• Title/Summary/Keyword: fracture/fracture criteria

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Treatment Results of Capitellum Fractures (상완골 소두 골절의 치료결과)

  • Park, Jin-Soo;Chung, Yung-Khee;You, Jung-Han;Noh, Gyu-Cheol;Chung, Kook-Jin;Jung, Sung-Ook
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.2
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    • pp.116-121
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    • 2005
  • Purpose: Isolated capitellar fractures are rare, intra-articular fractures requiring an aggressive management regimen. Review the outcome after open reduction and internal fixation of the capitellar fractures. Materials and Methods: From 1998 to 2004, 4 patients with displaced fractures of the humeral capitellum were treated by open reduction and internal fixation of the capitellar fragments with cannulated screws. By use of the criteria of Bryan and Morrey et al, there were 3 type I fractures, 1 type III fracture. A lateral approach was used. The elbows were immobilized postoperatively for 4 to 28 days We evaluated the range of motion, stability, and pain using the criteria of Mayo score. Results: The follow-up period ranged from 12 to 36 months (mean, 15months). Three patients had a stable, pain-free elbow with good range of motion at follow-up. One patient with a neglected capitellar fracture have felxtion cpontracture of 40 degrees with 100 degrees of further felxion(total arc: 60) due to poor compliance to the postoperative rehabilitation. All fractures healed, and there was no evidence of avascular necrosis or degenerative change. Conclusion: Capitellar fractures, rare in case, gave a good result after open reduction and simple internal fixation with cannulated screws without any problem.

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Prevalence of Osteoporosis among Male Adults with Apparently Radiolucent Lumbar Vertebral Bodies on the Plain Radiographs (단순 영상에서 요추체의 음영이 감소된 성인 남성에서의 골다공증 유병률)

  • Kim, Kook Jong;Lim, Sung Joon;Kim, Yong Min;Lee, Hyung Ki;Kim, Geon Jung
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.6
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    • pp.491-497
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    • 2021
  • Purpose: To investigate the prevalence of osteoporosis or osteopenia via dual-energy X-ray absorptiometry bone mineral density (DEXA BMD) in adult males who showed radiolucent lumbar vertebra on the plain radiographs. Materials and Methods: The DEXA BMD values of 98 adult males, who showed radiolucent vertebrae on plain X-rays, were compared with those of the control group (n=168) and osteoporosis-related fracture group (n=113) by statistical analysis. The World Health Organization (WHO) method (lower value between the mean lumbar and femur neck) and the Hansen's method (lowest lumbar vertebra) were used to determine osteoporosis. Results: The mean and standard deviation of the BMD value of each group was -1.4 (±1.2) in the suspicious group, -0.8 (±1.1) in the control group, and -2.4 (±1.0) in the fracture group, respectively; the difference was statistically significant. Using the WHO method, the prevalence ratio of osteoporosis was 17.3% in the suspicious group, 8.3% in the control group, and 45.1% in the fracture group, respectively. Osteopenia was observed in 40.8% of the suspicious group. Hansen's method (lowest lumbar vertebra) revealed the prevalence of osteoporosis in 30.6% of the suspicious group, 17.9% of the control group, and 62.0% of the fracture group. Conclusion: Approximately 17.3% of the suspicious group was diagnosed with osteoporosis, and 40.8% were osteopenic by a confirmative BMD study (WHO criteria) among the adult males showing apparent radiolucency on plain X-rays. The control group also showed an 8% prevalence of osteoporosis. These results suggest that males also are vulnerable to osteoporosis. Therefore, a BMD study should also be used for males, especially for the people showing lumbar vertebrae with radiolucent features.

Applicability of Thoracolumbar Injury Classification and Severity Score to Criteria of Korean Health Insurance Review and Assessment Service in Treatment Decision of Thoracolumbar Injury

  • Choi, Hyuk Jin;Kim, Hwan Soo;Nam, Kyoung Hyup;Cho, Won Ho;Choi, Byung Kwan;Han, In Ho
    • Journal of Korean Neurosurgical Society
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    • v.57 no.3
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    • pp.174-177
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    • 2015
  • Objective : For improving the drawbacks of previous thoracolumbar spine trauma classification, the Spine Trauma Study Group was developed new classification, Thoracolumbar Injury Classification and Severity Score (TLICS). The simplicity of this scoring system makes it useful clinical application. However, considering criteria of Korean Health Insurance Review and Assessment Service (HIRA), the usefulness of TLICS system is still controversial in the treatment decision of thoracolumbar spine injury. Methods : Total 100 patients, who admitted to our hospital due to acute traumatic thoracolumbar injury, were enrolled. In 45, surgical treatment was performed and surgical treatment was decided following the criteria of HIRA in all patients. With assessing of TLICS score and Denis's classification, the treatment guidelines of TLICS and Denis's classification were applied to the criteria of Korean HIRA. Results : According to the Denis's three-column spine system, numbers of patients with 2 or 3 column injuries were 94. Only 45 of 94 patients (47.9%) with middle column injury fulfilled the criteria of HIRA. According to TLICS system, operation required fractures (score>4) were 31 and all patients except one fulfilled the criteria of HIRA. Conservative treatment required fractures (score<4) were 52 and borderline fracture (score=4) were 17. Conclusion : The TLICS system is very useful system for decision of surgical indication in acute traumatic thoracolumbar injury. However, the decision of treatment in TLICS score 4 should be carefully considered. Furthermore, definite criteria of posterior ligamentous complex (PLC) injury may be necessary because the differentiation of PLC injury between TLICS score 2 and 3 is very difficult.

