• Title/Summary/Keyword: Fracture reduction

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Comparative analysis of proximal humerus fracture management in elderly patients: complications of open reduction and internal fixation by shoulder surgeons and non-shoulder surgeons-a retrospective study

  • Rui Claro;Bianca Barros;Carlos Ferreira;Ana Ribau;Luis Henrique Barros
    • Clinics in Shoulder and Elbow
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    • v.27 no.1
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    • pp.32-38
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    • 2024
  • Background: Open reduction and internal fixation (ORIF) with a locking plate is a popular surgical treatment for proximal humeral fractures (PHF). This study aimed to assess the occurrence of complications in elderly patients with PHF treated surgically using ORIF with a locking plate and to investigate the potential differences between patients treated by shoulder surgeons and non-shoulder surgeons. Methods: A retrospective study was conducted using a single-center database to identify patients aged ≥70 years who underwent ORIF for PHF between January 1, 2011, and December 31, 2021. Data on the Neer classification, follow-up, occurrence of avascular necrosis of the humeral head, implant failure, and revision surgery were also collected. Statistical analyses were performed to calculate the overall frequency of complications according to the Neer classification. Results: The rates of implant failure, avascular osteonecrosis, and revision surgery were 15.7%, 4.8%, and 15.7%, respectively. Complications were more common in patients with Neer three- and four-part fractures. Although the difference between surgeries performed by shoulder surgeons and non-shoulder surgeons did not reach statistical significance, the rate of complications and the need for revision surgery were nearly two-fold higher in the latter group. Conclusions: PHF are highly prevalent in the elderly population. However, the ORIF surgical approach, as demonstrated in this study, is associated with a considerable rate of complications. Surgeries performed by non-shoulder surgeons had a higher rate of complications and a more frequent need for revision surgery. Future studies comparing surgical treatments and their respective complication rates are crucial to determine the optimal therapeutic options. Level of evidence: III.

Comparison on the Fracture Strength Depending on the Fiber Post and Core Build-up (섬유 강화 포스트와 코어 축성 방법에 따른 파절 강도에 관한 비교)

  • Lee, Ja-Hyoung;Shin, Sooyeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.3
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    • pp.225-235
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    • 2009
  • A common procedure of restoration of endodonticlly treated tooth with fiber-reinforced post is followed by core build-up after post cementation. However, this technique is complex and time-consuming. The aim of this study was to compare fracture strength of premolar, restored with various methods of core fabrications on fiber-reinforced posts and casting metal restoration. Forty five freshly extracted human mandibular premolars were obtained and devided into 5 groups acconding to the type of post and methods of core build-up. In Group A, D.T. $Light-post^{(R)}$ were cemented with $DUO-LINK^{TM}$ and then $LIGHT-CORE^{TM}$ was used for core restoration. In Group B, D.T. $Light-post^{(R)}$ and $DUO-LINK^{TM}$ were used for cementing in the postspace, and $DUO-LINK^{TM}$ was used again for core restoration. In Group C, $Light-post^{(R)}$ bonding and the core build-up were performed simultaneously by using $DUO-LINK^{TM}$. In Group D, $LuxaPost^{(R)}$ was bonded by using $LuxaCore^{(R)}-Dual$. Again, $LuxaCore^{(R)}-Dual$ was used for core restoration. In Group E, $LuxaPost^{(R)}$ bonding and the core build-up were performed simultaneously by using $LuxaCore^{(R)}-Dual$. Axial reduction was formed parallelly as possible and 45 degree bevel was made at buccal occlusal surface. Crowns were fabricated and cemented. Each tooth was embedded in self-curing acrylic resin to the level of 2mm below the CEJ. Specimens were fixed on universal testing machin such that the axis of the tooth was at 45 degree inclination to the horizontal plane, and compressive force was applied at a crosshead speed of 1mm/min until failure occurred. The mean fracture strength was the highest in group A followed by descending order in group B, D, E and C. However, there were no statistically significant differences between groups with regard to the fracture strength. The type of the post or build-up methods of the core does not seem to influence the fracture strength.

Physical Properties of Elastic Epoxies for High Voltage

  • Lee, Kwan-Woo;Park, Yong-Sung;Park, Dae-Hee
    • KIEE International Transactions on Electrophysics and Applications
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    • v.4C no.2
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    • pp.51-54
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    • 2004
  • In this paper, the thermal and mechanical properties of elastic epoxy for the application of high voltage products were investigated. Glass transition temperature (Tg) of elastic epoxies cannot be found from room temperature to 20$0^{\circ}C$ by DSC (Differential Scanning Calorimetry). Weight reduction occurred at 285$^{\circ}C$ and 451$^{\circ}C$ according to a thermogravimeter. The first temperature was affected by addictives and the second by epoxies characteristic. Maximum tensile strain showed 28.3kgf/$\textrm{cm}^2$/$\textrm{cm}^2$ at 20% of mechanical stress in addictives 35 (phr). The SEM (Scanning electron microscope) micrograph of the fracture surface observed void and tearing of elastic epoxy at addictives 35 (phr). On the other side, the SEM micrograph of the rigid epoxy showed a broken trace.

