• 제목/요약/키워드: complex fracture

검색결과 367건 처리시간 0.034초

Delayed rupture of a posttraumatic retromaxillary pseudoaneurysm causing massive bleeding: a case report

  • Hwang, Jae Ha;Kim, Woo Hyeong;Choi, Jun Ho;Kim, Kwang Seog;Lee, Sam Yong
    • 대한두개안면성형외과학회지
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    • 제22권3호
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    • pp.168-172
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    • 2021
  • Posttraumatic pseudoaneurysm of the face is caused by blunt, penetrating, or surgical trauma. Although its incidence is low, pseudoaneurysm rupture can cause a life-threatening, massive hemorrhage. A 48-year-old man visited our emergency center due to a fall-down accident. Three-dimensional computed tomography (CT) showed a comminuted zygomaticomaxillary complex fracture of the left face. After open reduction and internal fixation, the surgical wound healed without any complications. However, the patient was readmitted 10 days after surgery due to pus-like discharge from the wound. Contrast-enhanced CT to find the abscess unexpectedly revealed a pseudoaneurysm in the left retromaxillary area. Massive oral bleeding occurred on the night of re-hospitalization and emergency surgery was done. The bleeding site was identified as a pseudo-aneurysmal rupture of the posterior superior alveolar artery in the retromaxillary area. Hemostasis was achieved by packing Vaseline gauze in the maxillary sinus using an endoscope. Delayed rupture and massive bleeding of posttraumatic retromaxillary pseudoaneurysm after a zygomaticomaxillary fracture is a low-probability, but high-impact event. Therefore, additional contrast-enhanced CT should be considered to evaluate the possibility of a posttraumatic pseudoaneurysm in cases of severe comminuted zygomaticomaxillary fracture.

Transient osteoporosis of the hip with a femoral neck fracture during follow-up: a case report

  • Yusuke Tabata;Shuhei Matsui;Masabumi Miyamoto;Koichiro Omori;Yoichiro Tabata;Tokifumi Majima
    • Journal of Yeungnam Medical Science
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    • 제40권2호
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    • pp.212-217
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    • 2023
  • We report a case of transient osteoporosis of the hip with a femoral neck fracture found during follow-up. A 53-year-old man presented with left hip pain without trauma. The pain did not improve after 2 weeks and he was brought to our hospital by ambulance. Magnetic resonance imaging (MRI) of the left hip joint showed diffuse edema in the bone marrow, which was identified by low signal intensity on T1-weighted images, high signal intensity on T2-weighted images, and increased signal intensity on short tau inversion recovery. This edema extended from the femoral head and neck to the intertrochanteric area. He was diagnosed with transient osteoporosis of the left hip. Rest gradually improved his pain; however, 3 weeks later, his left hip pain worsened without trauma. X-ray, computed tomography, and MRI results of the hip joint demonstrated a left femoral neck fracture, and osteosynthesis was performed. Differential diagnoses included avascular necrosis of the femoral head, infection, complex regional pain syndrome, rheumatoid arthritis, leukemia, and other cancers. Transient osteoporosis of the hip generally has a good prognosis with spontaneous remission within a few months to 1 year. However, a sufficient length of follow-up from condition onset to full recovery is necessary to avoid all probable complications such as fractures.

파괴역학을 이용한 원판형 부재의 잔류응력 측정 (Residual Stress Measurement for Circular Disk Using Fraction Mechanics Approach)

  • 강기주;최성렬
    • 대한기계학회논문집
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    • 제17권5호
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    • pp.1218-1226
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    • 1993
  • 본 연구에서는 기존의 점진균열법을 개량하여 원판의 잔류응력 분포를 측정하기 위한 새로운 방법을 제시하였으며 이것의 타당성을 입증하기 위한 유한요소 해석(finite element analysis)과 실험을 수행하였다.

Numerical Calculation of Energy Release Rates by Virtual Crack Closure Technique

  • Choi, Jae-Boong;Kim, Young-Jin;Yagawa, Genki
    • Journal of Mechanical Science and Technology
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    • 제18권11호
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    • pp.1996-2008
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    • 2004
  • A seamless analysis of material behavior incorporating complex geometry and crack- tip modeling is one of greatly interesting topics in engineering and computational fracture mechanics fields. However, there are still large gaps between the industrial applications and fundamental academic studies due to a time consuming detailed modeling. In order to resolve this problem, a numerical method to calculate an energy release rate by virtual crack closure technique was proposed in this paper. Both free mesh method and finite element method have been utilized and, thereafter, robust local and global elements for various geometries and boundary conditions were generated. A validity of the proposed method has been demonstrated through a series of fracture mechanics analyses without tedious crack-tip meshing.

