• Title/Summary/Keyword: SHAFT ANGLE

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Cut-Through versus Cut-Out: No Easy Way to Predict How Single Lag Screw Design Cephalomedullary Nails Used for Intertrochanteric Hip Fractures Will Fail?

  • Garrett W. Esper;Nina D. Fisher;Utkarsh Anil;Abhishek Ganta;Sanjit R. Konda;Kenneth A. Egol
    • Hip & pelvis
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    • v.35 no.3
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    • pp.175-182
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    • 2023
  • Purpose: This study aims to compare patients in whom fixation failure occurred via cut-out (CO) or cut-through (CT) in order to determine patient factors and radiographic parameters that may be predictive of each mechanism. Materials and Methods: This retrospective cohort study includes 18 patients with intertrochanteric (IT) hip fractures (AO/OTA classification 31A1.3) who underwent treatment using a single lag screw design intramedullary nail in whom fixation failure occurred within one year. All patients were reviewed for demographics and radiographic parameters including tip-to-apex distance (TAD), posteromedial calcar continuity, neck-shaft angle, lateral wall thickness, and others. Patients were grouped into cohorts based on the mechanism of failure, either lag screw CO or CT, and a comparison was performed. Results: No differences in demographics, injury details, fracture classifications, or radiographic parameters were observed between CO/CT cohorts. Of note, a similar rate of post-reduction TAD>25 mm (P=0.936) was observed between groups. A higher rate of DEXA (dual energy X-ray absorptiometry) confirmed osteoporosis (25.0% vs. 60.0%) was observed in the CT group, but without significance. Conclusion: The mechanism of CT failure during intramedullary nail fixation of an IT fracture did not show an association with clinical data including patient demographics, reduction accuracy, or radiographic parameters. As reported in previous biomechanical studies, the main predictive factor for patients in whom early failure might occur via the CT effect mechanism may be related to bone quality; however, conduct of larger studies will be required in order to determine whether there is a difference in bone quality.

Development of a precision machining process for the outer cylinder of vacuum roll for film transfer (필름 이송을 위한 진공 롤 외통의 정밀가공 공정개발)

  • Eui-Jung Kim;Ho-Sang Lee
    • Design & Manufacturing
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    • v.18 no.2
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    • pp.1-8
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    • 2024
  • Unlike the roll-to-roll process that uses a steel roll and a nip roll, a vacuum roll can hold and transfer a thin film using a single roll. To precisely manufacture a vacuum roll, a thin outer cylinder must be machined, which is assembled on the outside of the roll and contacts the film via vacuum pressure. In this study, the effects of jaw width and chucking force on the deformation of the outer cylinder during the turning process were investigated using analysis, and a precision machining and burr removal process was developed. The deformation of the outer cylinder decreased almost linearly with increasing jaw width and increased with higher chucking force and larger cylinder diameter. Additionally, the deflection due to the weight of the outer cylinder was approximately three times greater than that caused by film tension. For the machined outer cylinder, a burr removal experiment was conducted, and concentricity and cylindricity were measured. Using a device that removes burrs by rotating a wheel connected to the main shaft at high speed, it was found that burrs generated on the inner diameter could be removed very efficiently. On the vacuum side, the concentricity errors of the inner and outer diameters were 0.015 mm and 0.014 mm, respectively, and on the opposite side, they were 0.006 mm and 0.010 mm, respectively. Additionally, the measurement of Total Indicator Runout (TIR) according to the angle showed that the maximum cylindricity of the outer and inner diameters was 0.02 mm and 0.025 mm, respectively. Finally, through burr-height measurement at the hole boundary, it was found that the heights were within 0.05 mm.

