• 제목/요약/키워드: delayed fracture

검색결과 232건 처리시간 0.025초

선박용 알루미늄 합금재의 부식피로균열 진전특성과 그 억제에 관한 연구 (Corrosion Fatigue Cracking Propagation Characteristics and its Protection for the AL-Alloys of Shipbuilding)

  • 임우조;김수병;이진열
    • 수산해양기술연구
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    • 제25권2호
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    • pp.87-104
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    • 1989
  • Recently, with the tendency of more lightening, high-strength and high-speed in the marine industries such as marine structures, ships and chemical plants, the use of the aluminium Alloy is rapidly enlarge and there occurs much interest in the study of corrosion fatigue crack characteristics. In this paper, the initiation of surface crack and the propagation characteristics on the base metal and weld zone of 5086-H116 Aluminium Alloy Plate which is one of the Al-Mg serious alloy(A5000serious) used most when building the special vessels, were investigated by the plane bending corrosion fatigue under the environments of marine, air and applying cathodic protection. The effects of various specific resistances on the initiation, propagation behavior of corrosion fatigue crack and corrosion fatigue life in the base metal and heat affected zone were examined and its corrosion sensitivity was quantitatively obtained. The effects of corrosion on the crack depth in relation to the uniform surface crack length were also investigated. Also, the structural, mechanical and electro-chemical characteristics of the metal at the weld zone were inspected to verify the reasons of crack propagation behavior in the corrosion fatigue fracture. In addition, the effect of cathodic protection in the fracture surface of weld zone was examined fractographically by Scanning Electron Microscope(S.E.M.). The main results obtained are as follows; (1) The initial corrosion fatigue crack sensitibity under specific resistance of 25Ω.cm% show 2.22 in the base metal and 19.6 in the HEZ, and the sensitivity decreases as specific resistance increases (2) By removing reinforcement of weldment, the initiation and propagation of corrosion crack in the HAZ are delayed, and corrosion fatigue life increases. (3) As specific resistance decreases, the sensitivity difference of corrosion fatigue life in the base metal and HAZ is more susceptible than that of intial corrosion fatigue crack. (4) Experimental constant, m(Paris' rule) in the marine environment is in the range of about 3.69 to 4.26, and as specific resistance increases, thje magnitude of experimental constant, also increases and the effect by corrosion decreases. (5) Comparing surface crack length with crack depth, the crack depth toward the thickness of specimen in air is more deeply propagated than that in corrosion environment. (6) The propagation particulars of corrosion fatigue crack for HAZ under initial stress intensity factor range of $\Delta$k sub(li) =27.2kgf.mm super(-3/2) and stress ratio of R=0 shows the retardative phenomenon of crack propagation by the plastic deformation at crack tip. (7) Number of stress cycles to corrosion fatigue crack initiation of the base metal and the welding heat affected zone are delayed by the cathodic protection under the natural sea water. The cathodic protection effect for corrosion fatigue crack initiation is eminent when the protection potential is -1100 mV(SCE). (8) When the protection potential E=-1100 mV(SCE), the corrosion fatigue crack propagation of welding heat affected zone is more rapid than that of the case without protection, because of the microfissure caused by welding heat cycle.

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Ender Nail을 이용한 경골간부 골절의 치료 (Treatment of the Tibia Shaft Fractures with Ender Nails)

