• 제목/요약/키워드: Stable fracture

검색결과 283건 처리시간 0.034초

상완골 소두 골절의 치료결과 (Treatment Results of Capitellum Fractures)

  • 박진수;정영기;유정한;노규철;정국진;정성욱
    • 대한정형외과스포츠의학회지
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    • 제4권2호
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    • pp.116-121
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    • 2005
  • 목적: 상완골 소두 골절은 매우 희귀한 골절의 형태인데 관절면의 침범으로 인해 적극적인 수술적 치료가 요한다. 이러한 상완골 소두 골절의 관혈적 정복 후 내고정 후의 결과를 보고하는 바이다. 대상 및 방법: 1998년부터 2004년 까지 상완골 소두 골절로 수술 시행받은 4명의 환자를 대상으로 하였다. Morrey의 분류법 상 제 1형이 3례, 제 3형이 1례였다. 전 례에서 주관절의 외측 도달법을 사용하였으며, 관혈적 정복후 유관 나사못 고정을 실시하였다. 수술후 주관절의 부목등의 고정은 4일에서 28일 까지 소요되었다. 최종 추시 판정 시 Mayor의 주관절 기능 평가 방법을 이용하여 주관절 운동 범위, 주관절의 안정성, 동통 유무 등을 평가하였다. 결과: 평균 추시기간은 12개월에서 36개월이었으며 평균 15개월(12개월-36개월) 이었다. 3례의 경우 견고한 골고정을 얻었으며 우수한 관절 운동범위를 얻을 수 있었다. 그러나 만성 소두골 골절 및 부정유합으로 내원하였던 1 례의 경우 추시 관찰동안 재활에 순응하지 않아서 40도-100도의 운동범위만을 보여주었다. 전 례에서 무혈성 괴사나 주관절 관절염의 소견은 보이지 않았다. 결론: 상완골 소두 골절은 희귀하지만 적극적으로 관혈적 정복 및 내고정시 우수한 결과를 보여 줄 수 있었다.

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진하-일광 지역의 해안 단구 (Marine Terrace of the Jinha-Ilgwang Area, Southeast Korea)

  • 최성자
    • 자원환경지질
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    • 제36권3호
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    • pp.233-242
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    • 2003
  • 우리나라 남동해안의 최남단 지역에서는 지금까지 안정된 지괴로 알려져 왔으며 4기단층이나 지진 발생 보고가 알려져 있지 않다. 이 연구는 우리나라 최초로 시행된 디지털(digital) 기법에 의한 단구조사와 단열조사를 통하여 이 지역에 대한 제 4기 지구조운동 여부를 규명하고자 하였다. 조사지역의 기반암은 백악기의 퇴적암류와 화산암류 및 불국사 화강암류로 구성되어 있다. 이 지역에는 매우 협소하고 간헐적인 분포를 하는 해안단구가 발달하고 있으며 타지역과는 달리 단구 퇴적물이 거의 발달하지 않고 있는 점이 특징이다. 이 지역에는 최하위의 홀로세 단구를 포함하여 4개의 단구면이 형성되어 있으며, 이들은 최하위의 것부터 1, 2, 3, 4 단구로 분류된다. 1단구의 구정선은 1m 이하, 2단구의 구정선은 8∼11m, 3단구의 구정선은 17∼22m, 4단구의 구정선은 약 44m이다. 2단구의 형성시기는 MIS 5a이고 이 곳의 3단구 형성시기는 MIS 5c이다. 단구 형성시기와 융기된 단구 고도간의 상관관계 그래프와 고해 수면 변동곡선과 단구고도간의 대비에 의하여 산출된 융기율은 0.19m/ky이다. 이와 같은 값은 판 경계부보다 활동성이 적은 판 내부에서 나타나는 값으로 우리나라의 남동해안의 지각은 대체로 안정된 지괴로 판명된다. 그러나, 각 단구의 구정선 고도는 매우 미약하지만 점이적으로 남쪽으로 가면서 감소하는 현상을 보이고 있어 우리나라의 남동해안의 남단부에는 침강운동이 일어나고 있는 것으로 해석된다.

