• Journal of Trauma and Injury
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• v.29 no.1
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• pp.22-27
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• 2016

Purpose: The optimal method of fixation of symphysis pubis (SP) diastasis in pelvic ring injuries is still controversial. In this study, we investigated the radiological and the clinical results of a precontoured 4.5-mm symphysis pubis (SP) plate with tension band wiring (TBW) after an anterior pelvic injury in pelvic fractures. Methods: We treated 25 patients with traumatic SP diastasis by open reduction and internal fixation with plates and wires. We used a four-hole 4.5-mm precontoured SP plate with a tension band wiring. Results: Patients with a SP with TBW fixation achieved excellent or good results at final follow-up. Post-operative complications included two (8%) patients with metal work movement. The mean symphyseal width was smaller in 4.5 mm SP plate with TBW during 1-year follow up period. Conclusion: A precontoured symphysis pubis plate (4.5 mm) with figure-of-eight fashion tension band wiring shows favorable radiological results, excellent or good clinical outcome, and a lower complication (hardware failure and revision surgery).

• Journal of Chest Surgery
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• v.20 no.4
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• pp.715-722
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• 1987

A clinical analysis was performed on 823 cases of the chest trauma experienced at department of thoracic & cardiovascular surgery, Kyung Hee University Hospital during the past 8 years from Jan, 1978 to Aug. 1986. 1. the ratio of male to female patient of the chest trauma was 3:1 in male predominance. 2. The common age groups were 3rd, 4th and 5th decades. 3. The most common causes of the chest trauma was traffic accidents [79.8%] were injured due to non-penetrating injuries and the remainders [166/823, 20.2%] were injured due to penetrating injuries 4. The frequently injured site of the chest trauma was left side of the chest [46%], and the right side was 42% 5. The most common injury from non-penetrating trauma was rib fracture [77.5%], and the incidence rate of flail chest was 59% of all cases of rib fractures. 6. The incidence rate of hemopneumothorax was 42.9% in non-penetrating traumas, and 84.3% in penetrating traumas. 7. The most common method of surgical treatment was closed tube thoracostomy [37.3%], and open thoracotomy was performed in 71 cases [8.6%]. 8. the overall mortality was 2.2%, and common causes of death were cerebral damage, respiratory insufficiency, and hypovolemic shock.

• Computers and Concrete
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• v.17 no.5
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• pp.639-653
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• 2016

The present article discusses the effect of the ratio of bridge surface to total shear surface, number of bridge areas and normal stress on the failure behavior of the planar non-persistent open joints. Totally, 38 models were prepared using plaster and dimensions of $15cm{\times}15cm{\times}15cm$. The bridge area occupied $45cm^2$, $90cm^2$ and $135cm^2$ out of the shear surface. The number of rock bridges increase in fixed area. Two similar samples were prepared on every variation in the rock bridges and tested for direct shear strength under two high and low normal loads. The results indicated that the failure pattern and the failure mechanism is mostly influenced by the ratio of bridge surface to total shear surface and normal stress so that the tensile failure mode change to shear failure mode by increasing in the value of introduced parameters. Furthermore, the shear strength and shear stiffness are closely related to the ratio of bridge surface to total shear surface, number of bridge areas and normal stress.

• Journal of the Korean Arthroscopy Society
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• v.12 no.3
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• pp.217-221
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• 2008

Coracoid impingement syndrome results from abnormal contact between the anterosuperior humerus and the coracoacromial arch. The coracoid impingement may occur from traumatic, idiopathic, or iatrogenic causes. Traumatic causes of coracoid impingement include fractures of scapular neck, coracoid process or lesser tuberosity. Coracoid impingement due to lesser tuberosity malunion is a rare disease and most of them were treated by open procedures. The authors present a case of coracoid impingement caused by malunion after isolated lesser tuberosity fracture which was treated by arthroscopic coracoplasty with percutaneous screw fixation.

• Archives of Reconstructive Microsurgery
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• v.12 no.2
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• pp.93-98
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• 2003

Purpose : The purpose of this study is to investigate an occurrence of valgus deformity of ankle joint after vascularized fibular graft in children. Materials and Methods : Four children under 15 years who were surgically treated with vascularized fibular graft were studied. The age of the patients was from 4 years to 13 years, the follow-up period was from 24 months to 108 months. The causes of vascularized fibular graft were open fracture (1 case), congenital psuedarthrosis (2 cases), hypoplastic ulna (1 case). The tibiofibular synostosis was done in 3 cases and not in 1 case. We measured the tibiotalar angle and bimalleolar angle at immediately postoperative and final radiography, and checked ankle motion, pain, and instability of ankle joint. Results : The A-P mortise angle was not different between initial and final radiography in all cases. The intermalleolar angle increased in all cases at the final radiography. There were no pain, instability and limitation of ankle motion. Conclusion: We consider the tibiofibular synostosis can prevent from ankle valgus deformity after vascularized fibular graft in children.