  • 김인기;이동철;서재성;안면환;김세동;안종철
    • Journal of Yeungnam Medical Science
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    • 제9권1호
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    • pp.130-136
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    • 1992
  • 본 영남대학교 의과대학 부속병원 정형외과에서는 1986년 12월에서 1991년 11월까지 경부 간부 골절 31례에 대하여 Ender nail을 시행하여 다음과 같은 결과를 얻었다. 1. 환자의 평균연령은 37.3세였고, 남자에게서 3배가 많았으며, 교통사고가 가장 많은 원인이었다(67%). 2. 폐쇄성 골절이 20례, 개방성 골절이 11례였으며, 분쇄골절과 분절골절이 18례(57.7%)였고, 중간부 골절이 16례로 가장 많았다. 3. 동반손상이 19례에서 있었고, 수상후 수술까지의 기간은 평균 7.6일이었다. 4. 평균 골유합 기간은 18.9주였으며, 2례에서 지연유합을 보였다. 5. 합병증으로 하지 단축이 2례, 각형성 변형이 3례, 관절 운동 제한 2례, 감염이 연부조직에 1례 있었다. 이상 경골 간부골절 치료에 사용한 Ender nail은 시술의 간편성, 적절한 고정성과 운동성, 비교적 폭넓은 적용 범위등으로 좋은 치료 결과를 기대할 수 있는 방법으로 사료된다.

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경골 천정(pilon) 골절의 최신 치료 (Current Treatment of Tibial Pilon Fractures)

  • 이준영
    • 대한족부족관절학회지
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    • 제15권2호
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    • pp.51-57
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    • 2011
  • Pilon fractures involving distal tibia remain one of the most difficult therapeutic challenges that confront the orthopedic surgeons because of associated soft tissue injury is common. To introduce and describe the diagnosis, current treatment, results and complications of the pilon fractures. In initial assessment, the correct evaluation of the fracture type through radiographic checkup and examination of the soft tissue envelope is needed to decide appropriate treatment planning of pilon fractures. Even though Ruedi and Allgower reported 74% good and excellent results with primary open reduction and internal fixation, recently the second staged treatment of pilon fractures is preferred to orthopedic traumatologist because of the soft tissue problem is common after primary open reduction and internal fixation. The components of the first stage are focused primarily on stabilization of the soft tissue envelope. If fibula is fractured, fibular open reduction and internal fixation is integral part of initial management for reducing the majority of tibial deformities. Ankle-spanning temporary external fixator is used to restore limb alignment and displaced intraarticular fragments through ligamentotaxis and distraction. And the second stage, definitive open reduction and internal fixation of the tibial component, is undertaken when the soft tissue injury has resolved and no infection sign is seen on pin site of external fixator. The goals of definitive internal fixation should include absolute stability and interfragmentary compression of reduced articular segments, stable fixation of the articular segment to the tibial diaphysis, and restoration of coronal, transverse, and sagittal plane alignments. The location, rigidity, and kinds of the implants are based on each individual fractures. The conventional plate fixation has more advantages in anatomical reduction of intraarticular fractures than locking compression plate. But it has more complications as infection, delayed union and nonunion. The locking compression plate fixation provides greater stability and lesser wound problem than conventional implants. But the locking compression plate remains poorly defined for intraarticular fractures of the distal tibia. Active, active assisted, passive range of motion of the ankle is recommended when postoperative rehabilitation is started. Splinting with the foot in neutral is continued until suture is removed at the 2~3 weeks and weight bearing is delayed for approximately 12 weeks. The recognition of the soft tissue injury has evolved as a critical component of the management of pilon fractures. At this point, the second staged treatment of pilon fractures is good treatment option because of it is designed to promote recovery of the soft tissue envelope in first stage operation and get a good result in definitive reduction and stabilization of the articular surface and axial alignment in second stage operation.

노년층에서 대퇴경부 골절의 치료 (A Clinical Analysis of Femur Neck Fracture in Elderly Patients)

