• Title/Summary/Keyword: Fracture reduction

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Removal of miniplates following facial trauma and orthognathic surgery: a 3-year study

  • Shin, Na-Ra;Oh, Ji-Su;Shin, Sang-Hun;Kim, Su-Gwan
    • Oral Biology Research
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    • v.42 no.4
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    • pp.222-227
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    • 2018
  • The purpose of this study was to determine the cause and risk factors of removing bone plateby investigating and analyzing 359 patients who underwent reduction of fracture or orthognathic surgery with bone plate insertion over the past 3 years. Patients were evaluated with respect to age, smoking status, reason for insertion of plates, the numbers of inserted plates, sites of insertion, time between insertion and removal, reasons for removal of plates. The removal rate of bone plates was 33.1%. Of these, 17.0% of patients had clinical symptoms which led to remove plates. The removal rate of men was 29.9% and the rate of women was 39.2%. There were high removal rates from less than 20s (45.8%) and 20s (34.4%) those who are relatively young age group. On the other hand people in their 50s had a removal rate of 27.8% which was higher than those in their 60s with a rate of 20.7%. The removal rate of bone plate inserted into the mandible was 33.5%, and the removal rate of bone plate inserted into the maxilla was 34.7%. The mean period between the insertion and removal of bone plate was 10.9 months. The main reason for the removal of bone plate was the patient's requirement (44.5%). The most common cause of clinical symptoms was infection (22.7%). Infection was manifested within about a year and led to the plate being removed. Therefore, lowering the possibility of infection after surgery could decrease the removal rate of bone plate.

Anisotropic Mechanical Properties of Tantalum-Continuous-Fiber-Reinforced Zr-based Amorphous Matrix Composites Fabricated by Liquid Pressing Process (액상가압공정으로 제조된 탄탈륨 연속섬유 강화 Zr계 비정질 복합재료의 기계적 성질의 이방성)

  • Lee, Kyuhong;Lee, Sang-Bok;Lee, Sang-Kwan;Lee, Sunghak
    • Korean Journal of Metals and Materials
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    • v.47 no.9
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    • pp.542-549
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    • 2009
  • Zr-based amorphous alloy matrix composites reinforced with tantalum continuous fibers were fabricated by the liquid pressing process, and their anisotropic mechanical properties were investigated by tensile and compressive tests of $0^{\circ}$(longitudinal)-, $45^{\circ}$-, and $90^{\circ}$(transverse)-orientation specimens. About 60 vol.% of tantalum fibers were homogeneously distributed inside the amorphous matrix, which contained a small amount of polygonal crystalline particles. The ductility of the tantalum-continuous-fiber-reinforced composite under tensile or compressive loading was dramatically improved over that of the monolithic amorphous alloy, while maintaining high strength. When the fiber direction was not matched with the loading direction, the reduction of the strength and ductility was not serious because of excellent fiber/matrix interfacial strength. Observation of the anisotropic deformation and fracture behavior showed the formation of multiple shear bands, the obstruction of crack propagation by fibers, and the deformation of fibers themselves, thereby resulting in tensile elongation of 3%~4% and compressive elongation of 15%~30%. These results suggest that the liquid pressing process was useful for the development of amorphous matrix composites with excellent ductility and anisotropic mechanical properties.

Dynamic Deformation Behavior of Ultra-Fine-Grained Pure Coppers Fabricated by Equal Channel Angular Pressing (ECAP으로 제조된 초미세립 순동의 동적 변형거동)

