A 7-year-old intact female Maltese dog presented with a history of bite wounds. Physical examination revealed labored breathing, four puncture wounds with subcutaneous emphysema of the thorax, and paradoxical respiratory movement of the right thoracic wall. On radiography, a segmental fracture of the right 7th rib and a single fracture of the 8th rib were evident on the dorsal thorax. An inward displacement of the fractured segment and contusion of the right caudal lung lobe were identified with computed tomography. A diagnosis of pseudo-flail chest was made. Exploratory thoracotomy revealed a full-thickness muscular defect, a marked discoloration of the right caudal lung lobe, a segmental fracture of the right 7th rib, and a single fracture of the right 8th rib. Necrotic tissues were removed using surgical debridement. The fractured 7th and 8th ribs were corrected using a single interfragmentary wiring technique. The thoracic wall was reconstructed using the latissimus dorsi muscle flap. Additional thoracic stabilization using a thermoplastic splint was applied to correct paradoxical respiratory movement. The external splint was removed 4 weeks postoperatively. There was no evidence of respiratory abnormalities 18 months postoperatively.
This paper addresses the numerical simulation of fatigue crack growth in arbitrary 2D geometries under constant amplitude loading by the using a new finite element software. The purpose of this software is on the determination of 2D crack paths and surfaces as well as on the evaluation of components Lifetimes as a part of the damage tolerant assessment. Throughout the simulation of fatigue crack propagation an automatic adaptive mesh is carried out in the vicinity of the crack front nodes and in the elements which represent the higher stresses distribution. The fatigue crack direction and the corresponding stress-intensity factors are estimated at each small crack increment by employing the displacement extrapolation technique under facilitation of singular crack tip elements. The propagation is modeled by successive linear extensions, which are determined by the stress intensity factors under linear elastic fracture mechanics (LEFM) assumption. The stress intensity factors range history must be recorded along the small crack increments. Upon completion of the stress intensity factors range history recording, fatigue crack propagation life of the examined specimen is predicted. A consistent transfer algorithm and a crack relaxation method are proposed and implemented for this purpose. Verification of the predicted fatigue life is validated with relevant experimental data and numerical results obtained by other researchers. The comparisons show that the program is capable of demonstrating the fatigue life prediction results as well as the fatigue crack path satisfactorily.
Kim, Na Yeon;Lee, Soo Hyang;Choi, Hyun Gon;Kim, Soon Heum;Shin, Dong Hyeok;Uhm, Ki Il
Archives of Plastic Surgery
/
v.35
no.5
/
pp.589-596
/
2008
Purpose: The nasal bone fracture is most common fracture in facial bone injuries. Regardless of the severity or type of fracture, closed reduction has traditionally been the common method of treatment. However, through detailed pre-operative evaluation, we found out that many patients consider rhinoplasty prior to trauma due to aesthetic desire or nasal deformity with or without septal deviation. In treatment of nasal bone fracture, we focused not only on the fracture management but also on the patients' desire prior to trauma, and we made additional operation according to patients' desire with fracture reduction and gained rewarding outcomes. Methods: From March 2005 to June 2007, total 263 patients were treated for nasal bone fracture. Among these patients, 57 patients (21%) had the additional operation with nasal fracture reduction. The additional operations were categorized in three types: augmentation rhinoplasty with tip plasty (40%), septoplasty only (16%), corrective rhinoplasty (44%). The mean follow-up period was 5.6 months and results were evaluated by scoring. Results: Forty four of 57 patients (77%) were highly satisfied regardless of any additional operation kinds. The complications were one septal perforation, two displacement of implant and four remnant nasal deformities. For the septal perforation, no further management was performed because we lost the contact with the patient. Then 4 of the other complicated patients were revised. Conclusion: In general, many physicians tend to consider nasal fracture as a simple trauma. However through the strict history taking, physical examination and professional counseling, we could catch the patient's cosmetic desire and get the eyes on new concept: the nasal fracture is not only a trauma but a cosmetic and functional field. In the treatment of nasal bone fracture, if additional rhinoplasty is performed, patients will be more satisfied and we also can expect higher profits.