A study on the Mechanical Characteristics by the Internal Quality of Connecting Rod Materials for Trucks (트럭용 커넥팅 로드 소재의 내부 품질에 따른 기계적 특성 연구)

  • 김동현
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.7 no.1
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    • pp.75-81
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    • 1998
  • We have studied internal quality including chemical compositions, microscopic structure and nonmetallic inclusion of test materials. We have analyzed tensile strength value, hardness value, impact value etc. In analyzing internal quality, all of the test materials showed typical ferrite+pearlite structure. But nonmetallic inclusion showed oxide and sulfide inclusions in medium carbon steels, and sulfide inclusion is S-free cutting steels. In ca+ S-free cutting steels, the calcium aluminate and sulfide complex inclusion had low-melting points as deformation of sulfide and oxide inclusion is existed. It was found that tensile strength and hardness give maximum value in medium carbon steels, where as minimum in Ca + -free cutting steels. But values of elongation, reduction of area impact are reverse. Fracture surface of impact specimen is ductile in free cutting steels but brittle in medium cabon steels.

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Effects of PWHT on Weld Metal Properties of YS 460 MPa Steels for Ship and Offshore Structures (선박·해양 구조물용 YS 460 MPa 강재의 용접금속 특성에 미치는 PWHT의 영향)

  • Kang, Chang-Yong;Jeong, Sang-Hoon
    • Journal of Welding and Joining
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    • v.32 no.4
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    • pp.75-79
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    • 2014
  • This paper has an aim to study the effect of PWHT(for 140min. at $600^{\circ}C$) on FCAW weld metal properties (tensile, charpy impact and CTOD value) of YS 460 MPa steels for ship and offshore structures. On the basis of these study, it was found that strength was decreased and elongation was increased by PWHT. These phenomenon resulted from the reduction of acicula ferrite volume fraction by grain growth. Also, Charpy impact and CTOD value were decreased by PWHT. These phenomenon resulted from grain growth. Because the grain boundary grown by PWHT can play a role as crack initiation site and make the crack propagate more easily. Although weld metal properties were decreased by PWHT, tensile and impact properties could meet the class societies requirements for welds of YS 460 MPa steel, but decrease of fracture toughness need to be consider seriously.

Prediction of Remaining Life for Corroded Pipelines (부식 손상된 파이프라인의 잔존 수명 예측)

  • JIN, Yeung-Jun
    • Journal of the Korean Society of Industry Convergence
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    • v.7 no.4
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    • pp.411-417
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    • 2004
  • Recently, researchers and engineers from, the development of reliability engineering and probability fracture mechanics, have begun to take seriously the reliability analysis and the integrity for a corroded pipeline. Pressurized pipelines containing active corrosion defects increase gradually both in extent, and depth with increased periods of exposure. This causes a reduction of the remaining strength and the carrying capacity of a pipeline; and creates uncertainty about the future capacity. The steps that are necessary in order to assess the integrity of corroded pipelines will be discussed in this paper utilizing results from an actual model.

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Optimum Shape Design of Cemented Carbide Micro-Drill in Consideration of Productivity

  • Kim, Gun-Hoi;Kwon, Ji-Yong;Lee, Sung-Goo
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.264-268
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    • 2003
  • Recently reduction of industrial products in size and weight has been increased by application of micro-drills in gadgets of high precision and a great interest of a micro-drilling has been raised. Due to the lack of tool stiffness and the chip packing, the micro-drilling requires not only the robust tool structure which has not affected by vibration but also effective drilling methods designed to prevent tool fracture from cutting troubles. This paper presents an optimum design shape of a 0.15 mm micro-drill associated with a new manufacturing process to improve the production rate and to lengthen the tool life and suggestions on the micro-drilling characteristic properties associated with the tool life and workpiece quality.

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The Clinical Study of Zygomatic Complex Fracture (협골 골절의 임상적 연구)

  • Cho, Byoung-Ouck;Lee, Yong-Chan;Kim, Tae-Young;Koh, Back-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.63-68
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    • 1989
  • The zygoma is a heavy bone that composes a part of orbit and it was considered to be rarely fractured. However the rate of zygoma injury is increasing due to the outdoor life and motorvehicle accidents. The authors use a bone hook for direct reduction of fractured zygoma in combinaton with a miniplate osteosynthesis for rigid fixation and we reconstruct an infraorbital with a Lyodura.

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The care of infected orocutaneous open wounds after open reduction in compound comminuted fracture of mandible.;Report of cases (하악골 복합 분쇄골절의 관혈적 정복술후 감염된 구강내외 관통창상의 처치에 관한 증례보고.)

  • Yoo, Jae-Ha;Lee, Jae-Whee
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.267-275
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    • 1989
  • This is a report of cases that post-operative orocutaneous through & through open wounds are healed & closed by wound contraction if soft tissue drainage was well established, which seldom is interfered with by local or systemic abnormalities. Authors also found that the localization & seguestration of infected mandible are far better performed by natural mechanisms than by cutting across involved bone.

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An Experimental Study on the Flexural Fatigue Fracture Behavior of RC Slab of Widened Bridge (교량 확폭시 RC 상판 접합부의 휨 피로파괴거동에 관한 실험적 연구)

  • 박영훈;전준창;조병완;장동일
    • Proceedings of the Korea Concrete Institute Conference
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    • 1994.04a
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    • pp.13-18
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    • 1994
  • Most widened bridges have been constructed by the joining-construction method that makes new and existing bridge structurally single structure. However, joing-construction method has several problems in design and construction viewpoint. Therefore, this study is conducted in order to investigate structural behavior of widened RC slab and traffic-induced vibration of existing bridge during placing and curing of new concrete by the prototype flexural fatigue test. From the results of this study, it is shown that stress-concentration and slip occur between concrete and reinforcing rod at joint section but the reduction of load carrying capacity and of fatigue strength is negligible according to the traffic-induced vibration as well as the difference of construction method. A reasonable construction method for the bridge widening which takes into account the effects of the traffic-induced vibration and S-N curve for the widened bridge are also proposed.

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