  • Kim, Yang Gon;Hwang, Byoungchul;Lee, Sunghak;Lee, Chul Won;Shin, Dong Hyuk
    • Korean Journal of Metals and Materials
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    • v.46 no.9
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    • pp.545-553
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    • 2008
  • Dynamic deformation behavior of ultra-fine-grained pure coppers fabricated by equal channel angular pressing (ECAP) was investigated in this study. Dynamic torsional tests were conducted on four copper specimens using a torsional Kolsky bar, and then the test data were analyzed by their microstructures and tensile properties. The 1-pass ECAP'ed specimen consisted of fine dislocation cell structures elongated along the ECAP direction, which were changed to very fine, equiaxed subgrains of 300~400 nm in size as the pass number increased. The dynamic torsional test results indicated that maximum shear stress increased with increasing ECAP pass number. Adiabatic shear bands were not found at the gage center of the dynamically deformed torsional specimen of the 1- or 4-pass ECAP'ed specimen, while some weak bands were observed in the 8-pass ECAP'ed specimen. These findings suggested that the grain refinement according to the ECAP was very effective in strengthening of pure coppers, and that ECAP'ed coppers could be used without serious reduction in fracture resistance under dynamic torsional loading as adiabatic shear bands were hardly formed.

Separation Phenomenon Occurring during Charpy Impact test of API X80 Linepipe Steels (API X80 라인파이프강의 샤르피 충격 시험 시 발생하는 파열 현상 연구)

  • Shin, Sang Yong;Hong, Suckmin;Bae, Jin-ho;Kim, Kisoo;Lee, Sunghak
    • Korean Journal of Metals and Materials
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    • v.47 no.3
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    • pp.155-168
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    • 2009
  • In this study, microstructural investigation was conducted on the separation phenomenon occurring during Charpy impact tests of API X80 linepipe steels. Particular emphasis was placed on the role of microstructural phases present in the API X80 steels such as acicular ferrite, bainite, and hard secondary phases. Detailed microstructural analysis of fractured impact specimens showed that highly elongated bainite worked as prior initiation sites for separations, and that the number and length of separations increased with increasing volume fraction of bainite. In the steels having high work hardenability, tearing-shaped separations were found because the hammer-impacted region was seriously hardened during the impact test, which led to the reduction in the impact toughness. As the test temperature decreased, the tendency of separations increased, but separations were not observed when the cleavage fracture prevailed at very low temperatures. Thus, the minimization of the formation of bainite and secondary phases in the steels would be beneficial for preventing or minimizing separations because separations deteriorated low-temperature impact toughness.

Comparison of intermaxillary fixation techniques for mandibular fractures with focus on patient experience

  • Kim, Young Geun;Yoon, Sung Ho;Oh, Jae Wook;Kim, Dae Hwan;Lee, Keun Cheol
    • Archives of Craniofacial Surgery
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    • v.23 no.1
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    • pp.23-28
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    • 2022
  • Background: Intermaxillary fixation (IMF) is a technique that allows for the reduction and stabilization of mandibular fractures. Several methods of IMF, such as self-tapping screws or arch bars, have been developed. This study aimed to validate the usefulness of IMF with a self-tapping screw compared to IMF with arch bars with focus on the patients' perspective. Methods: We retrospectively reviewed the medical records of all patients who were treated for mandibular fractures at our hospital between August 2014 and February 2021. A total of 57 patients were enrolled in this study. Thirteen patients were excluded from the analysis: three patients were lost to follow-up, and 10 patients did not undergo IMF. Finally, 44 patients were analyzed, of which 31 belonged to the arch bar group, and 13 belonged to the screw group. Patient discomfort and pain during IMF application and removal were analyzed using a patient self-assessment questionnaire. The surgeon also assessed oral hygiene, IMF stability, and occlusion. Results: We applied IMF to 34 men (77%) and 10 women (23%). The mean age of the patients was 37.3 years. The most common fracture site was the angle (30%), followed by the parasymphysis (25%), the body (23%), the condyle (11%), and the ramus (11%). Patient discomfort and oral hygiene were statistically favorable in the screw group. The IMF application time was statistically shorter in the screw group (p< 0.001). IMF stability was not statistically different between the two groups. The pain score during IMF removal was lower in the screw group (p< 0.001). Conclusion: Compared to arch bars, IMF screws provide more comfort during the IMF period, help maintain favorable oral hygiene, and have a shorter application time. From the patient's perspective, IMF screws are an excellent alternative to conventional arch bars when applicable.

