골수강내 금속정 및 나사못 맞물림을 이용한 경골의 치료

최창혁,권굉우,김신근,이상욱,강창진 대구효성카톨릭대학교 1997 연구논문집 Vol.56 No.2

Fracture of the tibial shaft is the most common among the long bone fractures, and it is difficult to treat because of a high incidence of delayed union, nonunion and malunion. Interlocking Intramedullary mailing is considered to be valuable method in treating long bone fracture such as tibial fracture these days because it enables rigid fixation, early joint motion exercise and weight bearing. Between April 1993 and March 1997, we treated 63 cases of tibia fractures with interlocking intramedullary nailing. The results were as follows: 1. Among the 63 cases, 51 cases were closed fractures and 12 cases were open fractures. 2. Static interlocking nailing was done in all cases and dynamization was done in 7 cases in postoperative 13 weeks. 3. Average union time was 19.9 weeks, 19 weeks with closed tibia fracture and 2.4 weeks with open tibia fracture. According to fracture site, 22 weeks with proximal tibia fracture, 19.2 weeks with mid-tibia fracture and 21.4 weeks with distal tibia fracture. According to the Winquist-Hansen classification, Type I was 19.8 weeks, Type Ⅱ was 20.4 weeks, Type Ⅲ was 22 weeks and Type Ⅳ was 26 weeks. 4. Weight bearing was started at the time of subsidence of pain and tenderness of the fracture site, 11.5 weeks with closed fracture and 12.3 weeks with open fracture. 5. According to the functional result of Klemm and Borner, 44 cases were excellent, 9 cases were good, 7 cases were fair and 3 cases were poor.

대구지방에서 발생한 개의 골절

김대영,장인호 한국임상수의학회 1998 한국임상수의학회지 Vol.15 No.1

This survey was based on the data of one hundred four dogs with 108 case,T of fracture admitted to the veterinary teaching hospital, College of Veterinary Medicine, Kyungpook National University and 24 private small animal hospitals from January, 1995 to Decemberi 1996. The results were analyzed as following criteria; the distribution of fractures causes of fractured age and sexual distributions month of the most frequencel total body weights presence of communicating external wound, extent of damaged direction of fracture line, location of fracture liner fracture managements fixations methods, fixations methods according to location of fracture. The results of survey were as follow: 1. Main distribution of fracture; radius . ulna (23.1%).2. Causes of fracture; road toraffic accident (39.4 T,). 3. Age; over 24 months (27.9%). 4. Sex; male (53.89)), female (46.2%). 5. Month of the most frequence; July (14.4%) 6. Total body weight: 2-5 kg (45.27)). 7. Presence of communicating external wound; closed fracture (94.2%). 8. Extent of damage; complete fracture (92.6%). 9. Direction of fracture line: comminuted fracture (27.8 To). 10. Location of fracture line; diaphysis (62.0%). 11. Fracture management; open reduction (58.3% ). 12. Fixation methods; not treat (22.2%). 13. Fixation methods according to location of fracture; radius ulna-Kirschner wire fixation (45.5%), femur. shaft-intramedullary pinning (71.4%), pelvis-bone plate (53.3%), metacarpus-not treat, Kirschner wire fixation (each 30.8%).

Is All Anterior Oblique Fracture Orientation Really a Contraindication to Anterior Screw Fixation of Type II and Rostral Shallow Type III Odontoid Fractures?

Cho, Dae-Chul,Sung, Joo-Kyung The Korean Neurosurgical Society 2011 Journal of Korean neurosurgical society Vol.49 No.6

Objective : It is debatable whether an anterior oblique fracture orientation is really a contraindication to anterior odontoid screw fixation. The purpose of this study was to investigate the feasibility of anterior odontoid screw fixation of type II and rostral shallow type III fracture with an anterior oblique fracture orientation. Methods : The authors evaluated 16 patients with type II and rostral shallow type III odontoid fracture with an anterior oblique fracture orientation. Of these 16 patients, 8 (group 1) were treated by anterior odontoid screw fixation, and 8 (group 2) by a posterior C1-2 arthrodesis. Results : Of the 8 patients in group 1, seven patients achieved solid bone fusion (87.5%), and one experienced screw back-out of the C-2 body two months after anterior screw fixation. All patients treated by posterior C1-C2 fusion in group 2 achieved successful bone fusion. Mean fracture displacements and fracture gaps were not significantly different in two groups. (p=0.075 and 0.782). However, mean fracture orientation angles were $15.3{\pm}3.2$ degrees in group 1, and $28.6{\pm}8.1$ degrees in group 2 (p=0.002), and mean fragment angulations were $3.2{\pm}2.1$ degrees in group 1, and $14.8{\pm}3.7$ degrees in group 2 (p=0.001). Conclusion : Even when the fracture lines of type II and rostral shallow type III fractures are oriented in an anterior oblique direction, anterior odontoid screw fixation can be feasible in carefully selected patients with a relatively small fracture orientation angle and relatively small fragment angulation.