  • 인주철;안면환;서재성
    • Journal of Yeungnam Medical Science
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    • 제2권1호
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    • pp.11-22
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    • 1985
  • 본 영남의대 정형외과학 교실에서는 1983년 5월부터 1985년 2월말까지 치료한 노년층의 대퇴경부 골절 환자 30예 중 추시가 가능했던 18예를 골절의 양상 및 치료 방법에 따라 분석한 결과를 요약하면 다음과 같다. 1. 총 18예 중 여자가 11예, 남자 7예로 고령의 여자에 호발하였다. 2. 60대 이상의 골절 11예 중 8 예가 경도의 외상에 의하였고 4 예가 심각한 골조송증을 동반하였다. 3. 골절의 양상으로는 총 18예 중 4 예가 비전위 골절, 11예가 전위된 골두하 골절, 3 예가 전위된 중간경부 골절이었다. 특히 60대 이상의 골절 11예는 3예가 비전위 골절, 나머지 8 예가 전위된 골두하 골절이었다. 4. 치료 방법은 총 18예 중 13예에서 도수정복 및 다발성 철침 고정술을 시행하였고, 4예에서 대퇴골두 치환술을 1예에서 특별한 처치를 하지 않았다. 5. 내고정술을 시행한 비전위 골절 4예에서는 합병증을 초래하지 않았고, 전위된 골절 9예 중 4예에서 합병증을 초래하였는데 전 예가 전위된 골두하 골절이었다. 6. 전위된 골두하 골절로 내고정술을 시행한 6 예중 3예에서 3일이내에 치료하였는데 이 중 l 예에서 과내반 정복 상태로 합병증을 초래하였고 3일 이상 지연된 3예에는 전 예에서 합병증을 초래 하였다. 7. 전위된 골두하 골절 6예 중 과외반 정복된 2예에서는 합병증이 발생하지 않았고 과내반 정복된 3예와 수상후 1주일 이후에 양호한 정복 상태인 1예 모두 합병증이 발생하였다. 노년기의 대퇴경부 골절 환자의 치료시에 합병증의 발생은 대개 골절의 양상 및 치료 시기에 의해 결정되며, 내고정술시에는 조속한 시간내에 해부학적 정복 혹은 외반 정복을 시도하는 것이 바람직하며 특히 고령의 환자에서 전위된 골두하 골절로 치료의 지연, 정복의 불가능, 과내반 정복 및 고관절에 기존 질병이 있는 경우에는 일차적인 대퇴골두 치환술 혹은 고관절 치환술이 바림직할 것으로 사료된다.

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Delayed-Onset Methicillin-Resistant Staphylococcus aureus Infection at 18 Months after Absorbable Plate Fixation for Zygomaticomaxillary Complex Fracture

  • Lee, Hyun Rok;Shin, Hea Kyeong;Lee, Dong Lark;Jung, Gyu Yong
    • 대한두개안면성형외과학회지
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    • 제17권4호
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    • pp.229-232
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    • 2016
  • None of the reports of delayed infection mentioned a latent period exceeding 13 months. we report an infection that developed 18 months after implantation of an absorbable plate. A 16-year-old adolescent girl had undergone reduction and fixation with an absorbable plate for Lefort I and zygomaticomaxillary complex fractures 18 months prior at our hospital. In her most recent hospital visit as an outpatient, abscess was observed in periocular area. Computed tomography revealed sinusitis with an abscess above the infraorbital rim. Wound culture yielded methicillin-resistant Staphylococcus aureus. Despite conservative treatments, wound state did not improve. Therefore, our department decided to perform surgery. Absorbable plate had been mostly absorbed but remained a bit. Bony depression of infraorbital rim and mucosal exposure of maxillary sinus anterior wall were observed. After the surgery, the patient recovered. We believe that the reason the wound infection and sinusitis manifested at the same time is because of several factor such as alcohol abuse, smoking, and mucosal exposure of maxillary sinus anterior wall. Absorbable plate takes 9 months to 3 years to be completely absorbed, thus we suggest studies with a follow-up of at least 3 years be undertaken to determine the outcomes of patients with many risk factors.

