• Journal of Chest Surgery
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• v.31 no.2
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• pp.190-193
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• 1998

We experienced a case of primary sternal tuberculosis with destroyed midsternum and bony defect. An 22-year-old female was admitted to our hospital two times for severe sternal pain and spontaneous fracture without history of trauma. On hospital admission, chest X-ray and chest CT showed destruction of midsternum and soft tissue swelling. Fine needle aspiration cytology revealed tuberculous osteomyelitis with cold abscess. And the patient was treated with usual anti-tubeculosis medication for preoperative preparation. At operation, we confirmed midsternal destruction with cold abscess and multiple sinus tracts. After removal of diseased sternal segment and cold abscess, we performed sternal reconstruction with autologus iliac bone graft. The pathologic report was compatible with tuberculous osteomyelitis and caseous necrosis The postoperative course was smooth and uneventful, and she remains well without sternal instability two months later.

• Journal of Welding and Joining
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• v.29 no.2
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• pp.80-87
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• 2011

In this study, the friction stir spot welding (FSSW) of Mg alloy sheets has been tried using an apparatus devised with a CNC milling machine to give the precise control of joining condition including tool speed. The probe tool used is made of hard metal and composed of cylindrical shoulder and pin parts. The variation of morphologies formed after the friction stir spot welding depending on the plunge speed of the tool were investigated at each rpm of tool. The history of the temperature distribution and the vertical load induced during the spot welding with friction time were measured by using an Infrared Thermal Imager (THERMA CAMTM SC2000) and a loadcell located below the specimen fixture, respectively. Tensile-shear tests were also performed to evaluate the fracture load of welded specimens. In order to characterize the friction stir spot welding of Mg alloy sheets, the variation of the fracture load was discussed on micrographic observations, temperature distribution during the FSSW according to the plunge speeds of tool.

• Computational Structural Engineering
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• v.9 no.2
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• pp.153-161
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• 1996

In this paper, theory of fracture mechanics for the pressurized thermal shock is investigated and numerical procedure for the evaluation of the pressure vessel under pressurized thermal shock is developed. For the given material properties, transient history such as temperature and pressure, and postulated flaw, the stress distribution is obtained to calculate stress intensities for a wide range of assumed crack sizes. The stress intensities are compared with the material fracture toughness values corresponding to the chemical compositions and the distribution of the nil ductility transition temperature, to determine the crack growth during the transient. Plant-specific calculations have been performed for several transients and the evaluation results are discussed.

• Journal of the Society of Naval Architects of Korea
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• v.35 no.1
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• pp.61-71
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• 1998

This paper describes a dynamic fracture behaviors of structural elements under elastic or elasto-plastic stress waves in two dimensional space. The governing equation of this problem has the type of hyperbolic partial differential equation, which consists of the equation of motions and incremental elasto-plastic constitutive equations. To solve this problem we introduce Zwas' method which is based on the finite difference method. Additionally, in order to deal with the dynamic behavior of elasto-plastic problems, an elasto-plastic loading path in the stress space is proposed to model the plastic yield phenomenon. Based on the result of this computation, the dynamic stress intensity factor at the crack tip of an elastic material is calculated, and the time history of a plastic zone of a elasto-plastic material is to be shown.

• Archives of Plastic Surgery
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• v.34 no.4
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• pp.535-537
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• 2007

Purpose: We experienced a patient with posttraumatic duplication of the sternoclavicular joint causing a protruding deformity, whose major complaint was aesthetic. The patients history, radiologic findings, and surgical treatment are reported. Methods: A 41-year-old bus driver complained a bony prominence at the left medial clavicle, which had developed after a fracture. The patient was annoyed by the protrusion, which was even visible, when he was wearing a pullover. A three dimensional CT scan showed that the medial head was split into two portions, of which the anterior portion was protruding. In general anesthesia the anterior portion of the medial head was excised. Results: The bony prominence was corrected successfully. Follow up three dimensional CT scans showed that the anterior cortex of the clavicle had regenerated completely at the resection line one year after the operation. Conclusion: Surgical interventions for complications after clavicular fracture are usually carried out, only if there is a limitation of function or if it is painful. We report of a patient with posttraumatic bifurcation of the medial clavicular head, most probably caused by malunion. Upon the patient's request, the deformity causing protrusion of the medial clavicular area was successfully resected for cosmetic reasons.