Transactions of the Korean Society of Machine Tool Engineers
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v.18
no.2
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pp.201-206
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2009
This study investigates fatigue life and possibility damaged at disk brake of automobile by the simulation of fatigue analysis. Among nonconstant fatigue loads, the case of 'SAE Bracket History' which is the severest at the variation of load tends to be most unstable. The case of 'Sample History' which becomes slower at the variation of load tends to be most stable. The value of 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 affect more damage than another case. As the result of this study is applied to automobile parts with non constant loads, durability can be improved during drive by preventing any damage.
Purpose: The purpose of this study is to report the results of culture test at the time of removal of metal devices used for management of ankle fractures and for analysis of contributing factors. Materials and Methods: We reviewed medical records of 132 patients with lower tibia and ankle fracture who had their metal devices removed during the period from January 2010 to February 2014. Patients with clinical signs of infection were excluded. Culture test was performed by taking the granulation tissue around the metal device at the time of removal. We divided the subjects into two groups, culture positive and negative. We then performed a retrospective review of each medical record of multiple factors that might contribute to the culture results, including laboratory results, medical history, material and size of metal device, indwelling period, and whether or not it was open injury. Results: Among 132 cases, six were culture positive. Enterococcus was detected in two cases and the others were Staphylococcus. No significant difference in medical history of patients and laboratory results, including C-reactive protein level, was observed between the culture positive and negative group. Culture positive rate was 5.4% in titanium and 3.9% in stainless steel. In terms of metal size, culture positive rate was 5.1% in small plates, 6.7% in large plates, and culture negative in intramedullary nails. The average indwelling period of metal device was 61.5 weeks in the culture positive group, and 68.6 weeks in the negative group. Nine cases were open fractures and all were in the culture negative group. Conclusion: Whether or not the culture result was positive, there were no meaningful contributing factors. Presence of bacterium on the metal device could not be screened by any laboratory results or other factors.
Journal of the Korea Academia-Industrial cooperation Society
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v.13
no.7
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pp.2865-2871
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2012
In this study, the fracture behaviour of DCB(double cantilever beam) specimen with aluminum foam composite materials is analyzed by simulation. By comparing the analysis results with two models of 25 mm and 40 mm, the model with thickness of 25 mm is weaker than 40 mm at fatigue life and damage. Two models are unfavorable at 'SAE Transmission' in case of nonuniform fatigue load and rainflow matrices are weakest at 'SAE Bracket history'. In damage matrices, the model with 25 mm of thickness is weaker than the model with 40 mm of thickness but the model with 40 mm of thickness relative damage possibility is higher than in case of 25 mm. As two models are safest at 'SAE Transmission', the relative damage becomes the lowest value from 1.1 to 1.8 %. The mechanical property can be investigated by applying these analyses results with the real composite structure bonded with adhesive and analyzing fracture behaviour.
In order to explain entirely dynamic fracture process induced by blasting in rock mass, it needs to consider detonation pressure and gas pressure acting on blasthole wall simultaneously. In this study, prior to simulating the coupling between gas flow and rock mass, we analyzed effects of gas pressure-time history, length of cracks and equation of state adopted to calculate the gas pressure on the gas flow within a radial fracture created by single-hole blasting. The effects were investigated on two assumptions: (a) the radial fracture was composed of 5 cracks which were 0.01 m in length and 0.001 m in asperity each and (b) the PETN explosive which diameter was 36 mm was charged in a blasthole of 45 mm diameter. It was concluded that the maximum gas pressure and its travel time were dependent on characteristics of charged explosives and geometrical properties of radial fracture.