요골 두 절제 유무에 따른 비구속형 전 주관절 성형술 (Nonconstrained Total Elbow Arthroplasty with or without Radial Head Resection)

  • 김정만;정양국;김양수;황승현
    • Clinics in Shoulder and Elbow
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    • 제5권1호
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    • pp.37-41
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    • 2002
  • Purpose : To evaluate the effect of radial head resection on longevity in nonconstrained total elbow arthroplasty, Materials and Methods : The results of 20 cases of radial head replaced Pritchard ERS and 18 cases of radial head excised Kudo elbow was followed for 6 to 16 years, 10.6 years in average. The rate of loosening, osteolysis, radial head subluxation, joint dislocation and valgus deformity were compared between the two groups. Results'There was no exaggerated cubitus valgus in Pritchard ERS group. However there developed one case of delayed subluxation of radial head occurred in 6 years postoperatively, one case of loosening, and one case of sponta- neous fracture of humeral shaft due to osteolysis. In Kudo elbow group,5 cases (27.8%) showed exaggerated valgus deformity with instability. There were one case of loosening and one case of delayed dislocation occurred in a year postoperatively. Conclusion : The most clear feature of Kudo elbow was exaggerated cubitus valgus. However, the ostolysis was developed in both groups and there was no difference in rate of the other complications between the two groups.

DHC Characteristics of M11 Pressure Tube in Wolsong Unit 1

  • Kim, Sung-Soo;Kim, Young-Suk
    • Nuclear Engineering and Technology
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    • 제32권1호
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    • pp.1-9
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    • 2000
  • Delayed hydride cracking (DHC) velocity and threshold stress intensity factor for DHC ($K_{IH}$) tests in the radial direction on M11 pressure tube material in Wolsong unit 1 were carried out following the Atomic Energy Canada Limited (AECL) standard test procedure in order to identify the effect of undercooling on DHCV and to acquire the $K_{IH}$ data. The results showed that $K_{IH}$ 's were 8.8$\pm$0.8 MPa√m in the back offcut and 11.4$\pm$0.7 MPa√m in the front offcut. The fact that $K_{IH}$ in the front offcut is about 20% higher than that in the back offcut is attributed to the microstructural difference between the materials of the front and back ends. $K_{IH}$ 's in M11 pressure tube appeared to be higher than the values from the tubes made of double melted ingot reported earlier. This can be interpreted by the fact that very small amounts of Chlorine (Cl) and Phosphorus (P) are contained in the ingot and that the content of the harmful elements in the M11 pressure tube is equivalent to that made of a quadruple melting process. DHC velocities at 25$0^{\circ}C$ in the front offcut in the radial direction are measured to be 5~8$\times$10$^{-8}$ m/s. The results show that the prior thermal history change the DHC velocity significantly. This effect was confirmed by the experiment of undercooling prior to the DHC tests.DHC tests.

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An effect of immediate dentin sealing on the shear bond strength of resin cement to porcelain restoration

  • Choi, Yu-Sung;Cho, In-Ho
    • The Journal of Advanced Prosthodontics
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    • 제2권2호
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    • pp.39-45
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    • 2010
  • PURPOSE. The aim of this study was to determine differences in shear bond strength to human dentin using immediate dentin sealing (IDS) technique compared to delayed dentin sealing (DDS). MATERIALS AND METHODS. Forty extracted human molars were divided into 4 groups with 10 teeth each. The control group was light-cured after application of dentin bonding agent ($Excite^{(R)}$ DSC) and cemented with $Variolink^{(R)}$. II resin cement. IDS/SE (immediate dentin sealing, $Clearfil^{TM}$ SE Bond) and IDS/SB (immediate dentin sealing, $Adapter^{TM}$ Single Bond 2) were light-cured after application of dentin bonding agent ($Clearfil^{TM}$ SE Bond and $Adapter^{TM}$ Sing Bond 2, respectively), whereas DDS specimens were not treated with any dentin bonding agent. Specimens were cemented with $Variolink^{(R)}$. II resin cement. Dentin bonding agent ($Excite^{(R)}$. DSC) was left unpolymerized until the application of porcelain restoration. Shear strength was measured using a universal testing machine at a speed of 5 mm/min and evaluated of fracture using an optical microscope. RESULTS. The mean shear bond strengths of control group and IDS/SE group were not statistically different from another at 14.86 and 11.18 MPa. Bond strength of IDS/SE group had a significantly higher mean than DDS group (3.14 MPa) (P < .05). There were no significance in the mean shear bond strength between IDS/SB (4.11 MPa) and DDS group. Evaluation of failure patterns indicates that most failures in the control group and IDS/SE groups were mixed, whereas failures in the DDS were interfacial. CONCLUSION. When preparing teeth for indirect ceramic restoration, IDS with $Clearfil^{TM}$ SE Bond results in improved shear bond strength compared with DDS.

