• Journal of Korean Orthopaedic Sports Medicine
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• v.1 no.2
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• pp.159-162
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• 2002

We presented two cases of unstable fracture of the distal clavicle in children associating superior displacement of the ipsilateral distal clavicle and widening of the coracoclavicular (CC) interval. They obtained good osteosynthesis and reduction of the CC interval by conservative treatment. The primary conservative treatment should be considered for the treatment of the unstable distal clavicular fracture with widening of the CC interval in children.

• Journal of Korean Neurosurgical Society
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• v.40 no.1
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• pp.22-27
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• 2006

Objective : The purpose of this study is to investigate the clinical results of anterior and posterior stabilization by one stage posterolateral approach for the unstable fracture of thoracolumbar and lumbar spine. Methods : By posterolateral approach with curved skin incision, unilateral facet and pedicle were removed. Through this route, corpectomy was performed, and then this space was replaced with mesh cage filled up with autologous bone graft. Both side pedicle screw fixation was followed to upper and lower levels. Results : Six of seven patients of this study showed neurological improvement. The other one patient showed no neurological change. One patient had postoperative infection, another patient had postoperative kyphosis. The other patient had epidural hematoma on operation site after surgery. And all patinets on this study made to have spinal stability except one patient happened postoperative kyphosis. Conclusion : In the unstable fracture of thoracolumbar and lumbar spine, one stage anterior and posterior stabilization and fusion by posterolateral approach seems to be an effective procedure, if we have more care and supplementation.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.7 no.1
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• pp.75-82
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• 1987

It is the objective of this study to estimate J-integral by numerical analysis, in which J-integral as aparameters in fracture mechanics can be used to evaluate unstable ductile fracture which is a important problem with respect to structural stability when the scope is beyond small scale yielding criteria. For this, 8-node isoparametric singular element as crack tip element of a cracked material was used to solve plastic blunting phenomenon at crack tip, and crack opening was forced to start when J-value was exceeding fracture toughness $J_{IC}$ of the material. And crack propagation behaviour was treated by using crack opening angle. From this study, it was shown that crack opening, stable propagation and unstable opening point of the cracked material found by using J-value obtained from this study were accord with the other study, so think, J-value obtained from this study can be directly used as a parameter in fracture mechanics to deal with the problem of stable propagation of crack and unstable ductile fracture.

• Journal of Korean Neurosurgical Society
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• v.44 no.1
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• pp.8-14
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• 2008

Objective : The purpose of this study was to determine the efficacy of short segment fixation following postural reduction for the re-expansion and stabilization of unstable burst fractures in patients with osteoporosis. Methods : Twenty patients underwent short segment fixation following postural reduction using a soft roll at the involved vertebra in cases of severely collapsed vertebrae of more than half their original height. All patients had unstable burst fracture with canal compromise, but their motor power was intact. The surgical procedure included postural reduction for 2 days and bone cement-augmented pedicle screw fixations at one level above, one level below and the fractured level itself. Imaging and clinical findings, including the level of the vertebra involved, vertebral height restoration, injected cement volume, local kyphosis, clinical outcome and complications were analyzed. Results : The mean follow-up period was 15 months. The mean pain score (visual analogue scale) prior to surgery was 8.1, which decreased to 2.8 at 7 days after surgery. The kyphotic angle improved significantly from $21.6{\pm}5.8^{\circ}$ before surgery to $5.2{\pm}3.7^{\circ}$ after surgery. The fraction of the height of the vertebra increased from 35% and 40% to 70% in the anterior and middle portion. There were no signs of hardware pull-out, cement leakage into the spinal canal or aggravation of kyphotic deformities. Conclusion : In the management of unstable burst fracture in patients with severe osteoporosis, short segment pedicle screw fixation with bone cement augmentation following postural reduction can be used to reduce the total levels of pedicle screw fixation and to correct kyphotic deformities.

• Computers and Concrete
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• v.18 no.3
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• pp.337-354
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• 2016

To study the influence on fracture properties of reinforced concrete wedge splitting test specimens by the addition of reinforcement, and the restriction of steel bars on crack propagation, 7 groups reinforced concrete specimens of different reinforcement position and 1 group plain concrete specimens with the same size factors were designed and constructed for the tests. Based on the double-K fracture criterion and tests, fracture toughness calculation model which was suitable for reinforced concrete wedge splitting tensile specimens has been obtained. The results show that: the value of initial craking load Pini and unstable fracture load Pun decreases gradually with the distance of reinforcement away from specimens's top. Compared with plain concrete specimens, addition of steel bar can reduce the value of initial fracture toughness KIini, but significantly increase the value of the critical effective crack length ac and unstable fracture toughness KIun. For tensional concrete member, the effect of anti-cracking by reinforcement was mainly acted after cracking, the best function of preventing fracture initiation was when the steel bar was placed in the middle of the crack, and when the reinforcement was across the crack and located away from crack tip, it plays the best role in inhibiting the extension of crack.