역전파신경회로망을 이용한 피로손상모델링에 관한 연구 (A Study on Fatigue Damage Modeling Using Back-Propagation Neural Networks)

  • 조석수;장득열;주원식
    • 한국자동차공학회논문집
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    • 제7권6호
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    • pp.258-269
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    • 1999
  • It is important to evaluate fatigue damage of in-service material in respect to assure safety and remaining fatigue life in structure and mechanical components under cyclic load . Fatigue damage is represented by mathematical modelling with crack growth rate da/dN and cycle ration N/Nf and is detected by X-ray diffraction and ultrasonic wave method etc. But this is estimated generally by single parameter but influenced by many test conditions The characteristics of it indicates fatigue damage has complex fracture mechanism. Therefore, in this study we propose that back-propagation neural networks on the basis of ration of X-ray half-value breath B/Bo, fractal dimension Df and fracture mechanical parameters can construct artificial intelligent networks estimating crack growth rate da/dN and cycle ratio N/Nf without regard to stress amplitude Δ $\sigma$.

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Al-Si-Mg(A356) 주조합금의 파괴인성 및 피로균열전파에 미치는 응고속도의 영향 (The Effect of the cooling Rate on Fracture Toughness and Fatigue Crack Properties of Al-Si-Mg(A356) Alloy Castings)

  • 김창주;김정근
    • 한국주조공학회지
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    • 제11권1호
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    • pp.63-70
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    • 1991
  • Aluminium alloy castings, which can be not only manufactured in larger geometrically complex shapes, but also show good mechanical properties in addition to light weight, have kept their potential use as structures in the field of automotives, industrial machines and aircrafts. The variations of eutectic Si size a great effect on the elongation, impact value, fracture toughness and fatigue crack propagation rate without changes in the tensile strength or yield strength. The cooling curves with the solidification rate between $1.4^{\circ}C\;/min$ and $19.1^{\circ}C\;/min$ were obtained. With the increase of solidification rate, DAS, eutectic Si size and grain size were all decreased, which enhanced the mechanical properties. The tensile strength and yield strength were the most greatly influenced by DAS, and the elongation and impact value by eutectic Si size.

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Surgical Experience of Neglected Lower Cervical Spine Fracture in Patient with Ankylosing Spondylitis

  • Jo, Dae-Jean;Kim, Sung-Min;Kim, Ki-Tack;Sea, Eun-Min
    • Journal of Korean Neurosurgical Society
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    • 제48권1호
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    • pp.66-69
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    • 2010
  • The management of lower cervical fractures in patients with ankylosing spondylitis (AS) differs from normal cervical fractures. Patients with AS are highly susceptible to extensive neurologic injuries and spinal deformities after cervical fractures from even minor traumatic forces. These injuries are uniquely complex, require careful imaging assessment, and aggressive surgical management to optimize spinal stability and functional outcomes.

AE신호를 이용한 micro-grooving의 상태감시 (State Monitoring of Micro-Grooving using AE Signal)

  • 이희석;손성민;김성렬;안중환
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 1997년도 추계학술대회 논문집
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    • pp.332-335
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    • 1997
  • With the advance of precision technique, the optical system is more precise and complex and the machining method of optical element which is composed of micro-grooves is developed. Especially, the method of micro-grooving using diamond tool is used widely owing to many merit, but has problems of damage of surface roughness due to tool wear and tool fracture. This paper deals with state monitoring using AE RMS in the micro-grooving. The change of AE RMS is very small with increment of cutting velocity and depth of cut. In spite of constance magnitude of principal force in machining using diamond tool of tool wear and tool fracture, AE RMS is highly fluctuated. Because changing of cutting state has relevance to surface roughness profile, surface toughness profile is expected using AE RMS.

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편심 경사균열 을 가진 판 이 순수굽힘 을 받는 경우의 응력확대계수 (Stress Intensity Factors of a Sheet with an Eccentrically Inclined Crack Subjected to Pure Bending)

  • 최선호;조상봉
    • 대한기계학회논문집
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    • 제9권1호
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    • pp.18-23
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    • 1985
  • 본 논문에서는 편심 경사진 균열을 가진 판이 순수굽힘을 받는 경우에 등각사 상함수를 발견하고 등각사상법에 의한 복소응력함수를 사용하여 응력확대계수의 근사 이론식을 구하고 광탄성 실험을 통하여 비교 고찰하였다.

충격하중에 의한 용접구조물의 강도 증가에 관한 연구 (A Study on the strength improvement in weldment by the impact loading)

  • 양영수
    • 한국생산제조학회지
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    • 제9권3호
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    • pp.76-82
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    • 2000
  • It is well known that during the oxygen cutting process residual thermal stresses are produced in weldment. The local non-uniform heating and subsequent cooling which takes place during any welding process causes complex thermal strains and stresses to finally lead to residual stresses exceed to the yield stress. High tensile stresses combined with applied structural load in the region near the welded joint can given rise to distortion brittle fracture change of the fatigue strength and stress corrosion cracking. The appropriate treatment of the welded component which reduces the peak of he welding residual stresses is believed to lower risk of the fracture during the service of the structure. In this study the impact loading in oxygen cutting frame was applied to reduce the residual stress. After applying the impact loading redistribution of resid-ual stress was measured by cutting method and the effect of fatigue was tested.

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