Evaluation of Scc Susceptibility of Welded HAZ in Structual Steel(II) -Frcature Behavior in Cathodic Protection- (강 용접부의 응력부식크랙 감수성 평가에 관한 연구 II -음극방식에서의 파괴거동-)

  • 임재규;조정운;나의균
    • Journal of Welding and Joining
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    • v.11 no.3
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    • pp.61-74
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    • 1993
  • The cause of corrosion failure found in structures or various components operating in severe corrosive environment has been attributed to stress corrosion cracking(SCC) which is resulting from the combined effects of corrosive environments and static tensile stress. Cathodic protection is an electrochemical method of corrosion control that is widely used in marine environment and primarily on carbon steel. A number of criteria are used to determine whether or not a structure is cathodically protected. In practice, -0.8V versus Ag/AgCl is the most commonly used for marine structures. This paper showed the combined effects of cathodic potential and slow, monotonic straining on the tensile ductility and fracture morphology of parents and friction welded joints for SM45C, SCM440 and SM20C steels in syntheic sea water(S.S.W.,pH:8.2). For the parent materials in cathodic potentials, the higher tensile strength is, the more susceptible SCC is. And the welded HAZ is more susceptible than the parent materials.

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Relationship among Bone Mineral Density, Body Composition, and Metabolic Syndrome Risk Factors in Females

  • Kim, Tai-Jeon;Cha, Byung-Heun;Shin, Kyung-A
    • Biomedical Science Letters
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    • v.16 no.3
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    • pp.169-177
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    • 2010
  • Osteoporosis is a disease that increases the fracture rates and a major cause of increased mortality and morbidity in the elderly people. This study is to determine which components of body composition and metabolic syndrome risk factors are important to bone health, we analysed the relationship among bone mineral density (BMD), body composition and metabolic syndrome risk factors in females. Totally 630 females participated in a medical check-up program (mean age 47 years) were selected for this study. Body composition analysis was performed by segmental bioelectrical impedance method, muscle mass, and percent body fat were measured. We also measured metabolic syndrome risk factors including abdominal obesity, HDL-cholesterol, triglyceride, blood pressure and fasting glucose level. Metabolic syndrome was defined by NCEP-ATP III criteria. The lumbar spine and femoral neck BMD were measured using the dual energy X-ray absorptiometry. Osteopenia and osteoporosis were observed in 180 and 51 persons, respectively. Muscle mass and HDL-cholesterol decreased in osteopenia and osteoporosis groups compared to the control group, and the grade was shown progressively by the symptoms. Significant positive correlation between BMD and muscle mass was observed. Multi variable regression analyses showed that % body fat and muscle mass were independent predictors of BMD after adjustment of age, height and weight. In conclusion, the BMD showed negative correlation with the metabolic and body composition was associated with BMD.

Seismic and progressive collapse assessment of SidePlate moment connection system

  • Faridmehr, Iman;Osman, Mohd Hanim;Tahir, Mahmood Bin Md.;Nejad, Ali Farokhi;Hodjati, Reza
    • Structural Engineering and Mechanics
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    • v.54 no.1
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    • pp.35-54
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    • 2015
  • The performance of a newly generated steel connection known as SidePlateTM moment connection for seismic loading and progressive collapse phenomenon has been investigated in this paper. The seismic evaluation portion of the study included a thorough study on of interstory drift angles and flexural strengths based on 2010 AISC Seismic Provisions while the acceptance criteria provided in UFC 4-023-03 guideline to resist progressive collapse must be satisfied by the rotational capacity of the connections. The results showed that the SidePlate moment connection was capable of attaining adequate rotational capacity and developing full inelastic capacity of the connecting beam. Moreover, the proposed connection demonstrated an exceptional performance for keeping away the plastic hinges from the connection and exceeding interstory drift angle of 0.06 rad with no fracture developments in beam flange groove-welded joints. The test results indicated that this type of connection had strength, stiffness and ductility to be categorized as a rigid, full-strength and ductile connection.