• Journal of Welding and Joining
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• v.3 no.2
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• pp.42-51
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• 1985

The dynamic fracture toughness, fracture characteristics, impact tension and tensile properties of Al-Mg-Si T5 alloy and Al-Zn-Mg T6 alloy respectively welded with filler metal of Alcan 4043 were investigated. The dynamic fracture toughness values were obtained rapidly and simply for the specimen of small size by using instrumented Chirpy impact testing machine. the testing temperatures of the specimen were a range of room temperature and-196.deg. C. The results obtained in this experiment are summarized as follows. With decreasing the testing temperatures, dynamic tensile stress and fracture load were increased, on the other hand the deflection and impact value showed decreasing tendency in order of base metal>HAZ>weld. Changes of total absorbed energy were more influenced by the crack propagation energy than the crack initiation energy. At the low temperatures, the unstable rapid fracture representing the crack propagation appeared for the specimens of Charpy press side notched in Al-Zn-Mg alloy, but it was difficult to obtain the unstable rapid fracture in Al-Mg-Si alloy. Because of the development of plastic zone at the notch root, it was difficult to obtain thevalid $K_{1d}$ value in Al-Mg-Si alloy. Therefore the fatigue cracked specimens were effective in both Al-Mg-Si and Al-Zn-Mg alloys. With decreasing the impact testing temperatures, specimens underwent a transition from dimple-type transgranular fracture to lamella surface-type intergranular fracture because of the precipitate at the grain boundaries, impurities and crystal structure of the precipitates.s.

• Journal of the Korean Orthopaedic Association
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• v.56 no.3
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• pp.215-223
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• 2021

Purpose: Distal radius fractures in youth are treated conservatively in most cases, but there are some cases of redisplacement in the follow-up period after cast immobilization, even after complete reduction. This study examined the risk factors of redisplacement in reduced unstable distal radius fractures. Materials and Methods: From February 2011 to June 2018, 44 unstable distal radius fractures were managed with a closed reduction and cast immobilization. The patients were aged between 6 and 14 years. The cases of redisplacement were analyzed with the fracture characteristics (fracture obliquity, fracture level ratio, ulnar fracture combined), cast qualities (gap index, cast index, 3 point index, and radius-2nd metacarpal angle) and host factors (age, sex). Results: The mean angulation in the union was 9.2° (0°-32.8°). In the categorical grouping 29 cases were within 10° angulation, and 15 cases were more than 10°. No significant differences in the factors of the cast indices or host factors were noted. The meaningful factor was the fracture level calculated by the relative width of the fracture site divided by the sum of width of diaphysis and epiphysis (p=0.001) and combined ulnar fracture (p=0.019). Conclusion: Unstable distal radius fractures should be treated with more stubborn guidelines lest the fracture loses its anatomical alignment. In particular, in patients with less remodeling power, operative treatment would secure a better result if the fracture occurs in a more proximal location.

• Proceedings of the KWS Conference
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• 2010.05a
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• pp.61-61
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• 2010

The purpose of this study is to prevent the unstable fracture at the FCA butt weldment of hatch coaming deck in the ultra large containership during service life. In order to do it, the behavior of the embedded crack at the weldment under design loading conditions was evaluated in accordance with BS7910. Here, the level of primary stress induced by ship motion was evaluated by the design code of classification society and FEA. The level of residual stress as secondary stress was calculated in consideration of the restraint degree of weldment and welding heat input by using the predictive equation proposed by authors in the previous study. The fatigue crack growth rate at the weldment was evaluated using CT specimen in accordance with ASTM E647. According to the results, although the allowable defect for embedded crack specified in the classification society exists at the weldment, the occurrence possibility of unstable fracture at the weldment could not be negligible, regardless of CTOD value given in this study. So, in this study, the effect of initial defect size, welding heat input, restraint degree and CTOD on the fracture mechanical characteristics of embedded crack at the weldment was evaluated by the comprehensive fracture assessment. Based on the results, the design criteria including allowable defect, residual stress level and CTOD value was established to prevent the unstable fracture at the FCA butt weldment of hatch coaming deck in an ultra large containership during service life of 20years.

• Journal of Advanced Marine Engineering and Technology
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• v.35 no.6
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• pp.802-808
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• 2011

One of the important mechanical properties of cryogenic temperature structure material is fracture toughness. Research on normalization of fracture toughness test method is becoming very important issue with development of cryogenic structural elements. Specially, mechanical properties estimation by each micro-structure of welding department is important because it can cause unstable fracture when use under cryogenic environment in case of welding department. In this study, fracture toughness estimation test was carried out to unloading compliance method and sensitization heat-tread minimized test specimen at liquid nitrogen (77K), liquid helium (4K), 293K temperature to STS-316L base metal and weld metal.

• Archives of Plastic Surgery
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• v.35 no.1
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• pp.110-115
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• 2008

Purpose: The objective of this study is to propose an effective management of unstable zygomatic arch fracture. The reduction methods of arch fracture were relatively simple but the maintenance of reduction state is very troublesome. On this, authors introduce an effective management method of unstable zygomatic arch fracture. Methods: Authors experienced 23 cases of unstable segmental zygomatic arch fractures and used Thermo-splint in all cases. All the arch fractures were reduced through Gillies' approach under the general anesthesia. After the reduction, the most effective suspension points were marked on the covering skin of the fractured arch. A needle of heavy nonabsorbable suture material was inserted toward the marking site under the reduced zygomatic arch. And then Therm-splint was dipped in the hot water, and we got the splint pattern of patient face. Reshaped Thermo-splint was trimmed and fixated with previous suspension suture materials. More additive suspension was done if necessary. The splint was applied for in two to three weeks postoperatively. Results: In all the cases, good cosmetic and functional results were observed without severe complications. There were 4 cases of incomplete reductions but they also had no specific problems. There were no facial nerve symptom and scar(stitch mark). Postoperative slight tenderness and trismus were completely subsided after removal of the splint. Conclusion: The Thermo-splint safely protect and maintain the postoperative reduction state. The application, maintenance and removal were easy and simple. It could be reformed to any contour of face and had enough rigidity for supporting. Above all these things, effective prevention of displacement and easy manipulation were significant merit. Authors experienced good results with Thermo-splint, and would introduce it for another method of management of zygomatic arch fracture.