• 제목/요약/키워드: Unstable fracture

검색결과 181건 처리시간 0.024초

소아 쇄골 원위부 전위골절의치료- 2례보고- (Treatment of Displaced Fracture of the Distal Clavicle in Children- Report of 2 Cases)

  • 박태수;김종헌
    • 대한정형외과스포츠의학회지
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    • 제1권2호
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    • pp.159-162
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    • 2002
  • 쇄골의원위부가상방전위되고오구쇄골간격이이완된소아의불안정한쇄골원위부골절2예에대하여보존적치료후오구쇄골간격이정상적으로회복되고완전한골유합을얻을수있었다. 소아의경우비록쇄골원위부의전위된불안정한골절이라도먼저보존적치료를반드시고려하여야할것으로사료된다.

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Anterior and Posterior Stabilization by One Stage Posterolateral Approach in the Unstable Fracture of Thoracolumbar and Lumbar Spine

  • Lee, Young-Min;Cho, Yang-Woon;Kim, Joon-Soo;Kim, Kyu-Hong;Lee, In-Chang;Bae, Sang-Do
    • Journal of Korean Neurosurgical Society
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    • 제40권1호
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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.

균열재(龜裂材)의 불안정연성파괴(不安定延性破壞)에 대한 J 적분(J積分) 평가(評價)를 위한 탄소성해석(彈塑性解析) (Elasto-Plastic Analysis for J-integral Evaluation of Unstable Fracture in Cracked Ductile Materials)

  • 장동일;정경섭
    • 대한토목학회논문집
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    • 제7권1호
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    • pp.75-82
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    • 1987
  • 본(本) 연구(硏究)는 소규모강복범위(小規模降伏範圍)를 벗어나는 대규모강복조건하(大規模降伏條件下)에서 구조안정성(構造安定性)에 관(關)한 중요(重要)한 문제(問題)인 불안정연성파괴(不安定延性破壞)를 평가(評價)할 수 있는 파괴역학인자(破壞力學因子)로서의 J 적분(積分)을 수치해(數値解)로서 구하는데 그 목적(目的)을 두었다. 이를 위해 균열재(龜裂材)의 균열선단요소(龜裂先端要素)로 8절점등방특이요소(節點等方特異要素)를 사용(使用)하고, 균열발생(發生)은 파괴인성(破壞靭性) $J_{IC}$를 초과할 때 일어나도록 하였으며, 그리고 균열성장(成長)의 취급(取級)은 균열개구각(龜裂開口角)을 이용(利用)했다. 본(本) 연구(硏究)에 의해 해석(解析)된 J 적분치(積分値)를 사용(使用)하여 균열재의 균열발생 과 안정성장(安定成長), 불안정(不安定) 발생점(發生點)을 찾은 결과(結果) 다른 연구결과(硏究結果)와 잘 일치(一致)하고 있어 탄소성(彈塑性)을 고려(考慮)한 J 적분치(積分値)가 균열의 안정성장(安定成長) 및 불안정연성파괴(不安定延性破壞) 문제(問題)를 다루는 파괴역학인자(破壞力學因子)로서 직접(直接) 이용(利用)될 수 있음을 보였다.

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Bone Cement Augmentation of Short Segment Fixation for Unstable Burst Fracture in Severe Osteoporosis

  • Kim, Hyeun-Sung;Park, Sung-Keun;Joy, Hoon;Ryu, Jae-Kwang;Kim, Seok-Won;Ju, Chang-Il
    • Journal of Korean Neurosurgical Society
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    • 제44권1호
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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.

Study on fracture characteristics of reinforced concrete wedge splitting tests

  • HU, Shaowei;XU, Aiqing;HU, Xin;YIN, Yangyang
    • Computers and Concrete
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    • 제18권3호
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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.

計裝化 샬피 시험법 에 의한 알루미늄 합금 용접부 의 동적파괴 인성 (The dynamic fracture toughness of aluminum alloy weld zone by instrumented charpy test)

  • 문경철;강락원;이준희
    • Journal of Welding and Joining
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    • 제3권2호
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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.