Analysis of Crack characteristic on Concrete Cover for Subway Box Structure Due to Reinforcement Corrosion (철근부식으로 인한 지하철 박스구조물의 콘크리트 피복층 균열특성 분석)

  • Choi, Jung-Youl;Shin, Dong-Sub;Chung, Jee-Seung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.727-732
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    • 2022
  • Applying the calculated cross-sectional reduction due to the corroded rebar investigated in the field to the numerical analysis model, the damage pattern and delamination of concrete in the field showed a tendency relatively similar to the numerical analysis results. It was analyzed that when the expansion pressure due to corrosion of the reinforcing bar is greater than the tensile stress of the concrete, cracks are generated and the concrete cover can be fracture. As a result of this study, the correlation between the corrosion rate of reinforcing bars and the crack occurrence of the concrete cover of the subway box structure was verified based on the numerical analysis and field test results. To prevent rebar corrosion, the corrosion rate can be reduced by applying rust prevention to the reinforcing bar and changing the material. In the case of exposed to a corrosive environment, the tensile strength of the concrete is improved by adjusting the concrete compressive strength to secure durability against the expansion pressure caused by the corroded rebar.

Modelling headed stud shear connectors of steel-concrete pushout tests with PCHCS and concrete topping

  • Lucas Mognon Santiago Prates;Felipe Piana Vendramell Ferreira;Alexandre Rossi;Carlos Humberto Martins
    • Steel and Composite Structures
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    • v.46 no.4
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    • pp.451-469
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    • 2023
  • The use of precast hollow-core slabs (PCHCS) in civil construction has been increasing due to the speed of execution and reduction in the weight of flooring systems. However, in the literature there are no studies that present a finite element model (FEM) to predict the load-slip relationship behavior of pushout tests, considering headed stud shear connector and PCHCS placed at the upper flange of the downstand steel profile. Thus, the present paper aims to develop a FEM, which is based on tests to fill this gap. For this task, geometrical non-linear analyses are carried out in the ABAQUS software. The FEM is calibrated by sensitivity analyses, considering different types of analysis, the friction coefficient at the steel-concrete interface, as well as the constitutive model of the headed stud shear connector. Subsequently, a parametric study is performed to assess the influence of the number of connector lines, type of filling and height of the PCHCS. The results are compared with analytical models that predict the headed stud resistance. In total, 158 finite element models are processed. It was concluded that the dynamic implicit analysis (quasi-static) showed better convergence of the equilibrium trajectory when compared to the static analysis, such as arc-length method. The friction coefficient value of 0.5 was indicated to predict the load-slip relationship behavior of all models investigated. The headed stud shear connector rupture was verified for the constitutive model capable of representing the fracture in the stress-strain relationship. Regarding the number of connector lines, there was an average increase of 108% in the resistance of the structure for models with two lines of connectors compared to the use of only one. The type of filling of the hollow core slab that presented the best results was the partial filling. Finally, the greater the height of the PCHCS, the greater the resistance of the headed stud.

Enhancement of mechanical and durability properties of preplaced lightweight aggregate concrete

  • Bo Peng;Jiantao Wang;Xianzheng Dong;Feihua Yang;Chuming Sheng;Yunpeng Liu
    • Advances in concrete construction
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    • v.15 no.6
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    • pp.419-430
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    • 2023
  • In this study, the effect of two types of aggregates (fly ash aggregate and shale aggregate) on the density, strength, and durability of preplaced lightweight aggregate concrete (PLWAC) was studied. The results showed that the 7 - 28 days strength of concrete prepared with fly ash aggregates (high water absorption rate) significantly increased, which could attribute to the long-term water release of fly ash aggregates by the refined pore structure. In contrast, the strength increase of concrete prepared with shale aggregates (low water absorption rate) is not apparent. Although PLWAC prepared with fly ash aggregates has a lower density and higher strength (56.8 MPa @ 1600 kg/m3), the chloride diffusion coefficient is relatively high, which could attribute to the diffusion paths established by connected porous aggregates and the negative over-curing effect. Compared to the control group, the partial replacement of fly ash aggregates (30%) with asphalt emulsion (20% solid content) coated aggregates can reduce the chloride diffusion coefficient of concrete by 53.6% while increasing the peak load obtained in a three-point bending test by 107.3%, fracture energy by 30.3% and characteristic length by 103.5%. The improvement in concrete performance could be attributed to the reduction in the water absorption rate of aggregates and increased energy absorption by polymer during crack propagation.