Fracture-based forming limit criteria for anisotropic materials in sheet metal forming

Park, Namsu,Huh, Hoon,Lim, Sung Jun,Lou, Yanshan,Kang, Yeon Sik,Seo, Min Hong Elsevier 2017 International journal of plasticity Vol.96 No.-

<P><B>Abstract</B></P> <P>This paper is concerned with modeling of fracture-based forming limit criteria for anisotropic materials in sheet metal forming to predict the sudden fracture in complicated forming processes. The Lou–Huh ductile fracture criterion is modified using the Hill's 48 anisotropic yield function instead of the von Mises isotropic yield function to take account of the influence of anisotropy on the equivalent plastic strain at the onset of fracture. For the derivation of an anisotropic ductile fracture criterion, the principal stresses (<I>σ</I> <SUB>1</SUB>,<I>σ</I> <SUB>2</SUB>,<I>σ</I> <SUB>3</SUB>) are expressed in terms of the stress triaxiality, the Lode parameter, and the equivalent stress ( <SUB> η H </SUB> , <SUB> L P </SUB> , <SUB> σ ¯ H </SUB> ) based on the Hill's 48 yield function. Three different kinds of fracture-based forming limit criteria are suggested and investigated with an assumption that the stress state is under the plane stress condition with proportional loading. To determine the parameters of the model proposed, the two-dimensional digital image correlation (2D-DIC) method is utilized to measure the strain histories on the surface of three different types of specimens during deformation and the measurement results are investigated to identify the anisotropy effect on the equivalent plastic strain at the onset of fracture. This paper also discusses about a scaling method for a strain-based fracture forming limit criterion in order to capture the onset of fracture using a single forming limit curve for an anisotropic material. From the comparison of various forming limit criteria suggested, it is concluded that a polar effective plastic strain-based (PEPS) fracture forming limit diagram (FFLD) is suitable for prediction of the sudden fracture in AHSS sheets in complicated sheet metal forming processes on the basis of its path independence and simplicity of measuring strains in real forming processes.</P> <P><B>Highlights</B></P> <P> <UL> <LI> This paper is concerned with fracture-based forming limit criteria of DP980 sheets. </LI> <LI> The anisotropic ductile fracture criterion is suggested on the basis of the Lou–Huh ductile fracture criterion. </LI> <LI> The principal stresses (<I>σ</I> <SUB>1</SUB>,<I>σ</I> <SUB>2</SUB>,<I>σ</I> <SUB>3</SUB>) are expressed in terms of ( <SUB> η H </SUB> , <SUB> L P </SUB> , <SUB> σ ¯ H </SUB> ) . </LI> <LI> Three different kinds of fracture-based forming limit criteria are suggested for anisotropic materials. </LI> <LI> A fracture-based polar effective plastic strain FFLD is suitable for prediction of the sudden fracture of AHSSs. </LI> </UL> </P>

랫드에서 1α,25 dihydroxycholecalciferol의 골다공증성 골절 치유효과

배춘식,Bae, Chun-sik 대한수의학회 1999 大韓獸醫學會誌 Vol.39 No.5

Osteoporosis is defined as a decrease in bone mass that leads to an increased risk of fracture. The therapeutic effect of $1{\alpha}$,25 dihydroxycholecalciferol, the hormonal form of vitamin $D_3$ that mediates calcium translation in intestine and bone, on the healing process of fracture has still been controversial. These studies were designed to understand the healing process of normal fibular fracture, the osteoporotic changes after ovariectomy, and the therapeutic effects of $1{\alpha}$,25 dihydroxycholecalciferol on the osteoporotic fracture in rats. The simple transverse fractures of rat fibulae were produced with a rotating diamond saw. The changes of the biochemical and mechanical indices of rats were investigated. The mechanical study based on bending test revealed the healing of the fibular fracture in the 5th week after simple transverse fracture. The osteoporosis impaired more the healing of osteoporotic fibular fracture than normal non-osteoporotic fibular fracture. The healing process of osteoporotic fracture was facilitated by the treatment with $1{\alpha}$,25 dihydroxycholecalciferol, however, was delayed more than the healing process of normal fracture. The bone strength based on the bending test also confirmed this tendency. The bone strengths in the 5th week after fracture of normal bone, osteoporotic bone, and $1{\alpha}$,25 dihydroxycholecalciferol-treated osteoporotic bone were 75%, 41%, and 67%, respectively, in comparison with those of intact bone. In conclusion, $1{\alpha}$,25 dihydroxycholecalciferol was effective in promoting the osteoporotic fracture healing.