Mitigation of seismic drift response of braced frames using short yielding-core BRBs

  • Pandikkadavath, Muhamed Safeer;Sahoo, Dipti Ranjan
    • Steel and Composite Structures
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    • v.23 no.3
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    • pp.285-302
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    • 2017
  • Buckling-restrained braced frames (BRBFs) are commonly used as the lateral force-resisting systems in building structures in the seismic regions. The nearly-symmetric hysteretic response and the delayed brace core fracture of buckling-restrained braces (BRBs) under the axial cyclic loading provide the adequate lateral force and deformation capacity to BRBFs under the earthquake excitation. However, the smaller axial stiffness of BRBs result in the undesirable higher residual drift response of BRBFs in the post-earthquake scenario. Two alternative approaches are investigated in this study to improve the elastic axial stiffness of BRBs, namely, (i) by shortening the yielding cores of BRBs; and (ii) by reducing the BRB assemblies and adding the elastic brace segments in series. In order to obtain the limiting yielding core lengths of BRBs, a modified approach based on Coffin-Manson relationship and the higher mode compression buckling criteria has been proposed in this study. Both non-linear static and dynamic analyses are carried out to analytically evaluate the seismic response of BRBFs fitted with short-core BRBs of two medium-rise building frames. Analysis results showed that the proposed brace systems are effective in reducing the inter-story and residual drift response of braced frames without any significant change in the story shear and the displacement ductility demands.

Process Design of Multi-Pass Shape Rolling for Manufacturing Piston Ring Wire (피스톤 링 제조용 선재의 다단 형상 압연공정 설계)

  • Kim, N.J.;Lee, K.H.;Lim, S.H.;Lee, J.M.;Kim, B.M.
    • Transactions of Materials Processing
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    • v.26 no.1
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    • pp.28-34
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    • 2017
  • Multi-pass shape rolling is performed to produce long products of arbitrary cross-sectional shapes. In the past, the multi-pass shape rolling process has been designed by the trial and error method or the experience of experts based on the empirical approach. Particularly, the design of roll caliber in shape rolling is important to improve product quality and dimensional accuracy. In this paper, the caliber design and pass schedule of multi-pass shape rolling were proposed for manufacturing piston ring wire. In order to design roll caliber, major shape parameter and dimension was determined by analysis of various caliber design. FE-simulation was conducted to verify effectiveness of proposed process design. At first, forming simulation was performed to predict shape of the product. Then, fracture of the wire was evaluated by critical damage value using normalized Cockcroft-Latham criteria. The experiment was carried out and the results are within the allowable tolerance.

Treatment of Ankle Lateral Malleolar Fractures Accompanying Osteoporosis using Lag Screw (골다공증과 동반된 족관절 외과 골절의 지연나사를 이용한 치료)

  • Lee, Jun-Young;Lee, Kwang-Chul
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.207-212
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    • 2006
  • Purpose: To evaluate the results of ankle lateral malleolar fractures classified as Danis-Weber type B accompanying osteoporosis that were treated with lag screw. Materials and Methods: 15 cases of Danis-Weber type B ankle lateral malleolar fractures that had T score of less than -2.5 in BMD(bone mineral density) test were selected from June 2003 to December 2005. 10 cases were males and 5 cases were females with mean age of 59 years. The main injury mechanism was supination and external rotation. Mean follow-up period was 16 months. Clinical and radiologic evaluation was done according to Meyer and Kumler's criteria. Results: All cases showed satisfying result and mean radiologic bone union period was 3 months. Anatomic reduction and bone union was acquired in all cases without complications including wound infection, skin necrosis, delayed union and nonunion Conclusions: Lag screw fixation seem to be excellent treatment of Danis-Weber type B lateral malleolar fractures with osteoporosis as it can minimize soft tissue injury and enable anatomic reduction with firm fixation.

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The Assessment of Structural Crashworthiness in Collision Using Double Skinned Structural Model (이중 선체 선박의 충돌 강도 해석)

  • 이경언;원석희;백점기;이제명;김철홍
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2004.04a
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    • pp.71-76
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    • 2004
  • To deal with ship collision or grounding, double hull structure has been applied to ships carrying dangerous cargoes. Studies about ability of double hull structure to absorb collision energy and determining fracture state are still under researching. In this study, commercial analysis code, LS-DYNA3D, is used to analyze collision strength of ships in various scenarios. 46K Chemical/Product Carrier is used as analysis subject ship. Study about Energy-Indentation and Force-Indentation is conducted under conditions that weight and collision velocity are changed. Results of this study are very helpful to make mechanism of collision accident clear and to supply useful information about collision strength criteria.

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