• The Journal of Pediatrics of Korean Medicine
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• v.25 no.1
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• pp.63-71
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• 2011

Objectives: The purpose of this study is to report the clinical effects of oriental medical treatment on delayed healing in femoral shaft fractured child. Methods: We treated the patient with herb medicine named Kamiboatang and Pyritum. Child took Kamiboatang and Pyritum for 2 months, and Kamiboatang for 1 month. After 3 months treatments, we examined the case with radiological findings. Results: The patient's delayed femoral shaft fracture was improved after 3 months oriental medical treatment. Conclusions: This case showed that oriental medical treatment on delayed healing in femoral shaft fractured child was effective. To prove the effectiveness of Kamiboatang and Pyritum, the more clinical study of Oriental medical treatment for this case might be also needed.

• Archives of Reconstructive Microsurgery
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• v.14 no.2
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• pp.138-143
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• 2005

In the high radial nerve palsy caused by displaced humeral shaft fracture, radial nerve have to be explored in the fracture site. 5 cases of the ruptured radial nerve at the fracture site of the humerus from January 1993 through January 2005 were treated at first by open reduction and internal fixation with plates and screws fixation and then defective radial nerves were grafted with autogenous sural nerves by microsurgical epineurial and or perineurial neurorrhaphy. At average 30.4 months follow-up, 5 cases were recovered from motor and sensory deficit with solid bony union of the humerus shaft fracture. Authors have confirmed that ruptured radial nerve in the humerus shaft fracture grafted with autogenous sural nerve with microsurgical epineurial and or perineurial neurorrhaphy would be expected good motor and sensory recovery.

• Journal of the Korean Society for Precision Engineering
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• v.23 no.8 s.185
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• pp.154-162
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• 2006

By laying its drum horizontally, front-loaded washing machine mostly used in Europe that uses the head of the water to launder was appropriate for washing only small amount of laundry. However, the demands of customers are requiring front-loaded washing machine to handle big capacity laundry as well, and have faster rotation speed to increase drying ability. To meet such demands, more stress from bending and twisting are complexly loaded onto the shaft supporting the horizontal drum, causing problems in fracture strength and fatigue life. Shafting system is mainly divided into flange and shaft. Flange is located between the drum and shaft, transferring power from the shaft to drum, and acting as a supporter of the back of the drum. Shaft is connected from the flange to insert production, transferring power from the motor to drum, and mainly acting as stiffness against the horizontal weight of the shafting system. In this paper, strength analysis and experiment were executed on both the shaft and flange of front-loaded washing machine to suggest the design improvement of shafting system for big capacity, high-rotation drying. Also, verification of this evaluation was executed on fracture strength and fatigue life for studied shaft system.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2006.05a
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• pp.429-430
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• 2006

To estimate the fatigue life of flange-shaft assembly, fatigue test for flange material and bending fatigue test for flange-shaft assembly were conducted. Also, finite element analysis for flange-shaft assembly was conducted. Then, we have changed the obtained P-N curve to S-N curve using the finite element analysis results which were stress values at the location of fracture. The S-N curve of flange material itself was almost consistent with that of flange-shaft assembly, so it seems that the fatigue life of flange-shaft assembly could be estimated by using S-N curve for flange material and the stress at the location of fracture calculated by finite element methods.

• International Journal of Safety
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• v.8 no.1
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• pp.6-9
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• 2009

The crack in a J85 engine V.G. actuator arm shaft for a bell crank on the engine compressor was investigated. The crack was observed in twenty two shafts during the inspection of 238 shafts. The failure analysis of shaft cracks was performed by chemical composition analysis using ICP(Inductively Coupled Plasma) and by fracture surface and microstructure analysis using FE-SEM and optical microscope. The crack initiated from the top and bottom and propagated to the center along the grain boundaries. From the chemical composition analysis, the fractography of the fracture surface and the microstructure, it was found that the failure mechanism of the shafts is the inclusion-related intergranular decohesion crack. The inclusion was found out from MnS particle by EDS(Energy Dispersive Spectroscopy). The crack initiated MnS inclusion in the grain boundary and propagated with the increase of applied shear stress during long operation. In order to prevent the fracture, NDI(Nondestructive inspection) is needed periodically as recommended.

