• 제목/요약/키워드: compression fracture

검색결과 590건 처리시간 0.03초

Kyphotic Angle Measurement Accuracy for Vertebral Osteoporotic Compression Fracture; Reliable Method for Kyphotic Angle Measurement

  • Hong, Jae-Taek;Lee, Sang-Won;Son, Byung-Chul;Sung, Jae-Hoon;Park, Choon-Keun;Kim, Moon-Chan
    • Journal of Korean Neurosurgical Society
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    • 제39권4호
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    • pp.256-259
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    • 2006
  • Objective : Having a reliable and reproducible measurement technique to measure the sagittal contour in vertebral fractures is paramount to clinical decision making. This study is designed to determine the most reliable measurement technique in osteoporotic vertebral compression fracture. Methods : Fifteen lateral radiographs of thoracic and lumbar fractures were selected and measured on two separate occasions by three spine surgeons using six different measurement techniques [Centroid, Harrison Posterior Tangent Methods and 4 different types of modified Cobb method]. The radiograph quality was assessed and the center beam location was determined. Statistical analysis including ANOVA for repeated measures was carried out using the SAS software [v 8.0]. Results : The inter and intraobserver variance of the Cobb method 4 and Harrison posterior tangent method were significantly lower than the other four methods. The intraobserver correlation coefficients were the most consistent using the Cobb method 4 [0.982]. which was followed by the Harrison posterior tangent [0.953] and Cobb methods 1 [0.874]. The intraobserver agreement [% of repeated measures within 5 degrees of the original measurement] ranged from 42% to 98% for each technique for all three observers, with the Cobb method 4 showing the best agreement [97.8%] followed by the Harrison posterior tangent method [937%]. Conclusion : The Cobb method-4 and Harrison posterior tangent methods, when applied to measuring the kyphosis, are reliable and have a similar small error range. The Cobb method 4 shows the best overall reliability. However, the centroid method and Cobb method using a fractured endplate do not produce an accurate result due to inter and intraobserver differences in determining the baseline.

Early Vertebroplasty versus Delayed Vertebroplasty for Acute Osteoporotic Compression Fracture : Are the Results of the Two Surgical Strategies the Same?

  • Son, Seong;Lee, Sang-Gu;Kim, Woo-Kyung;Park, Chan-Woo;Yoo, Chan-Jong
    • Journal of Korean Neurosurgical Society
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    • 제56권3호
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    • pp.211-217
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    • 2014
  • Objective : In Korea, early vertebroplasty (EVP) or delayed vertebroplasty (DVP, which is performed at least 2 weeks after diagnosis) were performed for the treatment of acute osteoporotic compression fracture (OCF) of the spine. The present study compared the outcomes of two surgical strategies for the treatment of single-level acute OCF in the thoracolumbar junction (T12-L2). Methods : From 2004 to 2010, 23 patients were allocated to the EVP group (EVPG) and 27 patients to the DVP group (DVPG). Overall mean age was $68.3{\pm}7.9$ and minimum follow-up period was 1.0 year. Retrospective study of clinical and radiological results was conducted. Results : No significant differences in baseline characteristics were observed between the two groups. As expected, mean duration from onset to vertebroplasty and mean duration of hospital stay were significantly longer in the DVPG ($17.1{\pm}2.1$ and $17.5{\pm}4.2$) than in the EVPG ($3.8{\pm}3.3$ and $10.8{\pm}5.1$, p=0.001). Final clinical outcome including visual analogue scale (VAS), Oswestry Disability Index, and Odom's criteria did not differ between the two groups. However, immediate improvement of the VAS after vertebroplasty was greater in the EVPG ($5.1{\pm}1.3$) than in the DVPG ($4.0{\pm}1.0$, p=0.002). The proportion of cement leakage was lower in the EVPG (30.4%) than in the DVPG (59.3%, p=0.039). In addition, semiquantitative grade of cement interdigitation was significantly more favorable in the EVPG than in the DVPG (p=0.003). Final vertebral body collapse and segmental kyphosis did not differ significantly between the two groups. Conclusion : Our findings suggest that EVP achieves a better immediate surgical effect with more favorable cost-effectiveness.