골절의 절대위험도 평가방법에서 GE Prodigy와 FRAX Tool의 비교분석에 관한 고찰

이화진,이효영,윤종준,이무석,송현석,박세윤,정지욱,Lee, Hwa-Jin,Lee, Hyo-Yeong,Yun, Jong-Jun,Lee, Mu-Seok,Song, Hyeon-Seok,Park, Se-Yun,Jeong, Ji-Uk 대한핵의학기술학회 2009 핵의학 기술 Vol.13 No.3

목적: WHO (world health organization)에서는 골밀도뿐만 아니라 대규모 역학연구에서 정리된 골절의 위험인자 분석을 통하여 10년 내 골절위험도(10-year fracture probability)를 실제적으로 임상에 적용시킬 수 있는 소프트웨어 프로그램인 FRAX Tool (fracture risk assessment)이 2008년에 공개되었다. 본 연구는 기존에 사용하고 있는 GE Prodigy사의 골절위험도평가와 $FRAX^{TM}$를 이용한 골절위험도평가를 비교분석하고자 한다. 검사방법: 본원에 골밀도 검사를 시행한 201명($55{\pm}3.5$세)의 여자를 대상으로 GE Prodigy를 이용하여 Femur를 측정하였다. 측정한 Femoral Neck의 BMD (bone mineral density)를 구하여 GE Prodigy의 T-값과 골절위험인자를 고려하지 않은 $FRAX^{TM}$의 T-값를 사용하여 10년 내 대퇴골 골절위험도와 주요한 골다공증성 골절 위험도를 계산하여 SPSS통계프로그램으로 GE Prodigy의 골절위험도 평가와 $FRAX^{TM}$의 골절위험도 평가를 비교분석하였다. 결과: GE Prodigy의 T-값($-0.52{\pm}0.97$)과 $FRAX^{TM}$의 T-값 ($-1.45{\pm}0.81$)은 통계적으로 유의한 차이가 있었으며(p=0.000), GE Prodigy의 주요한 골다공증성 골절위험도($9.15{\pm}3.71$)와 $FRAX^{TM}$의 주요한 골다공증성 골절위험도($4.87{\pm}1.51$)도 또한 통계적으로 유의한 차이가 있었다(p=0.000). 그리고 GE Prodigy의 10년내 대퇴골 골절위험도($1.56{\pm}1.48$)와 $FRAX^{TM}$의 10년 내 대퇴골골절위험도($0.53{\pm}0.61$)도 통계적으로 유의한 차이를 보였다(p=0.000). 결론: GE Prodigy와 $FRAX^{TM}$에서 측정한 골절의 절대위험도는 통계적으로 유의한 차이를 보였다. 특히 GE Prodigy의 T-값, 주요한 골다공증성 골절위험도, 10년 내 대퇴골 골절위험도가 높게 측정되었다. 향후 $FRAX^{TM}$에 대한 평가 및 적용에 관한 연구가 필요할 것으로 생각된다. Purpose: World Health Organization (WHO) have suggested that an individual's 10-year absolute fracture risk is more reliable than Bone Mineral Density (BMD) measurement as the predictor of osteoporotic fracture. In 2008, Fracture Risk Assessment Tool ($FRAX^{TM}$) was developed by WHO to evaluate fracture risk of patients based on individual's clinical risk factors. The purpose of this study is to offer the comparative analysis of the existing GE prodigy and $FRAX^{TM}$ Tool in Absolute Fracture Risk Assessment Tool. Materials and Methods: 201 women ($55{\pm}3.5$ years) underwent femoral neck BMD measurement using GE Prodigy. The 10-year probability (%) of hip fracture (or a major osteoporosis-related fracture) was estimated using T-scores of GE prodigy and $FRAX^{TM}$. We made a comparative analysis of these data using SPSS (Ver.12). Results: There was a significant difference statistically between T-score ($-0.52{\pm}0.97$) of GE prodigy and T-score ($-1.45{\pm}0.81$) of $FRAX^{TM}$ (r=0.977, p=0.000). Also, there was a significant difference statistically between a major osteoporosis- related fracture ($9.15{\pm}3.71$) of GE prodigy and a major osteoporosis-related fracture ($4.87{\pm}1.51$) of $FRAX^{TM}$ (r=0.909, p=0.000). Moreover, a statistically significant difference was found in the 10-year probability of hip fracture of GE prodigy ($1.56{\pm}1.48$) and of hip fracture ($0.53{\pm}0.61$) of $FRAX^{TM}$ (r=0.905, p=0.000). Conclusions: There was a significant difference statistically between GE prodigy and $FRAX^{TM}$ Tool in Absolute Fracture Risk Assessment Tool. Especially, T-score, a major osteoporosis-related fracture and the 10-year probability of hip fracture that were estimated using GE prodigy tended to show the higher results than one evaluated by $FRAX^{TM}$ Tool. In conclusion, $FRAX^{TM}$ Tool may provide a better tool. The application of $FRAX^{TM}$ Tool as a fracture predictor remains to be clarified.