Comparison Study of Different Approach (Deltoid Splitting Approach and Delto-pectoral Interval Approach) for Proximal Humeral Fractures (근위 상완골 골절의 수술적 치료에서 삼각근 분할 도달법과 삼각 대흉간 도달법의 임상적, 방사선학적 추시 결과 비교)

  • Kim, Seung-Hee;Dan, Jinmyoung;Kim, Byoung-Kook;Lee, Yun-Seok;Kim, Hyoeng-Jung;Ryu, Keun-Jeong;Lee, Jin-Hyun;Kim, Jae-Hwa
    • Clinics in Shoulder and Elbow
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    • v.16 no.1
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    • pp.17-26
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    • 2013
  • Purpose: A comparison of the radiographic and the clinical outcomes between two different surgical approaches-Deltoid splitting and Delto-pectoral interval-on the proximal humerus fractures treated by locking compressive plate (LCP), is done. Materials and Methods: Medical records and pre- and postoperative radiographs were reviewed retrospectively for 75 adult patients who underwent surgical fixations with locking compressive plates from May 2005 to December 2011. Patients were divided into two groups according to the surgical methods. Differences in the neck-shaft angle between immediate postoperative period and final follow-up were compared between the two groups. Differences in constant score and Korean shoulder score (KSS) between affected arms and contralateral arms at final follow-up were also compared. Results: The differences in the neck-shaft angle between immediate postoperative period and at final follow-up was 12.04 degrees on average in Deltoid splitting approach and 10.20 degrees in Delto-pectoral interval approach, which was not statistically significant. Differences in constant score/KSS between the affected arm and the contralateral arm were 13.78/22.74 points in deltoid-splitting approach on average and 19.41/31.13 points in Delto-pectoral interval approach, showing that deltoid-splitting approach is significantly superior. Conclusion: Deltoid-splitting approach showed better functional outcomes in the fracture reduction and internal fixation using LCP for the treatment of unstable proximal humerus fractures.

Internal Fixation of Proximal Humerus Fracture with Polyaxial Angular Stable Locking Compression Plate in Patients Older Than 65 Years (65세 이상의 상완골 근위부 골절 환자에서 다축 각안정 잠김 압박 금속판을 이용한 내고정술)

  • Lee, Ki-Won;Choi, Young-Joon;Ahn, Hyung-Sun;Kim, Chung-Hwan;Hwang, Jae-Kwang;Kang, Jeong-Ho;Choo, Han-Ho;Park, Jun-Seok;Kim, Tae-Kyung
    • Clinics in Shoulder and Elbow
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    • v.15 no.1
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    • pp.25-31
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    • 2012
  • Purpose: The clinical and radiographic outcomes of the internal fixation, which were executed on patients over the age of 65 with proximal humerus fracture by using a polyaxial angular stable locking compression plate (Non-Contact-Bridging proximal humerus plate, Zimmer, Switzerland, NCB), were evaluated. Materials and Methods: Thirty two patients over the age of 65 among the proximal humerus fracture treated with NCB plate, between August 2007 and January 2011, were chosen as the subjects. The average age of patients was 71 years, and the average postoperative follow-up period was 11.5 months. The fractures included 14 two-part and 18 three-part fractures. The clinical results were evaluated, using the visual analog scale (VAS) score and the Constant score. The radiological results were evaluated by time to union and Paavolainen method, which measures the neck shaft angle. Results: At the last follow-up examination, the mean VAS score was 3 points and the mean Constant score was 64.5 points, with bone union achieved after the average of 16.2 weeks following the surgery in all the cases. The mean neck shaft angle was 125.9 and 24 cases had good results, while 8 cases had fair results by Paavolainen method, at the last follow-up. There were 1 case of delayed union and cerclage wire failure, and 3 cases of subacromial impingement. There were no complications, such as loss of reduction, nonunion, screw loosening, or avascular necrosis of the humeral head. Conclusion: Internal fixation, using a NCB plate, was considered to be an effective surgical method in treating proximal humerus fracture in the elderly patients, on whom the fixation of the fracture and maintenance of reduction are difficult.

Optimum Geometry of Glass Lined HOMEBASE Impeller for Gas-Liquid System of Low Viscosity Liquid (저점도 액 통기 교반용 글라스라이닝 홈베이스 임펠러의 최적 형상)