• Journal of Veterinary Clinics
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• v.34 no.3
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• pp.200-203
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• 2017

The objective of this study was to evaluate the effectiveness of the minimally invasive plate osteosynthesis (MIPO) method for treatment of tibial shaft fractures in dogs by comparing MIPO radiographic and fracture healing time results with those from the popular open reduction and internal fixation (ORIF) technique. In this clinical study at the Royal Animal Medical Center, five consecutive dogs with diagnoses of comminuted tibial shaft fractures were treated with the MIPO surgical approach. For comparison, an additional five breed-, age-, and weight-matched dogs with comminuted tibial shaft fractures were treated with the ORIF technique. Mean healing time was $75.6{\pm}12.5$ days in the MIPO group and $131.8{\pm}18.6$ days in the ORIF group (p < 0.01). The mean surgery time in the MIPO group ($36.4{\pm}3.5$ minutes) was significantly shorter (p < 0.01) than that for the ORIF group ($47.0{\pm}2.2$ minutes). Based on the short surgical and healing times, the MIPO approach is clinically superior to the ORIF approach and should be the preferred approach in tibial fracture cases.

• Clinics in Shoulder and Elbow
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• v.22 no.2
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• pp.87-92
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• 2019

Background: This study was conducted to compare the radiological and clinical outcomes of internal fixation using a Polarus humeral nail for treatment of a humeral shaft fracture according to fracture types. Methods: From 43 patients, 13 were excluded and 30 patients were included. The 30 patients were divided into 2 groups: 15 in group I (Orthopaedic Trauma Association/Arbeitsgemeinschaft $f{\ddot{u}}r$ Osteosynthesefragen classification type A and B) and 15 in group II (type C). The mean age was 63.1 years (range, 20-87 years), and mean follow-up period was 2.3 years (range, 1.0-6.1 years). The causes of injuries were as follows: 12, traffic accidents; 14, simple slips; 2, simple falls; 2, contusions after lower energy trauma. Radiological and clinical evaluations were performed. Results: Radiological union was confirmed by plain anteroposterior and lateral radiographs on average of 5.0 months in group I, and 8.4 months in group II, respectively. Differences between the two groups were statistically significant (p<0.01). The clinical union value was 1.6 in group I, and 2.0 months in group II, but these values did not differ significantly (p=0.441). The mean Korean shoulder scoring system scores were 89.7 and 90.6, which did not differ significantly (p=0.352). Conclusions: Intramedullary nailing using the Polarus humeral nail is considered to be a good treatment modality for all types of humeral shaft fractures. Additionally, the Polarus humeral nail can be an optimal choice for the treatment of complex type fractures such as segmental or comminuted humeral shaft fractures.

• Archives of Reconstructive Microsurgery
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• v.19 no.1
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• pp.50-55
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• 2010

Injury of the musculocutanous nerve can be associated with a proximal humeral fracture or shoulder dislocation, and injury of the brachial plexus. However, injury of this nerve associated with a humeral shaft fracture has rarely been reported. Diagnosis of the musculocutaneous nerve injury is difficult because its sensory loss is ill-defined, and examination of elbow flexion is difficult when it is associated with fractures. We report an unusual case of musculocutaneous nerve injury in a 27 years old woman who had multiple injuries including a humerus shaft fracture, an ipsilateral radius shaft fracture, and an associated radial nerve laceration. Diagnosis of the musculocutaneous nerve injury was delayed because combined fractures of the humerus and radius prevented proper examination of the elbow motion and nerve grafting of the radial nerve delayed early elbow motion exercise. Delayed exploration of the musculocutaneous nerve 6 months after trauma showed complete rupture of the nerve at its entry into the coracobrachialis muscle and the defect was successfully managed by sural nerve graft.

• Journal of Trauma and Injury
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• v.31 no.2
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• pp.96-102
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• 2018

Ipsilateral fractures of proximal femur with shaft and condylar region are very rare. Current concept of management is based on fixation of each fracture as independent entity using separate fixation modalities for proximal and distal parts of femur. However, we considered that antegrade femoral nailing with cephalomedullary screw fixation is a good option for ipsilateral multi-level femoral fractures. Here, we present an experience of satisfactory treatment for ipsilateral femoral neck fracture, subtrochanteric fracture, comminuted shaft fracture with supracondylar fracture following road traffic accident.

• Clinics in Shoulder and Elbow
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• v.26 no.2
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• pp.205-207
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• 2023

A Monteggia fracture is a proximal ulnar fracture with proximal radioulnar ligamentous instability. While there is no precise definition, Monteggia-equivalent fractures are generally considered Monteggia fractures accompanied by radial head fractures. These are rare. In this study, we report a rare variation of a Bado type IV Monteggia-equivalent lesion (fracture of proximal ulnar shaft, proximal radial shaft, and radial head) and its management.