폴리머 아스팔트의 유제 부착성능 및 혼합물 변형강도에 관한 실험적 연구 (An Experimental Study on the Binder Adhesion Performance and Mixture Deformation Strength of Polymer Asphalt)

  • 최재민;김경진;이승용;김인중;정용휘
    • 한국재난정보학회 논문집
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    • 제16권3호
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    • pp.602-610
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    • 2020
  • 연구목적: 영하의 조건에서도 균열발생을 억제하고, 구조적으로 안정된 성능과 방수기능을 동시에 발휘하는 아스팔트 포장시스템을 개발하고자 한다. 연구방법: SIS 폴리머 아스팔트, 일반 아스팔트 및 구스아스팔트를 대상으로 다양한 온도조건에 따른 유제의 부착실험 및 혼합물의 변형강도 실험을 실시하여 그 특성을 비교, 분석하였다. 연구결과: 아스팔트 유제의 부착강도는 SIS 폴리머 아스팔트가 일반 아스팔트 및 구스아스팔트에 비해 높은 것으로 나타났다. 아스팔트 혼합물의 변형강도는 SIS 폴리머 아스팔트와 일반 아스팔트가 거의 동일하게 나타났다. SIS 폴리머 아스팔트 혼합물은 일반 아스팔트 혼합물 및 구스아스팔트 혼합물에 비해 에너지흡수량이 상대적으로 높게 나타났다. 결론: SIS 폴리머 아스팔트 혼합물의 최대하중은 구스아스팔트 혼합물에 비해 낮게 나타났지만, 열악한 온도조건에서도 최대하중 이후에 안정적인 하중감소로 충분한 에너지흡수량을 확보하고 있고, 안정적인 파괴거동으로 미세균열 발생 등을 감소시켜 아스팔트 포장의 내구성 향상에 기여할 수 있을 것으로 판단된다.

Successful Endoscopic Treatment of Hepatic Duct Confluence Injury after Blunt Abdominal Trauma: Case Report

  • Park, Chan Ik;Park, Sung Jin;Lee, Sang Bong;Yeo, Kwang Hee;Choi, Seon Uoo;Kim, Seon Hee;Kim, Jae Hun;Baek, Dong Hoon
    • Journal of Trauma and Injury
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    • 제29권3호
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    • pp.93-97
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    • 2016
  • Hepatic duct confluence injury, which is developed by blunt abdominal trauma, is rare. Conventionally, bile duct injury was treated by surgical intervention. In recent decades, however, there had been an increase in radiologic or endoscopic intervention to treat bile duct injury. In a hemodynamically stable patient, endoscopic intervention is considered as the first-line treatment for bile duct injury. A 40 year-old man was transferred to the emergency department of ${\bigcirc}{\bigcirc}$ trauma center after multiple blunt injuries. Contrast-enhanced abdominal computed tomography performed in another hospital showed a liver laceration with active arterial bleeding, fracture of the sacrum and left inferior pubic ramus, and intraperitoneal bladder rupture. The patient presented with hemorrhagic shock because of intra-peritoneal hemorrhage. After resuscitation, angiographic intervention was performed. After angiographic embolization of the liver laceration, emergency laparotomy was performed to repair the bladder injury. However, there was no evidence of bile duct injury on initial laparotomy. On post-trauma day (PTD) 4, the color of intra-abdominal drainage of the patient changed to a greenish hue; bile leakage was revealed on magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP). Bile leakage was detected near the hepatic duct confluence; therefore, a biliary stent was placed into the left hepatic duct. On PTD 37, contrast leakage was still detected but both hepatic ducts were delineated on the second ERCP. Stents were placed into the right and left hepatic ducts. On PTD 71, a third ERCP revealed no contrast leakage; therefore, all stents were removed after 2 weeks (PTD 85). ERCP and biliary stenting could be effective treatment options for hemodynamically stable patients after blunt trauma.

도재 수리용 레진의 색안정성에 관한 연구 (A STUDY ON THE COLOR STABILITY OF PORCELAIN REPAIR RESINS)

