• Clinics in Shoulder and Elbow
• /
• v.22 no.2
• /
• pp.106-109
• /
• 2019

Acromial fractures are well-documented complications subsequent to reverse shoulder arthroplasty (RSA), and most appear as stress fractures with no history of single trauma. To date, no study has reported the occurrence of acute displaced acromial fracture due to sudden strong deltoid contraction during heavy work. Displacement of the fracture results in a challenging surgery since it is difficult to obtain adequate fixation in thin and osteoporotic bones. We report a rare case of acute displaced acromial fracture after successful RSA treatment, using a novel technique of open reduction and internal fixation, applying two 4.5 mm cannulated screws and lateral clavicle precontoured plate.

• Nuclear Engineering and Technology
• /
• v.30 no.5
• /
• pp.470-484
• /
• 1998

An analysis program for the evaluation of pressure vessel integrity under pressurized thermal shock (PTS) is developed. For given material properties and transient history such as temperature and pressure, the stress distribution is calculated and then stress intensity factors are obtained for a wide range of crack sizes. The stress intensity factors are compared with the fracture toughness to check if cracking is expected to occur during the transient. Using this program a round robin problem of PTS during a small break loss of coolant transient has been analyzed as a part of the international comparative assessment study. The allowable maximum reference nil-ductility transition temperatures are determined for various crack sizes.

• Journal of Korean Foot and Ankle Society
• /
• v.19 no.2
• /
• pp.73-76
• /
• 2015

The calcaneal insufficiency avulsion fracture usually occurs in an area of fused apophysis in adults without significant history of trauma or overuse activities. It is an uncommon injury which has been described in patients with complicated diabetes, Charcot neuroarthropathy, amyloidosis with neuropathy, severe osteoporosis, and other conditions. Discussion of the issue of fracture location is still not sufficient. We report on a case of a 50-year-old male who experienced a non-traumatic diabetic calcaneal insufficiency fracture. Intraoperatively, a biopsy specimen was obtained from the exposed fracture site for histological study. We assume that the calcaneal fused apophyseal line is the weak point of failure due to various incomplete mixtures of trabecular bone, woven bone, and cartilaginous tissues, and may fail when repeated tensile stress is imposed.

• Journal of Korean Neurosurgical Society
• /
• v.30 no.4
• /
• pp.537-540
• /
• 2001

Fractures of C1 are not uncommon, constituting only 10% of all cervical spine injuries. There is a high prevalence of concomitant fractures of the second and first cervical vertebral complex. Surgical treatment is controversal. Mainstay of treatment is various combination of traction and cervical orthosis according to degree of displacement and location of fracture. We experienced unusual type of fracture, anterior arch fracture of C1 who had a history of total laminectomy of C1,2 due to cervical cord tumor(neurilemmoma arising from C2 root). We performed C1,2 lateral mass screw fixation with posterior fusion with good postoperative outcome.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.4 no.3
• /
• pp.19-25
• /
• 1984

In the welded structure, the most dengerous section is welded parts and almost fractures of welded structure occur from welded parts. Accordingly, in other to prevents of fracture, it is important seeking the fracture behavior of welded parts. In this study as basic investigation of fracture behavior of welded parts, it is investigated that local distribution of fracture toughness and effect of multipass electrode welding, also effect of release of residual stress were investigated, as the subjected. material, the used steel having fatigue history and unused steel were selected. As the result of this study, it is dear that the base metal of unused steel and heat affected zone and weld metal are different each other in fracture toughness, and it seems clear that the weld metal may will become source of fracture because of it having the most low fracture toughness. Especially, in the case of crack occur in the used steel, it will be the most brittle section in the structure because of it having low fracture toughness then weld metal. It affirmation that, if welded parts has not flaw, the multi pass electrode welding effective to improve of fracture toughness, also release of residual stress is none effective to improve of fracture toughness in this study.