  • Koh, Seung-Tae
    • Korean Chemical Engineering Research
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    • v.59 no.4
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    • pp.542-547
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    • 2021
  • Glass lined impellers are corrosion resistant to most chemicals, including strong acids, and also have a smooth, non-stick surface, easy to clean and free from impurities in the process. Glass lined home base impeller is a multi-purpose impeller designed to stir a wide viscosity range of liquids from low viscosity fluids to high viscosity fluids, among others, cell culture, yeast culture, and beer fermentation pots, especially used for air-water system breathable stirring. The glass lining for HB impellers, which are simple in structure and competitive in performance, is essential to have upper and lower division in order to make the joint area between the impeller and shaft as small as possible. The upper and lower division of the impeller hardly affects the mixing performance, but the aeration performance. In this study, in order to optimize the shape of the Glass Lining HB impeller, a study was conducted on the effect of the angle between the upper and lower impellers, the clearance between the impellers, and the number of baffles on the aeration power. The optimal shape and baffle plate conditions for the Glass lined HB impeller were derived through the study results that the angle and the clearance between the upper and lower impellers decreased the ration of the power consumption with aeration Pg and that without aeration P0, Pg/P0.

Physeal Remodeling after Internal Fixation of Slipped Capital Femoral Epiphysis (대퇴골두골단분리증 환자 중 금속내고정술을 시행받은 환자에서의 골단판의 재형성)

  • Kim, Se-Dong;Park, Byung-Won
    • Journal of Yeungnam Medical Science
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    • v.20 no.1
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    • pp.28-35
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    • 2003
  • Purpose: To evaluate physeal remodeling after internal fixation of slipped capital femoral epiphysis, We performed a retrospective review of the medical records and radiographs of 14 children (17 cases) who had had slipped capital femoral epiphysis. Materials and Methods: We reviewed 14 patients who had slipped capital femoral epiphysis. They were divided two groups. Group I were in situ pinning with single screw and group II were corrective osteotomy with multiple pinning. We identified physeal remodeling camparing with their preoperative, postoperative and last follow-up radiographs with measuring physeal-shaft angle. Results: Early closure of the physis was observed in 6 cases among 14 patients (17 hips). Compared with their postoperative radiographs, the last follow up radiographic study revealed that physeal remodeling was observed in 4 patients (4 hips) at group I (mean, $7.8^{\circ}$), in 2 patients (3 hips) at group II (mean, $10.7^{\circ}$). Conclusion: In this study, physeal remodeling was observed in 4 patients (4 hips) in group I and 2 patients (3 hips) in group II. The incidence of physeal remodeling was related with degree of epiphyseal slippage, and age was not related with physeal remodeling potential.

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Performance Evaluation of the Vibro Hammer with Variable Amplitude by Field Tests (현장실험을 통한 저진동·저소음 진폭가변형 진동해머 성능 평가)

  • Han, Jin-Tae;Lee, Joonyong;Choi, Changho;Park, Jeong-Yel
    • Journal of the Korean Geosynthetics Society
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    • v.14 no.3
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    • pp.1-12
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    • 2015
  • During installing sheet piles for an impermeable wall or a retaining wall, vibratory hammers are widely used. Among vibratory hammers, a hydraulic hammer is used most commonly. However, a hydraulic hammer causes excessive vibration and noise due to resonance by change of natural frequency according to movements of eccentric shaft when the hammer starts and stops. In this study, new variable amplitude type hammer is developed in order to reduce the vibration and noise due to resonance produced in starting and stopping the hammer. By controlling horizontal angle in two pairs of eccentric body inside of the hammer, the amplitude and vibration of the new hammer can be controlled. The performance tests with the new hammer and existing hammers such as the hydraulic hammer and electric hammer are carried out, and the new hammer shows reduced vibration and noise results in comparison with existing hammers from performance tests. Also, this study shows that penetration rates of sheet pile using the new hammer increase due to impellent force of a backhoe in comparison with the electric hammer and penetration rate increase in comparison with a general hydraulic hammer, since the new hammer can control the amplitude during penetration of sheet pile according to soil condition.