  • 김난영;진태호
    • 대한치과보철학회지
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    • 제42권2호
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    • pp.133-141
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    • 2004
  • Statement of problem : Porcelain restorations are widely used in restorative dentistry with a high degree of general success. However, porcelain is brittle and may fracture intraorally. Sometimes a repair may be attempted using composite resin and bonding system available. Color stability of porcelain repair resins affects esthetics and prognosis of prosthesis, so that provides important criteria for the choice of porcelain repair resins. Purpose : The purpose of this study was to investigate the color stability of composite resins used widely as porcelain repair system. Materials and method : Composite resins used for this study were Carisma(Kulzer, Germany), Tetric ceram(Ivoclar, Liechtenstein), Filtek Z250(3M, USA), and Arabesk Top(VOCO, Germany). Thirty disc-shaped specimens($10{\times}2mm$) were fabricated from each composite resin. Color changes of specimens after treatment using thermocycling system(KD-TCS30, Kwang-duk F.A. Korea) and after immersion in methylene blue(0.05% by Wt) were measured with colorimeter(Model Tc-6Fx, Tokyo Denshoku Co.) and obtained data were analyzed. Results and Conclusion: The results obtained from this study were as fo11ows. 1. The color change of Filtek Z250 was lesser than those of Tetric ceram and Arabesk Top after thermocycling (12000 times). 2. All of the composite resins in this study showed increase of color change according to increase of thermocycling frequency. 3. After treatment with methylene blue, the color change of Arabesk Top was greater than those of Carisma and Tetric ceram, and Tetric ceram was more stable than others.

쇼트피닝 가공된 해양구조용강의 피로파괴에 미치는 응력비의 영향 (The Effect of Fatigue Fracture in shot peening Marine structural steel at stress ratio)

  • 박경동;한건모;진영범
    • 한국해양공학회:학술대회논문집
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    • 한국해양공학회 2003년도 추계학술대회 논문집
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    • pp.138-144
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    • 2003
  • Rencentely, the request for the light weight is more incresed in the area of industrial environment and machinery and consistent effort is needed to accomplish high strength of material for the direction of light weight. we got the following characteristic from crack growth test carried out in the range of stress ration of 0.1, 0.3 and 0.6 by means of opening mode displacement. At the content stress ratio, the threshold stress intensity factor crack range ${\Delta}K_{th}$in the early stage of fatigue crack growth (Region I) and dtress intensity factor range ${\Delta}K$ in the stable of fatigue crack growth (Region II) with an increase in ${\Delta}K$. Fatigue life shows more improvement in the Shot-peened material than in the Un-peening material. And compressive residual stress of surface on the Shot peening processed operate resistance force of fatigue. So we can obtain fallowings. (1) The fatigue crack growth rate on stage II is conspicuous with the size of compressive residual stress and is depend on Paris equation. (2) Although the maxium compressive residual stress is deeply and widely formed from surface, fatigue life does not improve than when maxium compressive residual stress is formed in surface. (3) The threshold stress intensity factor range is increased with increasing compressive residual stress.

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재생술식을 이용한 치근단 병소를 동반한 백악질 열리의 치료 (Treatment of cemental tear associated with periapical lesion using regenerative surgery; A case report)

  • 강효진;정겨운;방은경
    • 대한치과의사협회지
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    • 제54권5호
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    • pp.365-373
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    • 2016
  • Purpose: Cemental tear is a specific type of root surface fracture characterized by a complete separation of a cemental fragment along the cementodentinal junction or a partial split within the cementum along an incremental line. It is suggested to be a factor for periodontal or periapical tissue destruction. The aim of this study is to present a diagnosis and treatment of cemental tear associated with periapical lesion with root canal treatment and regenerative periodontal surgery. Treatments: A 60-year-old male who had a history of sports trauma on the mandibular right central incisor about 10 years ago presented with apical cemental tear. Clinical examination showed a slightly dark yellowish discoloration and sinus tract that was located on the apical labial mucosa. The mobility and percussion were also assessed on the diseased tooth and recorded as $Miller^{\circ}{\phi}s$ Class II and tenderness to percussion. The probing depth was within the normal limit (<3 mm). Radiographic examination revealed a radiolucent lesion at the apical area and extended to distal aspect of the tooth along the fragment of cemental tear. After root canal treatment, periapical surgery was performed. The bony defect was exposed and then the detached root fragment was removed. Apical root resection and retrograde filling with Mineral Trioxide Aggregate (MTA) were accomplished and the bony defect was filled with deproteinized bovine bone mineral (DBBM) and covered with biodegradable collagen membrane. Results: After 9-month follow-up, healing of the mandibular right central incisor was uneventful and no swelling, purulence or pain was revealed in the associated area. Probing pocket depth was favorably stable, and the tooth mobility was decreased to the Miller's Class I. Conclusions: Apical cemental tear associated periapical lesion could be successfully treated with removal of the detached cementum in combination with apical surgery and GTR procedure.