• Transactions of the Korean Society for Noise and Vibration Engineering
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• v.19 no.9
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• pp.935-942
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• 2009

In this paper, the purpose is to investigate the natural frequency of a cracked Timoshenko cantilever beams by FEM(finite element method) and experiment. In addition, a method for detection of crack in a cantilever beams is presented based on natural frequency measurements. The governing differential equations of a Timoshenko beam are derived via Hamilton's principle. The two coupled governing differential equations are reduced to one fourth order ordinary differential equation in terms of the flexural displacement. The crack is assumed to be in the first mode of fracture and to be always opened during the vibrations. The detection method of a crack location in a beam based on the frequency measurements is extended here to Timoshenko beams, taking the effects of both the shear deformation and the rotational inertia into account. The differences between the actual and predicted crack positions and sizes are less than 6 % and 23 % respectively.

• Journal of Chest Surgery
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• v.22 no.1
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• pp.123-133
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• 1989

A clinical evaluation was done on 182 cases of chest trauma which experienced at the Department of Thoracic and Cardiovascular Surgery, National Medical Center, from Sep. 1980 to Dec. 1987. 1] Of 182 cases, 125 cases resulted from non-penetrating chest trauma and 57 cases from penetrating wound. 2] The ratio of male to female was 4.87:1, and age groups between 3rd and 6th decade were 71.9%. 3] The most common causes of chest trauma were traffic accident in non-penetrating and stab wound by knife in penetrating cases. 4] Left thorax was the preferred site of chest injury. 5] The incidences of hemothorax, pneumothorax, and hemopneumothorax were 69.6% in non-penetrating and 91% in penetrating. 6] Rib fractures between 4th rib and 8th rib were 68.8% of total rib fracture cases and left side was preferred site. 7] Methods of treatment were conservative management in 24.7%, closed thoracostomy in 54.9%, open thoracotomy in 14.3%, and etc. 8] The incidence of complications, were 11.5% of total cases, and they were atelectasis [8 cases], empyema [3 cases], pneumonia [3 cases], acute renal failure [2 cases], lung abscess [1 case], and etc. 9] The overall mortality was 6%, and causes of death were hypovolemic shock, renal failure, hepatic failure, respiratory failure, septic shock, and etc.

• Journal of The Korean Dental Society of Anesthesiology
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• v.14 no.4
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• pp.227-232
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• 2014

The indication for submandibular intubation is the requirement for intraoperative maxillomandibular fixation (MMF) in the presence of injuries that preclude nasotracheal intubation. Thus, We reported 2 cased of endotracheal intubations via submandibular approach that is applicable in patients with skull base fractures for a reliable general anesthesia. Endotracheal intubation via submandibular approach was applied during general anesthetic procedures for open reduction in three patients with Le Fort II, III or nasoorbitoethmoid (NOE) fractures. No complications due to submandibular intubation, such as infection, postoperative scarring, nerve injury, hematoma, bleeding, or orocutaneous fistula, were observed following submandibular intubation. Endotracheal intubation via submandibular approach is effective in patients with skull base fractures. In our method, the tube connector is removed in orotracheal intubation in order to avoiding the tube removal or displacement. The advantages of this method are very simple, safe, and to provide the good operation field.

• Composites Research
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• v.25 no.4
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• pp.105-109
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• 2012

Recently, development of a small aircraft has been carried out for the BASA(Bilateral Aviation Safety Agreement) program in Korea. This aircraft adopted all composite structures for environmental friendly by low fuel consumption due to its lightness behavior. However the composite structure has disadvantage which is very weak against impact damages. Therefore, damage allowable design of aircraft structure must be performed considering compressive fracture strength. This point is very important for certification of composite structure aircraft. In this paper, it is performed the research on damage tolerance of thick laminate adopting aircraft structure. The damage tolerance of three different types of thick laminates such as no damage, open hole and impact damage is evaluated under compression loading.

• Transactions of the Korean Society for Noise and Vibration Engineering
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• v.21 no.2
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• pp.169-177
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• 2011

In this paper, the natural frequency of a cracked cantilever L-beams with a coupled bending and torsional vibrations is investigate by theory and experiment. In addition, a method for detection of crack in a cantilever L-beams is presented based on natural frequency measurements. The governing differential equations of a cracked L-beam are derived via Hamilton's principle. The two coupled governing differential equations are reduced to one sixth order ordinary differential equation in terms of the flexural displacement. Futher, the dynamic transfer matrix method is used for calculation of a exact natural frequencies of L-beams. The crack is assumed to be in the first mode of fracture and to be always opened during vibrations. In this study, the differences between the actual and predicted positions and sizes of crack are less than about 10 % and 39.5 % respectively.