Change of Compressive Deformation Behaviors of Ti-5Mo-xFe Metastable Beta Alloy According to Fe Contents (Fe 함량에 따른 Ti-5Mo-xFe 준안정 베타 합금의 압축 변형거동 변화)

  • Yong-Jae Lee;Jae Gwan Lee;Dong-Geun Lee
    • Journal of the Korean Society for Heat Treatment
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    • v.36 no.5
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    • pp.303-310
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    • 2023
  • β titanium alloys are widely used in aerospace industry due to their excellent specific strength and corrosion resistance. In particular, mechanical properties of metastable β titanium can efficiently be controlled by various deformation mechanisms such as slip, twinning, and SIM (Stress-Induced Martensite Transformation), making it an ideal material for many industrial applications. In this study, Ti-5Mo-xFe (x=1, 2, 4 wt%) alloy was designed by adding a relatively inexpensive β element to ensure price competitiveness. Additionally, microstructural analysis was conducted using OM, SEM, and XRD, while mechanical properties were evaluated through hardness and compression tests to consider the deformation mechanisms based on the Fe content. SIMT occurred in all three alloys and was influenced by the presence of βm (metastable beta) and beta stability. As the Fe content decreased, the α'' phase increased due to SIMT occurring within the βm phase, resulting in softening. Conversely, as the Fe content increased, the strength of the alloy increased due to a reduction in α'' formation and the contributions of solid solution strengthening and grain strengthening. Moreover, unlike the other alloys, shear bands were observed only in the fracture of the Ti-5Mo-4Fe alloy, which was attributed to differences in texture and microstructure.

Can ultra-low-dose computed tomography reliably diagnose and classify maxillofacial fractures in the clinical routine?

  • Gerlig Widmann;Marcel Dangl;Elisa Lutz;Bernhard Fleckenstein;Vincent Offermanns;Eva-Maria Gassner;Wolfgang Puelacher;Lukas Salbrechter
    • Imaging Science in Dentistry
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    • v.53 no.1
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    • pp.69-75
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    • 2023
  • Purpose: Maxillofacial trauma predominantly affects young adults between 20 and 40 years of age. Although radioprotection is a legal requirement, the significant potential of dose reduction in computed tomography (CT) is still underused in the clinical routine. The objective of this study was to evaluate whether maxillofacial fractures can be reliably detected and classified using ultra-low-dose CT. Materials and Methods: CT images of 123 clinical cases with maxillofacial fractures were classified by two readers using the AOCOIAC software and compared with the corresponding results from post-treatment images. In group 1, consisting of 97 patients with isolated facial trauma, pre-treatment CT images at different dose levels (volumetric computed tomography dose index: ultra-low dose, 2.6 mGy; low dose, <10 mGy; and regular dose, <20 mGy) were compared with post-treatment cone-beam computed tomography (CBCT). In group 2, consisting of 31 patients with complex midface fractures, pre-treatment shock room CT images were compared with post-treatment CT at different dose levels or CBCT. All images were presented in random order and classified by 2 readers blinded to the clinical results. All cases with an unequal classification were re-evaluated. Results: In both groups, ultra-low-dose CT had no clinically relevant effect on fracture classification. Fourteen cases in group 2 showed minor differences in the classification code, which were no longer obvious after comparing the images directly to each other. Conclusion: Ultra-low-dose CT images allowed the correct diagnosis and classification of maxillofacial fractures. These results might lead to a substantial reconsideration of current reference dose levels.