How to Figure out Aperture Distribution in a Fractured Rock

Chung-Kyun Park,Bong-Ju Kim,Ki-Jong Jang,Jang-Soon Kwon 한국방사성폐기물학회 2022 한국방사성폐기물학회 학술논문요약집 Vol.20 No.2

When the radioactive nuclides are leaked from a deep geological repository by groundwater, the migration path of the nuclides is mostly consisted of rock fractures to the surface biosphere. Thus, assessing the safety of the disposed radioactive wastes depends upon understanding of nuclide migration in the fractured rocks. Fractures in rocks tend to dominate the hydrological characteristics of the dissolved nuclides. To study migration of nuclides in the rock fracture, a granite block of 1 m scale was quarried from the Hwangdeung site. The block has a single natural fracture. The six faces of the rock including fracture gaps were sealed with silicone adhesives to prevent leaking or diffusion of the water. Usually flow in fractured rock is unevenly distributed and most of the water flow occures over a small portion of the fracture zone, that is so called channeling flow. It is caused by uneven distribution of apertures in a fracture field. Flow rate is proportional to the cubic of the aperture. Thus, figuring out aperture distribution in a fracture field is the most important step on the study of the migration of nuclides in the fractured region. The ideal way to figure out the aperture distribution in a fractured rock is to use a non-destructive tool such as X-ray tomagraphe. However, it has a limitation of scale, that is, less than about 30 cm. It is not easy to give a good resolution for this quarried rock of 100×60×60 cm scale. It gives complex and vague images of the fracture. The optimum way to get an aperture distribution in a fractured rock is to drill some boreholes to the fracture and to carry out hydraulic tests. The more number of boreholes gives the more accurate information, but the more disturbance to the fracture field. Thus, it is necessary to optimize between aperture information and disturbing fracture field by selecting a suitable number of boreholes. We drilled nine boreholes from the upper surface of the rock mass just to the fracture without penetrating the fracture. And we carried out dipole tests for the matrix set of 9 boreholes. From each dipole test, an effective average aperture was calculated with the data of flow rate and hydraulic head. Then aperture distribution in the fracture field is calculated with a modified Krigging method. As a result, the aperture is distributed in the range of about 0.03~0.16 mm.

Evaluation of Fracture Filling Minerals and Aperture Distribution of Fractured Granite

Bong-Ju Kim,Ki-Jong Jang,Chung-kyun Park,Jang-Soon Kwon 한국방사성폐기물학회 2022 한국방사성폐기물학회 학술논문요약집 Vol.20 No.2