• Archives of Craniofacial Surgery
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• v.20 no.5
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• pp.324-328
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• 2019

Intraorbital infection shows a low incidence, but it might cause blindness or even death. This case is unusual in that its origin from a craniofacial bone fracture prior to infection of the maxillary sinus. A 33-year-old female patient was referred for right cheek swelling. When she visited the emergency room, we removed right cheek hematoma and bacterial examination was done. In the past, she had craniofacial bone surgical history due to a traffic accident 6 years ago. Next day, the swelling had remained with proptosis and pus was recognized in the conjunctiva. We planned an emergency operation and removed the pus which was already spread inside the orbit. And the evaluation for sinusitis was consulted to the otorhinolaryngology department simultaneously. There were Prevotella oralis and methicillin-resistant Staphylococcus epidermidis bacterial infection in the intraorbital and sinus respectively. Afterwards, the vigorous dressing was done for over a month with intravenous antibiotics. Though the intraorbital infection was resolved, blindness and extraocular movement limitation were inevitable. In conclusion, close follow up of the maxillary sinus in facial bone fracture patients is important and aggressive treatment is needed when an infection is diagnosed.

• Tunnel and Underground Space
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• v.21 no.2
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• pp.128-137
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• 2011

The shut-in pressure calculated in common hydrofracturing test for vertical borehole equals generally to the minimum horizontal principal stress, so it should be considered as an essential parameter for determining the in-situ stress regime around the rock mass. It shows usually an ambiguous value in pressure-time history curves, however, because of the relationship between the behavior of hydraulic fractures and the condition of remote stress regime. In this study, a series of numerical analyses have been carried out to compare several methods for determining the shut-in pressure during hydrofracturing. The hydraulic-mechanical coupling has been applied to numerical analysis for simulating the fracture propagation by hydraulic pressure, and the different discontinuity geometry has been considered in numerical models to examine the effect of numerical element shape on fracture propagation pattern. From the numerical simulations with the four different discontinuity geometries, it was revealed that the shut-in pressure obtained from graphical methods rather than statistical method was relatively small. Consequently a care should be taken in selecting a method for determining the shut-in pressure when a stress anomaly around borehole and a fracture propagation with complicate mechanism are considered.

• Clinics in Shoulder and Elbow
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• v.20 no.1
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• pp.37-41
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• 2017

Background: Increased frequency of comminuted clavicle mid-shaft fractures and importance of functional satisfaction through early joint exercise has resulted in higher emphasis on surgical treatments. This study aimed to evaluate the clinical radiological results of treatment of clavicle mid-shaft fractures by open reduction and internal fixation using a plate with a small incision. Methods: The subjects of this study were 80 clavicle mid-shaft fracture cases treated with internal fixation using a plate from October 2010 to July 2014. Clavicle mid-shaft fractures were internally fixated using anatomical plates or locking compression plates. Achievement of bone union, union period, and clavicle length shortening were evaluated radiologically, and clinical assessment was done by using Constant and University of California at Los Angeles (UCLA) scores. Results: All 80 cases were confirmed to have achieved bone union through radiographs with an average union period of 10.9 weeks (range: 7-18 weeks). The average clavicle length of shortening in the affected side was 1.8 mm (range: 0-17 mm). The average UCLA score and Constant score were 33.6 (range: 25-35) and 92.5 (range: 65-100), respectively. Regarding complications, four cases reported skin irritation by metal plates, and one case reported a screw insertion site fracture due to minor trauma history. Conclusions: We were able to induce successful bone union and obtain clinically satisfactory results in displaced mid-shaft fractures of the clavicle without major complications such as nonunion through treatment of internal fixation using a plate.

• Journal of Veterinary Clinics
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• v.26 no.3
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• pp.276-278
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• 2009

A 1 year 4 months old, male Poodle was presented with a history of non weight bearing lameness and pain of the right forelimb by trauma. Orthopedic examination and radiographs were revealed medial shoulder luxation and scapular fracture. Biceps tendon was translocated to the lesser tubercle and secured to the humerus. Despite of it could be a potential cause of degenerative change of the joint, a favorable result was achieved for more than 3 years follow-up.

• The Korean Journal of Pain
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• v.18 no.2
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• pp.226-228
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• 2005

Zoster sine herpete (ZSH) is a varicella zoster virus (VZV) reactivation without a zoster that is difficult to diagnose early after onset. This study examined 12 patients who presented with intercostal neuralgia, had no history of trauma, cutaneous eruption and no scar of a herpes zoster on the lesion. Two patients had a vertebral compression fracture. Two patients had a history of a zoster in the other site. No other suspicious findings were observed. Ten of the twelve patients were checked for the IgG and IgM varicellar zoster virus antibody. All the patients tested positive to the Ig G antibody test and only one patient tested positive to the IgM antibody test. One patient was confirmed to have ZSH and the other patients were suspected of having ZSH. All the patients were treated for postherpetic neuralgia, resulting in a significant decrease in the intercostal neuralgia.