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소아 요골 원위부 불안정 골절의 캐스트 후 안정성에 영향을 미치는 요소 (Risk Factors in Stability after Immobilization of the Distal Radius in Unstable Fractures in Children)

  • 신용운;손종민;박상윤
    • 대한정형외과학회지
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    • 제56권3호
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    • pp.215-223
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    • 2021
  • 목적: 소아 요골 원위부 골절은 가장 흔한 골절이면서 불안정 골절의 경우 정복 후에도 재전위 위험성이 높아 주의가 요망된다. 이러한 재전위에 영향을 미치는 요인들에 대하여 평가해 보고자 한다. 대상 및 방법: 2011년 2월부터 2018년 6월까지 완전 전위된 소아 요골 원위부 불안정 골절로 본원 외래에서 보존적 치료한 6세에서 14세까지의 환자들을 대상으로 후향적 연구를 하였다. 전체 대상 환자 44예 중 재전위된 환자들에서 연령, 성별, 석고 지표, 간격 지표, 3점 고정 지표, 골절면 경사도, 관절면에서 골절선까지 거리를 환산한 골절 높이 비, 요골-제2 중수골 각도 등을 측정하여 마지막 골유합 상태에서 남은 각형성의 정도로 결과를 평가하여 비교를 하였다. 결과: 평균 9.2도(0-32.8도) 각형성이 남았으며 범주 내의 결과를 기준으로 하여 10도 미만이 29예, 10도 이상이 15예로 확인되었다. 정복 후 재전위가 발생한 군과 대조군 사이에 평가된 요소들 중 석고 지표들은 두 군 간에 차이가 없었다. 연령, 성별에서도 군 간에 차이가 없었고, 골절면 경사도, 요골-제2 중수골 각도도 차이가 없었다. 관절면에서 골절선까지의 거리를 환산한 골절 높이 비가 가장 의미 있는 안정요소로 평가되었고(p=0.001) 척골 골절이 동반된 경우도 불안정한 요소로 평가되었다(p=0.019). 결론: 소아 요골 간단부 완전 전위 골절, 특히 요골 골간단-골간 이행부의 골절의 경우 불안정한 골절로 평가되므로 좀 더 주의가 필요하며 충분한 재형성을 기대하기 어려운 연령에서는 만족스러운 결과를 위하여 수술적 치료가 선호될 수 있다.

초대형 컨테이너선의 해치 코밍 용접부의 내부 균열에 대한 파괴역학적 연구 (A Study on Embedded Crack at the Hatch Coaming FCA Butt Weldment in an Ultra Large Containership on the Basis of Fracture Mechanics)

  • 신상범;이주성
    • 대한용접접합학회:학술대회논문집
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    • 대한용접접합학회 2010년도 춘계학술발표대회 초록집
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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.

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초저온 액화질소 저장탱크 오스트나이트계 스테인리스강의 용접부의 파괴인성 연구 (A Study on the Weld Part Fracture Toughness of Austenite Type Stainless Steel for Cryogenic Liquid Nitrogen Storage Tank)

  • 김영득;최동준;박형욱;조종래;배원병
    • Journal of Advanced Marine Engineering and Technology
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    • 제35권6호
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    • pp.802-808
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    • 2011
  • 극저온 온도 구조 재료의 중요한 기계적 성질 중 하나는 파괴 인성이다. 파괴 인성 시험 방법의 규격화에 대한 연구는 극저온 구조 요소의 개발과 함께 매우 중요한 문제가 되고 있다. 특히 용접부의 경우 극저온 환경 하에서 사용할 때 불안정파괴를 유발할 수 있기 때문에 용접부의 각 미세조직에 따른 기계적 성질 평가가 중요하다. 본 연구에서는 STS-316L 모재와 용접재를 대상으로 액체질소(77K), 액체헬륨(4K), 293K 온도에서 제하컴플라이언스법과 예민화 열처리한 소형화된 시험편 대상으로 파괴인성평가 실험을 수행하였다.

Thermo-splint를 이용한 불안정한 관골궁골절에 대한 효과적인 고정방법 (The Effective Reduction Method of Unstable Zygomatic Arch Fracture with Thermo-Splint)

  • 김순흠;이수향;최현곤;신동혁;엄기일;송우철
    • Archives of Plastic Surgery
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    • 제35권1호
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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.