젊은 여성에서 임신 및 수유와 연관된 골다공증성 척추 압박골절 (Osteoporotic Vertebral Compression Fracture Associated with Pregnancy and Lactation in Young Women)

  • 신우진;서승표;염지웅;김윤성
    • 대한정형외과학회지
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    • 제56권3호
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    • pp.266-271
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    • 2021
  • 임신 및 수유와 연관된 골다공증은 젊은 여성에서 골다공증성 척추 압박골절을 일으킬 수 있는 희귀한 질환이다. 환자들은 주로 요통을 호소하며, 이는 임신과 출산, 수유에 의한 통증으로 오인되기 쉬워 빠른 진단과 치료가 어렵다. 저자들은 요통을 주소로 내원한 29세 여자 환자와 31세 여자 환자에 대해 신체 진찰, 단순 방사선 검사, 전신 골주사 검사, 자기공명영상 검사, 골밀도 검사, 혈액 검사 등을 통하여 임신과 수유에 연관된 골다공증성 척추 압박골절을 진단하였으며, 테리파라타이드(teriparatide) 주사와 흉요천추 보조기 착용, 칼슘과 비타민 D 제제 복용을 통해 증상이 호전된 2예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Safety and Efficacy of Bone Cement (Spinofill®) for Verte-broplasty in Patients with Osteoporotic Compression Fracture : A Preliminary Prospective Study

  • Park, Han Byeol;Son, Seong;Jung, Jong Myung;Lee, Sang Gu;Yoo, Byung Rhae
    • Journal of Korean Neurosurgical Society
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    • 제65권5호
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    • pp.730-740
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    • 2022
  • Objective : Although several commercialized bone cements are used during percutaneous vertebroplasty (PVP) for patients with osteoporotic vertebral compression fracture (OVCF), there are no reports using domestic products from South Korea. In this study, we investigated the safety and efficacy of Spinofill® (Injecta Inc., Gunpo, Korea), a new polymethyl methacrylate product. Methods : A prospective, single-center, and single-arm clinical trial of 30 participants who underwent PVP using Spinofill® for painful thoracolumbar OVCF was performed with 6-months follow-up. Clinical and surgical outcomes included the Visual analog scale (VAS), Korean-Oswestry disability index (K-ODI), and Odom's criteria, complication rate, and recurrence rate. Radiological outcomes were evaluated by measuring the findings of postoperative computed tomography and simple radiograph. Results : The pain of VAS (from 8.95±1.05 to 4.65±2.06, p<0.001) and the life quality based on K-ODI (from 33.95±5.84 to 25.65±4.79, p<0.001) improved significantly, and successful patient satisfaction were achieved in 20 patients (66.7%) 1 day after surgery. These immediate improvements were maintained or more improved during the follow-up. There was no surgery- or product-related complications, but OVCF recurred in two patients (6.7%). Favorable cement interdigitation was reported in 24 patients (80.0%), and extra-vertebral cement leakage was reported in 13 patients (43.0%). The mean vertebral height ratio (from 60.49%±21.97% to 80.07%±13.16%, p<0.001) and segmental kyphotic angle (from 11.46°±8.50° to 7.79°±6.08°, p=0.002) improved one day after surgery. However, these short-term radiological findings somewhat regressed at the end. Conclusion : The overall outcomes of PVP using Spinofill® were as favorable as those of other conventionally used products.

강선의 인장력과 추가 Half pin이 혼성외고정장치 시스템의 안정성에 미치는 영향 (Effects of Pre-tension and Additional Half-pin on Fracture Stability in Hybrid External Fixator System)

  • 김윤혁;이현근;박원만;오종건
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2004년도 추계학술대회 논문집
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    • pp.389-392
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    • 2004
  • It is clinically well known that pre-tension of wires increases the fracture stability in ring or hybrid external fixation. In some cases, additional half pin should be necessary to increase the stability when soft tissue impalement occurs during fixation. In this paper, the fracture stability of a hybrid external fixator system with different pre-tension effects and additional half-pins was analysed using FEM to investigate the effects of these pre-tension and half pin on the system stability quantitatively. 3-D finite element models of five different fixator frames were developed using by beam elements. In axial compression analysis, the fracture stiffness was increased maximally 62% as the pre-tension increased. In torsion analysis, in the other hand, there is little variations in the fracture stiffness. Additional half pin increased the system stiffness about 200 %. From the results, proper pre-tension and additional half pin would provide good methods to increase the fracture stability of the hybrid external fixator and provide more surgical options to minimize soft tissue damage at the fracture site.

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Surgical Management of a Mandible Subcondylar Fracture

  • Kang, Dong Hee
    • Archives of Plastic Surgery
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    • 제39권4호
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    • pp.284-290
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    • 2012
  • Open reduction and anatomic reduction can create better function for the temporomandibular joint, compared with closed treatment in mandible fracture surgery. Therefore, the double miniplate fixation technique via mini-retromandibular incision was used in order to make the most stable fixation when performing subcondylar fracture surgery. Those approaches provide good visualization of the subcondyle from the posterior edge of the ramus, allow the surgeon to work perpendicularly to the fracture, and enable direct fracture management. Understanding the biomechanical load in the fixation of subcondylar fractures is also necessary in order to optimize fixation methods. Therefore, we measured the biomechanical loads of four different plate fixation techniques in the experimental model regarding mandibular subcondylar fractures. It was found that the loads measured in the two-plate fixation group with one dynamic compression plate (DCP) and one adaption plate showed the highest deformation and failure loads among the four fixation groups. The loads measured in the one DCP plate fixation group showed higher deformation and failure loads than the loads measured in the two adaption plate fixation group. Therefore, we conclude that the selection of the high profile plate (DCP) is also important in order to create a stable load in the subcondylar fracture.