Transactions of the Korean Society of Pressure Vessels and Piping
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v.4
no.2
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pp.13-19
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2008
In order to predict a remaining life of a plant, it is necessary to select the components that are critical to the plant life. The remaining life of those components shall be evaluated by considering the aging effect of materials used as well as numerous factors. However, when evaluating reliability of nuclear structural components, some problems are quite formidable because of lack of information such as operating history, material property change and uncertainty in damage models. Accordingly, if structural integrity and safety are evaluated by the deterministic fracture mechanics approach, it is expected that the results obtained are too conservative to perform a rational evaluation of plant life. The probabilistic fracture mechanics approaches are regarded as appropriate methods to rationally evaluate the plant life since they can consider various uncertainties such as sizes and shapes of cracks and degradation of material strength due to the aging effects. The objective of this study is to evaluate the structural integrity for a reactor pressure vessel under the small break loss of coolant accident by applying the deterministic and probabilistic fracture mechanics. The deterministic fracture mechanics analysis was performed using the three dimensional finite element model. The probabilistic integrity analysis was based on the Monte Carlo simulation. The selected random variables are the neutron fluence on the vessel inside surface, the content of copper, nickel, and phosphorus in the reactor pressure vessel material, and initial RTNDT.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.47
no.5
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pp.351-359
/
2021
Objectives: Despite treatment, the pre-traumatic facial appearance of patients with maxillofacial fractures might not be able to be restored, and this difference can affect the person's quality of life (QoL). This study was designed to evaluate changes in QoL of people with maxillofacial fractures. Materials and Methods: The study population was comprised of participants with maxillofacial fracture and age- and sex-matched healthy controls without history of such fracture. QoL was measured using the World Health Organization Quality of Life BREF (WHOQOL-BREF) questionnaire, which was administered to the patients before treatment (Time 1), at 6 weeks post-treatment (Time 2), and at 12 weeks postoperatively (Time 3). The values were compared with those of healthy controls. The QoL was compared between closed reduction group and open reduction and internal fixation group. Results: The QoL scores of people with maxillofacial fracture before treatment were significantly lower (P=0.001) than those of healthy controls in all domains of the WHOQOL-BREF. The QoL scores in the psychological and social domains of patients with maxillofacial fracture at Time 3 were still lower than those of healthy controls (P=0.001). Conclusion: The QoL of patients with maxillofacial fracture was significantly reduced before treatment in all domains and remained reduced in both psychological and social domains weeks after treatment. Therefore, clinicians must be aware of and manage the residual psychosocial issues that can accompany the post-treatment period of maxillofacial injury.
There are many joint fissures distributed in the engineering rock mass. In the process of geological history, the underground rock mass undergoes strong geological processes, and undergoes complex geological processes such as fracture breeding, expansion, recementation, and re-expansion. In this paper, the damage-stick-slip process (DSSP), an analysis model used for rock mass failure slip, was established to examine the master control and time-dependent mechanical properties of the new and primary fractures of a multi-fractured rock mass under the action of stress loading. The experimental system for the recemented multi-fractured rock mass was developed to validate the above theory. First, a rock mass failure test was conducted. Then, the failure stress state was kept constant, and the fractured rock mass was grouted and cemented. A secondary loading was applied until the grouted mass reached the intended strength to investigate the bearing capacity of the recemented multi-fractured rock mass, and an acoustic emission (AE) system was used to monitor AE events and the update of damage energy. The results show that the initial fracture angle and direction had a significant effect on the re-failure process of the cement rock mass; Compared with the monitoring results of the acoustic emission (AE) measurements, the master control surface, key blocks and other control factors in the multi-fractured rock mass were obtained; The triangular shaped block in rock mass plays an important role in the stress and displacement change of multi-fracture rock mass and the long fissure and the fractures with close fracture tip are easier to activate, and the position where the longer fractures intersect with the smaller fractures is easier to generate new fractures. The results are of great significance to a multi-block structure, which affects the safety of underground coal mining.
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