In this study, we evaluated fracture filling minerals and aperture distribution along the fracture surfaces under the controlled conditions. The fractured granite block which has a single natural fracture of 1 m scale was sampled in a domestic quarry (Iksan), which groundwater had been flowed through. This rock has an interconnected porosity of 0.36 with the specific gravity of 2.57. The experimental setup with the granite block with dimensions of 100×60×60 (cm). The fracture is sealed with rock silicone rubbers when it intersects the outer surfaces of the block and the outer surfaces are coated with the silicone to prevent loss of water by evaporation. Nine boreholes were drilled of orthogonal direction at the fracture surface. A flow of de-ionized water through the fracture between pairs of boreholes was initiated and the pressure required to maintain a steady flow was measured. In additions, fracture filling minerals were sampled and examined by mineralogical and chemical analyses. There are phyllosilicate minerals such as illite, kaolinite, and chlorite including calcite, which are fracture filling minerals. The illite and kaolinite usually coexist in the fracture, where their content ratio is different according to which mineral is predominant. For the evaluation of fracture, surface was divided into an imaginary matrix of 20×20 sub-squares as schematically. The calculated results are expressed as a two dimensional contour and a three dimensional surface plot for the aperture distribution in the fracture. The aperture value is distributed between 0.075 and 0.114 mm and the mean aperture value is 0.082 mm. The fracture volume is about 49 ml. These results will be very useful for the evaluation of environmental factor affecting the nuclides migration and retardation.

소아 야구 선수의 투구 중 발생한 상완골 골절과 치유 후 재발된 피로골절

옥인영,장정호,선두훈,이영호 대한스포츠의학회 1999 대한스포츠의학회지 Vol.17 No.1

A 11-year old male Little League pitcher sustained a displaced spiral fracture of the right midhumerus in midpitch. Physical examination revealed tenderness and swelling over the middle third of the arm. Roentgenograms showed displaced spiral fracture of the middle of the shaft of the right humerus. Deep ache prodrome symptoms occurred in the midhumerus at rest and during pitching for the preceeding two months and were aggravated for a week. A hanging cast was applied for stress fracture of humerus, Twelve weeks after injury, fracture of humerus was completely united and the patient was allowed to resume baseball training. Twenty weeks after first fracture, the patient was seen again after an episode of acute pain that had occurred while he was throwing a baseball. Roentgenogram revealed a periosteal reaction on the proximal to original fracture site. Under the diagnosis of recurrent stress fracture of humerus, the extremity was placed in a sling. 8 weeks after the second injury, the fracture completely united. In conclusion, after complete union of spiral fracture of humerus, the player should take the enough time for recovery of muscle strength before pitching exercise to prevent of recurrent stress fracture.

Mineralogical Characteristics of Fracture-filling Minerals and Aperture Distribution in a 1 m Scale Fractured Granite

Bong-Ju Kim,Ki-Jong Jang,Yong-Kwon Koh,Jang-Soon Kwon 한국방사성폐기물학회 2023 한국방사성폐기물학회 학술논문요약집 Vol.21 No.1

A disposal research program for HLW has been carried out since 1997 with the aim of establishing the preliminary concept of geological disposal in Korea. The preliminary studies were conducted by conducting manufacture and installation of an in-situ nuclide migration system in KAERI Underground Research Tunnel (KURT). Nuclides could be released from a deep underground disposal facility due to thermal and physicochemical changes into the surrounding environments. Understanding on the migration and retardation processes of nuclides in a fractured rock is very important in the safety assessment for the radioactive waste disposal. In this study, we evaluated fracture filling minerals and aperture distribution (3D map) along the fracture surfaces under the controlled conditions. The fractured granite block which has a single natural fracture of 1 m scale was sampled in a domestic quarry (Iksan), which groundwater had been flowed through. This rock has an interconnected porosity of 0.36 with the specific gravity of 2.57. The experimental set-up with the granite block with dimensions of 100×60×60 (cm). A flow of de-ionized water through the fracture between pairs of boreholes was initiated and the pressure required to maintain a steady flow was measured. In additions, fracture filling minerals were sampled and examined by mineralogical and chemical analyses. There are phyllosilicate minerals such as illite, kaolinite, and chlorite including calcite, which are fracture filling minerals. The illite and kaolinite usually coexist in the fracture, where their content ratio is different according to which mineral is predominant. For the evaluation of fracture, surface was divided into an imaginary matrix of 20×20 sub-squares as schematically. The calculated results are expressed as a two dimensional contour and a three dimensional surface plot for the aperture distribution in the fracture. The aperture value is distributed between 0.075 and 0.114 mm and the mean aperture value is 0.095 mm. The fracture volume is about 55 ml. Also the 137Cs sorption (batch test) distribution coefficients increased to Kd = 800~860 mL/g in the fractured rock because of the presence of secondary minerals formed by weathering processes, compared to the bedrock (Kd = 750~830 mL/g). These results will be very useful for the evaluation of environmental factor affecting the nuclides migration and retardation.