Effects of TiN Coating on the Fatigue Fracture of Dental Implant System with Various Cyclic Loads

  • Jung, Da-Un;Chung, Chae-Heon;Son, Mee-Kyoung;Choe, Han-Cheol
    • 한국표면공학회지
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    • 제48권6호
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    • pp.283-291
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    • 2015
  • The purpose of this study was to investigate effects of TiN coating on the fatigue fracture of dental implant system with various cyclic loads. TiN coated abutment screw, the fixture, and abutment of internal hex type were prepared for fatigue test. The fatigue test was carried out according to ISO 14801:2003(E) using tensile and compression tester with repeated load from 30% to 80% of static fracture force. Morphology and fractured surface was observed by field emission scanning electron microscope(FE-SEM) and energy dispersive X-ray spectroscope(EDS). The fracture cycle drastically decreased as repeated load increased. Especially, in the case of TiN-coated abutment screw, fracture cycle increased compared to non-coated abutment screw. The fatigue crack was propagated fast as repeated load increased. The plastic deformation region decreased, whereas, cleavage fracture region increased as repeated load increased.

Zr-Ti-Cu-Ni-Be 합금으로 제조된 상용 골프클럽헤드의 부위별 물리적 특성 및 기계적 거동 (Mechanical Behavior and Physical Properties of Zr-Ti-Cu-Ni-Be Amorphous and Partially Crystallized Alloy Extracted from a Commercial Golf Club Head)

  • 최영철;홍순익
    • 한국재료학회지
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    • 제15권11호
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    • pp.697-704
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    • 2005
  • The deformation behavior of a bulk amorphous and crystallized amorphous $Zr_{22.5}Ti_{14}Cu_{12.5}Ni_{10}Be_{22.5}$ alloy extracted from a commercial golf club head was characterized at room temperature ana $300^{\circ}C$. At room temperature, amorphous specimens revealed higher yield stress and ductility than partially crystallized alloy specimens. Amorphous alloy displayed some plasticity before fracture, which resulted from strain hardening and repeated crack initiation and propagation. The fracture is mainly localized on one major shear band, and the compressive fracture angle of the amorphous specimen between the stress axis and the fracture plane was about $40^{\circ}$ Scanning electron microscope observations revealed mainly a vein-like structure in the amorphous alloy But the fracture surface of partially crystallized amorphous alloy consisted of vein-like and featureless fracture structure. The partially crystallized alloy extracted from the thick part of the club fractured in the elastic region, at a much lower stress level than the amorphous, suggesting that relatively coarse crystal particles formed during cooling cause the brittle fracture.

Mohr-Coulomb 파단모델을 이용한 텅스텐 합금의 충격 파단 예측 (Prediction of Impact Fracture for Tungsten Alloy Using the Mohr-Coulomb Fracture Model)

  • 노동환;;유광현;이승보;고동균;성민제;허훈;윤정환
    • 소성∙가공
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    • 제30권1호
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    • pp.16-21
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    • 2021
  • A new concept of ammunition without the use of explosive gunpowder has been recently studied, which achieves performance equal to or higher than that of high explosives. Frangible Armor Piercing (FAP) is one of the concepts, which utilizes a tungsten alloy penetrator specialized for fragmentation. To investigate the fracture behavior of the tungsten alloy penetrator, Taylor impact tests were conducted at various impact velocities. Additionally, finite element analysis was performed to predict the fracture behavior of the tungsten alloy. Compression tests were also carried out at six strain rates for dynamic material properties and the dynamic hardening behavior was successfully predicted with the Lim-Huh model. Finally, the Mohr-Coulomb fracture model based on the mean stress was adopted to predict impact failure in Taylor impact simulation. The analysis predicts the deformation and fracture behaviors of the tungsten alloy successfully.

냉간단조에 있어서 탄소강의 가공한계에 관한 연구 (A study on working limit of cold forging of carbon steel)

  • 제진수;강종훈;강성수
    • 대한기계학회논문집A
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    • 제21권7호
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    • pp.1081-1088
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    • 1997
  • The purpose of this work is to investigate the working limit of carbon steel and forging condition of cold forging. The fracture criteria which was proposed by Oyane and Osakada was used. Compression test, hardness study and tension test by Oyane's creteria, microstructure study by Osakada's were carried out. The results were compared with each other. It was found that working limit on compressive hydrostatic stress is increased in comparison with that of tensile stress field and can be forecasted the fracture limit of closed cold forging.