• Proceedings of the KSME Conference
• /
• 2003.04a
• /
• pp.13-18
• /
• 2003

Reduced activation ferritic steel, JLF-1 steel (Fe-9Cr-2W-V-Ta), is one of the promising candidate materials for fusion reactor applications. Fracture toughness ($J_IC$) and tensile tests were carried out at room temperature and elevated temperature ($400^{\circ}C$). Two types of CT specimen were prepared to examine the effect of rolling direction on the fracture toughness of JLF-1 steel. Four types of tensile specimen were also prepared to investigate the property by the rolling direction and welding. The Micro Vickers hardness was measured at various distances of a cross section of the TIG joints of JLF-1 steel according to the heating history of each position. Finally, the fracture surface was observed by scanning electron microscopy (SEM).

• Journal of Korean Foot and Ankle Society
• /
• v.7 no.2
• /
• pp.258-262
• /
• 2003

Avulsion fracture of the calcaneal tuberosity is an uncommon injury. Usually it occurs from indirect trauma, and can be seen in old patients with osteoporosis or in patients with diabetic neuropathy. Follow-up studies showed healing of the fracture in most cases, but skeletal deformity may develop in some cases. Therefore we should take plain X-ray evaluations in diabetic patients with foot and ankle pain, even though there have been no definite trauma history. Four cases of calcaneus avulsion fracture were treated operatively in diabetic patients, and reported.

• Clinical Pain
• /
• v.19 no.2
• /
• pp.129-132
• /
• 2020

Fracture is uncommon cause of lymphedema. The mechanism of lymphedema progression is still unknown, but disruption of the lymphatic system during and after fracture might be involved. In contrast, breast cancer surgery is a common cause of lymphedema and is usually caused by the removal of axillary lymph nodes. Sentinel node biopsy (SNB) has been adopted in early breast cancer to reduce the risk of lymphedema. Thus, the incidence of lymphedema in SNB was lowered. However, less than 10% of SNB patients are still diagnosed with lymphedema, but it is known that it took years to diagnose. Recently, we encountered atypical lymphedema occurred after breast cancer surgery with SNB. Symptoms started earlier than usual and were more severe. Interestingly, she has a history of a proximal radial fracture on the same side of SNB. We thought there could be a relationship between the acceleration of breast cancer-related lymphedema and fracture.

• Journal of the Korean Society of Manufacturing Process Engineers
• /
• v.7 no.4
• /
• pp.102-108
• /
• 2008

This study investigates the fatigue life and the damage possibility of cam shaft by the fatigue tool of Ansys. Among nonconstant fatigue loads, the case of 'SAE Bracket History' which is severest at the variation of load tends to be most unstable. The maximum relative damage in case of 'SAE Bracket History' is occurred near the average stress '0' and this case can be shown to have the possibility to take more damage than other cases. The case of 'Sample History' which becomes a little slow at the variation of load tends to be most stable. But there is most damaged possibility of 5% as 7 times at the range of mean stress from 0Pa to -104MPa and amplitude stress from 0MPa to 104MPa than the case of 'SAE Bracket History' or 'SAE Transmission'.

• Archives of Craniofacial Surgery
• /
• v.10 no.2
• /
• pp.131-134
• /
• 2009

Purpose: Mandible fractures are common in maxillofacial trauma and the incidence of condylar fracture is high. The management of mandibular condylar fracture continues to be controversial. Conservative treatment of it may lead to complications such as asymmetry, malocclusion, temporomandibular joint dysfunction. Moreover, open reduction can cause facial nerve injury, parotid gland injury, scarring and hematoma formation. We present a case of mandibular condylar fracture that was treated by manual reduction without incision under C-arm fluoroscopy. Methods: A 76-year-old female was admitted due to left side mandibular condylar fracture that required surgical intervention. Because of her age, history of diabetes mellitus, hypertension, she underwent closed manual reduction under general anesthesia. We adopted C-arm fluoroscopy as a method of identifying the fracture site and a evaluation of reduction state. C-arm fluoroscopy was set up like modified Towne's view. Results: The reduction was successful and didn't result in any complications that could occur in open reduction-facial nerve injury, infection, parotid gland injury, hematoma, avascular necrosis. The mandibular-maxillary fixations were removed after 4 weeks and patients were could open 3.5 cm after 6 weeks with physical therapy. Conclusion: We tried closed manual reduction of mandibular condylar fracture due to high risk of complication using C-arm fluoroscopy and did achieve anatomic reduction with avoiding open incision. This is simple, effective, reversible, time saving and fairly attemptable method in condylar fracture cases before open reduction.