structural analysis input has been incurred through ANSYS parametric design language (APDL) code. The normal and shear stress distributions along different layers of the joint structure have been evaluated as the final outcomes. Based on the stress distributions, failure location in the composite joint structure has been identified by using the Tsai-Wu stress failure criterion. It has been found that the failure index is maximum at the interface between flange and web part of the joint (top layer) which indicates the probable location of failure initiation. This kind of failures are considered as adhesion failure and the failure propagation is governed by strain energy release rate (SERR) of fracture mechanics. The different adhesion failure lengths are also considered at the failure location to calculate the SERR values i.e. mode I fracture (opening), mode II fracture (sliding) and mode III fracture (tearing) along the failure front. Also, virtual crack closure technique (VCCT) principle of fracture mechanics steps is used to calculate the above said SERRs. It is found that the mode I SERR is more dominating compared to other two modes of failure for the joint considered. Finally, the influences of various parametric (geometrical and material) effect on SERR of the joint structure are evaluated and discussed in details.

탄성체로 개질된 아스팔트의 물리적 특성 (Physical Charateristics of Elastomer Modified Asphalt)

  • 이상진;이승진;이진국
    • Elastomers and Composites
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    • 제32권3호
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    • pp.166-172
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    • 1997
  • The objective in this study was investigated temperature susceptibility and low temperature fracture of rubber modified asphalt. A chlorinated polyethylene elastomer, Tyrin CM0730, was added to 200/300 grade asphalt with 3.0 and 5.0wt% to improve campatibility. The elastomer modified asphalts were analyzed for temperature susceptibility relating to penetration index(PI) and penetration-viscosity number(PVN) as well as low temperature fracture relating to fracture energy $(G_{IC})$. These indices were obtained from the measurements of penetration, viscosity, failure load and modulus. The addition of small amounts of elastomer to the asphalt resulted in a significant increase of both the PI and PVN over an unmodified asphalt. Also, the fracture energy increased with the addition of elastomer to asphalt. These significant improvement at both the high and low temperature result in enhanced performance.

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이산요소법을 이용한 코크스 분화 거동 해석 (Analysis for Cokes Fracture Behavior using Discrete Element Method)

  • 유수현;박준영
    • 한국입자에어로졸학회지
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    • 제8권2호
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    • pp.75-81
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    • 2012
  • The strength of lumped cokes can be represented by some index numbers. Although some indexes are suggested, these indexes are not enough to enlighten fracture mechanism. To find essential mechanism, a computational way, discrete element method, is applied to the uniaxial compression test for cylindrical specimen. The cylindrical specimen is a kind of lumped particle mass with parallel bonding that will be broken when the normal stress and shear stress is over a critical value. It is revealed that the primary factors for cokes fracture are parallel spring constant, parallel bond strength, bonding radius and packing ratio the parallel bond strength and radius of the parallel combination the packing density. Especially, parallel spring constant is directly related with elastic constant and yield strength.