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대수층 함양관리에 있어서 지질매질에 의한 비소 자연저감 가능성 평가 (Assessment of Potential Natural Attenuation of Arsenic by Geological Media During Managed Aquifer Recharge)

  • 박다소미;현성필;하규철;문희선
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제25권3호
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    • pp.12-22
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    • 2020
  • Managed aquifer recharge (MAR) is a promising water management strategy for securing stable water resources to overcome water shortage and water quality deterioration caused by global environmental changes. A MAR demonstration site was selected at Imgok-ri, Sangju-si, Korea, based on screening for the frequency of drought events and local water supply situations. The abundant groundwater discharging from a nearby abandoned coal mine is one of the potential recharge water sources for the MAR implementation. However, it has elevated levels of arsenic (~12 ㎍/L). In this study, the potential of the natural attenuation of arsenic by the field geological media was investigated using batch and column experiments. The adsorption and desorption parameters were obtained for two drill core samples (GM1; 21.8~22.8 m and GM2; 26.0~27.8 m depth) recovered from the potentially water-conducting fracture-zones in the injection well. The effluent arsenic concentrations were monitored during the continuous flow of the mine drainage water through the columns packed with the core samples. GM2 removed about 60% of arsenic in the influent (0.1 mg-As/L) while GM1 removed about 20%. The results suggest that natural attenuation is an acitive process occurring during the MAR operation, potentially lowering the arsenic level in the mine drainage water below the regulatory standard for drinking water. This study hence demonstrates that using the mine drainage water as the recharge water source is a viable option at the MAR demonstration site.

두개안면골 결손부 재건에 있어서 티타늄 그물판의 임상적 유용성 (Clinical Usefulness of Titanium Mesh in Reconstruction of the Craniofacial Bone Defects)

  • 서영민;정승문
    • Archives of Plastic Surgery
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    • 제33권6호
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    • pp.688-694
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    • 2006
  • Purpose: Reconstruction of the craniofacial defects can be carried out with autogenous tissues, allogenic implants, or alloplastic materials. Titanium mesh systems have been used for bony reconstruction in non load-bearing areas. They offer several advantages: immediate availibility without any donor site morbidity, easy handling, stable 3-D reconstruction, and low susceptibility to infection. The aim of this study is to evaluate the usefulness and complications of titanium mesh system in the reconstruction of the craniofacial defects. Methods: From Jan. 2000, to Dec. 2004, we performed reconstruction of craniofacial bone defects in 21 patients who had benign or malignant tumor and fracture events in the cranium, orbit, nasal bone, maxilla, zygoma and the mandible. The size of the defects ranged from $1.0{\times}1.5cm$ to $12{\times}10cm$. Two different mesh systems, micro-titanium augmentation mesh and dynamic mesh was used for bony reconstruction in non load-bearing areas. The patients were evaluated from 1 to 4 yrs clinically and radiographically with a mean follow up period of 1.5 yrs. Results: There were no serious complications, including wound infection, foreign body reaction, exposures or loos of the mesh, central infection and pathologic findings of bone around mesh exception of one patient, who had expired of skull base tumor recurrence. Long-term stability of the reconstructions and the overall functional and aesthetic outcome was excellent. Conclusion: Our experiences demonstrate that the Titanium mesh system is a relatively safe and efficient method in the craniofacial reconstruction and have broadens our choices of therapeutic procedures in the craniomaxillofacial surgery.

외부스티프너와 철근으로 보강한 CFT 기둥-H형강 보 접합부의 거동 (Behavior of Concrete-Filled Tube Column to H-Beam Connections with External Stiffeners and Reinforcing Bar)

  • 강창훈;신경재;오영석;문태섭
    • 한국강구조학회 논문집
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    • 제12권1호통권44호
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    • pp.55-63
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    • 2000
  • 본 논문은 콘크리트충전 각형강관 기둥-H형강보 접합부로서 기둥을 관통하는 철근과 T-스티프너를 외부에 보강한 새로운 접합부상세를 제안하고, 5개의 십자형 접합부 실험체를 역대칭 반복가력 실험하였다. 실험변수는 T-스티프너의 길이(200, 250mm), 철근의 직경(HDl6, 19)이다. 실험결과 T-스티프너 길이의 증가가 철근의 강도비 증가보다 내력 및 강성에 미치는 영향이 보다 크고, T-스티프너의 보강만으로도 보붕괴형의 안정적인 이력거동을 나타내었다. 또한, T-스티프너와 강관 코너부의 용접 시에는 취성파괴의 가능성에 주의하고, 본 논문에서 제안한 용접방법을 따르는 것이 적절할 것으로 판단된다.

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