• Journal of the Korean Society for Heat Treatment
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• v.32 no.4
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• pp.161-167
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• 2019

Impact toughness and fracture behavior were studied in five kinds of non-heat treating steels containing bainite; standard(0.25C-1.5Mn-0.5Cr-0.2Mo-0.15V), high V(0.3V), Ni(0.5Mn-2Ni), W(0.4W instead of Mo), and high C-Ni(0.35C-0.5Mn-2Ni) steels. The good hardness and impact toughness balance was exhibited in the $1100^{\circ}C$-rolled condition, while the impact toughness was deteriorated due to coarse grained microstructure in the $1200^{\circ}C$-rolled condition. The impact toughness decreased with increasing the hardness in all steels studied. The fracture behavior was also basically identical, that is, the fracture area was divided into 3 zones; shear and fibrous zone, fracture transition zone with ductile dimples and cleavage cracks, where the cracks initiate and grow to critical size, unstable cleavage fracture propagation zone. The energy absorbed for the critical crack formation through the plastic deformation inside the plastic zone in front of the notch root contributed to a mostly significant portion of the total impact energy.

• Journal of Trauma and Injury
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• v.32 no.1
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• pp.51-59
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• 2019

Unstable pelvic ring lesions are usually treated with internal fixation. In patients presenting clinical instability or soft tissue complication risk, external fixation is a safe treatment option. However, pin tract infection, insufficient biomechanical properties, difficulty sitting and changing decubitus are important drawbacks related to the treatment. The present study reports the association of anterior and posterior subcutaneous internal fixation by applying spine-designed implants on the pelvic ring disruption: supra-acetabular pedicle screws with an interconnecting rod (Infix), plus posterior transiliac fixation with the same system, which the authors have named the "Hula Hoop Technique".

• Journal of the Korea Concrete Institute
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• v.13 no.6
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• pp.568-574
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• 2001

From measured responses of concrete three-point bend tests, the average values of the responses have been calculated. The fracture behavior of continuously propagating concrete crack has been analyzed from the average responses. The experimental parameters of this study were the initial notch sizes of 25.4㎜ and 6.4 ㎜ and the processing times of 2,000 sec. and 20 sec . The different notch sizes were used for the effects of the size of fracture process zone and specimen geometry, and the processing times for those of initial creep. However the load-point displacement rate in this study did not affect the experimental responses seriously. The average loads were calculated from the average external work of a series of tests, and average crack lengths were determined by using strain gages. Before the peak load, the resistance curve could be determined from the size of fracture process zone, but unstable crack propagation of 88㎜ occurred at the load-point displacement of 0.088∼0.154㎜ after the peak load. The average fracture energy density G$\_$F/$\^$ave/ = 115 N/m occurred during the unstable crack propagation. The fracture process zones were fully developed at the crack length of 111㎜, and the sizes of fracture process zone for initial notches of 25.4㎜ and 6.4㎜ were 86㎜ and 105㎜, respectively. Average fracture energy densities of the resistance curves after full development of fracture process zone were 229 N/m for the initial notch of 25.4㎜ and 284 N/m for 6.4㎜. The values were more than twice of G$\_$F/$\^$ave/.

• Journal of Korean Neurosurgical Society
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• v.55 no.3
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• pp.142-147
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• 2014

Objective : A thoracolumbar burst fracture is usually unstable and can cause neurological deficits and angular deformity. Patients with unstable thoracolumbar burst fracture usually need surgery for decompression of the spinal canal, correction of the angular deformity, and stabilization of the spinal column. We compared two struts, titanium mesh cages (TMCs) and expandable cages. Methods : 33 patients, who underwent anterior thoracolumbar reconstruction using either TMCs (n=16) or expandable cages (n=17) between June 2000 and September 2011 were included in this study. Clinical outcome was measured by visual analogue scale (VAS), American Spinal Injury Association (ASIA) scale and Low Back Outcome Score (LBOS) for functional neurological evaluation. The Cobb angle, body height of the fractured vertebra, the operation time and amount of intra-operative bleeding were measured in both groups. Results : In the expandable cage group, operation time and amount of intraoperative blood loss were lower than that in the TMC group. The mean VAS scores and LBOS in both groups were improved, but no significant difference. Cobb angle was corrected higher than that in expandable cage group from postoperative to the last follow-up. The change in Cobb angles between preoperative, postoperative, and the last follow-up did not show any significant difference. There was no difference in the subsidence of anterior body height between both groups. Conclusion : There was no significant difference in the change in Cobb angles with an inter-group comparison, the expandable cage group showed better results in loss of kyphosis correction, operation time, and amount of intraoperative blood loss.

• Clinics in Shoulder and Elbow
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• v.25 no.3
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• pp.230-235
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• 2022

Background: Unstable distal clavicles experience high non-union rates, prompting surgeons to recommend surgery for more predictable outcomes. There is a lack of consensus on the optimal method of surgical fixation, with an array of techniques described in the literature. We describe an alternative method of fixation involving the use of a distal clavicular anatomical locking plate with Fibertape cerclage augmentation in our series of patients. Methods: Nine patients (8 males and 1 female), with a mean age of 36 years, who sustained unstable fracture of the distal clavicle in our institution were treated with our described technique. Postoperative range of motion, functional and pain scores, and time to radiographic union were measured over a mean follow-up period of 10 months. Incidences of postoperative complications were also recorded. Results: At the last patient consult, the mean visual analog scale score was 0.88±0.35, with a mean Disabilities of the Arm, Shoulder, and Hand (DASH) score of 1.46±0.87 and American Shoulder and Elbow Surgeons (ASES) score of 94.1±3.57. The mean range of motion achieved was forward flexion at 173°±10.6°, abduction at 173°±10.6°, and external rotation at 74.4°±10.5°. All patients achieved internal rotation at a vertebral height of at least L2 with radiographical union at a mean of 10 weeks. No removal of implants was required. Conclusions: Our described technique of augmented fixation of the distal clavicle is effective, produces good clinical outcomes, and has minimal complications.