Application and its Reinforcing Effect of Soil Nailed-drilled Shafts (쏘일 네일(soil nail)로 보강된 현장타설말뚝의 적용성 및 보강효과 분석)

  • 김병철;이대수;김대홍;정상섬;김대학
    • Journal of the Korean Geotechnical Society
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    • v.20 no.5
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    • pp.87-98
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    • 2004
  • In this study reinforcing effect of soil nailed-drilled shafts subjected to axial and lateral loads was evaluated. Special attention was given to the reinforcing effects of soil nails placed from the drilled shafts to surrounding weathered- and soft-rocks based on model tests, numerical analyses and field tests. The model tests and numerical analyses are conducted to analyze the reinforcing effect of various conditions of number, inclination, position and length. The results of 1/40 scale model tests and numerical analyses show that as the number of reinforcing level increases, the incremental effect of reinforcement tends to increase, whereas the reinforcing effect on relative position is negligible. In addition there is a reinforcing effect as the inclination angle increase up to 30 degrees. Based on the results of tensile load tests, soil nailed-drilled shaft has a considerably smaller settlement to reach the ultimate level compared with the result of un-reinforced drilled shafts. For compression tests, there is a reinforcing effect of about 200% measured.

Analysis on Femoral Neck Fractures Using Morphological Variations (파라메트릭 형상모델을 이용한 근위 대퇴골의 경부 골절 영향 해석)

  • Lee, Ho-Sang;Park, Byoung-Keon;Chae, Je-Wook;Kim, Jay-Jung
    • Journal of the Korean Society for Nondestructive Testing
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    • v.31 no.5
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    • pp.459-465
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    • 2011
  • It has been reported that the femoral morphology has a major correlation to femoral neck fractures(FNF). Previous studies to analyze these correlations have relied on mechanical testing and finite element methods. However, these methods have not been widely applied to various femur samples and models. It is because of the availability of the samples from both patients and cadavers, and also of the geometric limitations in changing the shape of the models. In this study we analyzed femoral neck fractures using a parameterized femoral model that could provide flexibility in changing the geometry of the model for the wide applications of FNF analysis. With the parameterization a variety of models could be generated by changing four major dimensions: femoral head diameter(FHD), femoral neck diameter(FND), femoral neck length(FNL), and neck-shaft angle(NSA). We have performed FEA on the models to compute the stress distributions and reaction forces, and compare them with the data previously generated from mechanical testing. The analysis results indicate that the FND is significantly related with the FNF and the FHD is not significantly related with the FNF.

Machinability investigation and sustainability assessment in FDHT with coated ceramic tool

  • Panda, Asutosh;Das, Sudhansu Ranjan;Dhupal, Debabrata
    • Steel and Composite Structures
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    • v.34 no.5
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    • pp.681-698
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    • 2020
  • The paper addresses contribution to the modeling and optimization of major machinability parameters (cutting force, surface roughness, and tool wear) in finish dry hard turning (FDHT) for machinability evaluation of hardened AISI grade die steel D3 with PVD-TiN coated (Al2O3-TiCN) mixed ceramic tool insert. The turning trials are performed based on Taguchi's L18 orthogonal array design of experiments for the development of regression model as well as adequate model prediction by considering tool approach angle, nose radius, cutting speed, feed rate, and depth of cut as major machining parameters. The models or correlations are developed by employing multiple regression analysis (MRA). In addition, statistical technique (response surface methodology) followed by computational approaches (genetic algorithm and particle swarm optimization) have been employed for multiple response optimization. Thereafter, the effectiveness of proposed three (RSM, GA, PSO) optimization techniques are evaluated by confirmation test and subsequently the best optimization results have been used for estimation of energy consumption which includes savings of carbon footprint towards green machining and for tool life estimation followed by cost analysis to justify the economic feasibility of PVD-TiN coated Al2O3+TiCN mixed ceramic tool in FDHT operation. Finally, estimation of energy savings, economic analysis, and sustainability assessment are performed by employing carbon footprint analysis, Gilbert approach, and Pugh matrix, respectively. Novelty aspects, the present work: (i) contributes to practical industrial application of finish hard turning for the shaft and die makers to select the optimum cutting conditions in a range of hardness of 45-60 HRC, (ii) demonstrates the replacement of expensive, time-consuming conventional cylindrical grinding process and proposes the alternative of costlier CBN tool by utilizing ceramic tool in hard turning processes considering technological, economical and ecological aspects, which are helpful and efficient from industrial point of view, (iii) provides environment friendliness, cleaner production for machining of hardened steels, (iv) helps to improve the desirable machinability characteristics, and (v) serves as a knowledge for the development of a common language for sustainable manufacturing in both research field and industrial practice.