하이브리드 슈퍼코팅(HSC)과 유리섬유를 통한 조적조 내진보강 연구 (Experimental Study of Hybrid Super Coating (HSC) and Cast Reinforcement for Masonry Wall)

  • 이가윤;문아해;이승준;김재현;이기학
    • 한국지진공학회논문집
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    • 제25권5호
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    • pp.213-221
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    • 2021
  • Many Korean domestic masonry structures constructed since 1970 have been found to be vulnerable to earthquakes because they lack efficient lateral force resistance. Many studies have shown that the brick and mortar suddenly experience brittle fracture and out-of-plane collapse when they reach the inelastic range. This study evaluated the seismic retrofitting of non-reinforced masonry with Hybrid Super Coating (HSC) and Cast, manufactured using glass fiber. Four types of specimen original specimen (BR-OR), one layered HSC (BR-HS-O), two-layered HSC (BR-HS-B), one layered HSC, and Cast (BR-CT-HS-O) were constructed and analyzed using compression, flexural tensile, diagonal compression, and triplet tests. The specimen responses were presented and discussed in load-displacement curves, maximum strength, and crack propagation. The compressive strength of the retrofit specimens slightly increased, while the flexural tensile strength of the retrofit specimens increased significantly. In addition, the HSC and Cast also produced a considerable increase in the ductile response of specimens before failure. Diagonal compression test results showed that HSC delayed brittle cracks between the mortar and bricks and resulted in larger displacement before failure than the original brick. The triplet test results confirmed that the bonding strength of the retrofit specimens also increased. The application of HSC and Cast was found to restrain the occurrence of brittle failure effectively and delayed the collapse of masonry wall structures.

Locking Compression Plate를 이용한 전위성 쇄골 간부 골절의 수술적 치료 (Operative Treatment of Fractures of the Midshaft Clavicle using Locking Compression Plate)

  • 정남식;홍기도;하성식;박성준;강정호;심재천
    • 대한정형외과스포츠의학회지
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    • 제5권1호
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    • pp.63-68
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    • 2006
  • 목적: 전위성 쇄골 간부 골절의 치료로 관혈적 정복술 후 LCP를 사용하여 내고정을 시행한 환자를 대상으로 방사선학적, 임상적 결과를 분석하여 전위성 쇄골 간부 골절의 치료에 있어서 LCP의 유용성을 알아보고자 하였다. 대상 및 방법: 2003년 5월부터 2004년 11월까지 본원에서 쇄골 간부 골절에 대해 LCP를 이용한 관혈적 정복, 금속내 고정술을 시행하고 6개월 이상 추시가 가능하였던 26례를 대상으로 하였다. 수술 후 최종 평가는 방사선 결과와 fang s criteria를 이용한 임상적 결과로 분석하였다. 결과: 수술 후 평균 9.3주에 모든 예에서 지연유합 없이 골유합 되었으며 임상적으로 Kangs criteria에 따라 구분한 결과, 우수 이 상이 22례로 나타났다. 특히, 견관절 운동은 상완골 골절이 동반된 두 경우를 제외한 24례에서 2.9주내에 정상 범위로 빠른 회복을 보였다. 합병증으로는 견관절 운동 장애 2례, 수술 절개 부위의 켈로이드 형성 1례였으며 그 이외에 다른 주요 합병증은 없었다. 결론: 전위성 쇄골 간부 골절에서 LCP를 이용한 관혈적 정복 및 금속내 고정술은 기존의 금속판에 비해 수술 후 합병증을 줄이고 효과적인 골유합과 조기 견관절 운동에 도움을 줄 수 있는 좋은 치료 방법 중 하나라고 사료된다.

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