• Journal of the Korean Society for Railway
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• v.8 no.6 s.31
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• pp.573-580
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• 2005

Model I interlaminar fracture behaviors of the carbon/epoxy composite, one of the candidate composites for a tilting train carbody, were investigate by the use of DCB(Double cantilever beam) specimens. These specimens were made of CF3327 plain woven fabric with epoxy resin, and an artificial starter delamination was fabricated by inserting Teflon film with the thickness of $12.5{\mu}m$ of $25.0{\mu}m$ at the one end of the specimen. Mode I interlaminar fracture toughness was evaluated for the specimens with the different thickness of an inserter. Also delamination propagating behaviors and interlaminar fracture surface were examined through an ooptical travelling scope and a scanning electron microscope. We found that abruptly unstable crack propagation called as stick-slip phenomena was observed. In addition, interlaminar fracture behaviors were affected on the location and the morphology of a crack tip as well as an interface region.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2007.11a
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• pp.189-195
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• 2007

$\cdot$ Difficult & Challenging Fracture $\cdot$ Most Treated Nonoperative $\cdot$ ORIF in Young Patients with Unstable Fractures $\cdot$ Fixed Angles Device is Promising $\cdot$ Prosthetic Arthroplasty in Elderly $\cdot$ Loss of Motion Very Common

• Journal of Trauma and Injury
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• v.25 no.1
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• pp.1-6
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• 2012

Purpose: This study analyzed the characteristics of unstable pelvic bone fractures associated with intra-abdominal solid organ injury. Methods: Medical records were retrospectively collected from January 2000 to December 2010 for patients with unstable pelvic bone fractures. Unstable pelvic bone fracture was defined as lateral compression types II and III, antero-posterior compression types II and III, vertical shear and combined type by young classification. Subjects were divided into two groups, with (injured group) and without (non-injured group) intra-abdominal solid organ injury, to evaluate whether the characteristics of the fractured depended on the presence of associated solid organ injury. Data included demographics, mechanism of injury, initial hemodynamic status, laboratory results, revised trauma score (RTS), abbreviated injury scale (AIS), injury severity score (ISS), amount of transfusion, admission to the intensive care unit (ICU), and mortality. Results: The subjects were 217 patients with a mean age of 44 years and included 134 male patients(61.8%). The injured group included 38 patients(16.9%). Traffic accidents were the most common mechanism of injury, and lateral compression was the most common type of fracture in all groups. The initial blood pressure was lower in the injured group, and the ISS was greater. The arterial pH was lower in the injured group, and shock within 24 hours after arrival at the emergency department was more frequent in the injured group. The amount of the transfused packed red blood cells within 24 hours was higher in the injured group than the non-injured group. Invasive treatment, including surgery and angiographic embolization, was more common in the injured group, and the stay in the ICU was longer in the injured group. Conclusion: A need exists to decide on a diagnostic and therapeutic plan regarding the possibility of intra-abdominal solid organ injury for hemodynamically unstable patients with unstable pelvic bone fractures and multiple associated injuries.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.417-422
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• 2019

Hemodynamically unstable pelvic fractures show a remarkably high mortality rate of 40% to 60%. However, their standard of care remains controversial. We report here a case of a 78-year-old woman who was admitted to the Emergency Department with pelvic pain following a fall. Based on pelvic radiography, she was diagnosed with an unstable pelvic fracture. Her blood pressure was 60/40 mmHg, and owing to her unstable vital signs, emergency angiography was performed without computed tomography (CT). Both internal iliac arteries were embolized without sub-branch selection for prompt control of pelvic bleeding. Following embolization, her vital signs were stabilized. Subsequent CT revealed free intra-abdominal air, suggesting bowel perforation had occurred and necessitating emergency laparotomy. An approximately 1 cm-sized free perforation of the small intestine was identified intraoperatively, and primary closure was performed. A retroperitoneal hematoma identified intraoperatively was not explored further because it was a non-expanding and non-pulsatile mass. The patient was admitted to the Intensive Care Unit and transferred to the general ward on postoperative day 3. In this case, the hemodynamically stable pelvic fracture with bowel perforation was successfully and safely treated by prompt angioembolization without conducting CT.

• Clinics in Shoulder and Elbow
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• v.19 no.3
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• pp.143-148
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• 2016

Background: The purpose of our study was to evaluate the accuracy of reduction based on postoperative computed tomography (CT) images after arthroscopic stabilization using tightrope system for unstable distal clavicle fracture. Methods: Twelve patients with distal clavicle fracture combined with coracoclavicular (CC) ligament injury (type II, V) who received arthroscopically assisted fixation using a flip button device were evaluated for accuracy of reduction using 3-dimensional postoperative CT scan by measuring the degree of distal clavicular angulation and clavicular shortening. Results: Immediate postoperative plain radiograph confirmed restoration of the CC distance (CCD) in 10 patients. At final follow-up, the CCD remained reduced anatomically on plain radiographs in these patients. All patients showed excessive posterior angulation and shortening compared to the opposite side. The average Constant score recovered to 94.8 at final follow-up. Conclusions: Indirect reduction and arthroscopic subacromial approach with flip button fixation of unstable distal clavicle fractures demonstrated favorable clinical results despite unavoidable posterior angulation of distal clavicle and shortening the total length of clavicle.